Challenging wound closure made simple.

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ISR Device

The single use SUTUREGARD® Intraoperative Skin Relaxation Device simplifies challenging skin wound closure. Pre-stretch the skin before wound closure or use as an alternative to skin flaps, skin grafts, or second intent healing.


Clinical Benefits

Skin flaps and skin grafts require additional wounds and more trauma to the skin. Fewer and less traumatic wound repairs decreases wound healing complications and time to healing, and saves payers money. Repairing a scalp wound with a graft or flap disrupts the natural hairline but with the SUTUREGARD® ISR Device, the natural hairline can be more closely replicated. Surgeons using the SUTUREGARD® ISR Device for scalp repairs have decreased their rate of scalp flaps or grafts from 20% of scalp Mohs cases to less than 1% of scalp Mohs cases.

When skin is held under high tension, it will relax over a relatively short period of time. Clinical research done using the SUTUREGARD® ISR Device and method on human scalp wound closures showed that scalp wounds were under 65% lower tension after 30 minutes of our intraoperative skin relaxation protocol.

Citation: https://www.sciencedirect.com/science/article/pii/S1751616119302334

Compared to other skin relaxation methods, the SUTUREGARD® ISR Device is gentle on the skin. Pulley sutures and towel clamps are "all-or-none" procedures that can crush the skin. And compared to other marketed devices, the SUTUREGARD® ISR Device requires fewer punctures to the skin.

Skin relaxation is twice as effective as wide undermining with fewer complications, and saves time and improves patient outcomes.

Citation: https://www.ncbi.nlm.nih.gov/pubmed/11373562

Circular (1:1 length-to-width ratio) defects become elliptical (approximately 2:1) after 30 minutes of stretch which saves surgical time and shortens scars.

How it Works


Large bite (10mm) suture. We recommend SUTUREGARD® custom USP 0 suture.


Remove suture needle and insert ends of suture through slots of bridge and washer.


Apply tension to suture and clamp or knot.

Finish Closure

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

*Please refer to the Instructions for use for additional information.

Relax & Close, More Wounds, More Simply.

Making wound closure easier for surgeons and better for patients.

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