WO2010145780A1 - Procédé de maniement d'un appareil thérapeutique qui favorise la cicatrisation des lésions - Google Patents

Procédé de maniement d'un appareil thérapeutique qui favorise la cicatrisation des lésions Download PDF

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Publication number
WO2010145780A1
WO2010145780A1 PCT/EP2010/003512 EP2010003512W WO2010145780A1 WO 2010145780 A1 WO2010145780 A1 WO 2010145780A1 EP 2010003512 W EP2010003512 W EP 2010003512W WO 2010145780 A1 WO2010145780 A1 WO 2010145780A1
Authority
WO
WIPO (PCT)
Prior art keywords
wound
therapeutic
control unit
therapeutic device
healing
Prior art date
Application number
PCT/EP2010/003512
Other languages
German (de)
English (en)
Inventor
Dirk Baumann
Johannes Meyer
Original Assignee
Vcs Medical Technology Gmbh
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 Vcs Medical Technology Gmbh filed Critical Vcs Medical Technology Gmbh
Publication of WO2010145780A1 publication Critical patent/WO2010145780A1/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
    • A61M1/90—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum 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
    • A61M1/92—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing with liquid supply means
    • 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
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/35—Communication
    • A61M2205/3546—Range
    • A61M2205/3561—Range local, e.g. within room or hospital
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/35—Communication
    • A61M2205/3576—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver
    • A61M2205/3584—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver using modem, internet or bluetooth
    • 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
    • A61M2209/00—Ancillary equipment
    • A61M2209/08—Supports for equipment
    • A61M2209/084—Supporting bases, stands for equipment
    • A61M2209/086—Docking stations

