TW201141562A - Reduced-pressure sources, systems, and methods employing a polymeric, porous, hydrophobic material - Google Patents

Reduced-pressure sources, systems, and methods employing a polymeric, porous, hydrophobic material Download PDF

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Publication number
TW201141562A
TW201141562A TW100113256A TW100113256A TW201141562A TW 201141562 A TW201141562 A TW 201141562A TW 100113256 A TW100113256 A TW 100113256A TW 100113256 A TW100113256 A TW 100113256A TW 201141562 A TW201141562 A TW 201141562A
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Taiwan
Prior art keywords
reduced pressure
outer casing
sealed space
hydrophobic material
pump
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TW100113256A
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English (en)
Inventor
Christopher Brian Locke
Timothy Mark Robinson
Richard Daniel John Coulthard
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Kci Licensing Inc
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Application filed by Kci Licensing Inc filed Critical Kci Licensing Inc
Publication of TW201141562A publication Critical patent/TW201141562A/zh

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    • AHUMAN NECESSITIES
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    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/74Suction control
    • AHUMAN NECESSITIES
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    • A61FFILTERS 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
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/00051Accessories for dressings
    • A61F13/00063Accessories for dressings comprising medicaments or additives, e.g. odor control, PH control, debriding, antimicrobic
    • AHUMAN NECESSITIES
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    • A61FFILTERS 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
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    • A61F13/0203Adhesive bandages or dressings with fluid retention members
    • A61F13/0206Adhesive bandages or dressings with fluid retention members with absorbent fibrous layers, e.g. woven or non-woven absorbent pads or island dressings
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    • A61F13/0223Adhesive bandages or dressings with fluid retention members characterized by parametric properties of the fluid retention layer, e.g. absorbency, wicking capacity, liquid distribution
