JP2008093396A - Wound surface contact material - Google Patents

Wound surface contact material Download PDF

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JP2008093396A
JP2008093396A JP2006305954A JP2006305954A JP2008093396A JP 2008093396 A JP2008093396 A JP 2008093396A JP 2006305954 A JP2006305954 A JP 2006305954A JP 2006305954 A JP2006305954 A JP 2006305954A JP 2008093396 A JP2008093396 A JP 2008093396A
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wound surface
liquid
wound
sheet
surface contact
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Takao Maruoka
孝雄 丸岡
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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
    • A61F13/0203Adhesive bandages or dressings with fluid retention members
    • 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
    • A61F2013/00089Wound bandages
    • A61F2013/00102Wound bandages oblong

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Materials For Medical Uses (AREA)

Abstract

<P>PROBLEM TO BE SOLVED: To carry out transfer of sucked fluid such as leachate more easily, more efficiently, and at lower cost. <P>SOLUTION: Pores and/or slits are provided at outer circumferential edge parts of a fluid non-permeable sheet for getting in contact with a wound surface to provide the wound surface contact material. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

本発明は創傷治癒を促進させ、患者の苦痛を軽減させるために用いられる創傷面接触材及びそれを用いた創傷ドレッシングに関する。  The present invention relates to a wound surface contact material used for promoting wound healing and reducing patient pain, and a wound dressing using the same.

(1)浸出液の吸液移動を水平方向に改めた提案がなされている。(特許文献1)この場合、吸液移動をより効率的に実施するために、吸液性パッド材を液体非通過性シートより大きくする必要がある。しかし、これは製造上難易度は高く、且つ、特に液体非通過性シートの周囲全域で吸液性パッド材をより大きくする場合は、さらにハイコスト要因となるので改善が望まれる。(2)被覆体又はテープ類に塗布された接着剤層と創傷面接触材が固着するため、広い面積の被覆体等が受ける歪みを狭い面積の創傷面接触材が同様に連動して受けるので創傷面には好ましくなく、したがって、この連動性を弱める必要がある。(3)通常創傷面接触材の位置は被覆体のほぼ中央である。しかし、実際は多少位置を変更したり、被覆体、創傷面接触材の大きさ、形状を変更すると都合が良い場合が多いのである。この場合、一度両者を分離し、それぞれ最適の大きさ、形状に変更後、再度、組合せて使用することが望まれている。これに関して位置変更、サイズ変更等の一部が創面接触部の存在により不可能な場合も考えられるが、分離操作そのものは可能な提案はある。(特許文献2)  (1) A proposal has been made in which the liquid absorption movement of the leachate is changed in the horizontal direction. (Patent Document 1) In this case, it is necessary to make the liquid-absorbing pad material larger than the liquid non-passing sheet in order to perform the liquid-absorbing movement more efficiently. However, this is highly difficult to manufacture, and in particular, when the absorbent pad material is made larger in the entire area around the liquid non-passing sheet, it becomes a higher cost factor, so an improvement is desired. (2) Since the adhesive layer applied to the covering or tape and the wound surface contact material are fixed, the wound surface contact material of the narrow area similarly receives the distortion that the covering surface of the large area receives similarly. It is not desirable for the wound surface and therefore this interlocking needs to be weakened. (3) Usually, the position of the wound surface contact material is approximately the center of the covering. In practice, however, it is often convenient to slightly change the position or to change the size or shape of the covering or wound surface contact material. In this case, it is desired that the two are once separated, changed to the optimum size and shape, and then used again in combination. In this regard, there may be cases where part of the position change, size change, etc. is impossible due to the presence of the wound surface contact portion, but there are proposals that allow the separation operation itself. (Patent Document 2)

特開2005−111205JP-A-2005-111205 特開2005−230531JP 2005-230531 A

(1)水平移動した浸出液の垂直移動をより簡便に、より効率的に、より低コストで実施すること。(2)浸出液等の裏面しみだしを防止し、さらに二次拡散の効率化を計ること。(3)連続するスリット或いは幅が広いスリットを設けた時等において、中央部と外周縁部等が分離された状態が発生する。これを柔軟に連結すること。(4)被覆体等と創傷面接触材との連動性を弱小化すること。(5)被覆体等と創傷面接触材の分離を可能にし、それぞれの大きさ、形状等の変更を可能とすること等である。  (1) Carrying out the vertical movement of the leachate that has moved horizontally more simply, more efficiently, and at a lower cost. (2) To prevent the exudation of the exudate, etc., and to improve the efficiency of secondary diffusion. (3) When a continuous slit or a wide slit is provided, a state where the central portion and the outer peripheral edge portion are separated occurs. Connect this flexibly. (4) To weaken the interlocking between the covering body and the wound surface contact material. (5) It is possible to separate the covering and the like from the wound surface contact material, and to change the size and shape of each.

