ES2227872T3 - Cabeza de aspiracion para el tratamiento de heridas y combinacion con un paño quirurgico. - Google Patents

Cabeza de aspiracion para el tratamiento de heridas y combinacion con un paño quirurgico.

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ES2227872T3
ES2227872T3 ES98941623T ES98941623T ES2227872T3 ES 2227872 T3 ES2227872 T3 ES 2227872T3 ES 98941623 T ES98941623 T ES 98941623T ES 98941623 T ES98941623 T ES 98941623T ES 2227872 T3 ES2227872 T3 ES 2227872T3
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adhesive
film
cloth
coated
suction head
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Keith Patrick Heaton
Kenneth William Hunt
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KCI Licensing Inc
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KCI Licensing Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/02Adhesive bandages or dressings
    • A61F13/023Adhesive bandages or dressings wound covering film layers without a fluid retention layer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00Surgical drapes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00Surgical drapes
    • A61B46/20Surgical drapes specially adapted for patients
    • A61B46/23Surgical drapes specially adapted for patients with means to retain or hold surgical implements
    • 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
    • A61M1/90Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/91Suction aspects of the dressing
    • A61M1/912Connectors between dressing and drainage tube
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00Surgical drapes
    • A61B46/20Surgical drapes specially adapted for patients
    • A61B2046/205Adhesive drapes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00Surgical drapes
    • A61B46/20Surgical drapes specially adapted for patients
    • A61B46/23Surgical drapes specially adapted for patients with means to retain or hold surgical implements
    • A61B2046/236Surgical drapes specially adapted for patients with means to retain or hold surgical implements with means for collecting drain fluid, e.g. drain tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/005Auxiliary appliance with suction drainage system
    • 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
    • A61M1/84Drainage tubes; Aspiration tips

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Vascular Medicine (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Materials For Medical Uses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Adhesive Tapes (AREA)
  • External Artificial Organs (AREA)
  • Surgical Instruments (AREA)
  • Massaging Devices (AREA)

Abstract

Una cabeza de aspiración para aplicar aspiración a una zona de herida, la cual comprende una porción (30) de reborde genéricamente plana y una pieza (35) conector tubular sobre una primera cara para conectar un tubo (106) de aspiración a una abertura (25) a través de la porción (30) de reborde hasta la otra cara; caracterizada porque la mencionada otra cara tiene salientes (32) que definen canales (33) de flujo para facilitar el flujo de fluidos hasta la mencionada abertura.

Description

Cabeza de aspiración para el tratamiento de heridas y combinación con un paño quirúrgico.
Esta invención se refiere a cabezas de aspiración para el tratamiento de heridas, y a la combinación de una cabeza de aspiración con un paño quirúrgico.
Paños quirúrgicos son ampliamente utilizados en operaciones quirúrgicas con el propósito de reducir infección y facilitar la manipulación de la piel alrededor de las incisiones. Normalmente, son transparentes o traslúcidos. Típicamente, constan de una película flexible en plástico la cual está revestida de adhesivo y la cual se aplica a la zona de la operación, antes de realizar la incisión. Los paños quirúrgicos también se usan para fijar dispositivos de tratamiento a pacientes tras una operación, tales como catéteres o tubos de drenaje.
Un uso adicional, recientemente desarrollado, es para conectar un tubo de aspiración a una herida con el propósito de estimular la cicatrización de la herida. Dicho uso se describe en los documentos de nuestras solicitudes PCT previas n^{os} WO 96/05873 y WO 97/18007.
Se han realizado diversas propuestas en el pasado para diseñar el paño quirúrgico de tal forma que se facilite la manipulación de la película pegajosa, flexible en plástico. Por ejemplo, la patente de los Estados Unidos nº 5.437.622 describe un paño quirúrgico el cual es un estratificado de tres materiales. El primer material comprende una delgada película transparente en plástico la cual está revestida de adhesivo y ésta está protegida con una capa de papel revestido para ser retirado. La otra cara de la película revestida de adhesivo está reforzada con una capa de refuerzo de una película en plástico menos flexible. Las barras o tiras de manipulación están fijadas a la película flexible en plástico en sus bordes laterales para facilitar la manipulación de la película flexible en plástico tras arrancar la capa protectora retirable.
