JP7407783B2 - 創傷被覆材および治療法 - Google Patents
創傷被覆材および治療法 Download PDFInfo
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- JP7407783B2 JP7407783B2 JP2021161284A JP2021161284A JP7407783B2 JP 7407783 B2 JP7407783 B2 JP 7407783B2 JP 2021161284 A JP2021161284 A JP 2021161284A JP 2021161284 A JP2021161284 A JP 2021161284A JP 7407783 B2 JP7407783 B2 JP 7407783B2
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Description
各層を結合する手段をまったく有さないかまたは各層を結合する手段を最小限にし、被覆材構成が、内部せん断に抵抗することによって動きに抵抗しないようにすること、
粒子保持を強化するためのより大きい境界、および皮膚の動きに追従することのできる弾性伸縮領域、
パッドの部分領域が、被覆材の全体的な位置または完全性を損なわずに互いに独立に移動できるように被覆材を形作ること、
様々な寸法のパッド構成要素を使用して被覆材縁部の取付け角を最小限にし、布帛の擦れに対する抵抗を低下させることによって身体の動きに対する適合性を向上させた被覆材設計。
吸収剤層中の繊維同士は、ラテックス結合または熱結合または水素結合または任意の結合技法の組合せまたはその他の固定機構によって互いに固定されてよい。適切な形態において、吸収剤層は、高吸収性吸収剤粒子を吸収剤層内に拘束するように働く繊維によって形成される。これによって、高吸収性吸収剤粒子が吸収剤層の外部および下方の創傷床の方へ移動することはなくなる。
低下率=(Abachground-Asample placed on background)/(Abackground)x100
上式において、Aは特定の波長における光放射の吸収率である。
発泡体層内のような被覆材の他の層内に圧力除去構成要素を組み込むこと(たとえば、負荷を拡散させることのできる3D構造の周りに発泡体を成形すること)と、
圧力吸収構成要素を被覆材の他の層内に組み込む(たとえば、粘弾性材料のビードを高吸収性吸収剤層に組み込む)ことが含まれる。
創傷被覆材を所定の間隔で調べて創傷被覆材に存在する滲出液の範囲を評価することを含む。
繊維状変性セルロース、繊維状変性キトサン、繊維状親水性ポリエステル、繊維状セルロース、繊維状キトサン、繊維状多糖類で作られてよい吸収剤不織材料または高吸収性吸収剤不織材料、
高吸収性吸収剤粒子もしくは高吸収性吸収剤繊維を含むブロー成形された親水性ポリウレタン発泡体であってよい吸収剤発泡体もしくは高吸収性吸収剤発泡体、または親水性ポリ酢酸ビニルの発泡体、あるいは
さらに高吸収性吸収剤粒子または高吸収性吸収剤繊維を含む親水性ポリマー構造であってよい吸収剤または高吸収性吸収剤のゲルまたは固形物を使用して流体拘束および漏れ防止特性を実現することができる。
特許文献19、特許文献20、および特許文献21、特許文献22、特許文献23、特許文献24、特許文献25、特許文献26、特許文献27、特許文献28、特許文献29、特許文献30、特許文献31、特許文献32、特許文献33、および特許文献34、ならびに2010年11月8日に出願された特許文献35、2011年4月15日に出願された特許文献36、および2011年4月15日に出願された特許文献37に記載された特徴、構成、および材料を組み込んでもよい。参照により組み込まれているこれらの特許および特許出願から、本開示に記載されている構成要素と同様の構成要素についての特徴、構成、材料、および製造方法または使用方法を本出願の実施形態に対して置換、追加、または実装してもよい。
101 創傷接触層
102 頂部膜
103 ハイドロセルラ発泡体層
104 活性炭布層、臭気除去層
105 エアレイド材料層、吸収剤層
106 3次元編みスペーサ布、遮蔽層
110 境界領域
112 中央領域
114 領域
1102 有孔カバー層
1106 有孔遮蔽層
1200 被覆材
1202 マスキング層
1204 窓
1210 被覆材
1212 マスキング層
1214 穴
1220 被覆材
1222 マスキング層
1224 窓
2100 創傷被覆材
2101 下面
2102 創傷接触層
2103 上面
2104 穿孔
2105 透過層
2107 不透明層、マスキング層
2110 吸収剤材料層
2115 外側流路
2130 フィルタ
2140 カバー層
2145 オリフィス
2146 開口
2150 ポート
2152 スペーサ要素
2153 スペーサ要素
2154 コネクタ部
2156 半球体部
2190 創傷部位
2195 固定ストリップ
2200 境界領域
2201 中央隆起領域
2202 隅部領域
2210 ビア
2220 チューブ要素
2300 下部層
2301 上部層
2350 オリフィス
2355 第1の端部
2356 第2の端部
2400 開口部
2510 吸収剤材料流路
2600 開口部
2610 バッフル要素
2700 開口部
2710 空気流路
2800 ポンプ
2810 空気流路
2812 空気流路
2845 オリフィス
2910 成形品
3700 上面
3702 下面
3703 繊維
4201 上面
