RU2014151468A - Устройства и способы лечения ран с применением отрицательного давления - Google Patents

Устройства и способы лечения ран с применением отрицательного давления Download PDF

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RU2014151468A
RU2014151468A RU2014151468A RU2014151468A RU2014151468A RU 2014151468 A RU2014151468 A RU 2014151468A RU 2014151468 A RU2014151468 A RU 2014151468A RU 2014151468 A RU2014151468 A RU 2014151468A RU 2014151468 A RU2014151468 A RU 2014151468A
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Джули АЛЛЕН
Бен Алан АСКЕМ
Сара Дженни КОЛЛИНСОН
Филип ГОУАНС
Стивен Карл МЕХТА
Дерек НИКОЛИНИ
Кэрол ЗАГРАБСКИ
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СМИТ ЭНД НЕФЬЮ ПиЭлСи
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    • 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
    • A61F13/02—Adhesive bandages or dressings
    • A61F13/0203—Adhesive bandages or dressings with fluid retention members
    • A61F13/022—Adhesive bandages or dressings with fluid retention members having more than one layer with different fluid retention characteristics
    • A—HUMAN NECESSITIES
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    • 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
    • A61M1/64—Containers with integrated suction means
    • 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
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    • 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
    • A61M1/913—Connectors between dressing and drainage tube having a bridging element for transferring the reduced pressure from the connector to the dressing
    • 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
    • A61M1/915—Constructional details of the pressure distribution manifold
    • 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
    • A61M1/984—Containers specifically adapted for negative pressure wound therapy portable on the body
    • A61M1/985—Containers specifically adapted for negative pressure wound therapy portable on the body the dressing itself forming the collection container
    • 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
    • A61F2013/00238—Wound bandages characterised by way of knitting or weaving
    • A—HUMAN NECESSITIES
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    • 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
    • A61M1/962—Suction control thereof having pumping means on the suction site, e.g. miniature pump on dressing or dressing capable of exerting suction
    • 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
    • A61M1/982—Containers specifically adapted for negative pressure wound therapy with means for detecting level of collected exudate
    • 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
    • A61M2205/7536—General characteristics of the apparatus with filters allowing gas passage, but preventing liquid passage, e.g. liquophobic, hydrophobic, water-repellent membranes

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Abstract

1. Устройство для обеспечения отсасывающего эффекта в области раны, включающее:разделительный слой, включающий проксимальный конец, удлиненную среднюю часть, а также дистальный конец;верхний слой, выполненный из непроницаемого для жидкости материала, расположенный над разделительным слоем;нижний слой, выполненный из непроницаемого для жидкости материала, расположенный под разделительным слоем, причем верхний слой и нижний слой по существу заключают между собой разделительный слой;одно или более отверстий в нижнем слое под дистальным концом разделительного слоя;фильтр, расположенный под дистальным концом разделительного слоя напротив одного или более отверстий; ипроводящую трубку, находящуюся в гидравлическом сообщении с проксимальным концом разделительного слоя.2. Устройство по п. 1, отличающееся тем, что дистальный конец разделительного слоя увеличен относительно ширины удлиненной средней части и ширины проксимального конца.3. Устройство по п. 1 или 2, отличающееся тем, что фильтр расположен между дистальным концом разделительного слоя и нижним слоем.4. Устройство по п. 1 или 2, отличающееся тем, что фильтр расположен под нижним слоем.5. Устройство по п. 1 или 2, отличающееся тем, что разделительный слой включает одно из группы, включающей 3D-вязаный или 3D-тканый материал, вспененный материал, пористый материал и нетканый материал.6. Устройство по п. 1 или 2, отличающееся тем, что проксимальный конец разделительного слоя является сложенным.7. Устройство по п. 1 или 2, отличающееся тем, что проводящая трубка входит в отверстие в разделительном слое.8. Устройство по п. 7, отличающееся тем, что отверстие представляет собой удлиненную прорезь.9. Устройство по

Claims (27)

