CN101557853A - Dressing - Google Patents

Abstract

A dressing (30), a grommet (10) and a combination thereof are described for making a dressing for use in locating and retaining conduits and/or tubes used in therapy of a wound is described, the dressing (30) comprising a backing layer (32) having an adhesive coating (34) thereon for adhering the dressing (30) to a patient; the backing layer (32) having a cut-out (48) therein for receiving a grommet member (10); said grommet member (10) having at least one aperture (14) therethrough for receiving a conduit; and, said grommet member (10) further comprising a flange portion (16) in some embodiments for attaching the grommet member (10) to said adhesive coated backing layer (32).

Description

Dressing

The priority that the application requires U.S. Provisional Application of submitting on July 26th, 2,006 60/833553 and the Britain of submitting on July 2nd, 2007 to apply for GB0712735.0, two application integral body are hereby expressly incorporated by reference.

Technical field

The present invention relates to a kind of wound dressing, and more especially (but being not limited to) relates to the wound dressing that is used for local decompression treatment (TNP) and this dressing is sealed to device on conduit, pipe and the analog that enters and/or leave the dressing that covers wound location.

Background technology

International Patent Application WO 2004/037334, WO2004/046760 and WO2005/105180 in our the together examination have described plurality of devices and the method that is used for by sucking-off, flushing and cleaning treatment wound, and totally are hereby expressly incorporated by reference here.This equipment and method all relate to wound location at it aspect the most overall and cover by dressing, the material seal of dressing by the fexible film type to the skin of wound circumference, with fluid bearings to wound location and/or wound ejection/fluid bearings is left the conduit of wound location or pipe pass this material or be sealed on this material.This fluid can be liquid and/or for example brinish flushing or the washing fluid that wound is discharged, but also can be the gas of air for example, is used for to the wound location inflation and helps to make liquid fluid leave wound location by suction.

The international patent application of described reference has all been described the system of the relative complex of treatment wound, its method is that common employing need be treated at a plurality of conduits of dressing/wound location sealing, enter wound location so that prevent ambient air, and make this equipment effectively and high efficiency manipulation, and significantly do not leak.

Other not too complex apparatus also can obtain, these equipment only adopt TNP treatment at wound, and effectively, only have a conduit or a pipe that enters wound location usually.

Usually, enter the conduit of wound location or pipe by being sealed on the flexible wound covering thin film in " clamping " flexible covers around conduit or the pipe, so that thin-film material is bonded on conduit or the pipe, also bond on itself, so that form sealing together with pipe.Usually, the flexible thin-film material who is used for the type of wound covering thing is provided with for example adhesive phase of contact adhesive, so as with material adhesive to the skin of wound circumference.This encapsulating method operation always is good, and the sealing around conduit or the pipe because patient moving and binding agent-dampness interacts along with the time degenerates.

US 2007/0032778, EP1088569B represent the connecting device and the method for other type, and integral body is hereby expressly incorporated by reference here.But, this means around the patient is at the wound center and leave moulding, when lying thereon, the patient causes pain and damage.In addition, this device can not finely be operated for the complex dressings that for example adopts inflatable utricule or for the little inconvenient position of for example diabetic foot ulcer.

This method with conduit or pipe formation sealing is always not ideal.For example, wish sometimes after dressing bonds to conduit or pipe, to regulate conduit or pipe position or the length of inserting wound location.This causes fexible film to tear or split usually, needs so by other material reparation or integral replacing dressing.

Summary of the invention

The present invention is used for overcoming the defective with conduit or the pipe sealing art methods to the dressing.

According to a first aspect of the present invention, a kind of sleeve pipe that is used to locate and receives at least one flexible conduit hermetically is provided, flexible conduit has the interior end of dressing of the wound site of being positioned at, and sleeve pipe comprises at least one aperture that receives conduit hermetically and the first surface that contacts patient skin near wound.

Sleeve pipe has adhesive coating on first surface.By the protective layer protection, protective layer comprises known paper material to adhesive coating before sleeve pipe uses, for example by suitable material soaking or coating, this suitable material have with sleeve pipe on the little performance of adhesive phase bonding force, silicone for example.

Sleeve pipe also is provided with the flange portion that extends around at least a portion of its main part, so that cooperate with dressing, describes subsequently below.Flange portion extends around telescopic main part fully.

According to a first aspect of the present invention, sleeve pipe can be provided with a plurality of apertures, so that receive a plurality of conduits.

But telescopic first surface application of adhesive is as following detailed description more.But first surface can be for example be bonded on the patient skin by being folded into two separately band gasket material sheet, makes it have face adhesive coated faces up or down; A surface adhesion is on telescopic first surface, and another surface adhesion is on patient skin, so that sleeve pipe is bonding on it.