Definitions

  • the present invention relates to a method for operating, in particular by means of a control unit, a therapeutic device for promoting the healing of a wound.
  • the invention equally relates to a therapeutic device for promoting the healing of a wound, with a control unit.
  • syringe pumps are used for the treatment of wounds in clinical practice as a therapeutic device for promoting the healing of a wound.
  • syringe pumps With the help of syringe pumps is with a given delivery rate over a predetermined
  • the maximum achievable suction power is given by the dimensioning of the vacuum pump of the vacuum therapy system.
  • the known method for operating a vacuum therapy system only allows a maximum power predetermined by the design of the vacuum pump of a vacuum therapy device. Accordingly, the use of particularly large wounds is sometimes not possible or insufficient.
  • vacuum therapy systems and syringe pump systems are used simultaneously in parallel with the same wound.
  • the wound is supplied via the syringe pump device to a medicament or a rinsing solution, on the other hand it is intended to remove liquid from the wound with the vacuum therapy system. It is therefore possible in the prior art with disadvantage that due to the liquid supply by the syringe pump system from the vacuum therapy system, the desired volume flow of wound secretion is not carried away from the wound. The wound healing can be insufficient due to this.
  • the exchange of control commands and / or measured data according to the invention advantageously makes possible a coordinated operation of various therapeutic devices which are used simultaneously and in parallel with the supply of one and the same wound.
  • the exchange of data between the control units with one another makes it possible, with a suitable embodiment, to expand the field of application of the individual therapeutic device by optimal interaction with the therapeutic auxiliary device.
  • the therapeutic accessory may be within the scope of the invention both of the same type as the therapeutic device as well as another device, such as having complementary functions.
  • the data exchange can be carried out within the scope of the invention with all methods known for data exchange.
  • the exchange of control commands and / or measurement data in the context of the invention can take place in which the therapeutic device and all therapeutic auxiliary devices are connected to a docking station.
  • the docking station can be designed, for example, for mechanically receiving and holding the therapeutic device and / the therapeutic Zuatz réelles / devices on the one hand and for establishing a data communication connection between the control units of the therapeutic devices concerned.
  • the therapeutic device a cover around the wound around to form a substantially airtight seal over the wound, wherein between the wound and cover preferably a liquid-permeable pad is arranged, the cover with a Suction pump connecting drainage line, so that can be sucked on the wound to withdraw the liquid from there, and a connector for connecting the cover with the - A -
  • the therapeutic device is designed as a vacuum therapy system.
  • further devices for promoting the healing of the wound can thus be operated in coordinated fashion as additional devices using the method according to the invention. Coordination is possible through the exchange of control commands or measurement data according to the invention.
  • the additional device can functionally correspond to the therapeutic device.
  • both the therapeutic device and the therapeutic accessory may be a vacuum therapy system.
  • the exchange of control commands and / or measurement data according to this embodiment of the invention allows a superposition of the suction of both vacuum therapy systems with the result of a higher suction power than that of each individual device.
  • the inventive method thus makes it possible in this embodiment to interconnect these vacuum therapy systems in such a way that it is possible to supply larger wounds with a wound secretion volume flow which is to be suctioned off and which exceeds the pumping capacity of a single vacuum therapy system.
  • both the auxiliary device and the therapeutic device can be designed as a tip pump device.
  • a coordinated operation of both syringe pump devices is possible by the method according to the invention in order, for example, to be able to supply the wound with an increased flushing volume. It is also conceivable within the scope of the invention that a syringe pump device for the supply of VKK PATENTANW ⁇ LTE our sign: 3996
  • Medication is used, whereas the other accessory syringe pumping device is used exclusively for rinsing the wound.
  • the invention due to the exchange of control commands and measured data, a meaningful coordination of the timing of both devices as well as a coordination of the volumes of flushing liquid or medicaments to be supplied by each device are possible.
  • the additional device in an embodiment of the invention as a therapeutic device for supplying a wound irrigation medium and / or a medicament, in particular for promoting wound healing, be configured.
  • control commands and / or the measured data are exchanged via a remote data transmission network and / or via a local data network and / or via an external data network.
  • a remote data transmission network and / or via a local data network and / or via an external data network.
  • a so-called hospital information system (HIS) can be used for data exchange.
  • data exchange via the Internet as an external data network is possible within the scope of the invention.
  • the data exchange can also take place, in particular by means of a modem, via a telecommunication line, for example a telephone line.
  • the control unit of the therapeutic auxiliary device can be controlled as a "slave” by the control unit of the therapeutic device as "master” in a "master / slave data network architecture.”
  • master is the only one who has the right to access the shared resource without being asked to do so, the "slave” can not access the shared resource on its own; he has to wait until he is asked by the "master.”
  • control commands include a set pressure value.
  • the devices When using the method according to the invention for the joint operation of a plurality of vacuum therapy systems, it may be desirable for the devices to be designed to control the same desired pressure value via their respective control unit.
