CN101744688A - wound care device - Google Patents
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Abstract
Description
技术领域technical field
本发明涉及一种伤口护理装置,尤其涉及一种可于伤口外围形成密封环境以利负压创伤治疗进行,同时可避免导管位于伤口上方产生结构障碍或挤压伤口造成病患的不适感,以及可避免导管因为弯折而阻塞的状况发生的适用于负压治疗的伤口护理装置。The present invention relates to a wound care device, in particular to a wound care device that can form a sealed environment around the wound to facilitate negative pressure wound therapy, and at the same time prevent the catheter above the wound from causing structural obstacles or squeezing the wound to cause discomfort to the patient, and A wound care device suitable for negative pressure therapy that prevents catheters from being clogged due to bending.
背景技术Background technique
真空伤口愈合治疗(Vacuum Assisted Closure,V.A.C.Therapy),或负压创伤治疗(Negative Pressure Wound Therapy,简称为NPWT),为辅助性物理疗法的一种,其原理是利用负压泵结合封口贴布与作为敷料的具生物兼容性的孔隙材料,在伤口内形成负压环境,外加负压使得孔隙材料体积缩小,间接造成伤口向中紧缩,由材料分子剪应力牵引边界细胞,促进细胞分裂增生,加速伤口愈合,负压经孔隙材料在伤口内传递,除吸引细胞间组织液流动,间接促进血管增生与局部血液循环外,尚可将伤口内的细菌脓血及过多的组织液抽出,可避免水肿,减少发炎机会,提供潮湿的愈合环境、保护伤口进而减少伤口愈合需要时间。Vacuum Assisted Closure (V.A.C. Therapy), or Negative Pressure Wound Therapy (NPWT for short), is a kind of auxiliary physical therapy. Its principle is to use a negative pressure pump combined with a sealing patch and The biocompatible porous material used as a dressing creates a negative pressure environment in the wound, and the external negative pressure reduces the volume of the porous material, which indirectly causes the wound to tighten inward, and the boundary cells are pulled by the molecular shear stress of the material, promoting cell division and proliferation, and accelerating In wound healing, the negative pressure is transmitted through the porous material in the wound. In addition to attracting the flow of intercellular tissue fluid, indirectly promoting angiogenesis and local blood circulation, it can also draw out bacterial pus and excessive tissue fluid in the wound to avoid edema. Reduce the chance of inflammation, provide a moist healing environment, protect the wound and reduce the time required for wound healing.
真空伤口愈合治疗的基本架构是于伤口内放入敷料后,以密封胶膜密封伤口,再接上一连接负压源的导管,由负压源将伤口内的渗出液抽出至一废液储存罐中;此现有架构中的导管是直接插入伤口,因此在伤口上方形成一立体结构,使得伤口不易密封外,当伤口位于患者脚底(例如糖尿病足)或背部(例如褥疮)时,此种现有结构不仅对患者的伤口造成极度不舒适感,且容易因为挤压而导致密封胶膜被破坏密封性,或导管被弯折阻塞,因而导致无法有效治疗。The basic structure of vacuum wound healing therapy is to put a dressing in the wound, seal the wound with a sealing film, and then connect a catheter connected to a negative pressure source, and the negative pressure source will pump out the exudate in the wound to a waste liquid In the storage tank; the catheter in this existing structure is directly inserted into the wound, so a three-dimensional structure is formed above the wound, making the wound difficult to seal. This existing structure not only causes extreme discomfort to the patient's wound, but also easily causes the sealant film to be damaged due to extrusion, or the catheter is bent and blocked, thus resulting in ineffective treatment.