Allí donde se desee usar un paño quirúrgico principalmente para fijar un dispositivo, tal como un catéter, a una herida tras una operación o para un tratamiento de larga duración, no es adecuado que el cirujano o la enfermera tenga que adaptar un paño quirúrgico estándar a este propósito. Será más adecuado tener un paño quirúrgico que sea adecuado, sin adaptación, para acomodar el dispositivo de tratamiento.
Un aspecto de la presente invención se dirige a resolver este problema. Un segundo aspecto proporciona un paño quirúrgico y una cabeza de aspiración combinados para aplicar aspiración a una zona de herida y para facilitar la aplicación de terapia con presión negativa.
De acuerdo con el segundo aspecto de la presente invención se proporciona un paño quirúrgico el cual comprende una delgada película flexible revestida de adhesivo y una capa de refuerzo aplicada a la cara opuesta del revestimiento adhesivo, siendo la capa de refuerzo una película en plástico la cual es más gruesa o menos flexible que la mencionada película revestida de adhesivo, y una capa protectora retirable aplicada al revestimiento adhesivo, teniendo el paño una abertura a través de al menos la película de refuerzo y revestida de adhesivo para permitir, durante el uso, acceso a la zona de herida, teniendo un primer extremo del paño barras de manipulación no revestidas de adhesivo para separar la película revestida de adhesivo de la capa protectora, y en el cual la capa protectora comprende una tira separada que se extiende paralela al primer borde del paño, y la cual protege el revestimiento adhesivo en la región de la abertura y porta un ala que solapa la porción contigua de la capa protectora, constituyendo la mencionada ala un mango para facilitar la retirada de la mencionada tira antes de ser usada. Preferiblemente, las barras de manipulación no revestidas de adhesivo están posicionadas en bordes laterales opuestos del paño.
En la práctica, los paños quirúrgicos pueden ser fabricados laminando una película flexible revestida de adhesivo, tal como una película de poliuretano, a una capa protectora retirable, tal como un papel silicionizado. Se puede aplicar una capa de refuerzo de material plástico más grueso, por ejemplo una poliolefina tal como polietileno, a la cara no revestida de adhesivo de la película flexible, de tal forma que se produce un laminado de tres capas. Estos laminados se producen con una anchura sustancial y pueden ser cortados en tiras longitudinalmente hasta la anchura deseada y, a continuación, lateralmente hasta formar paños del tamaño deseado.
Tras cortar en tiras hasta la anchura deseada, las barras de manipulación se aplican normalmente a las capas revestidas de adhesivo en uno o en ambos bordes laterales para facilitar la separación de la capa protectora retirable. Aunque se podría cortar una abertura en la posición deseada a través de las capas para acomodar un catéter o un dispositivo tal como los descritos en nuestras aplicaciones mencionadas en lo que antecede, es difícil manipular la película muy plegable y adhesiva una vez que la capa retirable ha sido arrancada.
Aunque la capa de refuerzo mejora de algún modo las características de manipulación, no es una respuesta completa al problema. Sin embargo, las características de manipulación se mejoran sustancialmente al proporcionar una capa protectora la cual está en al menos dos partes, una de las cuales está en forma de una tira, por ejemplo una que se extiende en paralelo con los bordes laterales del paño, y que cubre la zona periférica alrededor de la abertura a través del paño. Al proporcionar un ala sobre esta parte de la capa retirable, puede ser arrancada inicialmente de tal forma que el paño se posiciona en primer lugar alrededor del dispositivo el cual se pasa a través de la abertura, y, a continuación, la parte restante de la capa protectora retirable se arranca para adherir el paño a la piel del paciente alrededor de la zona a ser tratada.
