DE4111122A1 - Equipment for cleansing and therapeutic treatment of wounds - has rubber sleeves or bell shaped covers to seal treatment area with pumped circulation and cleaning of fluid media in closed circuit - Google Patents

Equipment for cleansing and therapeutic treatment of wounds - has rubber sleeves or bell shaped covers to seal treatment area with pumped circulation and cleaning of fluid media in closed circuit

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Publication number
DE4111122A1
DE4111122A1 DE4111122A DE4111122A DE4111122A1 DE 4111122 A1 DE4111122 A1 DE 4111122A1 DE 4111122 A DE4111122 A DE 4111122A DE 4111122 A DE4111122 A DE 4111122A DE 4111122 A1 DE4111122 A1 DE 4111122A1
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DE
Germany
Prior art keywords
cleansing
closed circuit
cleaning
wounds
treatment
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
DE4111122A
Other languages
German (de)
Inventor
Wolfgang Dr Neher
Original Assignee
Wolfgang Dr Neher
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to DE3935818A priority Critical patent/DE3935818A1/en
Application filed by Wolfgang Dr Neher filed Critical Wolfgang Dr Neher
Priority to DE4111122A priority patent/DE4111122A1/en
Publication of DE4111122A1 publication Critical patent/DE4111122A1/en
Application status is Withdrawn legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/0058Suction-irrigation systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H35/00Baths for specific parts of the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/05Splash shields for protection of the surgeon, e.g. splash guards connected to the apparatus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00Devices for specific parts of the body
    • A61H2205/06Arms
    • A61H2205/065Hands
    • A61H2205/067Fingers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/008Drainage tubes; Aspiration tips
    • A61M1/0088Drainage tubes; Aspiration tips with a seal, e.g. to stick around a wound for isolating the treatment area
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M27/00Drainage appliances for wounds or the like, i.e. wound drains, implanted drains
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0229Devices operating in a closed circuit, i.e. recycling the irrigating fluid

Abstract

The apparatus for the cleansing and treatment of wounds by clinics and GPs includes a rubber sleeve or bell-shaped cover (3) which encloses the treatment area (4) to provide a sealed fluid chamber. A first bump (1) circulates cleansing/treatment media to spray the affected area (4) from above and a suction pump (2) continuously exhausts the chamber (3) of fluid for discharge to a reservoir (5) and from the reservoir to a cleaning compartment for re-use such that a closed circuit independent of the mains supply is maintained. USE/ADVANTAGE - Maintains a high standard of closed circuit hygiene employing purpose designed sleeves for different treatments. Fluid temp. and pressure controls, timers etc. readily added.

Description

Bezüglich eines Zusatzpatentes für P 39 35 818.6 möchte ich nachträglich folgende Merkmale geltend machen: das Wundreinigungs-Therapiegerät Aquaderm benötigt zwei Pumpaggregate mit getrenntem Kreislauf. With respect to an additional patent for P 39 35 818.6 I want to do later following features in law: the wound cleansing therapy device Aquaderm requires two pump units with separate circuit. Zeichnung dazu wurde Ihnen bereits früher zugesandt. Drawing this has already been sent to you earlier. Die Bedienungsanleitung soll ebenfalls Inhalt des Zusatzpatentes sein. The manual should also be contents of additional patent. Insbesondere soll auch der Manschettenmechanismus geschützt werden, hier sind die Sprüh- und Düsenköpfe Inhalt des Gesamtsystems, diese können mehrdüsig, eindüsig und andere Merkmale aufweisen, auch die Druckgradienten können variieren, so Impulsdruckgradienten, Feineinstellung und massive Druckerhöhung bis zur Gewebsinfiltration. In particular, the collar mechanism to be protected, here the spray and nozzle heads are contents of the whole system, they may have mehrdüsig, eindüsig and other features, also the pressure gradient may vary, so Impulsdruckgradienten, fine adjustment and massive increase in pressure to tissue infiltration. Auch die Absaugmechanismen sind in der Variabilität zu schützen, so können verschiedene Materialien dazu benutzt werden, auch doppelwandige Manschetten sind möglich. The Absaugmechanismen must be protected in the variability, various materials can be used to also double cuffs are possible. Auch die Absaugdüse ist mehreren Variationsmöglichkeiten ausgesetzt. The suction nozzle is exposed to a number of variations. Hier sind die verschiedenen Möglichkeiten unter Patentschutz zu stellen. Here are to be placed under patent protection the various possibilities. Insbesondere ist die Gesamtheit des Gerätes, die aus vielen Einzelkomponenten besteht, den Patentregularien zu unterwerfen. In particular, the entirety of the device, which consists of many individual components, to submit to the Patent Rules. Weiter wird ein Druckmanometer installiert werden, Barbereich etwa von 0-3 bar oder auch mehr. Further, a pressure gauge is installed, the bar area about 0-3 bar or even more. Auch ein Temperaturfühler zur Messung der Flüssigkeit ist möglich, ebenso soll eine Kurzzeituhr eingebaut werden, um die Länge der Applikation zu steuern. Also, a temperature sensor for measuring the fluid is possible, as is to be installed to control the length of application, a short-time clock. Auch diese Materialinhalte sind im gesamten Funktionsbild der Geräteeinheit dem Patentschutz zu unterstellen. These material content to submit to the patent protection throughout the feature image of the device unit. Bisher sind keine Steuerungsmechanismen der Computerklasse vorgesehen, jedoch sind diese zu einem späteren Zeitpunkt notwendig, so wären auch diese, so sie der Gerätefunktion dienlich sind, zu patentieren. So far, no control mechanisms of the computer class are provided, but these are necessary at a later date, so were these, they are useful to the device function to patent.

