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hi iamp;#39;m john cooper iamp;#39;m an orthopedic surgeon and iamp;#39;m going to talk about the evidence and evolution of negative pressure wound therapy in reducing surgical site infection um iamp;#39;m an associate professor of orthopedic surgery i work at new york presbyterian hospital columbia university irving medical center in new york city um as uh disclosures i am a paid consultant with three in healthcare medical solutions division uh as well as a couple of implant companies which are not relevant uh to todayamp;#39;s topic the objectives of the talk that i have are to examine the science of closed incision negative pressure therapy to describe the clinical effectiveness for incisions at high risk for perioperative complications and third to explain and at the end explain the process and implication of an fda de novo classification which iamp;#39;ll get into what that means at the end of the presentation so this is relevant uh to to my world and to you know um