JP2001314479A - Wound washing and activation device and system using the same - Google Patents

Wound washing and activation device and system using the same

Info

Publication number
JP2001314479A
JP2001314479A JP2000135219A JP2000135219A JP2001314479A JP 2001314479 A JP2001314479 A JP 2001314479A JP 2000135219 A JP2000135219 A JP 2000135219A JP 2000135219 A JP2000135219 A JP 2000135219A JP 2001314479 A JP2001314479 A JP 2001314479A
Authority
JP
Japan
Prior art keywords
wound surface
wound
stopcock
cleaning
cleaning liquid
Prior art date
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.)
Pending
Application number
JP2000135219A
Other languages
Japanese (ja)
Inventor
Keiji Ishikawa
啓司 石川
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Terumo Corp
Original Assignee
Terumo Corp
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
Application filed by Terumo Corp filed Critical Terumo Corp
Priority to JP2000135219A priority Critical patent/JP2001314479A/en
Publication of JP2001314479A publication Critical patent/JP2001314479A/en
Pending legal-status Critical Current

Links

Abstract

PROBLEM TO BE SOLVED: To provide a wound treatment device and a system thereof which efficiently enhances the performance of washing the wound, exerting the wound healing effect by negative pressure. SOLUTION: The wound washing and activation device has a wound cover to cover the wound and a washing liquid infusion hole with a turncock and a waste liquid discharge hole with a turncock disposed on the cover. The wound washing and activation system comprises a syringe or a container containing washing liquid connected to the device and a syringe or a pump unit connected to the discharge hole.

Description

【発明の詳細な説明】DETAILED DESCRIPTION OF THE INVENTION

【0001】[0001]

【発明の属する技術分野】本発明は、創傷面の洗浄、活
性化を目的とし創傷部の治癒促進を図る医療用具として
用いる創傷面洗浄活性化装置及びこの装置を用いた創傷
面洗浄活性化システムに関する。
BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a wound surface cleaning activation device used as a medical tool for promoting the healing of a wound for the purpose of cleaning and activating a wound surface, and a wound surface cleaning activation system using the device. About.

【0002】[0002]

【従来の技術】創傷とは組織が分断あるいは破壊され、
多かれ少なかれ組織の欠損を有し、それに対応した機能
障害をきたす状態であると定義される。創傷は一般に血
管反応、血液凝固、炎症、組織の新生等の過程を経て治
癒へと向かう。比較的軽度な損傷においては、自然治癒
となるが、大きな損傷や糖尿病性潰瘍、褥瘡等の難治性
潰瘍においては、自然治癒することができない。
2. Description of the Related Art A wound is a tissue that is divided or destroyed.
It is defined as a condition that has more or less tissue loss and causes a corresponding dysfunction. Wounds generally undergo healing, clotting, inflammation, tissue renewal, and the like, before healing. The relatively small injury results in spontaneous healing, but the large injury and intractable ulcer such as diabetic ulcer and pressure ulcer cannot heal spontaneously.

【0003】特に近年では、高齢化社会に伴い寝たきり
高齢者数も増加し、床ずれ等による難治性の褥瘡、皮膚
潰瘍に苦しむ患者の数は増加の一途を辿っており、多く
の褥瘡、皮膚潰瘍治療剤(材)が販売されている。しか
し、決めてとなる治療法は存在せず、多くは適切な治療
法もないままに放置されているのが現状である。
Particularly in recent years, the number of bedridden elderly people has increased with the aging society, and the number of patients suffering from intractable pressure ulcers and skin ulcers due to bed sores has continued to increase. Therapeutic agents (materials) are on sale. However, there is no definitive treatment, and many are left without any appropriate treatment.

【0004】III度以上の深い創の褥瘡、皮膚潰瘍に対
して、皮弁術等を用いた外科的治療が最も有効な手段で
あるが、基礎疾患などにより不可能なことが多く、その
治療には古くからガーゼに軟膏を塗布したものを患部に
適用し、毎日交換する保存的な軟膏処置が施されてき
た。また、創傷は湿潤環境下の方が肉芽形成や上皮形成
が起こりやすく速く治癒するという概念から、創を湿潤
に保つことを目的としたアルギン酸ナトリウムやカルボ
キシメチルセルロース等の高分子を主成分とするハイド
ロコロイドドッレッッシング材が開発され、合成材料適
用による閉鎖療法が臨床の場で行われるようになってき
た。
[0004] Surgical treatment using flaps and the like is the most effective means for pressure sores and skin ulcers of deep wounds of degree III or higher, but it is often impossible due to the underlying disease and the like. For a long time, gauze coated with an ointment has been applied to the affected area, and conservative ointment treatment has been performed, which is changed daily. In addition, wounds tend to heal more quickly in a moist environment because granulation and epithelium formation tend to occur, so the hydrocolloid containing a polymer such as sodium alginate or carboxymethylcellulose for the purpose of keeping the wound moist is the main component. Dressing materials have been developed, and closed therapies using synthetic materials have been used in clinical settings.

【0005】しかしながら、このような材料を用いても
良好な治療効果が得られないことが多く、難治性化する
ことが多々ある。その要因の一つには、創傷部の血行不
良等による組織の陳旧化によって、創傷治癒に必要な血
管新生因子や成長因子等の生理活性物質の分泌や活性が
低下し、血管新生や肉芽組織の新生に十分な環境が整わ
ないことがあげられる。また、別の要因には創傷部の血
行不良により、細菌感染に抵抗することができず、その
結果、創傷治癒が著しく阻害されることになる。
[0005] However, even if such a material is used, a good therapeutic effect is often not obtained, and the material often becomes intractable. One of the factors is the deterioration of tissue due to poor blood circulation in the wound, etc., resulting in a decrease in secretion and activity of physiologically active substances such as angiogenic factors and growth factors necessary for wound healing, and angiogenesis and granulation. The lack of a sufficient environment for the renewal of the tissue is mentioned. Another factor is poor blood circulation at the wound site, which makes it impossible to resist bacterial infection, which results in a significant impairment of wound healing.