针对专利而言,例如美国发明专利第6626891号「Drainage system to beused with an open wound,an element which is used thereby for placing a drainagetube or hose,and a method of using said drainage system」,其是于一板状组件的一面设有突起部位,该突起部位内部形成一空间,该空间的一端贯穿该突起部位形成一开口,该开口可供外接导管连接负压源,且该板状组件设有多个孔洞连通该突起部位内部的空间,将该突起部位内部形成一空间覆盖于伤口的敷料上,再以胶膜覆盖该板状组件周围并黏贴于患者皮肤上,可通过该导管将伤口的渗出液通过敷料、该板状组件的孔洞、该突起部位的内部空间,最后经由该导管被抽出;惟该板状组件具有一定硬度及厚度,且该突起部位及导管位于伤口中央部位,均会使患者产生不适感,而该导管则容易因外力不慎拉扯而松脱,或因为弯折而导致阻塞,此外,其胶膜也容易因为长时间压迫而与板状组件分离,影响气密性。For patents, for example, U.S. Patent No. 6,626,891 "Drainage system to beused with an open wound, an element which is used thereby for placing a drainage tube or hose, and a method of using said drainage system", which is on a board A protruding part is provided on one side of the protruding part, and a space is formed inside the protruding part, and one end of the space passes through the protruding part to form an opening, which can be used for an external conduit to connect to a negative pressure source, and the plate-shaped component is provided with a plurality of holes Connect the space inside the protruding part, form a space inside the protruding part to cover the dressing on the wound, and then cover the periphery of the plate-shaped component with an adhesive film and stick it on the patient's skin, the exudate from the wound can be drained through the catheter The liquid passes through the dressing, the hole of the plate-shaped component, the inner space of the protruding part, and finally is drawn out through the conduit; however, the plate-shaped component has a certain hardness and thickness, and the protruding part and the conduit are located in the center of the wound, which will make the The patient feels uncomfortable, and the catheter is easily loosened due to inadvertent pulling by external force, or blocked due to bending. In addition, its adhesive film is also easy to separate from the plate-shaped component due to long-term compression, affecting air tightness.
又如美国专利第7273054号「Surgical drape and head for wound treatment」,其是于一扁平本体的一面设有多个柱状结构,于该扁平本体的另一面设有一接头贯穿该扁平本体,该接头可供外接导管连接负压源,将该设有柱状结构的一面覆盖于伤口的敷料上,再以胶膜覆盖该扁平本体周围并黏贴于患者皮肤上,可通过该导管将伤口的渗出液通过敷料、柱状结构间的空隙、接头,最后经由该导管被抽出;相同地,与前一现有案(美国发明专利第6626891号)所存在的缺点类似,其扁平本体及底部所设置的柱状结构具有一定硬度及厚度,且该接头及导管位于伤口中央部位,均会使患者产生不适感,而该导管则容易因外力不慎拉扯而松脱,或因为弯折而导致阻塞,此外,其胶膜也容易因为长时间压迫而与扁平本体分离,影响气密性。Another example is U.S. Patent No. 7273054 "Surgical drape and head for wound treatment", which is provided with a plurality of columnar structures on one side of a flat body, and a joint is provided on the other side of the flat body to run through the flat body, and the joint can Connect the external catheter to the negative pressure source, cover the side with the columnar structure on the dressing of the wound, and then cover the periphery of the flat body with an adhesive film and stick it on the patient's skin, the exudate from the wound can be drained through the catheter Pass through the gap between the dressing, the columnar structure, the joint, and finally be extracted through the catheter; similarly, similar to the shortcomings of the previous existing case (US Patent No. 6,626,891), the columnar structure set on the flat body and the bottom The structure has a certain hardness and thickness, and the joint and the catheter are located in the center of the wound, which will cause discomfort to the patient, and the catheter is easy to loosen due to inadvertent pulling by external force, or cause obstruction due to bending. In addition, its The film is also easy to separate from the flat body due to long-term pressure, which affects the airtightness.
再如美国专利第7128735号「Reduced pressure wound treatment appliance」,其利用一漏斗状的罩体罩住伤口,由该罩体内部设有一导管延伸至该罩体外部并连接负压源,可通过该导管将伤口渗出液抽出;本案虽然可提高气密性,然而体积庞大的罩体对患者行动造成极大不便及不适感,且导管容易被弯折而导致阻塞。Another example is U.S. Patent No. 7128735 "Reduced pressure wound treatment appliance", which uses a funnel-shaped cover to cover the wound, and a conduit is provided inside the cover to extend to the outside of the cover and connect to a negative pressure source. The catheter draws out the wound exudate; although this case can improve the airtightness, the bulky cover will cause great inconvenience and discomfort to the patient, and the catheter is easy to be bent to cause blockage.
综合上述专利前案结构可知,现有专利并未完全解决气密性、不适性及阻塞问题。Based on the structure of the above patents, it can be seen that the existing patents have not completely solved the problems of air tightness, discomfort and blockage.
