WO2007029065A2 - Appareil et procede de traitement d'une blessure - Google Patents

Appareil et procede de traitement d'une blessure Download PDF

Info

Publication number
WO2007029065A2
WO2007029065A2 PCT/IB2006/002107 IB2006002107W WO2007029065A2 WO 2007029065 A2 WO2007029065 A2 WO 2007029065A2 IB 2006002107 W IB2006002107 W IB 2006002107W WO 2007029065 A2 WO2007029065 A2 WO 2007029065A2
Authority
WO
WIPO (PCT)
Prior art keywords
enclosure
bag
gaseous fluid
body part
wound
Prior art date
Application number
PCT/IB2006/002107
Other languages
English (en)
Other versions
WO2007029065A3 (fr
Inventor
Elaine Joy Gundry
Garth O'connor
Malan De Villiers
Original Assignee
Southern Cat (Pty) Ltd
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 Southern Cat (Pty) Ltd filed Critical Southern Cat (Pty) Ltd
Publication of WO2007029065A2 publication Critical patent/WO2007029065A2/fr
Publication of WO2007029065A3 publication Critical patent/WO2007029065A3/fr

Links

Classifications

    • 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
    • A61M1/69—Drainage containers not being adapted for subjection to vacuum, e.g. bags
    • 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
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/08—Limbs
    • 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
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/08—Limbs
    • A61M2210/083—Arms