【0006】このようなことから近年では、陳旧化した
創傷部に対して上皮細胞成長因子(EGF)や血小板由来成
長因子(PDGF)、プロスタグランジン製剤等の生理活性物
質を適用して、創傷部の活性を促す積極的な治療法が試
みられている。しかしながら、これらの物質の問題点は
非常に高価であることと、細菌感染に対して無抵抗であ
ることから、感染の制御が不充分であればかえって創傷
部を悪化させることになりかねない。
[0006] For these reasons, recently, physiologically active substances such as epidermal growth factor (EGF), platelet-derived growth factor (PDGF), and prostaglandin preparations have been applied to old wounds. Aggressive treatments that promote wound activity have been attempted. However, the problem with these materials is that they are very expensive and are not resistant to bacterial infections, so poor control of the infection may rather exacerbate the wound.

【0007】従って、創傷の治療、特に難治化した創傷
部の治療には、細菌感染を制御しつつ且つ創傷部の活性
を促し、創傷治癒促進に適した環境を提供する技術の開
発が望まれる。そのようなことから、創傷治癒の修復や
再生のプロセスにとって、創部の血行の良いことが非常
に大きな意味を持つ。上述した問題を解決する手段とし
て創傷に減圧を加えて創傷を治療する装置及び方法(特
表平9-503923号)が開示されている。これによるとある
一定時間減圧を創傷に作用させることにより、創傷領域
への血流が促進される結果として創傷の治癒を促し、ま
た、創傷内の細菌密度を減少させることが示されてい
る。また、別の発明では、この技術を改良し、使いやす
く、コンパクトで収納性に優れ、効果的且つ経済的に有
利に実行できる創傷を閉じるための装置に関する発明が
開示されている(特表平10-504484号)。
[0007] Therefore, in the treatment of wounds, particularly the treatment of intractable wounds, it is desired to develop a technique for controlling bacterial infection, promoting the activity of the wounds, and providing an environment suitable for promoting wound healing. . As such, good wound blood circulation has enormous significance for the process of repair and regeneration of wound healing. As a means for solving the above-mentioned problems, an apparatus and a method for treating a wound by applying reduced pressure to the wound (Japanese Patent Publication No. 9-503923) are disclosed. It has been shown that applying a reduced pressure to a wound for a certain period of time promotes healing of the wound as a result of promoting blood flow to the wound area and also reduces bacterial density in the wound. In another invention, there is disclosed an invention relating to a device for closing a wound which improves this technology, is easy to use, is compact, has excellent storability, and can be executed effectively and economically advantageously. No. 10-504484).

【0008】これら開示されている装置及びシステム
は、創傷部を一定時間陰圧にすることにより血流を増大
させ創傷面の活性化を促すと共に創傷部からの膿を排出
することで、創傷面の細菌数を減少させることができる
となっている。しかしながら、これら先行技術には、創
傷面を連続的に洗浄する工夫がないため、細菌数の減少
効果は乏しく、毎日陰圧付与操作を行っても1週間後に
細菌数が1/2程度に減少する程度であり、創傷面を積極
的に洗浄し細菌を除去する物ではない。創傷の治癒過程
において創傷面をいかにきれいにするか、言いかえれば
感染をいかに制御するかがその後の治癒の善し悪しに関
与してくる。創傷面の感染対策としては、抗菌剤や抗菌
性材料が用いられているが、宿主に対する影響や耐性菌
の出現等の問題から乱用は望ましくなく、大量の生食等
で創傷面を洗い流し物理的に細菌等を除去して創傷面を
洗浄してやることが望ましい。現在でも創傷の治療の
際、特に感染を伴う褥瘡等では、生食等による創傷面の
洗浄操作は必須である。古くから患部に膿盆をあてが
い、創傷面に生食等を噴出して洗浄する方法が取られて
きているが、膿盆で洗浄液を上手く回収できなかった
り、洗浄液による二次感染の危険性等の虞がある。
These disclosed devices and systems provide a wound surface with a negative pressure on the wound for a period of time to increase blood flow and promote activation of the wound surface and to drain pus from the wound site. The number of bacteria can be reduced. However, these prior arts do not have a contrivance to continuously wash the wound surface, so the effect of reducing the number of bacteria is poor, and even if a negative pressure application operation is performed daily, the number of bacteria decreases to about 1/2 after one week. It does not actively clean the wound surface and remove bacteria. In the process of wound healing, how to clean the wound surface, in other words, how to control the infection, plays a role in the subsequent healing. Antibacterial agents and antibacterial materials are used to control infection on the wound surface.However, abuse is not desirable due to problems such as the effect on the host and the emergence of resistant bacteria. It is desirable to clean the wound surface by removing bacteria and the like. Even at present, in the treatment of wounds, particularly for pressure ulcers and the like with infection, the operation of cleaning the wound surface by eating raw food or the like is essential. It has long been practiced to apply a pus basin to the affected area and squirt a saline solution onto the wound surface to wash it.However, it is not possible to collect the lavage solution well in the pus basin, and there is a risk of secondary infection by the cleaning solution. There is a fear.

【0009】また、上述の装置及びシステムには創傷部
を覆う装置自体に陰圧状態を維持する機構が着いていな
いため、治療期間中は創傷部を覆う装置と陰圧を発生さ
せるポンプユニットとの間でチューブを介した状態とな
り治療上とても煩わしいものとなる。
Further, since the above-described device and system do not include a mechanism for maintaining a negative pressure state in the device for covering the wound, the device for covering the wound and a pump unit for generating a negative pressure during the treatment period are provided. It becomes a state via a tube between them, and becomes very troublesome in treatment.

【0010】[0010]

【発明が解決しようとする課題】本発明は、上述した従
来の技術の問題点を鑑み、陰圧による創傷治癒効果を発
揮しながら且つ創傷面の洗浄力を効果的に高めた創傷処
置装置及びそのシステムを提供することにある。
SUMMARY OF THE INVENTION In view of the above-mentioned problems of the prior art, the present invention provides a wound treatment apparatus and a wound treatment apparatus which exhibit a wound healing effect due to negative pressure and effectively enhance the detergency of a wound surface. It is to provide the system.