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    • A61M1/71Suction drainage systems
    • A61M1/78Means for preventing overflow or contamination of the pumping systems
    • A61M1/784Means 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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    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84Drainage tubes; Aspiration tips
    • A61M1/85Drainage tubes; Aspiration tips with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/88Draining devices having means for processing the drained fluid, e.g. an absorber
    • A61M1/884Draining devices provided with means for filtering out the harmless water content before discarding the drainage container
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/94Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing with gas supply means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/96Suction control thereof
    • A61M1/962Suction control thereof having pumping means on the suction site, e.g. miniature pump on dressing or dressing capable of exerting suction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/96Suction control thereof
    • A61M1/964Suction control thereof having venting means on or near the dressing
    • AHUMAN NECESSITIES
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    • AHUMAN NECESSITIES
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    • A61M1/98Containers specifically adapted for negative pressure wound therapy
    • A61M1/984Containers specifically adapted for negative pressure wound therapy portable on the body
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    • A61M2205/7527General characteristics of the apparatus with filters liquophilic, hydrophilic
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    • A61M2205/00General characteristics of the apparatus
    • A61M2205/75General characteristics of the apparatus with filters
    • A61M2205/7536General characteristics of the apparatus with filters allowing gas passage, but preventing liquid passage, e.g. liquophobic, hydrophobic, water-repellent membranes

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Veterinary Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Surgery (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Dermatology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • External Artificial Organs (AREA)
