CN101257877A - 用于肢体的伤口腔室 - Google Patents
用于肢体的伤口腔室 Download PDFInfo
- Publication number
- CN101257877A CN101257877A CNA2006800290309A CN200680029030A CN101257877A CN 101257877 A CN101257877 A CN 101257877A CN A2006800290309 A CNA2006800290309 A CN A2006800290309A CN 200680029030 A CN200680029030 A CN 200680029030A CN 101257877 A CN101257877 A CN 101257877A
- Authority
- CN
- China
- Prior art keywords
- chamber
- pipe
- treatment space
- wound dressing
- wound
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 238000011282 treatment Methods 0.000 claims abstract description 80
- 206010052428 Wound Diseases 0.000 description 52
- 208000027418 Wounds and injury Diseases 0.000 description 48
- 239000012530 fluid Substances 0.000 description 14
- 239000007788 liquid Substances 0.000 description 9
- 238000005516 engineering process Methods 0.000 description 8
- 238000000605 extraction Methods 0.000 description 8
- 239000000463 material Substances 0.000 description 8
- 239000000654 additive Substances 0.000 description 6
- 230000000996 additive effect Effects 0.000 description 6
- 210000004027 cell Anatomy 0.000 description 6
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 4
- 238000003745 diagnosis Methods 0.000 description 4
- 239000003566 sealing material Substances 0.000 description 4
- 230000000844 anti-bacterial effect Effects 0.000 description 3
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 3
- 230000008859 change Effects 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 229910052760 oxygen Inorganic materials 0.000 description 3
- 239000001301 oxygen Substances 0.000 description 3
- 238000007789 sealing Methods 0.000 description 3
- 238000012360 testing method Methods 0.000 description 3
- 108090000723 Insulin-Like Growth Factor I Proteins 0.000 description 2
- 102000013275 Somatomedins Human genes 0.000 description 2
- 239000000853 adhesive Substances 0.000 description 2
- 230000001070 adhesive effect Effects 0.000 description 2
- 239000002390 adhesive tape Substances 0.000 description 2
- 230000000890 antigenic effect Effects 0.000 description 2
- 230000003115 biocidal effect Effects 0.000 description 2
- 229910002092 carbon dioxide Inorganic materials 0.000 description 2
- 239000001569 carbon dioxide Substances 0.000 description 2
- 230000000295 complement effect Effects 0.000 description 2
- 239000000284 extract Substances 0.000 description 2
- 239000007789 gas Substances 0.000 description 2
- 238000001415 gene therapy Methods 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 230000036541 health Effects 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 244000005700 microbiome Species 0.000 description 2
- 238000012544 monitoring process Methods 0.000 description 2
- 230000000474 nursing effect Effects 0.000 description 2
- 238000012797 qualification Methods 0.000 description 2
- 238000011160 research Methods 0.000 description 2
- 108090000790 Enzymes Proteins 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 1
- 206010021143 Hypoxia Diseases 0.000 description 1
- 241001236644 Lavinia Species 0.000 description 1
- 239000004698 Polyethylene Substances 0.000 description 1
- 230000004520 agglutination Effects 0.000 description 1