【0011】[0011]

【課題を解決するための手段】上記問題点を解決する手
段は以下の通りである。 (1)創傷面を覆い被せる創傷面カバーと、このカバー
に設けられた活栓付洗浄液注入口と活栓付排液排出口を
有することを特徴とする創傷面洗浄活性化装置。 (2)前記活栓付洗浄液注入口に、洗浄液を入れたシリ
ンジまたは容器を接続することが可能な(1)に記載の
創傷面洗浄活性化装置。 (3)前記活栓付排液排出口に洗浄液あるいは空気の排
出、吸引を目的としたシリンジ又はポンプユニットを接
続することが可能な(1)に記載の創傷面洗浄活性化装
置。 (4)前記活栓付排液排出口より装置内の空気を吸引
し、創傷面と装置との空間を一定時間陰圧にすることに
より、創傷面より感染菌や壊死組織及び過剰な浸出液を
吸い出すことを特徴とする(1)〜(3)のいずれか1
つに記載の創傷面洗浄活性化装置。 (5)前記活栓付排液排出口より装置内の空気を吸引
し、創傷面と装置との空間を一定時間陰圧にすることに
より、創傷面より創傷治癒促進に関する生理活性物質を
誘発し慢性化した創を活性化することを特徴とする
(1)〜(4)のいずれか1つに記載の創傷面洗浄活性
化装置。 (6)創傷面と装置との空間を陰圧にした後、活栓を閉
口することにより吸引手段を停止した状態でも陰圧状態
を維持することが可能な(1)〜(5)のいずれか1つ
に記載の装置において創傷面洗浄活性化装置。 (7)活栓付洗浄液注入口に洗浄液を入れたシリンジま
たは容器を接続し、一方、活栓付排液排出口に排出、吸
引を目的としたシリンジ又はポンプユニットを接続し、
洗浄液を創傷面と装置内で緩流させることにより、創傷
面を連続的に洗浄することが可能な(1)〜(6)のい
ずれか1つに記載の創傷面洗浄活性化装置。 (8)創傷面を覆い被せる創傷面カバーとこのカバーに
設置された活栓付洗浄液注入口と活栓付排液排出口を有
する創傷面洗浄活性化装置および前記注入口に接続され
た洗浄液入りのシリンジまたは容器および前記排出口に
接続されたシリンジ又はポンプユニットからなる創傷面
洗浄活性化システム。
Means for solving the above problems are as follows. (1) A wound surface cleaning activation device having a wound surface cover for covering a wound surface, and a cleaning liquid inlet with a stopcock and a drainage outlet with a stopcock provided on the cover. (2) The wound surface cleaning activation device according to (1), wherein a syringe or a container containing a cleaning solution can be connected to the cleaning solution inlet with a stopcock. (3) The wound surface cleaning and activating device according to (1), wherein a syringe or a pump unit for discharging and suctioning a cleaning liquid or air is connected to the stopcock-equipped drainage outlet. (4) The air inside the device is sucked from the drainage outlet with the stopcock and the space between the wound surface and the device is kept under a negative pressure for a certain period of time, so that infectious bacteria, necrotic tissue, and excessive exudate are sucked from the wound surface. Any one of (1) to (3),
A wound surface cleaning activation device according to any one of claims 1 to 3. (5) The air inside the device is sucked from the drainage outlet with the stopcock, and the space between the wound surface and the device is kept under a negative pressure for a certain period of time, so that a physiologically active substance related to promotion of wound healing is induced from the wound surface and chronic. The wound surface cleaning / activating apparatus according to any one of (1) to (4), wherein the activated wound is activated. (6) After setting the space between the wound surface and the device to a negative pressure, by closing the stopcock, the negative pressure state can be maintained even when the suction means is stopped. The device for activating a wound surface cleaning according to one of the preceding claims. (7) A syringe or a container containing a cleaning liquid is connected to a cleaning liquid inlet with a stopcock, and a syringe or a pump unit for discharging and sucking is connected to a drainage outlet with a stopcock.
The wound surface cleaning / activating device according to any one of (1) to (6), wherein the wound surface can be continuously cleaned by gently flowing the cleaning solution between the wound surface and the device. (8) A wound surface cleaning activation device having a wound surface cover for covering the wound surface, a cleaning liquid inlet with a stopcock and a drainage outlet with a stopcock installed on the cover, and a syringe containing a cleaning liquid connected to the inlet. Or a wound surface cleaning activation system comprising a container and a syringe or pump unit connected to said outlet.

【0012】[0012]

【発明の実施の形態】本発明の創傷面洗浄活性化装置
は、活栓付の創傷面を覆い被せる開口した創傷面及び/
又は創傷周囲接触部分(以下創傷面カバーと略)と活栓
にそれぞれ接続した洗浄液ユニット及び真空ポンプユニ
ットから構成される。このシステムにより、真空ポンプ
が作動すると、創傷面カバーと創傷面との間のエアー及
び排出液が吸引され陰圧状態となり、活栓を操作するこ
とにより、吸引手段を停止した状態でも陰圧状態を維持
することができる。また、創傷面カバーが創傷面に密着
した状態で連続的に創傷面を洗浄することができ、創傷
面の細菌や壊死組織等を効果的に除去することができ
る。よって、創傷面を陰圧にすることによる創傷治癒効
果を発揮しながら且つ創傷面の洗浄力を効果的に高める
ことが可能である。また、創傷面カバーには洗浄液を注
入した時に、洗浄液を撹拌するための小型プロペラなど
の撹拌手段を設けることも可能である。
BEST MODE FOR CARRYING OUT THE INVENTION The apparatus for activating wound surface cleaning according to the present invention comprises an open wound surface and / or an overlying wound surface with a stopcock.
Alternatively, it is composed of a cleaning liquid unit and a vacuum pump unit connected to the wound contact portion (hereinafter abbreviated as a wound surface cover) and a stopcock, respectively. With this system, when the vacuum pump is operated, the air and discharged liquid between the wound surface cover and the wound surface are sucked to be in a negative pressure state, and by operating the stopcock, the negative pressure state is maintained even when the suction means is stopped. Can be maintained. In addition, the wound surface can be continuously washed while the wound surface cover is in close contact with the wound surface, and bacteria and necrotic tissue on the wound surface can be effectively removed. Therefore, it is possible to effectively increase the detergency of the wound surface while exhibiting a wound healing effect by making the wound surface negative pressure. Further, the wound surface cover may be provided with a stirring means such as a small propeller for stirring the cleaning liquid when the cleaning liquid is injected.