发明内容Contents of the invention
有鉴于现有技术的缺失,本发明提出一种伤口护理装置,可于伤口外围形成密封环境以利负压创伤治疗进行,同时可避免导管位于伤口上方产生结构障碍或挤压伤口造成病患的不适感,以及可避免导管因为弯折而阻塞的状况发生。In view of the deficiencies in the prior art, the present invention proposes a wound care device that can form a sealed environment around the wound to facilitate negative pressure wound therapy, and at the same time prevent the catheter from being positioned above the wound to cause structural obstacles or squeeze the wound to cause the patient's pain. Discomfort, and prevent the catheter from being blocked due to bending.
为达到上述目的,本发明提出一种伤口护理装置,其包含一第一本体、一第二本体及至少一具有孔隙的组件,该第一本体具有黏性的薄膜,该第一本体设有至少一第一孔洞;该第二本体由具有可挠性及防水性的材质制成,该第二本体设有至少一第二孔洞及至少一第三孔洞,该第二孔洞及第三孔洞相互连通且于该第二本体内部形成一容置空间,该第二本体连接于该第一本体,且该第二孔洞对应设置于该第一孔洞的位置;该具有孔隙的组件设置于该第二本体的容置空间内。To achieve the above object, the present invention proposes a wound care device, which includes a first body, a second body and at least one component with pores, the first body has an adhesive film, and the first body is provided with at least one A first hole; the second body is made of flexible and waterproof material, the second body is provided with at least one second hole and at least one third hole, the second hole and the third hole communicate with each other And an accommodating space is formed inside the second body, the second body is connected to the first body, and the second hole is correspondingly arranged at the position of the first hole; the component with the hole is arranged on the second body within the accommodation space.
以下结合附图和具体实施例对本发明进行详细描述,但不作为对本发明的限定。The present invention will be described in detail below in conjunction with the accompanying drawings and specific embodiments, but not as a limitation of the present invention.
附图说明Description of drawings
图1为本发明实施例的分解结构图;Fig. 1 is the exploded structural diagram of the embodiment of the present invention;
图2为本发明实施例的组合结构图;Fig. 2 is the combined structural diagram of the embodiment of the present invention;
图3为图2的A-A剖面结构设置于伤口上的示意图;Fig. 3 is a schematic diagram of the A-A section structure of Fig. 2 being arranged on the wound;
图4为本发明另一实施例剖面结构设置于伤口上的示意图;Fig. 4 is a schematic diagram of another embodiment of the present invention with a cross-sectional structure arranged on a wound;
图5及图6为本发明其它不同实施例剖面结构示意图。5 and 6 are schematic cross-sectional structural diagrams of other different embodiments of the present invention.
其中,附图标记Among them, reference signs
10、10A、10B、10C-伤口护理装置10, 10A, 10B, 10C - wound care devices
11、11A、11B、11C-第一本体11, 11A, 11B, 11C-first body
111-第一孔洞111 - first hole
112、112A、112B、112C-顶面112, 112A, 112B, 112C - top surface
113、113A、113B、113C-底面113, 113A, 113B, 113C - Bottom
12、12A、12B、12C-第二本体12, 12A, 12B, 12C-second body
121、121A、121B、121C-第二孔洞121, 121A, 121B, 121C - second hole
122、122B、122C-第三孔洞122, 122B, 122C - the third hole
123-中空管状结构123-Hollow tubular structure
13、13A、13B、13C-具有孔隙的组件13, 13A, 13B, 13C - components with porosity
20-接头20-connector
21-导管21- Catheter
30-患者30-Patient
31-伤口31 - wound
32-肌肤32 - skin
40-敷料40 - Dressing
具体实施方式Detailed ways
以下将参照随附的图式来描述本发明为达到目的所使用的技术手段与功效,而以下图式所列举的实施例仅为辅助说明,但本案的技术手段并不限于所列举图式。The technical means and effects used by the present invention to achieve the purpose will be described below with reference to the accompanying drawings, and the embodiments listed in the following drawings are only for auxiliary illustration, but the technical means of this case are not limited to the listed drawings.
