SUBCUTANEOUS SINUSOIDAL WOUND CLOSURE UTILIZING ONE-WAY SUTURE
First Claim
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1. A method for closing a wound having a first side and a second side, the method comprising:
- (a) receiving a wound-closure device including a suture having a first suture section, a first needle secured to the first suture section and a first plurality of barbs projecting from the first suture section, the first plurality of barbs being adapted to permit movement of the first suture section through tissue in a direction of the first needle and resist movement in an opposite direction;
(b) deploying the first suture section along a continuous sinusoidal path which crosses the wound from the first side to the second side of the wound and then back from the second side to the first side of the wound; and
(c) approximating the first side and second side of the wound.
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Abstract
Subcutaneous sinusoidal wound-closure techniques use one-way sutures. The one-way sutures have tissue-grasping surface features which allow passage of the suture in one direction through tissue, but not in the opposite direction. In closing a wound, the one-way suture is deployed along a curvilinear path which passes alternately through subcutaneous tissue on opposed sides of the wound. The wound-closure techniques allow approximation of the sides of the wound without knots, avoid loop stitching and reduce scarring.
141 Citations
20 Claims
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1. A method for closing a wound having a first side and a second side, the method comprising:
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(a) receiving a wound-closure device including a suture having a first suture section, a first needle secured to the first suture section and a first plurality of barbs projecting from the first suture section, the first plurality of barbs being adapted to permit movement of the first suture section through tissue in a direction of the first needle and resist movement in an opposite direction; (b) deploying the first suture section along a continuous sinusoidal path which crosses the wound from the first side to the second side of the wound and then back from the second side to the first side of the wound; and (c) approximating the first side and second side of the wound. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A method for approximating a first side and a second side of a wound, the method comprising:
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(a) receiving a wound-closure device including a strand of bio-absorbable polymeric suture thread, the strand having a first end and a second end, a needle secured to the first end of the strand, a first strand portion adjacent the first end, a second strand portion adjacent the second end, a plurality of projections distributed on the first strand portion, the plurality of projections being configured to permit movement of the first strand portion body through tissue in the direction of the needle and grasp tissue in an opposite direction; (b) using the needle to draw the first strand portion along a curvilinear subcutaneous path which passes alternately through tissue of the first side and tissue of the second side; and (c) approximating at least a portion of the first side and the second side of the wound. - View Dependent Claims (12, 13, 14, 15, 16, 17, 18)
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19. A method for closing a wound having a first side and a second side, the method comprising:
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(a) receiving a wound-closure device including a suture having a first suture section and a second suture section, a first needle secured to the first suture section and a first plurality of projections distributed on the first suture section, the first plurality of projections being adapted to permit movement of the first suture section through tissue in a direction of the first needle and resist movement in an opposite direction; (b) securing the second suture section to tissue; (c) deploying the first suture section along a continuous sinusoidal path which crosses the wound from the first side to the second side of the wound and then back from the second side to the first side of the wound; and (d) approximating the first side and second side of the wound. - View Dependent Claims (20)
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Specification