According to a second aspect of the present invention, provide a kind of and be used in Wound healing and bone regeneration process location and the dressing that keeps the sleeve component of conduit and/or pipe to use together, dressing comprises the laying that has adhesive coating on it, so that dressing is bonded on the patient; Laying wherein has otch so that receive sleeve component.

According to a third aspect of the present invention, provide a kind of and be used in Wound healing and bone regeneration process location and the combination that keeps the dressing that the sleeve component of conduit and/or pipe uses together, dressing comprises the laying that has adhesive coating on it, so that dressing is bonded on the patient; Laying wherein has otch so that receive sleeve component, and sleeve component wherein has at least one aperture so that receive conduit.

In the combination according to a third aspect of the present invention, sleeve component preferably also comprises the flange portion that extends around at least a portion of telescopic main part, so that sleeve component is attached on the laying of described application of adhesive.

Laying can be the flexible thin-film material who approaches, and comprises any suitable material that those of ordinary skills are known, and can comprise one of material of describing among the EP-A-0751757, and document integral body is hereby expressly incorporated by reference.For example, laying can comprise for example polyester or the polyurethane of polyether-type chaste tree ammonia ester and the material that can buy, for example OPSITE (trade mark) or TEGAERM (trade mark).What wish is that the gasket material of such initial supply as known in the art has the protective layer on the adhesive coated faces of being bonded in and preferably is positioned at supporting (being sometimes referred to as " carrier ") layer on the reverse side of adhesive coated faces.Protective layer can also be any material on the reverse side known to a person of ordinary skill in the art, and the releasable paper of silicone-coating is an example.Supporting course can also be any suitable material well known in the art, and its suitable example can comprise paper, paillon foil or thin polymer film.Preferably, supporting course bonds on the laying more securely than protective layer, makes when protective layer is stripped from, and supporting course keeps to prevent any undesirable gauffer of laying, helps it to handle, and keeps the overall two-dimensional shape of laying.In case dressing bonds on the patient, supporting course then is stripped from.

Suitable adhesive can be the known contact adhesive of dressing field those of ordinary skill.

In first embodiment according to dressing of the present invention, the otch in the laying can be the form that cuts at an edge of laying, the form that makes effectively that the shape of laying becomes " Horse hoof ".Preferably the direction of the conduit in the sleeve component can be aimed at the intramarginal otch of dressing also through on it.

In according to the second embodiment of the present invention, this otch can be the aperture in the laying, makes laying become annular, for example Q-RING.

The orifice shapes of laying is preferred, this is because sleeve component is whole around its periphery supporting, and the adhesive phase on the laying can be used to around the whole periphery of laying and sleeve component dressing be bonded on the patient, therefore the sealing of the patient skin of enhancing and dressing.

But shape of a hoof laying is an acceptable, and wherein sleeve component seals with ambient air on wound side.The advantage of the shape of this dressing is that patient skin can breathe or perspiration is discharged into periphery via open edge below sleeve component.Sleeve component is preferably formed by the flexible polymer plastic material.In certain embodiments, shell material also can be made by Stretch material.Usually, the sleeve component material can have the Shore hardness of 55A-70A scope, and conforms to patient's profile easily, but this hardness implication without limits not, and the hardness beyond this scope is applicable to sleeve component according to the present invention.The suitable material that is used for sleeve component for example comprises TPE, polyurethane, ethylene vinyl acetate copolymer, silicone, polrvinyl chloride.In addition, sleeve component covers and remains on the patient skin in addition by the overlapping adhesive strings material film that covers whole wound location usually.As selection, as mentioned above, sleeve component can be provided with adhesive coating on the surface of contact patient skin, and the surface of application of adhesive is provided with protective layer and laying at first.Therefore, dressing and sleeve component are sealed on the patient fully.

In dressing near wound when being attached on the patient skin, hope be that sleeve pipe has had the required one or more conduits that are mounted, to prevent that the patient is caused any unwanted additional misery or pain.Conduit is attached on the catheter component and can or can introduces the aperture by nursing staff or healthcare givers by telescopic supplier and/or manufacturer.

The dressing laying have an edge cut form the time, protective layer and supporting course can be easily removed around described one or more conduits.But under the situation of the substrate layer with closed aperture, supporting course need cut in some mode, so that remove conduit when removing.In this case, supporting course can be for example by a pair of shears tear fracture or cut, but preferably three layers are cut in a side in the dressing manufacture process and are worn.

Sleeve component is provided with at least one aperture of running through, so that receive one or more conduits.In relating to the treatment of wounds of TNP treatment and in flushing of describing in the described international patent application in our the common examination and/or the cleaning process, need a plurality of conduits, the aperture that can separate at each conduit with a plurality of chambers or pipe setting.As selection, can adopt single conduit, and the aperture of passing sleeve component can be shaped suitably with a plurality of chambers that run through, for example form the cross section in elongated " flat " hole.

