JP2014012187A - 局所陰圧療法用の装置 - Google Patents
局所陰圧療法用の装置 Download PDFInfo
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- JP2014012187A JP2014012187A JP2013168494A JP2013168494A JP2014012187A JP 2014012187 A JP2014012187 A JP 2014012187A JP 2013168494 A JP2013168494 A JP 2013168494A JP 2013168494 A JP2013168494 A JP 2013168494A JP 2014012187 A JP2014012187 A JP 2014012187A
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- 230000000699 topical effect Effects 0.000 title abstract description 3
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- 238000007789 sealing Methods 0.000 claims abstract description 62
- 210000000416 exudates and transudate Anatomy 0.000 claims abstract description 23
- 238000000034 method Methods 0.000 claims abstract description 20
- 239000012530 fluid Substances 0.000 claims abstract description 17
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- 230000000844 anti-bacterial effect Effects 0.000 claims description 2
- 239000011324 bead Substances 0.000 claims description 2
- 238000001035 drying Methods 0.000 claims 1
- 206010052428 Wound Diseases 0.000 description 134
- 208000027418 Wounds and injury Diseases 0.000 description 134
- 239000003570 air Substances 0.000 description 110
- 239000012790 adhesive layer Substances 0.000 description 19
- 239000010410 layer Substances 0.000 description 13
- 230000001681 protective effect Effects 0.000 description 8
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- 238000004140 cleaning Methods 0.000 description 6
- 239000004033 plastic Substances 0.000 description 5
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- 238000011282 treatment Methods 0.000 description 5
- 241000894006 Bacteria Species 0.000 description 4
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- 229920001296 polysiloxane Polymers 0.000 description 4
- 238000005406 washing Methods 0.000 description 4
- 230000029663 wound healing Effects 0.000 description 4
- 230000009286 beneficial effect Effects 0.000 description 3
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- 238000007373 indentation Methods 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 238000003973 irrigation Methods 0.000 description 2
- 230000002262 irrigation Effects 0.000 description 2
- 239000011241 protective layer Substances 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 239000004743 Polypropylene Substances 0.000 description 1
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- 239000002390 adhesive tape Substances 0.000 description 1
- 239000012867 bioactive agent Substances 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
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- 238000005469 granulation Methods 0.000 description 1
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- 239000000126 substance Chemical group 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Chemical compound O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
