TW200938242A - Low-profile reduced pressure treatment system - Google Patents

Low-profile reduced pressure treatment system Download PDF

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Publication number
TW200938242A
TW200938242A TW97151678A TW97151678A TW200938242A TW 200938242 A TW200938242 A TW 200938242A TW 97151678 A TW97151678 A TW 97151678A TW 97151678 A TW97151678 A TW 97151678A TW 200938242 A TW200938242 A TW 200938242A
Authority
TW
Taiwan
Prior art keywords
catheter
conduit
porous
reduced pressure
tissue
Prior art date
Application number
TW97151678A
Other languages
English (en)
Inventor
Robert Peyton Wilkes
Original Assignee
Kci Licensing Inc
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Kci Licensing Inc filed Critical Kci Licensing Inc
Publication of TW200938242A publication Critical patent/TW200938242A/zh

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Classifications

    • A61F13/05—
    • 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
    • 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 plasters or dressings
    • A61F13/0246—Adhesive plasters or dressings characterised by the skin adhering layer
    • A61F13/0253—Adhesive plasters or dressings characterised by the skin adhering layer characterized by the adhesive material
    • 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 plasters or dressings
    • A61F13/0259—Adhesive plasters or dressings characterised by the release liner covering the skin adhering layer
    • A61F13/0263—Adhesive plasters or dressings characterised by the release liner covering the skin adhering layer especially adapted for island dressings
    • 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
