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HEMIGARD™ Provider FAQ's

HEMIGARD™
Provider FAQ's

PROBLEM:

Fragile skin cannot withstand suturing.

SOLUTION:

The HEMIGARD™ Adhesive Retention Suture (ARS) Device protects the skin from tearing when sutured. The HEMIGARD™ ARS Device allows a suture to be placed at midpoint of the wound that takes pressure off the subsequent sutures (i.e. retention suture) to prevent tearing during closure and in the post-operative period.i The device and suture can be left in place for up to two weeks.

COMMON BODY SITES:

  • Forehead
  • Temple
  • Upper arm
  • Forearm
  • Lower leg
  • Ankle
  • Foot

HEMIGARD™ devices have even been used to repair wounds with ripped edges from the use of unprotected sutures!

Prepare

Cleanse and degrease skin as per IFU.

Adhere

Place HEMIGARD™ Adhesive Retention Suture Device with holes facing toward wound.

Suture

Place full thickness suture through reinforced holes of HEMIGARD™ Adhesive Retention Suture Device.

Finish Closure

Place additional wound closures supports (e.g. sutures, staples).

MECHANISMS OF ACTION:

The HEMIGARD™ ARS Device reduces stress at the wound edge. Simulated skin protected by a HEMIGARD™ ARS Device can withstand over 200% more retention suture tension prior to failure than unprotected simulated skin (see high stress zones in RED).

BEST PLACEMENT OF DEVICE:

The suture used to close the center of an elliptical wound is under SIX TIMES more force than subsequent suture.ii Use of the HEMIGARD™ ARS Device reduces this tension and expedites wound closure.iii

WHY NOT JUST USE ROUTINE MEDICAL DRESSINGS TO PROTECT SKIN?

The HEMIGARD™ ARS Device is a novel design that enables fragile skin being closed under tension without causing shear injury and blistering.


i Roybal, L., Blattner, C., Young, J. & Lear., W. (In press). A novel adhesive suture retention device for the closure of fragile skin under tension. JAAD Case Reports.

ii Lear, W., Roybal, L.I., & Kruzic, J.J. (2020). Forces on sutures when closing excisional wounds using the rules of halves. Clinical Biomechanics, 72, 161-163.

iii Lear, W., Roybal, L.I., & Kruzic, J.J. (2020). Forces on sutures when closing excisional wounds using the rules of halves. Clinical Biomechanics, 72, 161-163.

Relax & Close, More Wounds, More Simply.

Making wound closure easier for surgeons and better for patients.

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