Die ringförmige, doppelwandige Absaug- und Reinigungsmanschette hätte den Vorteil, daß die Spannbänder wegfallen würden und die Manschette selbständig durch Unterdruck auf der Hautoberfläche haften würde, eine Zeichnung ist zur Demonstration beigegeben. The annular, double-walled suction and cleaning cuff would have the advantage that the tension bands would be removed and the sleeve would be liable independently by negative pressure on the skin surface, a drawing is added to the demonstration. Hierzu wäre in das Gerät noch eine zusätzliche Unterdruckpumpe einzubauen, die auf Luftbasis beruhen würde. For this would be to install an additional vacuum pump, which would be based on the air base in the device. Hier ergeben sich vielfältige Variationen, die ebenfalls patentrechtlich geschützt sein sollen. Here are diverse variations that should also be protected by patent.

Was die zu entwickelnden Manschettenköpfe anlangt, so sind diese noch nicht parat, sollen jedoch alsbald produziert werden. What to developing cufflinks are concerned, these are not yet ready, but will be soon produced. Hier sind für die einzelnen Extremitäten verschiedene Paßformen zu entwickeln, wobei das generelle Prinzip der Spülung und Absaugung im Hautbereich beibehalten wird. Here different Paßformen must be developed for each limb, with the general principle of irrigation and suction is maintained in the skin area. Auch rektale und vaginale Drucksaugköpfe sind zu entwickeln und patentmäßig zu schützen. Also rectal and vaginal Drucksaugköpfe are to develop and protect patent default. Durch durchsichtig gestaltete Manschettenköpfe und entsprechende Druckstrahlerhöhung kann auch eine Art Gewebeschneidung erfolgen, wobei hier jedoch noch stärkere Druckaggregate notwendig sind, die entwickelt werden sollen. By transparently designed cufflinks and corresponding increase pressure jet also a kind of tissue circumcision can be done, and even greater pressure units are needed here, however, to be developed. Hier kann dann unter Aufsicht bzw. Durchsicht durch die Manschette, es ist auch ein glasfensterartiger Einsatz denkbar, eine lokale Entfernung nekrotischer Wundbestandteile (sogenannte Wundausschneidung) vorgenommen werden. Here, then under the control and visibility through the cuff, it is also a glass window-like insert conceivable to use a local removal of necrotic wound components (so-called debridement) are made. Insgesamt wäre wichtig, daß das geschlossene Zirkulationssystem mit dem Aufsatz der Manschette und der Druck- bzw. Absaugdüse und auch die beschriebenen anderen Gerätschaften dem Patentschutz unterworfen werden. Total would be important that the closed circulation system with the top of the cuff and the pressure or suction nozzle and the other equipment described are subject to patent protection.

Bedienungsanleitung Aquaderm manual Aquaderm

Index index
1.1.1. 1.1.1. Aufstellen Put up
1.1.2. 1.1.2. Anschließen Connect
1.1.3. 1.1.3. Einschalten turn on
1.1.4. 1.1.4. Applikation der Manschette Application of the sleeve
1.1.5. 1.1.5. Wissenschaftliche Anleitung scientific guide
2.1.6. 2.1.6. Reinigung und Desinfektion der Manschette Cleaning and disinfection of the cuff
2.1.7. 2.1.7. Reinigung und Desinfektion des Gerätes Cleaning and disinfection of the unit
2.1.8. 2.1.8. Nach der Benutzung After use
3.1.9. 3.1.9. Probleme issues
4.1.1. 4.1.1. Wichtige Hinweise Important instructions
5.1.1. 5.1.1. Checkliste checklist
6.1.1. 6.1.1. Technische Daten Technical specifications
6.2.1. 6.2.1. Sonstiges, Bestellnummern Others, order numbers

1.1.1. 1.1.1. Aufstellung list

Stellen sie das Gerät auf die dafür vorgesehene Gummistolle senkrecht oder waagrecht. Imagine the unit on the designated rubber Great vertically or horizontally.

1.1.2. 1.1.2. Anschluß Connection

  • a) Verbinden sie das Gerät mit Strom 220 V/50 Hz. a) connecting the device with current 220 V / 50 Hz.
  • b) Schließen sie die dicken Schläuche seitlich am Zufluß und Abfluß an und stecken sie die Enden in die dafür vorgesehenen Behälter. b) Connect the thick hoses side of the inflow and outflow to and insert the ends into the appropriate container.
  • c) Verbinden sie die Manschette und das Gerät mit dem dünnen Schlauch sowie Adapterschläuche und achten sie hierbei, daß der linke Anschluß der Zuführungsschlauch ist, der an die obere Seite der Manschette führt. c) connecting the cuff and the device with the thin tube and adapter hoses and Pay attention here that the left terminal of the supply hose that leads to the upper side of the cuff.
1.1.3. 1.1.3. Einschalten turn on

Sie können jederzeit das Gerät einschalten. You can always turn on the device. Wichtig ist dabei sich vorher zu versichern, daß der Einstellhahn zugedreht (Rechtsanschlag) ist. It is important to assure previously that the adjusting cock turned down (fully clockwise) is.

Beim Anwenden drehen sie langsam auf bis der gewünschte Druck erreicht ist. When applying rotate slowly until the desired pressure is reached. Die beste Wirkung erzielen sie bereits nach einer halben Drehung. The best effect they achieve after a half turn.

1.1.4. 1.1.4. Applikation der Manschette Application of the sleeve

Beim Anbringen der Manschette muß darauf geachtet werden, daß die Manschette nicht in sich zusammengedrückt wird und die Absaugung am untersten Punkt angebracht ist. When attaching the cuff must be taken to ensure that the collar is not compressed in and the extraction unit is mounted at the lowest point.

Der Patient kann unter Umständen selber die Manschette halten mit einem leichten Druck. The patient can hold the collar with a slight pressure may itself. Sie können sonst auch die mitgelieferten Spannbänder benutzen. You can also use the included straps else.