  • Surgical Instruments (AREA)
  • Separation Using Semi-Permeable Membranes (AREA)
  • Jet Pumps And Other Pumps (AREA)

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201141562 六、發明說明: 【發明所屬之技術領域】 本揭示内容概言之係關於減壓醫療系統,且更具體而言 (但不限於)係關於減壓源、系統及方法。 本發明根據35 USC § 119(e)主張以下專利之權益:於 2010 年 6 月 28 日申請之標題為「Evaporative Body Fluid Containers and Methods」之美國臨時專利申請案第 61/3 59,205號’其係出於所有目的以引用方式併入本文 中;於2010年4月16曰申請之標題為「Reduced_Pressure Sources, Systems, and Methods Employing A Polymeric, Porous,Hydrophobic Material」之美國臨時專利申請案第 61/325,1 15號’其係出於所有目的以引用方式併入本文 中;及於20 10年6月28日申請之標題為r Dressings and
Methods For Treating a Tissue Site On A Patient」之美國臨 時專利申請案第61/359,181號,其係出於所有目的以引用 方式併入本文中。 【先前技術】 臨床研究及實踐已顯示,在靠近組織部位處提供減壓可 增進並加速組織部位處新組織之生長。此現象具有廣泛應 用’但施用減壓可尤其成功地治療傷口。此治療(在醫界 通常稱為「負壓傷口療法」、「減壓療法」或「真空療 法」)可提供包括快速癒合及促進肉芽組織形成在内之多 種益處。通常,經由多孔墊或其他歧管裝置來將減壓施加 至組織。多孔墊將減壓分佈至組織且為自組織吸出之流體 155463.doc 201141562 提供通道。 【發明内容】 根據一說明性實施例,與減壓系統一起用於處理病患之 組織部位之減壓源包括至少部分形成密封空間之外殼部件 及安置在該密封空間内之真空幫浦。減壓源亦包括以流體 方式麵合至真空幫浦以輸送減壓之減壓出口,且包括以流 體方式耦合至真空幫浦以將排放氣體自真空幫浦輸送至密 封空間之排放物出口。外殼部件包含聚合多孔疏水材料以 容許排放氣體離開密封空間》 根據另一說明性實施例,用減壓處理病患之組織部位之 系統包括置於鄰近組織部位處以將減壓分佈至組織部位之 處理歧管、以流體方式耦合至處理歧管以將減壓提供至處 理歧管之減壓源及在組織部位上形成流體密封之密封部 件。減塵源包括至少部分形成密封空間之外殼部件,且包 括女置在密封空間中之真空幫浦。減壓源亦包括以流體方 式耦合至真空幫浦以輸送減壓之減壓出口及以流體方式耦 合至真空幫浦以將排放氣體自真空幫浦輸送至密封空間之 排放物出口。外殼部件包含聚合多孔疏水材料以容許排放 氣體離開密封空間。 根據另一說明性實施例’生成減壓以與減壓系統一起用 於處理病患組織部位之方法包括形成密封空間及將真空幫 浦安置在該密封空間内,至少一部分密封空間係藉由包含 聚合多孔疏水材料之外殼部件來形成。真空幫浦包括減壓 出口及排放物出口。外殼部件容許排放氣體離開密封空 155463.doc 201141562 間。該方法進一步包括實質上自密封空間經由外殼部件排 放排放氣體及將減壓輸送至期望位置。 根據另一說明性實施例,製造減壓源以與減壓系統一起 用於處理病患組織部位之方法包括形成外殼部件以包圍至 少部分密封空間及將真空幫浦安置在該密封空間内。真空 幫浦包括以流體方式耦合至真空幫浦以輸送減壓之減壓出 口及以流體方式麵合至真空幫浦以將排放氣體自真空幫浦 輸送至密封空間之排放物出口。形成外殼部件之步驟包括 自容許排放氣體離開密封空間之聚合多孔疏水材料形成外 殼部件。 根據另一說明性實施例’用減壓處理病患組織部位之敷 料包括置於鄰近組織部位處之處理歧管、收納並保留來自 組織部位之流體之吸收層及具有排放物出口之微幫浦。微 幫浦產生減壓及離開排放物出口之排放物。敷料進一步包 括覆蓋處理歧管、吸收層及微幫浦之包圍覆件。包圍覆件 形成密封空間^至少一部分包圍覆件係自容許排放物流出 密封空間之聚合多孔疏水材料來形成。 根據另一說明性實施例,處理病患組織部位之方法包括 將處理歧官安置在鄰近組織部位處,將吸收層安置在處理 歧管上方以自組織部位收納流體,及使微幫浦以流體方式 耦合至吸收層。該方法進一步包括用包圍覆件覆蓋處理歧 苢及收詹及微幫浦以形成密封空間。密封空間具有第一 为及第二部分。微幫浦包括排放物出口及減壓出口。密 封二間之第一部分係以流體方式耦合至微幫浦並自排放物 155463.doc 201141562 出口收納排放物。密封空間之第二部分係以流體方式輕合 至微幫浦並收納減壓。至少一部分包圍覆件係自容許排放 物流出密封空間之第一部分之聚合多孔疏水材料來形成。 該方法亦包括啟動微幫浦以產生減壓及排放物及容許來自 微幫浦之排放物經由包圍覆件離開密封空間。 可參照以下圖式及詳細說明來瞭解說明性實施例之其他 特徵及優點。 【實施方式】 在說明性實施例之以下詳細說明中,參照形成其一部分 之附圖。為使得熟習此項技術者能實踐本發明而足夠詳細 地闡述該等實施例,且應理解,可利用其他實施例且可作 出邏輯性結構、機械、電氣及化學改變,而不背離本發明 之精神或範疇。