WO2019108678A1 - Bandage de compression - Google Patents

Bandage de compression Download PDF

Info

Publication number
WO2019108678A1
WO2019108678A1 PCT/US2018/062885 US2018062885W WO2019108678A1 WO 2019108678 A1 WO2019108678 A1 WO 2019108678A1 US 2018062885 W US2018062885 W US 2018062885W WO 2019108678 A1 WO2019108678 A1 WO 2019108678A1
Authority
WO
WIPO (PCT)
Prior art keywords
main portion
dressing
compression dressing
compression
disposed
Prior art date
Application number
PCT/US2018/062885
Other languages
English (en)
Inventor
Mark RITTER, M.D.
Mark Dale
Original Assignee
Mark 2 Medical, Llc
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 Mark 2 Medical, Llc filed Critical Mark 2 Medical, Llc
Publication of WO2019108678A1 publication Critical patent/WO2019108678A1/fr

Links

Classifications

    • 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
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/02—Compresses or poultices for effecting heating or cooling
    • 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
    • A61F13/06—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings
    • A61F13/08—Elastic stockings; for contracting aneurisms
    • 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
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/10—Cooling bags, e.g. ice-bags
    • 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
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0001—Body part
    • A61F2007/0039—Leg or parts thereof
    • A61F2007/0043—Lower leg, calf
    • 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
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0001—Body part
    • A61F2007/0039—Leg or parts thereof
    • A61F2007/0045—Foot
    • 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
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/02—Compresses or poultices for effecting heating or cooling
    • A61F2007/0225—Compresses or poultices for effecting heating or cooling connected to the body or a part thereof
    • A61F2007/0233—Compresses or poultices for effecting heating or cooling connected to the body or a part thereof connected to or incorporated in clothing or garments
    • A61F2007/0238—Compresses or poultices for effecting heating or cooling connected to the body or a part thereof connected to or incorporated in clothing or garments in a pocket