- 150000001413 amino acids Chemical class 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000000429 assembly Methods 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000006143 cell culture medium Substances 0.000 description 1
- 238000002659 cell therapy Methods 0.000 description 1
- 230000001413 cellular effect Effects 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 238000003759 clinical diagnosis Methods 0.000 description 1
- 230000002016 colloidosmotic effect Effects 0.000 description 1
- 230000001276 controlling effect Effects 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 239000006071 cream Substances 0.000 description 1
- 230000018044 dehydration Effects 0.000 description 1
- 238000006297 dehydration reaction Methods 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000001035 drying Methods 0.000 description 1
- 239000008103 glucose Substances 0.000 description 1
- 230000007954 hypoxia Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000002757 inflammatory effect Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 230000000266 injurious effect Effects 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 238000007726 management method Methods 0.000 description 1
- 239000011159 matrix material Substances 0.000 description 1
- 230000000813 microbial effect Effects 0.000 description 1
- 230000004899 motility Effects 0.000 description 1
- 230000035699 permeability Effects 0.000 description 1
- 230000035479 physiological effects, processes and functions Effects 0.000 description 1
- -1 polyethylene Polymers 0.000 description 1
- 229920000573 polyethylene Polymers 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 210000000130 stem cell Anatomy 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
- 230000029663 wound healing Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/10—Bandages or dressings; Absorbent pads specially adapted for fingers, hands, or arms; Finger-stalls; Nail-protectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/40—Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/05—Bandages or dressings; Absorbent pads specially adapted for use with sub-pressure or over-pressure therapy, wound drainage or wound irrigation, e.g. for use with negative-pressure wound therapy [NPWT]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00089—Wound bandages
- A61F2013/00093—Wound bandages tubular
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00089—Wound bandages
- A61F2013/00157—Wound bandages for burns or skin transplants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00089—Wound bandages
- A61F2013/0017—Wound bandages possibility of applying fluid
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Surgery (AREA)
- Vascular Medicine (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
- Materials For Medical Uses (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
一种伤口敷裹,该伤口敷裹包括限定治疗空间(14)和与治疗空间连通的至少一个开口(20)的腔室(12)。在一实施例中,在腔室的内壁上限定有多个通道。在另一实施例中,管子(31)延伸穿过腔室并进入治疗空间,且在管子延伸到治疗空间内的部分上限定多个开口(35)。在又一实施例中,管子延伸穿过腔室并进入治疗空间,且包括延伸到治疗空间的不同区域的多个分支(37)。
Description
相关申请的交叉引用
本申请要求2005年6月29日提交的美国临时专利申请No.60/694,849的权益,其全部内容以参见的方式纳入本文。
关于联邦赞助研究或开发的声明
不适用。
技术领域
本发明总地涉及伤口治疗领域,且更具体地涉及用于治疗身体的肢体上伤口的伤口腔室。
背景技术
人们采用各种技术来治疗开放性伤口。在一些情况下,可用湿或干的纱布来治疗开放性伤口。但是,这种治疗会非常疼痛,并导致伤口的脱水、流体和蛋白质的流失、热量损失或愈合延迟。为了延迟出现感染,可能会用抗菌霜等来附加地治疗烧伤伤口。
