JP7063519B2 - 負圧創傷閉鎖器具 - Google Patents
負圧創傷閉鎖器具 Download PDFInfo
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- JP7063519B2 JP7063519B2 JP2019006438A JP2019006438A JP7063519B2 JP 7063519 B2 JP7063519 B2 JP 7063519B2 JP 2019006438 A JP2019006438 A JP 2019006438A JP 2019006438 A JP2019006438 A JP 2019006438A JP 7063519 B2 JP7063519 B2 JP 7063519B2
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- 206010052428 Wound Diseases 0.000 claims description 304
- 208000027418 Wounds and injury Diseases 0.000 claims description 303
- 239000000463 material Substances 0.000 claims description 163
- 230000000087 stabilizing effect Effects 0.000 claims description 44
- 239000012530 fluid Substances 0.000 claims description 19
- 238000011282 treatment Methods 0.000 claims description 12
- 230000002093 peripheral effect Effects 0.000 claims description 8
- 230000029663 wound healing Effects 0.000 claims description 8
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- 208000004210 Pressure Ulcer Diseases 0.000 claims description 2
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- 206010063560 Excessive granulation tissue Diseases 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
- 206010048031 Wound dehiscence Diseases 0.000 description 1
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Images
Classifications
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- A61F13/05—
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
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- 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
- A61M1/08—Cupping glasses, i.e. for enhancing blood circulation
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- A61M1/84—Drainage tubes; Aspiration tips
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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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00561—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated creating a vacuum
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00646—Type of implements
- A61B2017/00654—Type of implements entirely comprised between the two sides of the opening
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B2017/081—Tissue approximator
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F13/00—Bandages or dressings; Absorbent pads
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- A—HUMAN NECESSITIES
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- A61F13/00—Bandages or dressings; Absorbent pads
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- A—HUMAN NECESSITIES
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- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00361—Plasters
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- A61F2013/0054—Plasters use for deep wounds
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F13/00—Bandages or dressings; Absorbent pads
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- A61F2013/00544—Plasters form or structure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00361—Plasters
- A61F2013/00544—Plasters form or structure
- A61F2013/00548—Plasters form or structure net
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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
- 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