- A61M1/85—Drainage tubes; Aspiration tips with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/84—Drainage tubes; Aspiration tips
- A61M1/86—Connectors between drainage tube and handpiece, e.g. drainage tubes detachable from handpiece
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/90—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/90—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
- A61M1/91—Suction aspects of the dressing
- A61M1/912—Connectors between dressing and drainage tube
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/90—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
- A61M1/91—Suction aspects of the dressing
- A61M1/915—Constructional details of the pressure distribution manifold
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/90—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
- A61M1/96—Suction control thereof
- A61M1/964—Suction control thereof having venting means on or near the dressing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/90—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
- A61M1/96—Suction control thereof
- A61M1/962—Suction control thereof having pumping means on the suction site, e.g. miniature pump on dressing or dressing capable of exerting suction
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- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Vascular Medicine (AREA)
- Surgery (AREA)
- Otolaryngology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pulmonology (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- External Artificial Organs (AREA)
Abstract
【解決手段】創傷にTNP療法を提供する装置および方法が記載され、この装置は、創傷を覆って創腔を形成する密封膜と、創腔に動作可能に関連づけられた吸引管路の一端と、吸引管路の遠位端に提供され、創腔に真空を提供する真空手段と、創腔と流体連通する空気ブリード手段とを備える。空気ブリードポート部材のさまざまな実施形態も記載される。
【選択図】図1
Description
12 装置
14 密封膜
16 無傷の組織
17 創腔
18 吸引管路
20 排液管部分
22 単一ルーメン部分
24 密封膜上の密封位置
26 真空ポンプ
30 第2の管路
32 密封膜上の密封位置
34 ピンチクランプ
36 プラスチック材料ハウジング
38 空気入口
40 空気出口
42 フィルタ要素
100 ドレッシング
102 密封膜部分
104 管路部分104
106 フィルタハウジング
108 フィルタ
110 フランジ部分
112 接着剤層
114 膜部材
116 接着剤層の下面
118 保護シリコーン処理紙の層
200 管路
202 グロメット部材
204 曲面
206 曲面
208 テーパの付いた縁
210 テーパの付いた縁
212 膜材料層
214 膜材料層
300 空気ブリードポート部材
302 ボディ部分
304 開口
306 上キャップ部分
308 空気ポート
310 フィルタ要素部材
312 円形の凹み
314 ボディ部分の底面
316 接着剤層
318 保護紙層
320 フィンガタブ
500 創傷
502 多孔質弾性圧縮可能創傷充填要素
504 密封膜
506 無傷の組織
508 膜の開口
510 空気ブリードポート
512 中空ドーム形部分
514 ポートの開口
516 フランジ付きベース部分
520 ソケット部分
522 吸引管路
524 真空ポンプ
528 空気ブリード穴
530 ソケット部分の凹み
532 フィルタ要素
534 創腔
540 通路
542 中空部分
544 接着剤層
600 空気ブリードポート
602 フランジ部分
604 ボディ部分
606 ソケット部分
608 指状の窪み
610 下側に残る材料
612 空間
614 通路
616 開口
620 空気ブリード穴
622 凹部
700 空気ブリードポート
702 ベースフランジ部分
704 壁部分
706 首部分
708 ベローズ部分
710 空気ブリード穴
712 凹み
714 吸引管路
716 創腔
718 密封膜
720 管路の端部
722 管路の端部
724 フランジ部分の下面
730 ベース部分の開口
800 空気ブリードポート部材
802 フィルタ膜のパッチ
804 環状接着剤層
806 保護紙
