INSTRUMENTED WOUND CLOSURE DEVICE

• US 20160310140A1
• Filed: 07/01/2016
• Published: 10/27/2016
• Est. Priority Date: 01/05/2014
• Status: Active Grant

• Current Assignee: Zipline Medical, Inc. (Stryker Corporation)
• Original Assignee: Zipline Medical, Inc. (Stryker Corporation)
• Inventors: DRISCOLL, Edward C. Jr., BELSON, Amir, STORNE, Eric, SCHAER, Alan
• Granted Patent: US 10,888,269 B2
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/08 Wound clamps or clips, i.e. not or only partly penetrating the tissue suture bridges A61B17/0466; Devices for bringing together the edges of a wound
• CPC Class Codes: A61B 17/085 with adhesive layer
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00075 Motion
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves
• CPC Class Codes: A61B 2017/00407 Ratchet means
• CPC Class Codes: A61B 2017/0073 with means for minimising or preventing pain during treatment
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2017/00893 pharmaceutically effective
• CPC Class Codes: A61B 2017/086 having flexible threads, filaments, laces or wires, e.g. parallel threads, extending laterally from a strip, e.g. for tying to opposing threads extending from a similar strip
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 2562/0223 Magnetic field sensors
• CPC Class Codes: A61B 2562/0261 Strain gauges
• CPC Class Codes: A61B 2562/0266 Optical strain gauges
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/0015 characterised by features of the telemetry system
• CPC Class Codes: A61B 5/01 Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue clinical contact thermometers G01K13/20
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 5/1121 : Determining geometric values, e.g. centre of rotation or angular range of movement
• CPC Class Codes: A61B 5/14532 : for measuring glucose, e.g. by tissue impedance measurement
• CPC Class Codes: A61B 5/14539 : for measuring pH
• CPC Class Codes: A61B 5/14542 : for measuring blood gases A61B5/14551 takes precedence
• CPC Class Codes: A61B 5/4848 : Monitoring or testing the effects of treatment, e.g. of medication
• CPC Class Codes: A61B 5/6832 : using adhesives A61B5/259 takes precedence
• CPC Class Codes: A61B 5/746 : Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms alarms per se G08B
• CPC Class Codes: A61F 2007/0052 : for treatment of skin or hair
• CPC Class Codes: A61F 2007/0056 : for cooling
• CPC Class Codes: A61F 7/007 : characterised by electric heating
• CPC Class Codes: A61H 2201/0184 : by raising an alarm
• CPC Class Codes: A61H 2201/0207 : heated
• CPC Class Codes: A61H 2201/0214 : cooled
• CPC Class Codes: A61H 2201/0242 : by a fluid circulating in the apparatus
• CPC Class Codes: A61H 2201/10 : with further special therapeutic means, e.g. electrotherapy, magneto therapy or radiation therapy, chromo therapy, infrared or ultraviolet therapy
• CPC Class Codes: A61H 2201/105 : with means for delivering media, e.g. drugs or cosmetics
• CPC Class Codes: A61H 2201/165 : Wearable interfaces
• CPC Class Codes: A61H 2201/5015 : using specific interfaces or standards, e.g. USB, serial, parallel
• CPC Class Codes: A61H 2201/5058 : Sensors or detectors
• CPC Class Codes: A61H 2201/5061 : Force sensors
• CPC Class Codes: A61H 2201/5064 : Position sensors
• CPC Class Codes: A61H 2201/5084 : Acceleration sensors
• CPC Class Codes: A61H 2201/5092 : Optical sensor
• CPC Class Codes: A61H 2201/5097 : wireless
• CPC Class Codes: A61H 2230/00 : Measuring physical parameters of the user
• CPC Class Codes: A61H 2230/205 : partial CO2-value
• CPC Class Codes: A61H 2230/207 : partial O2-value
• CPC Class Codes: A61H 2230/505 : used as a control parameter for the apparatus
• CPC Class Codes: A61H 23/00 : Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms apparatus for passive exercising A61H1/00; generating or transmitting mechanical vibrations in general B06B
• CPC Class Codes: A61H 23/02 : with electric or magnetic drive
• CPC Class Codes: A61H 23/0245 : with ultrasonic transducers, e.g. piezoelectric
• CPC Class Codes: A61M 31/002 : Devices for releasing a drug at a continuous and controlled rate for a prolonged period of time artificial gland structures or devices A61F2/022; intra-uterine contraceptive devices A61F6/14; tampons for introducing into the vagina A61F13/20, A61L15/00; suppositories or bougies for intra-vaginal or intra-uterine application A61K9/02; physical forms of medicinal preparations for sustained or differential drug release A61K9/20, A61K9/50
• CPC Class Codes: A61N 1/00 : Electrotherapy; Circuits therefor A61N2/00 takes precedence; irradiation apparatus A61N5/00
• CPC Class Codes: A61N 5/0616 : Skin treatment other than tanning
• CPC Class Codes: A61N 5/0624 : for eliminating microbes, germs, bacteria on or in the body
• CPC Class Codes: A61N 7/00 : Ultrasound therapy lithotripsy A61B17/22, A61B17/225; massage using supersonic vibration A61H23/00 ; using ultrasound for introducing media into the body A61M37/0092