為避免出現使熟習此項技術者能實踐本文 中所述實施例不需要之細節,本描述可省略熟習此項技術 者已知之某一資訊。因此’不應認為以下詳細說明具有限 制性意義,且說明性實施例之範圍僅由隨附申請專利範圍 加以界定。 根據一說明性實施例,提供減壓源14〇、240、340、 440 ’其實質上具有液密性以使得減壓源14〇、24〇、34〇、 440外部之液體不能進入減壓源14〇、240、34〇、"ο,但 氣體或蒸氣可離開減壓源140、240、340、440 〇以此方 式,用户可從事涉及液體之活動,例如淋浴或出汗的運 動’而液體不會進入減壓源140、240、340、440。 現參照圖式且主要參照圖丨,其展示用於處理組織部位 155463.doc 201141562 i〇4(例如傷口 102)之減塵處理系統1〇〇之說明性實施例。傷 口 102可位於傷口床之中心。傷σ 1G2可貫穿或涉及表皮 103、真皮1〇5及皮下組織107。減壓處理系統1〇〇亦可用於 其他組織部位處。組織部位104可係任一人類、動物或其 他有機體之躺體組織,包括骨組織、脂肪組織、肌肉組 織、真皮組織、血管組織、結締組織、軟骨、腱、韌帶或 任何其他組織。除非另外指*,否則本文所用「或」不需 要相互排他性。 減壓處理系統100包括處理歧管1〇8。另外,減壓處理系 統100包括密封部件U1及減壓子系統113。減壓子系統113 包括減壓源140,其經密封以防止液體流入但仍容許氣體 (通常係空氣)排出且無孔口(即肉眼可見的孔口),下文將 進一步闞述。 在一說明性實施例中,處理歧管1〇8係自多孔且可滲透 發泡體或發泡體樣材料,且更具體而言網狀開孔聚胺基甲 酸酯或聚醚發泡體來形成,該材料容許傷口流體在減壓下 具有良好滲透性。已使用之一種該發泡體材料係VAC®
GranuFoam®敷料,其可自 Kinetic c〇ncepts公司(KCI) (San Antonio,Texas)賭得。任何材料或材料組合皆可用於歧管 材料’前提係該歧管材料適於分佈減壓。本文所用術語 「歧官」一般係指經提供以幫助向組織部位施加減壓、輸 送流體或自組織部位去除流體之物質或結構。歧管通常包 括複數個流動通道或路徑。複數個流動通道可互連以改良 提供至歧管周圍之組織區域及自該區域去除之流體之分 155463.doc 201141562 佈。歧管之實例可包括(但不限於)具有以下各物之装置: 經佈置以形成流動通道之結構元件、蜂窩狀發泡體(例如 開孔發泡體)、多孔組織收集件、及包括或固化後包括流 動通道之液體、凝膠及發泡體。 岔封部件111覆蓋處理歧管108且延伸經過處理歧管1 〇8 之周圍邊緣114以形成密封部件延伸〖丨6。密封部件延伸 116具有第一側面118及面向病患之第二側面1。密封部 件延伸116可藉由密封設備124(例如壓敏性黏著劑126)抵靠 表皮103或抵靠襯墊或敷巾來密封。密封設備124可呈多種 形式,例如黏著劑密封帶或敷巾帶或條;雙側式敷巾帶; 壓敏性黏著劑126 ;糊劑;親水膠體;水凝膠;或其他密 封構件。若使用帶,則該帶可用與密封部件lu相同之材 料來形成且預施加有壓敏性黏著劑。可將壓敏性黏著劑 126施加在密封部件延伸116之面向病患之第二側面m 上。里敏性黏著劑126在密封部件ηι與表皮⑻之間提供 實質性流體密封,本文所用表皮亦可視為包括抵靠表皮 103之概墊或敷巾。在將密封部件111固定至表皮103之 前’可2除覆蓋壓敏性點著劑126之可去除條。本文所用 抓體在封」意指設若涉及特^減壓源或子系統時適於在 期望部位維持減壓之密封。 坪性材料或任何可提供流體密封之材 料或物質。「彈性,音扣θ _ 」思私具有彈性體之特性且一般係指且 有橡膠樣特性之聚Αs 眾材枓。更具體而言,大部分彈性體罝 有大於100。/。之極限㈣玄 體具 令長率及顯著的回彈力。材料之回彈 155463.doc 201141562 力係指材料自彈性變形恢復之能力。彈性體之實例可包括 (但不限於)天然橡膠、聚異戊二烯、苯乙烯-丁二烯橡膠、 氣丁二烯橡膠、聚丁二烯、腈橡膠、丁基橡膠、乙烯丙烯 橡膠、乙烯丙烯二烯單體、氣磺化聚乙烯、聚硫橡膠、聚 胺基甲酸酯、EVA膜、共聚酯及聚矽氧。此外,密封部件 材料可包括聚矽氧敷巾、3M Tegaderm⑧敷巾、丙烯酸系 敷巾(例如可自Avery Dennison購得者)。 減壓子系統113包括減壓源14〇,其可呈多種不同形式。 減壓源140提供減壓作為減壓處理系統1〇〇之一部分。本文 所用「減壓」一般係指小於正經受處理之組織部位1〇4之 周圍壓力之壓力。在大多數情形中,此減壓將小於病患所 在位置之大氣壓。或者,減壓可小於組織部位處之流體靜 壓。減壓可首先在處理歧管1〇8中、減壓輸送導管144令及 與組織部位104相鄰處產生流體流。在組織部位周圍之 流體靜壓接近期望減壓時,流體流可消退且可維持減壓。 除非另有指示,否則本文所述壓力值係表壓。 所輸送之減壓可恆定或變化(模式化或隨機變化)且可連 續或間歇輸送。與本文所用一致,減壓或真空壓力之增加 通常係指絕對壓力降低。 減壓源140經顯示具有儲液器區域142或罐區。可在減壓 輸送導管144或管道與減壓源14〇之間插入插入式膜過濾器 (例如疏水或疏油過滤器)。減壓輸送導管之部分⑽可 具有4多個裝置’例如代表性裝置148。代表性裝置148 可係(例如)容納渗出物及所去除其他流體之儲液器、壓力 155463.doc 201141562 :饋^容積檢測系統、血液檢測系統、感染檢測系 h量監測系統或溫度監測系統。可串聯或並聯包括多 個代表性裝置148。舉例而言,第二代表性裝置ιι〇可包括 在減壓輸运導管144之部分138上。