JPH09503923A - 減圧を用いた創傷治療 - Google Patents
減圧を用いた創傷治療Info
- Publication number
- JPH09503923A JPH09503923A JP6520219A JP52021994A JPH09503923A JP H09503923 A JPH09503923 A JP H09503923A JP 6520219 A JP6520219 A JP 6520219A JP 52021994 A JP52021994 A JP 52021994A JP H09503923 A JPH09503923 A JP H09503923A
- Authority
- JP
- Japan
- Prior art keywords
- wound
- reduced pressure
- cover
- skin
- tissue
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
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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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
-
- 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
- A61F13/02—Adhesive bandages or dressings
- A61F13/0203—Adhesive bandages or dressings with fluid retention members
- A61F13/0226—Adhesive bandages or dressings with fluid retention members characterised by the support layer
-
- 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
- A61F13/05—Bandages or dressings; Absorbent pads specially adapted for use with sub-pressure or over-pressure therapy, wound drainage or wound irrigation, e.g. for use with negative-pressure wound therapy [NPWT]
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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
- A61M1/71—Suction drainage systems
- A61M1/78—Means for preventing overflow or contamination of the pumping systems
- A61M1/782—Means for preventing overflow or contamination of the pumping systems using valves with freely moving parts, e.g. float valves
-
- 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
- A61M1/71—Suction drainage systems
- A61M1/78—Means for preventing overflow or contamination of the pumping systems
- A61M1/784—Means for preventing overflow or contamination of the pumping systems by filtering, sterilising or disinfecting the exhaust air, e.g. swellable filter valves
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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
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Landscapes
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- Media Introduction/Drainage Providing Device (AREA)
- Superconductors And Manufacturing Methods Therefor (AREA)
- Surgical Instruments (AREA)
- Food Preservation Except Freezing, Refrigeration, And Drying (AREA)
- Mechanical Treatment Of Semiconductor (AREA)
- Polarising Elements (AREA)
- Electric Double-Layer Capacitors Or The Like (AREA)
- Secondary Cells (AREA)
- Windings For Motors And Generators (AREA)
- Manufacture Of Motors, Generators (AREA)
- Finger-Pressure Massage (AREA)
