Atraumatic wound care and closure system
An article useful for atraumatic care and/or closure of wounds, as well as for repairing torn or ripped fabric is provided. The article comprises a substrate having opposing first and second major surfaces, a plurality of raised anchoring members disposed across the first major surface, and an optional adhesive pre-mounted adjacent the second major surface. A separate adhesive could also be used to mount the article to the desired underlying surface to be repaired. The substrate is a flexible and conformal continuous web that can be cut into pieces to custom fit the wound or fabric opening. Using the anchoring members and a thread, the pieces can be drawn together to correspondingly draw the tissue or fabric on either side(s) of the opening together, thereby closing the opening without piercing or suturing/sewing together the underlying tissue or fabric. Methods for the atraumatic care and/or closure of wounds, as well as for repairing torn or ripped fabric are also provided, including kits to facilitate the same.
1. An article for the atraumatic care and/or closure of a tissue wound of a subject, or closure of ripped or torn fabric, said article comprising:
a substrate having opposing first and second major surfaces, wherein said substrate is a continuous, flexible web having a substantially uniform thickness;
a plurality of raised anchoring members disposed substantially uniformly across said first major surface and having a density in a first portion of the first major surface that is substantially equivalent to the density of anchoring members in a least a second, different portion of the first major surface such that the plurality of raised anchoring members are configured to distribute pulling forces across the first major surface, said anchoring members configured to secure a thread; and
an optional adhesive adjacent said second major surface.
2. The article of claim 1 , wherein said substrate has an average thickness of from about 1 mil to about 10 mils.
3. The article of claim 1 , wherein said substrate is severable.
4. The article of claim 1 , wherein said substrate comprises a woven or nonwoven web of cotton, silk, hemp, flax, rayon, polyester, acrylic, acrylate, polyolefin, nylon, polyurethane, polyethylene, polyester, wire, and/or embedded wire clothe.
5. The article of claim 1 , wherein said anchoring members are selected from the group consisting of loops, half-loops, eyelets, mesh, hooks, pegs, prongs, nubs, generally upright strands of fiber, prone strands of fiber, pleats, and combinations thereof.
6. The article of claim 1 , wherein said adhesive is present adjacent said second major surface and is in the form of a layer adjacent said second major surface.
7. The article of claim 6 , wherein said adhesive when present is selected from the group consisting of pressure sensitive adhesives, heat-activated adhesives, and radiation-activated adhesives.
8. The article of claim 6 , wherein said adhesive comprises rubber elastomers, acrylics, silicones, zinc oxides, or a combination thereof.
9. The article of claim 6 , further comprising a releasable liner adjacent to and covering said adhesive.
10. The article of claim 1 , wherein said plurality of anchoring members are disposed substantially uniformly across said first major surface in a grid or matrix pattern.
11. A system for atraumatic wound care and/or closure of a tissue wound of a subject, or closure of ripped or torn fabric, said system comprising:
an article according to claim 1 ; and
a thread configured to be secured to one or more of the anchoring members of said article.
12. The system of claim 11 , wherein said thread comprises nylon, polyester, polypropylene, silk, wire, plastic, cable, or a combination thereof.
13. The system of claim 11 , wherein said thread comprises a substantially rigid end portion.
14. The system of claim 11 , further comprising a needle configured to guide said thread.
15. The system of claim 11 , wherein when said article does not comprise adhesive adjacent said second major surface, said system further comprising an adhesive for mounting said article to tissue or fabric.
16. A method of everting tissue of a wound of a subject, said wound having wound edges and tissue adjacent said wound edges on a first side of said wound and on a second side of said wound opposite said first side, said method comprising:
providing an article according to claim 1 and a thread;
adhering said article substrate to said tissue adjacent said wound edge on said first side of said wound; and
everting said wound edge on said first side of said wound by:
securing a thread to a first anchoring on said first side of the wound proximate to said wound edge;
drawing said thread away from said wound edge; and
securing said thread to a second anchoring member on said first side of the wound distal from said wound edge, said thread being under tension and pulling said wound edge on said first side of said wound away from said tissue on said second side of said wound thereby everting said wound edge.
17. The method of claim 16 , wherein said securing each comprises tying said thread into a knot around said first and second anchoring members, respectively.
18. The method of claim 16 , further comprising:
adhering said article substrate to said tissue adjacent said wound edge on said second side of said wound; and
everting said wound edge on said second side of said wound by:
securing a thread to a first anchoring on said second side of the wound proximate to said wound edge;
drawing said thread away from said wound edge; and
securing said thread to a second anchoring member on said second side of the wound distal from said wound edge, said thread being under tension and pulling said wound edge on said second side of said wound away from said tissue on said first side of said wound thereby everting said wound edge.