    • A61M1/913—Connectors between dressing and drainage tube having a bridging element for transferring the reduced pressure from the connector to 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

Description

200938242 九、發明說明： 【發明所屬之技術領域】 本發明一般係關於組織處理系統，且特定言之，係關於 小型減壓處理系統。 【先前技術】 • 臨床研究及實務已證明，靠近組織部位提供減壓可增強 . 並加快組織部位處之新組織之生長。此現象見於諸多應 用，但減壓在處理創傷方面之應用尤其成功。此療法（醫 〇 學界通常稱之為，|負壓創傷療法”減壓療法"或"真空療法，，） 提供許多益處，包括更快癒合及增強之肉芽組織形成。通 常，經由多孔墊或其他歧管設備將減壓施加於組織。多孔 墊含有能夠將減壓分配至組織且將自組織中所吸取之流體 導出的小室或孔。通常將多孔墊併入具有促進處理之其 組件的敷料中。 、 傳統上，敷料相當不便且難以塗敷於小創傷。簡單地坐 於或滾壓於敷料上會引起患者明顯不適或壓力誘發性損 Θ 傷’尤其在與相對硬之組件（諸如管連接、弯管及其他組 件）接觸時。此外，此等動作會擠壓敷料且妨礙減壓之施 加。另外，此等敷料之構形及任何隆凸皆有可能將正常活 動期間之患者之衣服或圍繞物紮破，產生與組織之疼痛及 可能再損傷相關之風險。 因此非常需要減少已知敷料缺點之改良敷料。 文中所述之所有參考文獻皆以引用方式、以法律所容 許之最大程度供人士七上 ^ 幵 本文中。就可不全文併入本文中之參考 137345.doc 200938242 文獻而言，其為背景之目的而以引用方式併入且指示一般 熟習此項技術者瞭解。 【發明内容】 本發明之系統及方法可解決已知減壓處理系統中存在之 問題。根據本發明之原理提供小型減壓處理裝置及系統。 . 小型減壓處理裝置之一實施例包括一可塑之管道固持 . 器、一貫穿該導管固持器之導管及一可撓性基片。導管固 持器具有大體上平行之第一及第二隔板表面、一凸形頂表 0 面及一調適成在形狀上與相鄰於組織部位之組織接觸區域 大體吻合之底表面。導管以使得導管之一末端與第一隔板 表面大體齊平且導管之縱軸與第一及第二隔板表面大體垂 直之方式貫穿導管固持器。可撓性基片具有與導管固持器 之底表面連接之第一側，可撓性基片延展超出第一隔板表 面以形成相鄰於第一隔板表面之上覆區。黏著劑布置於可 撓性基片之第二侧上以使可撓性基片緊固至組織接觸區 域。 © λ!、型減壓處理系統之一實施例包括一可塑之導管固持 器、-由導管固持器接收之導管、—基片、—多孔塾、一 蓋布及一與導管流體連通之減壓源以經由導管及多孔墊傳 遞減壓。導管固持器具有大體上平行之第一及第二隔板表 凸形頂面及調適成在形狀上與相鄰於組織部位之 組織接觸區域大體吻合之底表面。導管以使得導管之一末 端與第一隔板表面大體上齊平且導管之縱轴與第一及第二 隔板表面大體上垂直之方式由導管固持器接收。基片具有 137345.doc 200938242 與導管固持器之底表面連接之第一侧，基片延展超出第一 隔板表面以形成相鄰於第一隔板表面之上覆區。黏著劑布 置於基片之第二側上以使基片緊固至與組織部位相鄰之組 織接觸區域。多孔塾包括組態成接觸組織部位的初級傳遞 區域及組態成接觸基片之上覆區且向組織部位施加可撓性 . 轉接的橋接區域。蓋布之尺寸適於覆蓋導管固持器及多孔 • 塾且圍繞導管固持器及多孔墊產生密封空間。 此外，根據本發明之原理，提供一種製造及使用小型減 〇 壓處理裝置及系統之方法。製造小型減壓處理裝置之一實 施例包括將一第一可撓性膜置放於弓形上；將一導管置放 於°亥第可撓性膜上，將聚石夕氧擠壓至該導管上及周圍； 將一第二可撓性膜置放於該聚矽氧及導管上；使該第二可 撓性膜邊緣緊固於該第一可撓性膜邊緣；及使該第一可撓 性膜緊固至尺寸大於該第一可撓性膜之蓋布，以使蓋布延 展超出與該導管管口相鄰之第一可撓性膜邊緣。 