Dressing and apparatus for cleansing the wounds

• US 10,039,868 B2
• Filed: 03/25/2015
• Issued: 08/07/2018
• Est. Priority Date: 04/28/2004
• Status: Active Grant

• Current Assignee: Smith & Nephew PLC
• Original Assignee: Smith & Nephew PLC
• Inventors: Blott, Patrick Lewis, Hartwell, Edward Yerbury, Lee-Webb, Julian, Nicolini, Derek
• Primary Examiner(s): SU, SUSAN SHAN
• Application Number:
  US14/668,774
• Publication Number:
  US 20150265754A1
• Time in Patent Office: 1,231 Days
• CPC Class Codes: A61F 13/05 specially adapted for use with sub-pressure or over-pressure therapy, wound drainage or wound irrigation, e.g. for use with negative-pressure wound therapy [NPWT]
• CPC Class Codes: A61M 1/74 Suction control underwater drainage A61M1/61
• CPC Class Codes: A61M 1/75 Intermittent or pulsating suction A61M1/63, A61M1/772 take precedence
• CPC Class Codes: A61M 1/85 with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants for negative pressure wound therapy A61M1/92, A61M1/94; combined with tracheal tubes A61M16/0463; dental instruments with combined rinsing and aspirating A61C17/0208
• CPC Class Codes: A61M 1/915 Constructional details of the pressure distribution manifold
• CPC Class Codes: A61M 1/916 specially adapted for deep wounds
• CPC Class Codes: A61M 1/92 with liquid supply means
• CPC Class Codes: A61M 1/96 Suction control thereof
• CPC Class Codes: A61M 1/962 having pumping means on the suction site, e.g. miniature pump on dressing or dressing capable of exerting suction
• CPC Class Codes: A61M 1/964 having venting means on or near the dressing
• CPC Class Codes: A61M 27/00 Drainage appliance for wounds or the like , i.e. wound drains, implanted drains negative pressure wound therapy devices A61M1/90; implements for holding wound open A61B17/02 ; middle ear drainage A61F11/202
• CPC Class Codes: A61M 35/00 Devices for applying media, e.g. remedies, on the human body devices for handling toiletry or cosmetic substances A45D; absorbent pads, e.g. swabs, A61F13/15

Abstract

A dressing (2) and an apparatus (1) comprising the dressing, for cleansing the wounds (5) in which an irrigant fluid from a reservoir (12) connected to a conformable would dressing and would exudate from the dressing are moved by a device (18) (which may be a single pump or two pumps) for moving fluid through a flow Path (6, 7, 9, 10) which passes through the dressing with a means for providing simultaneous aspiration and irrigation of the wound, to provide a desired balance of fluid at a controlled nominal flow rate that removes materials deleterious to wound healing, while distributing materials that are beneficial in promoting would healing over the would bed.

Claims

1. An apparatus for aspirating and irrigating a wound, comprising:

a conformable wound filler configured to be placed in the wound;

a backing layer configured to form a seal over the wound;

a fluid supply tube configured to supply fluid from a fluid reservoir to the wound;

an outlet tube configured to supply negative pressure to the wound;

one or more bosses configured to be mounted on the backing layer at an opening in the backing layer, at least one of the one or more bosses configured to connect to both the fluid supply tube and the outlet tube such that the fluid from the fluid supply tube and the negative pressure from the outlet tube pass through the backing layer at said opening; and

a control device configured to control the fluid supply such that fluid from the fluid reservoir is supplied to be wound in a plurality of fluid supply cycles, each fluid supply cycle supplying a volume of fluid with a time period between fluid supply cycles.

2. The apparatus of claim 1, further comprising a negative pressure pump, the negative pressure pump configured to be connected to the outlet tube.

3. The apparatus of claim 1, further comprising an irrigant pump, the irrigant pump configured to be connected to the fluid supply tube.

4. The apparatus of claim 3, wherein the irrigant pump is a peristaltic pump.

5. The apparatus of claim 1, wherein the conformable wound filler is spiral-shaped.

6. The apparatus of claim 1, wherein the conformable wound filler has radial channels.

7. The apparatus of claim 1, further comprising a pressure monitor.

8. The apparatus of claim 1, further comprising a bleed valve.

9. The apparatus of claim 8, wherein the bleed valve is controlled by a pressure monitor.

10. The apparatus of claim 1, wherein the control device is configured to control the negative pressure supply such that negative pressure is supplied in a plurality of negative pressure supply cycles.

11. The apparatus of claim 1, wherein the one or more bosses protrude from the backing layer.

12. The apparatus of claim 1, wherein the one or more bosses comprise one or more flanges.

13. The apparatus of claim 1, wherein one of the one or more bosses is configured to connect to a secondary fluid supply tube and a secondary outlet tube.

14. The apparatus of claim 1, wherein one of the fluid supply cycles is configured to be delivered for a time increment, the time increment comprising an amount of time needed for the wound filler to reach a saturation level.

15. An apparatus for aspirating and irrigating wounds, comprising:

a backing layer capable of forming a fluid-tight seal over a wound;

a fluid supply tube configured to supply fluid from a fluid reservoir to the wound;

an outlet tube configured to supply negative pressure to the wound;

one or more bosses configured to be mounted on the backing layer at an opening in the backing layer, at least one of the one or more bosses configured to connect to both the fluid supply tube and the outlet tube such that the fluid from the fluid supply tube and the negative pressure from the outlet tube pass through the backing layer at said opening;

a control device configured to control the fluid supply such that fluid from the fluid reservoir is supplied to be wound in a plurality of fluid supply cycles, each fluid supply cycle supplying a volume of fluid with a time period between fluid supply cycles; and

a pressure monitor configured to monitor negative pressure under the backing layer.

16. The apparatus of claim 15, further comprising a monitor offtake tube configured to be in fluid communication with the wound through the backing layer.

17. The apparatus of claim 16, wherein the pressure monitor is connected to the monitor offtake tube.