(1)吸液性パッド材と創傷面接触用液体非通過性シートを積層後、所定の形状に切断する時、又はその前後に、創傷面接触用液体非通過性シートの外周縁部の少なくとも一部に孔及び/又はスリットを設置することにより、より効率的な垂直移動を容易に実施することができる。この孔又はスリットは、創傷面接触用液体非通過性シートのみならず吸液性パッド材に及ぶこともある。又、スリットは端部のない連続した場合も含まれる。(2)尚、スリットのシート内側端部及び/又は孔外周のシート中央側を直線で結ぶ時、これらで囲まれる面積、或いは前記直線を延長し、これとシート外周端部に囲まれる面積の何れか大きい方を孔又はスリットの存在しない中央部の面積とし、又、一つの連続スリットで形成している場合は、その内側の面積をこれに充当する。これが好ましくはシート全体の面積の50%以上、より好ましくは60%以上、さらに好ましくは70%以上である。(3)浸出液等の裏面しみだしを防止し、さらに二次拡散の効率化を増進させるため、創傷面接触用液体非通過性シートの反対面の少なくとも一部に液体非通過性シートを積層する。(4)連続するスリット或いは幅が広いスリットを設けた場合、中央部と外周縁部等が完全に又は部分的に分離された状態が発生するので、これを柔軟に連結するために、創傷面接触用液体非通過性シートの反対面の少なくとも一部に液体通過性シートを積層する。(5)被覆体等と創傷面接触材との連動性を弱め、さらにサイズ、形状の変更を可能にするため、双方の分離を容易に実施出来るように、創傷面接触用液体非通過性シートの反対面の少なくとも一部に離型処理加工を施した。(6)創傷面接触用液体非通過性シートの透湿度は300g/m・24h以下が好ましく、100g/m・24h以下がより好ましく、50g/m・24h以下が最も好ましい。測定方法はJIS Z 0208の透湿度試験方法又は、JIS K 7129の水蒸気透過度試験方法による。(1) After laminating the liquid-absorbing pad material and the liquid impermeable sheet for wound surface contact, when cutting into a predetermined shape, or before and after that, at least the outer peripheral edge of the liquid impermeable sheet for wound surface contact By installing holes and / or slits in a part, more efficient vertical movement can be easily performed. This hole or slit may extend to the liquid-absorbent pad material as well as the liquid impermeable sheet for contact with the wound surface. In addition, the slit includes a continuous case without an end. (2) When connecting the sheet inner end of the slit and / or the sheet central side of the outer periphery of the hole with a straight line, the area surrounded by these, or the straight line is extended, and the area surrounded by this and the outer peripheral edge of the sheet The larger one is the area of the central part where no hole or slit exists, and when it is formed by one continuous slit, the inner area is applied to this area. This is preferably 50% or more, more preferably 60% or more, and still more preferably 70% or more of the total area of the sheet. (3) A liquid non-permeable sheet is laminated on at least a part of the opposite surface of the liquid non-permeable sheet for contact with the wound surface in order to prevent exudation of the back surface of exudate and the like and further increase the efficiency of secondary diffusion. . (4) When a continuous slit or a wide slit is provided, a state in which the central portion and the outer peripheral edge portion are completely or partially separated occurs, so that the wound surface can be connected flexibly. The liquid-permeable sheet is laminated on at least a part of the opposite surface of the contact liquid-impermeable sheet. (5) In order to weaken the interlocking between the covering and the wound surface contact material and to further change the size and shape, the liquid non-permeable sheet for wound surface contact can be easily separated. A mold release treatment was applied to at least a part of the opposite surface. (6) moisture permeability is preferably from 300g / m 2 · 24h of liquid-pervious sheet wound surface contact, more preferably not more than 100g / m 2 · 24h, most preferably at most 50g / m 2 · 24h. The measuring method is based on the moisture permeability test method of JIS Z 0208 or the water vapor permeability test method of JIS K 7129.