小型減壓處理裝置之一使用方法包括：以使得上覆區與 組織部位相鄰且導管固持器與反向於組織部位之上覆區相 鄰之方式置放一第一可撓性膜；以使得橋接區域與上覆區 . 對準且初級傳遞區域與組織部位對準之方式置放一多孔 墊；將該多孔墊經由該導管固持器中之導管連接至一減壓 源；將一第二可撓性膜置放於該導管固持器及該多孔墊 上，將該第二可撓性膜密封至組織接觸區域；及將來自減 壓源之減壓經由導管及多孔墊施加至組織部位。 參考圖式及如下[實施方式]，本發明之其他目標、特徵 I37345.doc 200938242 及優點將變得顯而易見。 【實施方式】 以下參考隨附圖式詳述較佳實施例，該等圖式形成本文 之一部分且藉由可實施本發明之說明性特定較佳實施例來 展示。該等實施例經詳細描述足以使熟習此項技術者能夠 • 實施本發明’且應瞭解可使用其他實施例且可在不背離本 - 發明之精神或範疇的情況下作出合理之結構、機械、電子 及化學改變《為使熟習此項技術者能夠實施本發明而避免 G 出現不需要之細節，說明中省略熟習此項技術者已知之某 些資訊。因此’不應從限制意義上理解以下詳細說明，且 本發明之範疇僅由隨附申請專利範圍界定。 在本說明書之上下文下’術語"減壓"通常係指經受處理 之組織部位處的壓力小於環境壓力。在多數情況下，此減 壓小於患者所在地之大氣壓。雖然術語”真空"及"負壓"可 用以.描述施加至組織部位之壓力，但施加至組織部位之實 際壓力可顯著小於標準狀態下與完全真空關聯之壓力。依 ® 據此術語，減壓或真空壓力之增大係指絕對壓力之相對減 小’而減壓或真空壓力之減小係指絕對壓力之相對增大。 圖1為併有本發明之新穎特徵之減壓處理系統100的示意 圖。減壓處理系統10 0包含敷料11 〇，其塗敷於組織部位 120供處理之用。敷料11〇藉由導管13〇與減壓源ι2〇流艎連 通。在某些實施例中’減壓系統110亦可包括收集罐14〇用 於收集自組織部位所吸取之液體及其他非氣態滲出物。 圖2為小型配接器200之實施例之分解圖。在此實施例 137345.doc 200938242 中，配接器200包含導管固持器2〇5、第一隔板表面215及 大體上平行於第一隔板表面215之第二隔板表面220。在此 實施例中’導管固持器205具有凸形頂表面21 〇以使導管固 持器205之構形最小化。導管固持器2〇5亦包括貫穿過導管 固持器205之整個長度之導管225，其在第一隔板表面215 . 上具有管口 230且在第二隔板表面220上具有管口 235。 導管固持器2〇5係由可擠入或注入模内的任何材料（諸如 室溫硫化（RTV)聚石夕氧）建構。導管no可插入或連接至導 ❹ 管2 2 5以在管口 2 3 0與減壓源1 2 〇之間建立流體路徑。 視導管固持器205之組成而定，導管固持器2〇5視情況可 封閉於更適用於組織接觸之材料之可撓性膜（諸如腈類膜） 之間’如由可撓性膜240及245所說明。在該實施例中，可 撓性膜245係附著至可撓性膜250。 或者’可撓性膜245可省去且可撓性膜240可直接附著至 可撓性膜250。可撓性膜250較佳為聚胺基甲酸酯材料。具 有黏性表面2 5 6之蓋布2 5 5在一側黏結至可挽性膜2 5 0 ^蓋 ® 布255在與黏性表面256相對之側上可包括可選生物相容性 黏性表面2 5 7。生物相容性黏性表面2 5 7可由任何適當黏結 劑（諸如丙烯酸系黏著劑或水凝膠）組成。生物相容性黏性 表面257可塗敷於完整組織上以當塗敷於組織部位時使小 型配接器緊固就位。若蓋布255包括生物相容性黏性表面 257 ’則將保護性襯墊260塗敷於生物相容性黏性表面257 以保持黏著劑且便於處置。塗敷於組織部位12〇之前，將 保護性襯墊260移除以曝露下伏之黏著劑。可撓性膜25〇、 137345.doc 200938242 蓋布255及視情況保護性襯墊26〇組成基片。