Innovative Alternative To Stitches
11 July 2018
This is an Innovative wound closure. It's an alternative to conventional stitches or staples. It's simple to apply, painless and durable.
DermaClip is applied to the approximated edges of a wound and is closed by pulling the polypropylene tabs in opposing directions until the device locks in the closed position. By pulling the device closed by the tabs, the angled faces of the polypropylene bridge encounter each other, thus lifting the wound edges. This lifting action puts the viable dermis on each side of the wound back into contact. In other words, the design is intended to create a natural eversion of the skin edges on closure – eversion being the result a skilled surgeon seeks to accomplish, as it is widely believed that wound eversion is essential for minimizing scarring because it maximizes the chance for proper epidermal approximation.
Used successfully to close 10,000's of patients, DermaClip is achieving a new standard of wound closure. The device has been used successfully in place of sutures, medical staples or skin glues to close a broad range of procedures, including:
- Cesarean section
- Total hip replacement
- Wound and laceration repair
- Skin tears in geriatric and diabetic patients
- Pediatric wound closure
With use ranging from the operating or emergency room to out in the field, DermaClip® presents a unique solution to reduce closure time while eliminating needlestick risk and skin punctures. That's the DermaClip® non-invasive approach to wound closure.
There's always going to be a role for conventional sutures but DermaClip is certainly going to have a place in wound closure in the future, particularly in situations where you don't have someone with more advanced skills or an emergency room, or battlefield.
If you were in a trauma situation, you could quickly approximate a wound, stabilize someone until you got them more help. This is one of the appeals to the military and first AID.
Just a few minutes of simple training allows even lesser-trained staff to achieve proper wound closure, allowing DermaClip to benefit even more patients. The DermaClip application process is as simple as "Pick, Place and Pull." Simply, Pick the device off the backing paper; pinch approximate the wound and Place the device; and Pull the tabs closed. Simple, quick and no danger of needle stick injuries (NSIs).
Surgeons just being introduced to the device were able to close an approximately 3-inch surgical incision in less than 2 minutes (as seen in the video on the DermaClip® Device page). With experience and proper technique, even better results can be achieved.
The speed of the device makes it perfect for applications ranging from emergency scenarios all the way to the operating room. Additionally, the non-invasive nature of the device allows it to be removed without damaging the wound; therefore, the DermaClip® device can also be used as a temporary closure for triage situations where additional follow-up treatment is required.
The basic application process is simple and effective:
1. Pick: Select a DermaClip®, pinch the pull tabs towards the center, then lift it off of the backing paper.
2. Place: Still holding by the clip by the pull tabs, center it across the wound, place it on the skin, and smooth the adhesive on either side.
Repeat steps 1 & 2 placing clips 1 to 4mm apart until the wound is covered.
3. Pull: Once the length of the wound is covered, pull the tabs on each DermaClip® in opposing directions to close the device until a "click" is heard locking the DermaClip® shut.
The best closures are achieved when the tabs are pulled "Down & Out": down towards the skin and in an outward direction. Pulling "Up" on the tabs starts to work against the adhesive's bond with the skin.
Make sure hear the “CLICK” is heard to assure the device is locked shut.
Important note on use: There is a first resistance as the device is initially pulled closed that then releases. THIS IS NOT THE LOCKING OF THE DEVICE! It is very important to the proper functioning of the device that the click occurs after the two edges of the device have made contact and then forced each other, and the attached skin, into an upward position. Only then will the device be closed and locked shut.
4. Cut Tabs: For convenience and comfort, remove the tabs with set of sterile scissors and cover the wound.
|Written by: Luis Clement|