1.1.5. 1.1.5. Wissenschaftliche Anwendung scientific application

Dauer und Handhabung von Wundbehandlungen entnehmen sie bitte der wissenschaftlichen Begleitanleitung. please refer to the instructions accompanying scientific life and handling of wound treatments.

2.1.6. 2.1.6. Reinigung und Desinfektion der Manschette Cleaning and disinfection of the cuff

Nach der Anwendung ziehen sie die Manschettenschläuche an der Manschettenseite ab und legen sie in eine Desinfektionslösung. After application they peel off the cuff tubing to the cuff side and place it in a disinfectant solution.

Stecken sie jetzt die zweite Manschette auf die Schläuche, behandeln sie weiter. Insert it now the second cuff on the hoses, they treat on.

2.1.7. 2.1.7. Reinigung und Desinfektion des Gerätes Cleaning and disinfection of the unit

Wenn immer mit zwei Behältern gearbeitet wird, braucht eine Desinfektion des Systems nicht durchgeführt zu werden. If you always work with two containers, a disinfection of the system need not be carried out. Es ist trotzdem ratsam das System einmal wöchentlich zu spülen. Nevertheless it is recommended to flush the system once a week. Nehmen sie hierzu eine Essiglösung oder Desinfektionslösung. Take this a vinegar solution or disinfectant solution. Verbinden sie hierzu die Manschettenschläuche und benutzen den Reinigungsbehälter im Dauerumlauf. Connect this the cuff tubing and use the cleaning tank in continuous circulation.

2.1.8. 2.1.8. Nach der Benutzung After use

Nach der Benutzung sollten sie, um die Restflüssigkeit zu entfernen, den Ansaugschlauch aus dem Behälter ziehen und warten, bis nur wenig Flüssigkeitsreste aus dem Schlauchsystem fließen. After use, they should, in order to remove the residual liquid, pull the intake hose from the container and wait flow until only a little liquid remains from the tube system.

3.1.9. 3.1.9. Probleme issues

  • a) Wenn die Schläuche nicht mehr richtig dicht sind, schneiden sie ein Stück ab und ziehen sie neu auf. a) If the hoses are not properly sealed, cut off a piece and drag it to new.
  • b) Wenn die Absaugung an der Manschette nicht funktioniert, reinigen sie die Absaugdüse. b) If the suction at the cuff does not work, they clean the suction nozzle. Um eine weitere Wasserflut zu verhindern, testen sie erst ohne Manschette durch Verbinden der Manschettenschläuche. In order to prevent further flood, examine them uncuffed by connecting the cuff tubing.
  • c) Durch 2 Wasserabscheider im Boden des Gerätes oder in der Bodenplatte kann die Flüssigkeit aus dem Gerät heraus, falls eine Undichtigkeit auftritt. c) 2 water in the bottom of the device or in the bottom plate, the water may flow out from the device, if a leak occurs.
    Benachrichtigen sie in diesem Falle ihre Lieferanten oder schrauben sie das Gerät an den 8 Deckelschrauben auf und suchen sie das Leck. Notify them in this case, its suppliers or screw it the device to the eight cover screws and seek the leak. Eventuell können sie kleine Undichtigkeiten selber beheben. Maybe they can fix small leaks themselves.
4.1.1. 4.1.1. Wichtige Hinweise Important instructions

Bei Applikationen mit Medikamenten im Dauerumlauf sollte das Gerät mit einer Desinfektionslösung gespült werden, um höchste Hygiene zu erreichen. For applications with drugs in continuous circulation, the unit should be flushed with a disinfecting solution to achieve maximum hygiene.

Das Gerät sollte ein- bis zweimal jährlich auf eventuelle Undichtigkeit durch Sichtkontrollen geprüft werden. The unit should be checked once or twice a year for possible leaks by visual inspection.

Achten sie darauf den Regulierer immer auf Rechtsanschlag zu drehen, bevor das Gerät eingeschaltet wird. Care about the regulator always to rotate clockwise, before the device is turned on.

Nach einer Behandlung muß, bevor die Manschette abgenommen wird, der Regulierer zugedreht werden, damit der Restwasseranteil in der Manschette abgesaugt werden kann. After treatment, the regulator must be turned off before the collar is removed, so that the residual water content can be sucked in the cuff.

5.1.1. 5.1.1. Checkliste für die tägliche Wundreinigung Checklist for daily wound cleansing

  • 1. Stromverbindung herstellen. 1. Establish power connection.
  • 2. Zulauf/Ablauf mit dickem Siliconschlauch verbinden. 2. Connect the inlet / outlet with a thick silicone tube.
  • 3. Manschette und dünne Schläuche verbinden und über Adapter mit dem Gerät verbinden. 3. Connect the cuff and thin tubes and connect via an adapter to the device. Schlauch im Behälter auf richtigen Sitz prüfen. Check hose in the tank for proper seating.
  • 4. Regulierer auf Rechtsanschlag prüfen. 4. Check regulator fully clockwise.
  • 5. Gerät einschalten. 5. Switch device.
  • 6. Manschette applizieren. 6. apply cuff.
  • 7. Regulierer auf ca. 1/2 Umdrehung aufdrehen. 7. Screw the regulator to about 1/2 turn.
  • 8. Nach Behandlung Manschette wechseln. 8. Change after treatment cuff.
  • 9. Benutzte Manschette desinfizieren. disinfect cuff 9. Used.
  • 10. Flüssigkeiten entfernen. 10. Remove liquids.
  • 11. Gerät spülen und entleeren oder Rinse and drain 11 device or
  • 12. Gerät mit Desinfektionslösung kurz spülen und entleeren. rinse briefly 12 device with disinfectant solution and empty.
Technische Daten Technical specifications

a) Stromversorgung a) Power Supply
Stromaufnahme 80 Watt Power consumption 80 watts
Spannung versorgen 220 V / 50 Hz Voltage supply 220 V / 50 Hz
Pumpenspannung 12 V / 3 A Pump voltage 12 V / 3 A

b) Pumpenleistung b) pumping power
1 Liter pro Minute 1 liter per minute
Druckregulierung über Ventilrelais Pressure on regulatory valve relay

c) Prinzip c) Principle
1 Pumpenaggregat für Ansaugung One pump unit for suction
1 Pumpenaggregat für Absaugung One pump unit for extraction
Geregelt mit Regulierer Controlled by regulators