蓋布255通 常由具有足夠高之濕蒸汽穿透率(MTVR，通常大於毫 克/平方米/日）之任何可撓性材料建構以防組織浸軟。聚胺 基甲酸S旨為蓋布255之適當材料之—實例。基片加因可挽 性膜250及蓋布255之可撓性而易與大部分組織部位之外形 • 吻合。 • ®3為裝配小型配接器之透視圖。導管固持器205具 有如在第一隔板表面215之頂點與基片265之間所量測的高 〇 度h。如圖3所說明，基片265延展超出第一隔板表面215以 形成與第一隔板表面215及管口 230相鄰之橋接上覆區 300 〇 圖4為其中多孔墊400置放於橋接上覆區3〇〇(圖4中不可 見）上之之裝配小型配接器2〇〇的透視圖。多孔墊4〇〇通常 包括多孔橋402及初級傳遞區域4〇4。圖4亦 於管口叫圖钟未展示）的-截導管130。多孔塾4Γ〇2 S以覆蓋第—隔板表面215中之管口 230之厚度,，厚度城 9 常與導管固持器205之高度办之大小相同。多孔墊4〇〇亦具 有足以自第一隔板表面215延展且伸出橋接上覆區3〇〇以覆 • 蓋組織部位的深度j。圖4亦說明可選多孔延展物4〇5，其 可插入組織部位中用於更深度滲透。雖然在圖4中將多孔 延展物405描繪為獨立組件，但多孔延展物4〇5可為多孔墊 之一體式組件以使多孔墊400與多孔延展物4〇5形成單 一組件。同樣，多孔墊4〇0及多孔延展物4〇5雖然以單塊零 件形式說明，但其可調適成任何所要形狀。例如，多孔墊 137345.doc -10· 200938242 400可切割成與導管固持器2〇5之構形或不規則組織部位之 形狀吻合。 多孔墊400及多孔延展物4〇5代表此項技術中已知之適用 於減壓處理之任何材料，其大小及形狀可變化以適應不同 大小及形狀之組織部位。較佳地，多孔墊4〇〇及多孔延展 ' 物405包括複數個流動通道或路徑以促進將減壓或流體分 配至組織部位或自組織部位分配減壓或流體。在一實施例 中，多孔墊400及多孔延展物4〇5為包括充當流動通道及壓 ❹ 力歧管之互連小室或孔的多孔發泡體。多孔發泡體可為聚 胺基曱酸酯或任何其他類型之開孔式網狀發泡體，諸如， 由 San Antonio, Texas 之 Kinetic Concepts，Inc.所製造之 GRANUFOAM。若使用開孔式發泡體，則孔隙率可變化， 但較佳為約400至600微米。或者，可使用適於特定生物應 用之紗布或任何其他材料來構建多孔墊4〇〇及多孔延展物 405 ° 圖5為其中多孔墊為替代實施例之小型配接器2〇〇的透視 ❹ 圖。如圖5說明，多孔墊可包含一或多個分立組件，諸如 多孔橋502及初級傳遞組件504。該替代實施例可有利於經 由小型配接器200封裝通用橋接組件，同時需要時允許將 其他組件裝配於特定組織部位。 圖6為小型配接器2〇〇、多孔墊4〇〇及蓋布6〇〇之透視圖。 蓋布600覆蓋小型配接器2〇〇及多孔墊4〇〇，且包括表面6〇5 上之黏著劑，其塗敷於與個體組織部位相鄰之組織接觸區 域（未圖示）上。黏著劑可由任何適當黏結劑組成，諸如丙 137345.doc •11- 200938242 烯酸系黏著劑或水凝膠。該密封將組織部位與周圍環境隔 離且當施加減壓時有助於维持組織部位處之減壓。凸形頂 表面210提供楔形側向邊緣，其使蓋布6〇〇與相鄰於組織部 位之組織接觸區域之間之洩漏風險最小化。若蓋布255不 包括可選生物相容性黏性表面257，則黏著劑亦可將小型 . 配接器200及多孔墊400緊固就位。類似於蓋布255，蓋布 600通常由具有足夠咼之濕蒸汽穿透率（MTVR ,通常大於 600毫克/平方米/曰）的任何可撓性材料建構以防組織浸 〇 軟。 在操作中，將保護性襯墊260(若存在）移除以曝露黏性 表面257(若存在），且以使橋接上覆區3〇〇位於完整組織上 且與組織部位120緊鄰之方式置放小型配接器2〇〇。多孔墊 (諸如多孔墊400)以其自第一隔板表面215延展且伸出橋接 上覆區300以覆蓋組織部位12〇、同時一端覆蓋第一隔板表 面215中之管口 230的方式置放。