—些該等裝置可與減麼 源140以整體方式形成。舉例而言,位於減壓源黯之減 壓棒⑷可包括過濾㈣件1部件包括—或多個過滤 器,例如氣味過濾器。 。。減壓源140可係任-供應減壓之裝置,例如移動式治療 單π、固定式治療單元或其㈣置。儘管施加至組織部位 之減壓之量及性質通常可根據應用而變,但減壓通常可介 於-5 _ Hg (-667 Pa)與-5〇〇 _取(66 7之間且更 通常介於W職Hg (_9.9 kPa)與·綱職抑(39 9叫之 間。舉例而言,且並不限於,壓力可為_12、-i2 5、_i3、 14、·Μ.5、·15、·15·5、·16、·165'_ΐ7、·ΐ75、_ΐ8、 -18.5、-19、-19·5、·2〇、_2〇 5、_2ι、_2ι m u -23、-23.5、-24、·24·5、·25、-25.5、-26、-26.5 ]^或另一 壓力。 經由減壓輸送導管144將由減壓源14〇產生之減壓輸送至 減壓介面150’該介面可包括肘料152。在—說明性實施 例中,肘形琿152係TRAC®技術蟑,可自Kinetic c〇ncepts 公司(San Antonio, Texas)購得。減壓介面i 5〇使得可經由密 封部件111將減壓輸送至處理歧管1〇8,以及輸送至密封空 間1 54或密封處理空間中,處理歧管丨〇8位於該空間中。在 此說明性實施例中,減壓介面15〇穿過密封部件lu延伸至 155463.doc •11· 201141562 處理歧管108中。 在根據一說明性實施例之作業中,將處理歧管1〇8置於 與組織部位1 04相鄰處,例如傷口 102之傷口床中,且有一 部分位於傷口邊緣109附近。將密封部件i丨丨置於組織部位 104及處理歧管108上方且至少部分抵靠表皮1〇3(或襯墊或 敷巾)以形成流體密封及密封空間丨54。若尚未安裝,則安 裝減壓介面150〇減壓輸送導管144係以流體方式耦合至減 壓介面150及減壓源140,藉此可將減壓提供至處理歧管 108。可啟動減壓源140以開始將減壓輸送至密封空間 中之處理歧管108中。 現主要參照圖1及2,減壓源14〇具有防水性或拒水性且 使用密封空間(未明確顯示)。密封空間可由兩個室或區域 形成:一個用於正壓且一個用於減壓。減壓室可係第一室 中之一或多個導管(例如圖3中之導管268、244)。密封空間 係在幫浦殼體1%内形成。幫浦殼體150係藉由外殼部件 158形成或包括外殼部件158。外殼部件158係自聚合多孔 疏水材料形成。幫浦殼體156可完全使用外殼部件158來形 成,或外殼部件158可僅形成幫浦殼體156之一部分。 將真空幫浦(未顯示)安置在密封空間内。聚合多孔疏水 材料容許來自密封空間内之真空幫浦之排放氣體在壓力下 離開,同時不容許流體流人。聚合的多孔疏水材料容許排 放氣體在不需排氣孔σ而是使用該材料之孔隙及特性的情 況下離開。藉由箭頭16〇來表示離開外殼部件158之排放氣 體β密封空間亦用於使減愿源140以從幫浦殼體156外部視 155463.doc 12 201141562 角來看較低之分貝位準來操作。真空幫浦可具有與真空幫 浦相連之導笞以將減壓自真空幫浦經由密封空間輸送至以 流體方式耦合至減壓埠141之減壓出口(未顯示)。 聚合多孔疏水材料可為任一聚合材料,其容許排放氣體 經由该材料離開並防止流體進入密封空間。聚合多孔疏水 材料係多孔的,因此在第一種情況下其將容許氣體通過其 孔隙。然而,聚合物之疏水性會因表面張力效應而封阻基 本上為水性之液體通過孔隙。 推動具特定表面張力之液體通過具給定表面能之材料中 具給疋孔控之孔所需之壓力(此壓力有時稱作「突破壓 力」)與該等參數之間存在關聯。舉例而言,為產生使水 通過孔隙之給定突破壓力,可用大孔隙低表面能材料或小 孔隙南表面能材料來達成。可使用以下方程來闡述該關 聯:Ρ=-2σ C0?e r,其中P=突破壓力;0=液體與孔隙材料 之間之接觸角(隨接觸表面之表面能及接觸液體之表面張 力而變);接觸液體之表面張力;且r=孔隙半徑。在一 實施例中,突破壓力應使得在所涉及壓力範圍内液體不會 突破。因此,氣體可離開,但液體不能。 在一貫施例中,聚合多孔疏水材料係自多孔且氣體可渗 透之疏水燒結聚合物形成。大多數可製成顆粒之聚合物皆 可使用’例如聚烯烴(例如聚乙烯及聚丙烯)、多胺、聚乙 烯乙酸乙烯酯、聚氯乙烯、苯乙烯系物(例如聚苯乙烯及 包括本乙稀丙稀酸樹月日(styrene aery lies)之共聚物)或聚四 氟乙烯。聚合多孔疏水材料可係疏水紡黏型高密度聚乙烯 155463.doc •13· 201141562 纖維或材料’例如來自E.I. Du Pont De Nemours and Company Corporation(Wilmington,Delaware)之 TYVEK® 材 料。 聚合多孔疏水材料亦可用疏水性結合多孔纖維來形成β 聚合多孔疏水材料亦可藉由以下方式來形成:以親水材料 開始且用(例如)電漿處理來處理該材料以製備疏水材料。 同樣,可使用硬聚合物,藉由用(例如)雷射鑽微孔(丨微米 或亞微米)來使其成為多孔材料。若尚未具有疏水性,則 可用電漿處理經鑽孔聚合物。另外,可將吸味材料添加至 聚合多孔疏水材料中以在排放氣體離開時幫助去除氣味。 吸味材料可係(例如)炭、陶土(例如膨潤土、多孔矽石、沸 石及礬土)或含有炭或活性碳之基質及載體(例如聚合網篩 及膜)。可添加其他物質,例如抗微生物藥、銀或染料。 幫浦叙體15 6可使用聚合多孔疏水材料完全藉由注射、 或轉移、或壓縮、或旋轉模製、或熱成型(真空成型)來形 成。在另一實施例中,幫浦殼體156可形成有第一部分或 外殼部件158(自聚合多孔疏水材料形成)及第二部分(自剛 性大於聚合多孔疏水材料之聚合物或其他材料形成)。