Definitions

  • the present application relates to post-surgical care devices and, more particularly, to a compression dressing.
  • incisions allow access for repair, treatment, and/or replacement of deep anatomic structures.
  • making an incision allows access for bacteria and causes iatrogenic damage that results in surrounding edema.
  • Significant care and attention are typically given to the incisions to minimize swelling, limit bacterial or environmental contamination, and provide a clean environment to allow for healing.
  • This is typically accomplished by application of various types of dressings and/or therapy.
  • Conventional dressing is applied immediately post- operatively in the operating room to minimize the potential for contamination.
  • Rest, elevation, and in some cases immobilization are also prescribed post- operatively to help create a healing environment, decrease swelling, and minimize pain.
  • a compression dressing configured to extend around and in a direction parallel to an axis of a patient leg
  • the compression dressing comprising: a compressive main portion comprising a main portion first end and a main portion second end opposite the first end, wherein the main portion first end is configured to be disposed on the patient leg above a foot of the patient leg; and one or more deployment gussets each comprising a gusset first end and a gusset second end, the one or more deployment gussets disposed adjacent the main portion and constructed and arranged to deploy the main portion from a non-tubular configuration to a tubular configuration in the direction parallel to an axis of a patient leg when the one or more gussets are pulled away from the main portion first end.
  • a compression dressing configured to extend around and in a direction parallel to an axis of a patient leg
  • the compression dressing comprising: a compressive main portion comprising a main portion first end and a main portion second end opposite the first end, wherein the main portion first end is configured to be disposed on the patient leg above a foot of the patient leg; and a cooling member receptacle portion disposed adjacent to the main portion.
  • a compression dressing configured to extend around and in a direction parallel to an axis of a patient leg
  • the compression dressing comprising: a compressive main portion comprising a main portion first end and a main portion second end opposite the first end, wherein the main portion first end is configured to be disposed on the patient leg above a foot of the patient leg; and an incision dressing receptacle portion disposed inside the main portion adjacent to the patient leg when deployed thereon.
  • further comprising a sock structure extending from the main portion first end and configured to enclose the foot of the patient leg when applied thereon.
  • the tread comprises a material selected from the group consisting of: an elastomeric material and a high-friction material.
  • the main portion first end is more
  • the non-tubular configuration is selected from the group consisting of: an annularly rolled configuration, a folded configuration, and a compressed configuration.
  • the gusset second end of each of the one or more deployment gussets is attached to the main portion adjacent to the main portion second end.
  • the gusset second end of each of the one or more deployment gussets is releasably attached to the main portion adjacent to the main portion second end.
  • the gusset first end of each of the one or more deployment gussets are joined to one another.
  • the cooling member receptacle portion is attached to the main portion.
  • the cooling member is selected from the group consisting of: ice, an ice pack, and a gel pack.
  • the cooling member receptacle portion extends at least partially along an outside surface of the main portion.
  • the cooling member receptacle portion extends around a circumference of the main portion.
  • the incision dressing is selected from the group consisting of: gauze, and padding.
  • seal disposed above or below the incision dressing receptacle portion.
  • the seal comprises an elastic band completely encircling the patient leg when the compression dressing is deployed thereon.
  • the main portion comprises: a moisture wicking layer disposed adjacent the patient leg when deployed thereon; and a moisture impervious layer disposed externally from the moisture wicking layer.
  • any of the above further comprising one or more deployment gussets each comprising a gusset first end and a gusset second end, the one or more deployment gussets disposed adjacent the main portion and constructed and arranged to deploy the main portion from a non-tubular configuration to a tubular configuration in the direction parallel to an axis of a patient leg when the one or more gussets are pulled away from the main portion first end.
  • FIG. 1 illustrates a compression dressing in a deployed configuration in accordance with one embodiment
  • FIG. 2 illustrates a compression dressing in an non-deployed configuration in accordance with one embodiment
  • FIG. 3 is an enlarged cross sectional view of a compression dressing in accordance with one embodiment.
  • FIG. 4 is an enlarged cross sectional view of a compression dressing in accordance with one embodiment.
  • FIG. 1 illustrates a compression dressing 10 in accordance with particular embodiments of the present disclosure.
  • the compression dressing 10 includes a compressive main portion 12 configured to extend around and in a direction 14 parallel to an axis of a patient leg 16 as illustrated in FIG. 1.
  • the main portion 12 of the compression dressing 10 has a first end 30 and a second end 32 opposite the first end 30.
  • FIG. 1 shows first end 30 terminating at the end of the patient leg 16 and including a sock structure as part of the compression dressing 10.
  • the first end 30 does not include a sock structure and may terminate at a lower portion of the leg above the foot.
  • the first end 30 of the main portion 12 is more compressive than the second end 32 of the main portion 12. In at least one embodiment, the first end 30 of the main portion 12 is more compressive than the second end 32 and a central location between the first end 30 and the second end 32, and the central location is more compressive than the second end 32. In another embodiment, the main portion 12 has equal compression along its length or at least equal compression between the first end 30 and the second end 32.
  • a tread 48 made from an elastomeric material in one non-limiting example, or another high-friction or high- compression structure and/or material is provided in an embodiment at the bottom of the sock structure to prevent or reduce the likelihood of slipping when, for example, the patient walks while wearing the dressing 10.
  • the dressing 10 further includes one or more deployment gusset(s) 18 disposed on the main portion 12.
  • deployment gussets 18 are disposed at opposite sides 20, 22 of the main portion 12.
  • the deployment gusset(s) 18 are configured to deploy the main portion 12 from the opposite sides 20, 22 of the patient leg 16.
  • the deployment gusset(s) 18 are further configured to deploy the main portion 12 in the direction 14 parallel to the patient leg 16.
