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Publication numberUS2421193 A
Publication typeGrant
Publication date27 May 1947
Filing date2 Aug 1943
Priority date2 Aug 1943
Publication numberUS 2421193 A, US 2421193A, US-A-2421193, US2421193 A, US2421193A
InventorsJames Gardner William
Original AssigneeCleveland Clinic Foundation
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Surgical dressing
US 2421193 A
Abstract  available in
Images(1)
Previous page
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Claims  available in
Description  (OCR text may contain errors)

May 27, 1947. W l- GARDNER l ZZLQS SURGICAL' DRESSING Filed Aug. 2, 1945 fr 'IIIIIIIIIIOF WIIIIIIIJ' INVENTOR.

f w/L/AM JAMES GARDA/EE Patented May 27, 1947 SURGICAL DRESSING William .lames Gardner, Cleveland Heights, Ohio,

assigner to Cleveland Clinic Foundation, a nonproiit corporation of Ohio Application August 2, 1943, Serial No. 496,982

(Cl.` 12B-335) Claims.

This invention relates to improvements in dressings for wounds or the like and more particularly to an improved elastic dressing which may be stretched over the wound and is adapted to draw the edges of the wound together.

As is well known to those versed in the art, an open wound has a tendency to gape. This has an undesirable effect in that it increases the size of the scar and the length of the time for healing. In the past, various methods have been used fo-r cutting down the gaping. Probably the most common was to wrap the wound member with a bandage. This was undesirable because it did not reduce the gape the desired amount, the bandage came in contact with and adhered to the raw flesh increasing the difficulty of renewing the dressing and the pressure of the bandage constricted the wounded member causing various complications.

Other methods used included sewing, the use of clamps, and sometimes even the sewing of buttons to the skin and the use of rubber bands for traction. These were and are all more or less undesirable because they are not only painful to the patient, but their application is time consuming.

The time element is particularly important at times where a great many dressings must be made as in the case of caring for the wounded in time of war.

By my present invention I have provided an improved form of dressing which may be quickly and easily applied without special instruments and wherein the dressing may be removed or renewed without pain and discomfort to the patient.

It is therefore an object of my invention to provide an improved form of dressing for wounds or the like.

Another object of my invention is to provide a dressing wherein traction may be continuously applied to the sides of the wound over extended periods.

Another object of my invention is to provide an improved means for applying traction to a wound.

Another object of my invention is to provide a dressing where greater traction may be applied.

Another object of my invention is to provide a dressing which does not adhere to the open wound.

Another object of my invention is to provide a dressing which when removed will not reopen the Wound.

Another object of my invention is to provide a dressing which may be applied quickly and easily rto the wound and does not skill for its application.

Another object of my invention is to provide a dressing which may be adapted to wounds of various sizes and shapes.

Still other objects of the invention and the invention itself will become more apparent from the following description of an embodiment thereof which description isillustrated by the accompanying drawings and forms a part of this specification.

Fig. 1 is a view illustrating diagrammatically an open wound;

Fig. 2 is a cross-sectional View of an improved dressing of my invention;

Fig. 3 is a plan View of a section of dressing;

Fig. 4 is a diagrammatic View illustrating the dressing applied to the wound of Fig. 1."

Fig. 5 is a cross-sectional view of another modification of my invention;

Fig. 6 is a plan View of another form of the invention;

Fig. 7 is an enlarged section taken on the line l--l of Fig. 6;

Fig. 8 is an enlarged plan View of a portion of the dressing of Fig. 6; and

Fig. 9 is a sectional View taken on the lines 9 9 of Fig. 8.

Briefly, one aspect of the invention comprises bridging the raw surface of the wound with Aa sheet of rubber tissue of high elasticity which is stretched and secured to the healthy skin on each side of the Wound thus applying traction to the sides of the wound.

