Abstract: A variable compressible device is utilized with a vacuum to preferentially close a wound. At least one of a strengthening member which resists compression preferentially in one direction, more so than another direction, or a flute in a layer of the closure device whereby to facilitate preferentially compressing in a direction perpendicular to the flute is provided. When utilized with prior art wound closure techniques, a wound is preferentially pulled shut, in what is believed to be a better manner than prior art devices. Furthermore, the device may be utilized with different wound closure techniques.

Abstract: A method of using a tenolysis tool with a handle connected to at least two extension members which could be tines of a fork separated by a gap. Between the extension members and at least a portion of the handle may be a torque device selected from the group of a torque release and a torque indicator. By placing a tendon in the gap between the tines, the tool can be twisted so that the tendon is stretched under a torque.