Definitions

  • THIS invention relates to a wound treatment apparatus and method.
  • the present invention seeks to provide a novel wound treatment apparatus and method in which the above principles are implemented.
  • a wound treatment apparatus comprising an enclosure for operatively enclosing a body part having a wound thereon in a configuration in which a space defined in the enclosure is partially occupied by the body part, the enclosure having an inlet through which a gaseous fluid can operatively be fed into the unoccupied portion of the space and an outlet via which gaseous fluid can operatively exhaust from the enclosure whereby gaseous fluid can be passed through the said unoccupied portion of the space, from the inlet to the outlet, in order to treat the wound.
  • body part refers to any part, of the human body which can be enclosed in an enclosure having a single mouth at one end for insertion of the body part, or a sleeve-like enclosure having mouths at opposite ends through which the body part can be extended such that a portion of the body part is accommodated within the enclosure.
  • the apparatus may particularly serve for treating a body part having a wound, such as a burn wound, ulcer, pressure sore or the like.
  • a gaseous fluid suitable for treatment of the wound can be fed into the space and thus into contact with the wound.
  • the gaseous fluid will typically be air or a gaseous mixture including air.
  • the enclosure is in the form of a flexible, inflatable bag and the gaseous fluid supply means is operative to pass the gaseous fluid through the bag, from the inlet to the outlet, under sufficient pressure to maintain the bag in an inflated condition about the body part.
  • the bag may be transparent to allow visual inspection of the wound environment and it may be disposable after use.
  • Figure 1 diagrammatically illustrates a first embodiment of the invention
  • FIG. 1 diagrammatically illustrates the embodiment of Figure 1 in use
  • Figure 3 diagrammatically illustrates a body part support which can be used in the embodiment of Figures 1 and 2;
  • Figure 4 diagrammatically illustrates a second embodiment of the invention.
  • FIG. 5 diagrammatically illustrates a third embodiment of the invention in use. DESCRIPTION OF THE ILLUSTRATED EMBODIMENTS
  • a body treatment apparatus according to the invention is designated generally by the reference numeral 10.
  • the body treatment apparatus 10 includes a gaseous fluid supply arrangement 12, an enclosure in the form of an inflatable bag 14, a discharge pipe 16 and a discharge container 18.
  • the bag 14 is made of a transparent, flexible plastics material and has an open mouth 22.
  • the bag has attached to it a gauze seal 24 around the mouth and has also securing means in the form of straps or tapes 26 adjacent the mouth. The purpose of the seal 24 and the straps 26 will be described below.
  • a body part typically a part of a limb in the form of either an arm or a leg, can be inserted into the bag 14 through the mouth 22.
  • Figure 2 shows a left forearm 28 inserted into the bag.
  • the mouth 22 is then sealed about the body part by appropriately tying the straps 26.
  • the bag 14 carries two spaced apart eye formations 30, each defining an irrigation aperture through the wall of the bag.
  • Each eye formation 30 has a closure in the form of a screw cap 31.
  • the bag 14 also has an identical eye formation 32 with a screw cap 33.
  • the screw cap 33 of the eye formation 32 may, in other embodiments, be replaced with a connector 34 for an oxygen supply line (not shown), if required.
  • the eye formation 32 will then define a secondary inlet of the bag 14.
  • a slit 36 is defined in the wall of the bag 14.
  • the slit 36 has a slide fastener 38 which, when closed, is substantially air tight. When the slide fastener 38 is open, the slit 36 forms an access aperture for the bag 14.
  • the bag 14 has also three discharge outlets 39.1, 39.2 and 39.3.
  • the outlets are served by valves 40.1 , 40.2 and 40.3 respectively which allow them to opened and closed as required.
  • the purpose of the outlets and valves will become apparent from the following description.
  • the bag member 14 also carries suspension formations in the form of lugs 41.1 and 41.2 by means of which it can be suspended from an overhead support structure (not shown).
  • the gaseous fluid feed arrangement 12 includes dual air pumps 42 and a gaseous fluid supply line 44 extending from the pumps to an 46 adjacent the mouth of the bag.
  • the line 44 has an in-line charcoal air filter 48 and an inline ozone device 50.
  • a suspended plastics bag 52 containing a saline solution, is suspended over the supply line 44 and can feed saline solution into the line under the control of a flow control valve 54. In the line the saline solution may be nebulised or vaporized for incorporation in the gas flow.
  • the bag 52 has a heating lamp 56 for heating the saline solution in the bag.
  • the arrangement 12 includes also a gaseous fluid supply line 60 which branches from the line 44 and terminates at an irrigator nozzle 62.
  • the discharge pipe 16 is connected to the valve 40.1.
  • the container 18 is closed by means of a lid 66.
  • the pipe 16 extends through an opening in the lid 66 with its bottom end 68 disposed near the bottom of the container 18 as shown.
  • the container 18 is partially filled with an antiseptic receptor liquid (not shown in Figure 1) with the end 68 of the pipe 16 submerged in the liquid.
  • the apparatus 10 can include one or more body part supports.
  • a typical one of these supports, designated by the numeral 70, is shown in Figure 3.
  • the support 70 has a dimension, into the plane of the paper in Figure 3, which may be approximately twice that of the vertical height of the support.
  • the support 70 is provided by a foam rubber body 72 the lower surface of which is formed with three arcuate recesses 74.
  • adhesive elements 76 which can be used to adhere the support 70 to the inner surface of the bag 14.
  • the body part supports 70 are adhered to the inner surface of the bag member at positions opposite to the lugs 41.1 and 41.2. Normally, the orientation of the body part supports will be such that the recesses 74 extend from left to right in Figures 1 and 2.
  • the forearm 28 is inserted into the open mouth 22 of the bag member 14 and is rested upon the supports 70 with the wounded upper surface of the forearm facing upwardly such that the lugs 41.1 and 41.2 are situated above the forearm.
  • the mouth 22 of the bag is then secured about the forearm by tying the straps 26 in an appropriate manner, with the gauze seal 24 providing a sealing action.
  • the bag member 14 can then be suspended from an overhead support by means of the lugs 41.1 and 41.2, typically with the lug 41.1 slightly higher than the lug 41.2.