More specically, Fig. 1 illustrates a condition where the healthy skin is shown at I and a gaping wound at 2. It should be noted that although the wound may be a simple cut, eXtending down into the flesh, it has a natural tendency to gape more or less as illustrated. Such a wound, if not pulled together, has a tendency to remain open and takes a long time for the flesh to heal and be covered with skin. It is therefore desirable to draw the edges of the wound together causing a progressive narrowing of the wound and greatly increasing the healing rate and resulting in a narrower scar. As previously stated this can be accomplished in several ways, the most common previously used being by stitching through the edges of the wound and drawing the opposite edges together. This was a, disadvantage because it was not only painful but increased the chances of infection. Fur'- thermore, the stitches sometimes pulled out.

In Fig. 2, I have shown a section of my imrequire great proved dressing which in this embodiment comprises a center elastic portion 4 of thin, highly elastic latex rubber, the edges of which are provided with a, non-elastic fabric 5. Preferably the latex is formed so that it impregnates or becomes embedded in the interstices of the fabric to form a secure and non-removable connection therewith. Thus when the latex or rubber is cured it is bonded securely to the fabric. Fig. 3

is a plan view of a portion of the dressing and shows the center elastic portion and the nonelastic margins. A dressing of this character can be made up in rolls with the non-elastic tapes acting as a selvedge. Sections of the desired length may be cut from the rolls to provide dressings of various lengths and the rolls may be constructed of varying widths such as 1", 2", etc.

Although I have specifically mentioned Latex as being useful it is within the purview of my invention to make the elastic portion of any of the Well known synthetic elastic materials -as well as rubber.

In securing the .dressing Vin place, I preferably use ordinary adhesive tape. This .tape is applied to the healthy skin on -one side of the wound with one part of the tape against the skin and the other part overlapping the non-elastic portion 5 of the dressing. In order to increase the eihciency of the hold, I preferably cause the latex or like material to extend only partially through the tapes 5, so the top surface 5a is free from the elastic material, it only extending partially through the tape. I have found, however, that the rubber can extend-entirely through the material at the edge and that as long as the edge material is inelastic a good adherence will be obtained. In this manner` the adhesive tape adheres firmly to the skin and to the inelastic edge of the dressing holding it securely in place. After one side of the dressing is secured on one side of the wound the dressing is stretched, thewound gently closed and the other opposite side of the dressing secured to the healthy skin by another piece of tape in like manner. The dressing thus secured in place is illustrated in Fig. 4 wherein a gaping wound is shown partially closed at 2 and the adhesive tape 6 is secured to the healthy skin l and to the non-elastic portion 5. With the dressing applied in this manner the pulling force of the elasticportion is always in the direction of the arrows 1 tending to close the wound 2, which can be completely closed when the iiesh has not been torn away.

In the case of a wound where the flesh is completely removed, with a dressing of this character the surface is gradualiy drawn together or at least the pull on the skin causes it to grow faster under the dressing.

It should be noted that there is no gauze adjacent the wound. This is Iani-advantage since there is no tendency for the excretions to impregnate the gauze and dryV thus uniting the wounded part to the dressing.

The wound, being pulled together, is made smaller and the raw surface is protected. There is no occasion of trauma such as occurs with a gauze dressing. The elastic portion has no tendency to adhere to the wound and healing medicaments may be kept in contact with the wound until they are absorbed. Since the elastic portion is more or less transparent the condition of the wound may be observed Without removing the dressing. I also contemplate providing openings 'm the elastic portion to permit escape yof pus or the like and in this case the whole wounded member including the dressing of my invention may be wrapped when desired with absorbent material to absorb the excretions and still the material does not come in direct contact with the raw wound.

With a dressing of this type epithelization is speeded and, by narrowing the scar, the necessity cf subsequent plastic procedure is often eliminated. I have also found that the patient is more comfortable both during and between dressings and that the constitutional reaction and flurry of fever which sometimes follows a change of gauze dressings lin extreme shrapnel Wound cases is eliminated.

Furthermore, drainage is enhanced although the quantity of discharge is lessened. Exuberant granulations are cut down without the use of a pressure bandage which has a constrictive effect on the limb.