开放性伤口表现为在介于潮湿和干燥之间的某个环境中愈合更快。局部较深的伤口在覆盖有聚乙烯膜时比暴露于空气时愈合更快。通常,具有某种水渗透性的敷裹可提供进行愈合的最优条件。
业已开发了用于保护开放性伤口并对治疗部位提供环境控制的伤口腔室。例如,Elof Eriksson的题目为“System for Diagnosis and Treatment of Wounds”的美国专利No.5,152,757、以及Eriksson等人的题目为“Wound Chamber With RemoteAccess Portal”的美国专利申请No.11/130,490中描述了示例性的伤口腔室和使用方法,其全部内容以参见的方式纳入本文。
伤口腔室通常包括用于包围围绕患者伤口的预定表面区域的腔室。伤口腔室密封到直接与伤口相邻的皮肤。但是,肢体上和周围的某些伤口不能用设计用于相对平坦的皮肤表面的伤口腔室来治疗。而是可能有必要将肢体全部或一部分封入腔室内以形成围绕伤口的腔室环境。除了其它特征之外,伤口腔室还可具有用于将治疗流体和治疗添加剂引入伤口腔室并从伤口腔室抽取伤口流体和/或空气的端口。通常使用注射器或类似的输送/抽取装置来进行这些操作。例如,该端口可以是由自密封材料制成的注射端口,中空的钢针可穿过该端口。使用紧密靠近患者的钢针会产生对患者以及对医护工作者造成伤害的危险。还存在针损坏伤口腔室的附加危险。在一些临床应用中,伤口腔室本身可由诸如纱布或弹性绷带之类的二次敷裹或覆盖物来覆盖。在一些情况下,直接位于腔室上的端口会由二次敷裹来覆盖并且是不可触及的。
本发明旨在提供一种治疗肢体上伤口的腔室,并克服或至少部分减少上述一个或多个问题的后果。
发明内容
一种伤口敷裹包括限定治疗空间和与治疗空间连通的至少一个开口的腔室。
在本发明的一个方面中,在腔室的内壁上限定有多个通道。
在本发明的另一方面中,管子延伸穿过腔室并穿入治疗空间,并在管子的延伸到治疗空间内的一部分上限定多个开口。
在本发明的又一方面中,管子延伸穿过腔室并穿入治疗空间,并包括延伸到治疗空间的不同区域的多个分支。
附图说明
可结合附图参照以下说明书来理解本发明,附图中相同的标号表示相同的构件,且在各附图中:
图1是根据本发明的一实施例的肢体敷裹的立体图;
图2是具有粘性背衬带的附连条的肢体敷裹的立体图;
图3是具有内部粘合表面封闭物的肢体敷裹的立体图;
图4是具有箍带和束绳封闭物的肢体敷裹的立体图;
图5是具有封闭带的肢体敷裹的立体图;
图6是带有可打开和再密封的接缝的肢体敷裹的立体图;
图7是具有用于聚集并保持敷裹的松散部分的条带的肢体敷裹的立体图;
图8是延伸到肢体敷裹内的伤口腔室的治疗空间内的管子的剖视图;
图9和10是延伸到治疗空间内的分支管的剖视图;
图11是伤口腔室的壁的剖视图,在该壁的内侧限定有凸起的脊状物;
图12是伤口腔室的壁的剖视图,在该壁的内侧限定有沟槽;
图13-16是在腔室的内壁上限定有变化的通道样式的肢体敷裹的立体图;
图17是带有阀的端口装配到伤口腔室的管子上的立体图;
图18是带有阀的端口的立体图,该阀用于排放从伤口腔室内部抽出的空气;
图19是可用于伤口腔室的可塌陷管子的立体图;
图20是具有柔性输送末端的注射器***图19的可塌陷管子的立体图;以及
图21是装有配件和辅助管口的输送管的立体图。
尽管本发明易于作出各种更改和替代形式,但在附图中以示例方式示出并在本文中详细描述了其具体实施例。但是应当理解,本文对具体实施例的说明并不想要将本发明限定于所揭示的特定形式,而是相反,想要覆盖落入所附权利要求书所限定的本发明的精神和范围之内的所有更改、等效和替代形式。
具体实施方式
尽管本发明可实施为几种不同形式中的任何一种,但是在本文中描述本发明应理解为认为本内容是阐述本发明的范例,而不是将本发明限制于所述的具体实施例。本申请中的所有内容都不应认为是对本发明至关重要的或必需的,除非明确地指出是“至关重要的”或“必需的”。
首先参见图1,提供了肢体敷裹10的剖视图。肢体敷裹10包括限定治疗空间14的腔室12。示出具有伤口18的肢体16在治疗空间14内。肢体敷裹10包括与治疗空间14连通的开口20,并可围绕患者的肢体16密封,使得要治疗的伤口18封入治疗空间14内。
接下来参见图2-5,可使用各种技术来将肢体敷裹10固定到肢体16上。在图2的实施例中,开口20没有用于密封的整合***。采用肢体敷裹10的使用者可应用粘合带25。在图3的实施例中,粘合材料24设置在开口20附近的腔室壁的内侧。图4示出了箍带26和协配的束绳27。图5示出了连接条28。
请参见图6,可打开接缝29以方便腔室12围绕肢体16安装。接缝29可通过诸如用粘合带之类的本技术领域的技术人员已知的许多方法来开启和再密封。接缝29使肢体敷裹10能够应用成当肢体16穿过开口20时,可减小腔室12和伤口18之间接触的可能性。
如图7所示,突出片30可用于减小腔室21的截面积以在安装好腔室以后将腔室12围绕肢体聚拢。突出片30可用于在安装好腔室后围绕肢体聚拢任何松散材料。突出片30可由维可()或其它自粘材料制成。突出片30也可以简单的是彼此系住的束绳。一般而言,突出片30可彼此连结以聚拢腔室12的任何松散材料,尤其是对于患者肢体16较细的情况。
参见图1,管子31附连到腔室12并与治疗空间14连通。管子31可永久地固定到腔室12,或可提供配件39以能够移除管子31。管子31构造成使得它会保持其形状而不会塌陷。管子31的远端终止于端口34。在一实施例中,端口34可以是阴路厄(Luer)配件。本文所使用的术语“端口”和“配件”可根据具体实施互换使用。配件通常指与互补件、接口装置匹配的装置,而端口可涉及诸如针之类的东西***其中的装置。管子31密封于腔室12,以防止液体或空气从治疗空间14逸出。管子31和腔室12的结合点可用凸缘32来加固。尽管仅示出了一个管子31和端口34,但本发明并不限于此,而是可设置多个管子31和关联的端口34以通达治疗空间14。可使用一个管子31和端口34作为用于向治疗空间14提供治疗物质的入口,而使用另一管子31和端口34作为用于从治疗空间14移出物质的出口。这种入口和出口布置对于管理连续的治疗流可能是有用的。
管子31可在腔室12的壁处终止,或它可延伸穿过壁一段距离并终止于治疗空间14内,如图8-10所示。腔室12的构成可通过增加腔室12的壁厚而在如图8所示的区域33加强,以提供对管子31在治疗空间14内的部分38的进一步保护。
如图8和9所示,管子31在治疗空间14内的部分38可穿有一个或多个孔35以便于液体或空气流过管子31。管子31可利用分支37进一步延伸到治疗空间14内,如图9和10所示。
请参见图11-16,腔室12的壁40可构造成在内侧上具有如图11所示的限定通道的脊状物41,或者具有如图12所示的沟槽42,或者两者的结合。当腔室壁40的内表面压在患者的皮肤上时,或彼此抵靠时,通道或沟槽允许液体或空气的流动。于是,便于液体和空气在整个治疗空间14内的运动以及进入和排除腔室12。通道或沟槽可设置成如图13所示的短小块或凹陷43的样式、如图14所示的不规则栅格44、如图15所示的一系列分支45、如图16所示的一系列窄带46或者实现类似结果的其它构造。
现请参见图17和18,诸如注射器的输送/抽取装置51可与端口34配合以能够向治疗空间14输送治疗流体和/或治疗添加剂,或从治疗空间14移除液体或气体。例如,输送/抽取装置51可包括诸如阳路厄配件之类的配件53,该配件与用作端口34的阴路厄配件互补。在互补的阴和阳路厄配件的情况下,旋转输送/抽取装置51上的阳配件53可打开从管子31延伸的阴端口34内的阀。输送/抽取装置51可包括除了所示注射器之外的其它装置。例如,输送/抽取装置51可包括刚性或柔性容器,这些容器用于容纳可输送到治疗空间14的一种或多种液体或粉末状治疗物质。或者,配件34可由自密封材料构成,以适应具有插穿过自密封材料的中空钢针的注射器,以能够注射流体和/或从治疗空间14抽出伤口液体或空气。