  • the line 44 is connected to the inlet 46 of the bag member 14 in the configuration shown, and the pipe 16 is connected to the valve 40.1 with the other valves 40.2 and 40.3 closed.
  • the pipe 16 may be connected to one or other of the valves 40.2 and 40.3, in each case with the other two valves closed.
  • the pumps 42 are actuated to pump air through the line 44.
  • the filter 48 filters impurities from the air.
  • the air passes through the ozone device 50, which introduces ozone into the air to form a gaseous fluid mixture.
  • the lamp 56 is energized to heat the saline solution in the bag member 52 to a desired temperature.
  • the valve 54 is opened to a required extent so that ⁇ saline solution is drawn into the gaseous fluid flow in the line 44 and is entrained in that flow, typically in a nebulised or vaporised state.
  • the fluid mixture comprising air, ozone and saline solution in nebulised or vaporized form is accordingly introduced into the bag member 14 through the inlet 46.
  • the inlet pressure is sufficient to maintain the bag 14 in an inflated state.
  • the internal space 77 defined in the inflated bag is partially occupied by the forearm 28.
  • the gaseous fluid circulates through the unoccupied portion of the space 77 from the inlet 46 to the outlet valve 40.1. In so doing the fluid circulates over the wound on the forearm 28 to aid healing thereof.
  • the slide fastener 38 may be manipulated to open the slit 36 in order to allow access to the wound in order to attend to it as necessary.
  • Any liquid fluids, including any wound exudate, which accumulate in the bag 14 can be drained from the bag through the outlet 39.1.
  • Such fluids, as well as gaseous fluid exhausted through the outlet 39.1 are then discharged through the pipe 16 into the receptor liquid in the container 18.
  • the recesses 74 allow liquid fluids to flow along the bottom of the bag towards the outlet.
  • a selected one of the caps 31 may be removed from its eye formation 30, whereafter the nozzle 62 can be inserted through or attached to the associated irrigation aperture. The nozzle 62 can then be triggered to dispense gaseous fluid supplied to it through the line 60 directly onto the wound.
  • FIG 4 shows another embodiment of the invention.
  • the bag 14 is in the form of a sleeve both ends of which are open.
  • the sleeve-like bag in this embodiment is, as before, fitted over a left forearm 28.
  • the opposite ends of the bag, designated 22.1 and 22.2, are similar to the mouth 22 of the bag 14 of the bag and can be sealed about the forearm by means of straps or tapes similar to those described above.
  • the hand 80 With this configuration, which is suitable for use in situations where the wound is situated between the wrist and the elbow, the hand 80 remains free.
  • Figure 5 illustrates another embodiment of the invention, and like components are again indicated by like numerals.
  • the forearm 28 carries a wound 90 which is to be treated and to which a dressing 92 has been applied.
  • the wound 90 is typically a burn wound, ulcer, pressure sore or the like which is prone to bacterial infection.
  • the dressing in this embodiment is one manufactured and sold under the name ActicoatTM or Acticoat 7TM by Smith & Nephew Healthcare Limited. If necessary, the dressing may be secured in place by means of an external bandage or other fastening means (not shown).
  • ActicoatTM and Acticoat 7TM dressings carry fine particles of metallic silver which serve as an antimicrobial agent to combat bacterical infection.
  • the dressing it is recommended that the dressing be kept moist, both in order to maintain a moist, wound-healing environment and to prevent the dressing from drying out and adhering to the wound site.
  • moisture is provided from a container 94 of sterile water. Water from the container 94 is drawn into the line 44 through a line 96 controlled by a valve 98. If necessary the water in the container may be heated by a heating lamp or other heating device 100.
  • the line 44 may if necessary include a venturi formation designed to generate a low pressure in the air stream to draw the water into the line.
  • the various parameters are such that the water is either nebulised or forms water vapour in the air stream.
  • the air stream is accordingly moistened by the introduction of the sterile water.
  • the bag 14 includes an outlet 39.1 leading into the line 16 which is, as before, controlled by an outlet valve 40.1.
  • the moistened air stream circulates through the bag from the inlet 46 to the outlet.
  • the pressure of the moistened air stream circulated through the bag is maintained at a level sufficient to inflate the bag in order to form a moistened volume around the forearm 28.
  • the dressing 92 is able to perform an efficient antimicrobial action. Water which precipitates out of the air stream in the bag, together with any liquid exudates from the wound 90, are able to leave the bag through the outlet 39.1 and the line 16.
  • Such liquids are, together with the gaseous exhaust from the bag, taken by the line 16 into the container 18, in Figure 5 shown partially filled with a suitable antiseptic liquid 102.
  • the end 68 of the line 16 is located beneath the liquid level 104 such that liquid components entering the container 18 are discharged into the antiseptic liquid while gaseous components bubble up through the liquid to be exhausted beneath the lid 66.
  • FIG. 5 is diagrammatic only, and in addition to the illustrated features, any or all of the other features described above in relation to Figures 1 to 3 may also be incorporated in the apparatus.
  • the irrigation components may be arranged such that the irrigation nozzle(s) can be used for direct irrigation of the wound or a wound dressing by means of the moistened air stream or even directly by the sterile water itself.
  • an opening such as the elongate slit 36, in a side of the bag, typically closed by a sealed slide fastener, to allow access to the wound for the purposes of replacing the dressing and/or bandage or for other wound-related activities.
  • the bag 14 in Figure 5 may accommodate one or more flexible body part supports, corresponding to the support 70, to support the forearm or other body part comfortably within the bag. It may also have one or more external suspension points, corresponding to the lugs 41.1 and 41.2, by means of which it can be suspended from an elevated structure, thereby to assist in supporting the relevant body part at an appropriate elevation and orientation.
  • Figure 5 may be further modified by replacing the illustrated bag 14 with a bag, similar to that seen in Figure 4, having two open ends, enabling the bag to be used as a treatment enclosure for a wounded mid-region of a limb or other body part.