En una forma preferida de la invención, en la cual la terapia con presión negativa se aplica a una zona de herida, el paño quirúrgico descrito en lo que antecede se combina con una cabeza de aspiración que tiene una pieza conector la cual esta adaptada para ser conectada a un tubo de aspiración. De este modo, en esta realización la cabeza de aspiración se puede adherir a la piel del paciente en la zona de la herida tras retirar la tira de capa protectora retirable, a continuación, la parte restante fijada a la piel del paciente. De este modo, la cabeza de aspiración se mantiene firmemente en su sitio y, al mismo tiempo, sella la cabeza de aspiración hasta la zona de herida e impide fugas de aire procedentes de la atmósfera al interior de la zona de herida.
La invención también incluye una cabeza de aspiración que tiene un diseño que facilita la aspiración de fluido desde una zona de herida.
De acuerdo con el primer aspecto de la invención, por lo tanto, se provee una cabeza de aspiración para aplicar aspiración a una zona de herida la cual comprende una porción de ala y una pieza conector sobre una primera cara, para conectar un tubo de aspiración a una abertura a través de la porción de reborde hasta la otra cara, teniendo la mencionada otra cara salientes que definen canales de flujo que facilitan el flujo de fluido hacia la mencionada abertura.
Preferiblemente, la cabeza de aspiración descrita en lo que antecede se combina con un paño quirúrgico, comprendiendo el paño una delgada película flexible en plástico revestida de adhesivo, y la pieza conector tubular se extiende a través de una abertura en la película en plástico con el revestimiento adhesivo adherido a la mencionada primera cara de la porción de reborde.
Preferiblemente, la cabeza de aspiración se usa conjuntamente con un soporte flexible de espuma de celda abierta de tal forma que una superficie del soporte flexible de espuma está colocado en contacto con una zona de herida y la cabeza de aspiración está aplicada a la otra superficie del soporte flexible de espuma. En el caso de heridas profundas la espuma puede estar conformada y colocada de tal forma que esté empaquetada en la cavidad de herida como se describe en nuestras solicitudes PCT citadas en lo que antecede. De acuerdo con otra técnica, la cual es particularmente aplicable a heridas superficiales, el soporte flexible de espuma puede ser un soporte flexible relativamente delgado el cual se coloca sobre la herida. La cabeza de aspiración se coloca en contacto con la cara abierta del soporte flexible de espuma y el paño se aplica sobre la cabeza de aspiración para fijar el conjunto a la piel del paciente.
Se pueden usar diversos tipos de espumas de celda abierta como se describe en nuestras solicitudes PCT citadas en lo que antecede. La espuma puede ser una espuma de poliuretano, pero se prefieren espumas de acetato de polivilino (pva), especialmente cuando se usan como un soporte flexible el cual se coloca sobre la herida. Éstas son en algún grado hidrófilas, lo que parece exhibir propiedades de confort beneficiosas al ser aplicadas a la piel. La cicatrización de la herida se estimula mediante el mantenimiento de condiciones de humedad en la zona de herida, y esto se facilita usando una espuma hidrófila.
Características y ventajas adicionales de la presente invención serán evidentes a partir de la siguiente descripción y de los dibujos que se acompañan, de ejemplos no limitativos de acuerdo con la invención.
Haciendo referencia a los dibujos que se acompañan:
la figura 1 representa un diseño convencional de paño quirúrgico;
la figura 2 representa una variación en el diseño de las barras de manipulación en un extremo del paño mostrado en la figura 1;
la figura 3 es una vista similar a la figura 1 de una paño quirúrgico de acuerdo con la invención;
la figura 4 es una vista en planta del paño quirúrgico mostrado en la figura 3;
la figura 5 es una vista en planta por debajo de una cabeza de aspiración de acuerdo con la invención; y
la figura 6 es un alzado lateral de la cabeza de aspiración mostrada en la figura 5;
la figura 7 es una vista similar a la figura 6 pero muestra la cabeza de aspiración afirmada a una superficie de pile con el paño y con un soporte flexible de espuma situado entre la cabeza y la superficie de piel.
La figura 8 es una vista en perspectiva del paño con una porción de tira central de la hoja protectora en el transcurso de la retirada, y
Las figuras 9(a)\sim9(c) ilustran las etapas de fijar el conjunto de vestir a una zona de herida sobre la pierna de un paciente y fijar un conjunto de presión negativa.