接著將蓋布6〇〇置於小型 配接器200及多孔墊400上，且將蓋布6〇〇之邊緣抵壓在圍 ® 繞小型配接器200之完整組織及圍繞組織部位12〇之完整組 織上。接著將導管130在一端經由第二隔板表面22〇中之管 口 235連接至導管225,且在另一端連接至收集罐14〇或減 壓源125。接著經由導管130、導管225及墊4〇〇可將減壓傳 遞至組織部位120。 圖7為小型配接器700之替代實施例之透視圖。在此實施 例中，配接器700包含具有凸形頂表面71〇、第一隔板表面 715及大體上平行於第一隔板表面715之第二隔板表面 137345.doc 12 200938242 的導管固持器705。導管固持器705亦包括兩個導管725及 730，該兩個導管貫穿導管固持器7〇5之整個長度、在第一 隔板表面715上具有兩個管口 735及74〇且在第二隔板表面 720上具有兩個管口 745及75〇。多個導管（諸如圖7中所描 繪之彼等導管）可有利於諸如壓力監測及與施加減壓相關 • 之流體分配之應用。或者可用多腔導管取代任意對導管。 圖8為小型配接器8〇〇之另一替代實施例之正視圖◊在此 實施例甲小型配接器80〇包含具有凸形頂表面81 〇、第一 ❿ 隔板表面815及大體上平行於第-隔板表面815之第二隔板 表面（未圖示）的導管固持器8〇5。導管固持器8〇5亦包括貫 穿導管固持器805之整個長度、在第一隔板表面815上具有 管口 830且在第二隔板表面（未圖示）上具有管口（未圖示）的 導管（未圖示）。導管固持器805係附著至基片835上，基片 835^成形與特定組織部位（諸如手指或其他肢體）之外形吻 合。該實施例中之基片835可由可播入或注入模内之任何 材料（諸如室溫硫化（RTV)聚石夕氧）建構，或由在室溫下易 操縱之任何生物相容性材料建構。 上體現上述原理及特徵之小型配接器通常可如下建構，為 忒明起見’參考具有可撓性臈240及245之小型配接器2〇〇 之上述實施例。首先’將可撓性膜⑽及…切割成形狀及 A小大體上均等，且將可撓性膜245固著於或置放於所要 外形或形狀上。對於，丨、剂& > „ 、J i配接器200而言，該形狀應為大 體上扁平的’但該形狀可具有凸形表面以形成諸如小型配 接器800之替代實施例。接著將導管橫放於可挽性膜 137345.doc .13. 200938242 245上。接著將導管固持器2〇5之材料擠麼至導管225上及 周圍，形成圍繞導管225之各端之第—隔板表面215及第二 隔板表面220以使管〇23()與第—隔板表面215大體上齊平 且管口 235與第二隔板表面大體上齊平。該材料經成形 可开/成凸形頂表面21〇。接著將橫越導管225及周圍材料的 - 可挽泣膜240拉伸’且使用任何黏著劑、黏結劑、線、短 . 纖維或其他適當方式使可撓性膜240之邊緣緊固至可撓性 膜245之邊緣。蓋布255藉由以所要寬度之邊緣可在導管固 ❹ #㈣5正面側向延展之尺寸裁剪來製備。對於小組織部 位而吕，邊緣寬度可為約i cm。考量導管225周圍材料固 化之時間，必要時，將可撓性臈245置於蓋布255之黏性表 面256上。可撓性膜250圍繞導管固持器225置放以覆蓋黏 性表面256上所曝露之任何黏著齊丨。最後，若需要，則將 保護性襯墊塗敷至黏性表面257上。 熟習此項技術者瞭解本發明可應用於需要提供組織處理 之許多領域中。舉例而言，可改變小型配接器之形狀以適 β 應解剖學特徵，以及扁平、凸形或鞍形皮膚外形。同樣， 可改變多孔橋之形狀及尺寸以適應組織部位之各種尺寸及 形狀。此外，可使用小導管及互連埠將多個小型配接器串 聯使用’此可有利於矯形外科外部固定之硬體穿透點。 由上文顯而易見’已提供具有顯著優勢之本發明。儘管 本發明僅以其少數形式展示，但本發明不限於此且在不背 離其精神的情況下可經受各種改變及潤飾。 【圖式簡單說明】 137345.doc -14- 200938242 圖1說明本發明之減壓處理系統之示意圖； 圖2說明本發明之小型配接器之分解圖； 圖3說明本發明之圖2之裝配小型配接器的透視圖； 圖4說明本發明之圖3之裝配小型配接器的透視圖，其中 多孔墊置放於橋接上覆區上； 、 圖5說明本發明之圖3之裝配小型配接器的透視圖，其中 多孔'塾為替代實施例；