Abstract

A wound or incision closure apparatus comprises a first and second panel. Each of the panels comprises a bottom adhesive layer, a medial substrate layer, and an upper load distribution layer which connect the two panels. A sensory or therapeutic element is disposed adjacent, within, or between two or more of the layers. The sensory or therapeutic element can provide sensing and/or therapy for the incision and/or monitor the incision so that the therapy can be customized and updated.

Claims

1. A wound or incision closure apparatus comprising:

a first panel for placement laterally adjacent a first lateral side of a wound or incision, the first panel comprising a first bottom adhesive layer, a first medial substrate layer, and a first upper load distribution layer;

a second panel for placement laterally adjacent a second lateral side of the wound or incision, the second panel comprising a second bottom adhesive layer, a second medial substrate layer, and a second upper load distribution layer connectable to the first upper load distribution layer; and

a therapeutic element disposed adjacent or integrated into one or more of the first or second panels.

2. The wound or incision closure apparatus of claim 1, wherein the therapeutic element is disposed adjacent or integrated into one or more of the first bottom adhesive layer, the second bottom adhesive layer, the first medial substrate layer, the second medial substrate layer, the first upper load distribution layer, or the second upper load distribution layer.

3. The wound or incision closure apparatus of claim 2, wherein the therapeutic element is disposed within a pocket between two or more of the layers of one or more of the first or second panels.

4. The wound or incision closure apparatus of claim 3, wherein the first or second panels has an access traversing one or more of the layers to allow access to the pocket.

5. The wound or incision closure apparatus of claim 1, wherein the therapeutic element is configured to be in communication with a receiving device external of the wound or incision closure apparatus.

6. The wound or incision closure apparatus of claim 5, wherein the therapeutic element is configured to be in wireless communication with the receiving device.

7. The wound or incision closure apparatus of claim 5, wherein the receiving device comprises a workstation, a personal computer, a laptop computer, a tablet computer, a smartphone, a wearable computer, or a dedicated receiver.

8. The wound or incision closure apparatus of claim 1, where the first and second upper load distribution layers are connected to one another through one or more straps and strap ratchets.

9. The wound or incision closure apparatus of claim 1, further comprising a sensory element disposed adjacent or integrated into one or more of the first or second panels, and wherein the sensory element comprises one or more of a thermometer, a motion sensor, a chemical sensor, or a pressure sensor.

10. The wound or incision closure apparatus of claim 9, wherein the motion sensor comprises one or more of a strain gauge, an electromechanical sensor, an electromagnetic sensor, an accelerometer, or an optical sensor.

11. The wound or incision closure apparatus of claim 9, wherein the chemical sensor is configured to measure one or more of blood composition, transcutaneous oxygen, transcutaneous carbon dioxide, glucose levels, or pH.

12. The wound or incision closure apparatus of claim 1, wherein the therapeutic element comprises one or more of a light source for phototherapy, a mechanical vibration element, an ultrasound source, a drug delivery element, a heating element, a cooling element, an electrifying element, or an ultrasound source.

13. A method of treating a wound or incision, the method comprising:

adhering a first panel of a wound or incision closure apparatus adjacent a first lateral side of the wound or incision;

adhering a second panel of the closure apparatus adjacent a second lateral side of the wound or incision;

drawing the first and second panels laterally together to draw the first and second lateral sides of the wound or incision together; and

providing a therapy to the patient with a therapeutic element disposed on or within one or more of the first or second panels.

14. The method of claim 13, further comprising sensing a physiological parameter with a sensory element disposed on or within one or more of the first or second panels.

15. The method of claim 13, wherein the therapy comprises one or more of phototherapy, vibration therapy, ultrasound therapy, drug delivery, heat therapy, cooling therapy, or electrical therapy.

16. The method of claim 14, further comprising transmitting the sensed physiological parameter to an external receiving device.

17. The method of claim 16, wherein the external receiving device comprises one or more of a workstation, a personal computer, a laptop computer, a tablet computer, a smartphone, a wearable computer, or a dedicated receiver.

18. The method of claim 14, wherein the physiological parameter comprises one or more of temperature, motion, moisture, pressure, the concentration of a physiological marker, pH, oxygen levels, carbon dioxide levels, or glucose levels.