At least one aperture of preferably passing sleeve component is provided with sealing device so that the conduit of hermetically passing does not make its leak fluid in use.This sealing device preferably includes flexible convex lip seal, round section joint ring sealing or the sleeve shaped sealing of cooperating with the outer surface of conduit.This protruding lip seal is set makes the interface of conduit and sleeve aperture not leak, and the power that has also reduced to need to regulate the position of conduit in sleeve component on being bonded in the patient time, its advantage is obvious.

In certain embodiments, sleeve component and sealing are formed by the material of relative stiffness.Make common the same the work well of flexible material of being adopted with conduit of sealing of rigid form, conduit is made by soft relatively and conformable material usually.

Dressing laying member and sleeve component are supplied as two integral body of separating of dressing of the present invention at first, have different protective layers and supporting course, and two integral body then fit together on being applied to the patient time.But preferably sleeve component is attached on the laying under manufacturing step in manufacture process.

Under the situation that sleeve component is supplied in the mode that is bonded on the laying on every side, protective layer can be arranged to cover the single parts of the binding agent coating surface of laying and sleeve component, and no matter latter's application of adhesive whether.

Preferably dressing can be supplied under having laying and sleeve component that combines and the situation that also has the suitable conduit at least one aperture that has been installed in sleeve component in addition.

At laying and sleeve component during as two separate integers supplies, the protective layer on the laying can be arranged in a plurality of parts, cut and wear and/or provide in manufacture process.For example, can be the separately form of the narrow border of dismounting of width that corresponds essentially to the flange portion of sleeve component near the protective layer of notch portion, this boundary member at first is removed, and makes sleeve component be bonded on the laying at first.

In known manner, protective layer can be formed by a plurality of parts, so that improve the convenience of the processing and the manipulation of dressing when being applied to it on patient.In this regard; protective layer can be configured to make its major part to be removed at first; make that dressing is convenient and be positioned on the patient exactly; and for the other parts that are bonded in the application of adhesive laying on the patient; less, the folded part that stay protective layer are removed at last, and do not have adhesive phase for example to be applied the medical worker's of dressing finger contamination of heavy.After being bonded in dressing on the patient, supporting course can be peeled off at last, stays laying, sleeve component, and wherein conduit is in situ gone up.For example the flexible strip covering of the known adhesive material of OPSITE (trade mark) can be followed placed in position at last, roughly covers by bonding laying, sleeve component, stays the conduit in the wound location environment and the other parts of wound area.

In the 3rd embodiment of dressing of the present invention, laying can comprise two separate sections, and wherein relatively surperficial the and sleeve component of application of adhesive is clipped between the surface of two application of adhesive.In this embodiment, it is two that the first of laying is effectively folded, and wherein protective layer is positioned on outer adhesive coated faces.The protective layer that comes from one of two surfaces of first at first is removed, and the surface of the application of adhesive that is exposed is bonded on the patient skin in position with respect to wound.Second protective layer is then from removing towards last adhesive coated faces, and sleeve component then is bonded on the second surface of first.The second portion of gasket material can then be placed to the overlapping casing tube member, and it is clipped between first and second layings part.Preferably the length of two laying parts makes the multiple-length of crossing of each laying part be enough to form strong bonded mutually at telescopic either side in 1 times to 5 times scope of the transverse width of sleeve component.Also be foldable to two if wish second portion, make sleeve component be clipped between the adhesive coated faces of first and second layings parts, and other of second portion is towards upper surface also application of adhesive.Therefore; when sleeve component is in place on patient skin; second laying part can towards on adhesive coated faces on stay a slice protective material; this protective material can be peeled off before whole dressing and other wound area are covered by the flexible strip covering at last, as front embodiment.

But, be the first and second liner synusia in 1 times to the 5 times scope though described dressing has length, they in fact can be longer, and for example Zhe Die one or more pieces are placed on the diameter of big wound or width.

But the second portion of laying does not need to be folded into two in the 3rd embodiment.The second portion of laying can be the single layer with surface that does not have application of adhesive of adhesive coated faces by protective layer protection and the reverse side by the supporting course protection, as front embodiment.In this case, sleeve component will be clipped between the adhesive coated faces of first and second layings, and the adhesive coated faces that do not have towards last that stays second laying part is protected by supporting course.Supporting course can then be peeled off before the other parts of dressing and wound location cover by thin-film material flexible, application of adhesive, the thin-film material of application of adhesive be bonded in second laying part on upper surface, so that the Sealed casing pipe member makes surrounding air not enter.

Be used for the suitable material of laying of dressing and the example of overlapping flexible drape film according to the present invention and can be known as OPSITE (trade mark) or TEGADERM (trade mark).