Haciendo referencia a las figuras 1 y 2 de los dibujos que acompañan, un estratificado convencional para usar como paño quirúrgico comprende una delgada película 1 flexible y transparente en plástico la cual está revestida de adhesivo sobre una cara 2, normalmente con un adhesivo de gran pegajosidad sensible a la presión, y está protegido con una capa 3 retirable. La delgada película en plástico es convenientemente de poliuretano pues transmite presión. La capa 3 es considerablemente más gruesa que la película 1 y está revestida sobre la superficie contigua al adhesivo con un material retirable tal como una silicona para facilitar el arrancado de la película revestida de adhesivo.
Con el fin de facilitar la retirada de la película revestida de adhesivo antes del uso del dispositivo, las barras 4 de manipulación se unen por cada extremo a la película 1 revestida de adhesivo. De este modo, manteniendo sujetas una de las barras 4, la capa 3 protectora puede ser arrancada y la cara de adhesivo aplicada a la piel del paciente. Para facilitar la manipulación de la delgada película flexible, se aplica frecuentemente una película 5 de refuerzo en plástico a la cara libre de la película 1 en plástico. Ésta también es genéricamente transparente o traslúcida. La película 5 preferiblemente no está pegada con adhesivo a la película 1, sino que permanece en contacto debido a fuerzas electrostáticas o debido al estrecho contacto entre las dos superficies de conformado de la película 1 y película 5.
Normalmente, el cirujano o la enfermera querrá arrancar la capa 5 protectora una vez que la película 1 ha sido correctamente colocada sobre la piel del paciente y esto se puede facilitar haciendo cortes 6 parciales a través de las películas 1 y 5, de tal forma que a medida que la barra 4 de manipulación se retira hacia arriba desde la piel del paciente, la película 1 adhesiva permanece adherida al paciente, mientras los cortes 6 parciales causan separación de la película flexible desde la película 5 de refuerzo. Se pueden proporcionar las barras 7 de refuerzo para mantener los bordes laterales de la película 5 de refuerzo y de la película 1 juntos con sus partes principales.
Una disposición alternativa se muestra en la figura 2, en la cual se proporciona la película 5 de refuerzo con una barra 14 de manipulación separada de solapado para facilitar su retirada de la película 1 flexible.
Detalles adicionales de la confección y de la fabricación de paños quirúrgicos se dan en la patente de los Estados Unidos 5.437.622 y en la solicitud de patente europea nº 0161865 y en la técnica anterior a que se hace referencia en la presente memoria.
Haciendo referencia a las figuras 3 y 4, el paño quirúrgico de esta invención comprende una película 20 externa protectora, estratificada a una delgada película 21 flexible. La película 21 flexible incluye una capa revestida de adhesivo la cual está protegida con un material 24 en lámina revestido de liberador. Los bordes laterales de la película 21 flexible están dotados de barras 23 de manipulación. Hasta ahora, el diseño es esencialmente el mismo que el mostrado en las figuras 1 y 2.
El paño de la presente invención difiere del paño mostrado en las figuras 1 y 2 en que una abertura 25 está cortada a través de la capa 20 de refuerzo y a través de la capa 21 flexible. La otra diferencia comparada con los paños de la técnica anterior es que la capa protectora liberable está formada en al menos dos secciones.
En las realizaciones mostradas en las figuras 3 y 4, la porción central de la capa retirable comprende una tira 26, que tiene alas 27 las cuales solapan las porciones restantes por fuera de la capa retirable. El propósito de esto es permitir que la tira 26 central sea retirada primero, sin molestar las porciones restantes de la capa retirable. El paño puede ser colocado alrededor de la zona de herida y, si se desea, un dispositivo de aspiración u otro dispositivo de tratamiento se puede pasar a través de la abertura 25 y afirmado a la piel del paciente con las zonas periféricas expuestas de película revestida de adhesivo.
Un ejemplo de un dispositivo para aplicar aspiración a la zona de herida se ilustra en las figuras 5, 6 y 7.
