A groundbreaking innovation for skin stretching and secure wound closure, a simple yet highly effective method for a wide variety of complex skin wounds that do not respond to traditional care.
Complex wounds resulting from trauma, surgery, or chronic and acute conditions often necessitate surgery as the final solution. The TopClosure® TRS offers a novel alternative, providing both invasive and non-invasive options for wound management.
Applied non-invasively, the system adheres to the skin using a biocompatible, hypoallergenic tape, either before or after surgery. Where direct skin closure is expected under high tension, the system is used pre-operatively to stretch the skin, offering non-invasive external tissue expansion that eliminates the need for tissue expanders and reduces the extent of surgery and potential complications.
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TopClosure® 3S assembly: (1) sterile blister tray · (2) approximation strap · (3) attachment plates ×2 · (4) adhesive stickers
Traditional tension sutures create localized stress points on the skin, leading to ischemia, tissue tearing and scarring. TopClosure® TRS instead leverages the skin's viscoelasticity:
Utilizes both acute intraoperative stress relaxation and pre- or post-operative mechanical creep for effective wound closure at any tension.
Functions as a tension-relief platform, reducing the need for extensive undermining of skin and surrounding tissues.
Minimizes dead space, hematoma formation and the need for drains, reducing infection risk.
Allows further skin approximation as a bedside procedure through mechanical creep, often under local anesthesia.
Often eliminates the need for skin grafts or flaps, simplifying surgical techniques and shortening hospital stays.
Reduces surgical complexity while accelerating wound closure with improved functionality and scar aesthetics.
TopClosure® is the subject of a Medtech Innovation Briefing by NICE, the UK's National Institute for Health and Care Excellence (MIB97, 2017).
"The findings suggest that the TopClosure TRS may help secure wound closure with minimal scarring."
NICE Medtech Innovation Briefing MIB97, evidence summary
"The technology could benefit patients because it offers a less invasive skin closure method."
Specialist commentators, cited in MIB97
"The technology has the potential to reduce inpatient stay because it might allow some procedures to be done as day cases."
Specialist commentators, cited in MIB97
"All 3 commentators felt that the device had the potential to generate cost savings for the NHS."
Specialist commentator comments, MIB97
Source: NICE Medtech Innovation Briefing MIB97 (March 2017). Medtech innovation briefings provide objective information on medical technologies; they are not NICE guidance and do not constitute an endorsement by NICE.
Manufactured under an ISO 13485:2016 certified quality system. Sterile, single-use, all-polymer construction.
| Size | Strap | Color |
|---|---|---|
| 4 mm | 160 × 4 mm | Pink |
| 6 mm | 250 × 6 mm | Green |
| 8 mm | 250 × 8 mm | Grey |
Attachment plates 60 × 20 mm, common to all sizes. Lock-release ratchet mechanism.
From operating rooms across surgical specialties to trauma care in mass-casualty and combat scenarios.