JP7055175B2 - 局所陰圧閉鎖療法のための装置および方法 - Google Patents
局所陰圧閉鎖療法のための装置および方法 Download PDFInfo
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- JP7055175B2 JP7055175B2 JP2020121975A JP2020121975A JP7055175B2 JP 7055175 B2 JP7055175 B2 JP 7055175B2 JP 2020121975 A JP2020121975 A JP 2020121975A JP 2020121975 A JP2020121975 A JP 2020121975A JP 7055175 B2 JP7055175 B2 JP 7055175B2
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Images
Classifications
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- 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)
- Media Introduction/Drainage Providing Device (AREA)
- Materials For Medical Uses (AREA)
- External Artificial Organs (AREA)
Description
本出願は、2012年5月23日に出願された「APPARATUSES AND METHODS FOR NEGATIVE PRESSURE WOUND THERAPY」という名称の米国仮出願第61/650,904号および2013年3月14日に出願された「APPARATUSES AND METHODS FOR NEGATIVE PRESSURE WOUND THERAPY」という名称の米国仮出願第61/785,927号の利益を主張するものであり、これらの出願の各々の全体は参照により本明細書に組み込まれる。
創傷被覆材であって、
感圧接着剤を担持するように構成された創傷接触層と、
陰圧を創傷被覆材に加えるときに開放されたままであるように構成された第1の3D布地材料を備える透過層であって、創傷接触層の上にある透過層と、
創傷滲出液を吸収するための吸収性層であって、透過層を覆い、開口を備える吸収性層と、
この吸収性層を覆い、オリフィスを備えるカバー層であって、水蒸気透過性であるカバー層と
を備える創傷被覆材と、
吸引アダプタであって、
この吸引アダプタを創傷被覆材のカバー層に対して密封するための密封面であって、接着剤または溶接部を備え、
この密封面がカバー層内のオリフィスの上に位置付けられ、
吸収性層内の開口が、吸引アダプタが透過層と流体連通することを可能にするように構成される密封面と、
近位端と遠位端とを有するブリッジであって、
陰圧源と流体連通する第1の流体通路であって、第2の3D布地材料を備える第1の流体通路と、
近位端と遠位端とを有し、第1の流体通路を取り囲むように構成された少なくとも1つの可撓性フィルム層であって、遠位端が密封面の上面に接続される、可撓性フィルム層と
を備えるブリッジと
を備える吸引アダプタと
を備える。
第1の3D布地材料を含む透過層と、
創傷滲出液を吸収するための吸収性層であって、透過層を覆う吸収性層と、
この吸収性層を覆い、オリフィスを備えるカバー層であって、水蒸気透過性であるカバー層と
を備える創傷被覆材を用意することと、
液体不透過性材料から構築された頂部層と、
液体不透過性材料から構築された底部層と、
頂部層と底部層の間に配置された第2の3D布地材料と、
この第2の3D布地材料と流体連通する、底部層内の開口と、
第2の3D布地材料を収容する、頂部層と底部層の間に延在する細長いチャネルであって、頂部層、底部層、および第2の3D編み物材料または第2の3D布地材料が拡張遠位端を含み、チャネルが拡張遠位端から離れて近位方向に延在し、拡張遠位端が、被覆材のカバー層に吸引アダプタを固着するための密封面を備える、チャネルと
を備える可撓性吸引アダプタを用意することと、
被覆材と流体連通する可撓性吸引アダプタを取り付けることと、
被覆材を創傷部位の上に位置付け、創傷部位の上に密封された空洞を形成することと、
創傷部位に陰圧を加えて、透過層を通して流体を吸収性層に吸い込むことと
を含む、創傷を治療するための方法を提供する。
近位端と、細長い中間部分と、遠位端とを備えるスペーサ層と、
このスペーサ層の上に設けられた、液体不透過性材料から構築された頂部層と、
スペーサ層の下に設けられた、液体不透過性材料から構築された底部層であって、頂部層および底部層がスペーサ層を実質的に囲む、底部層と、
この底部層内でスペーサ層の遠位端の下方の1つまたは複数の開口と、
スペーサ層の遠位端の下で1つまたは複数の開口に隣接して位置付けられたフィルタと、
スペーサ層の近位端と流体連通する導管と