图18示出了包含排出阀55的配件54。当该阀55工作时,可操作输送/抽出装置51以从腔室治疗空间14排出空气。在排出所要求量的空气后,阀55可设置成使液体能够从输送/抽出装置51流入输送管31。也可以使用具有自动、半自动、以及人工操作的其它阀来便于抽出或引入空气和液体。
管子31的长度可根据特定实施方式而变化。在设置管子31以增加输送/抽出装置51之间的距离以保护患者和/或腔室12免受针头伤害的应用中,管子31应当至少比针要长。在肢体敷裹10想要覆盖有二次敷裹时,管子31还可更长。例如,管子31的长度可以在1英寸至24英寸之间。管子31一般是柔性的并可根据具体实施方式抵靠自身折叠。
参见图19和20,示出了另一实施例,其中,图1的管子31是由通常扁平放置的柔性、可塌陷材料制成的可塌陷管子61。输送/抽出装置51可以是具有***可塌陷管子61的柔性末端63的注射器。柔性末端63可***可塌陷管子61的整个长度,使得柔性末端63穿出可塌陷管61并直接延伸到治疗空间14内。在一些实施例中,例如,在加入流体的情况下,柔性末端63可比可塌陷管61短。可塌陷管子61根据需要膨胀以能够***柔性末端63和/或治疗流体。当抽出柔性末端63时,可塌陷管61塌陷并形成相对于治疗空间14的水密和气密密封。在一些实施例中,可塌陷管61可在与腔室12接口之处(即或者终止于腔室12处,或者延伸到腔室12内)具有张开端62。柔性末端63可设置在张开端63内,尚不在治疗空间14内,以能够从治疗空间14移除流体或空气。
如图21所示,管子31可装有端口34以及辅助端口66,端口34是诸如阴路厄配件的配件,辅助端口66可由例如位于分支管65上的自密封材料构成。有两个端口34和66可用就可通过使使用者能够采用针或无针输送/抽出装置51而增加肢体敷裹10的灵活性。
管子31使端口34能够位于离开肢体16、伤口18以及腔室12一段距离处。因此,如果用针将治疗流体引入治疗空间14,可降低不经意地接触患者或医护工作者或弄破腔室12的可能性。同样,如果肢体敷裹10覆盖有二次敷裹(未示出),伤口18可仍然通过管子31治疗而不需要移除二次敷裹。
上述肢体敷裹10具有许多应用。管子31可用于引入各种治疗流体和/或添加剂。肢体敷裹10允许监测伤口18,这对改善愈合过程是有用的。腔室12允许可视地监测伤口18本身以及监测治疗空间内的流体。这种监测提供了反馈以有助于治疗变量和设备研究的精确控制。可对从***抽出的流体分析指示伤口愈合状态的因子,还可分析诸如微生物、低氧、高二氧化碳和不利pH值之类的有害因子的存在。可对流体测试每毫升流体的细菌和其它微生物的数量和类型、细胞的数量和类型、蛋白质的量和类型以及其它因子。还可进行伤口生理学和患者的临床诊断。诊断时,可通过引入治疗添加剂和控制治疗变量来进行伤口18的进一步治疗。根据伤口的类型,可测试抽出的流体,例如测试:(a)微生物的存在、(b)细胞、(c)蛋白质的量和类型、(d)化学物质、(e)氧气、(f)二氧化碳水平和/或(g)pH值。可记录这些数据并用于伤口诊断。一旦完成诊断,可相应调节流体治疗干预措施。
在分析抽出流体时还可测量伤口18产生的其它生长因子。可测试的其它因子是各种炎症介质和各种抗原的存在和量。抗原的存在可用于重要的诊断目的并可用通过伤口腔室输送的具体抗体来测试。该信息对确定用什么来替代和怎样治疗是有用的,且会指示伤口18的改善。肢体敷裹10可形成使身体产生的积极因素存在的环境。
治疗材料的示例性但非排他性的列表包括麻醉剂、抗生素、化疗剂、生长因子、细胞培养介质、细胞、氧气、缓冲剂、酶和免疫制约剂。加入的细胞可包括在伤口18移植之前已遗传变异的细胞,或可包括诸如DNA、基因、遗传物质、遗传载体等之类其它基因治疗添加剂。
肢体敷裹10还允许控制治疗空间14内的治疗环境。治疗变量的示例性但非排他性列表包括:温度、胶体渗透压力、pH值、离子浓度、葡萄糖浓度、氨基酸含量、脂肪浓度、氧气浓度、和二氧化碳浓度。
通过控制治疗变量且通过增加所选的治疗添加剂,可实施各种治疗技术。本领域的技术人员根据本发明可识别许多这样的治疗技术,且本发明的应用不限于任何特定的治疗。通过说明,可根据本发明实施的治疗的非限制性例子包括:诸如干细胞应用、基因治疗药物、或细胞基质凝胶悬浮之类的细胞治疗技术,诸如抗菌或抑菌治疗之类的感染治疗技术或诸如负压治疗之类的一般治疗技术。
以上揭示的特定实施例仅是说明性的,因为对受益于本文教授内容的本领域技术人员来说,很显然可对本发明进行修改或将本发明以不同但等效的方式来实施。此外,除了以下权利要求书所描述的之外,并不想要对本文所示的构造或设计的细节进行任何限制。因此,很明显可对以上揭示的具体实施例进行更改或改变,且所有这些变体都被认为落入本发明的范围和精神。因而,本文所要求的保护范围如以下权利要求书所述。
Claims (16)
1.一种伤口敷裹,包括:
腔室,所述腔室限定治疗空间和与所述治疗空间连通的至少一个开口;以及
多个通道,所述多个通道限定在所述腔室的内壁上。
2.如权利要求1所述的伤口敷裹,其特征在于,所述开口的尺寸设置成接纳患者的肢体。
3.如权利要求1所述的伤口敷裹,其特征在于,所述通道包括限定在所述腔室内壁上的脊状物和沟槽中的至少一种。
4.如权利要求1所述的伤口敷裹,其特征在于,所述通道布置成线性中断样式、栅格样式、一系列分支样式以及带状样式中的至少一种。
5.如权利要求1所述的伤口敷裹,其特征在于,还包括:
管子,所述管子具有与所述腔室联接的第一端,所述管子与所述治疗空间连通;以及
端口,所述端口联接到所述管子的第二端。
6.如权利要求5所述的伤口敷裹,其特征在于,所述管子包括可压缩管,还包括输送/抽出装置,所述输送/抽出装置包括适于穿过所述端口延伸到所述可压缩管内的柔性末端。
7.如权利要求1所述的伤口敷裹,其特征在于,还包括延伸穿过所述腔室并延伸到所述治疗空间内的管子。
8.如权利要求7所述的伤口敷裹,其特征在于,所述管子的延伸到所述治疗空间内的一部分包括多个分支。
9.如权利要求7所述的伤口敷裹,其特征在于,在所述管子延伸到所述治疗空间内的部分上还包括限定在所述管子上的多个开口。
10.如权利要求7所述的伤口敷裹,其特征在于,所述腔室在靠近所述管子延伸到所述治疗空间内的部分的区域上具有增加的厚度。
11.如权利要求1所述的伤口敷裹,其特征在于,还包括限定在所述腔室上靠近所述开口处的接缝。
12.如权利要求1所述的伤口敷裹,其特征在于,还包括可操作以减小所述腔室的截面积的突出片。
13.一种伤口敷裹,包括:
腔室,所述腔室限定治疗空间和与所述治疗空间连通的至少一个开口;以及
管子,所述管子延伸穿过所述腔室并进入所述治疗空间,所述管子在所述管子延伸到所述治疗空间内的一部分上限定多个开口。
14.如权利要求13所述的伤口敷裹,其特征在于,所述管子包括多个分支。
15.一种伤口敷裹,包括:
腔室,所述腔室限定治疗空间和与所述治疗空间连通的至少一个开口;以及
管子,所述管子延伸穿过所述腔室并进入所述治疗空间,所述管子包括多个分支,每个分支延伸到所述治疗空间的特定区域。
16.如权利要求15所述的伤口敷裹,其特征在于,所述分支中的至少一个限定沿所述分支的多个开口。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US69484905P | 2005-06-29 | 2005-06-29 | |
US60/694,849 | 2005-06-29 | ||