Medizinische Indikationsbeschreibung des Wundreinigungsgerätes AQUADERM Medical indication description of the wound cleansing device Aquaderm

Mittels der aufsetzbaren Manschette und der Reinigungsdüse kann bei ulcerösen Prozessen im Hautbereich, die meist mit pathogenen Keimen (Staphylokokken, Streptokokken) superinfiziert sind, eine problemlose Reinigung des Wundgrundes erfolgen. Using the attachable sleeve and the cleaning can be done easy cleaning of the wound with ulcerous processes in the area of ​​skin that usually with pathogenic bacteria (staphylococcus, streptococcus) are super infected. Im klinischen Bereich gilt die Wundreinigung bei Ulcus cruris (Dekubitalgeschwüre, Dekubitalsepsis ua) als eine Voraussetzung zum Wundheilungsprozeß. In the clinical area, the wound cleansing applies in leg ulcers (decubitus ulcers, Dekubitalsepsis etc.) as a prerequisite to the wound healing process.

Bei der Applikation der Reinigungsmanschette sind zuvor die Wundgranulationen zu entfernen, dies geschieht am besten mittels einer Pinzette, danach kann die desinfizierende und reinigende Wasserlösung appliziert werden. When applying the cleaning cuff wound granulations previously to remove, this is best done using a pair of tweezers, after the disinfecting and purifying water solution can be applied. Der Vorgang kann unbedenklich bis zum Abheilen des Geschwürs mehrmals wöchentlich erfolgen. The process can be carried out safely weekly until healing of the ulcer several times.

Der Wundrand ist mit einer wundpflegenden Salbe zu bestreichen, dann sterile Abdeckung. The wound edges should be coated with a wound care ointment, then sterile cover.

Durch Ödeme, Varizen ua ist im Unterschenkelbereich stauungsbedingt eine schlechtere Sauerstoffversorgung vorhanden und der dadurch geschädigte Hautbereich vermehrt für infektiöse Prozesse und Ulcerationen anfällig. By edema, varicose veins, among other things stauungsbedingt the lower leg poorer oxygen supply available and the resulting damaged skin area increasingly vulnerable to infectious processes and ulcerations. Deshalb ist in diesem Bereich eine peinliche Hygiene erforderlich, insbesondere sind Kratzeffekte und kleine Rhagaden zu vermeiden, der Spüllösung können auch Penizilline in löslicher Form ua Medikamente zugesetzt werden. Therefore, in this area an embarrassing hygiene is required, in particular, to avoid the rinsing solution can also penicillins are added in soluble form, inter alia, drugs scratch effects and small fissures. Ein weiteres Indikationsgebiet zur Aquatherapie sind rheumatisch bedingte Schwellungen im Bereich großer Gelenke, hier kann allein durch gezielte Anwendung von wärmendem Wasser eine Umstimmung erfolgen, durch Zugabe von Kortikosteroiden, Salizylaten, Antirheumatika (in Form von Lösungen oder auch löslichen Tabletten) ist eine Potenzierung des Erfolges möglich. A further area of ​​indication for aquatherapy are rheumatic disorders swelling in large joints, here can be carried out a retuning solely by the specific application of warming water (in the form of solutions or dispersible tablets) by the addition of corticosteroids, salicylates, anti-inflammatory drugs is a potentiation of success possible.

Gesicherte Erkenntnisse liegen jedoch hierzu noch nicht vor. Established findings are not yet available but this. Weiteres Indikationsgebiet sind degenerative Prozesse sowie punktförmige Knochenhautreizungen, wie Periostitis und Epicondy litis etc. Hier kann durch Druckstrahlerhöhung der Prozeß therapeutisch günstig beeinflußt werden. Another area of ​​indications are degenerative processes as well as point-like bone skin irritation, such as periostitis and Epicondy litis etc. Here, the process can be influenced therapeutically beneficial by increasing pressure jet.

Die Kombination aus dem Aquaderm und einem Reizstromgerät, ähnlich wie bei einem Stangerbad, nur in Kleinformat, soll patentiert werden. The combination of the Aquaderm and an electrical stimulation device, similar to a Stanger, only in miniature, is to be patented. Zu der bekannten Aquatherapie soll in geeigneter Form eine Elektrode in der Manschette angebracht werden, die auch bipolar, also in Mehrfachform, Reizströme in Wasser vermittelt. To the known aquatherapy an electrode is in a suitable form to be mounted in the cuff, which is also bipolar, that is, in multiple form, mediates stimulation currents in the water.