を備える。
さらに、本明細書で開示されるいくつかの実施形態は、陰圧療法装置および被覆材を含むシステム、およびそのような陰圧療法装置を陰圧療法被覆材とともに使用するために動作させるための方法を対象とする。一実施形態では、創傷部位の治療のための創傷治療装置は、流体を保持するように構成された吸収性層と、この吸収性層の上方の裏打ち層と、吸収性層内の流体を少なくとも部分的に視覚的に不明瞭にするように構成された不明瞭化層とを備える創傷被覆材と、創傷部位において局所的な陰圧を加えるために陰圧源から創傷被覆材に陰圧を伝えるように構成された流体コネクタとを備える。
低下率 = (Abackground - Asample placed on background) / (Abackground)×100
上式において、Aは特定の波長における光線の吸収率である。
11 ヘッド
12 吸引アダプタ
14 チューブ類
104 穿孔
200 下面、下側面、境界領域
202 上面
203 創傷接触層
204 流体流れ
206 空気流
208 可撓性フィルム層
210 可撓性フィルム層
211 ブリッジ
212 第1の流体通路
214 フィルタ、フィルタ要素
215 スペーサ要素
216 密封面
218 カバーフィルム、水蒸気透過性カバー層、カバー層、上部カバー層
220 高吸収性層、吸収層、吸収性層
222 多孔性層、多孔性透過層、透過層
230 創傷接触層
245 オリフィス
246 開口、開口部、貫通穴、区域
400 創傷被覆材、被覆材
403 覗き窓
420 ポンプ
490 創傷部位
495 固定ストリップ
500 ポート、流体コネクタ
510 頂部層
514 ブリッジ、ブリッジ部分
515 上部層、円形部分、拡張端、頂部層
520 スペーサ層、スペーサ布
521 折りたたみ部分
522 スロット、チャネル
524 ブリッジ部分
525 円形部分、拡張部分
530 フィルタ要素、フィルタ
540 底部層、下部層
541 オリフィス
544 ブリッジ部分
545 拡張部分、密封部分、円形部分、底部層、拡張端、下部層
550 導管
551 円形リブ
560 コネクタ
610 創傷被覆材、被覆材
620 ポート
630 導管
640 コネクタ
700 可撓性ポート
710 スペーサ布
715 遠位端
720 折りたたみ部分
730 穴
740 可撓性フィルム
750 リブ
760 導管
770 チャンバ
780 コネクタ
790 フィルタ
792 オリフィス
795 フィルムに接着された部分
800 導管
810 三角形部分
3521 折りたたみ部分
3630 導管
3640 コネクタ
5500 創傷被覆材、被覆材、陰圧創傷治療システム、システム
5502 ブリッジ
5503 近位端
5504 コネクタ、アプリケータ
5505 遠位端
5512 可撓性吸引アダプタ
5530 創傷
5534 陰圧ユニット、ポンプ
5536 キャップ
5540 チューブ
B100 TNP創傷治療システム
B110 創傷被覆材、被覆材
B120 ポート
B130 導管
B140 コネクタ
B150 ポンプ、ポート
B200 創傷被覆材、創傷部位
B210 固定ストリップ
B300 創傷被覆材、被覆材
B301 裏打ち層
B302 吸収材料
B303 くびれた部分
B304 ポート
B305 下面
B306 上面
B308 中央部分
B400 創傷被覆材、被覆材
B401 境界領域
B402 吸収性層、吸収材料
B403 覗き窓
B404 不明瞭化層
B405 裏打ち層
B406 ポート、流体ポート、流体コネクタ
B408 くびれた部分
B409 縁部
B500 被覆材
B501 切り抜き
B502 オリフィス覗き窓
B503 吸収材料、吸収性層
B504 ポート
B505 オリフィス
B506 不明瞭化層
B507 覗き窓
B510 裏打ち層
B512 線
B513 剥離ライナ、剥離層
B600 創傷被覆材、被覆材
B601 フレア縁部
B604 ポート
B720 創傷被覆材
B721 流体コネクタ
B730 創傷被覆材
B731 流体コネクタ
B740 創傷被覆材
B750 創傷被覆材
B760 創傷被覆材、被覆材
B762 不明瞭化層
B764 覗き窓
B770 創傷被覆材、被覆材
B772 不明瞭化層
B774 穴
B780 創傷被覆材、被覆材
B782 不明瞭化層
B784 覗き窓
B790 創傷被覆材
B791 創傷接触層
B792 裏打ち層
B2100 創傷被覆材、被覆材
B2101 下面
B2102 創傷接触層
B2103 上面
B2104 穿孔
B2105 透過層
B2107 不明瞭化層、マスキング層
B2110 吸収性層、吸収剤層
B2115 外側チャネル
B2120 狭い中央部分、くびれた部分
B2130 フィルタ要素、フィルタ、ポート
B2140 裏打ち層
B2145 オリフィス
B2146 開口、貫通穴
B2150 吸引ポート、スリット
B2152 スペーサ要素
B2153 スペーサ要素
B2220 チューブ類
B2300 創傷被覆材、被覆材
B2301 突出部
B2302 裏打ち層
