Instruments for stretching and/or expanding skin tissue

• US 9,375,285 B2
• Filed: 05/02/2012
• Issued: 06/28/2016
• Est. Priority Date: 05/03/2011
• Status: Expired due to Fees

• Current Assignee: Herniamesh S.r.l.
• Original Assignee: Herniamesh S.r.l.
• Inventors: Crepaldi, Pier Aldo
• Primary Examiner(s): Rodjom, Katherine
• Assistant Examiner(s): HOLLM, JONATHAN A
• Application Number:
  US14/112,955
• Publication Number:
  US 20140046364A1
• Time in Patent Office: 1,518 Days
• Field of Search: 606/213, 606/216, 606/221
• US Class Current: 1/1
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 2017/00862 elastic or resilient for sutures A61B2017/0618
• CPC Class Codes: A61B 2017/081 Tissue approximator A61B2017/1103, A61B17/8866 take precedence
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 90/02 Devices for expanding tissue, e.g. skin tissue implements for holding wounds open, surgical tractors A61B17/02; implantable mammary prosthesis A61F2/12; dilators A61M29/00

Abstract

Instruments are provided, representative embodiments of which have a first and a second jaw, from each of which at least one engaging element, whose distal end is suitable for engaging the skin tissue to be stretched, protrudes; an elastic member connecting the jaws, stressing them against each other when subjected to a traction force; and elements for adjusting the distance separating the jaws in the absence of traction force on the elastic member.

Claims

1. An instrument for stretching and/or expanding skin tissue at the margins of skin lesions comprising:

a first and a second jaw which have respective longitudinal axes and from each of which at least one engaging element, whose distal end is suitable for engaging said tissue, protrudes,

a single elastic member associated with the instrument disposed between and connecting said jaws and having a longitudinal axis centrally arranged in said instrument wherein two symmetrical portions are defined, configured to urge the jaws against each other when subjected to a traction force, and

elements for adjusting the distance separating said jaws in the absence of traction force on the elastic member,

wherein said single elastic member has a first end fixed to the first jaw and a second end which is adjustably associated with the second jaw, and wherein said second jaw has a flat body and a front edge with a fissure facing a front edge of the first jaw, an opening, in at least one face perpendicular to said front edge of the flat body of the second jaw, communicating with said fissure and having side edges in which respective slots are present in the mid portion of the body, a pivot passing through said slots and said opening, and wherein the elastic member passes through the fissure, is wound around the pivot, and again passes through the fissure, whereby the second end of the elastic member protrudes from said fissure toward the first jaw to which the first end of the single elastic member is fixed, wherein the second jaw has only two major faces including a bottom major face facing the skin tissue, and wherein said first jaw, said second jaw and said single elastic member have coinciding longitudinal axes.

2. The instrument of claim 1, wherein said adjusting elements allow for a continuous adjustment of the distance separating said jaws along said coinciding longitudinal axes.

3. The instrument of claim 2, wherein said at least one engaging element is needle-shaped.

4. The instrument of claim 1, wherein said elastic member is in the form of a strip.

5. The instrument of claim 4, wherein said strip has indicator marks of the stress state.

6. The instrument of claim 1, wherein said first jaw has a substantially flat body and a front edge with a socket in which a first end of said elastic member is fixed.

7. The instrument of claim 6, wherein two engaging elements protrude from a face of the body of said first jaw.

8. The instrument of claim 1, wherein two engaging elements protrude from a face of the body of said second jaw.

9. The instrument of claim 1, wherein each of said slots has a front portion having a substantially rectangular section and a rear portion having a section larger than the front portion.

10. The instrument of claim 9, wherein said pivot has respective heads at the ends, a mid portion having a substantially circular cross section and intermediate portions between the mid portion and each head having a cross section with sharp corners, said intermediate portions being placed in the respective slot and said elastic member being passed in the fissure, wound around the mid portion of the pivot and being again passed through the fissure, whereby a second end thereof freely protrudes from the second jaw.

11. The instrument of claim 1, wherein said elastic member connects said jaws, keeping them facing and spaced apart from each other.