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1.(a)創傷を被覆し囲繞して該創傷部位において減圧を維持するための不透 過性カバーと、(b)上記カバーを創傷周囲の組織に対して密着シールするシー ル手段と、(c)吸引源に接続されて上記カバーの下方域に減圧を形成する減圧 供給手段と、を有して成ることを特徴とする創傷治療のための減圧付与機構。 2.創傷組織の成長を防止するために上記創傷と上記カバーとの間に配置される スクリーン手段を更に有することを特徴とする請求項1の減圧付与機構。 3.上記スクリーン手段が有孔シートであることを特徴とする請求項2の減圧付 与機構。 4.上記減圧供給手段がオープンセル発泡体を有するスクリーンと上記スクリー ン内に埋設されるチューブ部分とを有して成ることを特徴とする請求項1の減圧 付与機構。 5.上記カバーが創傷を衝撃から保護するに十分な剛性を有し、上記減圧供給手 段が上記カバー上の吸引口より成ることを特徴とする請求項1の減圧付与機構。 6.上記シール手段が上記カバーのまわりに設けられるカフを有して成り、治療 中に上記カバーが皮膚に入り込むことを防止することを特徴とする請求項1の減 圧付与機構。 7.上記シール手段が上記カバーを創傷周囲の組織に対して定着させるための接 着材料を有して成ることを特徴とする請求項1の減圧付与機構。 8.(a)減圧発生のための真空システムと、(b)上記真空システムに接続さ れて創傷に減圧を作用させるための減圧付与機構とを有して成り、上記減圧付与 機構は、(i)創傷を被覆し囲繞して該創傷部位において減圧を維持するための 不透過性カバーと、(ii)上記カバーを創傷周囲の組織に対して密着シールする シール手段と、(iii)上記真空システムに接続されて上記カバーの下方域に減 圧を形成する減圧供給手段と、を有して成ることを特徴とする創傷治療装置。 9.上記真空システムは創傷から吸引された体液を収集するための収集手段を有 することを特徴とする請求項8の創傷治療装置。 10.上記収集手段は収集された体液が所定量を超えたときに上記創傷に対する 減圧付与を停止させるための手段を有して成ることを特徴とする請求項9の創傷 治療装置。 11.上記減圧付与機構により創傷に付与される減圧が大気圧より約2インチH g〜約7インチHg(約5.1〜約17.8cmHg)低い圧力であることを特 徴とする請求項8の創傷治療装置。 12.(a)創傷に減圧を作用させ、(b)創傷が一定の治癒状態に回復するま で上記減圧を維持することを特徴とする創傷治療方法。 13.創傷に付与される減圧が大気圧より約2インチHg〜約7インチHg(約 5.1〜約17.8cmHg)低い圧力であることを特徴とする請求項12の創 傷治療方法。 14.創傷に減圧を作用させる工程が、(a)吸引口を有する不透過性カバーを 創傷上に配置し、(b)上記カバーの周縁部を創傷のまわりの組織に対して密着 シールし、(c)上記吸引口を真空システムに接続して減圧を発生させる、各工 程より成ることを特徴とする請求項12の創傷治療方法。 15.上記カバーを創傷上に配置する前に有孔スクリーンを創傷上に配置するこ とを特徴とする請求項14の創傷治療方法。 16.(a)減圧付与機構を創傷に対して定着し、(b)上記減圧付与機構に対 して減圧を一定の間隔をおいて間欠的に供給することを特徴とする創傷治療方法 。 17.創傷に付与される減圧が大気圧より約2インチHg〜約7インチHg(約 5.1〜約17.8cmHg)低い圧力であることを特徴とする請求項16の創 傷治療方法。 18.皮膚弁を前処理して創傷に対する該皮膚弁の付着を促進させるための方法 であって、創傷近くの皮膚組織領域から移植用の皮膚弁を形成するための皮膚組 織を切除する前に、上記創傷近くの皮膚組織領域に対して減圧を作用させること を特徴とする方法。 19.上記カバーが柔軟なシートより成ることを特徴とする請求項1の減圧付与 機構。 20.上記シートを創傷の外側に支持するための支持手段を更に有して成ること を特徴とする請求項19の減圧付与機構。 21.上記支持手段が上記シートと創傷との間に配置される支持部材を有して成 ることを特徴とする請求項20の減圧付与機構。 22.上記支持部材が上記減圧供給手段との接続のための取付手段を有する有孔 カップ部材を有して成ることを特徴とする請求項21の減圧付与機構。 23.上記支持部材により創傷内に生ずる苦痛を和らげるためのパッドが上記創 傷と上記支持部材との間に設けられることを特徴とする請求項21の減圧付与機 構。 24.上記支持手段が創傷の外側を覆い且つ上記シートの外側に延長して設けら れる支持部材を有して成ることを特徴とする請求項20の減圧付与機構。 25.上記支持部材が上記シートを上記支持手段に取り付けるための取付手段を 有し、上記取付手段は上記シートの下方域に減圧を供給するために上記減圧供給 手段との接続を達成する接続部材を有し、上記支持部材は上記取付手段及び上記 シートを創傷の外側に支持するために上記取付手段に取り付けられる複数の脚部 材を有して成ることを特徴とする請求項24の減圧付与機構。 26.創傷の成長を防止するためのスクリーン手段が創傷と上記カバーとの間に 配置され、上記シートの周縁部によって固定されることを特徴とする請求項5の 減圧付与機構。 27.上記スクリーンがシート状メッシュであることを特徴とする請求項26の 減圧付与機構。 28.上記シール手段が創傷周囲組織に対して上記カバーを固定するための接着 材料と上記カバーの少なくとも一部を覆うように設けられるシール部材とを有し て成ることを特徴とする請求項26の減圧付与機構。 29.上記減圧供給手段が上記真空システムと上記カバーとの間に接続されるチ ューブを有して成り、上記真空システムは(a)上記チューブに接続される真空 ポンプと、(b)創傷から吸引される微生物が上記ポンプから排出されることを 防止するためのフィルターとを有して成ることを特徴とする請求項8の創傷治療 装置。 30.上記フィルターが上記ポンプと上記カバーとの間において上記チューブに 設けられて上記ポンプの汚染を防止することを特徴とする請求項29の創傷治療 装置。 31.減圧発生期間と非発生きかんとを交互に繰り返すことにより減圧付与を周 期的に行うための制御手段が設けられることを特徴とする請求項8の創傷治療装 置。 32.上記減圧供給手段がチューブから成り、上記収集手段が上記真空システム と上記カバーとの間において上記チューブに設けられる吸引容器から成り、上記 減圧付与停止手段が上記吸引容器内に収容された体液量が所定量に達したときに 上記チューブを閉塞するように上記吸引容器内に設けられるフロートバルブから 成ることを特徴とする請求項10の創傷治療装置。 33.上記収集手段が膨張可能な室から成り、上記減圧付与停止手段が上記膨張 室の膨張を検出する検出手段から成り、上記検出手段は上記膨張室の一定の膨張 を検出したときに減圧付与を停止させるよう上記真空システムに接続されて成る ことを特徴とする請求項10の創傷治療装置。 34.上記減圧供給手段がチューブから成り、上記減圧付与停止手段が上記チュ ーブに設けられる有孔フィルターから成り、上記フィルターは孔が創傷からの体 液で満たされたときに目詰まりにより上記チューブを介して減圧が供給されるこ とを阻止するものであることを特徴とする請求項10の創傷治療装置。 35.上記減圧維持工程が減圧作用期間と減圧不作用期間とを交互に繰り返すこ とにより行われることを特徴とする請求項12の創傷治療方法。 36.上記減圧作用期間と減圧不作用期間がそれぞれ約5分間であることを特徴 とする請求項35の創傷治療方法。 37.上記一定の治癒段階が中間層火傷の進行停止であることを特徴とする請求 項12の創傷治療方法。 38.