【0013】本発明の開口した創傷面カバーの形状は、
創傷面を覆い被せる様な物であれば特に限定しないが、
楕円状または円錐状の硬質なカップ形状が望ましい。ま
た、不定形の軟質シートやフィルム状でもよい。また、
硬質なカップと軟質シートやフィルムを組み合わせた形
状であってもよい。材質は特に限定しないが、ポリエチ
レン、ポリエチレンテレフタレート、ポリプロピレン、
ポリスチレン、ポリカーボネート等の成形プラスチッ
ク、または、シリコーン、ポリウレタン等の柔軟なポリ
マー材料があげられる。また、創傷面カバーにおいて、
楕円状または円錐状の硬質なカップ形状の場合、創傷の
周囲組織に接触する底面は、周囲組織に接着する手段を
有することが望ましい。接着手段を有することにより、
創傷面カバーと創傷面との間で、より気密性が保持され
た閉塞空間が形成されると共にズレ防止にも役立つ。創
傷面カバーが柔軟なシートやフィルム形状の場合は、接
着手段を全面に施したものが上述の理由と同様に望まし
い。
The shape of the open wound surface cover of the present invention is as follows:
There is no particular limitation as long as it can cover the wound surface,
An elliptical or conical hard cup shape is desirable. Further, it may be in the form of an amorphous flexible sheet or film. Also,
The shape may be a combination of a hard cup and a soft sheet or film. The material is not particularly limited, but polyethylene, polyethylene terephthalate, polypropylene,
Examples include molded plastics such as polystyrene and polycarbonate, and flexible polymer materials such as silicone and polyurethane. In the wound surface cover,
In the case of an elliptical or conical rigid cup shape, it is desirable that the bottom surface of the wound that comes into contact with the surrounding tissue has a means for bonding to the surrounding tissue. By having the bonding means,
Between the wound surface cover and the wound surface, a closed space with more airtightness is formed, and also helps to prevent displacement. When the wound surface cover is in the form of a flexible sheet or film, it is preferable that the whole surface is provided with an adhesive means for the same reason as described above.

【0014】創傷面カバーに設けられる排液排出口は、
任意の位置に設けることができるが、創傷カバーの下部
に位置させることにより、滲出液及び洗浄排液の吸入が
より円滑になり望ましい。また、浸出液及び洗浄排液の
吸入口にはノズル等を接続しても良い。吸入口にノズル
を接続する場合、スポンジ等の発泡体の多孔性パッドに
連通させて使用しても良い。それによって、創傷面に吸
入口のノズル部分がじかに接触することが防止でき患者
の負担軽減となる。排液排出口には吸引手段が接続され
る。吸引手段は創傷面カバーと創傷面との間のエアー及
び排出液を吸引できる方法であれば、特に限定しないが
電動又は手動式の真空ポンプ、シリンジ等があげられ
る。吸引手段には、吸引する度合いを調節する機構を設
けることができる。
[0014] The drainage outlet provided in the wound surface cover,
Although it can be provided at an arbitrary position, it is desirable that it is located at the lower part of the wound cover, so that the inhalation of the exudate and the washing drainage becomes smoother. In addition, a nozzle or the like may be connected to a suction port of the leachate and the washing drainage. When a nozzle is connected to the suction port, the nozzle may be used by communicating with a foamed porous pad such as a sponge. As a result, it is possible to prevent the nozzle portion of the suction port from directly contacting the wound surface, thereby reducing the burden on the patient. A suction means is connected to the drain outlet. The suction means is not particularly limited as long as it can suck air and discharged liquid between the wound surface cover and the wound surface, and examples thereof include an electric or manual vacuum pump and a syringe. The suction means may be provided with a mechanism for adjusting the degree of suction.

【0015】また、吸引形成を間欠的又は周期的に行う
制御機構を設けることもできる。排液排出口と吸引手段
との間は、ホースまたはチューブ等を介して接続するこ
とができる。また、排液排出口と吸引手段との間に、滲
出液や洗浄排液をトラップできるような収集手段を設け
てもよい。収集手段には、過剰量の滲出液や洗浄排液に
よってトラップ能力を上回る場合に備えて、吸引手段を
停止させる機能を設けることができる。また、この収集
手段は汚染防止のため取り外して廃棄処分できるような
物であればなお望ましい。また、吸引手段として多数市
販されているポータブル閉鎖式吸引式ドレーン装置と組
み合わせて使用してもよい。さらに、創傷面カバーと吸
引手段との間に吸引した排出液が創傷面に逆戻りしない
ような逆止弁等の機構を設けることができる。また、排
出口とチューブを接続する過程に活栓を設けることは本
発明の特徴のひとつである。これにより、吸引手段を用
いて創傷面カバーと創傷面との空間を陰圧にした後、活
栓を操作することにより、吸引手段を切り離した状態で
も陰圧状態を維持することができる。よって、チューブ
等をはずした創傷面カバーのみを装着した状態でも治療
が可能となり、患者の自由が束縛されず負担軽減とな
る。活栓の種類に関しては、創傷面カバーと吸引手段と
の間を遮断できるような物であれば、特に限定しないが
操作性の面から二方活栓又は三方活栓が望ましい。
Further, a control mechanism for performing suction formation intermittently or periodically may be provided. The drain outlet and the suction means can be connected via a hose or a tube. Further, a collecting means capable of trapping exudate and washing waste liquid may be provided between the drain outlet and the suction means. The collecting means can be provided with a function to stop the suction means in case the trapping capacity is exceeded by an excessive amount of exudate or washing drainage. Further, it is more desirable that the collecting means be a material that can be removed and disposed of to prevent contamination. Further, the suction means may be used in combination with a number of commercially available portable closed suction type drain devices. Further, a mechanism such as a check valve can be provided so that the discharged liquid sucked between the wound surface cover and the suction means does not return to the wound surface. The provision of a stopcock in the process of connecting the outlet to the tube is one of the features of the present invention. Thus, after the space between the wound surface cover and the wound surface is made to have a negative pressure by using the suction means, by operating the stopcock, the negative pressure state can be maintained even when the suction means is disconnected. Therefore, the treatment can be performed even when only the wound surface cover from which the tube or the like is removed is attached, and the freedom of the patient is not restricted and the burden is reduced. The type of stopcock is not particularly limited as long as it can shut off the wound surface cover and the suction means, but a two-way stopcock or a three-way stopcock is desirable from the viewpoint of operability.