Although I have shown a, separate adhesive tape for retaining the dressing in place, I also contemplate making the dressing in one piece. In this instance, as shown in Fig. 5, the nonelastic portion 5 may be wider and the elastic portion extend only partially across the nonelastic portion t0 a point as indicated at 8; the remaining marginal portions are provided with adhesive indicated at 9, in the usual manner.

I have also found that in some instances, particularly in cases of plastic surgery, it is desirable to provide far greater traction than is ordinarily contemplated. In this 4case I have sometimes found that with the known adhesives such as ordinary surgical adhesive tape, the tension of the elastic portion may be suiciently great `to pull the adhesive off of the skin. I have therefore .provided an improved means for securing the elastic which provides for greater traction with the skin. This comprises a sheet of thin flexible metal having small spurs or spicules which engage with the superficial cell layers of the skin to anchor the same in place.

In Fig. 6, I have iliustrated one modification thereof wherein the elastic material is shown at 4 and is secured to a sheet of thin metal at i0. 0ne manner of securing the elastic material is to provide a plurality of openings H in the metal and allow the material to cover both surfaces of the metal and extend through the openings il and anchor in the openings as best shown in Fig. 7. Also it is possible to cure the material directly onto the metal. The other portion of the metal at I2 is provided with a plurality of small barbs or .spicules I3; these, as best shown in Figs. 'I to 9 inclusive, are pointed and extend downward at an angle of approximately 45.

In operation the barbs dig into the upper supercial skin and thus adhere tightly over the entire barbed area. Although the barbs also may be suiiicient to hold the metal in place, I also contemplate placing a piece of adhesive tape over the metal and extending it onto the skin to hold the barbs in contact therewith, In this case the tape holds the barbs imbedded and the metal with the barbs takes the tension of the elastic portion.

I also contemplate as a substitution for the barbs the provision of sharp protuberances for substantially the same effect formed by molten metal spraying or electrodeposition. The barbs, however, have the advantage in that they all extend in the proper direction and at the most eflicient angle to best engage with and anchor in the skin.

With the devices of my invention there is substantially no limit to the extent to which the normal skin can be stretched. The dressing is not only useful in the closing of shrapnel and ordinary wounds but can be used to gradually stretch the skin over denuded areas and limit the amount of skin grafting necessary.

Heretofore the full advantages of the ability of the skin to elongate under the inuence of continuous elastic traction have not been realized because a suitable dressing for applying the traction has not been available. With the invention described above a full realization of these advantages may now be attained.

I also contemplate forming the skin engaging portion of the dressing in a manner similar to a wire brush. That is, the wires may be Woven to form a short nap, These wires extend from the body at an angle in much the same manner as the barbs of Fig. 9, and thus engage With the supercial cells of the skin to which traction is then applied. The Wires may be embedded in cloth or a combination of cloth and rubber with the traction portion slightly thicker than the elas tic portion and being rendered inelastic by the wire and/or cloth. Also the wires or barbs may be embedded in a plastic material with the barbs projecting angularly from its surface,

In the case where traction is desired over a large uneven surface the adhesive material made in the manner above described may be cut up into small squares or discs of about one quarter inch in diameter and attached to a flexible backing which allows the traction portion to follow the contours of the skin surface, the exible backing in turn being attached to the elastic body.

Although I have described my invention in some embodiments thereof it will be apparent that numerous and extensive departures may be made therefrom without departing from the spirit or scope of my invention.

I claim:

1. A dressing comprising a highly elastic web portion, means for attaching said web to the body comprising a terminal portion of thin metal having the elastic web portion secured to one marginal portion thereof and having the other marginal portion provided with a plurality of skin engaging barbs.

2. A dressing comprising an elastic web portion, means for attaching said web to the skin comprising a thin metal terminal portion secured to said elastic and having a roughened surface for engagement with the skin and means for holding said roughened portion in tractional engagement with the skin.

3. A dressing comprising an elastic web portion, means for attaching said web to the skin combining a thin metal terminal portion secured to said elastic and having a roughened surface for engagement with the skin and means for holding said roughened portion in tractional engagement therewith, comprising an adhesive tape for holding the metal against the skin.

