ES2580133T3 - Sistema para proporcionar drenaje continuo en terapia de heridas de presión negativa - Google Patents

Sistema para proporcionar drenaje continuo en terapia de heridas de presión negativa Download PDF

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Publication number
ES2580133T3
ES2580133T3 ES09845644.5T ES09845644T ES2580133T3 ES 2580133 T3 ES2580133 T3 ES 2580133T3 ES 09845644 T ES09845644 T ES 09845644T ES 2580133 T3 ES2580133 T3 ES 2580133T3
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ES
Spain
Prior art keywords
wound
port
tube
reservoir
collection vessel
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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.)
Active
Application number
ES09845644.5T
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English (en)
Other versions
ES2580133T5 (es
Inventor
Richard M. Braga
Mark A. Vess
David R. Swisher
Chirag B. Shah
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Smith and Nephew Inc
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Smith and Nephew Inc
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Application filed by Smith and Nephew Inc filed Critical Smith and Nephew Inc
Publication of ES2580133T3 publication Critical patent/ES2580133T3/es
Application granted granted Critical
Publication of ES2580133T5 publication Critical patent/ES2580133T5/es
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/96—Suction control thereof
    • A61M1/964—Suction control thereof having venting means on or near the dressing
    • 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
    • A61F13/02—Adhesive bandages or dressings
    • A61F13/023—Adhesive bandages or dressings wound covering film layers without a fluid retention layer
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84—Drainage tubes; Aspiration tips
    • A61M1/85—Drainage tubes; Aspiration tips with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84—Drainage tubes; Aspiration tips
    • A61M1/86—Connectors between drainage tube and handpiece, e.g. drainage tubes detachable from handpiece
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/91—Suction aspects of the dressing
    • A61M1/912—Connectors between dressing and drainage tube
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/98—Containers specifically adapted for negative pressure wound therapy
    • 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
    • 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
    • A61F2013/00174—Wound bandages possibility of applying fluid possibility of applying pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/78—Means for preventing overflow or contamination of the pumping systems
    • A61M1/784—Means for preventing overflow or contamination of the pumping systems by filtering, sterilising or disinfecting the exhaust air, e.g. swellable filter valves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/88—Draining devices having means for processing the drained fluid, e.g. an absorber
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/583—Means for facilitating use, e.g. by people with impaired vision by visual feedback
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/75—General characteristics of the apparatus with filters
    • A61M2205/7518—General characteristics of the apparatus with filters bacterial
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/75—General characteristics of the apparatus with filters
    • A61M2205/7536—General characteristics of the apparatus with filters allowing gas passage, but preventing liquid passage, e.g. liquophobic, hydrophobic, water-repellent membranes

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgery (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pulmonology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • External Artificial Organs (AREA)

Abstract

Un sistema para terapia de presión subatmosférica en conexión con la curación de una herida, que comprende: una cubierta con apósito para herida (12,112,212,312) dimensionada para su posicionamiento con respecto a un lecho de herida de un sujeto para establecer un depósito (14,114,314) sobre el lecho de herida en el que puede mantenerse presión subatmosférica; un mecanismo de presión subatmosférica (10) que incluye: una carcasa; una fuente de vacío (40) dispuesta en la carcasa; y un recipiente de recolección (38) en comunicación fluida con la fuente de vacío (40); un puerto de herida (800) operativamente conectado al apósito para herida (12,112,212,312) en comunicación fluida con el depósito (14,114,314), caracterizado porque el puerto de herida (800) incluye: un puerto de vacío; y una pluralidad de orificios dispuestos en forma circunferencial alrededor del puerto de herida, donde la pluralidad de orificios (822) es operable para permitir aire ambiental en el depósito (14,114,314); y en el que el sistema además comprende un conducto de exudado en comunicación fluida con el puerto de herida (800) y el recipiente de recolección (38) para recolectar exudado removido del depósito (14,114,314) y depositado en el recipiente de recolección (38) bajo la influencia de la fuente de vacío (40).

