INTELLIGENT THERAPY SYSTEM WITH EVAPORATION MANAGEMENT

• US 20140163490A1
• Filed: 07/30/2013
• Published: 06/12/2014
• Est. Priority Date: 08/13/2012
• Status: Active Grant

• Current Assignee: KCI Licensing Incorporated (3M Company)
• Original Assignee: KCI Licensing Incorporated (3M Company)
• Inventors: LOCKE, Christopher Brian, COULTHARD, Richard Daniel John, ROBINSON, Timothy Mark, PRATT, Benjamin A.
• Granted Patent: US 9,662,427 B2
• Time in Patent Office: Days
• US Class Current: 604/319
• 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 13/05 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 1/732 Visual indicating means for vacuum pressure
• CPC Class Codes: A61M 1/74 Suction control underwater drainage A61M1/61
• CPC Class Codes: A61M 1/743 by changing the cross-section of the line, e.g. flow regulating valves A61M1/7413 takes precedence
• CPC Class Codes: A61M 1/79 Filters for solid matter specially adapted for dental use A61C17/065
• 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 1/912 Connectors between dressing and drainage tube
• CPC Class Codes: A61M 1/915 Constructional details of the pressure distribution manifold
• CPC Class Codes: A61M 1/92 with liquid supply means
• CPC Class Codes: A61M 1/964 having venting means on or near the dressing
• CPC Class Codes: A61M 1/966 having a pressure sensor on or near the dressing
• CPC Class Codes: A61M 1/982 with means for detecting level of collected exudate
• CPC Class Codes: A61M 1/985 the dressing itself forming the collection container
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/7536 allowing gas passage, but preventing liquid passage, e.g. liquophobic, hydrophobic, water-repellent membranes

Abstract

Dressings, systems, and methods are disclosed that, in some embodiments, relate to treating a tissue site. In one embodiment, a dressing may include a manifold, a retention pouch, a sealing member, and a conduit interface. The manifold may be adapted to distribute reduced pressure to the tissue site, and the retention pouch may be adapted to retain and manage fluid extracted from the tissue site. The sealing member may cover the retention pouch and the manifold to provide a sealed space with the tissue site. The conduit interface may be in fluid communication with the sealed space and an exterior surface of the sealing member. The dressing may be utilized with a therapy device operable to control reduced pressure in the dressing and fluid flow over the sealing member.

Claims

1. A system for treating a tissue site, comprising:

a dressing, comprising;

a manifold adapted to be positioned adjacent the tissue site,

a retention pouch positioned adjacent the manifold,

a sealing member having an exterior surface and adapted to cover the retention pouch and the manifold to provide a sealed space between the tissue site and the sealing member, and

a conduit interface coupled to the sealing member, the conduit interface comprising;

an evaporative flow conduit in fluid communication with the exterior surface of the sealing member,

a variable pressure conduit having an inlet in fluid communication with the sealed space and positioned between the retention pouch and the sealing member,

a reduced-pressure conduit having an inlet in fluid communication with the sealed space, and

a manifold pressure conduit having an inlet in fluid communication with the manifold and positioned between the retention pouch and the manifold; and

a therapy device, comprising;

a fluid flow source in fluid communication with the evaporative flow conduit,

a variable pressure sensor in fluid communication with the variable pressure conduit,

a reduced-pressure source in fluid communication with the reduced-pressure conduit,

a manifold pressure sensor in fluid communication with the manifold pressure conduit, and

a controller adapted to receive a variable pressure signal from the variable pressure sensor and a manifold pressure signal from the manifold pressure sensor, wherein the controller is operable to provide a reduced pressure output from the reduced-pressure source when the manifold pressure signal is greater than a target reduced pressure, and wherein the controller is operable to increase a fluid flow rate from the fluid flow source in response to an increase in a pressure differential between the variable pressure signal and the manifold pressure signal.

2. The system of claim 1, wherein the manifold comprises a hydrophobic material that is fluid permeable.

3. The system of claim 1, the retention pouch adapted to retain a fluid and comprising an expandable portion and a recess, wherein the expandable portion expands to retain the fluid and the recess is substantially precluded from expansion.

