“It improves 4 of my major issues with other closure methods – patient comfort, cosmesis, efficiency and cost.”
The problem with sutures and staples
“We leave an unsightly scar whether we use sutures or staples, and discomfort when the patient has to have them removed. Also, we all have patients who miss the follow-up appointment and come in with staples oozing or abscesses where it’s grown in, and you spend 15 minutes digging it out.”
The Benefits of Zip® Surgical Skin Closure
The Zip is a non-invasive and easy to use wound closure device that replaces sutures, staples and glue for surgical incisions and lacerations. It is used for skin closure after deeper, tension-reducing suture layers are applied.
Better Patient Experience
The Zip improves the patient experience by minimizing scarring and eliminating “railroad” marks that come with staples or sutures.1,2 It makes removal as atraumatic as peeling off a bandage, enabling patients to remove it at home (at their physician’s discretion). Its flexible design enables greater patient range of motion during recovery.2
Adjustable and Reversible
The Zip allows the clinician to optimize tension and alignment in closing the wound. It is available in several lengths to accommodate the needs of different procedures and specialties.
Strong and Secure
The Zip is 8 times stronger than sutures,3 and the patented force distribution design protects the wound while keeping it securely closed, even during joint flexion. Unlike glue with mesh, the wound is visible throughout the recovery process, enabling the care team and patient to easily monitor wound healing.
Clinical studies have demonstrated that skin closure with the Zip is 3x faster than sutures,4 which may decrease healthcare costs and improve hospital efficiency.5
No Added Path for Bacteria
Unlike staples or sutures, there are no skin punctures with the Zip that can create added pathways for bacteria.
Reduces Post-Discharge Costs
The comfortable and simple removal may reduce clinic or home health nurse visits5 as well as reduce time-consuming patient calls6 regarding wound concerns that affect both actual and opportunity costs in a bundled care environment.
A Surgeon and Patient View on Zip
How it Works
Incision Isolation Zone
Patient movement can often create pulling or tugging along an incision area. The patented force distribution system created by Zip devices is designed to provide uniform closure as well as to create an isolation zone around the incision to protect it from patient-induced distraction forces.
The patented integrated linkage and separation points in the Zip device are designed to provide dynamic compression during axial incision extension. Normal patient movement can sometimes cause the incision to extend along its length. The Zip device gently compresses the incision during axial extension, ensuring a secure wound closure while healing takes place.
“The most striking difference is in people that tend to form keloid scars or don’t scar well. Because the Zip equally distributes tension along the incision, they tend to heal with a much finer appearing scar.”
1. Tanaka, Y. et al. Randomized Study of a New Noninvasive Skin Closure Device for Use After Congenital Heart Operations. Ann Thorac Surg 2016.
2. Benner RW, Behrens JP. Poster Presentation: “A Novel Skin Closure Device for (Bilateral) Total Knee Arthroplasty: Randomized Controlled Trial vs. Staples.” Poster Presentation presented at American Association of Hip and Knee Surgeons; Nov 3, 2017; Dallas, TX.
3. In an in-vivo study, more load in lb. was required to create a 1mm gap between incision edges approximated with Zip than with Ethicon 4-0 Vicryl® subcuticular running suture. Data on file.
4. Lalani, G. G., Schricker, A. A., Salcedo, J., Hebsur, S., HSU, J., Feld, G. and Birgersdotter-Green, U. (2016), Cardiac Device Implant Skin Closure with a Novel Adjustable, Coaptive Tape-Based Device. Pacing and Clinical Electrophysiology. Accepted Author Manuscript. doi:10.1111/pace.12926
5. Carli AV, Spiro S, Barlow BT, Haas SB. Using non-invasive secure skin closure following total knee arthroplasty leads to fewer wound complications and no patient home care visits compared to surgical staples. Knee.2017 Oct;24(5):1221-1226
6. Emerson, Dr. Roger, Non-invasive, zip type skin closure device vs. conventional staples in total knee arthroplasty: Which method holds greater potential for bundled payments?, Presentation, The Knee Society, 2017.