The SNaP system: biomechanical and animal model testing of a novel ultraportable negative-pressure wound therapy system
- PMID: 20440156
- DOI: 10.1097/PRS.0b013e3181d62b25
The SNaP system: biomechanical and animal model testing of a novel ultraportable negative-pressure wound therapy system
Abstract
Background: Negative-pressure wound therapy is traditionally achieved by attaching an electrically powered pump to a sealed wound bed and applying subatmospheric pressure by means of gauze or foam. The Smart Negative Pressure (SNaP) System (Spiracur, Inc., Sunnyvale, Calif.) is a novel ultraportable negative-pressure wound therapy system that does not require an electrically powered pump.
Methods: Negative pressure produced by the SNaP System, and a powered pump, the wound vacuum-assisted closure advanced-therapy system (Kinetic Concepts, Inc., San Antonio, Texas), were compared in vitro using bench-top pressure sensor testing and microstrain and stress testing with pressure-sensitive film and micro-computed tomographic scan analysis. In addition, to test in vivo efficacy, 10 rats underwent miniaturized SNaP (mSNaP) device placement on open wounds. Subject rats were randomized to a system activation group (approximately -125 mmHg) or a control group (atmospheric pressure). Wound measurements and histologic data were collected for analysis.
Results: Bench measurement revealed nearly identical negative-pressure delivery and mechanical strain deformation patterns between both systems. Wounds treated with the mSNaP System healed faster, with decreased wound size by postoperative day 7 (51 percent versus 12 percent reduction; p < 0.05) and had more rapid complete reepithelialization (21 days versus 32 days; p < 0.05). The mSNaP device also induced robust granulation tissue formation.
Conclusions: The SNaP System and an existing electrically powered negative-pressure wound therapy system have similar biomechanical properties and functional wound-healing benefits. The potential clinical efficacy of the SNaP device for the treatment of wounds is supported.
References
-
- Argenta L, Morykwas MJ. Vacuum-assisted closure: A new method for wound control and treatment. Clinical experience. Ann Plast Surg. 1997;38:563–577.
-
- Isago T, Nozaki M, Kikuchi Y, Honda T, Nakazawa H. Effects of different negative pressures on reduction of wounds in negative pressure dressings. J Dermatol. 2003;30:596–601.
-
- Armstrong DG, Lavery LA. Negative pressure wound therapy after partial diabetic foot amputation: A multicentre, randomised controlled trial. Lancet 2005;366:1704–1710.
-
- Morykwas MJ, Simpson J, Punger K, Argenta A, Kremers L, Argenta J. Vacuum assisted closure: State of basic research and physiologic foundation. Plast Reconstr Surg. 2006;117 (7 Suppl):121S–126S.
-
- Wilkes R, Zhou Y, Cunningham K, Kieswetter K, Haridas B. 3D strain measurement in soft tissue: Demonstration of a novel inverse finite element model algorithm on MicroCT images of a tissue phantom exposed to negative pressure wound therapy. J Mech Behav Biomed Mater. 2009;2:272–287.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