【0016】また、一方、本発明のもう一つの特徴でも
ある創傷面カバーが創傷面に密着した状態で連続的に創
傷面を洗浄せしめるために、創傷面カバーには洗浄液注
入口を設けることができ、これに洗浄液ユニットが接続
される。洗浄液注入口は、任意の位置に設けることがで
きるが、創傷面カバーが楕円状または柔軟なシート状の
ものは、創傷面の洗浄効率から排出口の対角線上にある
ことが望ましい。また、円錐状の硬質なカップ形状の場
合は、上部にシャワー状のノズルを設けることによって
創傷面全体に洗浄液が噴出されて、洗浄効果の面から望
ましい。また、洗浄液注入口と洗浄液ユニットとの間
は、ホース又はチューブ等を介して接続することができ
る。さらに、洗浄液注入口とチューブを接続する過程に
活栓を設けることは本発明の特徴のひとつである。これ
により、吸引手段を用いて創傷面カバーと創傷面との空
間を陰圧にした状態で、活栓を操作することにより、洗
浄液ユニットから洗浄液が注入口を介して噴出され、創
傷面カバーが創傷面に密着した状態で連続的に創傷面を
洗浄することができる。洗浄に用いる洗浄液は、創傷面
を洗浄した際に創傷面に対して著しく悪影響をおよばさ
ない物であれば特に限定はしないが、生理的食塩水、酸
性水、消毒剤等があげられる。これらの洗浄液をバック
又はボトル等の容器に入れ洗浄液ユニットとして用い
る。
On the other hand, in order to continuously wash the wound surface in a state where the wound surface cover is in close contact with the wound surface, which is another feature of the present invention, the wound surface cover may be provided with a cleaning liquid inlet. A cleaning liquid unit is connected to this. The irrigation liquid inlet can be provided at any position, but it is desirable that the wound surface cover be on the diagonal line of the outlet from the viewpoint of the efficiency of cleaning the wound surface. In the case of a conical hard cup shape, a shower-like nozzle is provided at the top, so that the cleaning liquid is spouted over the entire wound surface, which is desirable from the viewpoint of the cleaning effect. The cleaning liquid inlet and the cleaning liquid unit can be connected via a hose or a tube. Further, it is one of the features of the present invention to provide a stopcock in the process of connecting the cleaning liquid inlet and the tube. By operating the stopcock in a state where the space between the wound surface cover and the wound surface is set to a negative pressure by using the suction means, the cleaning liquid is spouted from the cleaning liquid unit through the inlet, and the wound surface cover is wound. The wound surface can be continuously washed while being in close contact with the surface. The washing solution used for washing is not particularly limited as long as it does not significantly affect the wound surface when the wound surface is washed, and examples thereof include physiological saline, acidic water, and a disinfectant. These washing liquids are put into a container such as a bag or a bottle and used as a washing liquid unit.

【0017】[0017]

【実施例】以下、本発明の創傷面洗浄活性化装置及びそ
のシステムの具体的実施例を図面を参照に更に詳しく説
明する。添付図面の装置に含まれる事項は、様々な変更
を行うことができ、本発明を制限するものではない。
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Specific embodiments of the apparatus for activating and cleaning a wound surface according to the present invention will be described in more detail with reference to the drawings. Various changes can be made in the matters included in the apparatus in the accompanying drawings and do not limit the present invention.

【0018】(実施例1)図1は本発明の創傷面洗浄活
性化に用いる創傷面洗浄活性化装置及びこの装置を用い
た創傷面洗浄活性化システムの第1の具体例を示す断面
図である。以下、本発明の創傷面洗浄活性化装置及びこ
の装置を用いた創傷面洗浄活性化システムの好適な第1
の具体例について図1を参照しながら説明する。
(Embodiment 1) FIG. 1 is a cross-sectional view showing a first embodiment of a wound surface cleaning activation apparatus used for activating a wound surface according to the present invention and a wound surface cleaning activation system using this apparatus. is there. BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, a preferred first embodiment of a wound surface cleaning activation device of the present invention and a wound surface cleaning activation system using the device will be described.
Will be described with reference to FIG.

【0019】本発明の創傷面洗浄活性化装置及びこの装
置を用いたシステムの一つは、創傷面を覆い被せる開口
した創傷面及び/又は創傷周囲接触部分(以下創傷面カ
バーと略)1とそれに接続された、洗浄液ユニット2及
び真空ポンプユニット3から構成される。創傷面カバー
1には、活栓4及び5が接続され、チューブ6、7を介
して洗浄液ユニット2及び真空ポンプユニット3にそれ
ぞれ接続される。創傷面カバー1には、中空の吸引チュ
ーブ8よりなる吸引口が設けられ、活栓5に接続されチ
ューブ7を介して真空ポンプユニット3に接続される。
吸引チューブ8には少なくとも一つの開口部10が設け
られ、多孔性パッド11に連通されている。
The wound surface cleaning activation device of the present invention and one of the systems using the device include an open wound surface and / or a wound contact portion (hereinafter abbreviated as a wound surface cover) 1 for covering the wound surface. It is composed of a cleaning liquid unit 2 and a vacuum pump unit 3 connected thereto. Stopcocks 4 and 5 are connected to the wound surface cover 1, and connected to the cleaning solution unit 2 and the vacuum pump unit 3 via tubes 6 and 7, respectively. The wound surface cover 1 is provided with a suction port formed of a hollow suction tube 8, connected to the stopcock 5 and connected to the vacuum pump unit 3 via the tube 7.
At least one opening 10 is provided in the suction tube 8 and communicates with the porous pad 11.