Description

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Con referencia a las FIGS. 5A y 5B, en aún otra realización, se muestra un puerto de herida 500. El puerto de herida 500 es adecuado para su uso con los apósitos para herida descritos anteriormente. El puerto de herida 500 tiene una cubierta de plástico 510 que incluye un puerto de vacío 512. Además del puerto de vacío 512, la cubierta de plástico 510 tiene el tubo 520. El tubo 520 puede estar hecho de un acero inoxidable de calibre pequeño o de plástico rígido. El tubo 520 se utiliza para proporcionar una fuga controlada o fija por la admisión de aire en el apósito para herida. El tubo 520 puede estar dispuesto para permitir la inserción del tubo 520 en el puerto de herida 500 de modo que es posible el ajuste de la profundidad y la colocación dentro del material de embalaje de la herida, como se indica mediante las flechas en las figuras. 5A y 5B. Como tal, el aire puede ser inyectado en el material de embalaje para dirigir el movimiento de exceso de exudado hacia el puerto de vacío y fuera de la herida. El tubo 520 puede tener una válvula (no mostrada) para ajustar la velocidad de flujo de aire en el lecho de herida. La válvula puede ser una válvula de aguja pequeña que se puede conectar al tubo 520 para permitir el ajuste infinito de flujo de aire en el apósito para herida..
El extremo del tubo 520 que puede estar expuesto a la atmósfera ambiente o a una fuente de aire puede incluir un filtro 522. El filtro 522 puede ser un filtro de aire como de punta q para evitar la obstrucción del tubo y también evitar que la suciedad y otros contaminantes entren el sitio de la herida. Alternativamente, el filtro 522 puede incluir un filtro de carbón para prevenir el mal olor, un filtro hidrófobo, o cualquier material sinterizado o poroso. La punta del tubo 520 que se inserta en el material de embalaje de la herida puede estar equipado con una punta de perforación 524 para permitir la inserción fácil en el material de embalaje de la herida.
Con referencia a las FIGS. 6A y 6B, en aún otra realización, se muestra un puerto de herida 600. Como se muestra en la FIG. 6A, el puerto de herida 600 tiene el tubo 610 en lugares separados alrededor de una circunferencia del puerto de herida 600. Cada tubo puede incluir una punta perforada o un filtro como se ha descrito anteriormente. Como se muestra en la FIG. 6B, la distancia "a" entre el tubo 610 y el tubo 612 puede ser una distancia y la distancia “b” entre el tubo 610 y 614 puede ser una distancia diferente de la distancia "a". Por otro lado, la diferencia entre cada tubo puede ser similar como en la distancia "c" entre el tubo 620 y 622 y el tubo 620 y 624. Aunque las FIG. 6A y 6B muestran un número determinado de tubos, cualquier número de tubos puede estar dispuesto fuera de una circunferencia del puerto de herida 600.
Con referencia a las FIGS. 7A y 7B, en aún otra realización, se muestra un puerto de herida 700 que tiene un tubo 710 que es similar a los tubos descritos anteriormente. El tubo 710 puede ser ligeramente más grande en diámetro para permitir que los fluidos entren en el sitio de la herida. Los fluidos pueden incluir una solución para limpiar la herida tal como solución salina o puede ser un anestésico para anestesiar la zona de la herida. El tubo 710 puede estar equipado con la válvula 712 para abrir y cerrar la vía en el lugar de la herida. Adicionalmente, el extremo del tubo 710 puede estar equipado con un conector tipo luer 714 para crear una conexión estanca a los fluidos con un tubo adicional, jeringas, o cualquiera de otros conductos. Alternativamente, en lugar de una válvula, podría ser utilizado un tapón (no mostrado) para cerrar el conector tipo luer. Con referencia a la FIG. 7B, una aguja hipodérmica 716 puede insertarse en el tubo 710. La aguja hipodérmica 716 se podría utilizar para suministrar una solución a un área específica de la herida o podría ser utilizado para obtener una muestra de sangre, exudado o tejido de la zona de la herida.