Stand der Technik mit Fundstellen Prior art references

  • 1. Es ist bekannt, daß venöse Beinulcera sehr häufig sind, es wird geschätzt, daß ein Prozent der Bevölkerung von diesem Leiden befallen ist (Ärztliche Praxis Nr. 85 vom 23. 10. 90). 1. It is known that venous leg ulcers are very common, it is estimated that one percent of the population is affected by this condition (medical practice no. 85, 23. 10. 90). Das Leiden ist oft therapieresistent. Suffering is often resistant to therapy. Ähnliches gilt für das Dekubitalulcus, also das Wundliegen, die Pflege ist sehr aufwendig, die Reinigung des Wundgrundes erfolgt mittels Salbenapplikation und mit Ringerlösung getränkten Umschlägen (Ärztliche Praxis Nr. 65 vom 14. August 90). The same applies to the decubital so bedsores, the care is very expensive, the cleaning of the wound by means of ointment application and with Ringer's solution soaked envelopes (Medical Practice no. 65 of 14 August 90). Es ist ferner bekannt, daß vom Gesetzgeber sehr strenge Anforderungen an die Behandlung des Wundliegens gestellt werden, da dieses Leiden oft zum Tode führen kann. It is also known that very strict requirements on the treatment of bedsores by law, since this condition can often lead to death.
  • 2. Problem: Der im Patentanspruch 1 angegebenen Erfindung liegt das Problem zugrunde, die mit Bakterien verunreinigten Wunden, die sich in Form von schmierigen Belägen darstellen, zu beseitigen, um so einen optimalen Heilungsverlauf zu erzielen. 2. Problem: The specified in claim 1 the present invention is based on the problem of eliminating the contaminated with bacteria wounds that present themselves in the form of greasy surfaces, so as to achieve an optimal healing process.
  • 3. Die Lösung dieses Problems wird durch die im Patentanspruch 1 aufgeführten Merkmale erzielt. 3. The solution to this problem is achieved by the features listed in the patent claim 1.
  • 4. Die mit der Erfindung erzielten Vorteile bestehen insbesondere darin, daß statt einer Vielzahl von Salbenauflagen und sonstigen Verbänden, die das Leiden sogar verschlimmern können, durch einige wenige Applikationen des Gerätes der schmierige Untergrund gesäubert wird, und dadurch die Heilung des Geschwürs erfolgt. 4. The advantages achieved with the invention consist in particular in that the greasy surface is cleaned rather than a variety of ointment limitations and other organizations that can aggravate the suffering even by a few applications of the device, and this ensures that healing of the ulcer. Bettlägrige Patienten müssen nicht mehr aufwendig ins Bad zur Reinigung der Wunden verbracht werden. Bedridden patients must not be spent consuming to the bathroom to clean the wounds. Bei Erprobung in der Praxis sind derartige Vorteile erzielt worden. When testing in practice, such benefits have been achieved.
  • 5. Eine vorteilhafte Ausgestaltung der Erfindung ist im Patentanspruch 2 angegeben, wobei die Größe der Gummiglocken variabel gestaltet werden kann. 5. An advantageous embodiment of the invention is set out in claim 2, wherein the size of the rubber bells can be made variable. In einfacher Weise ist es durch dieses System möglich, verschiedene Substanzen zur Therapie zuzugeben, indem diese der Spülflüssigkeit zugemischt werden. In a simple way, it is through this system possible to add various substances for therapy by this the rinsing liquid are mixed. Durch diese Anordnung können auch entzündliche Veränderungen, wie z. This arrangement also inflammatory changes such can. B. bei Gelenkrheumatismus, einer kausalen Behandlung zugänglich gemacht werden, indem unter Druck Medikamente intrakutan verabreicht werden. Example, in rheumatoid arthritis, a causal treatment are made available by drugs are administered intracutaneously under pressure.

Claims (2)

1. Wundreinigungsgerät und Therapiegerät zur Applikation in der Praxis und Klinik, wobei durch eine über der Wunde aufsetzbare Gummimanschette oder auch Gummiglocke genannt, eine geschlossene feuchte Kammer entsteht. 1. wound cleaning device and the therapy device for the application in practice and clinic, wherein called by a rubber sleeve over the wound attachable or rubber cup, a closed humid chamber arises. Durch eine Spüldüse, die im oberen Bereich der Gummiglocke befestigt ist, erfolgt die Reinigung des Geschwürsgrundes, eine weitere Absaugdüse im unteren Bereich der Glocke sorgt für den Abtransport der Spülflüssigkeit. By a rinsing nozzle which is mounted in the upper portion of the rubber cup, the purification of the ulcer, another suction nozzle at the bottom of the bell provides for the removal of the rinsing liquid. Zwei unabhängig voneinander arbeitende Pumpen besorgen den kontinuierlichen Kreislauf. Two independently operating pumps get the continuous circuit. Aus einem Behälter wird die Spülflüssigkeit angesaugt und in einen weiteren oder auch denselben Behälter wird die abgesaugte Flüssigkeit, die nun verunreinigt ist, wieder eingegeben. the rinsing liquid is sucked from a container and in a further or the same container, the aspirated liquid, which is now contaminated input again.
2. Die Gummimanschette nach Anspruch 1 kann verschiedene Paßformen aufweisen. 2. The rubber sleeve according to claim 1 may have various Paßformen. Die Fixierung der Gummimanschette erfolgt mittels eines Gummizugbandes, das perforierte Öffnungen aufweist. The fixing of the rubber sleeve is effected by means of a Gummizugbandes having perforated openings.
DE4111122A 1989-10-27 1991-03-27 Equipment for cleansing and therapeutic treatment of wounds - has rubber sleeves or bell shaped covers to seal treatment area with pumped circulation and cleaning of fluid media in closed circuit Withdrawn DE4111122A1 (en)

Priority Applications (2)

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DE3935818A DE3935818A1 (en) 1989-10-27 1989-10-27 Washing appts. for infected wound - consists of cap fitted with nozzle for spraying cleansing solution
DE4111122A DE4111122A1 (en) 1989-10-27 1991-03-27 Equipment for cleansing and therapeutic treatment of wounds - has rubber sleeves or bell shaped covers to seal treatment area with pumped circulation and cleaning of fluid media in closed circuit

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DE4111122A DE4111122A1 (en) 1989-10-27 1991-03-27 Equipment for cleansing and therapeutic treatment of wounds - has rubber sleeves or bell shaped covers to seal treatment area with pumped circulation and cleaning of fluid media in closed circuit