In the third embodiment of the present invention; first and second layings partly can be used as the flat sheet material supply of the suitable material that comprises laying, protective layer and supporting course or provide; by sleeve component being clipped in the step between first and second layings; then by peeling off protective layer, fold as required and being bonded on the patient, the healthcare givers is prepared it.But; the dressing of the 3rd embodiment can provide with the form that the sleeve component between two that are clipped in gasket material first and second parts of separating is assembled, and wherein has due care layer or protective layer and supporting course towards outer surface and keep original position so that removed before being bonded on the patient.

In the 3rd embodiment, second, the upper liner layer segment can be actually the overlapping band that covers whole wound location.

In the 3rd embodiment according to dressing of the present invention, sleeve component can have the substantially elliptical shape of seeing on the direction of the axis that is parallel at least one through-pore.

The lateral ends that is used for the sleeve component of the 3rd embodiment can have two outer surface, this outer surface tapers to fine edge mutually at its lateral ends place, with the place combination that helps first and second layings part to meet at each lateral ends place of sleeve component at them.

In the present invention, by eclipsed application of adhesive tape films, dressing is sealed on the skin of wound circumference effectively.But term " sealing " is not definitely necessary or in fact available, and this is to comprise semi-permeable plastic material owing to form any flexible dressing thin-film material of wound covering thing, and this material is that those of ordinary skills are known.In addition, at skin with exist some to leak by known contact adhesive inevitably between the bonding sealing dressing materials on it usually, this is because the scrambling of hair and/or other skin surface and/or be not easy the defective of complete positive confinement.Be generally used on the wound and the type from bonding, flexible dressing stripping of the TNP of sealing film on every side treatment is known to those skilled in the art, unless and need, will here not further describe.

Be similar to top description at adhesive phase on the flexible strip sealing film or coating, have as the selection of contact adhesive and the multiple suitable binding agent that uses, and for example comprise acrylic acid, silicone, pore binding agent (stoma adhesive), hotmelt and solvent distribution binding agent.Those of ordinary skills will correspondingly select suitable adhesive the most according to situation.

Description of drawings

In order to understand the present invention more fully, only by example, a plurality of examples are described with reference to the drawings now, in the accompanying drawing:

Figure 1A-1C represents to be used for first example of the sleeve component of dressing of the present invention respectively with plane graph, end elevation view and the axial, cross-sectional view that runs through;

Fig. 2 represents the exploded perspective view of laying, protective layer and supporting course that the sleeve component according to second example of the sleeve component of first example of first embodiment of the invention and Fig. 1 and Fig. 3 uses together;

Fig. 3 A-3C represents to be used for second example of the sleeve component of dressing of the present invention respectively with plane graph, end elevation view and the axial, cross-sectional view that runs through center port;

Fig. 4 A and 4B represent the exploded perspective view of laying, protective layer and supporting course; And and the plane graph that uses together of Fig. 1 or 3 sleeve component according to the dressing of the second embodiment of the present invention;

Fig. 5 A, 5B and 5C represent to be used for end elevation view, axonometric chart and the side elevation view according to the sleeve component of the 3rd embodiment of dressing of the present invention respectively;

Two of the 3rd embodiment that Fig. 6 A and 6B represent to pass the dressing of the present invention that is bonded on the patient skin can select the sectional view of constructing;

Fig. 7 A and 7B represent telescopic another embodiment of a first aspect of the present invention from two visual angles; And

Fig. 8 A and 8B represent the telescopic another embodiment of a first aspect of the present invention from two visual angles.

The specific embodiment

With reference now to accompanying drawing,, wherein identical or similar structure is represented by identical reference number.

Fig. 1 represents to can be used for first example of the sleeve component 10 of dressing of the present invention.Sleeve component comprises having aperture of running through 14 and the main part 12 that centers on the flange portion 16 of main part 12.Sleeve component is made by softness, the conformable plastics material of for example TPE, polyurethane, silicone, polrvinyl chloride.Central aperture 14 is the flat holes with two parallel side portions 20 and two semi-circular ends 22, and forms to receive and have cooperation external form and size and to have the single correspondingly configured conduit (not shown) that a plurality of (for example three) run through chamber (not shown equally).Aperture 14 is provided with in addition around the protruding lip seal 24 in inside of periphery, so that the outer surface of sealing duct.Be provided with that protruding lip seal makes when being conditioned because less friction is bonding/the sliding phenomenon conduit slides past aperture 14 more easily with less power, simultaneously also fully sealing enter the wound location (not shown) in case the fluid stopping body leaves with surrounding air.The lower surface 28 and/or the top surface 13 of sleeve component can be provided with adhesive coating; Stoma binding agent for example; so that directly bond on the patient skin (not shown), sleeve pipe can be arranged on removed protective layer (not shown) when being applied on the patient at first in this case.Adhesive coating on the top surface 13 can help the overlapping stripping (not shown) that covers whole wound area bonding on it.

