JP2014511222A - 負圧創傷閉鎖器具 - Google Patents
負圧創傷閉鎖器具 Download PDFInfo
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- JP2014511222A JP2014511222A JP2013552670A JP2013552670A JP2014511222A JP 2014511222 A JP2014511222 A JP 2014511222A JP 2013552670 A JP2013552670 A JP 2013552670A JP 2013552670 A JP2013552670 A JP 2013552670A JP 2014511222 A JP2014511222 A JP 2014511222A
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- 206010052428 Wound Diseases 0.000 claims description 324
- 208000027418 Wounds and injury Diseases 0.000 claims description 323
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- 239000000945 filler Substances 0.000 claims description 80
- 230000000087 stabilizing effect Effects 0.000 claims description 42
- 230000008602 contraction Effects 0.000 claims description 27
- 238000000418 atomic force spectrum Methods 0.000 claims description 22
- 239000012530 fluid Substances 0.000 claims description 18
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Images
Classifications
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- 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
- A61M1/916—Suction aspects of the dressing specially adapted for deep wounds
Abstract
【選択図】図8C
Description
本願は、2011年2月4日に提出された米国特許出願第61/439,525号の優先権を主張する。当該特許出願の内容はその全体が本明細書に参照により組み込まれるものとする。
Claims (37)
- 創傷の開きに適応するようサイズおよび形状が決められ、負圧がかけられると第2方向と相対的な第1方向に少なくとも沿って選択的に収縮する創傷充填材料を備える、負圧創傷閉鎖器具。
- 前記創傷充填材料の外周面に延在し、前記創傷の開きの縁において組織と接触し、前記創傷充填材料に対し前記負圧がかけられると前記創傷の前記縁において前記組織を変位させて前記創傷の閉鎖を促進する外方に突出する複数の組織固定器を有する組織把持表面をさらに備える、請求項1に記載の負圧創傷閉鎖器具。
- 前記創傷充填材料に結合される負圧源をさらに備える、請求項1または2に記載の負圧創傷閉鎖器具。
- 前記創傷充填材料は多孔質材料を含む、請求項1から3のいずれか1項に記載の負圧創傷閉鎖器具。
- 前記創傷充填材料は発泡体を含む、請求項4に記載の負圧創傷閉鎖器具。
- 前記複数の組織固定器は前記創傷充填材料と一体的に形成されている、請求項2に記載の負圧創傷閉鎖器具。
- 前記組織把持表面は前記創傷充填材料の表面上に配置されるフィルムを含み、
前記複数の組織固定器は前記フィルムから外方に突出する、請求項2に記載の負圧創傷閉鎖器具。 - 前記フィルムはメッシュ材料からなる、請求項7に記載の負圧創傷閉鎖器具。
- 前記フィルムは、前記フィルムを前記創傷充填材料へ固定する第2の複数の内向きの固定器を含む、請求項7または8に記載の負圧創傷閉鎖器具。
- 前記創傷充填材料は、少なくとも1つの第1方向への収縮を可能とし、少なくとも1つの第2方向への収縮を妨げる安定化構造を有する、請求項1から9のいずれか1項に記載の負圧創傷閉鎖器具。
