US3920010A - Controlled pressure surgical dressing and method of making same - Google Patents

Controlled pressure surgical dressing and method of making same Download PDF

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Publication number
US3920010A
US3920010A US495673A US49567374A US3920010A US 3920010 A US3920010 A US 3920010A US 495673 A US495673 A US 495673A US 49567374 A US49567374 A US 49567374A US 3920010 A US3920010 A US 3920010A
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US
United States
Prior art keywords
tow
dressing
deregistered
washed
batt
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.)
Expired - Lifetime
Application number
US495673A
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English (en)
Inventor
Sheldon R Chesky
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Kendall Co
Original Assignee
Kendall Co
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 Kendall Co filed Critical Kendall Co
Priority to US495673A priority Critical patent/US3920010A/en
Priority to NL7509275A priority patent/NL7509275A/xx
Priority to AU83677/75A priority patent/AU494503B2/en
Priority to ZA00755027A priority patent/ZA755027B/xx
Priority to IT50848/75A priority patent/IT1041162B/it
Priority to BR7505039*A priority patent/BR7505039A/pt
Priority to DE19752535229 priority patent/DE2535229A1/de
Priority to CA233,032A priority patent/CA1054889A/en
Priority to GB3307075A priority patent/GB1467099A/en
Priority to BE159071A priority patent/BE832276A/xx
Priority to FR7524794A priority patent/FR2281099A1/fr
Priority to JP50095972A priority patent/JPS5139991A/ja
Application granted granted Critical
Publication of US3920010A publication Critical patent/US3920010A/en
Assigned to MANUFACTURERS HANOVER TRUST COMPANY, AS AGENT reassignment MANUFACTURERS HANOVER TRUST COMPANY, AS AGENT SECURITY INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: KENDALL COMPANY, THE
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A61F13/01029—
    • 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
    • A61F13/15—Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/36—Surgical swabs, e.g. for absorbency or packing body cavities during surgery
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S602/00—Surgery: splint, brace, or bandage
    • Y10S602/90—Method of making bandage structure