4. A surgical dressing for application to a wounded member comprising an intermediate portion formed of elastic material, traction providing terminal portions secured to opposite sides of said elastic portion and formed of thin flexible metal, said metal being provided with sharp pointed members adapted to engage the healthy part of the wounded member and provide traction for the dressing.

5. A dressing comprising an elastic web portion, means for attaching said web to the body comprising oppositely disposed terminal portions of thin metal sheets, each of said sheets formed with a plurality of minute skin engaging barbs extending at an angle therefrom and in the same direction, said barbs adapted to engage with the skin.

WILLIAM JAMES GARDNER.

REFERENCES CITED The following references are of record in the file of this patent:

UNITED STATES PATENTS

Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
US114750 *16 May 1871 Improvement in sticking or adhesive plasters
US363538 *24 May 1887 Suegical
US2012755 *12 Jul 193427 Aug 1935Muth Otto DeSurgical dressing
US2018517 *1 Apr 193322 Oct 1935Edward FetterElastic adhesive bandage
US2226546 *24 Sep 193831 Dec 1940Golden State Supply CoTransparent, elastic surgical bandage
DE608605C *28 Jan 1935Lohmann A GKorsettverband mit seitlich der Wunde aufzubringenden, verschnuerbaren Pflasterteilen
GB191423818A * Title not available
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US2750942 *23 Mar 195419 Jun 1956Dalmas LtdSurgical dressings
US3068870 *18 Mar 196018 Dec 1962Levin AbrahamWound clip
US3134152 *13 Oct 196126 May 1964Hsuen Ping C PeiSafety fastener
US3646615 *26 Jan 19707 Mar 1972Richard A NessReinforcing element for muscles
US3954109 *2 Aug 19744 May 1976The Kendall CompanyBandage to prevent local hematoma
US4133307 *9 May 19779 Jan 1979Ness Richard ATraction device
US4259959 *20 Dec 19787 Apr 1981Walker Wesley WSuturing element
US4430998 *1 Jun 198214 Feb 1984Thoratec Laboratories CorporationWound closing device
US4535772 *3 Jun 198320 Aug 1985Kells Medical, IncorporatedSkin closure device
US4742826 *7 Apr 198610 May 1988Mclorg Anthony BCicatrisive strip with bias
US4966605 *28 Jul 198830 Oct 1990Thieler William RMethod for opening and closing surgical wounds
US5026389 *26 Oct 199025 Jun 1991Thieler William RMethod and apparatus for opening and closing surgical wounds
US5234462 *29 Aug 199110 Aug 1993Tufts UniversityMethod and kit for accelerating the closing of open skin wounds
US5342376 *3 May 199330 Aug 1994Dermagraphics, Inc.Inserting device for a barbed tissue connector
US5360341 *30 Jul 19931 Nov 1994Abramowitz Paul NMethod and appliance for promoting the healing of oral tissues
US5531790 *7 May 19932 Jul 1996MxmDevice for extending living tissue
US5649960 *3 Feb 199522 Jul 1997Pavletic; Michael M.Apparatus and method for accelerating the stretching of skin
US5662714 *20 Feb 19962 Sep 1997M.X.M.Device for extending living tissues
US5968097 *22 Dec 199719 Oct 1999MxmElastic device for extending living tissue and having large capacity for elongation
US5972022 *24 Jul 199626 Oct 1999Ethicon, Inc.Tissue attachment device having elastomeric section
US624174718 Oct 19945 Jun 2001Quill Medical, Inc.Barbed Bodily tissue connector
US648550316 Feb 200126 Nov 2002Coapt Systems, Inc.Multi-point tissue tension distribution device, a brow and face lift variation, and a method of tissue approximation using the device
US659931029 Jun 200129 Jul 2003Quill Medical, Inc.Suture method
US6645226 *19 May 200011 Nov 2003Coapt Systems, Inc.Multi-point tension distribution system device and method of tissue approximation using that device to improve wound healing