The sleeve component of Fig. 1 can use (as the sleeve component of Fig. 3) together with binding agent dressing parts shown in Figure 2.Dressing parts 30 shown in Figure 2 comprise that at first (before being bonded on the patient) has the laying 32 of adhesive coating 34 on a surface 46; Be bonded in three partial protection layer 36,38,40 on the adhesive coating 34; And be bonded in supporting course 42 on the surface that does not have application of adhesive 44 of laying 32.Three partial protection layer comprise the major part 36 of extending outside the less relatively zone 50 except the place, end of the dressing parts relative with the otch 48 that receives sleeve component 10 (perhaps sleeve component 70, as follows Fig. 3 of face) on the surface 46 of most coated binding agent.Protect by second folded part 38 of protective material at first than zonule 50, this material stays after major part 36 is removed, so that protection is not polluted by for example medical worker's finger (not shown) than zonule 50.The protection of the third part of protective material 40 except near the fraction 53 of every side of the mouth of notch portion 48 around the narrow border 52 (expression by a dotted line) of the adhesive coating of otch 48, this notch portion 48 is retained so that the leading edge of sleeve component is remained on the patient skin.Second folded part of the major part of supporting course 42, protective layer and protective layer all is provided with respectively and extends tab 56,58,60, helping the easy grasping of finger tip, and helps to peel off these layers.

In use (under sleeve component 10 does not prepare to be bonded in situation on the dressing parts 30), narrow protective layer 40 is stripped from the surface 46 of application of adhesive, so that the boundary member of exposed adhesive 52.Sleeve component 10 then enters notch portion 48, makes the upper surface of telescopic flange portion 16 be bonded on the border 52 at three sidepieces (notice at required conduit of this stage and inserted aperture 14). Dressing component 10,30 then is being bonded on the patient near on the appropriate location of wound (not shown); this major part 36 by peeling off protective layer (and if it have adhesive coating, any protective layer that sleeve component has on its lower surface) realizes.The dressing parts 10,30 of combination then are positioned on patient's the desired location and push in place; dressing rear end at regional 50 places then raises slightly; make second folded part 38 of protective layer be removed, and the zone 50 of laying 32 then is pressed on the patient skin.At last, upper support layer 42 can then be stripped from, so that original position is stayed in dressing.Usually, another flexibility will be placed on the whole wound area from bonding band covering (but not shown Fig. 6 below can see), so that the wound location that applies TNP treatment, flushing around being applicable to, cleans or carry out other treatment via conduit as required provides sealing area.

The a plurality of layers among the described and following embodiment and the setting and the manufacture method of structure part are known for those of ordinary skill in the art.Little protective layer 40 is by for example on the material bands with a plurality of such dressing parts that pass manufacturing equipment " touch and cut " and separate with major part.

Fig. 3 A-3C represents to be applicable to the view of second embodiment of the sleeve component 70 that uses together with dressing of the present invention.Sleeve component is substantially similar to shown in Figure 1, and except three apertures 72,74,76 were set, each aperture was provided with protruding lip seal structure 80 (only representing a protruding lip seal that is positioned at central aperture 74).In this case, two apertures 72,74 have roughly the same diameter, and the 3rd aperture 76 is less, so that adapt to the conduit of different size.As first example of Fig. 1, flange portion 16 is provided for bonding on the dressing parts (30 or Fig. 4 of Fig. 2 90).The lower surface 82 of sleeve component can be provided with adhesive coating, and it also will be provided with protective layer (all not shown) in this case.

The dressing parts 90 of the second embodiment of the present invention are represented in Fig. 4 A and 4B, and these parts can be used for any Fig. 1 and 3 sleeve component equally expediently.In this embodiment, has laying 92; Supporting course 94 and protective layer 96.Laying has lower surface 98; lower surface has adhesive coating 100; and protective layer 96 be divided into major part 102 and around and the narrow part 104 of boundary member 106 of the application of adhesive of protection center cutout 108, center cutout is the closed aperture that centers on by the laying 92 that covers binding agent at all four sidepieces.Fig. 4 B more clearly represents narrow border part 104,106.This embodiment has closed aperture 108, and crack 110 is set, and makes the conduit (not shown) that is installed in the catheter component be eliminated easily.Supporting course and protective layer are provided with tab 112,114 once more respectively, and tab extends beyond the adhesive coated faces 98 of laying, with processing and the placement that helps dressing.

Laying 92 does not need to have crack 110 therein, because this layer is retained on the patient.But crack 110 can help the manufacturing of dressing 90.