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EP0688189A1 (en) * 1993-03-09 1995-12-27 Wake Forest University Wound treatment employing reduced pressure
US5645081A (en) * 1991-11-14 1997-07-08 Wake Forest University Method of treating tissue damage and apparatus for same
EP0880953A2 (en) * 1997-05-27 1998-12-02 Fleischmann, Wilhelm, Dr. med. Device for the application of active agents to a wound surface
WO2000007653A1 (en) * 1998-08-07 2000-02-17 Hill-Rom, Inc. Wound treatment apparatus
US6398767B1 (en) 1997-05-27 2002-06-04 Wilhelm Fleischmann Process and device for application of active substances to a wound surface area
US6685681B2 (en) 2000-11-29 2004-02-03 Hill-Rom Services, Inc. Vacuum therapy and cleansing dressing for wounds
DE102004056456A1 (en) * 2004-11-23 2006-05-24 Eugen Malamutmann Treatment device for wounds
US7678090B2 (en) 1999-11-29 2010-03-16 Risk Jr James R Wound treatment apparatus
US7708724B2 (en) 2004-04-05 2010-05-04 Blue Sky Medical Group Incorporated Reduced pressure wound cupping treatment system
US7723560B2 (en) 2001-12-26 2010-05-25 Lockwood Jeffrey S Wound vacuum therapy dressing kit
US7731702B2 (en) 2002-09-13 2010-06-08 Neogen Technologies, Inc. Closed wound drainage system
US7759538B2 (en) 1997-05-27 2010-07-20 Wilhelm Fleischmann Process and device for application of active substances to a wound surface
US7763000B2 (en) 1999-11-29 2010-07-27 Risk Jr James R Wound treatment apparatus having a display
US7838717B2 (en) 2005-09-07 2010-11-23 Tyco Healthcare Group Lp Self contained wound dressing with micropump
US7837673B2 (en) 2005-08-08 2010-11-23 Innovative Therapies, Inc. Wound irrigation device
US7846141B2 (en) 2002-09-03 2010-12-07 Bluesky Medical Group Incorporated Reduced pressure treatment system
US7896856B2 (en) 2002-08-21 2011-03-01 Robert Petrosenko Wound packing for preventing wound closure
US7896864B2 (en) 2001-12-26 2011-03-01 Lockwood Jeffrey S Vented vacuum bandage with irrigation for wound healing and method
US7909805B2 (en) 2004-04-05 2011-03-22 Bluesky Medical Group Incorporated Flexible reduced pressure treatment appliance
US7910791B2 (en) 2000-05-22 2011-03-22 Coffey Arthur C Combination SIS and vacuum bandage and method
US7927318B2 (en) 2001-10-11 2011-04-19 Risk Jr James Robert Waste container for negative pressure therapy
US7931651B2 (en) 2006-11-17 2011-04-26 Wake Lake University Health Sciences External fixation assembly and method of use
US7988680B2 (en) 2000-11-29 2011-08-02 Kci Medical Resources Vacuum therapy and cleansing dressing for wounds
US8007481B2 (en) 2008-07-17 2011-08-30 Tyco Healthcare Group Lp Subatmospheric pressure mechanism for wound therapy system
US8021347B2 (en) 2008-07-21 2011-09-20 Tyco Healthcare Group Lp Thin film wound dressing
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US8048046B2 (en) 2008-05-21 2011-11-01 Tyco Healthcare Group Lp Wound therapy system with housing and canister support
US8062272B2 (en) 2004-05-21 2011-11-22 Bluesky Medical Group Incorporated Flexible reduced pressure treatment appliance
US8066243B2 (en) 2010-01-08 2011-11-29 Richard C. Vogel Adapter for portable negative pressure wound therapy device
US8083712B2 (en) 2007-03-20 2011-12-27 Neogen Technologies, Inc. Flat-hose assembly for wound drainage system
US8100887B2 (en) 2004-03-09 2012-01-24 Bluesky Medical Group Incorporated Enclosure-based reduced pressure treatment system
US8152785B2 (en) 2008-03-13 2012-04-10 Tyco Healthcare Group Lp Vacuum port for vacuum wound therapy
US8162907B2 (en) 2009-01-20 2012-04-24 Tyco Healthcare Group Lp Method and apparatus for bridging from a dressing in negative pressure wound therapy
US8168848B2 (en) 2002-04-10 2012-05-01 KCI Medical Resources, Inc. Access openings in vacuum bandage
US8167869B2 (en) 2009-02-10 2012-05-01 Tyco Healthcare Group Lp Wound therapy system with proportional valve mechanism
US8177763B2 (en) 2008-09-05 2012-05-15 Tyco Healthcare Group Lp Canister membrane for wound therapy system
US8216198B2 (en) 2009-01-09 2012-07-10 Tyco Healthcare Group Lp Canister for receiving wound exudate in a negative pressure therapy system
US8246591B2 (en) 2009-01-23 2012-08-21 Tyco Healthcare Group Lp Flanged connector for wound therapy
US8251979B2 (en) 2009-05-11 2012-08-28 Tyco Healthcare Group Lp Orientation independent canister for a negative pressure wound therapy device
US8257326B2 (en) 2008-06-30 2012-09-04 Tyco Healthcare Group Lp Apparatus for enhancing wound healing
US8257328B2 (en) 2008-07-08 2012-09-04 Tyco Healthcare Group Lp Portable negative pressure wound therapy device
US8267960B2 (en) 2008-01-09 2012-09-18 Wake Forest University Health Sciences Device and method for treating central nervous system pathology
US8298200B2 (en) 2009-06-01 2012-10-30 Tyco Healthcare Group Lp System for providing continual drainage in negative pressure wound therapy
US8350116B2 (en) 2001-12-26 2013-01-08 Kci Medical Resources Vacuum bandage packing
US8377016B2 (en) 2007-01-10 2013-02-19 Wake Forest University Health Sciences Apparatus and method for wound treatment employing periodic sub-atmospheric pressure
US8444613B2 (en) 2009-07-14 2013-05-21 Richard Vogel Pump leak monitor for negative pressure wound therapy
US8569566B2 (en) 2003-10-28 2013-10-29 Smith & Nephew, Plc Wound cleansing apparatus in-situ
US8777911B2 (en) 2008-08-08 2014-07-15 Smith & Nephew, Inc. Wound dressing of continuous fibers
US8827983B2 (en) 2008-08-21 2014-09-09 Smith & Nephew, Inc. Sensor with electrical contact protection for use in fluid collection canister and negative pressure wound therapy systems including same
US8834520B2 (en) 2007-10-10 2014-09-16 Wake Forest University Devices and methods for treating spinal cord tissue
US9155821B2 (en) 2009-06-10 2015-10-13 Smith & Nephew, Inc. Fluid collection canister including canister top with filter membrane and negative pressure wound therapy systems including same
US9289193B2 (en) 2008-07-18 2016-03-22 Wake Forest University Health Sciences Apparatus and method for cardiac tissue modulation by topical application of vacuum to minimize cell death and damage
US9302034B2 (en) 2011-04-04 2016-04-05 Smith & Nephew, Inc. Negative pressure wound therapy dressing
US9414968B2 (en) 2008-09-05 2016-08-16 Smith & Nephew, Inc. Three-dimensional porous film contact layer with improved wound healing
US9844473B2 (en) 2002-10-28 2017-12-19 Smith & Nephew Plc Apparatus for aspirating, irrigating and cleansing wounds
US10058642B2 (en) 2004-04-05 2018-08-28 Bluesky Medical Group Incorporated Reduced pressure treatment system
US10245185B2 (en) 2011-06-07 2019-04-02 Smith & Nephew Plc Wound contacting members and methods
US10258779B2 (en) 2017-02-17 2019-04-16 Smith & Nephew, Inc. Three-dimensional porous film contact layer with improved wound healing