US68934526 May 200217 May 2005Coapt Systems, Inc.Multi-point tension distribution system device and method of tissue approximation using that device to improve wound healing
US69842413 Oct 200110 Jan 2006Tendon Technology, Ltd.Apparatus and methods for tendon or ligament repair
US705633130 Sep 20026 Jun 2006Quill Medical, Inc.Suture method
US715686212 Jun 20022 Jan 2007Coapt Systems, Inc.Multi-point tension distribution system device and method of tissue approximation using that device to improve wound healing
US717261517 Sep 20026 Feb 2007Coapt Systems, Inc.Remotely anchored tissue fixation device
US722551229 Aug 20025 Jun 2007Quill Medical, Inc.Method of forming barbs on a suture and apparatus for performing same
US722646821 Apr 20035 Jun 2007Quill Medical, Inc.Barbed bodily tissue connector
US751056617 Apr 200331 Mar 2009Coapt Systems, Inc.Multi-point tissue tension distribution device and method, a chin lift variation
US76115212 Apr 20043 Nov 2009Tendon Technology, Ltd.Apparatus and methods for tendon or ligament repair
US762448713 May 20031 Dec 2009Quill Medical, Inc.Apparatus and method for forming barbs on a suture
US76868294 Nov 200430 Mar 2010Wound Care Technologies, Inc.Wound closure product
US770875916 Jul 20034 May 2010Tendon Technology, Ltd.Apparatus and methods for securing tendons or ligaments to bone
US78069082 Jan 20085 Oct 2010Quill Medical, Inc.Barbed tissue connector
US785782911 May 200728 Dec 2010Quill Medical, Inc.Suture method
US791336527 Mar 200729 Mar 2011Quill Medical, Inc.Method of forming barbs on a suture and apparatus for performing same
US79969674 Aug 201016 Aug 2011Quill Medical, Inc.System for variable-angle cutting of a suture to create tissue retainers of a desired shape and size
US79969684 Aug 201016 Aug 2011Quill Medical, Inc.Automated method for cutting tissue retainers on a suture
US80110724 Aug 20106 Sep 2011Quill Medical, Inc.Method for variable-angle cutting of a suture to create tissue retainers of a desired shape and size
US80156784 Aug 201013 Sep 2011Quill Medical, Inc.Method for cutting a suture to create tissue retainers of a desired shape and size
US80202634 Aug 201020 Sep 2011Quill Medical, Inc.Automated system for cutting tissue retainers on a suture
US80283874 Aug 20104 Oct 2011Quill Medical, Inc.System for supporting and cutting suture thread to create tissue retainers thereon
US80283884 Aug 20104 Oct 2011Quill Medical, Inc.System for cutting a suture to create tissue retainers of a desired shape and size
US803299613 May 200411 Oct 2011Quill Medical, Inc.Apparatus for forming barbs on a suture
US808377013 May 200827 Dec 2011Quill Medical, Inc.Suture anchor and method
US811883419 Dec 200821 Feb 2012Angiotech Pharmaceuticals, Inc.Composite self-retaining sutures and method
US821627325 Feb 200910 Jul 2012Ethicon, Inc.Self-retainers with supporting structures on a suture
US82466524 Aug 201021 Aug 2012Ethicon, Inc.Suture with a pointed end and an anchor end and with equally spaced yieldable tissue grasping barbs located at successive axial locations
US8592640 *11 Aug 201026 Nov 2013Neodyne Biosciences, Inc.Devices and methods for dressing applicators
US861585630 Jan 200931 Dec 2013Ethicon, Inc.Apparatus and method for forming self-retaining sutures
US864173225 Feb 20094 Feb 2014Ethicon, Inc.Self-retaining suture with variable dimension filament and method
US86521704 Aug 201018 Feb 2014Ethicon, Inc.Double ended barbed suture with an intermediate body
US86687184 Jun 201011 Mar 2014Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US867416418 Apr 201118 Mar 2014Neodyne Bioscience, Inc.Segmented skin treatment systems and methods
US86791584 Aug 201025 Mar 2014Ethicon, Inc.Multiple suture thread configuration with an intermediate connector
US86909144 Aug 20108 Apr 2014Ethicon, Inc.Suture with an intermediate barbed body