4202 下面
T1 期間
T2 期間
P1 所定の陰圧
P2 所定の陰圧
Claims (22)
- 創傷接触層と、
前記創傷接触層を密封するカバー層と、
前記創傷接触層と前記カバー層との間に配置された創傷滲出液を吸収するための吸収剤層と、
前記吸収剤層と前記創傷接触層との間に配置された少なくとも1つの層と、
を備える創傷被覆材であって、
前記吸収剤層の寸法は、前記少なくとも1つの層の寸法より大きく、これにより、前記吸収剤層の半径方向外側領域が、前記少なくとも1つの層の周りを前記創傷接触層で包囲し、
前記創傷接触層、前記カバー層、及び、前記吸収剤層は、複数の部分領域を含む適合形状に成形され、
前記適合形状は、前記適合形状の中心点に対して回転対称性を有し、前記部分領域は、互いに対して異なる方向に変形可能な前記創傷被覆材の領域を画定することを特徴とする創傷被覆材。 - 前記創傷被覆材は4つの部分領域を備えることを特徴とする請求項1に記載の創傷被覆材。
- 遮蔽層をさらに備えることを特徴とする請求項1に記載の創傷被覆材。
- 創傷接触層と、
前記創傷接触層を密封するカバー層と、
前記創傷接触層と前記カバー層との間に配置された創傷滲出液を吸収するための吸収剤層と、
使用において前記吸収剤層によって吸収される創傷滲出液が見えるのを少なくとも部分的に遮蔽するマスキング層であって、前記マスキング層は前記吸収剤層と前記カバー層との間に配置される、マスキング層と、
を備える創傷被覆材であって、
前記創傷接触層、前記カバー層、前記吸収剤層、及び、前記マスキング層は、複数の部分領域を含む適合形状に成形され、
前記部分領域は、互いに対して異なる方向に変形可能な前記創傷被覆材の領域を画定し、
前記適合形状は、前記適合形状の中心点に対して回転対称性を有し、
前記マスキング層の適合形状は、前記吸収剤層の適合形状より小さい寸法を有し、これにより、前記マスキング層は、前記吸収剤層の中央領域を覆って配置され、かつ、前記吸収剤層の半径方向外側境界領域には配置されず、
前記創傷被覆材は、前記吸収剤層と前記創傷接触層との間に少なくとも1つの層をさらに備え、前記吸収剤層の寸法は、前記少なくとも1つの層の寸法より大きく、これにより、前記吸収剤層の半径方向外側領域が前記少なくとも1つの層の周りを前記創傷接触層で包囲することを特徴とする創傷被覆材。 - 前記適合形状は、前記創傷被覆材の中央部分から延在する4つの丸いローブを備えることを特徴とする請求項4に記載の創傷被覆材。
- 前記カバー層及び前記マスキング層は、気体及び蒸気の1つまたは両方に対して通過性であることを特徴とする請求項4に記載の創傷被覆材。
- 前記マスキング層は、所定のサイズまたは重さの分子の通過を選択的に許可または防止するためのサイズ排除特性を有する材料を備える、或いは、この材料で被覆されることを特徴とする請求項6に記載の創傷被覆材。
- 前記吸収剤層の上に配置された遮蔽層をさらに備え、前記遮蔽層は、前記マスキング層を備え、前記遮蔽層は、前記創傷被覆材にかかる圧力を分散するように構成されることを特徴とする請求項4に記載の創傷被覆材。
- 前記遮蔽層は、前記創傷被覆材にかかる圧力が伝達される領域を、最初の適用領域の25%以上増加させることを特徴とする請求項8に記載の創傷被覆材。
- 前記遮蔽層は2つ以上の副層を備え、第1の副層は貫通穴を備え、さらなる副層は貫通穴を備え、前記第1の副層の貫通穴は前記さらなる副層の貫通穴とずれされていることを特徴とする請求項8に記載の創傷被覆材。
- 前記少なくとも1つの層は、前記吸収剤層と前記創傷接触層との間に配置される発泡体を備えることを特徴とする請求項4に記載の創傷被覆材。
- 前記少なくとも1つの層は、前記吸収剤層と前記創傷接触層との間に配置された臭気抑制要素を備えることを特徴とする請求項4に記載の創傷被覆材。
- 創傷接触層は、その下面に接着部分を有し、前記接着部分は創傷サイトの上に液密のシールを形成することを特徴とする請求項4に記載の創傷被覆材。
- 前記創傷接触層及び前記カバー層は水蒸気透過性であることを特徴とする請求項4に記載の創傷被覆材。
- 前記創傷被覆材の境界領域周りで前記カバー層及び前記創傷接触層を密封する水蒸気透過性の接着剤をさらに備えることを特徴とする請求項14に記載の創傷被覆材。
- 前記カバー層は、500グラム/平方メートル/24時以上の水蒸気透過性を有する半透明フィルムを備えることを特徴とする請求項4に記載の創傷被覆材。
- 前記創傷被覆材は、境界領域及び中央領域を有し、前記カバー層は、前記境界領域で前記創傷接触層と密閉され、前記吸収剤層は前記中央領域内に配置されることを特徴とする請求項4に記載の創傷被覆材。
- 前記複数の部分領域は、前記創傷被覆材の中央部分から延在する4つの丸いローブを備えることを特徴とする請求項1に記載の創傷被覆材。
- 前記吸収剤層の形状は、前記4つの丸いローブの外周の形状と適合することを特徴とする請求項18に記載の創傷被覆材。
- 前記吸収剤層の周りの境界領域をさらに備え、前記境界領域の幅が前記創傷被覆材の周りで等しいことを特徴とする請求項19に記載の創傷被覆材。
- 前記少なくとも1つの層は、前記吸収剤層と前記創傷接触層との間に配置された発泡体を備えることを特徴とする請求項1に記載の創傷被覆材。
- 前記少なくとも1つの層は、前記吸収剤層と前記創傷接触層との間に配置された臭気抑制要素を備えることを特徴とする請求項1に記載の創傷被覆材。
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