U.S. patent number 3,863,640 [Application Number 05/355,188] was granted by the patent office on 1975-02-04 for bandage construction.
Invention is credited to Charles B. Haverstock.
United States Patent |
3,863,640 |
Haverstock |
February 4, 1975 |
**Please see images for:
( Certificate of Correction ) ** |
BANDAGE CONSTRUCTION
Abstract
A bandage construction incorporating means for drawing flesh
along two or more sides of a wound together and holding it so drawn
during healing so that the formation of scar tissue is
substantially minimized or eliminated. To this end, the present
bandage construction includes two or more portions, which are
adhesively or otherwise attached to the skin adjacent to the edges
of the laceration, cut, incision, or the like and have cooperating
engageable means to bring and hold the wounded flesh together.
Inventors: |
Haverstock; Charles B.
(Glendale, MO) |
Family
ID: |
23396556 |
Appl.
No.: |
05/355,188 |
Filed: |
April 27, 1973 |
Current U.S.
Class: |
606/216 |
Current CPC
Class: |
A61B
17/085 (20130101) |
Current International
Class: |
A61B
17/03 (20060101); A61B 17/08 (20060101); A61b
017/04 () |
Field of
Search: |
;128/335,334R,303,156,21
;27/21 ;24/203,204,21C,25R,25G,28A |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Laudenslager; Lucie H.
Claims
What is claimed is:
1. A bandage for closing a wound comprising first and second strip
portions of a relatively flexible material, each of said strip
portions having a skin attaching surface and a flange formed of a
flexible material extending along one side edge thereof, a coating
of an adhesive substance applied to at least a portion of said skin
attaching surfaces on each of said strip portions for attaching the
said strip portions to the skin in spaced relationship to each
other and along opposite edges of the wound, at least a portion of
the adhesive substance on each of said strip portions extending to
the side edges of the respective surfaces thereof which are to be
attached along opposite edges of the wound, and cooperating
engagable means including elongated male and female members
extending respectively along each of said flanges, said male member
being movable into cooperative resilient engagement with the female
member when pressure is applied against the respective flanges in a
direction to press the male and female members together thereby to
unite and hold the strip portions and the skin along opposite side
edges of the wound together.
2. The bandage defined in claim 1 wherein said cooperating
engagable means includes interlocking means and slide fastener
means to bring said interlocking means together and into
engagement.
3. The bandage defined in claim 1 wherein the cooperatively
engagable means include a sidewardly extending rib portion on the
flange of the first strip portion, and the flange on said second
strip portion has a groove of a size and shape to cooperatively
receive and hold said rib portion when pressure is applied to push
said rib portion into said groove.
4. The bandage defined in claim 1 wherein a non-adhesive absorbent
bandage pad is located partially across said adhesive coating on
the bottom surface of at least one of said strip portions and at an
intermediate location along said strip portion.
5. The bandage defined in claim 1 wherein said first and second
strip portions are formed of a flexible plastic material.
6. A bandage-like construction for closing a skin separation thus
obviating the necessity of surgically stitching comprising a
flexible bandage-like member formed by separable first and second
portions each of which has an adhesive substance applied to
corresponding surfaces thereof for attaching the respective
portions to the skin in spaced relationship to each other adjacent
to opposite edges of the skin separation to be closed, and means
for joining the separate first and second portions and the skin to
which they are attached together including elongated flange means
including respectively elongated male and female mating members
respectively on said first and second portions located thereon
extending along said edges thereof adjacent to the edges of the
skin separation, said adhesive substance applied to each of said
first and second portions extending to the respective edges thereof
which are to be attached extending along opposite side edges of the
skin separation, said mating members being movable toward each
other into mating condition to hold the first and second portions
and the attached skin together in closing the skin separation.
7. The bandage construction defined in claim 6 wherein each of said
first and second bandage portions has a removable protective
covering applied over the adhesive coating substance thereon.
8. The bandage construction defined in claim 6 wherein said
cooperating male member includes an elongated bead extending
sidewardly from along the side edge of the said associated first
bandage portion and the female member includes an elongated groove
extending along the side edge of said second bandage portion, which
groove being constructed to cooperatively receive said bead therein
when said bead is pressed into engagement therewith.