4. The system of claim 3, wherein the inlet of the variable pressure conduit is positioned in a spaced relationship relative to the expandable portion of the retention pouch, and wherein the inlet of the reduced-pressure conduit is positioned in a spaced relationship relative to the recess in the retention pouch.

5. The system of claim 1, wherein a portion of the sealing member is comprised of a material that allows vapor to egress from the sealed space through the sealing member.

6. The system of claim 3, further comprising a filter positioned in a gap provided by the recess, wherein the gap is positioned between the inlet of the reduced-pressure conduit and the recess in the retention pouch.

7. The system of claim 1, wherein the inlet of the reduced-pressure conduit and the inlet of the variable pressure conduit are positioned between the retention pouch and the sealing member.

8. The system of claim 1, wherein the inlet of the manifold pressure conduit is positioned adjacent to the manifold.

9. The system of claim 1, wherein the manifold and the retention pouch provide fluid communication between the reduced-pressure conduit and the tissue site, and wherein when the retention pouch has reached a maximum fluid capacity, the reduced-pressure conduit is in fluid communication with the tissue site at least through an edge of the manifold.

10. The system of claim 3, wherein when the retention pouch has reached a maximum fluid capacity, the expandable portion of the retention pouch contacts the inlet of the variable pressure conduit and substantially precludes fluid communication between the sealed space and the variable pressure conduit.

11. The system of claim 1, wherein the conduit interface further comprises an evaporative flow outlet in fluid communication with the evaporative flow conduit, wherein the evaporative flow outlet is positioned circumferentially about the conduit interface.

12. The system of claim 3, wherein the conduit interface further comprises a base coupled at the inlet of the manifold pressure conduit and extending laterally therefrom, wherein the retention pouch is carried between the base and the sealing member, and wherein the expandable portion of the retention pouch extends laterally beyond the base.

13. The system of claim 1, wherein the reduced-pressure source and the fluid flow source are a pump, the pump having a pump inlet and a pump outlet, wherein the pump inlet is in fluid communication with the reduced-pressure conduit and the pump outlet is in fluid communication with the evaporative flow conduit.

14. The system of claim 13, wherein the therapy device further comprises a valve in fluid communication between the pump inlet and the reduced-pressure conduit, wherein the controller is operable to open and close the valve, wherein when the valve is open, the pump inlet is in fluid communication with the reduced-pressure conduit, and wherein when the valve is closed, the valve substantially precludes fluid communication between the pump inlet and the reduced-pressure conduit.

15. The system of claim 14, wherein when the valve is closed, the pump inlet is in fluid communication with ambient air.

16. A system for treating a tissue site, comprising:

a dressing, comprising;

a manifold having a first side and a second side, the first side facing opposite the second side, wherein the first side of the manifold is adapted to be positioned adjacent the tissue site,

a retention pouch adapted to retain a fluid and to be positioned adjacent the second side of the manifold, the retention pouch comprising an absorbent core encapsulated between a first permeable layer and a second permeable layer, wherein the retention pouch further comprises an expandable portion and a recess,

a sealing member having an exterior surface and adapted to cover the retention pouch and the manifold to provide a sealed space between the sealing member and the tissue site, and

a conduit interface coupled to the sealing member, the conduit interface comprising;

an evaporative flow conduit in fluid communication with the exterior surface of the sealing member,

a variable pressure conduit having an inlet in fluid communication with the sealed space that is substantially aligned with and separated from the expandable portion of the retention pouch,

a reduced-pressure conduit having an inlet in fluid communication with the sealed space that is substantially aligned with and separated from the recess in the retention pouch, and

a manifold pressure conduit having an inlet in fluid communication with the manifold and positioned between the retention pouch and the second side of the manifold; and

a therapy device, comprising;

a fluid flow source in fluid communication with the evaporative flow conduit,

a variable pressure sensor in fluid communication with the variable pressure conduit,

a reduced-pressure source in fluid communication with the reduced-pressure conduit,

a manifold pressure sensor in fluid communication with the manifold pressure conduit, and

a controller adapted to receive a variable pressure signal from the variable pressure sensor and a manifold pressure signal from the manifold pressure sensor, wherein the controller is operable to provide a reduced pressure output from the reduced-pressure source when the manifold pressure signal is greater than a target reduced pressure, and wherein the controller is operable to increase a fluid flow rate from the fluid flow source in response to an increase in a pressure differential between the variable pressure signal and the manifold pressure signal.