【0020】真空ポンプユニット3は、滲出液や洗浄排
液をトラップできるような収集手段12と吸引手段13
からなる。活栓4を閉じる、活栓5を開けるの状態で吸
引手段13が作動すると吸引チューブ8より創傷面カバ
ー1と創傷面9との空間のエア及び排出液が吸引され、
創傷面9が陰圧状態となり創傷部の血行の増大と共に治
癒を促し、排出液は収集手段12にトラップされる。こ
の状態で活栓5を閉じると吸引手段を切り離した状態で
も創傷部の陰圧状態を維持することができる。
The vacuum pump unit 3 is provided with a collecting means 12 and a suction means 13 capable of trapping exudate and washing waste liquid.
Consists of When the suction means 13 is operated in a state where the stopcock 4 is closed and the stopcock 5 is opened, air and discharged liquid in the space between the wound surface cover 1 and the wound surface 9 are sucked from the suction tube 8,
The wound surface 9 becomes in a negative pressure state and the healing is promoted with an increase in blood circulation in the wound portion, and the discharged liquid is trapped in the collecting means 12. When the stopcock 5 is closed in this state, the negative pressure state of the wound can be maintained even when the suction means is disconnected.

【0021】比較例として活栓がない場合又は開放状態
において吸引手段を切断すると、創傷面カバー1は創傷
面9からはずれ、創傷面9の陰圧状態を維持することが
できなかった。洗浄液ユニット2は、ソフトバックに入
れられた洗浄液14とこれを創傷面カバー1に接続する
チューブ6からなる。活栓4を閉じる、活栓5を開ける
の状態で吸引手段13が作動すると吸引チューブ8より
創傷面カバー1と創傷面9との空間のエア及び排出液が
吸引され、創傷面9が陰圧状態となり創傷部の血行の増
大と共に治癒を促し、排出液は収集手段12にトラップ
される。この状態で活栓4を開けると洗浄液14がチュ
ーブ6を通って創傷面カバー1と創傷面9との間に流入
し創傷部の陰圧状態を維持しながら創傷面9を洗浄す
る。さらに、洗浄排液は吸引チューブ8より吸引され、
収集手段12にトラップされる。
As a comparative example, when the suction means was cut off when there was no stopcock or in the open state, the wound surface cover 1 was detached from the wound surface 9 and the negative pressure state of the wound surface 9 could not be maintained. The cleaning liquid unit 2 includes a cleaning liquid 14 contained in a soft bag and a tube 6 connecting the cleaning liquid 14 to the wound surface cover 1. When the suction means 13 is operated in a state where the cock 4 is closed and the cock 5 is opened, the air and discharged liquid in the space between the wound surface cover 1 and the wound surface 9 are sucked from the suction tube 8 and the wound surface 9 is in a negative pressure state. The healing is promoted along with the increase in blood flow in the wound, and the drainage liquid is trapped in the collecting means 12. When the stopcock 4 is opened in this state, the cleaning solution 14 flows between the wound surface cover 1 and the wound surface 9 through the tube 6 and cleans the wound surface 9 while maintaining the negative pressure state of the wound part. Further, the washing drainage is sucked from the suction tube 8,
It is trapped by the collecting means 12.

【0022】実際に、創傷面の洗浄効果を調べるため、
創傷面9に褐色のイソジン溶液をたらし、この洗浄操作
を行ったところ、直ちに創傷面9上のイソジン溶液は洗
浄除去された。比較例として、洗浄ユニット2を接続し
ない状態でこの試験を行ったところ、創傷面9上のイソ
ジン溶液は除去されず、創傷面9上に残存した。ちなみ
に、この作業を何度か繰り返したが、創傷面9上のイソ
ジン溶液は残存したままで創傷面9の洗浄効果は得られ
なかった。
Actually, in order to examine the cleaning effect of the wound surface,
When a brown isodine solution was applied to the wound surface 9 and this washing operation was performed, the isodine solution on the wound surface 9 was immediately washed and removed. As a comparative example, when this test was performed without connecting the washing unit 2, the isodine solution on the wound surface 9 was not removed and remained on the wound surface 9. By the way, this operation was repeated several times, but the cleaning effect of the wound surface 9 was not obtained while the isodine solution on the wound surface 9 remained.

【0023】(実施例2)図2は本発明の創傷面洗浄活
性化装置及びそのシステムの第2の具体例を示す断面図
である。以下、本発明の創傷面洗浄活性化装置及びこの
装置を用いた創傷面洗浄活性化システムの好適な第2の
具体例について図2を参照しながら説明する。
(Embodiment 2) FIG. 2 is a sectional view showing a second embodiment of the apparatus for activating and activating a wound surface according to the present invention. Hereinafter, a second preferred example of the wound surface cleaning activation device of the present invention and a wound surface cleaning activation system using the device will be described with reference to FIG.

【0024】本発明の創傷面洗浄活性化装置及びこの装
置を用いたシステムの一つは、創傷面を覆い被せる開口
した創傷面及び/又は創傷周囲接触部分(以下創傷面カ
バーと略)21とそれに接続された、洗浄液ユニット(洗
浄液入りのシリンジ様容器)22及び吸引ポンプユニッ
ト23(シリンジ様容器)から構成される。創傷面カバ
ー21には、活栓24及び25が接続され、洗浄液ユニ
ット22及び吸引ポンプユニット23にそれぞれ接続さ
れる。
The apparatus for activating and activating a wound surface according to the present invention and one of the systems using the device include an open wound surface and / or a wound contact portion (hereinafter referred to as a wound surface cover) 21 for covering the wound surface. A cleaning liquid unit (syringe-like container containing the cleaning liquid) 22 and a suction pump unit 23 (syringe-like container) are connected to it. Stopcocks 24 and 25 are connected to the wound surface cover 21, and are connected to a cleaning solution unit 22 and a suction pump unit 23, respectively.

【0025】また、創傷面カバー21の底面には、創傷
面26の周囲組織に接着する手段27を有する。さら
に、創傷面カバー21には、中空の吸引チューブ28よ
りなる吸引口が設けられ、活栓25に接続され、吸引ポ
ンプユニット23に接続される。吸引チューブ28には
少なくとも一つの開口部29が設けられ、多孔性パッド
30に連通されている。
The bottom surface of the wound surface cover 21 has means 27 for bonding to the tissue surrounding the wound surface 26. Further, the wound surface cover 21 is provided with a suction port formed of a hollow suction tube 28, connected to the stopcock 25, and connected to the suction pump unit 23. At least one opening 29 is provided in the suction tube 28 and communicates with the porous pad 30.