The dressing parts 90 of second embodiment can be used for any sleeve component 10,70 described herein.In use, in the mode roughly the same with the dressing parts 30 of Fig. 2, the adhesive coating of narrow border 106 exposes by removing little protective layer 104 and being bonded on the upper surface of flange portion 16 of sleeve component.The major part 102 of protective layer and any protective layer on the grommet member lower face then are removed, and dressing is positioned on the desired location on the patient, and press down in place.Supporting course 94 be removed at last and whole wound on dressing finish as mentioned above at last.Crack 110 helps a plurality of layers removal, and helps initial dressing parts 90 to be placed on the conduit of sleeve component.

Second embodiment of dressing of the present invention is considered to have following advantage: sleeve component is maintained on the patient skin along all four edges of flange portion, therefore further reduce any from dressing inwardly or to the probability of external leakage.

Second embodiment has also removed sleeve component has adhesive coating on its lower surface needs basically.

Comprise required sleeve component 10 or 70 and the described embodiment of dressing parts 30 or 90 can in the fabrication stage, implement, be bonded in advance on dressing parts 30 or 90 at manufacture process middle sleeve member 10 or 70 thus.In this way, protective layer can be made into the single-piece of extending on whole application of adhesive zone roughly, comprise sleeve component can or cannot application of adhesive lower surface.Zu Zhuan dressing in advance also can be provided with suitable conduit, and whole assembly is packaged in the sealing bag and sterilization by known technology.

Fig. 5 represents the 3rd embodiment of dressing sleeve component 120.In this embodiment, be parallel to when watching on the elevation view of end on the direction of port axes, sleeve component is overall ellipse, and comprises three apertures that separate 122,124,126, so that receive the conduit (not shown); All apertures are provided with the protruding lip seal structure 127 that is positioned at its aperture.The main body 128 of sleeve component has small tapered edge 130 in each lateral end, and wherein upper surface 132 and lower surface 134 mix mutually, with the combination of the dressing parts 142,144 that help to follow and bonding, as following describe with reference to figure 6.The sleeve component 120 of the 3rd embodiment can be for example by forming by polyurethane or by the material of for example polyethylene or polyacrylic relative stiffness is molded.

Fig. 6 A represents first example of dressing with decomposed form, and wherein according to the third embodiment of the present invention, laying also suitably has protective layer and supporting course, and adopts the sleeve component 120 of Fig. 5.Sleeve component is with 120 expressions; First laying part is with 142 expressions; Second laying part is with 144 expressions; Overlapping flexible strip surface is with 146 expressions; And the part of patient skin/meat is with 148 expressions (noticing that overlapping tape films 146 does not form the part of dressing of the present invention).The first laying part 142 comprises the band of the adhesive material 150 of suitable coating; OPSITE (trade mark) for example; band for example has the bigger length of transverse width than sleeve pipe 120; for example at least 3 times; make have at the place, each end of sleeve component favourable overlapping; folding on itself, make that when bottom protective layer 152 is removed the surface 154 of application of adhesive is towards patient skin 148.Cut the removal that protective layer is helped bottom protective material 152 by in manufacture process, touching at 156 places.The surface 154 of this application of adhesive then is pressed against on the patient skin 148 and upper protective layer 158 is removed so that expose the adhesive coated faces 160 of laying 142.Grommet member lower face 134 then is bonded on the adhesive surface 160.Second laying 144 is constructed similarly by the folding band 162 of suitable material equally.Bottom protective layer 164 at first is removed so that expose the bottom adhesive coated faces 166 of the band 162 on the upper surface 132 that is bonded in sleeve component 120; and the lateral ends of 160,166 (not shown) of the adhesive coated faces on the sleeve component either side mutually bonding in case between two layings 142,144 Sealed casing pipe member effectively, the sealing at the lateral ends place at sleeve component place is helped by the tapered end on it 130.Once more, by the removal that the bottom protective material is helped in cutting 170 of touching on second laying.Top protective material 172 on second laying can then be removed so that expose the surface 174 of top application of adhesive, prepares to receive eclipsed flexible strip material layer 146.Overlapping stripping can be made by for example OPSITE (trade mark) material once more, and can cover the whole zone of wound and dressing of the present invention.Stripping has laying 180, and laying has the surface 182 of application of adhesive; The lip-deep protective layer 184 of application of adhesive; And be bonded in supporting course 186 on the surface that does not have application of adhesive 188 of laying 180.Therefore, when protective layer was removed, the surface 182 of the application of adhesive of second laying and the surface 174 of application of adhesive were in contact with one another, so that dressing of the present invention is sealed on the wound location environment.

Randomly laying part 144 and 142 can have the supporting course (not shown), and this supporting course can apply when finishing at laying 144 and be removed.

Touch otch 156 and choose wantonly, this is because it can whole removing remove protective material layer 152,158, but does not have otch 156, and handling can be not too easy.