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US5636643A (en) * 1991-11-14 1997-06-10 Wake Forest University Wound treatment employing reduced pressure
US5645081A (en) * 1991-11-14 1997-07-08 Wake Forest University Method of treating tissue damage and apparatus for same
EP0688189A4 (en) * 1993-03-09 1996-06-19 Univ Wake Forest Wound treatment employing reduced pressure
EP0688189A1 (en) * 1993-03-09 1995-12-27 Wake Forest University Wound treatment employing reduced pressure
US6398767B1 (en) 1997-05-27 2002-06-04 Wilhelm Fleischmann Process and device for application of active substances to a wound surface area
EP0880953A2 (en) * 1997-05-27 1998-12-02 Fleischmann, Wilhelm, Dr. med. Device for the application of active agents to a wound surface
EP0880953A3 (en) * 1997-05-27 2000-03-15 Fleischmann, Wilhelm, Dr. med. Device for the application of active agents to a wound surface
US7759538B2 (en) 1997-05-27 2010-07-20 Wilhelm Fleischmann Process and device for application of active substances to a wound surface
US6458109B1 (en) 1998-08-07 2002-10-01 Hill-Rom Services, Inc. Wound treatment apparatus
US7794438B2 (en) 1998-08-07 2010-09-14 Alan Wayne Henley Wound treatment apparatus
JP2008149157A (en) * 1998-08-07 2008-07-03 Hill Rom Co Inc Wound treatment apparatus
WO2000007653A1 (en) * 1998-08-07 2000-02-17 Hill-Rom, Inc. Wound treatment apparatus
US8540687B2 (en) 1998-08-07 2013-09-24 Kci Licensing, Inc. Wound treatment apparatus
US8021348B2 (en) 1999-11-29 2011-09-20 Kci Medical Resources Wound treatment apparatus
US7678090B2 (en) 1999-11-29 2010-03-16 Risk Jr James R Wound treatment apparatus
US7763000B2 (en) 1999-11-29 2010-07-27 Risk Jr James R Wound treatment apparatus having a display
US8747887B2 (en) 2000-05-22 2014-06-10 Kci Medical Resources Combination SIS and vacuum bandage and method
US7910791B2 (en) 2000-05-22 2011-03-22 Coffey Arthur C Combination SIS and vacuum bandage and method
US7867206B2 (en) 2000-11-29 2011-01-11 Kci Licensing, Inc. Vacuum therapy and cleansing dressing for wounds
US6685681B2 (en) 2000-11-29 2004-02-03 Hill-Rom Services, Inc. Vacuum therapy and cleansing dressing for wounds
US6752794B2 (en) 2000-11-29 2004-06-22 Hill-Rom Services, Inc. Vacuum therapy and cleansing dressing for wounds
US7988680B2 (en) 2000-11-29 2011-08-02 Kci Medical Resources Vacuum therapy and cleansing dressing for wounds
US8246592B2 (en) 2000-11-29 2012-08-21 Kci Medical Resources Vacuum therapy and cleansing dressing for wounds
US7927318B2 (en) 2001-10-11 2011-04-19 Risk Jr James Robert Waste container for negative pressure therapy
US7723560B2 (en) 2001-12-26 2010-05-25 Lockwood Jeffrey S Wound vacuum therapy dressing kit
US7896864B2 (en) 2001-12-26 2011-03-01 Lockwood Jeffrey S Vented vacuum bandage with irrigation for wound healing and method
US8350116B2 (en) 2001-12-26 2013-01-08 Kci Medical Resources Vacuum bandage packing
US8168848B2 (en) 2002-04-10 2012-05-01 KCI Medical Resources, Inc. Access openings in vacuum bandage
US7896856B2 (en) 2002-08-21 2011-03-01 Robert Petrosenko Wound packing for preventing wound closure
US7846141B2 (en) 2002-09-03 2010-12-07 Bluesky Medical Group Incorporated Reduced pressure treatment system
US8628505B2 (en) 2002-09-03 2014-01-14 Bluesky Medical Group Incorporated Reduced pressure treatment system
US9211365B2 (en) 2002-09-03 2015-12-15 Bluesky Medical Group, Inc. Reduced pressure treatment system
US8545464B2 (en) 2002-09-03 2013-10-01 Bluesky Medical Group Incorporated Reduced pressure treatment system
US8034038B2 (en) 2002-09-13 2011-10-11 Neogen Technologies, Inc. Closed wound drainage system
US7731702B2 (en) 2002-09-13 2010-06-08 Neogen Technologies, Inc. Closed wound drainage system
US9844473B2 (en) 2002-10-28 2017-12-19 Smith & Nephew Plc Apparatus for aspirating, irrigating and cleansing wounds
US9446178B2 (en) 2003-10-28 2016-09-20 Smith & Nephew Plc Wound cleansing apparatus in-situ
US8569566B2 (en) 2003-10-28 2013-10-29 Smith & Nephew, Plc Wound cleansing apparatus in-situ
US9452248B2 (en) 2003-10-28 2016-09-27 Smith & Nephew Plc Wound cleansing apparatus in-situ