  • the measured data comprise a suction volume flow.
  • a vacuum therapy system as a therapeutic device, this may be provided with means for measuring the Absaugvolumenstroms from the wound.
  • the measurement of the suction volume flow in conjunction with data of, for example, a parallel-operated syringe pump system with regard to the supply of fluids to the wound advantageously allows a mathematical determination of the extracted wound secretion amount.
  • the control commands and / or the measured data comprise a nominal delivery rate of a medicament to be supplied to the wound.
  • the object of the invention is based equally solved by a therapeutic device for promoting the healing of a wound, with a control unit, wherein it is configured to carry out the method according to one of claims 1 to 10 and an interface for the exchange of control commands and / or measurement data via the control unit with a control unit of at least one, of the therapeutic device separately designed, therapeutic auxiliary device for promoting the healing of the wound has.
  • the therapeutic device may be configured in a preferred embodiment of the invention for installation in a docking station, wherein preferably the docking station is designed for mechanical recording of a variety of therapeutic devices and establishes a data exchange between the docked devices.
  • Figure 1 Schematic diagram to illustrate the implementation of the method according to the invention.
  • FIG. 1 schematically shows the data flows of a networked wound care system.
  • a wound 1 which is to be supplied.
  • a central vacuum therapy device 2 is initially connected as the core element of the wound care system.
  • the central vacuum therapy device is about one only VKK PATENTANW ⁇ LTE our sign: 3996
  • hose 3 connected to the wound 1.
  • the tube 3 essentially serves for sucking out wound exudate from the wound 1 and for establishing and maintaining a negative pressure in the area of the wound 1, as is generally known and customary.
  • an additional vacuum therapy device 4 is connected via a hose 5.
  • the vacuum therapy device 4 structurally corresponds in all respects to the central vacuum therapy device 2.
  • the functioning of both vacuum therapy devices 2, 4 is known to the person skilled in the art.
  • the vacuum therapy devices 2, 4 include a cover around the wound 1 to form a substantially airtight
  • a drainage pipe 3,5 connecting the cover to a suction pump is provided so that the wound 1 can be sucked to withdraw the liquids therefrom and a connector for connecting the cover to the drainage pipe 3,5.
  • the connector has a passage for connecting the proximal end of the drainage conduit 3,5 to the wound 1.
  • a syringe pump 6 is connected to the wound 1.
  • the syringe pump 6 is connected via a flushing hose 7 with the wound 1.
  • the syringe pump 6 is known as such and constructed in the usual way. It serves to supply the wound 1 with medicaments and / or a rinsing solution via the rinsing tube 7.
  • VKK PATENTANW ⁇ LTE our sign: 3996
  • both the additional vacuum therapy device 4 and the syringe pump 6 are connected to the central vacuum therapy device 2 for data exchange via a data exchange network 11.
  • the data exchange network 11 can be configured equally as a hospital information system (HIS), an external data network, in particular the Internet, as well as a data telecommunication network (EDI).
  • HIS hospital information system
  • EDI data telecommunication network
  • the data exchange network thus links the central vacuum therapy device 2, the additional vacuum therapy device 4 and the syringe pump 6 with each other.
  • the network architecture is selected such that the central vacuum therapy device 2 is configured hierarchically as a "master.” Accordingly, the additional vacuum therapy device 4 is designed hierarchically as a "slave".
  • the central vacuum therapy device 2 functioning as a "master” transmits a pressure value to the additional vacuum therapy device 4 acting as a "slave” by means of the data exchange network 11. This data exchange is illustrated by an arrow 12 in FIG.
  • the delivery rate 8 between the corresponding control units is exchanged between the syringe pump 6 and the central vacuum therapy device 2 of the wound care system functioning as the "master.” This communication channel is illustrated by an arrow 13.
  • the interconnection of the central vacuum therapy device 2 with the additional vacuum therapy device 4 and the syringe pump 6 can be structurally executed in the context of the invention via a docking station, not shown in the figure.
  • the docking station can be used for this purpose VKK PATENTANW ⁇ LTE our sign: 3996
  • the docking station can be configured such that a mechanical connection of the devices 2, 4, 6 in the docking station, a data connection between the control units of the devices 2, 4, 6 is made.
  • the devices 2, 4, 6 have corresponding data communication interfaces.
  • a target pressure value is set via the control unit of the central vacuum therapy device 2, which the central vacuum therapy device 2 should generate in the area of the wound 1 by means of the suction tube 3.
  • the control unit of the central vacuum therapy device 2 transmits this nominal pressure value via the data exchange network 11 to the additional vacuum therapy device 4 by means of the data exchange channel 12.
  • the vacuum therapy devices 2, 4 cooperate according to the invention with the help of the suction tubes 3, 5 a predetermined negative pressure in the range create the wound 1 while ensuring a suction of wound fluids. In this case, the suction power of the entire system for the treatment of the wound increases accordingly.
  • Data exchange network 11 is a data exchange between the central vacuum therapy device 2 and the syringe pump 6, to take into account in the pressure control of the vacuum therapy devices 2, 4 added by the syringe pump 6 volumes of drugs and / or rinse solution.
  • the suction rate must be increased when an increased irrigation solution delivery rate is selected to ensure that the wound excreted from the wound is fully aspirated.
  • VKK PATENTANW ⁇ LTE our sign: 3996
  • volume of wound secretion calculated from the difference of the suction volume measured in the suction tube 3 plus the suction volume measured in the suction tube 5 and the delivery rate 8, which was added via the syringe pump 6 to the drug and / or rinsing solution of the wound.

