Sutureless closure system

• US 4,539,990 A
• Filed: 09/16/1983
• Issued: 09/10/1985
• Est. Priority Date: 09/16/1983
• Status: Expired due to Fees

• Current Assignee: Oscar G. Stivala
• Original Assignee: Oscar G. Stivala
• Inventors: Stivala, Oscar G.
• Primary Examiner(s): Truluck, Dalton L.
• Application Number:
  US06/532,702
• Time in Patent Office: 725 Days
• Field of Search: 128/334, 128/335, 128/337
• US Class Current: 606/215
• CPC Class Codes: A61B 17/085 with adhesive layer

Abstract

A sutureless closure system having fabric backed plates positioned along the side edges of a wound. Arcuate shaped clips bridge the wound between plates. Each clip contains a downwardly extended pin at each end which penetrates the fabric, but not the skin, to form a secure anchor for the bridge. Each clip is further formed of a bendable material so that the chordal length of the bridge can be shortened in assembly to tighten the system.

Claims

1. A sutureless closure for drawing together the side margins of a wound and holding the margins closed in an everted condition that includes:

a pair of opposed anchor plates being located so that one of the plates is positioned on each side of the wound,

each plate including a thick penetratable fabric having an adhesive layer affixed to the bottom surface thereof whereby the plate is securely attached to the skin adjacent the wound,

an arcuate shaped bridge formed of a deformable metal, said bridge spanning the wound and overlying the two anchor plates so that the radius of curvature of the bridge is centered within the plane of the wound,

a pin downwardly disposed from each end of the bridge, each pin penetrating the fabric of the underlying plate through the top surface of the plate, the length of the pins being less than the depth of the fabric whereby the pins cannot penetrate the skin,

said pins slanting inwardly toward the center of the radius of curvature of the bridge whereby deforming the bridge inwardly to shorten the chordal length between the pins turns the plates upwardly and inwardly to evert the skin at wound opening.

2. The sutureless closure of claim 1 wherein the said fabric is formed of a cellular plastic material.

3. The sustreless closure of claim 1 wherein the bridge and the pins disposed therefrom are formed from a single piece of metal.

4. The sutureless closure of claim 1 wherein finger engageable members are located at each end of the bridge to facilitate deforming thereof.

5. The method of closing and everting a wound including the steps of

adhering a fabric plate to the skin on both sides of the wound,

spanning the wound between the plates with a deformable arcuate shaped bridge,

pinning each end of the bridge into the approximate center of each plate with the pins slanting inwardly toward the wound to a depth that is less than the depth of the fabric whereby the pins will not penetrate the skin,

deforming the bridge inwardly to shorten the chordal length thereof to turn the opposed plates inwardly and upwardly to evert the skin at the wound.

6. The method of claim 5 that further includes the step of shaping the opposed plates so that they complement the contour of the wound.