US8100887B2 (en) 2004-03-09 2012-01-24 Bluesky Medical Group Incorporated Enclosure-based reduced pressure treatment system
US8708998B2 (en) 2004-03-09 2014-04-29 Bluesky Medical Group, Inc. Enclosure-based reduced pressure treatment system
US9198801B2 (en) 2004-04-05 2015-12-01 Bluesky Medical Group, Inc. Flexible reduced pressure treatment appliance
US7708724B2 (en) 2004-04-05 2010-05-04 Blue Sky Medical Group Incorporated Reduced pressure wound cupping treatment system
US10058642B2 (en) 2004-04-05 2018-08-28 Bluesky Medical Group Incorporated Reduced pressure treatment system
US7909805B2 (en) 2004-04-05 2011-03-22 Bluesky Medical Group Incorporated Flexible reduced pressure treatment appliance
US10105471B2 (en) 2004-04-05 2018-10-23 Smith & Nephew, Inc. Reduced pressure treatment system
US10207035B2 (en) 2004-05-21 2019-02-19 Smith & Nephew, Inc. Flexible reduced pressure treatment appliance
US8062272B2 (en) 2004-05-21 2011-11-22 Bluesky Medical Group Incorporated Flexible reduced pressure treatment appliance
DE102004056456A1 (en) * 2004-11-23 2006-05-24 Eugen Malamutmann Treatment device for wounds
US7837673B2 (en) 2005-08-08 2010-11-23 Innovative Therapies, Inc. Wound irrigation device
US8142405B2 (en) 2005-08-08 2012-03-27 Vogel Richard C Wound irrigation device pressure monitoring and control system
US10201644B2 (en) 2005-09-07 2019-02-12 Smith & Nephew, Inc. Self contained wound dressing with micropump
US7838717B2 (en) 2005-09-07 2010-11-23 Tyco Healthcare Group Lp Self contained wound dressing with micropump
US8454603B2 (en) 2006-11-17 2013-06-04 Wake Forest University Health Sciences External fixation assembly and method of use
US9050136B2 (en) 2006-11-17 2015-06-09 Wake Forest University Health Sciences External fixation assembly and method of use
US7931651B2 (en) 2006-11-17 2011-04-26 Wake Lake University Health Sciences External fixation assembly and method of use
US8377016B2 (en) 2007-01-10 2013-02-19 Wake Forest University Health Sciences Apparatus and method for wound treatment employing periodic sub-atmospheric pressure
US9737455B2 (en) 2007-01-10 2017-08-22 Wake Forest Univeristy Health Sciences Apparatus and method for wound treatment employing periodic sub-atmospheric pressure
US8083712B2 (en) 2007-03-20 2011-12-27 Neogen Technologies, Inc. Flat-hose assembly for wound drainage system
US8834520B2 (en) 2007-10-10 2014-09-16 Wake Forest University Devices and methods for treating spinal cord tissue
US8267960B2 (en) 2008-01-09 2012-09-18 Wake Forest University Health Sciences Device and method for treating central nervous system pathology
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US10076318B2 (en) 2008-07-18 2018-09-18 Wake Forest University Health Sciences Apparatus and method for cardiac tissue modulation by topical application of vacuum to minimize cell death and damage
US9289193B2 (en) 2008-07-18 2016-03-22 Wake Forest University Health Sciences Apparatus and method for cardiac tissue modulation by topical application of vacuum to minimize cell death and damage
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US8827983B2 (en) 2008-08-21 2014-09-09 Smith & Nephew, Inc. Sensor with electrical contact protection for use in fluid collection canister and negative pressure wound therapy systems including same
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US9889241B2 (en) 2009-06-01 2018-02-13 Smith & Nephew, Inc. System for providing continual drainage in negative pressure wound therapy
US9155821B2 (en) 2009-06-10 2015-10-13 Smith & Nephew, Inc. Fluid collection canister including canister top with filter membrane and negative pressure wound therapy systems including same
US8444613B2 (en) 2009-07-14 2013-05-21 Richard Vogel Pump leak monitor for negative pressure wound therapy
US8066243B2 (en) 2010-01-08 2011-11-29 Richard C. Vogel Adapter for portable negative pressure wound therapy device
US10154929B2 (en) 2011-04-04 2018-12-18 Smith & Nephew, Inc. Negative pressure wound therapy dressing
US9302034B2 (en) 2011-04-04 2016-04-05 Smith & Nephew, Inc. Negative pressure wound therapy dressing
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