- Clean and dry the skin surface prior to the application of the attachment plates.
- Peel off the adhesive tape on the back of the attachment plate.
- Apply the self-adhesive attachment plate to the wound, 1.5-2 cm from the wound edge.
- Use staples to further secure the attachment plates to the skin. Please note the size of staples is 6.5 mm x 4.7 mm to be compatible with TopClosure®.
- Apply staples alternating from proximal to distal.
- Apply the 2nd attachment plate to the opposite side of the wound, 1.5-2mm from the wound’s edge, in line with the vector of pull.
- Secure the attachment plate to the skin using staples.
- Choose the tension sutures.
- Apply tension sutures through the designated oval holes in the attachment plate, grip the deep soft tissue layers on both sides of the wound and add a sleeve to the suture to protect the outer layer.
- Apply repeated Stress-Relaxation to the skin with tension sutures, pull for 30 seconds, and relax for 1 minute.
- Ty the tension sutures in stages.
- Apply staples to adjust skin approximation.
- Add the approximation straps for the reduction of wound tension for final wound closure.
- On open wounds, sterile gauze must be placed under the approximation strap and if the closure of the wound needs to be delayed due to infection, a vacuum system can be additionally applied.