圖6說明本發明之由蓋布所覆蓋之圖4之裝配小型配接器 及多孔墊的透視圖； 圖7說明本發明之具有多個導管之小型配接器之替代實 施例的透視圖；及 圖8說明本發明之具有凹形成形基片之小型配接器之替 代實施例的正視圖。 【主要元件符號說明】 100 減壓處理系統 110 敷料 120 組織部位/減壓源 130 導管 140 收集罐 200 小型配接器 205 導管固持器 210 凸形頂表面 215 第一隔板表面 220 第二隔板表面 ❹ 137345.doc •15· 200938242 225 導管 230 管口 235 管口 240 可撓性膜 245 可撓性膜 250 可撓性膜 255 蓋布 256 黏性表面 257 生物相容性黏性表面 260 保護性襯墊 265 基片 300 橋接上覆區 400 多孔墊 402 多孔橋 404 初級傳遞區域 405 多孔延展物 502 多孔橋 504 初級傳遞組件 605 蓋布表面 700 小型配接器 705 導管固持器 710 凸形頂表面 715 第一隔板表面 720 第二隔板表面 -16- 137345.doc 200938242 725 導管 730 導管 735 管口 740 管口 745 管口 琴 750 管口 • 800 小型配接器 805 導管固持器 810 凸形頂表面 815 第一隔板表面 830 管口 835 基片 137345.doc - 17

Claims (1)

  1. 200938242 十、申請專利範園： 1. 一種減壓處理裝置，其包含： 一可塑之導管固持器，其具有大體上平行之第一隔板 表面及第二隔板表面、一凸形頂表面及一調適成在形狀 上與相鄰於組織部位之組織接觸區域大體吻合之底表 面； 一導管，其以使該導管之一末端與該第一隔板表面大 體上齊平且該導管之縱軸與該第一隔板表面及該第二隔 表面大體上垂直之方式貫穿該導管固持器； 可挽性基片’其第一侧連接至該導管固持器之該底 表面，該基片延展超出該第一隔板表面以形成一相鄰於 該第一隔板表面之上覆區；及 種黏著劑，其設置於該可撓性基片之一第二側上以 將°亥可撓性基片緊固至該組織接觸區域。 2. 如請求項1之裝置’其進一步包含： _ 一多孔橋，其具有大體上等於該導管固持器之該底表 面與該頂4面之間最大高度之厚纟，以便將該多孔橋置 於相鄰於該第-隔板表面之該可撓性基片之該上覆區上 時促進該導管與該多孔橋之間之流體連通。 3. 如請求項1之裝置，其進一步包含： 一多孔橋’其具有大體上等於該導管固持器之該底表 面與該頂|面之間最大高度之厚i，以便將該多孔橋置 於相鄰於該第一隔板表面之該可撓,14基片之該上覆區上 時促進該導管與該多孔橋之間之流體連通；及 137345.doc 200938242 固持器及該多孔橋， 封於該導管固持器及 一蓋布，其尺寸足以覆蓋該導管 且具有一黏性表面以便將該蓋布密 該多孔橋上。 4.=之裝置’其中該導管固持器係—聚 。月求項1之裝置’其中該可撓性基片係與該導管固持 器之該底表面黏著性連接。 ❹ 6.如請求们之裝置，其進一步包含一第二導管，該第二 導管鄰近該第一導管置放且以使該第二導管之一末端與 該第一隔板表面大體上齊平且該第二導管之縱軸與該第 一隔板表面及該第二隔板表面大體上垂直之方式貫穿該 導管固持器。 μ 7. 如請求項1之裝置，其中該導管固持器進一步包含· 一形成該底表面之第一可撓性膜； 一形成該頂表面之第二可撓性膜；及 一種可塑材料，其設置於該第一可撓性膜與該第二可 撓性膜之間以將該第一可撓性膜與該第二可撓性膜之間 之該導管包封。 0 8. 如請求項7之裝置，其中該第一可撓性膜及該第二可撓 性臈為腈類膜。 9. 如請求項1之裝置，其中該可撓性基片包含一聚胺基甲 酸酯膜及一聚胺基曱酸酯蓋布。 