  • the deployment gusset(s) 18 is configured to deploy the main portion 12 from an annularly rolled configuration 24, as illustrated in FIG. 2 to a tubular configuration 26, as illustrated in FIG. 1.
  • the main portion 12 may include a folded, compressed, or other non-tubular configuration before being deployed into the tubular configuration 26 illustrated in FIG. 1.
  • the deployment gusset(s) 18 of one or more embodiments is/are attached to or formed integrally with the second end 32 of the main portion 12 such that they remain secured with the main portion 12 for deployment.
  • the deployment gusset(s) 18 are releasably attached to the main portion 12 or detached from the main portion 12, completely or at one or more portions of the main portion 12, such that, following deployment of the compression dressing 10, the gusset(s) 18 is/are removed from the main portion 12.
  • the deployment gussets 18 of the embodiment illustrated are joined at an upper gusset portion 28. In other embodiments, the gussets 18 are not joined at their upper ends.
  • the upper gusset portion 28 is configured to be grasped or otherwise utilized by operating room personnel, the patient, or any other person to deploy the main portion 12 into the tubular configuration 26 to allow the patient or another person.
  • the deployment gusset(s) 18 of one or more embodiments is configured as a tape, film, strip, or other structure and/or made from polyethylene, polyamide, paper, and/or any other natural or synthetic fiber, polymer, elastomer, or other material capable of performing the function described in the embodiments of the present disclosure.
  • the compression dressing 10 of one or more embodiments includes a receptacle portion 34, such as a pocket or other structure that is configured to receive, secure, store, hold, allow attachment of, or otherwise accommodate a cooling member 36.
  • the cooling member 36 of one or more embodiments includes ice, an ice pack, a gel pack, or any other material or device capable of removing heat from the area adjacent the receptacle portion 34.
  • the receptacle portion 34 extends at least partially along an outside surface 38 of the main portion 12 in an embodiment. Although not shown, the receptacle portion 34 and/or the cooling member 36 may be disposed outside of the main portion 12 in an embodiment.
  • the receptacle portion 34 of an embodiment extends around the circumference of the main portion 12, extends only partially around the circumference of the main portion 12 in another embodiment, and may be positioned at any upper, lower, or central location or portion of the compression dressing 10 in one or more embodiments.
  • the compression dressing 10 includes a separate incision dressing (not shown) disposed inside of the main portion 12 of the compression dressing 10 in order to cover a surgical area.
  • the incision dressing provides complete surgical area/incision coverage with a sterile, non-adherent dressing, allows blood and/or exudate collection, and/or may provide a waterproof covering for the incision or surgical area.
  • the compression dressing 10 includes a separate incision dressing receptacle, or pocket structure 52 disposed inside of the main portion 12 of the compression dressing 10 in order to receive a separate incision dressing 54 to cover a surgical area 56.
  • the incision dressing 54 may be easily periodically replaced.
  • the receptacle 52 may accommodate additional gauze, padding, and/or specific dressings.
  • a seal 50 may be incorporated above and/or below the incision dressing in order to keep water out of this area, thereby allowing the patient to shower while wearing the compression dressing 10.
  • the seal 50 may comprise an elastic band built into the compression dressing 10 and completely encircling the patient’s leg.
  • the main portion 12 of the compression dressing 10 of one or more embodiments includes a plurality of layers 40.
  • At least one of the plurality of layers 40 includes a moisture impervious layer 42 in an embodiment.
  • the moisture impervious layer 42 of one or more embodiments comprises Gore-Tex ® fabric, rubber, plastic, foil, hydrophobic coating, or any other material or device capable of preventing moisture from contacting the incision dressing.
  • At least one of the plurality of layers 40 includes a moisture wicking layer 44 in an embodiment.
  • the moisture wicking layer 44 of one or more embodiments comprises Gore- Tex ® fabric, gauze, silver impregnated gauze, abdominal pads, Aquacel ® sterile dressing(s), Steri-StripTM skin closure(s), Betadine ® gauze, xeroform petrolatum gauze, or any other material or device capable of encouraging the movement of moisture from an incision and/or an incision dressing toward outside surface 38 of the main portion 12 in an embodiment.
  • At least one of the plurality of layers 40 includes a moisture absorbent layer 46 in an embodiment.
  • the moisture absorbent layer 46 of one or more embodiments comprises gauze, sponge, silver impregnated gauze, abdominal pads, Aquacel ® sterile dressing(s), Steri-StripTM skin closure(s), Betadine ® gauze, xeroform petrolatum gauze or any other material or device capable of absorbing moisture from an incision and/or an incision dressing.
  • the plurality of layers 40 includes the moisture wicking layer
  • the plurality of layers 40 includes the moisture wicking layer 44 disposed against the patient's leg 16 or as the innermost layer and the moisture impervious layer 42 disposed as the outermost layer.
  • the moisture impervious layer 42 allows the patient to shower or otherwise be exposed to water without affecting an incision area.
  • the compression dressing 10 of the embodiments described herein provides a dressing that reduces edema, the risk for DVT and subsequent PE, as well as swelling, and/or other conditions or diseases while providing a sterile environment for the healing of incisions.
  • the compression dressing 10 of the disclosed embodiments may be utilized following surgery or to prevent, treat, or provide therapy relating to any condition or disease described herein.
  • the compression dressing 10 of particular embodiments provides gentle compression along the patient leg 16, such as from a patient foot up to the thigh in a non-limiting example.
  • the compression dressing 10 of one or more embodiments disclosed herein provides DVT prophylaxis, decreases post-operative swelling and venous stasis, decreases post-operative bleeding, accommodates additional gauze, padding, and/or specific dressings, accommodates cold and/or compression therapy, and/or accommodates showering, washing, or other exposure to water and moisture.
  • the main portion 12 of the compression dressing 10 of at least one embodiment described herein provides complete incision coverage with a sterile, non adherent dressing, and/or allows blood and/or exudate collection, while providing a waterproof covering.
  • the deployment gusset(s) 18 of particular embodiments allow rapid, uniform deployment of the main portion 12 of the compression dressing 10 and minimize the need for adjustment of the compression dressing 10, the need for additional personnel to deploy the compression dressing 10, and the amount of operating room time required for application or deployment of the compression dressing 10. Further, the compression dressing 10 accommodates patient legs 16 across a wide variety of lengths and girths.