17. The system of claim 16, wherein the manifold is comprised of a hydrophobic material that is fluid permeable.

18. The system of claim 16, wherein the manifold is positioned between the tissue site and the retention pouch.

19. The system of claim 16, wherein the first permeable layer is adjacent the manifold and the second permeable layer is adjacent the sealing member, and wherein the recess is positioned in the second permeable layer and facing the sealing member.

20. The system of claim 16, wherein the expandable portion of the retention pouch extends radially outward from the recess.

21. The system of claim 16, wherein the recess provides a gap between the inlet of the reduced-pressure conduit and the retention pouch, and wherein the recess is defined by the first permeable layer being coupled to the second permeable layer.

22. The system of claim 21, further comprising a filter positioned in the gap.

23. The system of claim 16, wherein the inlet of the reduced-pressure conduit and the inlet of the variable pressure conduit are positioned in spaced relationship relative to the second permeable layer of the retention pouch.

24. The system of claim 16, wherein the inlet of the manifold pressure conduit is positioned adjacent to the second side of the manifold.

25. The system of claim 16, wherein the manifold and the retention pouch provide fluid communication between the reduced-pressure conduit and the tissue site, and wherein when the retention pouch has reached a maximum fluid capacity, the reduced-pressure conduit is in fluid communication with the tissue site at least through an edge of the manifold.

26. The system of claim 16, wherein when the retention pouch retains a fluid, the expandable portion of the retention pouch increases in size and the recess in the retention pouch remains a substantially constant size.

27. The system of claim 16, wherein when the retention pouch has reached a maximum fluid capacity, the retention pouch substantially precludes fluid communication between the sealed space and the variable pressure conduit.

28. The system of claim 16, wherein when the retention pouch has reached a maximum fluid capacity, the expandable portion of the retention pouch contacts the inlet of the variable pressure conduit and substantially precludes fluid communication between the sealed space and the variable pressure conduit.

29. The system of claim 16, wherein at least a portion of the sealing member is comprised of a material that allows vapor to egress from the sealed space through the sealing member.

30. The system of claim 16, wherein at least a portion of the sealing member is comprised of a material having a high moisture vapor transmission rate.

31. The system of claim 16, wherein the conduit interface further comprises an evaporative flow outlet in fluid communication with the evaporative flow conduit, wherein the evaporative flow outlet is adapted to provide circumferential fluid flow about the conduit interface and over the exterior surface of the sealing member.

32. The system of claim 31, wherein the evaporative flow outlet is positioned circumferentially about the conduit interface.

33. The system of claim 16, wherein the conduit interface further comprises a base coupled at the inlet of the manifold pressure conduit and extending laterally therefrom, wherein the retention pouch is carried between the base and the sealing member, and wherein the expandable portion of the retention pouch extends laterally beyond the base.

34. The system of claim 16, wherein the reduced-pressure source and the fluid flow source are a pump, the pump having a pump inlet and a pump outlet, wherein the pump inlet is in fluid communication with the reduced-pressure conduit and the pump outlet is in fluid communication with the evaporative flow conduit.

35. The system of claim 34, wherein the therapy device further comprises a valve in fluid communication between the pump inlet and the reduced-pressure conduit, wherein the controller is operable to open and close the valve, wherein when the valve is open, the pump inlet is in fluid communication with the reduced-pressure conduit, and wherein when the valve is closed, the valve substantially precludes fluid communication between the pump inlet and the reduced-pressure conduit.

36. The system of claim 35, wherein when the valve is closed, the pump inlet is in fluid communication with ambient air.

37. A dressing for treating a tissue site, comprising:

a manifold comprising a fluid permeable, hydrophobic material and having a first side and a second side, the first side adapted to be positioned adjacent the tissue site;

a retention pouch adapted to be positioned adjacent the second side of the manifold and to retain a fluid, the retention pouch comprising an expandable portion and a recess, wherein the expandable portion expands to retain the fluid and the recess is substantially precluded from expansion;

a sealing member having an exterior surface and adapted to cover the retention pouch and the manifold to provide a sealed space between the tissue site and the sealing member, wherein a portion of the sealing member is comprised of a vapor-permeable material; and

a conduit interface coupled to the sealing member, the conduit interface comprising;

an evaporative flow conduit in fluid communication with the exterior surface of the sealing member,

a variable pressure conduit having an inlet in fluid communication with the sealed space and positioned in a spaced relationship relative to the expandable portion of the retention pouch,

a reduced-pressure conduit having an inlet in fluid communication with the sealed space and positioned in a spaced relationship relative to the recess in the retention pouch, and

a manifold pressure conduit having an inlet in fluid communication with the manifold and positioned between the retention pouch and the manifold.