Haciendo referencia a estas figuras, la cabeza de aspiración comprende una porción 30 de reborde que tiene un borde 31 ahusado, y un perfil el cual puede tener cualquier forma deseada pero que genéricamente está redondeado en sus bordes. Sobre la cara del reborde 30 que se pretende para entrar en contacto con la piel del paciente o con un soporte flexible de espuma hay formada una serie de salientes 32 la cual está distribuida sobre la superficie del reborde separado de la porción 31 de borde periférico. El propósito de estos salientes es el de proporcionar canales 33 de fluido que faciliten el flujo de fluidos procedentes de cualquier punto del reborde hasta un punto 34 central, desde el cual se pretende aplicar aspiración. La cabeza de aspiración incluye un conector 35 situado por encima de la abertura 34, teniendo un extremo 36 tubular adaptado para recibir y conectar un catéter. El extremo tubular puede tener una porción ahusada hacia afuera para facilitar la alimentación a un catéter en el interior del conector. La superficie 37 superior de la cabeza de aspiración tiene una superficie sustancialmente suave.
Durante el uso, la porción 35 conector está dimensionada de tal forma que ésta se extiende a través de la abertura 25 en el paño quirúrgico mostrado en las figuras 3 y 4, con la superficie adhesiva alrededor de la abertura pegada a la superficie 37 suave del reborde 30. La cabeza de aspiración puede estar empaquetada en este estado con el paño quirúrgico de tal forma que durante el uso, la banda 26 se retira tirando de los mangos 27 exponiendo, de este modo, la superficie de adhesivo en la vecindad de, y rodeando, la cabeza de aspiración. La cabeza de aspiración puede fijarse, entonces, en la deseada posición sobre la herida del paciente, y, a continuación, la porción restante de la película protectora ser retirada para fijar el paño al paciente. El reborde 30 de la cabeza de aspiración puede ser en cierto modo oval como se muestra en la figura 5, y tener dimensiones como se indica en esta figura, es decir, una dimensión mayor de aproximadamente 95 mm y una dimensión pequeña de aproximadamente 70 mm. Alternativamente, el reborde puede ser circular y ser menor en vista en planta. Por ejemplo, el diámetro de una cabeza de aspiración circular puede tener un diámetro entre aproximadamente 30 a 50 mm, por ejemplo ser de aproximadamente 40 mm. Se ha descubierto que el reborde de cabeza de aspiración no debería solapar la zona de la herida. De este modo, en el caso de heridas más pequeñas, está indicada una cabeza de aspiración menor.
La figura 7 muestra la cabeza de aspiración fijada a una zona 71 de herida de un paciente 70. La cabeza de aspiración se presiona para que tenga un firme contacto con una espuma 73 flexible de celda abierta la cual se presiona para que entre en contacto con la zona 71 de herida. La cabeza de aspiración y el soporte flexible de espuma se presionan para que entren en contacto con la zona de herida mediante un paño 20 quirúrgico que tenga una superficie 74 adhesiva. La superficie adhesiva se une a la piel del paciente fuera de la periferia del soporte flexible de espuma y a la cabeza de aspiración. También está unida a la superficie 37 superior de la cabeza de aspiración. En el paño está formada una abertura para permitir que la porción 35 conector se extienda hacia arriba a través del paño. Con el fin de advertir del peligro de que se están encajando tubos de catéter incorrectos al conector 35, el último puede tener una sección transversal a medida o un saliente interno, tal como un nervio o una chaveta el cual colabora con una ranura o chavetero correspondiente en el catéter. Alternativamente, el catéter puede estar moldeado con un saliente o nervio longitudinal el cual colabora con una ranura correspondiente o chavetero en la abertura del conector 35.
El soporte flexible de espuma puede estar empaquetado en un bolsillo en plástico, esterilizado por irradiación gama y suministrado en la misma caja o en otras unidades de empaquetado con la cabeza de aspiración y el paño.