- 前記安定化構造は、比較的圧縮性の材料からなる領域に囲まれた比較的剛性の材料からなる1以上の領域を含む、請求項10に記載の負圧創傷閉鎖器具。
- 前記創傷充填材料は長さ寸法、幅寸法、および高さ寸法を有し、
前記安定化構造は、前記高さ寸法の方向の収縮を妨げる、請求項10または11に記載の負圧創傷閉鎖器具。 - 前記安定化構造は前記創傷充填材料の少なくとも1つの第1方向への収縮を促進し、前記創傷を再接近させる、請求項10から12のいずれか1項に記載の負圧創傷閉鎖器具。
- 前記安定化構造は、前記創傷の縁により画定される平面への前記創傷充填材料の収縮を実質的に制限する、請求項10から13のいずれか1項に記載の負圧創傷閉鎖器具。
- 前記安定化構造は比較的剛性の材料からなる内骨格を含む、請求項10から14のいずれか1項に記載の負圧創傷閉鎖器具。
- 前記内骨格は、クロスハッチ構造を形成する互いに離間した複数の剛性部材を含む、請求項15に記載の負圧創傷閉鎖器具。
- 前記創傷充填材料は長さ寸法、幅寸法、および高さ寸法を有し、
前記内骨格は、前記創傷充填材料の前記幅寸法の方向への収縮を可能とし、前記創傷充填材料を前記長さ寸法の方向に伸ばすことが出来る、請求項15または16に記載の負圧創傷閉鎖器具。 - 前記内骨格は、前記高さ寸法の方向に延在し、前記創傷充填材料の前記高さ寸法の方向への収縮を妨げる複数の剛性部材を含む、請求項17に記載の負圧創傷閉鎖器具。
- 前記高さ寸法の方向に延在する前記複数の剛性部材のうち少なくとも一部は、前記創傷充填材料の周囲に延在する、請求項18に記載の負圧創傷閉鎖器具。
- 前記内骨格は、前記創傷充填材料が収縮すると互いに一体となることが出来る相互接続された剛性部材からなる網状構造を含む、請求項15から19のいずれか1項に記載の負圧創傷閉鎖器具。
- 前記複数の組織固定器は内骨格内で一体的に形成されている、請求項21に記載の負圧創傷閉鎖器具。
- 前記内骨格は前記創傷充填材料の傾斜動作を妨げるトラス部材を含む、請求項15から21のいずれか1項に記載の負圧創傷閉鎖器具。
- 前記創傷充填材料の底面上に延在する平滑面をさらに備える、請求項1から22のいずれか1項に記載の負圧創傷閉鎖器具。
- 流体を除去するべく前記底面を通過させ前記負圧創傷閉鎖器具内へと流入させる、前記平滑面に形成された複数の微細孔をさらに備える、請求項23に記載の負圧創傷閉鎖器具。
- 前記複数の微細孔のサイズおよび細孔密度のうち少なくとも一方が前記創傷充填材料の前記底面に亘って異なり、負圧源からの真空力の分布を方向付ける、請求項24に記載の負圧創傷閉鎖器具。
- 前記創傷充填材料の細孔径および細孔密度の少なくとも一方が一様ではなく、負圧源からの真空力の分布を方向付ける、請求項1から25のいずれか1項に記載の負圧創傷閉鎖器具。
- 前記創傷充填材料に結合される負圧創傷治療コンポーネントをさらに備える、請求項1から26のいずれか1項に記載の負圧創傷閉鎖器具。
- 前記負圧創傷治療コンポーネントは負圧源へと接続し、前記創傷の部位からの流体のドレナージを制御する、請求項27に記載の負圧創傷閉鎖器具。
- 前記創傷充填材料と前記負圧創傷治療コンポーネントとの間の接触面において摺動面をさらに備える、請求項28に記載の負圧創傷閉鎖器具。
- 前記創傷充填材料は前記負圧創傷閉鎖器具のサイズを調整するための取り除き可能部分を有する、請求項1から29のいずれか1項に記載の負圧創傷閉鎖器具。
- それぞれが複数の組織固定器からなる複数のセットが、前記創傷充填材料に埋め込まれており、前記取り除き可能部分を取り除くことにより露出させられる、請求項30に記載の負圧創傷閉鎖器具。
- 前記複数の組織固定器は、係合する組織のタイプに応じて異なる力プロファイルを有する、請求項2に記載の負圧創傷閉鎖器具。
- 前記組織のタイプには、コラーゲン、脂肪組織、および筋肉のうち少なくとも1つが含まれる、請求項32に記載の負圧創傷閉鎖器具。
- 前記複数の組織固定器は、係合する組織の深さに応じて異なる力プロファイルを有する、請求項2に記載の負圧創傷閉鎖器具。
- 前記複数の組織固定器は、前記創傷充填材料の周囲の各部分で異なる力プロファイルを有する、請求項2に記載の負圧創傷閉鎖器具。
- 前記組織把持表面は、前記組織把持表面の少なくとも一部において異なる力プロファイルを有する、請求項2に記載の負圧創傷閉鎖器具。
- 前記複数の組織固定器の長さ、前記複数の組織固定器の形状、前記複数の組織固定器の材料、および前記複数の組織固定器の密度のうち少なくとも1つが互いに異なり、前記力プロファイルが異なる、請求項36に記載の負圧創傷閉鎖器具。
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