9. Means for closing a skin separation during healing comprising a
bandage-like structure having first and second portions each
including a strip portion having opposite surfaces and spaced side
edges, a coating of an adhesive applied to corresponding surfaces
of said portions for attaching the first portion to the skin
extending along one side of the skin separation and for attaching
the second portion to the skin extending along the opposite side of
the skin separation in spaced relationship to the first portion,
said adhesive extending to the respective side edges of the first
and second portions which are positioned to extend along opposite
side edges of the skin separation, and cooperatively engageable
means respectively on said first and second portions on the side
edges of the portions to be located extending along the respective
side edges of the skin separation, said cooperatively engageable
means including elongated flanges extending along the respective
side edges of said portions, and means on said flanges which become
engaged to hold the flanges together when pressure is applied
against the flanges in a direction to press the flanges against
each other.
10. The bandage defined in claim 9 wherein at least one of said
first and second strip portions has a plurality of spaced
perforations.
11. The means defined in claim 9 wherein the cooperatively
engagable means include zipper means.
12. The means defined in claim 9 wherein the cooperatively
engagable means include VELCRO fastener means.
13. The means defined in claim 9 wherein the cooperatively
engagable means include adhesive means.
14. The means defined in claim 9 wherein the cooperatively
engagable means include respective flanges on the first and second
portions and male type means on one of the flanges and female type
means on the other of said flanges.
15. The means defined in claim 9 including an operator member
movable in one direction to unite the cooperatively engagable means
and in another direction to separate the said cooperatively
engagable means.
16. The means defined in claim 9 wherein the first and second
portions are flexible perforated members each having an adhesive
substance on one side for attaching it to the skin.
17. The means defined in claim 16 including a layer of an absorbent
material overlaying the said first and second attached portions,
and means for attaching the absorbent overlayer to the skin.
18. The means defined in claim 9 wherein said cooperatively
engagable means include means that become engaged when pressure is
applied to them in a direction in the plane of the first and second
portions.
19. The means defined in claim 9 wherein the said cooperatively
engagable means include means that become engaged when pressure is
applied to them in a direction normal to the plane of the first and
second portions.
Description
Many different kinds of bandage constructions are known and are
commonly used. One of the problems with most known bandages and
other dressings, however, is that they do not provide any means for
drawing and holding together the portions of the flesh adjacent
opposite sides of a wound or open sore. Instead, most known bandage
constructions simply provide an adhesively attached protective
covering for the injury, and in some cases, they also provide a
means for applying medication. So far as known, however, no
surgical dressing or bandage includes means for drawing the flesh
on either side of a wound or injury together so that need for
surgical stitching is eliminated or reduced. This is important when
avoidance of sutural cicatrix is desirable and is especially
important in situations when injury occurs at remote locations
where medical attention is unavailable and when it is not possible,
for a considerable period of time, to bring the injured person to a
doctor or other person qualified to give medical assistance. In
such cases, if some immediate means, other than conventional
bandaging, are not used to draw the flesh together, there is a
relatively greater likelihood that functionally or cosmetically
undesirable scar tissue will form in the wound even if it is
subsequently stitched, and furthermore, if treatment is
substantially delayed, it is often impracticable to stitch the
untreated wound and attendant scarring is substantially certain to
follow. The present constructions overcome these and other
shortcomings and disadvantages of existing bandages, and provide a
construction which is simple to apply and will hold the separated
flesh portions of a wound together, thereby minimizing the chances
for scarring. The present bandage constructions can also be applied
quickly and effectively by persons having little or no medical
training.
It is therefore a principal object of the present invention to
provide a multipartite bandage or dressing construction with zipper
or zipper-like means that are used to draw together the separate
bandage portions and the flesh thereunder, to improve the condition
of the flesh during healing and to reduce the possibility of the
formation of scar tissue.
Another object is to provide a bandage construction which can be
applied by persons having little or no medical skill and training
and which is an effective means to minimize the need for surgical
stitching.
Another object is to provide a relatively inexpensive bandage
construction which can be applied adhesively as separate portions
along opposite sides of a break in the skin and includes means
which can draw together the separate bandage portions and the
attached flesh thereunder.
Another object is to provide a bandage construction which is
applied as two or more separate pieces, which pieces include
cooperating zipper or zipper-like means which can be used to unite
the separate pieces.
Another object is to provide a relatively simple bandage
construction which can be packaged and sold for use in hospitals,
medical centers, and doctors' offices and by the general
public.
Another object is to provide means to substantially minimize or
eliminate the formation of scar tissue at locations where the skin
has been lacerated or broken open.
Another object is to provide means for more accurately and
uniformly drawing the skin together along an open wound.
Another object is to minimize the surgical procedures and the
discomfort to patients in the treatment of skin lacerations and
other similar injuries.