808 接着剤でコーティングされていないフィルタ膜部分
810 接着剤でコーティングされたフィルタ膜部分
Claims (38)
- 創傷に局所陰圧療法を提供する装置であって、創傷を覆って創腔を形成する密封膜と、使用時に前記創腔に動作可能に関連づけることができる一端を有する吸引管路と、前記吸引管路の遠位端に提供され、使用時に前記創腔に真空を提供する真空手段と、使用時に前記創腔と流体連通する空気ブリード手段とを備え、
前記空気ブリード手段が、創腔からの創傷滲出液の流出を促進するために所定の細孔径を有するフィルタ要素である、装置。 - 前記フィルタ要素が、周囲大気にアクセス可能な所定の面積を有する、請求項1に記載の装置。
- 前記吸引管路が、クランプまたはオン/オフ弁を備える、請求項1から2のいずれか一項に記載の装置。
- 前記空気ブリード手段が、前記密封膜に関連づけられた空気ブリードポート部材の形態である、請求項1に記載の装置。
- 前記空気ブリードポート部材が、前記密封膜に接着されており、使用時に、前記膜の開口を通して前記創腔と連通することができる、請求項4に記載の装置。
- 前記空気ブリードポート部材が、それを通して空気ブリードが起こるフィルタ要素を含む、請求項4または請求項5に記載の装置。
- 前記密封膜と空気ブリードポート部材とが単一体として製造された、請求項4から6のいずれか一項に記載の装置。
- 前記フィルタ要素が0.2マイクロメートルの細孔径を有する、請求項1から3、6および7のいずれか一項に記載の装置。
- 前記フィルタ要素が抗菌性である、請求項8に記載の装置。
- 空気ブリードの流量が0.5l/分未満である、請求項1から9のいずれか一項に記載の装置。
- 前記空気ブリードの前記流量が0.2l/分未満である、請求項10に記載の装置。
- 前記流量が0.05l/分未満である、請求項10に記載の装置。
- 前記フィルタ要素が、前記空気ブリードポート部材の凹みの中に保持された、請求項4または7に記載の装置。
- 前記凹みが、その中に、前記フィルタ要素によって覆われた空気ブリード穴を有する、請求項13に記載の装置。
- 前記空気ブリードポート部材が、前記吸引管路を受け取る機構を有する、請求項4または7に記載の装置。
- 前記吸引管路が、使用時に、前記空気ブリードポート部材を貫通して前記創腔内へ延びる、請求項15に記載の装置。
- 前記吸引管路が、前記空気ブリードポート部材で終端し、使用時に、前記創腔内への空気ブリードを可能にする、請求項15に記載の装置。
- 局所陰圧ドレッシング用の空気ブリードポート部材であって、ベース部分と、ボディ部分と、吸引管路を受け取るソケット部分と、空気ブリード穴と、フィルタ要素を受け取って前記空気ブリード穴を覆う、前記空気ブリード穴に関連づけられた機構とを備え、前記フィルタ要素が、創腔からの創傷滲出液の流出を促進するために所定の細孔径を有する、空気ブリードポート部材。
- 前記ベース部分が、ドレッシングの柔軟な密封膜に取り付けられるように適合された、請求項18に記載のポート部材。
- 前記ソケット部分が、前記ソケット部分を貫通する吸引管路を受け取るように適合された、請求項18または19に記載のポート部材。
- 前記ソケット部分が、前記ソケット部分内で終端する吸引管路を受け取るように適合された、請求項18または19に記載のポート部材。
- 前記ベース部分が、使用時に、密封された創腔と連通するための開口をその中に有する、請求項18から21のいずれか一項に記載のポート部材。
- 前記開口が、使用時に、吸引された創傷滲出物を直接に受け取る、請求項22に記載のポート部材。
- 創傷に局所陰圧療法を提供する方法であって、創傷を覆って創腔を形成する密封膜を提供するステップと、前記創腔に動作可能に関連づけられる一端を有する吸引管路を提供するステップと、前記吸引管路の遠位端に提供され、前記創腔に真空を提供する真空手段を提供するステップと、前記創腔と流体連通する空気ブリード手段を提供するステップとを含み、前記空気ブリード手段が、創腔からの創傷滲出液の流出を促進するために所定の細孔径を有するフィルタ要素である、方法。
- 前記空気ブリード手段が、前記密封膜内に提供された空気ブリードポート内のフィルタである、請求項24に記載の方法。
- 空気ブリードの流量が、1l/分未満に制御される、請求項24または25に記載の方法。
- 前記流量が、0.5l/分未満に制御される、請求項26に記載の方法。
- 前記流量が、0.2l/分未満に制御される、請求項26に記載の方法。
- 前記流量が、0.05l/分未満に制御される、請求項26に記載の方法。
- 空気ブリードの流量が、前記創傷が完全に乾燥することを防ぐ流量に制御される、請求項24から29のいずれか一項に記載の方法。
- 前記空気ブリードポート部材は、フィルタ材の部分を備え、使用時により大きな基層に接着するため、前記フィルタ材が、部分的に接着剤でコーティングされている、請求項4に記載の装置。
- 使用時にそこを通してブリードが起こる可能性がある前記フィルタ材の面積が、接着剤によって覆われた面積によって制御される、請求項31に記載の装置。
- 前記フィルタ材の部分が円形である、請求項31または32に記載の装置。
- 前記接着剤が、空気ブリードポート部材の周縁の周囲の環として塗布された、請求項33に記載の装置。
- 前記環が所定の面積を有する、請求項34に記載の装置。
- 前記空気ブリードポート部材は、柔軟な密封膜に溶接されたフィルタ材の部分を備え、空気ブリード流の面積が、閉じられた溶接ビードの内側の面積によって決定される、請求項4に記載の装置。
- 前記空気ブリード手段が、空気ブリードをオンおよびオフにすることができる点において切替え可能である、請求項1に記載の装置。
- 前記空気ブリード手段が第2の管路によって提供され、前記第2の管路が、使用時に前記創腔と連通する一端と、前記第2の管路の遠位端の空気ブリード手段とを有する、請求項1または請求項37に記載の装置。
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GBGB0723872.8A GB0723872D0 (en) | 2007-12-06 | 2007-12-06 | Apparatus for topical negative pressure therapy |
GB0723872.8 | 2007-12-06 |