PCT/US2006/025391 WO2007002835A2 (en) | 2005-06-29 | 2006-06-29 | Wound chamber for limb |
Publications (2)
Publication Number | Publication Date |
---|---|
CN101257877A true CN101257877A (zh) | 2008-09-03 |
CN101257877B CN101257877B (zh) | 2013-07-17 |
Family
ID=37596048
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN2006800290309A Active CN101257877B (zh) | 2005-06-29 | 2006-06-29 | 伤口敷裹 |
Country Status (9)
Country | Link |
---|---|
US (1) | US8298197B2 (zh) |
EP (2) | EP1906903B1 (zh) |
JP (1) | JP5555828B2 (zh) |
CN (1) | CN101257877B (zh) |
AU (1) | AU2006263650B2 (zh) |
CA (1) | CA2656518C (zh) |
ES (2) | ES2600470T3 (zh) |
HK (1) | HK1201710A1 (zh) |
WO (1) | WO2007002835A2 (zh) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104511086A (zh) * | 2013-10-08 | 2015-04-15 | 王宗鼎 | 一种无接触封闭负压引流装置以及使用方法 |
CN106344972A (zh) * | 2015-07-16 | 2017-01-25 | 罗曼-劳氏股份有限公司 | 伤口处理装置 |
Families Citing this family (50)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10058642B2 (en) | 2004-04-05 | 2018-08-28 | Bluesky Medical Group Incorporated | Reduced pressure treatment system |
US8758310B2 (en) * | 2006-11-21 | 2014-06-24 | Mark R. Moore | Apparatus and method for deploying a surgical preparation |
US9409005B2 (en) * | 2006-11-21 | 2016-08-09 | Mark R. Moore | Apparatus and method for deploying a surgical preparation |
US11511094B2 (en) | 2006-11-21 | 2022-11-29 | Mark R. Moore | Apparatus and method for deploying a surgical preparation |
US10188842B2 (en) | 2006-11-21 | 2019-01-29 | Mark R. Moore | Apparatus and method for deploying a surgical preparation |
US10470842B2 (en) | 2006-11-21 | 2019-11-12 | Mark R. Moore | Apparatus and method for deploying a surgical preparation |
WO2008154158A2 (en) * | 2007-05-24 | 2008-12-18 | Applied Tissue Technologies Llc | Woundtreatment device employing negative pressure |
WO2009066105A1 (en) | 2007-11-21 | 2009-05-28 | Smith & Nephew Plc | Wound dressing |
EP3000448B2 (en) | 2007-11-21 | 2022-03-09 | Smith & Nephew PLC | Wound dressing |
GB0722820D0 (en) | 2007-11-21 | 2008-01-02 | Smith & Nephew | Vacuum assisted wound dressing |
GB2455962A (en) | 2007-12-24 | 2009-07-01 | Ethicon Inc | Reinforced adhesive backing sheet, for plaster |
US8372050B2 (en) | 2008-03-05 | 2013-02-12 | Kci Licensing, Inc. | Dressing and method for applying reduced pressure to and collecting and storing fluid from a tissue site |
US9033942B2 (en) | 2008-03-07 | 2015-05-19 | Smith & Nephew, Inc. | Wound dressing port and associated wound dressing |
US8298200B2 (en) | 2009-06-01 | 2012-10-30 | Tyco Healthcare Group Lp | System for providing continual drainage in negative pressure wound therapy |
US20100324516A1 (en) | 2009-06-18 | 2010-12-23 | Tyco Healthcare Group Lp | Apparatus for Vacuum Bridging and/or Exudate Collection |
ES2731200T3 (es) | 2009-12-22 | 2019-11-14 | Smith & Nephew Inc | Aparatos para terapia de herida por presión negativa |
US8814842B2 (en) | 2010-03-16 | 2014-08-26 | Kci Licensing, Inc. | Delivery-and-fluid-storage bridges for use with reduced-pressure systems |
US9061095B2 (en) | 2010-04-27 | 2015-06-23 | Smith & Nephew Plc | Wound dressing and method of use |
USRE48117E1 (en) | 2010-05-07 | 2020-07-28 | Smith & Nephew, Inc. | Apparatuses and methods for negative pressure wound therapy |