Definitions

  • ABSTRACT A lofty, porous, high bulk, extremely soft surgical dressing is provided herein that supplies controlled light pressure, when applied to a wound, along the entire patient-dressing interface, while also supplying a most positive cushioning and aeration characteristic in the dressing.
  • the dressing is formed by cutting a section of washed gauze two to six plies thick so as to be 2 to 3 times the length of an absorbent batt or matrix to be used therewith.
  • the absorbent batt or matrix consists of a section of deregistered permanently crimped acetate tow, or other permanently crimped fibrous tow, and is positioned approximately in the center of the cut section of the washed gauze.
  • the washed gauze is then folded over the deregistered tow batt so as to provide a set of openable wings or tabs which can be used to anchor the dressing in place and supply a gentle, yet noticeable pressure on the wound.
  • This invention relates to surgical dressings,and more particularly to a controlled pressure surgical dressing utilizing an absorbent batt of deregistered crimped tow, and a method of making same.
  • Conventional wound dressings in the form of sponges and the like can generally be divided into four major types or categories.
  • Plain gauze dressings are generally transfer types of dressing used either directly on a wound, or indirectly over a non-adherent dressing.
  • the primary function of this type dressing is to lift and transfer the blood and other wound exudates from the wound into a fluid holding reservoir, such as an abdominal pad.
  • Washed gauze dressings are used where a softer, more open mesh, bulkier sponge might be needed for transfer.
  • Such dressings have been made to provide a sponge structure that, when applied, supplies some gentle pressure and better cushioning than unwashed gauze sponges, however, inherently the structure is not uniform in thickness and several plies have to be utilized to provide optimal pressure.
  • the washed gauzedressing is more absorbent than an 8 ply or l2-ply plain gauze sponge
  • the structure has limited absorbency when compared to a 16 ply plain gauze sponge on a weight to weight comparison.
  • Another type of dressing in use today is a filled gauze sponge, which consists of one or two plies of unwashed gauze, an inner matrix of cotton or rayon fibers, and in some cases a layer of creped cellulose wadding used as an inner carrier.
  • This type of dressing can be utilized as a small fluid reservoir for soaking up and holding limited amounts of exudate. It lacks the softness and bulk, and the ability to transfer exudates in the same amounts that can be achieved with washed gauze.
  • each of the four general types of dressings used today has its limits in function due to the design and construction, as well as the materials used therein.
  • the most desirable dressing would be one that incorporates as many of the positive characteristics as possible, while eliminating or reducing as many negative features described above as possible.
  • a surgical dressing that has the absorbency and take up of a filled gauze or a filled nonwoven surgical sponge, and the softness, conformability and wicking ability of a washed gauze dressing. It is another object of the present invention to produce a lofty, porous and soft dressing that supplies controlled light pressure along the patient-dressing interface when applied to a wound to provide support thereto.
  • a surgical dressing is formed by cutting a section of washed gauze two to six plies thick so as to be 2 to 3 times the length of an absorbent batt or matrix to be placed therein.
  • the absorbent batt advantageously consists of a portion or section of deregistered crimped tow, such as crimped acetate tow, and is positioned approximately in the center of the cut section of the washed gauze. The raw edges of the cut section of the gauze are then folded lengthwise over on themselves, completely covering the absorbent batt.
  • the selvage edge can then be folded over upon itself so as to form a compact square or rectangle, the selvage folds then acting as a set of openable wings or tabs which can be used to anchor the dressing in place over a wound and supply a noticeable, yet controllable pressure on the wound.
  • the resultant novel structure produces a lofty, high bulk, porous and extremely soft surgical dressing that provides good aeration to a wound, while still yielding a most positive cushioning effect thereto.
  • FIG. 1 is a plan view of the surgical dressing of this invention, prior to any folds having been made therein;
  • FIG. 2 is a perspective view of the dressing of this invention, having a fold made therein;
  • FIG. 3 is a perspective view of the completed dressing of the invention.
  • FIG. 4 shows a sectional view of an alternate absorbent matrix that can be used in this invention.
  • FIG. 5 is a plan view of another embodiment of the dressing described in this invention.
  • a controlled pressure dressing is a novel concept in the functional wound dressing-area. It provides the absorbency and capillarity of a filled gauze or filled nonwoven sponge along with the softness, conformability and wicking ability of a washed gauze dressing.
  • FIGS. 1-3 show a portion of washed gauze 11, having a thickness of two to six plies, preferably three plies, which has been cut to be two to three times the length of an absorbent batt or matrix 12 that is to be positioned substantially in the middle thereof.
  • the absorbent batt 12 is a section of deregistered permanently crimped towof either a synthetic or natural fiber.
  • the tow can advantageously be an acetate tow and can be deregistered in three dimensions by any process known to those skilled in the art.
  • the deregistering process greatly enhances the fiber freedom of the individual filaments therein and thus induces a superior bulk and advantageously produces a more absorbent batt.