本发明提出的伤口护理装置,可于伤口外围形成密封环境以利负压创伤治疗进行,也就是说,本发明的伤口护理装置可在伤口端形成一密封环境,使连接于伤口护理装置后端的负压源与集液装置能够对于伤口进行负压的供给与伤口废液的储存,因此,本发明的伤口护理装置也具有传输的功能,使伤口端的废液能够通过伤口护理装置而到达后端的集液装置中。The wound care device proposed by the present invention can form a sealed environment around the wound to facilitate negative pressure wound therapy. The negative pressure source and the liquid collection device can supply the wound with negative pressure and store the wound waste liquid. Therefore, the wound care device of the present invention also has the function of transmission, so that the waste liquid at the wound end can pass through the wound care device and reach the back end. in the liquid collection device.
请参阅图1及图2所示本发明所提出的伤口护理装置10,其包含一第一本体11、一第二本体12及一具有孔隙的组件13,该第一本体11具有黏性的薄膜,例如可采用一般医学界称为「O.P Site」的透明薄膜贴布,或聚氨基甲酸(PU,Polyurethane)薄膜,于该第一本体11设有至少一第一孔洞111;该第二本体12由具有可挠性及防水性的材质制成,且其材质具生物兼容性,可与该第一本体11相同或不同,例如可采用聚氯乙烯(PVC,Polyvinylchloride)薄膜,该第二本体12设有至少一第二孔洞121及至少一第三孔洞122,该第二孔洞121及第三孔洞122相互连通且于该第二本体12内部形成一容置空间,该具有孔隙的组件13设置于该容置空间内,该具有孔隙的组件13可采用聚氨基甲酸(PU,Polyurethane)、聚乙烯醇(PVA,Polyvinyl Alcohol)等发泡材质,或纱布、棉线等具有可逆吸水性的材料,而该类材料共通的特点在于具有柔软性及挠性,其孔隙尺寸位于200~1500μm的范围内,若孔隙尺寸过小,除了会影响负压源传递负压至伤口的效率外,伤口渗出液中的杂物也容易阻塞于孔隙中,因此,一般建议孔隙尺寸以400~800μm较佳;如图2所示,该第二本体12连接于该第一本体11的一面(即顶面112),且该第二孔洞121对应设置于该第一孔洞111的位置,并于该第一本体11的另一面(即底面113)设有黏胶层;也就是说,该第二孔洞121紧密贴合于该第一孔洞111的位置,使得伤口护理装置10在使用时,能提供密封环境。Please refer to the
必须加以说明的是,于本实施例中,该第二本体12呈长条袋状,其一端设有该第二孔洞121,另一端设有该第三孔洞122,且该第二本体12于该第三孔洞122外部延伸形成一中空管状结构123,其目的在于,可于该中空管状结构123套接一接头20,用以串接一导管21(如图3所示)以连接至负压源与集液装置,换言之,该第二本体12的基本设置态样在于具有相互贯通的第二孔洞121及第三孔洞122,且其数量不限,该第二孔洞121作为输入口,该第三孔洞122作为输出口,其实施态样并不限于图标实施例结构,同理,该第一孔洞111的型态也不限图标一个圆形孔,可设置多个矩形、任意尺寸及形状的组合,其目的在于提供伤口渗出液通过并流入该第二本体12中即可。It should be noted that, in this embodiment, the
请参阅图3所示,于一患者30的伤口31内铺设有敷料40,将该第一本体11覆盖该伤口31上并贴附于该伤口31周围的肌肤32表面,以形成一密封环境;且该第一孔洞111、第二孔洞121位于该伤口31上方,伤口31的渗出液、血液或其它感染物质被敷料40吸收后,经由后端的外部负压源作用,可将渗出液、血液或其它感染物质抽出,经由该第一孔洞111、第二孔洞121进入该第二本体12,通过该具有孔隙的组件13,再由该第三孔洞122、接头20及导管21被抽出至后端的集液装置,要说明的是,该具有孔隙的组件13可对渗出液、血液或其它感染物质形成过滤作用,避免渗出液、血液或其它感染物质中所含的硬块等杂物流入连接负压源的导管21中而造成导管21的阻塞;由于该第二本体12由具有可挠性及防水性的材质制成,该具有孔隙的组件13也具有一定柔软性及挠性,因此,当该第二本体12受到挤压时,可连同该具有孔隙的组件13一并贴合于该肌肤32表面,不致压迫到伤口31,此外,当第二本体12弯折扭曲时,由于第二本体12内部设置有该具有孔隙的组件13,因此负压仍能够经由该具有孔隙的组件13的孔隙提供负压至伤口;同时,渗出液、血液或其它感染物质也可以通过孔隙的组件13的孔隙而持续地被抽出,不会受到第二本体12的弯折扭曲而使负压治疗停摆。此外,由于该接头20及导管21连接于第二本体12外侧端的该第三孔洞122,因此可远离该伤口31,避免硬质的接头20及导管21压迫伤口31,尤其当伤口31位于患者脚底或背部时,可避免对患者造成不适感。Please refer to FIG. 3, a