US872166412 Mar 201313 May 2014Ethicon, Inc.Suture methods and devices
US872168130 Jun 200913 May 2014Ethicon, Inc.Barbed suture in combination with surgical needle
US87344854 Aug 201027 May 2014Ethicon, Inc.Sutures with barbs that overlap and cover projections
US87344864 Aug 201027 May 2014Ethicon, Inc.Multiple suture thread configuration with an intermediate connector
US87474374 Aug 201010 Jun 2014Ethicon, Inc.Continuous stitch wound closure utilizing one-way suture
US87638784 Jun 20101 Jul 2014Rotation Medical, Inc.Methods and apparatus having bowstring-like staple delivery to a target tissue
US87647764 Aug 20101 Jul 2014Ethicon, Inc.Anastomosis method using self-retaining sutures
US876479610 Feb 20061 Jul 2014Ethicon, Inc.Suture method
US877131319 Dec 20088 Jul 2014Ethicon, Inc.Self-retaining sutures with heat-contact mediated retainers
US877798726 Sep 200815 Jul 2014Ethicon, Inc.Self-retaining sutures including tissue retainers having improved strength
US87779884 Aug 201015 Jul 2014Ethicon, Inc.Methods for using self-retaining sutures in endoscopic procedures
US87779894 Aug 201015 Jul 2014Ethicon, Inc.Subcutaneous sinusoidal wound closure utilizing one-way suture
US879386311 Apr 20085 Aug 2014Ethicon, Inc.Method and apparatus for forming retainers on a suture
US879533230 Sep 20025 Aug 2014Ethicon, Inc.Barbed sutures
US88215364 Jun 20102 Sep 2014Rotation Medical, Inc.Methods and apparatus for delivering staples to a target tissue
US88215378 May 20132 Sep 2014Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US88215404 Aug 20102 Sep 2014Ethicon, Inc.Self-retaining sutures having effective holding strength and tensile strength
US88406424 Feb 201423 Sep 2014Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US88522324 Aug 20107 Oct 2014Ethicon, Inc.Self-retaining sutures having effective holding strength and tensile strength
US886478015 Feb 201221 Oct 2014Rotation Medical, Inc.Methods and apparatus for delivering and positioning sheet-like materials
US886479630 Mar 201021 Oct 2014Wound Care Technologies, Inc.Wound closure product
US887560730 Jan 20094 Nov 2014Ethicon, Inc.Apparatus and method for forming self-retaining sutures
US887686514 Apr 20094 Nov 2014Ethicon, Inc.Self-retaining sutures with bi-directional retainers or uni-directional retainers
US89159433 Apr 200823 Dec 2014Ethicon, Inc.Self-retaining systems for surgical procedures
US891607719 Dec 200823 Dec 2014Ethicon, Inc.Self-retaining sutures with retainers formed from molten material
US892046418 Feb 201430 Dec 2014Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US892665920 Dec 20106 Jan 2015Ethicon, Inc.Barbed suture created having barbs defined by variable-angle cut
US89323283 Nov 200913 Jan 2015Ethicon, Inc.Length of self-retaining suture and method and device for using the same
US896156016 Dec 201024 Feb 2015Ethicon, Inc.Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods
US90052243 Oct 201414 Apr 2015Rotation Medical, Inc.Methods and apparatus for delivering and positioning sheet-like materials
US90278196 Jun 201412 May 2015Rotation Medical, Inc.Methods and apparatus having bowstring-like staple delivery to a target tissue
US903320115 Feb 201219 May 2015Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US904422512 Jan 20122 Jun 2015Ethicon, Inc.Composite self-retaining sutures and method
US90953378 May 20134 Aug 2015Rotation Medical, Inc.Methods and apparatus for delivering staples to a target issue
US91014608 Feb 201311 Aug 2015Rotation Medical, Inc.Implantable tendon protection systems and related kits and methods
US910766117 Dec 201218 Aug 2015Rotation Medical, Inc.Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US91139778 May 201325 Aug 2015Rotation Medical, Inc.Guidewire having a distal fixation member for delivering and positioning sheet-like materials in surgery