Another object is to provide an emergency bandage construction
which can be used to close an open wound to promote proper
healing.
Another object is to provide better means for immediately closing a
wound involving break in the skin until medical help is
available.
These and other objects and advantages of the present invention
will become apparent to those skilled in the art after considering
this specification and the accompanying drawings which show and
describe several different embodiments of the subject bandage
construction, and wherein:
Fig. 1 is an enlarged perspective view showing a bandage
constructed according to one embodiment of the present
invention;
FIG. 2 is an enlarged cross-sectional view taken along line 2--2 of
FIG. 1;
FIG. 3 is a further enlarged fragmentary cross-sectional view taken
along line 3--3 of FIG. 1;
FIG. 4 is a perspective view showing another embodiment of the
subject bandage;
FIG. 5 is a view showing the bandage of FIG. 4 being applied to a
skin laceration on the upper arm;
FIG. 6 is a fragmentary cross-sectional view taken along line 6--6
of FIG. 5;
FIG. 7 is a fragmentary cross-sectional view similar to FIG. 3
showing another form of the zipper-like connection means;
FIG. 8 is a view showing a bandage such as the bandage of FIGS. 1-3
being applied to an open wound;
FIG. 9 is a perspective view showing another modified form of the
subject bandage;
FIG. 10 is a perspective view, partly in section, showing another
embodiment of the subject bandage;
FIG. 11 is an enlarged fragmentary cross-sectional view taken along
line 11--11 of FIG. 10,
FIG. 12 is an enlarged fragmentary cross-sectional view showing
another form of the cooperative engagement means that can be used
with the subject bandage;
FIG. 13 is a perspective view showing still another form of
cooperative attachment means;
FIG. 14 is another perspective view showing yet another form of
cooperative attachment means; and
FIG. 15 shows a form of the present bandage employing a slide-type
zipper member which is movable to join together or separate the
separate bandage portions.
Referring to the drawings more particularly by reference numbers,
number 20 refers generally to a bandage constructed according to
one embodiment of the present invention. The bandage 20, shown in
FIG. 1, has two separable portions including a portion 22 and a
portion 24. The portions 22 and 24 are shown as being similar in
shape and each is preferably formed of a plastic or plastic-like
material such as are commonly used in bandages. The two portions 22
and 24 when combined in the structure 20 as shown in FIG. 1 have an
overall size and shape similar to the size and shape of a more or
less conventional bandage, although both the size and shape can be
varied as desired and as is usual in the bandage art. Each of the
portions 22 and 24 has an adhesive coating 26 and 28 applied
respectively on corresponding surfaces thereof, namely, the bottom
surface as shown in FIGS. 1 and 2. The bottom surfaces may also
have a gauze or other similar plain or medicated absorbent material
positioned on the adhesive coatings 26 and 28, or the bandage may
be constructed without any absorbent or medicated material, which
latter construction may in some cases be preferred. In addition to
the features described above, the bandage portion 22 has an
attached or integral ridge or flange 30 which extends along one
side thereof. In like manner the bandage portion 24 has an
elongated ridge or flange portion 32 along one of the side edges.
Referring to FIGS. 2 and 3 it can be seen that the flange portion
30 has one or more sidewardly extending elongated beads 34 and 36,
and the flange portion 32 has elongated grooves 38 and 40 which are
shaped to cooperatively receive and engage the beads 34 and 36 when
the beads are pressed into the respective grooves. Cooperating
beads and grooves of this general type are well known and widely
used, and the flanges 30 and 32 are preferably formed of some
plastic or plastic-like material having proper resiliency and
flexibility characteristics. Certain kinds of plastic are
particularly suitable for this thpe of construction including some
of the well known film or sheet forming plastics such as
polyethylene, polypropylene, polyvinyl chloride, and the like.
Natural and synthetic rubbers can also be used for this
purpose.
FIG. 4 shows another embodiment 41 of the same basic construction
wherein the two bandage portions, identified as pportions 42 and
44, are connected integrally at one end of the bandage 46. Over the
rest of the length of the bandage, however, the portions 42 and 44
are separate or separable, each separable portion being provided
with a resilient and flexible flange portion 48 and 50,
respectively, each of which is disposed at substantially a right
angle to the corresponding separable portion. The flange portions
48 and 50 may be similar to the flange portions 30 and 32, and they
may be constructed to have one or more cooperating beads and
grooves. It is also contemplated to construct the bandage of FIG. 4
with integral portions at both ends, if desired; in which case,
only the inbetween portions will have cooperative flange means for
attaching them together. Each of the portions 42 and 44 has an
adhesive coating 43 and 45 applied, respectively, to the bottom
surfaces thereof. The adhesive coatings 43 and 45 may also be
provided with protective overlayers of an easily removable material
47 and 49, respectively, which may be formed of wax or wax-like
material or plastic. Such layers of materials are also well known
and commercially available and are removed just prior to the
application of the subject bandage to the skin.