  • the material selected must only have been initially crimped and then deregistered in order to produce the absorbency desired.
  • Tow, rather than staple fiber, should be used to avoid the possibility of fiber ends breaking off and protruding into the wound, thus eliminating a potential source of wound contamination.
  • the washed gauze 11, having the absorbent batt l2 thusly positioned therein can be folded in the following manner: the raw edges and 16 are folded lengthwise over each other along dotted lines a a and b b respectively, to show the structure of FIG. 2.
  • the selvage edges 13 and 14 of the washed gauze then form a pair of openable wings or tabs, such as at 21, that can be folded widthwise over each other along dotted lines c c and d d so as to form a compact surgical dressing.
  • the openable tabs 21 formed at the outer extremities of the gauze 11 on either side of the deregistered tow 12 can be used to anchor the dressing in place over a wound and to provide a controllable pressure on the wound by way of the dressing.
  • deregistered permanently crimped tow as the absorbent batt has been found to be particularly advantageous for a number of reasons, not the least of which are, that when crimped tow is deregistered it tries to retain its volume displacement; that permanently set crimped tow wont collapse, so therefore, a dressing utilizing same will have a cushioning effect; and, further, that moisture wont collapse deregistered tow making the material all the more desirable.
  • a preferred washed gauze material can be obtained by using the process set forth in US. Pat. No. 3,081,370 to Secrist, of common assignee, which describes a hot water bulking treatment to a single-ply of open-meshed gauze fabrics.
  • the fabric of US. Pat. No. 2,081,370 is characterized by the presence in the fabric of a multiplicity of crunodal loops, where yarns curve up or down out of the plane of the fabric, form a complete loop, and then continue their path in their original direction.
  • a plurality of plies of this material can be used for this invention up to six plies, three plies being preferable as stated above.
  • one or more plies of absorbent crepe cellulose wadding may be wrapped around the tow as shown in FIG. 4 wherein the tow is shown as 31, and the crepe cellulose wadding is 32. As shown therein, the crepe cellulose wadding 32 is wrapped completely around the tow 31 of the deregistered acetate so as to very quickly spread any fluids thereon into the tow. While crepe cellulose wadding is desirable for these purposes, any absorbent material can be used so long as it is capable of taking up and spreading fluids therethrough. Ideally, the absorbent crepe cellulose wadding is cut to a width equal to the width of the deregistered tow and long enough to at least wrap same completely around the tow material.
  • FIG. 5 An alternate embodiment for the dressing of this invention is shown in FIG. 5, wherein essentially the same construction is used.
  • the deregistered tow matrix 42 has a substantially rectangular configuration and the raw edges 45 and 46 of the washed gauze material 41 are folded over onto each other along dotted lines a a and b b to form a more elongated dressing than shown in FIG. 2.
  • the thusly folded dressing also provides openable wings or tabs on either side of the deregistered tow that act as anchoring points for securing this type dressing to such areas as the perineum, rectum/anus and the axilla.
  • the wings or tabs thusly formed can then be folded over toward themselves as along dotted lines c c and d a" so that the selvage edges at 43 and 44 are on the outermost portion of the dressing, while the more ragged raw edges 45 and 46 lie underneath same.
  • This embodiment may also contain at least one ply of absorbent crepe cellulose wadding surrounding the absorbent matrix of deregistered tow for enhancing the spreading of fluid into the tow, as described and shown in FIG. 4 above.
  • This structure will produce an extemely comfortable dressing that will produce a controlled pressure on the wound, while preventing or avoiding any trauma to the patient.
  • a lofty, porous, soft surgical dressing capable of supplying a controlled pressure to a wound comprising:
  • a batt of three-dimensionally deregistered pennanently crimped tow positioned substantially in the middle of said washed gauze material and being smaller than said washed gauze material, said deregistered crimped tow being completely covered by lengthwise folds of said gauze material.
  • a lofty, porous, soft surgical dressing capable of supplying a controlled pressure to a wound comprising:
  • a batt of three-dimensionally deregistered permanently crimped acetate tow positioned substantially in the middle of said washed gauze material and being smaller than said washed gauze material, said deregistered crimped acetate tow being completely covered by crepe cellulose wadding, said thusly covered acetate tow being completely covered by lengthwise and widthwise folds of said gauze material, said widthwise folds acting as anchoring tabs on either side of said covered deregistered acetate tow.
  • a method of making a lofty, porous, soft surgical dressing capable of supplying a controlled pressure to a wound comprising:
  • deregistering permanently crimped tow material said deregistering being three-dimensional
  • the method of claim 15 including folding said gauze material widthwise so as to cover said lengthwise fold.
  • a method of forming a lofty, porous, soft surgical dressing capable of supplying controlled pressure to a wound comprising:
  • deregistering permanently crimped acetate tow said deregistering being three-dimensional
US495673A 1974-08-08 1974-08-08 Controlled pressure surgical dressing and method of making same Expired - Lifetime US3920010A (en)