如 下文將進-步闡述’幫浦殼體156在—些實施例中亦可為 敷料覆件。若需要,可使幫浦殼體156具有撓性且半透 明。半透明部分容許對密封空間中所發生者進行視覺反 饋。可藉由在聚合多孔疏水材料中包括液敏性染料或用該 液敏性染料塗佈聚合多孔疏水材料來使其與幫浦殼體156 相連。液敏性染料在變濕後變色且由此可用㈣漏指示 155463.doc 201141562 劑。 儘管圖1及2顯示使用聚合多孔疏水材料作為幫浦殼體 1 56上之外殼部件丨58 ’但應理解,端視期望應用可使用外 殼部件158作為幫浦殼體156、排氣板或敷料覆件。密封空 間具有在圖1中所示之說明性實施例中可移動之減壓源 140,且實質上係液密性,佩戴者因此可從事外部經受流 體之活動(例如洗淋浴)且流體不會進入減壓源丨4〇中。 現主要參照圖3,其展示減壓源240之示意圖,其去除一 部分以使密封空間262中之組件可見。減壓源240具有幫浦 殼體256。幫浦殼體256可完全或部分由外殼部件258形 成。幫浦殼體256形成密封空間262。因此,密封空間262 可部分或完全由外殼部件258形成。密封空間262經密封以 防止或抑制諸如水等液體流入,且亦抑制諸如灰塵等顆粒 進入。 真空幫浦264可包括任何產生減壓之裝置,其安置在密 封空間262内。真空幫浦264具有減壓出口 266,其以流體 方式麵合至真空幫浦264且將減壓269自真空幫浦264排 出。在此實施例申’減壓出口 266係以流體方式耦合至傳 輸導管268 ’其係第二室。傳輸導管268將減壓輸送至罐 270。罐270用於收納並保留流體,例如滲出物。罐27〇係 以流體方式耦合至減壓輸送導管244。真空幫浦264亦具有 排放物出口 272 ’其自真空幫浦264排出排放物274或排放 氣體274。減壓輸送導管244將減壓269輸送至另一位置(例 如組織部位)且通常收納流體276。 155463.doc 15 201141562 將排放物274輸送至密封空間262中。由於排放氣體274 増加密封空間262内之壓力,故排放氣體274如箭頭26〇所 示經由無排氣孔口之外殼部件258移出。外殼部件258係自 與圖1-2中之外殼部件158相同之材料且以相同之多種方式 製得。因此,排放物274經由外殼部件258中之孔隙離開。 現主要參照圖4,其展示減壓源340之另一說明性實施 例。減壓源340在大多數方面與圖3之減壓源240類似,且 為顯示相應部分’將參考編號加上1 〇〇作為索引。因此, 減壓源340具有幫浦殼體356,其形成安置有真空幫浦(未 顯示)之密封空間(未明確顯示)。 在此實施例中,幫浦殼體356之一部分係外殼部件358, 其包含氣體可滲透之排氣板378 »幫浦殼體356之其他部分 可係氣體不可滲透。排氣板3 7 8係由與外殼部件(例如圖1 之外殼部件1 5 8)相同類型之材料製得且可視作外殼部件。 排氣板378適合於容許排放氣體360離開密封空間且不容許 液體進入且無需排氣孔口。排氣板378之大小取決於穿過 排氣板378之期望氣體流速。經由減壓輸送導管344輸送減 壓369。流體376亦可由減壓輸送導管344收納。 在形成排氣板378及幫浦殼體356時,使聚合多孔疏水材 料之層壓部件形成排氣板378。隨後可對排氣板378進行包 覆模製以形成幫浦殼體3 5 6。此產生容許排放氣體離開密 封空間之排氣板378。排氣板之大小可取決於對來自密封 空間之排放氣體之足夠流速之需要。 根據一說明性實施例,幫浦殼體356及排氣板378係藉由 155463.doc • 16 · 201141562 以下方式來形成:以過濾器封阻或過濾器材料之層壓板開 始,隨後實施包覆模製,即在注射成型製程中在過濾器封 阻周圍進行模製。或者,過濾器封阻或層壓板可使用液體 或壓敏性片材黏著劑結合就位或以其他方式附接。 現主要參照圖5-6,其展示減壓源44〇之另一說明性實施 例。將減壓源440納入置於組織部位4〇4(例如傷口 4〇2)上之 敷料401中《敷料401包括處理歧管4〇8及密封層415。包括 微幫浦464以將減壓469提供至處理歧管408及組織部位 404 » 微幫浦464可包括壓電碟式幫浦、隔膜幫浦、活塞式幫 浦、蠕動幫浦或其他在小空間中產生減壓之構件。敷料 401亦可包括多個層。舉例而言,敷料4〇1可包括輸送或幫 助輸送減壓且收納並保留流體之吸收層471,且可包括位 於吸收層471與微幫浦464之間以抑制液體進入微幫浦464 之液氣隔板473。可將分流層475安置在吸收層471與微幫 浦464之間,其可包括孔口(未顯示)以將減壓自微幫浦464 傳遞至吸收層47 1。微幫浦464亦可包括一或多個電池及控 制器(未顯示)。 可將密封部件411部署在一部分微幫浦464、密封層415 及一部分病患表皮403上方。密封部件411可在一部分微幫 浦464上方具有中心孔口 4丨7。將可與其他部件一樣為撓性 或半撓性之包圍覆件458安置在中心孔口 417及一部分密封 部件4Π上方以產生密封空間462。密封空間462可具有兩 部分:位於微幫浦464上方(對於所示定向)之第一部分491 155463.doc • 17- 201141562 及位於微幫浦464下方(對於所示定向)之第二部分493。第 一部分491係以流體方式耦合至微幫浦464且收納來自微幫 浦464之排放物出口 495之排放物。第二部分493亦係以流 體方式搞合至微幫、/爾464且收納來自微幫浦464之減愿<»至 少一部分包圍覆件458係自聚合多孔疏水材料形成以容許 排放物流出密封空間462之第一部分。