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JP2010536536A Division JP2011505888A (ja) | 2007-12-06 | 2008-11-26 | 局所陰圧療法用の装置 |
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JP2014168316A Division JP6138734B2 (ja) | 2007-12-06 | 2014-08-21 | 局所陰圧療法用の装置 |
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JP2014012187A true JP2014012187A (ja) | 2014-01-23 |
JP5674881B2 JP5674881B2 (ja) | 2015-02-25 |
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JP2010536536A Pending JP2011505888A (ja) | 2007-12-06 | 2008-11-26 | 局所陰圧療法用の装置 |
JP2013168494A Active JP5674881B2 (ja) | 2007-12-06 | 2013-08-14 | 局所陰圧療法用の装置 |
JP2014168316A Active JP6138734B2 (ja) | 2007-12-06 | 2014-08-21 | 局所陰圧療法用の装置 |
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JP2010536536A Pending JP2011505888A (ja) | 2007-12-06 | 2008-11-26 | 局所陰圧療法用の装置 |
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US (6) | US8734410B2 (ja) |
EP (2) | EP3284488B8 (ja) |
JP (3) | JP2011505888A (ja) |
AU (2) | AU2008332915B2 (ja) |
CA (1) | CA2706169C (ja) |
GB (1) | GB0723872D0 (ja) |
WO (1) | WO2009071933A2 (ja) |
ZA (1) | ZA201003284B (ja) |
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- 2007-12-06 GB GBGB0723872.8A patent/GB0723872D0/en not_active Ceased
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US7021A (en) * | 1850-01-15 | Substitute for the clevis | ||
US7017A (en) * | 1850-01-15 | Brick-pbess | ||
WO2007013049A1 (en) * | 2005-07-24 | 2007-02-01 | Carmeli Adahan | Wound closure and drainage system |
WO2007087810A2 (en) * | 2006-02-02 | 2007-08-09 | Coloplast A/S | A suction method and a wound suction system |
Cited By (1)
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KR101685509B1 (ko) * | 2015-06-15 | 2016-12-13 | (주)시지바이오 | 드레인 튜브의 막힘 확인 방법 및 상처 부위의 체적 재산출 방법 |
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US11433176B2 (en) | 2022-09-06 |
US20100262095A1 (en) | 2010-10-14 |
AU2008332915A1 (en) | 2009-06-11 |
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WO2009071933A2 (en) | 2009-06-11 |
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WO2009071933A3 (en) | 2009-08-06 |
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EP3284488A1 (en) | 2018-02-21 |
US20140330225A1 (en) | 2014-11-06 |
GB0723872D0 (en) | 2008-01-16 |
US20200268950A1 (en) | 2020-08-27 |
US11717655B2 (en) | 2023-08-08 |
AU2008332915B2 (en) | 2014-05-08 |
CA2706169A1 (en) | 2009-06-11 |
JP6138734B2 (ja) | 2017-05-31 |
US20230020747A1 (en) | 2023-01-19 |
JP5674881B2 (ja) | 2015-02-25 |
JP2014223549A (ja) | 2014-12-04 |
JP2011505888A (ja) | 2011-03-03 |
US8734410B2 (en) | 2014-05-27 |
AU2014210592A1 (en) | 2014-08-28 |
ZA201003284B (en) | 2011-03-30 |
US20230347118A1 (en) | 2023-11-02 |
CA2706169C (en) | 2016-06-14 |
AU2014210592B2 (en) | 2015-11-26 |
EP2231218B1 (en) | 2017-10-04 |
EP2231218A2 (en) | 2010-09-29 |
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