Wound dressing

• US 10,123,909 B2
• Filed: 04/21/2015
• Issued: 11/13/2018
• Est. Priority Date: 11/21/2007
• Status: Active Grant

• Current Assignee: Smith & Nephew PLC
• Original Assignee: Smith & Nephew PLC
• Inventors: Hartwell, Edward Yerbury
• Primary Examiner(s): Klein, Benjamin
• Application Number:
  US14/692,622
• Publication Number:
  US 20150224238A1
• Time in Patent Office: 1,302 Days
• CPC Class Codes: A61F 13/00063 comprising medicaments or additives, e.g. odor control, PH control, debriding, antimicrobic drug delivery dressings A61K9/70; chemical aspect of the additives A61L15/00
• CPC Class Codes: A61F 13/01029 made of multiple layers
• CPC Class Codes: A61F 13/01046 Air-vapor permeability
• CPC Class Codes: A61F 13/02 Adhesive bandages or dressings
• CPC Class Codes: A61F 13/0206 with absorbent fibrous layers, e.g. woven or non-woven absorbent pads or island dressings
• CPC Class Codes: A61F 13/0209 comprising superabsorbent material
• CPC Class Codes: A61F 13/022 having more than one layer with different fluid retention characteristics
• CPC Class Codes: A61F 13/0226 characterised by the support layer
• CPC Class Codes: A61F 13/0246 characterised by the skin-adhering layer
• 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: A61F 2013/00246 in a special way pervious to air or vapours
• CPC Class Codes: A61F 2013/00536 for draining or irrigating wounds
• CPC Class Codes: A61M 1/71 Suction drainage systems containers therefor A61M1/60, A61M1/64; negative pressure wound therapy systems A61M1/90
• CPC Class Codes: A61M 1/78 Means for preventing overflow or contamination of the pumping systems combined with drainage containers A61M1/60
• CPC Class Codes: A61M 1/784 by filtering, sterilising or disinfecting the exhaust air, e.g. swellable filter valves
• CPC Class Codes: A61M 1/882 Draining devices provided with means for releasing antimicrobial or gelation agents in the drained fluid
• CPC Class Codes: A61M 1/915 Constructional details of the pressure distribution manifold
• 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 1/985 the dressing itself forming the collection container
• CPC Class Codes: A61M 2205/7527 : liquophilic, hydrophilic
• CPC Class Codes: A61M 2205/7536 : allowing gas passage, but preventing liquid passage, e.g. liquophobic, hydrophobic, water-repellent membranes
• 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

Abstract

A method and apparatus are disclosed for dressing a wound. The apparatus comprises a sealing layer comprising at least one orifice, an absorbent layer over the sealing layer, absorbing wound exude and a liquid impermeable, gas permeable filter layer over the absorbent layer.

Claims

1. An apparatus for the treatment of a wound by applying negative pressure to the wound, the apparatus comprising:

a wound contact layer comprising a plurality of perforations through the wound contact layer that allow for fluid to pass there through;

a porous layer above the wound contact layer;

a sealing layer configured to cover the porous layer, wherein the sealing layer is configured to form a chamber over the wound in which a negative pressure can be established;

a hole in the sealing layer;

a pump configured to be in communication with the hole in the sealing layer to apply negative pressure to the wound and configured to draw fluid from the wound into the porous material;

an absorbent layer above the sealing layer, the pump positioned within the absorbent layer; and

a cover layer configured to cover the pump and the absorbent layer, wherein the cover layer is configured to seal with the sealing layer.

2. The apparatus of claim 1, wherein gaseous components of the fluid drawn from the wound are exhausted through the cover layer.

3. The apparatus of claim 1, further comprising a filter layer which permits air to be exhausted from the wound dressing.

4. The apparatus of claim 1, wherein the absorbent layer is configured to form a reservoir for fluid removed from the wound.

5. The apparatus of claim 1, wherein the cover layer comprises a high moisture vapor permeable material configured to allow moisture to transpire through the cover layer.

6. The apparatus of claim 1, wherein the wound contact layer comprises an upper surface and a lower surface, and further comprising an adhesive on the lower surface, wherein the adhesive is configured to adhere the wound contact layer to the wound.

7. The apparatus of claim 1, wherein the absorbent layer comprises a synthetic superabsorbing material.

8. The apparatus of claim 1, wherein the absorbent layer comprises a foam material.

9. The apparatus of claim 1, wherein the absorbent layer comprises a non-woven natural or synthetic material.

10. The apparatus of claim 1, wherein the absorbent layer comprises a wicking material configured to distribute fluid throughout the layer.

11. The apparatus of claim 1, wherein the porous layer disposed over the wound contact layer is configured to distribute negative pressure, through the wound contact layer, equally over the entire portion of the wound site being treated.

12. The apparatus of claim 1, wherein the porous layer is provided directly over the plurality of perforations in the wound contact layer.

13. The apparatus of claim 1, wherein the porous layer comprises a reticulated material.

14. The apparatus of claim 1, wherein the porous layer comprises a non-woven material.

15. The apparatus of claim 1, wherein the porous layer comprises reticulated foam.

16. The apparatus of claim 1, wherein the sealing layer extends across the width of the wound dressing.

17. The apparatus of claim 3, wherein the filter layer comprises an odor trapping material.

18. The apparatus of claim 3, wherein the filter layer comprises a gas permeable and liquid impermeable material.

19. The apparatus of claim 3, wherein the cover layer comprises at least one hole and the filter layer is configured to cover the at least one hole in the cover layer, wherein air exhausted from the pump is configured to pass through the filter layer and the at least one hole in the cover layer.

