Surgical closure

• US 3,971,384 A
• Filed: 12/17/1971
• Issued: 07/27/1976
• 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): Michell, Robert W.
• Assistant Examiner(s): Cohen, Lee S.
• Application Number:
  US05/209,165
• Time in Patent Office: 1,684 Days
• Field of Search: 128/335, 128/334, 128/337, 24/16 PB, 24/20 TT, 24/16 R, 24/20 R, 24/DIG. 23, 24/30.5 PB, 24/203, 24/206 R
• US Class Current: 606/218
• CPC Class Codes: A61B 17/085 with adhesive layer

Abstract

A sutureless closure device which is operable to draw the edges of a wound or incision together. The device comprises two pieces of surgical tape each having an adhesive face. These pieces are secured to the skin on opposite sides of the incision. An anchor for one end of a tie strip is carried by the exposed face of one tape. A slide is secured to the exposed face of the other tape. A tie strip having ratchet teeth on its upper or exposed face has one end secured to the anchor with its other end being taken up in the slide. The slide includes a locking tab which secures the tie strip by cooperating with the ratchet teeth thereon after the tie strip has been drawn to a desired degree of tautness.

Claims

1. A surgical closure which comprises:

a first surgical tape member for application to one side of an incision;

a second surgical tape member for application to the other side of the incision;

said first surgical tape member carrying a tie strip anchor and said second surgical tape member carrying a tie strip slide, said tie strip slide defining a slot to receive a tie strip and including a locking member; and

a tie strip for sliding through said tie strip slide for coupling said first and second surgical tape members;

at least a portion of said locking member being spaced, from the surface on which the tie strip lies, a distance that is smaller than the thickness of the tie strip, whereby said locking member can cooperate with said tie strip to maintain said tie strip within said tie strip slide; and

further including a plurality of said surgical closures in a connected assembly, said connected assembly comprising tear strip means separating each surgical closure.

2. A surgical closure which comprises:

a first surgical tape member for application to one side of an incision;

a second surgical tape member for application to the other side of the incision;

said first surgical tape member carrying a tie strip anchor and said second surgical tape member carrying a tie strip slide, said tie strip slide defining a slot to receive a tie strip and including a locking member; and

a tie strip for sliding through said tie strip for coupling said first and second surgical tape members;

at least a portion of said locking member being spaced, from the surface on which the tie strip lies, a distance that is smaller than the thickness of the tie strip, whereby said locking member can cooperate with said tie strip to maintain said tie strip within said tie strip slide; and

further including means bridging said first and second surgical tape members for aiding the operator to align said tape members with respect to each other and with respect to the incision.

3. A surgical closure as described in claim 2, wherein said bridging means comprises a strip integrally and continuously formed with said first and second surgical tape members.

4. A surgical closure as described in claim 2, wherein said bridging means comprises a removable strip that is adhesive-free at the area which contacts the skin, and further including means carried by said removable strip for aiding the operator to space said first and second surgical tape members equally from the incision.

5. A surgical closure which comprises:

a first surgical tape member for application to one side of an incision;

a second surgical tape member for application to the other side of the incision; and

an independent belt-like tie strip for coupling said first and second surgical tape members;

said first surgical tape member carrying a tie strip anchor comprising a hollowed member for holding said tie strip, said second surgical tape member carrying a tie strip slide, said tie strip having a toothed upper surface to form a ratchet, and said tie strip slide including a pawl for engaging said ratchet during sliding of said tie strip when the incision is being closed;

said pawl being spaced, from the surface on which the tie strip lies, a distance that is smaller than the thickness of the tie strip; and

further including a plurality of said surgical closures in a connected assembly, said connected assembly comprising tear strip means separating each surgical closure.

6. A surgical closure which comprises:

a first surgical tape member for application to one side of an incision;

a second surgical tape member for application to the other side of the incision;

said first surgical tape member carrying a tie strip anchor and said second surgical tape member carrying a tie strip slide, said tie strip slide including a locking member; and

a tie strip coupling said first and second surgical tape members, said anchor comprising a hollow, rectilinear member for holding a belt-like tie strip, and said tie strip slide including a pair of parallel side members for restraining said tie strip from lateral movement and a cross member bridging said side members for restraining said tie strip from upward movement;

at least a portion of said locking member being spaced, from the surface on which the tie strip lies, a distance that is smaller than the thickness of the tie strip, whereby said locking member cooperates with said tie strip to maintain said tie strip within said tie strip slide.

7. A surgical closure which comprises:

a first surgical tape member for application to one side of an incision;

a second surgical tape member for application to the other side of the incision; and

an independent belt-like tie strip coupling said first and second surgical tape members;

said first surgical tape member carrying a tie strip anchor comprising a hollowed member for holding said tie strip, said second surgical tape member carrying a tie strip slide, said tie strip having a toothed upper surface to form a ratchet, and said tie strip slide including a pawl for engaging said ratchet during sliding of said tie strip when the incision is being closed, said tie strip slide including a pair of parallel side members for restraining said tie strip from lateral movement, a pair of upper cross members bridging said side members for restraining said tie strip from upward movement, and a pair of lower cross members aiding to hold said tie strip firmly against said pawl with one of said upper cross members cooperating with one of said lower cross members to force said tie strip into a generally S-shape whereby a portion of said tie strip is held against the patient'"'"'s skin after application.