The variation example of the 3rd embodiment represents that in Fig. 6 B wherein second laying 144 changes at the band of suitable material 190, and it has the laying 192 on the surface 194 that has application of adhesive; Protective layer 196; And supporting course 198.The other parts of this variant embodiment in fact can be identical with the embodiment shown in Fig. 6 A.Except when supporting course 198 is removed, have only the flat laying material face that does not have application of adhesive upwards, the assemble method step can be identical.But when supporting course 198 was removed, the table 182 of the application of adhesive of overlapping stripping was bonded on the surface 200 well.

Even the advantage of the laying 144 shown in use Fig. 6 B is the band with whole wound area of after-applied covering and sleeve component 120, maintainance set pipe component fix in position when it also will apply in the other parts of dressing and/or handle.

Any combination of the sleeve component of the 3rd embodiment of Fig. 6 A and 6B by being applicable to specific wound or situation according to above and following the best changes the selection of laying and adhesive surface and adjusts.

Fig. 7 A and 7B represent the 4th embodiment according to the sleeve component 300 of first aspect present invention.Sleeve component 300 comprises flat bottom first surface 302 so that contact patient skin (not shown); Crooked top second surface 304; Two plane surfaces 306 and the through-pore 308 that is used to receive the conduit (not shown).Aperture 306 has taper and imports end 310, and helping catheter guidance through the aperture, aperture itself becomes sleeve seal with the catheter-shaped of cooperating simultaneously.But lower surface 302 coated with adhesive layers are bonded on the patient skin to help sleeve component.Lower surface also has for example protective layer of the suitable material of the releasable paper (not shown) of silicone-coating when like this application of adhesive.Lower surface 302 meets in the lateral ends that its lateral ends is in 312 places, feather (feather) edge and top or second surface 304.As selection, sleeve component can be used for dressing structure, and shown in Fig. 6 A and the 6B, tapered edge 312 makes sleeve pipe be specially adapted to this dressing structure as described above.

Fig. 8 A and 8B represent the 5th embodiment according to the sleeve component 320 of first aspect present invention.Sleeve component 320 comprises that the first surface 322 of lower flat is so that contact patient skin (not shown); Curved upper second surface 324; Recessed front surface separately and rear surface 326,328; And through-pore 330.Top second surface 324 and bottom first surface 322 are in 332 places, feather edge in its lateral ends and meet.Lower flat face 322 can coated with adhesive layers, as mentioned above (perhaps once more can be as Fig. 6 and follow the part of the dressing structure of describing institute's example explanation).Aperture 330 has the containment member 334 of seal with O ring spare form, so that seal with the conduit of cooperating.Seal with O ring member 334 has slightly less than the interior diameter of conduit overall diameter, makes to form effective sealing when conduit passes seal with O ring member 334.Conduit can pass aperture 330 and seal with O ring member 334 from the flat sidepiece of sleeve component 320.Seal with O ring member 334 can perhaps can be comprised by the inserted mode system technology, and be adopted different materials by forming with sleeve pipe 320 identical materials are whole.The array of passage 336 is arranged so that patient skin breathes, and prevents that it from macerating.Recessed front surface and rear surface 326,328 make this embodiment particularly soft of sleeve component, and are applicable to that the patient lies on the sleeve component.

In the description and claim of this description, term " comprises " and the modified example of " comprising " and this term refer to as " including " and " including " " including, but not limited to ", and do not plan (and not having) get rid of other parts, interpolation, composition, integral body or step.

In the description and claim of this description, odd number comprises the implication of plural number, unless otherwise indicated.Particularly, when using indefinite article, description should be understood to considers plural number and odd number, unless otherwise indicated.

Be construed as in conjunction with feature, integral body, performance, composition, chemical part or the group of particular aspects of the present invention, embodiment or case description and be applicable to any others described herein, embodiment or example, unless otherwise indicated.

Claims (36)

1. one kind is used to locate and the sleeve pipe that receives at least one flexible conduit hermetically, and conduit has the end in wound location is positioned at dressing, and this sleeve pipe comprises at least one aperture run through that receives conduit hermetically and the first surface that contacts patient skin.

2. sleeve pipe as claimed in claim 1 is characterized in that, shown in the aperture comprise relative sealing device, the sealing device is selected from the group that comprises protruding lip seal, seal with O ring and sleeve seal.

3. sleeve pipe as claimed in claim 1 or 2 is characterized in that described first surface has adhesive coating.

4. as each described sleeve pipe of above-mentioned claim, it is characterized in that, also comprise passage.

5. as each described sleeve pipe of above-mentioned claim, it is characterized in that described first surface is in feather edge and second surface meets in its lateral ends.