20. The apparatus of claim 3, wherein the filter layer is configured to prevent pathogens from being exhausted from the wound dressing.

21. A reduced-pressure source for use with a reduced-pressure system for treating a wound on a patient, the reduced-pressure source comprising:

a pump disposed within a sealed space, wherein a cover member is configured to form a seal over the wound and defines at least a portion of the sealed space;

a pump inlet fluidly coupled to the pump and configured to discharge reduced pressure out of the pump to a reduced-pressure chamber, wherein the reduced-pressure chamber is defined between the cover member and the wound;

an exhaust outlet fluidly coupled to the pump and configured to discharge an exhaust gas from the pump to the sealed space; and

wherein the cover member is formed from a polymeric, porous, hydrophobic material and configured so that the exhaust gas exits the sealed space through the cover member under pressure; and

wherein the cover member comprises a filter layer and a cover layer.

22. The reduced-pressure source of claim 21, wherein when the reduced-pressure source is applied to the wound on the patient, the pump comprises a micro-pump disposed between the cover member and the patient.

23. The reduced-pressure source of claim 21, wherein the cover member comprises an odor-absorbing material.

24. A reduced-pressure source for use with a reduced-pressure system for treating a wound on a patient, the reduced-pressure source comprising:

a pump disposed within a sealed space, wherein a cover member is configured to form a seal over the wound and defines at least a portion of the sealed space;

a pump inlet fluidly coupled to the pump and configured to discharge reduced pressure out of the pump to a reduced-pressure chamber, wherein the reduced-pressure chamber is defined between the cover member and the wound;

an exhaust outlet fluidly coupled to the pump and configured to discharge an exhaust gas from the pump to the sealed space; and

wherein the cover member is formed from a polymeric, porous, hydrophobic material and configured so that the exhaust gas exits the sealed space through the cover member under pressure; and

wherein the cover member is sealed to a sealing layer, wherein the sealed space is defined between the cover member and the sealing layer.

25. The reduced-pressure source of claim 24, wherein the cover member comprises a dressing covering and, when the reduced-pressure source is applied to the wound on the patient, the pump comprises a micro-pump disposed between the cover member and the patient.

26. The reduced-pressure source of claim 24, wherein the cover member comprises an odor-absorbing material.

27. A system for treating a wound on a patient with reduced pressure, the system comprising:

a porous layer for placing proximate to the wound for distributing reduced pressure to the wound;

a reduced-pressure source fluidly coupled to the porous layer for providing reduced pressure to the porous layer; and

a sealing layer for forming a fluid seal over the wound; and

wherein the reduced-pressure source comprises;

a pump disposed in a sealed space, wherein a cover member is configured to form a seal over the wound and defines at least a portion of the sealed space,

a pump inlet fluidly coupled to the pump and configured to discharge reduced pressure out of the pump to a reduced-pressure chamber, wherein the reduced-pressure chamber is defined between the cover member and the wound,

an exhaust outlet fluidly coupled to the pump and configured to discharge an exhaust gas from the pump to the sealed space, and

wherein the cover member is formed by a polymeric, porous, hydrophobic material configured so that the exhaust gas exits the sealed space through the cover member under pressure; and

wherein the cover member comprises a filter layer and a cover layer.

28. The system of claim 27, wherein, when the reduced-pressure source is applied to the wound on the patient, the pump comprises a micro-pump disposed between the cover member and the patient.

29. The system of claim 27, wherein the cover member comprises an odor-absorbing material.

30. A system for treating a wound on a patient with reduced pressure, the system comprising:

a porous layer for placing proximate to the wound for distributing reduced pressure to the wound;

a reduced-pressure source fluidly coupled to the porous layer for providing reduced pressure to the porous layer; and

a sealing layer for forming a fluid seal over the wound; and

wherein the reduced-pressure source comprises;

a pump disposed in a sealed space, wherein a cover member is configured to form a seal over the wound and defines at least a portion of the sealed space,

a pump inlet fluidly coupled to the pump and configured to discharge reduced pressure out of the pump to a reduced-pressure chamber, wherein the reduced-pressure chamber is defined between the cover member and the wound,

an exhaust outlet fluidly coupled to the pump and configured to discharge an exhaust gas from the pump to the sealed space, and

wherein the cover member is formed by a polymeric, porous, hydrophobic material configured so that the exhaust gas exits the sealed space through the cover member under pressure; and

wherein the cover member is sealed to the sealing layer, wherein the sealed space is defined between the cover member and the sealing layer.

31. The system of claim 30, wherein the cover member comprises a dressing covering and, when the reduced-pressure source is applied to the wound on the patient, the pump comprises a micro-pump disposed between the cover member and the patient.

32. The system of claim 30, wherein the cover member comprises an odor-absorbing material.

33. A method of treating a wound with reduced pressure, the method comprising:

forming a sealed space configured to block the passage of liquids, wherein at least a portion of the sealed space is formed by a cover member comprising a polymeric, porous, hydrophobic material, wherein the cover member is configured to form a seal over the wound and comprises a filter layer and a cover layer;

disposing a pump within the sealed space, wherein the pump includes a pump inlet and an exhaust outlet;

discharging a reduced pressure out of the pump to a reduced-pressure chamber, wherein the reduced-pressure chamber is defined between the cover member and the wound;

discharging an exhaust gas from the pump through the exhaust outlet to the sealed space;

exhausting the exhaust gas substantially from the sealed space through the cover member; and

delivering the reduced pressure to the wound.

34. The method of claim 33, wherein the pump comprises a micro-pump disposed between the cover member and the patient.

35. The method of claim 33, wherein the cover member comprises an odor-absorbing material.