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • External Artificial Organs (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

Pour proposer un procédé de maniement, en particulier au moyen d'une unité de commande, d'un appareil thérapeutique (2) qui favorise la cicatrisation d'une lésion (1) ainsi qu'un appareil thérapeutique (2) qui exécute le procédé, qui permettent tous deux un meilleur traitement de la lésion et une plage d'utilisation élargie en termes du type et de la taille des lésions à traiter, l'invention propose d'échanger, en particulier par l'intermédiaire de l'unité de commande, des ordres de commande (8, 9, 10) et/ou des données de mesure avec une unité de commande d'au moins un appareil thérapeutique supplémentaire (4, 6) qui favorise la cicatrisation de la lésion (1) et configuré séparément de l'appareil thérapeutique (2).
PCT/EP2010/003512 2009-06-16 2010-06-11 Procédé de maniement d'un appareil thérapeutique qui favorise la cicatrisation des lésions WO2010145780A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102009025003.4 2009-06-16
DE102009025003A DE102009025003A1 (de) 2009-06-16 2009-06-16 Verfahren zum Betreiben eines therapeutischen Geräts zur Förderung der Wundheilung

Publications (1)

Publication Number Publication Date
WO2010145780A1 true WO2010145780A1 (fr) 2010-12-23

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DE (1) DE102009025003A1 (fr)
WO (1) WO2010145780A1 (fr)

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9526920B2 (en) 2010-10-12 2016-12-27 Smith & Nephew, Inc. Medical device
US9737649B2 (en) 2013-03-14 2017-08-22 Smith & Nephew, Inc. Systems and methods for applying reduced pressure therapy
US10155070B2 (en) 2013-08-13 2018-12-18 Smith & Nephew, Inc. Systems and methods for applying reduced pressure therapy
US10328188B2 (en) 2013-03-14 2019-06-25 Smith & Nephew, Inc. Systems and methods for applying reduced pressure therapy
US10549016B2 (en) 2014-12-30 2020-02-04 Smith & Nephew, Inc. Blockage detection in reduced pressure therapy
US10556045B2 (en) 2014-12-30 2020-02-11 Smith & Nephew, Inc. Synchronous pressure sampling and supply of negative pressure in negative pressure wound therapy
US10744239B2 (en) 2014-07-31 2020-08-18 Smith & Nephew, Inc. Leak detection in negative pressure wound therapy system
US11315681B2 (en) 2015-10-07 2022-04-26 Smith & Nephew, Inc. Reduced pressure therapy device operation and authorization monitoring
US11369730B2 (en) 2016-09-29 2022-06-28 Smith & Nephew, Inc. Construction and protection of components in negative pressure wound therapy systems
US11602461B2 (en) 2016-05-13 2023-03-14 Smith & Nephew, Inc. Automatic wound coupling detection in negative pressure wound therapy systems
US11712508B2 (en) 2017-07-10 2023-08-01 Smith & Nephew, Inc. Systems and methods for directly interacting with communications module of wound therapy apparatus
US11793924B2 (en) 2018-12-19 2023-10-24 T.J.Smith And Nephew, Limited Systems and methods for delivering prescribed wound therapy
WO2024013685A1 (fr) * 2022-07-13 2024-01-18 3M Innovative Properties Company Système en boucle fermée pour détermination de volume d'instillation optimale pour instillation avec un traitement de plaie par pression négative
US11974903B2 (en) 2017-03-07 2024-05-07 Smith & Nephew, Inc. Reduced pressure therapy systems and methods including an antenna
US12090264B2 (en) 2012-05-22 2024-09-17 Smith & Nephew Plc Apparatuses and methods for wound therapy
US12128168B2 (en) 2020-02-07 2024-10-29 Smith & Nephew, Inc. Pressure sampling and supply of negative pressure in negative pressure wound therapy

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AU2013215380B2 (en) * 2012-02-02 2017-09-28 Solventum Intellectual Properties Company Systems and methods for delivering fluid to a wound therapy dressing