上記一定の治癒段階が創傷内細菌密度の現象であることを特徴とする請求 項12の創傷治療方法。 39.創傷周囲組織に密着シールされた不透過性カバーの下方域に減圧を供給す るためのものであって、(a)創傷に減圧を供給するオープンセル発泡体スクリ ーンと、(b)上記スクリーンに埋設されると共に上記カバーの下方から延長し て上記スクリーンに減圧を供給するチューブ部材とを有して成ることを特徴とす る減圧供給アセンブリ。 40.上記チューブは上記スクリーン内において開口する開口部を有し、創傷に 対する減圧付与の実質的均等化を促進させることを特徴とする請求項39の減圧 供給アセンブリ。 41.上記スクリーンは創傷の形状及び大きさに対応して設けられることを特徴 とする請求項39の減圧供給アセンブリ。 42.(a)創傷上に配置される不透過性の変形可能なカバーと、(b)上記カ バーと創傷周囲組織との間を密着シールするために上記カバーに設けられる接着 層と、(c)上記カバーを創傷の外側において支持して上記カバーと創傷と創傷 周囲組織とによって囲まれる閉塞空間を形成するための支持手段と、(d)上記 閉塞空間に減圧を供給し、上記カバーを変形させて創傷周囲組織に張力を作用さ せる減圧供給手段と、を有して成ることを特徴とする創傷閉塞促進装置。 43.上気支持手段が上記閉塞空間内に配置可能な支持部材から成ることを特徴 とする請求項42の創傷閉塞促進装置。 44.上記支持部材が有孔カップ部材であることを特徴とする請求項43の創傷 閉塞促進装置。 45.上気支持手段がが上記閉塞空間の外側に配置可能な支持部材から成ること を特徴とする請求項42の創傷閉塞促進装置。 46.上記支持手段が上記カバーを取り付けるための取付手段を有し、上記支持 部材が上記カバーを創傷と非接触に維持するための複数の脚部材から成ることを 特徴とする請求項45の創傷閉塞促進装置。 47.創傷への移植片の移植を促進させる方法であって、(a)創傷に移植片を 付着させ、(b)上記移植片に減圧を作用させて上記移植片内の血流を促進させ ることを特徴とする皮膚移植方法。 48.上記移植片が皮膚弁である場合において、(a)創傷近くの皮膚領域に減 圧を作用させ、(b)上記付着工程の前に上記創傷近くの皮膚領域から皮膚を切 除して上記皮膚弁を形成する工程を更に有することを特徴とする請求項47の皮 膚移植方法。 49.(a)上記移植片として用いるための皮膚領域に減圧を作用させ、(b) 上記皮膚領域から皮膚を切除して上記移植片を形成する工程を更に有することを 特徴とする請求項47の皮膚移植方法。
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US08/028,677 US5636643A (en) | 1991-11-14 | 1993-03-09 | Wound treatment employing reduced pressure |
US08/028,677 | 1993-03-09 | ||
PCT/US1994/002409 WO1994020041A1 (en) | 1993-03-09 | 1994-03-07 | Wound treatment employing reduced pressure |
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JPH09503923A true JPH09503923A (ja) | 1997-04-22 |
JP3809848B2 JP3809848B2 (ja) | 2006-08-16 |
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JP52021994A Expired - Lifetime JP3809848B2 (ja) | 1993-03-09 | 1994-03-07 | 減圧を用いた創傷治療 |
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US (1) | US5636643A (ja) |
EP (1) | EP0688189B2 (ja) |
JP (1) | JP3809848B2 (ja) |
AT (1) | ATE196235T1 (ja) |
AU (1) | AU696031B2 (ja) |
CA (1) | CA2157772C (ja) |
DE (1) | DE69425881T3 (ja) |
DK (1) | DK0688189T4 (ja) |
ES (1) | ES2151925T5 (ja) |
GR (1) | GR3034817T3 (ja) |
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WO (1) | WO1994020041A1 (ja) |
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Also Published As
Publication number | Publication date |
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DE69425881T2 (de) | 2001-03-22 |
GR3034817T3 (en) | 2001-02-28 |
EP0688189A1 (en) | 1995-12-27 |
EP0688189B1 (en) | 2000-09-13 |
AU6360894A (en) | 1994-09-26 |
ES2151925T3 (es) | 2001-01-16 |
AU696031B2 (en) | 1998-08-27 |
ES2151925T5 (es) | 2006-01-16 |
JP3809848B2 (ja) | 2006-08-16 |
US5636643A (en) | 1997-06-10 |
DE69425881D1 (de) | 2000-10-19 |
PT688189E (pt) | 2001-02-28 |
CA2157772A1 (en) | 1994-09-15 |
WO1994020041A1 (en) | 1994-09-15 |
ATE196235T1 (de) | 2000-09-15 |
CA2157772C (en) | 2003-09-30 |
DK0688189T3 (da) | 2000-12-27 |
DE69425881T3 (de) | 2005-11-03 |
DK0688189T4 (da) | 2005-07-11 |
EP0688189B2 (en) | 2005-06-01 |
EP0688189A4 (en) | 1996-06-19 |
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