亦即,包圍覆件458 或至少一部分包圍覆件458係自與先前所提及外殼部件 158、258、358相同之材料(即聚合多孔疏水材料)來形成。 中心孔口 4 1 7容許排放物474自在此實施例中位於微幫浦 464表面上之排放物出口 472離開密封部件411並衝擊包圍 覆件458。隨著壓力上升,排放氣體474經由外殼部件458 之聚合多孔疏水材料離開。藉由微幫浦464去除之流體可 儲存在敷料401之吸收層471中。在另一實施例中,外殼部 件458可僅包含一部分位於吸收層471及微幫浦464上方之 覆件’且在此實施例中,外殼部件458至少覆蓋中心孔口 41 7。在一替代性實施例中,密封部件4丨丨可包含外殼部件 458 ° 儘管已在某些說明性實施例之背景中揭示了本發明及其 優點,但應理解,可作出各種改變、取代、變換及變更而 不背離由隨附申請專利範圍界定之本發明範圍。 應理解,上述益處及優點可與—個實施例相關或可與若 干個實施例相關。應進一步理解,在提及‘一(an),物件時 係指彼等物件中之一或多者。 若適宜,本文所述方法之步驟可以任一適宜順序來實 155463.doc 201141562 施’或可同時實施。 若適宜’上述任一實例十之態樣可與所述任一其他實例 中之態樣組合,從而形成具有相當或不同特性且解決相同 或不同問題之其他實例。 應理解,上文對較佳實施例之說明僅係以實例方式來闡 述’且熟習此項技術者可作出各種修改。上文說明書、實 例及數據完整地闡述本發明實例性實施例之結構及應用。 儘e上文已以一定詳細程度或參照一或多個個別實施例闡 述了本發明之多個實施例,但熟習此項技術者可對所揭示 實施例作出多種變更而不背離本發明之範圍。 【圖式簡單說明】 圖1係採用減壓源之減壓處理系統之說明性實施例之示 意圖’且有一部分係以截面來顯示; 圖2係展示圖i中減壓源之說明性實施例之背側之示意性 透視圖; 圖3係減壓源之說明性實施例之示意圖; 圖4係減壓源之說明性實施例之示意性前視圖; 圖5係作為敷料一部分顯示的減壓源之另一說明性實施 例之示意性透視圖;及 圖6係圖5中減壓源之一部分之示意性橫截面視圖。 【主要元件符號說明】 100 減壓處理系統 1〇2 傷口 103 表皮 155463.doc -19- 201141562 104 105 107 108 109 110 111 113 114 116 118 120 124 126 138 140 141 142 144 146 148 150 152 154 組織部位 真皮 皮下組織 處理歧管 傷口邊緣 第二代表性裝置 密封部件 減壓子系統 周圍邊緣 密封部件延伸 第一側面 面向病患之第二側面 密封設備 壓敏性黏著劑 部分 減壓源 減壓埠 儲液器區域 減壓輸送導管 部分 代表性裝置 減壓介面 肘形埠 密封空間 155463.doc -20- 201141562 156 158 240 244 256 258 262 264 266 268 269 270 272 274 276 340 344 356 358 360 369 376 378 401 幫浦殼體 外殼部件 減壓源 減壓輸送導管 幫浦殼體 外殼部件 密封空間 真空幫浦 減壓出口 傳輸導管 減壓 罐 排放物出口 排放物/排放氣體 流體 減壓源 減壓輸送導管 幫浦殼體 外殼部件 排放氣體 減壓 流體 排氣板 敷料 155463.doc -21 - 201141562 402 傷口 403 病患表皮 404 組織部位 408 處理歧管 411 密封部件 415 密封層 417 中心孑L 口 440 減壓源 458 包圍覆件 462 密封空間 464 微幫浦 469 減壓 471 吸收層 472 排放物出口 473 液氣隔板 474 排放物 491 第一部分 493 第二部分 495 排放物出口 155463.doc -22-

Claims (1)

  1. 201141562 七、申請專利範圍: 用於處理病患組織部 1. 一種減壓源,其與減壓系統—起 位,該減壓源包含: 形成密封空間之幫浦殼體,甘+ , I 屌厢汰體其中外殼部件形成該幫浦 殼體之至少一部分; 真空幫浦,其安置在該密封空間内; 減壓出口,其以流體方式輕合至該真空幫浦以輸送減 壓; 排放物出口 ’其以流體方式耦合至該真空幫浦以將排 放氣體自该真空幫浦輸送至該密封空間;且 其中該外殼部件包含聚合的多孔疏水材料以容許該排 放氣體離開該無排氣開口之密封空間。 2.如明求項1之減壓源,其中該聚合的多孔疏水材料包含 疏水燒結聚合物β 如清求項1之減壓源’其中該聚合的多孔疏水材料包含 疏水纺勘型材料。 4. 如5青求項1之減壓源,·其中該聚合的多孔疏水材料包含 疏水性結合多孔纖維。 5. 如明求項1之減壓源,其中該聚合的多孔疏水材料包含 聚烯烴材料。 °月求項1之減壓源,其中該外殼部件包含注射模製部 件。 如4求項1之減壓源,其進一步包含與該外殼部件相連 且適於在變濕後變色之液敏性染料。 155463.doc 201141562 8. 如請求項1之減壓源,其中該外殼部件係半透明的。 9. 如清求項1之減壓源,其中該外殼部件包含完整的幫浦 殼體。 I 〇.如请求項1之減壓源,其中該外殼部件包含在該幫浦殼 體上之排氣板。 II ·如凊求項i之減壓源,其中該外殼部件包含敷料覆件, 且該真空幫浦包含安置在該敷料覆件與該病患之間之微 幫浦。 12. 如請求項丨之減壓源,其中該聚合的多孔疏水材料包含 吸味材料。 