浸出液の垂直移動効率は、吸液性パッド材を液体非通過性シートより大きくした場合に比較して、少なくとも劣ることはなく、且つ、製造方法が簡便であり、コストアップの要因とはならない。  The vertical movement efficiency of the leachate is at least not inferior to the case where the liquid-absorbing pad material is made larger than the liquid non-passing sheet, and the manufacturing method is simple and does not cause an increase in cost.

接着剤層は天然ゴム系接着剤、合成樹脂接着剤等種々の医学的に許容できる接着剤を用いて、常法により形成される。その厚さは、通常20〜70μmである。剥離材は剥離紙、剥離フィルム等である。非通気性被覆体及び液体非通過性シートとしてはポリウレタン、ポリエチレン、ポリエステルフィルム等のうすく柔軟なもので医学的に許容できるものであればよく、これを単一層又は積層して使用することができる。通気性被覆体としては、紙、布、不織布、多孔質シート、上記非通気性被覆体に孔を設けたもの等医学的に許容できる、うすく、柔軟で、通気性があるものであればよく、これを単一層又は積層して使用することができる。液体通過性シートとしては、ポリエチレン、ポリエステル、紙、布、不織布等を用いて、ネット状、網状、有孔シート等に形成したもの等が使用することができる。吸液性パッド材としては紙、布、綿、不織布等吸液性があり、うすく柔軟なもので医学的に許容できるものであればよく、これを単一層又は積層して使用することができる。離型処理加工としては、シリコーン樹脂、非シリコーン樹脂等による表面加工等により、接着剤層からの剥離を容易にするものであればよい。  The adhesive layer is formed by a conventional method using various medically acceptable adhesives such as natural rubber adhesives and synthetic resin adhesives. The thickness is usually 20 to 70 μm. The release material is release paper, release film, and the like. The non-breathable covering and the liquid non-passing sheet may be thin and soft, such as polyurethane, polyethylene, polyester film, etc., as long as they are medically acceptable, and can be used as a single layer or laminated. . The breathable covering may be paper, cloth, non-woven fabric, porous sheet, or a non-breathable covering provided with holes, medically acceptable, thin, flexible, and breathable. These can be used as a single layer or laminated. As the liquid-permeable sheet, those formed into a net shape, a net shape, a perforated sheet or the like using polyethylene, polyester, paper, cloth, nonwoven fabric, or the like can be used. The liquid-absorbing pad material has a liquid-absorbing property such as paper, cloth, cotton, non-woven fabric, etc., as long as it is lightly flexible and medically acceptable, and can be used as a single layer or laminated. . Any release treatment may be used as long as it facilitates peeling from the adhesive layer by surface treatment with a silicone resin, a non-silicone resin, or the like.

(図1)(Figure 1)

吸液性パッド材としてのレーヨン・ポリオレフィン系不織布(90g/m)にポリエチレンフィルム(20g/m、透湿度30g/m・24h)を創傷面接触用液体非通過性シートとして積層し、20×30mmにカットしたのち、その外周端部より2mm内側に図1の如くスリットを設けて創傷面接触材とした。A rayon / polyolefin non-woven fabric (90 g / m 2 ) as a liquid absorbent pad material is laminated with a polyethylene film (20 g / m 2 , moisture permeability 30 g / m 2 · 24 h) as a liquid impermeable sheet for wound surface contact, After cutting to 20 × 30 mm, a slit was provided as shown in FIG.

(図2)(Figure 2)

キャリヤーフィルム(50g/m)付きウレタンフィルム(25g/m)にアクリル系接着剤を防水性の観点から接着剤欠落部1mmの曲線と曲線の複合パターンで30g/mの割合にコーティングし、次に実施例1の創傷面接触材をこれに貼付固定した。これらを挾むように剥離紙を前記接着剤層に仮接着したのち、創傷面接触材が中央に位置するように40×55mmに切断して創傷ドレッシングとした。A urethane film (25 g / m 2 ) with a carrier film (50 g / m 2 ) is coated with an acrylic adhesive at a rate of 30 g / m 2 in a composite pattern of the curved line and curved line of the adhesive missing part 1 mm from the viewpoint of waterproofness. Next, the wound surface contact material of Example 1 was stuck and fixed thereto. A release paper was temporarily adhered to the adhesive layer so as to rub these, and then cut into 40 × 55 mm so that the wound surface contact material was located in the center to obtain a wound dressing.