US912564720 Feb 20098 Sep 2015Ethicon, Inc.Method and apparatus for elevating retainers on self-retaining sutures
US91256508 May 20138 Sep 2015Rotation Medical, Inc.Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
US917991022 Mar 201010 Nov 2015Rotation Medical, Inc.Medical device delivery system and method
US91799614 Jun 201010 Nov 2015Rotation Medical, Inc.Methods and apparatus for deploying sheet-like materials
US919875011 Mar 20111 Dec 2015Rotation Medical, Inc.Tendon repair implant and method of arthroscopic implantation
US919875120 Dec 20121 Dec 2015Rotation Medical, Inc.Methods and apparatus for delivering and positioning sheet-like materials in surgery
US92049408 May 20138 Dec 2015Rotation Medical, Inc.Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US924797817 Dec 20122 Feb 2016Rotation Medical, Inc.Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant
US92480486 Jan 20122 Feb 2016Neodyne Biosciences, Inc.Wound or skin treatment devices and methods
US924804918 Apr 20112 Feb 2016The Board Of Trustees Of The Leland Stanford Junior UniversitySkin treatment devices and methods with pre-stressed configurations
US92480517 Mar 20132 Feb 2016The Board Of Trustees Of The Leland Stanford Junior UniversitySkin treatment devices and methods with pre-stressed configurations
US924858022 Dec 20112 Feb 2016Ethicon, Inc.Barb configurations for barbed sutures
US925922023 Dec 201416 Feb 2016Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US927172617 Dec 20121 Mar 2016Rotation Medical, Inc.Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US931431420 Dec 201219 Apr 2016Rotation Medical, Inc.Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US93143318 May 201319 Apr 2016Rotation Medical, Inc.Methods and apparatus for delivering and positioning sheet-like materials in surgery
US935800916 Feb 20117 Jun 2016Neodyne Biosciences, Inc.Skin straining devices and methods
US937035617 Dec 201221 Jun 2016Rotation Medical, Inc.Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US93931038 May 201319 Jul 2016Rotation Medical, Inc.Tendon repair implant and method of arthroscopic implantation
US93931042 Sep 201419 Jul 2016Rotation Medical, Inc.Tendon repair implant and method of arthroscopic implantation
US941484126 May 201516 Aug 2016Rotation Medical, Inc.Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US946302024 Jun 201311 Oct 2016Wound Care Technologies, Inc.Wound closure product
US949232917 Jan 201415 Nov 2016Neodyne Biosciences, Inc.Skin treatment devices with locking mechanisms
US949889318 Jun 201422 Nov 2016Ethicon, Inc.Self-retaining sutures including tissue retainers having improved strength
US95660638 May 201314 Feb 2017Rotation Medical, Inc.Fasteners and fastener delivery devices for affixing sheet-like materials to bone or tissue
US959707910 Oct 201421 Mar 2017Wound Care Technologies, Inc.Wound closure product
US964922617 Jan 201416 May 2017Neodyne Biosciences, Inc.Skin treatment devices with tensioning features
US96753419 Nov 201113 Jun 2017Ethicon Inc.Emergency self-retaining sutures and packaging
US96753465 Jan 201613 Jun 2017Rotation Medical, Inc.Methods and apparatus for fixing sheet-like materials to a target tissue
US97439705 Nov 201529 Aug 2017Rotation Medical, Inc.Anatomical location markers and methods of use in positioning sheet-like materials during surgery
US20020022861 *22 Mar 200121 Feb 2002Daniel JacobsMulti-point tissue tension distribution device, a combined orbital rim repair and suspension variation, and a method of tissue approximation using the device
US20020077631 *3 Oct 200120 Jun 2002Lubbers Lawrence M.Apparatus and methods for tendon or ligament repair