B2303 覗き窓
B2304 不明瞭化層
B2306 ポート
B2308 吸収性層
B2410 白色流体コネクタ
B2411 近位端
B2412 遠位端
B2420 黒色流体コネクタ
B3400 創傷被覆材、被覆材
B3410 裏打ち層、カバー層、頂部フィルム層
B3411 オリフィス
B3420 不明瞭化層
B3421 マルタ十字
B3422 不明瞭化層、覗き窓
B3430 吸収性層、吸収剤層、高吸収性層
B3431 貫通穴
B3440 取得分散層
B3450 透過層、スペーサ層
B3460 創傷接触層
B3480 剥離層
B3481 フラップ
B3500 ポート、流体コネクタ
B3510 頂部層
B3514 ブリッジ部分、ブリッジ
B3515 円形部分、上部層、頂部層、拡張端
B3520 スペーサ層
B3521 折りたたみ部分
B3522 チャネル、スロット
B3525 円形部分、拡張部分
B3530 フィルタ要素、フィルタ
B3540 底部層、下部層
B3541 オリフィス
B3544 ブリッジ部分
B3545 円形部分、拡張端、拡張部分、密封部分
B3550 導管
B3551 円形リブ
B3560 コネクタ
B3610 創傷被覆材、被覆材
B3620 可撓性ポート
B3700 被覆材
B3710 導管
B3720 ポート
B3730 透過層
B3740 取得分散層
B3750 剥離層
Claims (14)
- 創傷部位に吸引を提供する装置であって、
創傷被覆材であって、
前記創傷部位からの創傷滲出液を吸収するための吸収層と、
前記吸収層を覆っている透明なカバー層であって、前記吸収層の全体に亘って延在しており、開口部を備える透明なカバー層と、
前記吸収層と前記透明なカバー層との間の不明瞭化層であって、前記吸収層を前記透明なカバー層の上から部分的に見ることができない不明瞭化層と、
を備える創傷被覆材と、
前記創傷被覆材に取り付けられた流体コネクタであって、
近位端と、細長い中間部分と、遠位端とを備えるスペーサ層と、
液体不透過性材料から構築された透明な頂部層であって、前記スペーサ層の上に設けられ、前記流体コネクタの上面を画定している透明な頂部層と、
液体不透過性材料から構築された底部層であって、前記スペーサ層の下に設けられ、
前記透明な頂部層及び前記底部層が前記スペーサ層を囲むようにその周囲の周りで一緒に密封され、前記スペーサ層が前記透明な頂部層及び前記底部層と接触状態になる、底部層と、
前記底部層内で前記スペーサ層の前記遠位端の下方の1つ又は複数の開口であって、前記流体コネクタの前記底部層の遠位端は、前記底部層における前記1つ又は複数の開口が前記透明なカバー層における前記開口部に亘って位置付けられる状態で、前記創傷被覆材の前記透明なカバー層に亘って位置付けられる、1つ又は複数の開口と、
を備える流体コネクタと、
前記スペーサ層の遠位端の下に位置付けられた吸収材料の一部であって、前記流体コネクタの前記透明な頂部層を通じて前記流体コネクタの前記スペーサ層の外周の周りで見ることができ、且つ前記創傷滲出液によって前記吸収層の飽和度を示すように構成される吸収材料の一部と、
を含む、装置。 - 前記装置は、前記創傷滲出液が前記創傷被覆材から前記透明なカバー層における前記開口部を通じて流出するのを防止するように構成される、請求項1に記載の装置。
- 前記透明な上部層及び前記底部層は、その周囲の周りで一緒にヒートシールされる、請求項1に記載の装置。
- 前記スペーサ層の前記遠位端は、前記スペーサ層の前記細長い中間部分における幅及び前記スペーサ層の前記近位端における幅に対して拡張されている、請求項1に記載の装置。
- 前記透明な上部層及び前記底部層のそれぞれの遠位端はそれぞれ、前記透明な上部層及び前記底部層の前記細長い中間部分における幅及び前記透明な上部層及び前記底部層の前記近位端における幅に対して拡張されている、請求項1に記載の装置。
- 前記スペーサ層が、3D編み物材料または3D布地材料、発泡体、多孔性材料、および不織布材料のうちの1つを含む、請求項1に記載の装置。
- 前記底部層の遠位端が接着剤を備える、請求項1に記載の装置。
- 前記スペーサ層は、略方形の断面寸法を有する、請求項1に記載の装置。
- 前記スペーサ層は、前記透明な頂部層及び前記底部層のうち少なくとも一方に接着される、請求項1に記載の装置。
- 前記吸収層は、高吸収材料を備える、請求項1に記載の装置。
- 前記高吸収材料は、ポリアクリル酸ナトリウムの高吸収性粒子を備える、請求項10に記載の装置。
- 前記高吸収材料は、カルボメトキシセルロース材料を備える高吸収性繊維を備える、請求項10に記載の装置。
- 前記創傷被覆材は創傷接触層を備え、
前記創傷接触層は、前記創傷部位に吸引を伝達させるための複数の開口部を備える、請求項1に記載の装置。 - 前記透明なカバー層は、周囲の周りで前記創傷接触層に取り付けられ、それによって、前記吸収層と前記不明瞭化層とを備える内部空間を画定する、請求項13に記載の装置。
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