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 (28)
- 負圧により創傷を治療するための創傷閉鎖器具であって、
2つの直交軸(x軸及びy軸)で定義される平面(x-y平面)に配置されて創傷縁を有する創傷を治療する多孔性創傷充填材料であって、前記x-y平面に垂直な方向(z方向)に延びる厚さを有する、前記多孔性創傷充填材料と、
前記創傷を治療するために前記多孔性創傷充填材料と接触するように構成された複数の部材であり、前記複数の部材は、前記多孔性創傷充填材料より剛性の高い材料からなる、前記複数の部材と、を備え、
前記創傷閉鎖器具に負圧を加えると、前記多孔性創傷充填材料は、前記x-y平面のx方向に収縮し、y方向の動きを抑制して、前記複数の部材が前記創傷閉鎖器具の前記z方向の動きを抑制して前記x方向に前記創傷縁の閉鎖運動を引き起こすように構成される、創傷閉鎖器具。 - 前記多孔性創傷充填材料は、前記z方向に延びる前記複数の部材を取り囲む、請求項1に記載の創傷閉鎖器具。
- 前記多孔性創傷充填材料は、前記z方向に延びる前記複数の部材の間に延びる、請求項2に記載の創傷閉鎖器具。
- 前記多孔性創傷充填材料は、前記複数の部材が配置される複数の分離された領域を含む、請求項1から3のいずれか一項に記載の創傷閉鎖器具。
- 前記多孔性創傷充填材料は、前記多孔性創傷充填材料が創傷内に配置され、負圧下に置かれると、前記複数の部材の間に配置されて、前記複数の部材を互いに向かって前記x-y平面内で圧縮する多孔性発泡材料を含み、前記複数の部材は、前記多孔性発泡材料の前記z方向の収縮を抑制する、請求項2に記載の創傷閉鎖器具。
- 前記複数の部材は、接着剤を用いて前記多孔性創傷充填材料に付着される、請求項1から5のいずれか一項に記載の創傷閉鎖器具。
- 前記複数の部材は、前記創傷閉鎖器具が前記z方向に実質的に収縮しないように構成されるロッド又は剛性の柱である、請求項1から6のいずれか一項に記載の創傷閉鎖器具。
- 前記複数の部材は、剛性又は屈曲要素を含む、請求項1に記載の創傷閉鎖器具。
- 前記創傷閉鎖器具は、壁を含む、請求項1に記載の創傷閉鎖器具。
- 前記壁は、外面を有する、請求項9に記載の創傷閉鎖器具。
- 前記剛性の柱の間に間隔が設けられる、請求項7に記載の創傷閉鎖器具。
- 前記多孔性創傷充填材料は、連続気泡発泡体を含む、請求項1から11のいずれか一項に記載の創傷閉鎖器具。
- 前記創傷閉鎖器具は、摺動面を含む、請求項1に記載の創傷閉鎖器具。
- 前記複数の部材は、さらに、前記x-y平面内で延び、前記x方向に収縮し、前記y方向の動きを抑制する関節部材を含み、前記複数の部材は、ヒンジ、接合部、又はフレキシブルな領域で接続される、請求項1に記載の創傷閉鎖器具。
- さらに接着剤を備える、請求項1に記載の創傷閉鎖器具。
- 前記多孔性創傷充填材料は、成形された連続気泡発泡材料を含む、請求項1に記載の創傷閉鎖器具。
- 前記創傷閉鎖器具は、内臓の上方に配置され、摺動面を有する層上を移動する楕円形を有する患者の腹部創傷内に置かれる、請求項1に記載の創傷閉鎖器具。
- 前記複数の部材は、Z軸安定化要素を有する安定化構造を含む、請求項1に記載の創傷閉鎖器具。
- 前記創傷に負圧を加えると、互いに向かって移動して創傷の縁に接触する外周面をさらに備える、請求項1に記載の創傷閉鎖器具。
- 前記複数の部材は、クロスハッチ構造の安定化要素をさらに含む、請求項1に記載の創傷閉鎖器具。
- 前記複数の部材は、安定化要素によって分離された複数の収縮領域を有する安定化構造を含む、請求項1に記載の創傷閉鎖器具。
- 前記安定化要素は、トラス安定器をさらに含む、請求項21に記載の創傷閉鎖器具。
- 請求項1から19のいずれか一項に記載の創傷閉鎖器具と、
前記創傷閉鎖器具の上方に配置されるように構成される導管結合部材と、
を備える負圧創傷治療システム。 - 前記導管結合部材を負圧源に接続するためのチューブ接続ポートをさらに備える、請求項23に記載の負圧創傷治療システム。
- 前記創傷内に配置されると、前記創傷閉鎖器具に負圧をもたらす前記導管結合部材に接続されるように構成される負圧源をさらに備える、請求項23又は24に記載の負圧創傷治療システム。
- 1又は複数のポートで前記導管結合部材に接続された腹部創傷、筋膜切開創傷、縦隔創傷、又は褥瘡創傷に吸引力を加えるポンプをさらに備える、請求項23に記載の負圧創傷治療システム。
- 流体制御コンポーネントをさらに備え、前記創傷閉鎖器具は、前記流体制御コンポーネントの表面上を摺動する、請求項23に記載の負圧創傷治療システム。
- 前記流体制御コンポーネントは、前記創傷閉鎖器具及び創傷開口内の腹部臓器の間に配置される、請求項27に記載の負圧創傷治療システム。
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2022002498A JP2022046774A (ja) | 2011-02-04 | 2022-01-11 | 負圧創傷閉鎖器具 |
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US201161439525P | 2011-02-04 | 2011-02-04 | |
US61/439,525 | 2011-02-04 |
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JP2017111453A Division JP6470349B2 (ja) | 2011-02-04 | 2017-06-06 | 負圧創傷閉鎖器具 |
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JP2019076756A JP2019076756A (ja) | 2019-05-23 |
JP7063519B2 true JP7063519B2 (ja) | 2022-05-09 |
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JP2013552670A Expired - Fee Related JP6158096B2 (ja) | 2011-02-04 | 2012-02-03 | 負圧創傷閉鎖器具 |
JP2017111453A Active JP6470349B2 (ja) | 2011-02-04 | 2017-06-06 | 負圧創傷閉鎖器具 |
JP2019006438A Active JP7063519B2 (ja) | 2011-02-04 | 2019-01-17 | 負圧創傷閉鎖器具 |
JP2022002498A Pending JP2022046774A (ja) | 2011-02-04 | 2022-01-11 | 負圧創傷閉鎖器具 |
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Country Status (11)
Country | Link |
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US (4) | US9226737B2 (ja) |
EP (2) | EP2670312B1 (ja) |
JP (4) | JP6158096B2 (ja) |
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