1 〇. —種減壓處理系統，其包含： 一可塑之導管固持器’其具有大體上平行之第一隔板 137345.doc -2 - 200938242 表面及第二隔板表面、一凹形底表面及一凸形頂表面， 該底表面調適成在形狀上與相冑#組、織部位《組織接觸 區域大體吻合； 一導管，其以使該導管之一末端與該第一隔板表面大 體上齊平且該導官之縱軸與該第一隔板表面及該第二隔 板表面大體上垂直之方式由該導管固持器接收； • 一基片，其一侧連接至該導管固持器之該底表面，該 基片延展超出該第一隔板表面以形成一相鄰於該第一隔 ❹ 板表面之上覆區； 夕孔墊，其具有一組態成接觸該組織部位之初級傳 遞區域及一組態成接觸該導管及該基片之上覆區之橋接 區域； 一蓋布，其大小適於覆蓋該導管固持器及該多孔墊且 圍繞該導管固持器及該多孔墊形成密封空間；及 一減壓源，其與該導管流體連通，以經由該導管、該 多孔墊之該橋接區域及該多孔墊之該初級傳遞區域傳遞 ⑩ 減壓。 11. 如請求項ίο之系統，其中該導管固持器係由室溫硫化聚 _ 矽氧形成。 12. 如請求項10之系統，其中該基片係與該導管固持器之該 底表面黏著性連接。 13. 如請求項1〇之系統，其進一步包含一第二導管，該第二 導管以使該第二導管之一末端與該第一隔板表面大體上 齊平且該第二導管之縱軸與該第—隔板表面及該第二隔 137345.doc 200938242 板表面大體上垂直之方式相鄰於第一導管置放。 14. 如請求項1〇之系統，其中該導管固持器進一步包含： 形成該底表面之第一可挽性膜； 一形成該頂表面之第二可撓性膜；及 一種可塑材料，其設置於該第—可撓性臈與該第二可 隸膜之間以將肖第一可撓性膜與該第二可撓性膜之間 , 之該導管包封。 β 15. 如請求項14之系統’其中該第—膜及該第二膜為猜類 ❹ 膜。 16. 如請求項10之系統’其進一步包含一多孔延展區域該 多孔延展區域以使該多孔展延區域伸入該組織部位内之 方式相鄰於該初級傳遞區域定向。 1 7. —種減壓處理系統，其包含： 一第一歧管構件，其與一組織部位接觸置放以便將減 壓分配至該組織部位； ^ 第一歧管構件’其不與該組織部位接觸置放，但與 該第一歧管構件流體連通以便將減壓分配至該第一歧管 位置； 一用於使一導管定位之固持構件，該固持構件以使該 導官與大體上垂直於該組織部位周圍組織之該第二歧管 之表面鄰接之方式使該導管與該第二歧管構件流體連 通；及 減壓構件，其用於引起該導管内之減壓。 18· —種減壓處理裝置，其包含： 137345.doc 200938242 * 一第一蓋布，其具有一橋接上覆區； 黏著劑塗層，其位於該第一蓋布之反向於該橋接上 覆區之一侧； 一導管，其以使該導管之一末端與該橋接區相鄰之方 式緊固至該第一蓋布；及 一第二蓋布，其密封於該第一蓋布以使該導管緊固於 . 該第一蓋布與該第二蓋布之間’且該導管之該末端曝露 於該橋接上覆區。 Φ 19. 一種用於處理一組織部位之方法，該方法包含： 以使一上覆區與該組織部位相鄰且一導管固持器與反 向於該組織部位之該上覆區相鄰之方式置放一第一可撓 性膜； 以使橋接區域與該上覆區對準且一初級傳遞區域與 該組織部位對準之方式置放一多孔墊； 將該多孔墊經由該導管固持器中之一導管連接至一減 壓源； ’將一第二可撓性膜置放於該導管固持器及該多孔墊 上； 將該第二可撓性膜密封於該組織接觸區域上；及 將來自該減壓源之減壓經由該導管及該多孔墊施加至 該組織部位。 20.如哨求項19之方法’其進一步包含經由該導管固持器中 之一第二導管監測該組織部位處之減壓。 137345.doc -5-
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CN104174076B (zh) 2017-05-31
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US9095470B2 (en) 2015-08-04
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