13. —種用減壓處理病患組織部位之系統,該系統包含: 處理歧管,其置於鄰近該組織部位處以將減壓分佈至 該組織部位; 減壓源,其以流體方式耦合至該處理歧管以將減壓提 供至該處理歧管; 密封部件,其在該組織部位上方形成流體密封;真 其中該減壓源包含: 形成密封空間之幫浦殼體,其中外殼部件形成该 幫浦殼體之至少一部分, 真空幫浦,其安置在該密封空間中, 減壓出口,其以流體方式耦合至該真空幫浦以輸 送減壓, 排放物出口,其以流體方式耦合至該真空幫浦以 將排放氣體自該真空幫浦輸送至該密封空間,真 155463.doc 201141562 14 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 、中該外⑨部件包含聚合的多孔疏水材料,直容 &許該排放氣體離開該無排氣孔口之密封㈣ 項13之系統,其中該聚合的多孔疏水材料包含疏 水k結聚合物。 如 水二 =:系統,其中該聚合的多孔疏水材料包含疏 如 "月求項13之系統,其中該聚合的多孔疏水 水性結合多孔纖維。 ^ 如:求項13之系統,其中該聚合的多孔疏水材料包含聚 婦fe材料。 如叫求項13之系統’其中該外殼部件包含注射模製部 件0 士叫求項13之系統,其進—步包含與該外殼部件相連且 適於在變濕後變色之液敏性染料。 如》月求項13之系統,其中該外殼部件係半透明的。 如*月求項13之系、統’其中該外殼部件包含完整的幫浦殼 如請求項13之系統 上之排氣板。 其中該外殼部件包含在該幫浦殼體 如清求項13之系統,其中該外殼部件包含敷料覆件,且 "亥真二幫浦包含安置在該敷料覆件與該病患之間之微幫 如請求項13之系統, 味材料。 其中該聚合的多孔疏水材料包含吸 155463.doc 201141562 25.種產生減壓以與減壓系統一起用#& A 用於處理病患組織部位 之方法’該方法包含: 形成密封空間,其中該密封空pq > t 丹甲及在ίΤ二間之至少一部分係由包 含聚合的多孔疏水材料之外殼部件形成. 將真空幫浦安置在該密封空間内,其中該真空幫浦包 括減壓出口及排放物出口 ’且其中該外殼部件容許排放 氣體離開該無排氣孔口之密封空間; 實質上自該密封空間經由該無排氣孔口之外殼部件排 放該排放氣體;及 將該減壓輸送至期望位置。 26·如請求項25之方法’其中該聚合的多孔疏水材料包含疏 水燒結聚合物。 27·如請求項25之方法’其中該聚合的多孔疏水材料包含疏 水紡黏型材料。 28. 如請求項25之方法,其中該聚合的多孔疏水材料包含疏 水性結合多孔纖維。 29. 如請求項25之方法,其中該聚合的多孔疏水材料包含聚 烯烴材料。 30.如請求項25之方法,其中該聚合的多孔疏水材料包含疏 水燒結聚合物及與該外殼部件相連且適於在變濕後變色 之液敏性染料。 3 1.如請求項25之方法’其中該外殼部件包含完整的幫浦殼 體。 32.如請求項25之方法,其中該外殼部件包含在該絮浦殼體 155463.doc 201141562 上之排氣板。 33. 如請求項25之方法 該真空幫浦包含安 浦0 ,其令該外殼部件包含敷料覆件,且 置在該敷料覆件與該病患之間之微幫 其中該聚合的多孔疏水材料包含吸 34.如請求項25之方法 味材料。 35.:種製造與減壓系統-起用於處理病患組織部位之減壓 源之方法,該方法包含: 俨:::Γ成在封空間之幫浦殼體,其中形成該幫浦殼 形成包含該幫浦殼體之至少-部分之外殼部件; 將^幫浦安置在該密封空間内,其中該真空幫浦包 以體方式耦合至該真空幫浦以輸送減壓之減壓出口 及以流體方式輕合至該真空幫浦以將排放氣體自該真空 幫浦輸送至該密封空間之排放物出口;及 &其中該外殼部件包含適於容許該排放氣體離開該密封 空間之聚合的多孔疏水材料。 36. 如請求項35之方法’其中該形成該幫浦殼體之步驟包含 注射模製該外殼部件。 37. 如凊求項35之方法,其中該形成外殼部件之步驟包含形 成層屋部件及在該層麗部件周jg進行包覆模製以形成該 外殼部件。 38. 如請求項35之方法,其令該形成外殼部件之步驟包含形 成聚合物部件及形成貫穿其之孔隙。 39. 如4求項35之方法,其中該形成外殼部件之步驟包含自 155463.doc 201141562 該聚合的多孔疏水材料注射模製第_部分外 剛性大於該聚合的多孔疏水材料之材料注射模製第二二 40. —種用於使用減壓處理病患組織部位 现料,該敷料包 含: 處理歧管’其置於鄰近該組織部位處; 吸收層,其收納並保留來自該組織部位之流體; 具有排放物出口之微幫浦,贫掷勒·# ^ °褒微幫浦用於產生減壓及 離開該排放物出口之排放物; 包圍覆件,其覆蓋該處理歧管、該吸收層及該微幫浦 以形成具有第一部分及第二部分之密封空間; 其中該微幫浦之該排放物出口係以流體方式耦合至該 密封空間之該第一部分以將排放物提供至該密封空間之 該第一部分,且該微幫浦係以流體方式耦合至該密封空 間之該第二部分以將減壓提供至該密封空間之該第二部 分;且 其中該包圍覆件之至少一部分係自聚合的多孔疏水材 料形成且適於容許該排放物流出該密封空間。 41. 如請求項40之敷料,其中該聚合的多孔疏水材料包含疏 水燒結材料。 42. 如請求項40之敷料,其中該聚合的多孔疏水材料包含疏 水紡黏型材料。 43. 如請求項40之敷料,其中該聚合的多孔疏水材料包含疏 水性結合多孔纖維。 155463.doc 201141562 44. 如請求項4〇之敷料,其中該聚合的多孔疏水材料包含聚 稀烴材料。 45. 如請求項4〇之敷料,其進一步包含液氣隔板及分流層。 46. 如請求項40之敷料,其進一步包含防止來自該組織部位 之液體到達該微幫浦之液氣隔板、分佈來自該微幫浦之 減壓之分流層、置於該處理歧管外側鄰近該組織部位處 之密封層及安置在該包圍覆件之至少一部分上方之密封 部件。 I55463.doc
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