1. Устройство для обеспечения отсасывающего эффекта в области раны, включающее:
разделительный слой, включающий проксимальный конец, удлиненную среднюю часть, а также дистальный конец;
верхний слой, выполненный из непроницаемого для жидкости материала, расположенный над разделительным слоем;
нижний слой, выполненный из непроницаемого для жидкости материала, расположенный под разделительным слоем, причем верхний слой и нижний слой по существу заключают между собой разделительный слой;
одно или более отверстий в нижнем слое под дистальным концом разделительного слоя;
фильтр, расположенный под дистальным концом разделительного слоя напротив одного или более отверстий; и
проводящую трубку, находящуюся в гидравлическом сообщении с проксимальным концом разделительного слоя.
2. Устройство по п. 1, отличающееся тем, что дистальный конец разделительного слоя увеличен относительно ширины удлиненной средней части и ширины проксимального конца.
3. Устройство по п. 1 или 2, отличающееся тем, что фильтр расположен между дистальным концом разделительного слоя и нижним слоем.
4. Устройство по п. 1 или 2, отличающееся тем, что фильтр расположен под нижним слоем.
5. Устройство по п. 1 или 2, отличающееся тем, что разделительный слой включает одно из группы, включающей 3D-вязаный или 3D-тканый материал, вспененный материал, пористый материал и нетканый материал.
6. Устройство по п. 1 или 2, отличающееся тем, что проксимальный конец разделительного слоя является сложенным.
7. Устройство по п. 1 или 2, отличающееся тем, что проводящая трубка входит в отверстие в разделительном слое.
8. Устройство по п. 7, отличающееся тем, что отверстие представляет собой удлиненную прорезь.
9. Устройство по п. 7, отличающееся тем, что отверстие представляет собой канал, проходящий к проксимальному концу разделительного слоя.
10. Устройство по любому из пп. 1, 2, 8, 9, отличающееся тем, что проводящая трубка проходит в проксимальном направлении от проксимального конца разделительного слоя, причем часть проводящей трубки проходит между верхним и нижним слоями.
11. Устройство по п. 10, отличающееся тем, что проводящая трубка имеет одно или более кольцевых ребер для облегчения присоединения к верхнему и нижнему слоям.
12. Устройство по любому из пп. 1, 2, 8, 9, 11, отличающееся тем, что дистальный конец нижнего слоя включает адгезив.
13. Устройство по любому из пп. 1, 2, 8, 9, 11, отличающееся тем, что удлиненная средняя часть нижнего слоя включает адгезив.
14. Устройство по любому из пп. 1, 2, 8, 9, 11, отличающееся тем, что дистальный конец нижнего слоя приклеен к раневой повязке таким образом, что отверстие в нижнем слое расположено над отверстием в раневой повязке.
15. Устройство по любому из пп. 1, 2, 8, 9, 11, отличающееся тем, что оно дополнительно включает удлиняющую проводящую трубку, выполненную с возможностью съемного соединения с проводящей трубкой, находящейся в гидравлическом сообщении с проксимальным концом разделительного слоя.
16. Устройство по любому из пп. 1, 2, 8, 9, 11, отличающееся тем, что верхний слой приклеен к нижнему слою с образованием удлиненного канала, удерживающего в себе разделительный слой.
17. Устройство по любому из пп. 1, 2, 8, 9, 11, отличающееся тем, что форма периметра фильтра соответствует форме дистального конца разделительного слоя.
18. Устройство по любому из пп. 1, 2, 8, 9, 11, отличающееся тем, что дистальный конец разделительного слоя имеет округлую форму.
19. Устройство по любому из пп. 1, 2, 8, 9, 11, отличающееся тем, что дистальные концы верхнего и нижнего слоев имеют увеличенный дистальный конец, по форме сходный с увеличенным дистальным концом разделительного слоя.
20. Устройство по любому из пп. 1, 2, 8, 9, 11, отличающееся тем, что разделительный слой имеет по существу прямоугольное поперечное сечение.
21. Устройство по любому из пп. 1, 2, 8, 9, 11, отличающееся тем, что разделительный слой приклеен по меньшей мере к одному из верхнего слоя и нижнего слоя.
22. Устройство для лечения раны, включающее:
раневую повязку, включающую:
контактирующий с раной слой, выполненный с возможностью включать чувствительный к давлению адгезив;
передающий слой, включающий первый 3D-тканый материал, выполненный с возможностью оставаться открытым при приложении отрицательного давления к раневой повязке, при этом передающий слой расположен поверх контактирующего с раной слоя;
абсорбирующий слой для абсорбции раневого экссудата, при этом абсорбирующий слой расположен поверх передающего слоя и включает отверстие;
покрывающий слой, расположенный поверх абсорбирующего слоя и включающий отверстие, при этом покрывающий слой является проницаемым для паров влаги; и
переходник для обеспечения всасывающего эффекта, включающий:
герметизирующую поверхность для герметизации соединения переходника для обеспечения всасывающего эффекта с покрывающим слоем раневой повязки, при этом герметизирующая поверхность включает адгезив или область спайки;
при этом герметизирующая поверхность расположена над отверстием в покрывающем слое; и