FIG. 5 illustrates application of the bandage construction shown in
FIG. 4 to a wwound such as to a skin laceration or cut in the upper
arm. The skin laceration is identified by the number 52. In FIG. 5
the bandage portion 42 is adhesively attached to the skin along one
side of the laceration 52 and the other portion 44 is adhesively
attached to the skin along the opposite side of the laceration,
thus the wound is disposed between the portions 42 and 44. It is
normally also desirable to have the edges of the flanges 48 and 50
close to the edges of the laceration or, in some cases, slightly
spaced therefrom, but it is not usually desirable that the bandage
portions or the flanges overhang the wound itself so that when the
flanges are brought together for joinder they cooperate with the
bandage portions to close the wound. The positions of the bandage
portions after being attached are even more clearly shown in FIG. 6
where it can be seen that the skin along one side of the laceration
is adhesively attached to the bandage portion 42 and the edge of
the bound is immediately adjacent attaching means 48, while the
skin on the opposite side of the laceration 52 correspondingly is
adhesively attached to the bandage portion 44 with the edge of the
wound adjacent attaching means 50. The adhesive attachment of the
bandage portions 42 and 44 is accomplished with the bandage
portions separated from each other by the width of the wound
therebetween or by a slightly greater distance. This is usually
done after the flesh has been cleaned or treated adjacent to the
skin separation. Thereafter with the two bandage portions
adhesively attached in the positions shown in FIGS. 5 and 6,
pressure is applied along the members 48 and 50, usually starting
at one end thereof, to bring the cooperating engageable means
thereon together and into engagement. At this is done, the bandage
draws the torn skin together, to be left in place until the healing
process is completed. It is anticipated that in many cases it may
be possible to use the subject bandages to draw the skin close
enough together so that it is not necessary to use any surgical
stitches, thus avoiding sutural cicatrix normally associated
therewith. In those cases where stitching is necessary, the subject
bandage may be used in combination therewith and as a substitute
for the topmost layer thereof to avoid suture marks as above. The
cooperating means are shown enlarged for the sake of clarity, but
they are preferably relatively small in cross-section and
relatively close to the adhesively coated bandage itself to
maximize the pulling and holding force on the skin.
FIG. 7 shows a modified embodiment wherein only one groove and
cooperating bead are included in the cooperating attachment means.
Selection of a particular embodiment depends on the desired holding
power and the materials used in the cooperating parts. In this
construction, as above, the joining of the cooperating parts is
accomplished without pressure being applied downwardly into or
against the wound.
FIG. 8 shows the two-piece bandage 20 of the type shown in FIG. 1
being applied to an open wound in the upper arm. In this case, the
two separate bandage portions 22 and 24 are separately applied by
means of adhesive coatings 26 and 28, respectively, to the skin in
the positions shown, adjacent the injured area and in spaced
relationship to each other. Once this is done, it is a simple
matter to bring the cooperative flange portions 30 and 32 into
engagement along the length of the bandage. This is usually done
starting at one end of the bandage by pressing the flanges together
using the fingers or some other pressing means. As the flanges are
joined, the skin along the wound is brought together to be held
during the healing process. It is also apparent that the present
construction enables adjactment to be made in the holding force
applied in closing the wound by properly positioning the separate
bandage portions. This is an important advantage since if the
bandage is too tight for comfort or too loose for effective
non-scarring joinder of the wound as initially applied, adjustment
can be made either by relocating the separate bandage portions
before rejoining them or by replacing them with new bandage parts.
This, therefore, affords a relatively inexpensive way for achieving
the most desirable healing condition.
FIG. 9 shows a somewhat modified embodiment of the aforesaid
constructions wherein the bandage is provided with gauze or other
absorbent bandage pads 54 and 55 which are attached in the usual
manner to the adhesive side of the bandage. The gauze in this case
extends only part way to the side edges of bandage portions 22 and
24, respectively, as shown in FIG. 9. It is also contemplated as
mentioned above, to use a construction wherein there is no gauze or
medicated pad provided; in which case, the adhesive parts of the
bandage portions are applied directly to the skin adjacent the edge
of the wound. This embodiment usually provides the greatest and
best holding power along the length of the wound, but it may be
desirable to perforate the separate bandage portions at various
locations, especially adjacent the injury, to permit blood and
other body fluids to escape. In this type of construction, an
absorbent gauze overlayer or pad may be applied over the top of the
attached bandage portions to absorb the fluids escaping from the
injury. The overlayer or pad can be attached in any convenient way
such as by using adhesive tape or other attaching means.