6. as each described sleeve pipe of above-mentioned claim, it is characterized in that telescopic front surface and rear surface are recessed into.

7. as each described sleeve pipe of above-mentioned claim, it is characterized in that, also comprise the flange portion that extends around at least a portion of its main part.

8. sleeve pipe as claimed in claim 7 is characterized in that, described flange portion extends around all sidepieces of described main part.

9. as each described sleeve pipe of above-mentioned claim, it is characterized in that having a plurality of apertures of running through.

10. sleeve pipe as claimed in claim 9 is characterized in that the aperture has different size.

11. a dressing that uses together with sleeve component, sleeve component are used for locating and keeping employed conduit and/or pipe in the Wound healing and bone regeneration, dressing comprises having the laying that is used for dressing is bonded in the adhesive coating on the patient on it; Laying wherein has otch so that receive sleeve component.

12. dressing as claimed in claim 11 is characterized in that, described otch is at an one intramarginal recess.

13. dressing as claimed in claim 11 is characterized in that, described otch is the closed aperture in the dressing zone.

14., it is characterized in that described dressing also comprises the protective layer on the surface of the described application of adhesive that is used to protect described laying as each described dressing of claim 11-13.

15. dressing as claimed in claim 14 is characterized in that, described protective layer is divided into part that can be removed separately.

16. one kind as each described dressing of claim 11-15 with as each described combination that is used for locating and keeps the sleeve component of employed conduit in the Wound healing and bone regeneration and/or pipe of claim 1-10, dressing comprises having the laying that is used for dressing is bonded in the adhesive coating on the patient on it; Laying has otch so that receive sleeve component, and sleeve component has at least one aperture of running through so that receive conduit.

17. a dressing that is used for locating and keeping employed conduit of Wound healing and bone regeneration and/or pipe, dressing comprise having the laying that is used for dressing is bonded in the adhesive coating on the patient on it; Laying wherein has otch so that receive sleeve component; Sleeve component has at least one aperture of running through so that receive conduit, and described catheter component also comprises sleeve component is connected to flange portion on the laying of described application of adhesive.

18. dressing as claimed in claim 17 is characterized in that laying is the flexible thin-film material who approaches.

19., it is characterized in that when supplying, laying has the lip-deep protective layer that is positioned at application of adhesive and is positioned at the lip-deep supporting course that does not have application of adhesive as claim 17 or 18 described dressing before using.

20., it is characterized in that described otch is the form of the recess on an edge of laying as each described dressing of claim 17-19.

21., it is characterized in that otch is the aperture in the laying as each described dressing of claim 17-19.

22., it is characterized in that at least one aperture in the sleeve component is provided with hermetically-sealed construction, so that seal as each described dressing of claim 17-21 when using with the conduit that runs through.

23., it is characterized in that when supply and before using, laying and sleeve component are as the individual articles supply as each described dressing of claim 17-22.

24., it is characterized in that when supply and before the user, sleeve component and laying be materials supply as a whole as each described dressing of claim 15-22, wherein sleeve component is bonded on the laying by flange portion.

25. dressing as claimed in claim 21 is characterized in that, laying wherein has the crack, makes it become discontinuous ring.

26. as each described dressing of claim 17-25, it is characterized in that sleeve component has adhesive coating, adhesive coating is located to use and touches on the surface of patient skin in connecing.

27. dressing as claimed in claim 26 is characterized in that, described patient's contact surface was provided with protective layer before using.

28., it is characterized in that the cross section in described at least one aperture is elongated flat form as each described dressing of claim 17-27, have a plurality of conduits that run through chamber so that receive.

29., it is characterized in that sleeve component has a plurality of apertures of running through as each described dressing of claim 17-27.

30. dressing as claimed in claim 29 is characterized in that the aperture is of different sizes.

31. comprising first and second layings part with opposed facing adhesive coated faces and have at least one through-pore, a dressing that is used for locating and keeping employed conduit of Wound healing and bone regeneration and/or pipe, dressing is clipped in two sleeve components between the adhesive coated faces so that receive.

32. dressing as claimed in claim 31 is characterized in that, in use the lower pad layer segment near patient skin also has prone adhesive coated faces so that dressing is connected on the patient.

33., it is characterized in that when watching, described sleeve component has overall elliptical shape as claim 31 or 32 described dressing on the direction of the axis that is parallel to described at least one aperture.

34. dressing as claimed in claim 33 is characterized in that, the upper surface of described telescopic main body and lower surface meet at the tapered edge place.

35., it is characterized in that each lateral ends of described sleeve component has the surface of meeting with the feather boundary form as claim 31 or 32 described dressing.

36., it is characterized in that described at least one aperture in the described sleeve component has hermetically-sealed construction, so that in use cooperate with conduit as each described dressing of above-mentioned claim 31-35.

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