отверстие в абсорбирующем слое выполнено таким образом, что обеспечивается возможность нахождения переходника для обеспечения всасывающего эффекта в гидравлическом сообщении с передающим слоем; и
переходную часть, имеющую проксимальный конец и дистальный конец, при этом переходная часть включает:
первый канал для перемещения текучей среды, находящийся в гидравлическом сообщении с источником отрицательного давления; при этом первый канал для перемещения текучей среды включает второй 3D-тканый материал; и
по меньшей мере один гибкий пленочный слой, имеющий проксимальный и дистальный концы и выполненный с возможностью охвата первого канала для перемещения текучей среды, при этом дистальный конец гибкого пленочного слоя присоединен к верхней поверхности герметизирующей поверхности.
23. Устройство по п. 22, отличающееся тем, что оно дополнительно включает:
фильтр, выполненный с возможностью по существу полного исключения попадания раневого экссудата в переходную часть; и
один или более разделительных элементов, выполненных с возможностью исключения контакта между переходником для обеспечения всасывающего эффекта и передающим слоем.
24. Устройство по п. 22, отличающееся тем, что переходная часть дополнительно включает второй канал для перемещения текучей среды, расположенный над первым каналом для перемещения текучей среды, при этом по меньшей мере один гибкий пленочный слой выполнен с возможностью охвата первого и второго каналов для перемещения текучей среды.
25. Устройство по п. 24, отличающееся тем, что второй канал для перемещения текучей среды присоединен к каналу утечки воздуха.
26. Способ лечения раны, включающий:
предоставление раневой повязки, включающей:
передающий слой, включающий первый 3D-тканый материал;
абсорбирующий слой для абсорбции раневого экссудата, при этом абсорбирующий слой расположен поверх передающего слоя;
покрывающий слой, расположенный поверх абсорбирующего слоя и включающий отверстие, при этом покрывающий слой является проницаемым для паров влаги;
предоставление гибкого переходника для обеспечения всасывающего эффекта, включающего:
верхний слой, выполненный из непроницаемого для жидкости материала;
нижний слой, выполненный из непроницаемого для жидкости материала;
второй 3D-тканый материал, расположенный между верхним и нижним слоями;
отверстие в нижнем слое, находящееся в гидравлическом сообщении со вторым 3D-тканым материалом; и
удлиненный канал, проходящий между верхним и нижним слоями, содержащий второй 3D-тканый материал, где верхний слой, нижний слой, а также второй 3D-вязаный материал или 3D-тканый материал включают увеличенные дистальные концы с каналом, проходящим в проксимальном направлении от увеличенных дистальных концов, и где увеличенные дистальные концы включают герметизирующую поверхность для прикрепления переходника для обеспечения всасывающего эффекта к покрывающему слою повязки;
прикрепление гибкого переходника для обеспечения всасывающего эффекта, находящегося в гидравлическом сообщении с повязкой;
размещение повязки над областью раны с целью создания герметичной полости над областью раны; и
приложение отрицательного давления к области раны для втягивания жидкости через передающий слой в абсорбирующий слой.
27. Способ по п. 26, отличающийся тем, что приложение отрицательного давления к области раны включает передачу отрицательного давления от насоса через соединитель на дистальном конце переходника для обеспечения всасывающего эффекта, при этом соединитель представляет собой соединитель для текучей среды; отрицательное давление передается через второй 3D-тканый материал переходника для обеспечения всасывающего эффекта передающему слою через отверстие в покрывающем слое.
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EP3354293A1 (en) 2018-08-01
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US20230310221A1 (en) 2023-10-05
DK2852418T3 (en) 2018-07-16
CN104470552B (zh) 2017-04-26
EP2852418B1 (en) 2018-04-18
US20150141941A1 (en) 2015-05-21
US11590029B2 (en) 2023-02-28
JP6400570B2 (ja) 2018-10-10
AU2013264934A8 (en) 2015-02-19
AU2017248521A1 (en) 2017-11-09
CN107049603B (zh) 2021-01-26
JP7055175B2 (ja) 2022-04-15
EP3650055A1 (en) 2020-05-13
ES2769298T3 (es) 2020-06-25
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USD806242S1 (en) 2017-12-26
ZA201408505B (en) 2015-12-23
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US9907703B2 (en) 2018-03-06
BR112014029100A2 (pt) 2017-06-27
USD866756S1 (en) 2019-11-12
CN107095739A (zh) 2017-08-29
JP2018192302A (ja) 2018-12-06
HUE047600T2 (hu) 2020-04-28
WO2013175306A2 (en) 2013-11-28
CN107095739B (zh) 2020-11-13
CN107049603A (zh) 2017-08-18
US10507141B2 (en) 2019-12-17
AU2013264934A1 (en) 2014-12-11
DK3354293T3 (da) 2020-02-17
USD820990S1 (en) 2018-06-19
CN104470552A (zh) 2015-03-25
JP2020179214A (ja) 2020-11-05
CA2874509C (en) 2021-01-26
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US20180168869A1 (en) 2018-06-21
AU2013264934B2 (en) 2017-07-20

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