38. The dressing of claim 37, further comprising a filter positioned in a gap provided by the recess, wherein the gap is positioned between the inlet of the reduced-pressure conduit and the recess in the retention pouch.

39. The dressing of claim 37, wherein the inlet of the reduced-pressure conduit and the inlet of the variable pressure conduit are positioned between the retention pouch and the sealing member.

40. The dressing of claim 37, wherein the inlet of the manifold pressure conduit is positioned adjacent to the manifold.

41. The dressing of claim 37, wherein the manifold and the retention pouch provide fluid communication between the reduced-pressure conduit and the tissue site, and wherein when the retention pouch has reached a maximum fluid capacity, the reduced-pressure conduit is in fluid communication with the tissue site at least through an edge of the manifold.

42. The dressing of claim 37, wherein when the retention pouch has reached a maximum fluid capacity, the expandable portion of the retention pouch contacts the inlet of the variable pressure conduit and substantially precludes fluid communication between the sealed space and the variable pressure conduit.

43. The dressing of claim 37, wherein the conduit interface further comprises an evaporative flow outlet in fluid communication with the evaporative flow conduit, wherein the evaporative flow outlet is positioned circumferentially about the conduit interface.

44. The dressing of claim 37, wherein the conduit interface further comprises a base coupled at the inlet of the manifold pressure conduit and extending laterally therefrom, wherein the retention pouch is carried between the base and the sealing member, and wherein the expandable portion of the retention pouch extends laterally beyond the base.

45. A method of treating a tissue site, the method comprising:

positioning a manifold adjacent the tissue site;

positioning a retention pouch adjacent the manifold, the retention pouch comprising an expandable portion for retaining fluid;

covering the retention pouch and the manifold with a sealing member to provide a sealed space between the tissue site and the sealing member, the sealing member having an exterior surface;

measuring a manifold pressure between the manifold and the retention pouch;

applying reduced pressure to the sealed space until the manifold pressure reaches a target reduced pressure;

measuring a variable pressure between the expandable portion of the retention pouch and the sealing member;

calculating a differential pressure between the manifold pressure and the variable pressure; and

providing a fluid flow over the exterior surface of the sealing member, the fluid flow having a flow rate substantially corresponding to the differential pressure, wherein the fluid flow evaporates fluid extracted from the tissue site.

46. The method of claim 45, further comprising signaling a full alarm if the manifold pressure is greater than a threshold pressure after the manifold pressure initially reaches the target reduced pressure.

47. The method of claim 45, further comprising signaling a full alarm after an elapsed time.

48. The method of claim 45, wherein providing a fluid flow over the exterior surface of the sealing member comprises:

matching the differential pressure with a plurality of differential pressure settings, wherein each differential pressure setting corresponds to a flow rate; and

providing the fluid flow over the exterior surface of the sealing member at the corresponding flow rate.

49. The method of claim 48, wherein at a maximum differential pressure setting, the method further comprises signaling a full alarm.

50. The method of claim 48, wherein at a maximum differential pressure setting, the method further comprises:

comparing an amount of power available with an amount of power required to provide a fluid flow rate corresponding to the maximum differential pressure setting over the sealing member for an elapsed time;

signaling an alarm for a supplemental power source if the amount of power available is less than the amount of power required;

canceling the alarm for the supplemental power source if the supplemental power source is provided;

signaling a full alarm if the supplemental power source is not provided;

reducing the fluid flow rate over the sealing member according to the differential pressure settings if the differential pressure falls below the maximum differential pressure setting; and

signaling a full alarm if the differential pressure rises above the maximum differential pressure setting for an elapsed time.