【0026】吸引ポンプユニット23は、吸引力を発生
すると共に、滲出液や洗浄排液をトラップできる収集能
力を兼ね備える。活栓24を閉じる、活栓25を開ける
の状態で吸引ポンプユニット23が作動すると吸引チュ
ーブ28より創傷面カバー21と創傷面26との空間の
エア及び排出液が吸引され、創傷面26が陰圧状態とな
り創傷部の血行の増大と共に治癒を促し、排出液は吸引
ポンプユニット23にトラップされる。
The suction pump unit 23 generates suction power and also has a collecting ability capable of trapping exudate and washing and drainage. When the suction pump unit 23 is operated in a state where the cock 24 is closed and the cock 25 is opened, air and discharged liquid in the space between the wound surface cover 21 and the wound surface 26 are sucked from the suction tube 28, and the wound surface 26 is in a negative pressure state. As the blood flow in the wound increases, healing is promoted, and the discharged liquid is trapped in the suction pump unit 23.

【0027】この状態で活栓25を閉じると吸引手段を
切り離した状態でも創傷部の陰圧状態を維持することが
できる。比較例として活栓がない場合又は開放状態にお
いて吸引手段を切断すると、創傷面カバー21は創傷面
26からはずれ、創傷面26の陰圧状態を維持すること
ができなかった。洗浄液ユニット22は、洗浄液31を
入れたシリンジ様の容器からなり、活栓24を介して創
傷面カバー21に接続される。活栓24を閉じる、活栓
25を開けるの状態で吸引ポンプユニット23が作動す
ると吸引チューブ28より創傷面カバー21と創傷面2
6との空間のエア及び排出液が吸引され、創傷面26が
陰圧状態となり創傷部の血行の増大と共に治癒を促し、
排出液は吸引ポンプユニット23にトラップされる。
When the stopcock 25 is closed in this state, the negative pressure state of the wound can be maintained even when the suction means is disconnected. As a comparative example, when the suction means was cut off in a state where there was no stopcock or in an open state, the wound surface cover 21 was detached from the wound surface 26, and the negative pressure state of the wound surface 26 could not be maintained. The cleaning liquid unit 22 is composed of a syringe-like container containing a cleaning liquid 31 and is connected to the wound surface cover 21 via a cock 24. When the suction pump unit 23 is operated with the stopcock 24 closed and the stopcock 25 opened, the wound surface cover 21 and the wound surface 2 are pulled from the suction tube 28.
The air and the drainage in the space with 6 are sucked, the wound surface 26 becomes in a negative pressure state, and the healing is promoted with an increase in blood circulation in the wound,
The discharged liquid is trapped in the suction pump unit 23.

【0028】この状態で活栓24を開けると洗浄液31
が創傷面カバー21の上部に設けられたシャワー状のノ
ズル32より創傷面26に向かって噴出される。さら
に、洗浄排液は吸引チューブ28より吸引され、吸引ポ
ンプユニット23にトラップされ創傷面26は洗浄され
る。実際に、実施例1と同様な試験を行った結果、創傷
部の洗浄効果が確認できた。
When the stopcock 24 is opened in this state, the cleaning liquid 31 is opened.
Is ejected toward the wound surface 26 from a shower-like nozzle 32 provided on the wound surface cover 21. Further, the washing drainage is sucked through the suction tube 28, trapped by the suction pump unit 23, and the wound surface 26 is washed. Actually, the same test as in Example 1 was performed, and as a result, the effect of cleaning the wound was confirmed.

【0029】[0029]

【発明の効果】以上のように本発明による創傷面洗浄活
性化装置及びそのシステムは、従来技術である創傷部の
陰圧負荷による創傷治癒促進効果に加えて、創傷面を連
続的且つ効果的に洗浄することができる。
As described above, the apparatus for activating and activating a wound surface according to the present invention provides a continuous and effective wound surface in addition to the conventional effect of promoting wound healing by applying a negative pressure to a wound. Can be washed.

【0030】よって、創傷の治療、特に難治化した褥瘡
等の治療において、創傷部の細菌感染を制御しつつ且つ
創傷部の活性を促し、創傷治癒促進に適した環境を提供
することができる。
Thus, in the treatment of wounds, particularly in the treatment of intractable pressure ulcers and the like, it is possible to provide an environment suitable for promoting wound healing while controlling bacterial infection of the wound and promoting the activity of the wound.

【0031】従って、本発明の創傷面洗浄活性化装置及
びそのシステムは創傷面の洗浄、活性化を目的とした創
傷部の治癒促進を図る医療用具として各種皮膚創傷や疾
患に有効に使用することができる。
Therefore, the apparatus for activating and activating a wound surface according to the present invention can be effectively used for various skin wounds and diseases as a medical device for promoting the healing of a wound for the purpose of cleaning and activating the wound surface. Can be.

【図面の簡単な説明】[Brief description of the drawings]

【図1】本発明の創傷面洗浄活性化装置及びこの装置を
用いた創傷面洗浄活性化システムの第1の具体例を示す
断面図である。
FIG. 1 is a cross-sectional view showing a first example of a wound surface cleaning activation device of the present invention and a wound surface cleaning activation system using the device.

【図2】本発明の創傷面洗浄活性化装置及びこの装置を
用いた創傷面洗浄活性化システムの第2の具体例を示す
断面図である。
FIG. 2 is a sectional view showing a second embodiment of the wound surface cleaning activation device of the present invention and a wound surface cleaning activation system using the device.