AU2011345328B2 (en) | 2010-12-22 | 2016-03-10 | Smith & Nephew, Inc. | Apparatuses and methods for negative pressure wound therapy |
USD714433S1 (en) | 2010-12-22 | 2014-09-30 | Smith & Nephew, Inc. | Suction adapter |
GB2488749A (en) | 2011-01-31 | 2012-09-12 | Systagenix Wound Man Ip Co Bv | Laminated silicone coated wound dressing |
GB201106491D0 (en) | 2011-04-15 | 2011-06-01 | Systagenix Wound Man Ip Co Bv | Patterened silicone coating |
US10940047B2 (en) | 2011-12-16 | 2021-03-09 | Kci Licensing, Inc. | Sealing systems and methods employing a hybrid switchable drape |
CN103987348B (zh) | 2011-12-16 | 2016-05-11 | 凯希特许有限公司 | 可释放的医用布单 |
EP2636417B1 (de) | 2012-03-05 | 2017-04-26 | Lohmann & Rauscher GmbH | Wundversorgungsanordnung und Abdeckeinrichtung dafür |
EP3669842B1 (en) | 2012-11-16 | 2023-09-27 | 3M Innovative Properties Company | Medical drape with pattern adhesive layers |
GB201222770D0 (en) | 2012-12-18 | 2013-01-30 | Systagenix Wound Man Ip Co Bv | Wound dressing with adhesive margin |
EP2968012B1 (en) | 2013-03-14 | 2017-04-26 | KCI Licensing, Inc. | Absorbent dressing with hybrid drape |
WO2015030963A1 (en) | 2013-08-26 | 2015-03-05 | Kci Licensing, Inc. | Dressing interface with moisture controlling feature and sealing function |
WO2015065742A1 (en) | 2013-10-28 | 2015-05-07 | Kci Licensing, Inc. | Hybrid sealing tape |
WO2015065614A1 (en) | 2013-10-30 | 2015-05-07 | Kci Licensing, Inc. | Dressing with differentially sized perforations |
WO2015065612A1 (en) | 2013-10-30 | 2015-05-07 | Kci Licensing, Inc. | Condensate absorbing and dissipating system |
WO2015065616A1 (en) | 2013-10-30 | 2015-05-07 | Kci Licensing, Inc. | Dressing with sealing and retention intereface |
WO2015065615A1 (en) | 2013-10-30 | 2015-05-07 | Kci Licensing, Inc. | Absorbent conduit and system |
CA2940730C (en) | 2014-02-28 | 2022-07-26 | Kci Licensing, Inc. | Hybrid drape having a gel-coated perforated mesh |
US11026844B2 (en) | 2014-03-03 | 2021-06-08 | Kci Licensing, Inc. | Low profile flexible pressure transmission conduit |
EP3137029B1 (en) | 2014-05-02 | 2020-09-09 | KCI Licensing, Inc. | Fluid storage devices, systems, and methods |
EP3281616B1 (en) | 2014-06-05 | 2020-01-01 | KCI Licensing, Inc. | Dressing with fluid acquisition and distribution characteristics |
US10398604B2 (en) | 2014-12-17 | 2019-09-03 | Kci Licensing, Inc. | Dressing with offloading capability |
WO2016182977A1 (en) | 2015-05-08 | 2016-11-17 | Kci Licensing, Inc. | Low acuity dressing with integral pump |
WO2017040045A1 (en) | 2015-09-01 | 2017-03-09 | Kci Licensing, Inc. | Dressing with increased apposition force |
EP3892310A1 (en) | 2015-09-17 | 2021-10-13 | 3M Innovative Properties Co. | Hybrid silicone and acrylic adhesive cover for use with wound treatment |
CN106137648B (zh) * | 2016-06-30 | 2019-06-04 | 山东大学齐鲁医院 | 嵌合式移动无菌换药车 |
US20210290337A1 (en) * | 2016-07-15 | 2021-09-23 | Surgibox Inc. | Ultraportable system for intraoperative isolative and regulation of surgical site environments |
GB201811449D0 (en) | 2018-07-12 | 2018-08-29 | Smith & Nephew | Apparatuses and methods for negative pressure wound therapy |
US11696962B2 (en) | 2019-10-16 | 2023-07-11 | Mark R. Moore | Apparatus and method for deploying a preoperative skin disinfection device with integrated drape |