実施例1の平面図である。  1 is a plan view of Example 1. FIG. 実施例2の断面図である。  6 is a cross-sectional view of Example 2. FIG.

符号の説明Explanation of symbols

1 創傷面接触用液体非通過性シート
2 スリット
3 吸液性パッド材
4 剥離紙
5 接着剤層
6 ウレタンフィルム
7 キャリヤーフィルム
DESCRIPTION OF SYMBOLS 1 Liquid impervious sheet for wound surface contact 2 Slit 3 Absorbent pad material 4 Release paper 5 Adhesive layer 6 Urethane film 7 Carrier film

Claims (7)

吸液性パッド材と該吸液性パッド材の片面に接着又は融着等の方法により積層された創傷面接触用液体非通過性シートで構成される積層材において、少なくとも創傷面接触用液体非通過性シートを貫通する孔及び/又はスリットがその外周縁部に設けられていることを特徴とする創傷面接触材。  In a laminated material composed of a liquid-absorbing pad material and a wound surface-contacting liquid non-permeable sheet laminated on one side of the liquid-absorbing pad material by a method such as adhesion or fusion, at least a liquid surface for wound surface contact A wound surface contact material, wherein a hole and / or a slit penetrating the permeable sheet is provided at an outer peripheral edge portion thereof. 孔又はスリットの存在しない創傷面接触用液体非通過性シート中央部の面積が前記積層材全体の面積の50%以上であることを特徴とする請求項1記載の創傷面接触材。  The wound surface contact material according to claim 1, wherein the area of the central portion of the liquid impermeable sheet for contact with a wound surface where no hole or slit is present is 50% or more of the total area of the laminate. 創傷面接触用液体非通過性シートの反対面の少なくとも一部に孔又はスリット等が設けられていない液体非通過性シートが積層されていることを特徴とする請求項1及び2記載の創傷面接触材。  The wound surface according to claim 1 or 2, wherein a liquid non-permeable sheet having no holes or slits is laminated on at least a part of the opposite surface of the liquid non-permeable sheet for contacting the wound surface. Contact material. 創傷面接触用液体非通過性シートの反対面の少なくとも一部に液体通過性シートが積層されていることを特徴とする請求項1、2及び3記載の創傷面接触材。  The wound surface contact material according to claim 1, 2 or 3, wherein the liquid permeable sheet is laminated on at least a part of the opposite surface of the liquid non-permeable sheet for wound surface contact. 創傷面接触用液体非通過性シートの反対面の少なくとも一部に離型処理加工が施されていることを特徴とする請求項1、2、3及び4記載の創傷面接触材。  5. The wound surface contact material according to claim 1, wherein a release treatment is applied to at least a part of the opposite surface of the liquid impermeable sheet for wound surface contact. 被覆体の一面の全面に、又は一部に塗布された接着剤層面に、前記創傷面接触材における創傷面接触用液体非通過性シートの反対面を貼着し、さらに創傷面接触用液体非通過性シート面を覆い、これを挾んで前記接着剤層に仮接着される剥離材とを有することを特徴とする創傷ドレッシング。  The opposite surface of the wound surface contact liquid non-permeable sheet in the wound surface contact material is adhered to the entire surface of one surface of the covering or an adhesive layer applied to a part thereof, and further, the wound surface contact liquid non-stick A wound dressing comprising a release sheet that covers a surface of a permeable sheet and is temporarily bonded to the adhesive layer with the sheet in between. 前記創傷面接触用液体非通過性シートにおいて、孔又はスリットの存在しない中央部の透湿度が300g/m・24h以下であることを特徴とする請求項1、2、3、4及び5記載の創傷面接触材及び請求項6記載の創傷ドレッシング。The liquid impervious sheet for contact with a wound surface has a moisture permeability of 300 g / m 2 · 24 h or less at a central portion where no hole or slit is present. The wound dressing according to claim 6 and the wound dressing according to claim 6.
JP2006305954A 2006-10-13 2006-10-13 Wound surface contact material Pending JP2008093396A (en)

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JP2006305954A JP2008093396A (en) 2006-10-13 2006-10-13 Wound surface contact material
KR1020070061663A KR100887289B1 (en) 2006-10-13 2007-06-22 Scar contacting material and wound dressing using the same

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