New things 1. This is a general purpose instrument that has attachments for a drill, saw and a hand piece for taking skin. Due to this we have been able to harvest skin from areas such as the abdomen or chest which otherwise would be almost impossible. Staples Suturing skin is slow and tedious as well as introduces lots of foreign material. Since staples have been available and they have been great time savers.
Shorter anaesthetic is an important consideration.
There are even Vicryl staples but they are not very good as they fall out too easily and are too dear. This is a drum which has sharp blades built into it, the carrier made of plastic is used for inserting the skin. There is a pattern engraved onto the plastic. The ability to cover much larger areas with limited skin is important. The cosmetic result is not quite as good as with sheets of skin but in life saving situation this less important.