GB202000574D0 (en) | 2020-01-15 | 2020-02-26 | Smith & Nephew | Fluidic connectors for negative pressure wound therapy |
US11844918B2 (en) * | 2021-04-25 | 2023-12-19 | Tri.O Medical Device Ltd | Apparatus for use with a pressure-regulating device |
WO2024142121A1 (en) * | 2022-12-28 | 2024-07-04 | Oxyvix S.R.L. | Improved district normobaric oxygen therapy apparatus |
Family Cites Families (28)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS5122888U (zh) * | 1974-08-09 | 1976-02-19 | ||
JPS5122888A (zh) | 1974-08-20 | 1976-02-23 | ||
US4003371A (en) * | 1975-02-13 | 1977-01-18 | Fischer Boguslav | Low pressure hyperbaric chamber |
US4353359A (en) * | 1979-07-16 | 1982-10-12 | Milbauer Nathaniel A | Portable jacket for treatment and protection of injured body members |
US4772259A (en) * | 1987-06-12 | 1988-09-20 | Ballard Medical Products | Hyperbaric oxygenation apparatus and methods |
US5152757A (en) | 1989-12-14 | 1992-10-06 | Brigham And Women's Hospital | System for diagnosis and treatment of wounds |
US5312385A (en) * | 1991-10-09 | 1994-05-17 | University Of Pittsburgh | Device for protected pulse irrigation |
CN2114442U (zh) * | 1991-10-18 | 1992-09-02 | 张大同 | 一种敷料装置 |
US5807290A (en) * | 1992-05-29 | 1998-09-15 | South Glamorgan Health Authority | Inflatable supports |
GB9307312D0 (en) * | 1993-04-07 | 1993-06-02 | United Surgical Services Ltd | Surgical wound dressings |
US5447504A (en) * | 1993-05-03 | 1995-09-05 | Baker; Gregg R. | Misting apparatus for the treatment of injured areas and method therefor |
US5437602A (en) * | 1993-08-13 | 1995-08-01 | Atm Wound Management, Inc. | Isolator bag for therapeutic treatments of human limbs |
US5437651A (en) * | 1993-09-01 | 1995-08-01 | Research Medical, Inc. | Medical suction apparatus |
US5527265A (en) * | 1994-08-16 | 1996-06-18 | Mckeel; William H. | Orthopedic airflow cast pad and method |
WO1996034638A1 (en) * | 1995-05-02 | 1996-11-07 | Medela, Inc. | Foot-powered breastmilk pump with removable piston pump |
US5605534A (en) * | 1995-12-26 | 1997-02-25 | Hutchison; Jeffrey W. | Shower guard for IV site |
US5592953A (en) * | 1996-04-02 | 1997-01-14 | Delao; Wenda K. | Tubular sleeve with elasticized sealing means |
US5848998A (en) * | 1996-07-11 | 1998-12-15 | Marasco, Jr.; Patrick V. | Tissue debriding apparatus |
US6053882A (en) * | 1996-08-15 | 2000-04-25 | Johansen; Jan S. | Cast ventilation sleeve |
US6290685B1 (en) * | 1998-06-18 | 2001-09-18 | 3M Innovative Properties Company | Microchanneled active fluid transport devices |
GB9909301D0 (en) * | 1999-04-22 | 1999-06-16 | Kci Medical Ltd | Wound treatment apparatus employing reduced pressure |
GB9926538D0 (en) * | 1999-11-09 | 2000-01-12 | Kci Medical Ltd | Multi-lumen connector |
GB0115054D0 (en) * | 2001-06-20 | 2001-08-15 | Recuperatio Ltd | Fluid transfer device |
US7520872B2 (en) * | 2002-09-13 | 2009-04-21 | Neogen Technologies, Inc. | Closed wound drainage system |
GB0424562D0 (en) * | 2004-11-05 | 2004-12-08 | Huntleigh Technology Plc | Compression device |
US7540283B2 (en) * | 2005-02-24 | 2009-06-02 | Aoti, Inc. | Hyperbaric oxygen devices and delivery methods |
US20060293630A1 (en) * | 2005-06-22 | 2006-12-28 | Misonix Incorporated | Fluid containment apparatus for surgery and method of use |
