公开(公告)号：US5486196A

公开(公告)日：1996-01-23

申请号：US55413

申请日：1993-05-03

申请人： Bernard Hirshowitz ,  Amnon Levy ,  Alexander R. Gilat ,  Eitan Rogel ,  Jeffrey Stein ,  Julian Borgia

发明人： Bernard Hirshowitz ,  Amnon Levy ,  Alexander R. Gilat ,  Eitan Rogel ,  Jeffrey Stein ,  Julian Borgia

IPC分类号： A61B17/06 ,  A61B17/08 ,  A61B19/00 ,  A61B17/00

CPC分类号： A61B17/08 ,  A61B17/06066 ,  A61B2017/081 ,  A61B2090/032 ,  A61B2090/0801 ,  A61B90/02

摘要： An apparatus for closing wide skin defects may be used with two long interdermal needles configured for insertion underneath skin close to margins of a skin defect. The skin closing apparatus may include two U-shaped retaining members configured as a flange connecting two legs and forming a U-shaped profile. Each of the legs may include a sharp hook at the end of the leg adapted for piercing the skin and engaging one of the long interdermal needles. Each retaining member may include a pivoting platform that pivots up to 20.degree. from an initial position indicated by a detent mechanism. A contracting mechanism such as a screw may connect the retaining members and approximate the interdermal needles, while bringing the skin margins together until final closure of the skin defect results. The skin closing apparatus may also include a clutch mechanism configured to disengage the screw from a knob or handle, when a predetermined force is met or exceeded. A visual or auditory element may also be provided to indicate the amount of force applied to the skin. A retractor may be packaged with the skin closing apparatus and long interdermal needles in a presterilized kit. The retractor may exhibit atraumatic ends having curved edges. The retractor may also exhibit english and metric measuring scales to aid in placing the skin closing apparatus and long interdermal needles about the skin defect. The device may be configured as a single use device utilized with gamma sterilization. In the event the device is configured for multiple uses, any conventional sterilization method may be utilized.

摘要翻译： 可以使用用于闭合宽皮肤缺陷的装置，其中两个长的腹膜针被配置用于插入皮肤缺陷边缘附近的皮肤下面。 皮肤关闭装置可以包括两个U形保持构件，其构造成连接两个腿并形成U形轮廓的凸缘。 每个腿部可以包括在腿部末端处的尖锐的钩子，其适于刺穿皮肤并且接合长的经皮针中的一个。 每个保持构件可以包括枢转平台，其从由止动机构指示的初始位置枢转高达20°。 诸如螺钉的收缩机构可以将保持构件连接并且近似于透皮针，同时使皮肤边缘在一起，直到皮肤缺陷的最终闭合。 皮肤关闭装置还可以包括离合器机构，其被配置为当达到或超过预定力时使螺钉与旋钮或手柄脱离。 还可以提供视觉或听觉元件以指示施加到皮肤的力的量。 收缩器可以与皮肤闭合装置和长的经皮针包装在预先灭活的试剂盒中。 牵开器可能表现为具有弯曲边缘的无创伤端。 牵开器还可以展示英制和公制测量秤，以帮助将皮肤关闭装置和长的皮肤针放置在皮肤缺陷周围。 该装置可以被配置为与伽马灭菌一起使用的单一使用装置。 在设备被配置为多用途的情况下，可以使用任何常规的灭菌方法。