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Devices For Medical Bathing And Washing (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

L'invention porte sur le traitement d'une blessure (20) d'une partie du corps, par exemple de l'avant-bras (28). L'appareil de traitement (10) utilise une enveloppe entourant la partie du corps, partiellement occupée par ladite partie, et présentant (i) un orifice d'introduction (46) d'un gaz occupant la partie non occupée de l'espace et (ii) un orifice (77) de sortie (ii) d'où le gaz peut s'échapper de l'enveloppe. Pour traiter la blessure, on remplit la partie inoccupée du gaz introduit par l'orifice d'introduction. Dans l'exécution préférée l'enveloppe est un sac étanche gonflable (14) tel que le gaz introduit le maintient à l'état gonflé autour de la partie du corps
PCT/IB2006/002107 2005-08-02 2006-08-02 Appareil et procede de traitement d'une blessure WO2007029065A2 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
ZA2005/06164 2005-08-02
ZA200506164 2005-08-02
ZA2005/08686 2005-10-26
ZA200508686 2005-10-26

Publications (2)

Publication Number Publication Date
WO2007029065A2 true WO2007029065A2 (fr) 2007-03-15
WO2007029065A3 WO2007029065A3 (fr) 2007-05-18

Family

ID=37822207

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2006/002107 WO2007029065A2 (fr) 2005-08-02 2006-08-02 Appareil et procede de traitement d'une blessure

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WO (1) WO2007029065A2 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107088239A (zh) * 2017-06-14 2017-08-25 成都润泰智通科技有限公司 一种多功能创口治疗设备

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3744491A (en) * 1972-01-20 1973-07-10 B Fischer Low pressure localized hyperbaric oxygen chamber
US4670010A (en) * 1984-03-26 1987-06-02 Giorgio Dragone Liquid-nebulizing device for the dermatological treatment of the hands
US5848998A (en) * 1996-07-11 1998-12-15 Marasco, Jr.; Patrick V. Tissue debriding apparatus
US6635035B1 (en) * 2000-05-02 2003-10-21 Patrick V. Marasco Tissue irrigation arrangement
US20040171998A1 (en) * 2000-07-21 2004-09-02 Marasco Patrick V. Isolated wound-treatment arrangement
GB2402066A (en) * 2003-05-23 2004-12-01 Bioquell Uk Ltd Apparatus for disinfecting a surface

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3744491A (en) * 1972-01-20 1973-07-10 B Fischer Low pressure localized hyperbaric oxygen chamber
US4670010A (en) * 1984-03-26 1987-06-02 Giorgio Dragone Liquid-nebulizing device for the dermatological treatment of the hands
US5848998A (en) * 1996-07-11 1998-12-15 Marasco, Jr.; Patrick V. Tissue debriding apparatus
US6635035B1 (en) * 2000-05-02 2003-10-21 Patrick V. Marasco Tissue irrigation arrangement
US20040171998A1 (en) * 2000-07-21 2004-09-02 Marasco Patrick V. Isolated wound-treatment arrangement
GB2402066A (en) * 2003-05-23 2004-12-01 Bioquell Uk Ltd Apparatus for disinfecting a surface

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107088239A (zh) * 2017-06-14 2017-08-25 成都润泰智通科技有限公司 一种多功能创口治疗设备

Also Published As

Publication number Publication date
WO2007029065A3 (fr) 2007-05-18

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