CN101547712B (zh) * | 2006-10-13 | 2012-05-30 | 凯希特许有限公司 | 用于对低严重性伤口提供治疗的、具有手动启动泵的减压输送*** |
-
2006
- 2006-06-29 EP EP06785857.1A patent/EP1906903B1/en active Active
- 2006-06-29 US US11/994,168 patent/US8298197B2/en active Active
- 2006-06-29 EP EP14157342.8A patent/EP2762119B1/en active Active
- 2006-06-29 CN CN2006800290309A patent/CN101257877B/zh active Active
- 2006-06-29 WO PCT/US2006/025391 patent/WO2007002835A2/en active Application Filing
- 2006-06-29 JP JP2008520289A patent/JP5555828B2/ja active Active
- 2006-06-29 ES ES14157342.8T patent/ES2600470T3/es active Active
- 2006-06-29 ES ES06785857.1T patent/ES2479990T3/es active Active
- 2006-06-29 CA CA2656518A patent/CA2656518C/en active Active
- 2006-06-29 AU AU2006263650A patent/AU2006263650B2/en active Active
-
2015
- 2015-02-05 HK HK15101315.9A patent/HK1201710A1/zh unknown
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104511086A (zh) * | 2013-10-08 | 2015-04-15 | 王宗鼎 | 一种无接触封闭负压引流装置以及使用方法 |
CN106344972A (zh) * | 2015-07-16 | 2017-01-25 | 罗曼-劳氏股份有限公司 | 伤口处理装置 |
Also Published As
Publication number | Publication date |
---|---|
AU2006263650A8 (en) | 2008-04-03 |
EP1906903A4 (en) | 2013-03-27 |
AU2006263650B2 (en) | 2012-03-15 |
ES2479990T3 (es) | 2014-07-25 |
ES2600470T3 (es) | 2017-02-09 |
CA2656518C (en) | 2015-11-17 |
US20090124987A1 (en) | 2009-05-14 |
CA2656518A1 (en) | 2007-01-04 |
EP2762119A1 (en) | 2014-08-06 |
EP1906903B1 (en) | 2014-04-16 |
WO2007002835A2 (en) | 2007-01-04 |
JP5555828B2 (ja) | 2014-07-23 |
AU2006263650A1 (en) | 2007-01-04 |
WO2007002835A3 (en) | 2007-03-29 |
EP1906903A2 (en) | 2008-04-09 |
HK1201710A1 (zh) | 2015-09-11 |
JP2009500107A (ja) | 2009-01-08 |
CN101257877B (zh) | 2013-07-17 |
US8298197B2 (en) | 2012-10-30 |
EP2762119B1 (en) | 2016-08-17 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN101257877B (zh) | 伤口敷裹 | |
US20050267424A1 (en) | Wound chamber with remote access portal | |
CA2983512C (en) | A system and method for delivering reduced pressure to subcutaneous tissue | |
JP5426391B2 (ja) | 脈管アクセス隔壁通気装置 | |
CN105073077A (zh) | 用于伤口治疗的敷料 | |
CN215651140U (zh) | 血管通路装置 | |
CN103990226A (zh) | 排气阻菌帽 | |
CN108051352A (zh) | 一种绷带透气性检测装置及方法 | |
CN218853236U (zh) | 一种多通道输液接头 | |
CN209173217U (zh) | 一种医用三通保护壳 | |
CN106474615A (zh) | 一种术后伤口引流渗漏液收集器 | |
Li et al. | Differences between conventional wound closure and a closed suction irrigation method for the prevention of surgical site infection—a comparative study | |
CN217138971U (zh) | 一种腹腔植入式给药装置用导管 | |
CN104645483A (zh) | 一种双腔t型胆汁回输引流管 | |
CN215023247U (zh) | 一种新型胸腔引流管 | |
CN213285277U (zh) | 一种与创面负压封闭引流技术相适应的创面微灌给药装置 | |
CN113926052B (zh) | 一种卵巢癌治疗用的腹腔热灌注导管固定装置 | |
CN211675608U (zh) | 一次性血液透析中心静脉留置导管防护套 | |
CN213407176U (zh) | 一种便于ptcd引流管护理的三通阀保护罩 | |
CN209900300U (zh) | 一种新型输液接头 | |
CN218338744U (zh) | 一种用于创面治疗的负压引流装置 | |
CN101563464B (zh) | 向细胞培养施用降低的压力的***和方法 | |
CN208927259U (zh) | 360°旋转胶带固定y型管式双腔静脉留置针 | |
CN207627660U (zh) | 一种医用清洗器 | |
CN114062341A (zh) | 动物体外附载装置 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
C06 | Publication | ||
PB01 | Publication | ||
C10 | Entry into substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
C14 | Grant of patent or utility model | ||
GR01 | Patent grant |