Las figuras 8 y 9 (a)\sim(b) ilustran el modo en el cual la combinación de paño/cabeza de aspiración se coloca sobre la piel de un paciente. En la figura 8, una lámina 101 de respaldo que tiene una superficie revestida se retira en la primera etapa de la cara 102 adhesiva del paño expuesto a la cara del conector 30. Un soporte flexible 103 de espuma está situado sobre la zona de herida y el paño se coloca sobre el soporte flexible de espuma, estando adherido el paño a la piel por encima y por debajo del soporte flexible (figura 9a). Las tiras 104 y 105 laterales protectoras se retiran a su vez del paño y el conjunto se adhiere a la piel (figuras 9[b] y 9[c]). Por último, la boca 36 de descarga se conecta a un tubo 106 el cual se conecta entonces a una fuente de aspiración, por ejemplo una bomba, como se describe en lo que antecede en nuestra solicitud PCT, con el fin de aplicar presión negativa a la herida. El conjunto de cabeza de aspiración y paño se muestra en la figura 8, con la superficie 37 suave adherida al paño, convenientemente empaquetado en una bolsa o saco en plástico de fácil apertura y esterilizado para su uso inmediato.

Claims (6)

1. Una cabeza de aspiración para aplicar aspiración a una zona de herida, la cual comprende una porción (30) de reborde genéricamente plana y una pieza (35) conector tubular sobre una primera cara para conectar un tubo (106) de aspiración a una abertura (25) a través de la porción (30) de reborde hasta la otra cara; caracterizada porque la mencionada otra cara tiene salientes (32) que definen canales (33) de flujo para facilitar el flujo de fluidos hasta la mencionada abertura.
2. Una cabeza de aspiración según la reivindicación 1, la cual se combina con un paño quirúrgico, comprendiendo el paño una delgada película (21) flexible en plástico revestida de adhesivo, extendiéndose la pieza (35) conector tubular a través de una abertura en la película (21) en plástico con el revestimiento adhesivo adherido a la mencionada primera cara de la porción (30) de reborde.
3. Una combinación de cabeza de aspiración y de paño quirúrgico según la reivindicación 2, en la cual la película (21) revestida de adhesivo está reforzada con una segunda película (20) en plástico, la cual es más gruesa o menos flexible que la mencionada película revestida de adhesivo.
4. Una combinación de cabeza de aspiración y de paño quirúrgico según las reivindicaciones 2 ó 3, en la cual el revestimiento de adhesivo sobre la mencionada película flexible está protegido con una capa (24) protectora retirable, que cubre la zona del adhesivo, comprendiendo la mencionada capa retirable una tira separada que protege el revestimiento adhesivo en la vecindad de la cabeza de aspiración y portando la mencionada tira un ala (27) que solapa una porción contigua de la capa liberable y que construye un mango para facilitar la retirada de la mencionada tira antes de ser usada.
5. Un conjunto para ser usado con una fuente de aspiración para estimular la cicatrización de heridas el cual comprende un soporte flexible de espuma, una espuma de polímero flexible de celda abierta y una cabeza de aspiración y paño según la reivindicación 4.
6. Una cabeza de aspiración según la reivindicación 1 combinada con un paño quirúrgico el cual comprende una delgada película (21) flexible en plástico revestida de adhesivo y una capa (20) de refuerzo aplicada a la cara opuesta del revestimiento de adhesivo, siendo la capa de refuerzo una película en plástico que es más gruesa o menos flexible que la mencionada película revestida de adhesivo, y una capa (24) protectora retirable aplicada al revestimiento adhesivo, teniendo el paño una abertura (25) a través de al menos la película de refuerzo y película revestida de adhesivo para permitir, durante el uso, acceso a una zona de herida, teniendo al menos un primer borde del paño una barra (23) de manipulación no revestida de adhesivo para separar la película revestida de adhesivo de la capa protectora, y en la cual la capa protectora comprende una tira separada que se extiende paralela respecto del primer borde del paño, y la cual protege el revestimiento adhesivo en la región de la abertura (25) y porta al menos un ala (27) que solapa la porción contigua de la capa protectora, constituyendo la mencionada ala un mango para facilitar la retirada de la mencionada tira antes de ser usada.
ES98941623T 1997-09-12 1998-09-09 Cabeza de aspiracion para el tratamiento de heridas y combinacion con un paño quirurgico. Expired - Lifetime ES2227872T3 (es)

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