Con referencia a las FIGS. 8A y 8B, en aún otra realización, se muestra un puerto de herida 800. En lugar de utilizar tubos como se describe anteriormente para permitir una fuga controlada o fija, se puede proporcionar una serie de pequeños orificios dispuestos en una circunferencia alrededor del puerto de herida 800. Los orificios pueden tomar la forma de una simple punción 810 de un tamaño dado como se muestra en la FIG. 8A. Como alternativa, los orificios 822 pueden estar formados en una placa 820 que está soldada por radiofrecuencia (RF) al puerto de herida 800.
Con referencia a la FIG. 9, en aún otra realización, se muestra una sección transversal del puerto de herida 900. El puerto de herida 900 está operativamente conectado al apósito para herida 910 e incluye un reborde 912. El reborde 912 puede tener una forma circular o cualquier forma poligonal. Un cuerpo 914 está conectado al reborde 912 que está fluidamente conectado al conducto 916. El conducto 916 lleva directamente o indirectamente al recipiente de recolección. El cuerpo 914 tiene como orificio pequeño 920 utilizado para proporcionar una fuga controlada en el sitio de la herida. El diámetro del orificio 920 y la diferencia de presión entre el exterior del puerto de herida 900 y el interior del puerto de herida 90 generan una fuga de aire controlable en el puerto de herida 900 a través del orificio. El orificio pequeño 920 se puede crear de varias maneras. El orificio 920 puede ser integral con el diseño de puerto, tal como un moldeado en el dispositivo. Puede ser creado mediante micro-perforación posterior al moldeo en el puerto mediante una aguja o una jeringa. Como alternativa, el ensamblaje o la inserción de un pequeño tubo que permite la comunicación de aire desde el exterior del puerto de herida 900 al interior del puerto de herida 900 se pueden utilizar para crear el orificio 920.
Con referencia a las FIGS. 10A y 10B, en aún otra realización, se muestra un puerto de herida 1000. El puerto de herida 1000 está operativamente conectado al apósito para herida 1010 e incluye un reborde 1012. El reborde 1012 puede tener una forma circular o cualquier forma poligonal.. Un cuerpo 1014 está conectado al reborde 1012 que está fluidamente conectado al conducto 1016. El conducto 1016 lleva directamente o indirectamente al recipiente de recolección. El conducto 1016 incluye un lumen principal 1110 utilizado para proporcionar una vía para que el exudado entre la herida "w" y el recipiente de recolección. Un lumen secundario o lumen de ventilación se proporciona en el conducto 1016 para proporcionar una fuga controlada en el sitio de la herida. El exudado entra al
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Claims (1)

  1. imagen1
ES09845644T 2009-06-01 2009-06-08 Sistema para proporcionar drenaje continuo en terapia de heridas de presión negativa Active ES2580133T5 (es)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US475954 2009-06-01
US12/475,954 US8298200B2 (en) 2009-06-01 2009-06-01 System for providing continual drainage in negative pressure wound therapy
PCT/US2009/046580 WO2010141030A1 (en) 2009-06-01 2009-06-08 System for providing continual drainage in negative pressure wound therapy

Publications (2)

Publication Number Publication Date
ES2580133T3 true ES2580133T3 (es) 2016-08-19
ES2580133T5 ES2580133T5 (es) 2020-03-18

Family

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ES09845644T Active ES2580133T5 (es) 2009-06-01 2009-06-08 Sistema para proporcionar drenaje continuo en terapia de heridas de presión negativa

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US (6) US8298200B2 (es)
EP (2) EP3058963B1 (es)
JP (1) JP5267962B2 (es)
CA (2) CA2854734C (es)
ES (1) ES2580133T5 (es)
WO (1) WO2010141030A1 (es)

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CA2763871A1 (en) 2010-12-09
US20150018785A1 (en) 2015-01-15

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