请参阅图4所示实施例,该伤口护理装置10A包含一第一本体11A、一第二本体12A及一具有孔隙的组件13A,本实施例的特点在于,该具有孔隙的组件13A由该第二孔洞121A延伸出该第一本体11A的外部(即底部113A)一定长度;将该伤口护理装置10A设置于伤口31上时,该具有孔隙的组件13A可直接与敷料40接触,使渗出液、血液或其它感染物质可更直接且快速地被抽出。Please refer to the embodiment shown in Figure 4, the
请参阅图5所示实施例,该伤口护理装置10B包含一第一本体11B、一第二本体12B及一具有孔隙的组件13B,其中,该第一本体11B为具有黏性的薄膜,设有至少一第一孔洞(图未示出);第二本体12B由具有可挠性及防水性的材质制成,设有至少一第二孔洞121B及至少一第三孔洞122B,该第二孔洞121B及第三孔洞122B相互连通且于该第二本体12B内部形成一容置空间;具有孔隙的组件13B设置于该第二本体12B的容置空间内。本实施例的特点在于,该第二本体12B贯穿该第一本体11B,使该第二本体12B的第二孔洞121B及第三孔洞122B分别伸出该第一本体11B的底面113B及顶面112B外,于该第一本体11B的底面113B设有黏胶层。Please refer to the embodiment shown in FIG. 5 , the
而图6所示实施例以图5实施例为基础,该伤口护理装置10C包含一第一本体11C、一第二本体12C及一具有孔隙的组件13C,该第二本体12C贯穿该第一本体11C,使该第二本体12C的第二孔洞121C及第三孔洞122C分别伸出该第一本体11C的底面113C及顶面112C外,于该第一本体11的底面113C设有黏胶层,本实施例的特点在于,该具有孔隙的组件13C由该第二孔洞121C延伸出该第二本体12C外一定长度。The embodiment shown in FIG. 6 is based on the embodiment in FIG. 5 , the
综上所述各实施例可知,本发明提供的伤口护理装置,由该具有黏性的第一本体,可于伤口外围形成密封环境以利负压创伤治疗进行,同时由具有可挠性的第二本体设计,可将负压源导管的连接位置远离伤口,避免导管位于伤口上方产生结构障碍或挤压伤口造成病患的不适感,以及可避免导管因为弯折而阻塞的状况发生,此外,该具有孔隙的组件可对渗出液形成过滤作用,避免渗出液中所含的硬块等杂物流入连接负压源的导管中而造成导管阻塞。From the above-mentioned various embodiments, it can be seen that the wound care device provided by the present invention can form a sealed environment around the wound with the viscous first body to facilitate negative pressure wound treatment. At the same time, the flexible first body can The two-body design can keep the connection position of the negative pressure source catheter away from the wound, avoiding structural obstacles caused by the catheter above the wound or squeezing the wound to cause discomfort to the patient, and avoiding the catheter being blocked due to bending. In addition, The component with pores can form a filtering effect on the exudate, and prevent impurities such as hard blocks contained in the exudate from flowing into the conduit connected to the negative pressure source and causing the conduit to be blocked.
当然,本发明还可有其它多种实施例,在不背离本发明精神及其实质的情况下,熟悉本领域的技术人员当可根据本发明作出各种相应的改变和变形,但这些相应的改变和变形都应属于本发明所附的权利要求的保护范围。Certainly, the present invention also can have other multiple embodiments, without departing from the spirit and essence of the present invention, those skilled in the art can make various corresponding changes and deformations according to the present invention, but these corresponding Changes and deformations should belong to the scope of protection of the appended claims of the present invention.
Claims (15)
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