FIG. 10 shows another embodiment 60 of the subject bandage
construction wherein the bandage portions 62 and 64 have respective
elongated side edge flanges 66 and 68. The flange 66, in this case,
has a plurality of sidewardly extending knobs or beads 70 which are
formed by narrow neck portions 72 and larger diameter head portions
74. The flange 68, on the other hand, has a plurality of spaced
holes 76 positioned to cooperatively receive the knobs 70 when the
two portions 66 and 68 are pressed together, see FIG. 11. No gauge
is provided under the bandage portions 62 and 64, but they are
perforated as at 78 to facilitate the escape of body fluids such as
blood from the wound. The use and application of construction 60 is
similar to that described above for other constructions. The
construction in FIG. 10 is also shown having an absorbent gauze
overlayer 79 which is taped as by adhesive tape 81 or otherwise
attached to absorb any escaping blood or the like.
FIG. 12 shows another form 80 of the attaching means formed on the
separable bandage portions 82 and 84. In this case the cooperating
means are found on flange portions 86 and 88 which are in the plane
of the bandage portions 82 and 84. The flange 86 in this
construction has one or more elongated beads 90 which are shown
extending upwardly therefrom for engagement with complementary
shaped elongated grooves 92 found in the flange 88. Application of
the band 80 is similar to that for the above construction except
that in this case the pressure applied to join the bandage portions
82 and 84 is applied in a downward direction adjacent the damaged
flesh rather than being applied in a direction normal thereto. In
the construction 80 the bandage portions 82 and 84 are also shown
having gauze pads 94 and 95 applied respectively to a portion of
their adhesive sides 83 and 85. The adhesive sides as well as the
gauze pads may also be overlayed with another layer of a removable
and disposable material, such as are commonly used on many
bandages.
FIG. 13 shows embodiment 100 wherein the means for attaching the
separable bandage portions together include flanges 102 and 104
which have attaching means such as cooperating VELCRO means 106 and
108 applied thereto. VELCRO is a trademark of John Dritz and Sons
and is a type of attaching means wherein one member includes many
little tines or hooks and another member has a fabric or
fabric-like material that is gripped and held by the tines when
they are brought into engagement. In this case the bandage is
applied as before and after the portions are adhesively attached to
the skin, the flanges 102 and 104 are brought together so that
their cooperating means become entangled and interlacked
thereby.
FIG. 14 shows another bandage 110 which has flanges 112 and 114
attached to separable bandage portions 116 and 118, respectively.
One or both of the flanges 112 and 114 has an adhesive 120 applied
to it, and the adhesive is overlayed before use with a removable
disposable strip or strips 122 and 124. The strips 122 and 124 can
be made as a single folded member, one or both ends of which extend
beyond the ends of the respective flanges 112 and 114 to facilitate
removal therefrom. Similar non-adhesive members 126 and 128 can be
applied to the other adhesive portions of the bandage as shown. The
members 126 and 128 have end tabs or they can be lapped at the
center of the bandage to permit ease of removal. In some cases only
one of the flanges 112 and 114 need have an adhesive coating,
although it is normally preferable to have adhesive on both to
increase holding power.
FIG. 15 shows yet another embodiment 130 which is similar to the
above described constructions except that in this case the flanges
132 and 134 are provided with a movable zipper-type operator member
or slide fastener 136 which can be easily moved in either direction
along the flanges to unite them or separate them in a manner common
to zippers. The engageable means found on flanges 132 and 134 may
be as described in FIGS. 1-14 or may consist of interlocking tabs
in the manner of ordinary placket zippers.
It is also contemplated to combine various of the bandage features
disclosed herein as desired to achieve a particular construction or
desired result. Thus there has been shown and described a novel
bandage construction which fulfills all of the objects and
advantages sought therefor. Many changes, modifications,
variations, and other uses and applications of the present bandage
construction will, however, become apparent to those skilled in the
art after considering this application and the accompanying
drawings; all such changes, modifications, variations, and other
uses and applications which do not depart from the spirit and scope
of the invention are deemed to be covered by the invention which is
limited only by the claims which follow.
* * * * *