【符号の説明】[Explanation of symbols]

1;創傷面カバー 2;洗浄液ユニット 3;真空ポンプユニット 4、5;活栓 6、7;チューブ 8;吸引チューブ 9;創傷部 10;開口部 11;多孔性パッド 12;収集手段 13;吸引手段 14;洗浄液 21;創傷面カバー 22;洗浄液ユニット 23;吸引ポンプユニット 24、25;活栓 26;創傷部 27;接着手段 28;吸引チューブ 29;開口部 30;多孔性パッド 31;洗浄液 32;シャワー状ノズル 1: Wound surface cover 2: Cleaning solution unit 3: Vacuum pump unit 4, 5; Stopcock 6, 7; Tube 8; Suction tube 9; Wound 10; Opening 11; Porous pad 12; Collection means 13; Suction means 14 Irrigation liquid 21; wound surface cover 22; irrigation liquid unit 23; suction pump units 24 and 25; stopcock 26; wound 27; adhesive means 28; suction tube 29; opening 30; porous pad 31; irrigation liquid 32;

───────────────────────────────────────────────────── フロントページの続き (51)Int.Cl.7 識別記号 FI テーマコート゛(参考) A61M 35/00 B08B 3/04 Z B08B 3/04 A61M 35/00 Z ──────────────────────────────────────────────────続 き Continued on the front page (51) Int.Cl. 7 Identification symbol FI Theme coat ゛ (Reference) A61M 35/00 B08B 3/04 Z B08B 3/04 A61M 35/00 Z

Claims (8)

【特許請求の範囲】[Claims] 【請求項1】創傷面を覆い被せる創傷面カバーと、この
カバーに設けられた活栓付洗浄液注入口と活栓付排液排
出口を有することを特徴とする創傷面洗浄活性化装置。
1. A wound surface cleaning and activation device comprising a wound surface cover for covering a wound surface, and a cleaning liquid inlet with a stopcock and a drainage outlet with a stopcock provided on the cover.
【請求項2】前記活栓付洗浄液注入口に、洗浄液を入れ
たシリンジまたは容器を接続することが可能な請求項1
に記載の創傷面洗浄活性化装置。
2. A syringe or a container containing a cleaning liquid can be connected to the stopcock-equipped cleaning liquid inlet.
2. The wound surface cleaning activation device according to claim 1.
【請求項3】前記活栓付排液排出口に洗浄液あるいは空
気の排出、吸引を目的としたシリンジ又はポンプユニッ
トを接続することが可能な請求項1に記載の創傷面洗浄
活性化装置。
3. The wound surface cleaning and activating apparatus according to claim 1, wherein a syringe or a pump unit for discharging and sucking a cleaning liquid or air can be connected to the stopcock-equipped drainage outlet.
【請求項4】前記活栓付排液排出口より装置内の空気を
吸引し、創傷面と装置との空間を一定時間陰圧にするこ
とにより、創傷面より感染菌や壊死組織及び過剰な浸出
液を吸い出すことを特徴とする請求項1〜3のいずれか
1項に記載の創傷面洗浄活性化装置。
4. The inhalation of air in the apparatus through the drainage outlet with a stopcock, and the space between the wound surface and the apparatus is kept under a negative pressure for a certain period of time, so that infectious bacteria, necrotic tissue, and excessive exudate are removed from the wound surface. The wound surface cleaning / activating device according to any one of claims 1 to 3, wherein the device is used for sucking air.
【請求項5】前記活栓付排液排出口より装置内の空気を
吸引し、創傷面と装置との空間を一定時間陰圧にするこ
とにより、創傷面より創傷治癒促進に関する生理活性物
質を誘発し慢性化した創を活性化することを特徴とする
請求項1〜4のいずれか1項に記載の創傷面洗浄活性化
装置。
5. A physiologically active substance relating to promotion of wound healing is induced from the wound surface by sucking air in the device from the drainage outlet with a cock and making the space between the wound surface and the device negative pressure for a certain period of time. The wound surface cleaning activation device according to any one of claims 1 to 4, wherein the device activates a chronic wound.
【請求項6】創傷面と装置との空間を陰圧にした後、活
栓を閉口することにより吸引手段を停止した状態でも陰
圧状態を維持することが可能な請求項1〜5のいずれか
1項に記載の装置において創傷面洗浄活性化装置。
6. The negative pressure state can be maintained even when the suction means is stopped by closing the stopcock after the space between the wound surface and the device is negatively pressured. The device according to claim 1, wherein the device for activating the cleaning of a wound surface.
【請求項7】活栓付洗浄液注入口に洗浄液を入れたシリ
ンジまたは容器を接続し、一方、活栓付排液排出口に排
出、吸引を目的としたシリンジ又はポンプユニットを接
続し、洗浄液を創傷面と装置内で緩流させることによ
り、創傷面を連続的に洗浄することが可能な請求項1〜
6のいずれか1項に記載の創傷面洗浄活性化装置。
7. A syringe or a container containing a cleaning liquid is connected to a cleaning liquid inlet with a stopcock, while a syringe or a pump unit for discharging and sucking is connected to a drainage outlet with a stopcock to supply the cleaning liquid to the wound surface. The wound surface can be continuously washed by slowly flowing in the apparatus.
The wound surface cleaning and activation device according to any one of claims 6 to 13.
【請求項8】創傷面を覆い被せる創傷面カバーとこのカ
バーに設置された活栓付洗浄液注入口と活栓付排液排出
口を有する創傷面洗浄活性化装置および前記注入口に接
続された洗浄液入りのシリンジまたは容器および前記排
出口に接続されたシリンジ又はポンプユニットからなる
創傷面洗浄活性化システム。
8. A wound surface cleaning and activation device having a wound surface cover for covering the wound surface, a cleaning liquid inlet with a stopcock and a drainage outlet with a stopcock provided on the cover, and a cleaning liquid connected to the inlet. A wound surface cleaning activation system comprising a syringe or a pump and a syringe or pump unit connected to the outlet.
JP2000135219A 2000-05-08 2000-05-08 Wound washing and activation device and system using the same Pending JP2001314479A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2000135219A JP2001314479A (en) 2000-05-08 2000-05-08 Wound washing and activation device and system using the same

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP2000135219A JP2001314479A (en) 2000-05-08 2000-05-08 Wound washing and activation device and system using the same

Publications (1)

Publication Number Publication Date
JP2001314479A true JP2001314479A (en) 2001-11-13

Family

ID=18643337

Family Applications (1)

Application Number Title Priority Date Filing Date
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Country Link
JP (1) JP2001314479A (en)

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