SURGICAL CLOSURE

• US 3,698,395 A
• Filed: 03/12/1971
• Issued: 10/17/1972
• Est. Priority Date: 03/12/1971
• Status: Expired due to Term

• Current Assignee: Teresa M. Resce
• Original Assignee: Harrith M. Hasson
• Inventors: Hasson, Harrith M.
• Primary Examiner(s): Truluck, Dalton L.
• Application Number:
  US05/123,559
• Time in Patent Office: 585 Days
• Field of Search: 128/155,156,168-171,334R,335,335.5
• US Class Current: 606/218
• CPC Class Codes: A61B 17/085 with adhesive layer
• CPC Class Codes: A61B 46/00 Surgical drapes

Abstract

A sutureless closure device for use in surgery which is both an operative drape and a post-operative skin dressing. A flexible sheet having a pressure sensitive adhesive undersurface is adapted for placement on the skin over the area to be cut. The sheet is differentiated into two opposing dressing portions which remain on the skin as a post-operative dressing and which define a narrow median strip that acts as a surgical drape and can be removed at the end of the operation. One of the dressing portions of the sheet carries, on its upper surface, means for engagement with the opposite dressing portion whereby the engagement means can be connected to bridge the incision thereby forming a connected closure.

Claims

1. A closure device for surgical use, which comprises:

a flexible sheet having a pressure sensitive adhesive undersurface;

an intermediate portion defined by two opposing side portions and being adapted for placement on the skin directly over the area to be cut;

one of said side portions carrying, on its upper surface, means for engagement with the other side portion, whereby an incision through said intermediate portion can be made and thereafter closed with said engagement means bridging said incision to form a connected closure; and

means for enabling simple removal of said intermediate portion from said side portions.

2. A device as described in claim 1, wherein said intermediate portion is formed of a plastic surgical drape material.

3. A device as described in claim 1, wherein said side portions are formed of a surgical dressing material.

4. A device as described in claim 2, wherein said side portions are formed of a surgical dressing material.

5. A device as described in claim 1, wherein said engagement means comprise a first engagement member connected to one of said side portions and a second engagement member connected to the other side portion, and an external fastening member for bridging the incision to connect said first and second engagement portions.

6. A device as described in claim 5, wherein said first and second engagement members comprise Velcro strips and said external fastening member comprises a member carrying Velcro material on its opposing ends.

7. A device as described in claim 5, wherein said first and second engagement members comprise hooks and said external fastening member comprises thread means for connecting the hooks on opposing side portions.

8. A device as described in claim 1, wherein said engagement means comprise Velcro materiaL connected to said side portions.

9. A device as described in claim 1, wherein said engagement means comprise pressure sensitive tape means fastened to said one side portion, said tape means being of a length to span the intermediate portion and connect to said other side portion;

and removable strip means covering the adhesive area of said tabs.

10. A device as described in claim 1, wherein said engagement means include laterally spaced means for permitting lateral adjustability of the closure engagement.

11. A device as described in claim 2, wherein said intermediate portion is light transmissive and has a printed guide line thereon.

12. A device as described in claim 1, in which said engagement means comprise a plurality of beaded tie fasteners connected to said one portion and means connected to said other side portion defining apertures for receiving said beaded tie fasteners.

13. A device as described in claim 12, wherein said apertures open to the outside of said means defining them.

14. A device as described in claim 1, in which said engagement means comprise a plurality of ties connected to said one side portion, each of said ties having a stepped upper surface to form a ratchet, and a plurality of pawls connected to said other side portion for engagement with said ties, said connected pawls and ties cooperating to prevent opening movement of said ties with respect to said pawls.

15. A device as described in claim 14, including thumb-operable means for releasing said pawls from the steps of said ties, said ties and pawls being formed of a plastic material.

16. A drape and closure device for surgical use, which comprises:

a flexible sheet having a pressure sensitive adhesive undersurface;

an intermediate portion defined by two opposing side portions and being adapted for placement on the skin directly over the area to be cut, said intermediate portion being formed of a plastic surgical drape material and said side portions being formed of a surgical dressing material;

means for enabling simple removal of said intermediate portion from said side portions;

one of said side portions carrying, on its upper surface, means for engagement with the other side portion, said engagement means comprising alternating Velcro-carrying tabs and adhesive strips, whereby an incision through said intermediate portion can be made, said intermediate portion can be removed and said incision can thereafter be closed with said engagement means bridging said incision to form a connected closure.

17. A drape and closure device as described in claim 16, in which said engagement means further comprise adhesive strips located on the underside of said Velcro-carrying tabs whereby said incision can be closed by connecting said Velcro tabs and said alternating adhesive strips, thereafter disconnecting said Velcro tabs and connecting said adhesive strips underlying said Velcro tabs, and thereafter reconnecting said Velcro tabs.

18. A device as described in claim 16, in which all of said adhesive strips and said flexible sheet have a removable protective liner.