Retention suture system

• US 4,210,148 A
• Filed: 11/03/1978
• Issued: 07/01/1980
• Est. Priority Date: 11/03/1978
• Status: Expired due to Term

• Current Assignee: Oscar G. Stivala
• Original Assignee: Oscar G. Stivala
• Inventors: Stivala, Oscar G.
• Primary Examiner(s): Truluck, Dalton L.
• Application Number:
  US05/954,221
• Time in Patent Office: 606 Days
• Field of Search: 128/334 R, 128/335, 128/337
• US Class Current: 606/232
• CPC Class Codes: A61B 17/0466 Suture bridges

Abstract

A retention system for safeguarding a surgical incision to prevent rupturing of the wound during healing wherein at least one pair of elongated retaining bars of similar design and constructuion are positioned on either side of the incision. The bars are cojoined by means of retension sutures embedded beneath the skin which pass transversely across the wound. Each bar consists of a relatively rigid top plate and a complimentary lower pad that is secured to the bottom surface of the plate and which is adapted to conform to the contour of the body. One or more pair of suture holes are spaced along the longitudinal axis of each bar with the spacing between the holes being substantially equal to the width of the bar at the contact surface whereby a relatively uniform holding pressure is evenly distributed over the entire contact region when the retention sutures are tied off.

Claims

1. A retaining bar for use in a retention system for safeguarding a surgical incision that includes

an elongated plate formed of a relatively rigid material that is capable of flexing without breaking,

a pad securely affixed to the bottom surface of the plate for contacting the skin adjacent the incision, said pad being formed of a resilient open-celled material that is capable of conforming to the contour of the skin while, at the same time, permitting air to contact the skin,

said cojoined plate and pad having at least one suture hole pair passing downwardly therethrough with the holes being located upon the longitudinal axis of the plate and being spaced apart at a distance substantially equal to the width of said plate, and

said plate further including laterally extended notches recessed into the top surface thereof that span the lateral axis of the plate midway between each of the holes in the hole pair, and the entire lower edge of the plate containing a gently rolled corner to prevent damaging the skin as the bar is drawn thereagainst.

2. The bar of claim 1 wherein the cojoined plate and pad contain a plurality of hole pairs and wherein the hole pairs are spaced apart a distance substantially equal to the width of the bar.

3. A retention system for safeguarding a surgical incision including

at least one pair of elongated retaining bars of similar construction with the bars being parallelly aligned on either side of the incision in contact against the skin, each of said bars further including a relatively strong plastic upper plate to the bottom surface of which is securely affixed a complimentary pad formed of an open-celled resilient material that is capable of conforming to the skin contour and permitting air to reach the skin,

said bars each containing a series of hole pairs spaced apart along the axis of the bar at a distance that is substantially equal to the width of the bar and also having laterally extended notches positioned between each of the holes in a hole pair, said notches being recessed into the top surface of the bar so as to span the axis thereof, and

suture means for joining the bars that includes a suture being arranged to pass beneath the skin between corresponding holes of adjacent hole pairs contained in each of the bars with the suture extending axially along the top surface of the bar between each hole in a hole pair whereby a substantial uniform holding pressure is applied to the skin across the entire area of the bar when the sutures are tied off.

4. The retention system of claim 3 wherein the plate of each bar further includes a rounded lower edge extending about the entire periphery thereof to prevent damaging the skin when the sutures are tied off.

5. The retention system of claim 4 wherein the ends of each bar are semicircular in form.