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  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Thermal Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Thermotherapy And Cooling Therapy Devices (AREA)

Abstract

L'invention concerne un bandage de compression. Le bandage de compression comprend une partie compressive configurée pour s'étendre autour et dans une direction parallèle à une jambe de patient.
PCT/US2018/062885 2017-11-28 2018-11-28 Bandage de compression WO2019108678A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201762591668P 2017-11-28 2017-11-28
US62/591,668 2017-11-28

Publications (1)

Publication Number Publication Date
WO2019108678A1 true WO2019108678A1 (fr) 2019-06-06

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ID=66665318

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2018/062885 WO2019108678A1 (fr) 2017-11-28 2018-11-28 Bandage de compression

Country Status (1)

Country Link
WO (1) WO2019108678A1 (fr)

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3872862A (en) * 1973-10-23 1975-03-25 Michael Hume Dressing and support combination for the treatment of indolent ulcers
WO1993010727A1 (fr) * 1991-11-25 1993-06-10 Aci Medical, Inc. Manchon support vasculaire
US5592953A (en) * 1996-04-02 1997-01-14 Delao; Wenda K. Tubular sleeve with elasticized sealing means
US20090099488A1 (en) * 2007-10-15 2009-04-16 Mary Lucia Leone Hedberg Low humidity device for body joint therapy
WO2012150440A2 (fr) * 2011-05-05 2012-11-08 Milton Felicity Ibberson Vêtement de compression thérapeutique émettant un rayonnement infrarouge lointain, doté d'un mécanisme de refroidissement ajouté
US8529481B1 (en) * 2007-07-26 2013-09-10 William A Lois Appendage covering system
US20150297909A1 (en) * 2014-04-17 2015-10-22 Thomas J. Peashock Apparatus for assisting with the physiological recovery from fatigue, stress or injury

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3872862A (en) * 1973-10-23 1975-03-25 Michael Hume Dressing and support combination for the treatment of indolent ulcers
WO1993010727A1 (fr) * 1991-11-25 1993-06-10 Aci Medical, Inc. Manchon support vasculaire
US5592953A (en) * 1996-04-02 1997-01-14 Delao; Wenda K. Tubular sleeve with elasticized sealing means
US8529481B1 (en) * 2007-07-26 2013-09-10 William A Lois Appendage covering system
US20090099488A1 (en) * 2007-10-15 2009-04-16 Mary Lucia Leone Hedberg Low humidity device for body joint therapy
WO2012150440A2 (fr) * 2011-05-05 2012-11-08 Milton Felicity Ibberson Vêtement de compression thérapeutique émettant un rayonnement infrarouge lointain, doté d'un mécanisme de refroidissement ajouté
US20150297909A1 (en) * 2014-04-17 2015-10-22 Thomas J. Peashock Apparatus for assisting with the physiological recovery from fatigue, stress or injury

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