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US20040024361A1 (en) * 2002-08-02 2004-02-05 Mallinckrodt Inc. Injector
US20070219532A1 (en) * 2005-07-14 2007-09-20 Boehringer Technologies, Lp Pump system for negative pressure wound therapy
WO2007062024A1 (fr) * 2005-11-21 2007-05-31 Joshua David Smith Systeme de soin des plaies
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Cited By (28)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10086216B2 (en) 2010-10-12 2018-10-02 Smith & Nephew, Inc. Medical device
US11565134B2 (en) 2010-10-12 2023-01-31 Smith & Nephew, Inc. Medical device
US9526920B2 (en) 2010-10-12 2016-12-27 Smith & Nephew, Inc. Medical device
US10639502B2 (en) 2010-10-12 2020-05-05 Smith & Nephew, Inc. Medical device
US12090264B2 (en) 2012-05-22 2024-09-17 Smith & Nephew Plc Apparatuses and methods for wound therapy
US12002566B2 (en) 2013-03-14 2024-06-04 Smith & Nephew, Inc. Attachment system for mounting apparatus
US9737649B2 (en) 2013-03-14 2017-08-22 Smith & Nephew, Inc. Systems and methods for applying reduced pressure therapy
US10328188B2 (en) 2013-03-14 2019-06-25 Smith & Nephew, Inc. Systems and methods for applying reduced pressure therapy
US10610624B2 (en) 2013-03-14 2020-04-07 Smith & Nephew, Inc. Reduced pressure therapy blockage detection
US11633533B2 (en) 2013-03-14 2023-04-25 Smith & Nephew, Inc. Control architecture for reduced pressure wound therapy apparatus
US10905806B2 (en) 2013-03-14 2021-02-02 Smith & Nephew, Inc. Reduced pressure wound therapy control and data communication
US10155070B2 (en) 2013-08-13 2018-12-18 Smith & Nephew, Inc. Systems and methods for applying reduced pressure therapy
US10912870B2 (en) 2013-08-13 2021-02-09 Smith & Nephew, Inc. Canister fluid level detection in reduced pressure therapy systems
US10744239B2 (en) 2014-07-31 2020-08-18 Smith & Nephew, Inc. Leak detection in negative pressure wound therapy system
US12115298B2 (en) 2014-07-31 2024-10-15 Smith & Nephew, Inc. Wound pressure determination for reduced pressure wound therapy
US11524106B2 (en) 2014-12-30 2022-12-13 Smith & Nephew, Inc. Blockage detection in reduced pressure therapy
US10556045B2 (en) 2014-12-30 2020-02-11 Smith & Nephew, Inc. Synchronous pressure sampling and supply of negative pressure in negative pressure wound therapy
US10549016B2 (en) 2014-12-30 2020-02-04 Smith & Nephew, Inc. Blockage detection in reduced pressure therapy
US11783943B2 (en) 2015-10-07 2023-10-10 Smith & Nephew, Inc. Reduced pressure therapy device operation and authorization monitoring
US11315681B2 (en) 2015-10-07 2022-04-26 Smith & Nephew, Inc. Reduced pressure therapy device operation and authorization monitoring
US11602461B2 (en) 2016-05-13 2023-03-14 Smith & Nephew, Inc. Automatic wound coupling detection in negative pressure wound therapy systems
US11369730B2 (en) 2016-09-29 2022-06-28 Smith & Nephew, Inc. Construction and protection of components in negative pressure wound therapy systems
US11974903B2 (en) 2017-03-07 2024-05-07 Smith & Nephew, Inc. Reduced pressure therapy systems and methods including an antenna
US11712508B2 (en) 2017-07-10 2023-08-01 Smith & Nephew, Inc. Systems and methods for directly interacting with communications module of wound therapy apparatus
US12083262B2 (en) 2017-07-10 2024-09-10 Smith & Nephew, Inc. Systems and methods for directly interacting with communications module of wound therapy apparatus
US11793924B2 (en) 2018-12-19 2023-10-24 T.J.Smith And Nephew, Limited Systems and methods for delivering prescribed wound therapy
US12128168B2 (en) 2020-02-07 2024-10-29 Smith & Nephew, Inc. Pressure sampling and supply of negative pressure in negative pressure wound therapy
WO2024013685A1 (fr) * 2022-07-13 2024-01-18 3M Innovative Properties Company Système en boucle fermée pour détermination de volume d'instillation optimale pour instillation avec un traitement de plaie par pression négative

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Publication number Publication date
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