US20030074021 *17 Sep 200217 Apr 2003Morriss John H.Remotely anchored tissue fixation device
US20030088270 *20 Nov 20028 May 2003Tendon Technology, Ltd.Implantable tissue fixation devices and methods of tissue approximation
US20040010275 *17 Apr 200315 Jan 2004Daniel JacobsMulti-point tissue tension distribution device and method, a custom-fittable variation
US20040010276 *17 Apr 200315 Jan 2004Daniel JacobsMulti-point tissue tension distribution device and method, a chin lift variation
US20040024420 *16 Jul 20035 Feb 2004Tendon Technology, Ltd.Apparatus and methods for securing tendons or ligaments to bone
US20040030354 *9 Aug 200212 Feb 2004Leung Jeffrey C.Suture anchor and method
US20040088003 *30 Sep 20026 May 2004Leung Jeffrey C.Barbed suture in combination with surgical needle
US20040093028 *21 Apr 200313 May 2004Ruff Gregory L.Barbed bodily tissue connector
US20040193217 *2 Apr 200430 Sep 2004Tendon Technology, Ltd.Apparatus and methods for tendon or ligament repair
US20040226427 *13 May 200318 Nov 2004Michael TrullApparatus for forming barbs on a suture
US20040237736 *29 Aug 20022 Dec 2004Genova Perry A.Method of forming barbs on a suture and apparatus for performing same
US20050119694 *2 Nov 20042 Jun 2005Jacobs Daniel I.Remotely anchored tissue fixation device and method
US20050197699 *10 Feb 20058 Sep 2005Jacobs Daniel I.Tissue repair apparatus and method
US20050209542 *9 Mar 200522 Sep 2005Jacobs Daniel ITissue approximation sling and method
US20060095076 *4 Nov 20044 May 2006Elliott Daniel MWound closure product
US20060111734 *10 Feb 200625 May 2006Andrew KaplanSuture method
US20060111742 *10 Feb 200625 May 2006Andrew KaplanSuture method
US20070187861 *27 Mar 200716 Aug 2007Quill Medical, Inc.Method of Forming Barbs on a Suture and Apparatus for Performing Same
US20070208355 *10 May 20076 Sep 2007Ruff Gregory LBarbed tissue connector
US20070208377 *11 May 20076 Sep 2007Andrew KaplanSuture Method
US20080221617 *2 Jan 200811 Sep 2008Quill Medical, Inc.Barbed tissue connector
US20080255611 *3 Apr 200816 Oct 2008Angiotech Pharmaceuticals, Inc.Self-retaining systems for surgical procedures
US20100153335 *12 Dec 200817 Jun 2010Microsoft CorporationSynchronizing multiple classes with disparate schemas in the same collection
US20100185236 *30 Mar 201022 Jul 2010Wound Care Technologies, LlcWound closure product
US20100298871 *4 Aug 201025 Nov 2010Quill Medical, Inc.Self-retaining wound closure device including an anchoring loop
US20110152738 *11 Aug 201023 Jun 2011Neodyne Biosciences, Inc.Devices and methods for dressing applicators
US20150374552 *14 Sep 201531 Dec 2015Chien Chung LeeBandage for absorbing sweat produced by the toes
USRE4542631 Jul 200117 Mar 2015Ethicon, Inc.Surgical methods using one-way suture
CN102665623A *11 Aug 201012 Sep 2012尼欧迪纳生物科学公司Devices and methods for dressing applicators
CN102665623B *11 Aug 20103 Dec 2014尼欧迪纳生物科学公司Devices and methods for dressing applicators
WO1986007252A1 *9 Jun 198618 Dec 1986Patricia MooreHaemostatic dressings
WO2003105703A2 *12 Jun 200324 Dec 2003Coapt Systems, Inc.Multi-point tension distribution system device and method of tissue approximation using that device to improve wound healing
WO2003105703A3 *12 Jun 20031 Apr 2004Coapt Systems IncMulti-point tension distribution system device and method of tissue approximation using that device to improve wound healing
WO2015149938A1 *31 Mar 20158 Oct 2015Ruprecht-Karls-Universitšt HeidelbergSurgical apparatus, method for using the surgical apparatus and suture material
Classifications
U.S. Classification606/215
International ClassificationA61B17/03, A61B17/08
Cooperative ClassificationA61B17/085
European ClassificationA61B17/08L