Priority Applications (12)

Application Number Priority Date Filing Date Title
US495673A US3920010A (en) 1974-08-08 1974-08-08 Controlled pressure surgical dressing and method of making same
NL7509275A NL7509275A (nl) 1974-08-08 1975-08-04 Heelkundig verband met gecontroleerde druk.
AU83677/75A AU494503B2 (en) 1974-08-08 1975-08-05 Controlled pressure surgical dressing and method of making same
ZA00755027A ZA755027B (en) 1974-08-08 1975-08-05 Controlles pressure surgical dressing and method of making same
IT50848/75A IT1041162B (it) 1974-08-08 1975-08-06 Perfezionamento nei tamponi assorbenti per uso chirurgico e relativo procedimento di fabbricazione
DE19752535229 DE2535229A1 (de) 1974-08-08 1975-08-07 Wundverband, insbesondere fuer chirurgische zwecke
BR7505039*A BR7505039A (pt) 1974-08-08 1975-08-07 Curativo circurgico elevado,poroso e macio,e processo de sua fabricacao
CA233,032A CA1054889A (en) 1974-08-08 1975-08-07 Controlled pressure surgical dressing and method of making same
GB3307075A GB1467099A (en) 1974-08-08 1975-08-07 Controlled pressure surgical dressing
BE159071A BE832276A (es) 1974-08-08 1975-08-08
FR7524794A FR2281099A1 (fr) 1974-08-08 1975-08-08 Compresse chirurgicale
JP50095972A JPS5139991A (es) 1974-08-08 1975-08-08

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US495673A US3920010A (en) 1974-08-08 1974-08-08 Controlled pressure surgical dressing and method of making same

Publications (1)

Publication Number Publication Date
US3920010A true US3920010A (en) 1975-11-18

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Application Number Title Priority Date Filing Date
US495673A Expired - Lifetime US3920010A (en) 1974-08-08 1974-08-08 Controlled pressure surgical dressing and method of making same

Country Status (11)

Country Link
US (1) US3920010A (es)
JP (1) JPS5139991A (es)
BE (1) BE832276A (es)
BR (1) BR7505039A (es)
CA (1) CA1054889A (es)
DE (1) DE2535229A1 (es)
FR (1) FR2281099A1 (es)
GB (1) GB1467099A (es)
IT (1) IT1041162B (es)
NL (1) NL7509275A (es)
ZA (1) ZA755027B (es)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5685832A (en) * 1995-06-29 1997-11-11 Hoechst Celanese Corporation Cellulose ester wound dressing
US20110208102A1 (en) * 2008-09-30 2011-08-25 Nephrokit Medical device for a puncture site or infusion site
EP2796119A1 (en) * 2013-04-22 2014-10-29 Absorbest AB Wound dressing and method for manufacturing a wound dressing
US20170196734A1 (en) * 2014-05-29 2017-07-13 First Care Products Ltd. Wound dressing apparatus and method of use thereof

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2165748B (en) * 1984-10-22 1989-06-07 Daniel Bright Kwaku Afeeva A body care device
US4620633A (en) * 1985-09-30 1986-11-04 Lookholder Theodore W Protective envelope device for packaging fragile articles
ATE40287T1 (de) * 1986-04-22 1989-02-15 Braun Karl Otto Kg Textiles flaechengebilde zur wundversorgung.

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3528417A (en) * 1967-09-07 1970-09-15 Johnson & Johnson Wound release dressing

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3528417A (en) * 1967-09-07 1970-09-15 Johnson & Johnson Wound release dressing

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5685832A (en) * 1995-06-29 1997-11-11 Hoechst Celanese Corporation Cellulose ester wound dressing
US20110208102A1 (en) * 2008-09-30 2011-08-25 Nephrokit Medical device for a puncture site or infusion site
EP2796119A1 (en) * 2013-04-22 2014-10-29 Absorbest AB Wound dressing and method for manufacturing a wound dressing
US20170196734A1 (en) * 2014-05-29 2017-07-13 First Care Products Ltd. Wound dressing apparatus and method of use thereof
US10507139B2 (en) * 2014-05-29 2019-12-17 First Care Products Ltd. Wound dressing apparatus and method of use thereof

Also Published As

Publication number Publication date
JPS5139991A (es) 1976-04-03
NL7509275A (nl) 1976-02-10
DE2535229A1 (de) 1976-02-19
AU8367775A (en) 1977-02-10
BE832276A (es) 1975-12-01
FR2281099A1 (fr) 1976-03-05
ZA755027B (en) 1976-07-28
IT1041162B (it) 1980-01-10
CA1054889A (en) 1979-05-22
GB1467099A (en) 1977-03-16
BR7505039A (pt) 1976-08-03

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AS Assignment

Owner name: MANUFACTURERS HANOVER TRUST COMPANY, AS AGENT

Free format text: SECURITY INTEREST;ASSIGNOR:KENDALL COMPANY, THE;REEL/FRAME:005251/0007

Effective date: 19881027