INSTRUMENTED WOUND CLOSURE DEVICE

• US 20170156664A1
• Filed: 02/24/2017
• Published: 06/08/2017
• Est. Priority Date: 01/05/2014
• Status: Abandoned Application

• Current Assignee: Zipline Medical, Inc. (Stryker Corporation)
• Original Assignee: Zipline Medical, Inc. (Stryker Corporation)
• Inventors: BELSON, Amir, DRISCOLL, Jr., Edward C., STORNE, Eric, SCHAER, Alan
• Application Number:
  US15/442,382
• Publication Number:
  US 20170156664A1
• Time in Patent Office: Days
• 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 method for monitoring a subject undergoing a therapeutic regimen on a joint of the subject, the method comprising:

adhering a first adhesive panel onto skin of the subject on a first side of the joint, wherein a first sensory element is positioned in a pocket within the first adhesive panel and configured to measure at least one physiological parameter of the joint, and wherein the first sensory element is in communication with a first transmitter to wirelessly transmit the measured at least one physiological parameter to a receiving device;

receiving the measured at least one physiological parameter with the receiving device; and

updating the therapeutic regimen based on the received at least one physiological parameter.

2. The method of claim 1, further comprising providing the updated therapeutic regimen to the subject.

3. The method of claim 2, wherein receiving the measured at least one physiological parameter comprises determining a compliance of the subject with the therapeutic regimen, and wherein providing the updated therapeutic regimen comprises alerting a user when the compliance is determined to be inadequate.

4. The method of claim 1, further comprising adhering a second adhesive panel onto the skin of the subject on a second side of the joint, wherein a second sensory element is positioned in a pocket within the second adhesive panel and configured to measure the at least one physiological parameter of the joint, and wherein the second sensory element is in communication with a second transmitter to transmit the measured at least one physiological parameter to the receiving device.

5. The method of claim 1, wherein the first adhesive panel is configured to be adhered onto the skin for long-term wear.

6. The method of claim 5, wherein the first adhesive panel is adhered onto the skin for up to 14 days.

7. The method of claim 1, wherein the joint comprises a knee.

8. The method of claim 1, wherein the at least one physiological parameter comprises one or more of a range of motion of the joint, a frequency of motion of the joint, an activity level of the subject, a temperature of the skin, a pressure at the skin, an oxygenation of the subject, a pH at the skin, or a glucose level of the subject.

9. The method of claim 8, wherein the at least one physiological parameter comprises the range of motion of the joint, and wherein one or more of a minimum range or a maximum range of motion of the joint is detected with the first sensory element.

10. The method of claim 9, wherein updating the therapeutic regimen based on the received at least one physiological parameter comprises changing or adding elements to the therapeutic regimen based on the detected one or more of the minimum range or the maximum range of motion.

11. The method of claim 8, wherein the at least one physiological parameter comprises one or more of the temperature of the skin or the pressure at the skin, and wherein one or more of swelling or inflammation of the joint is determined in response to the measured temperature of the skin or the measured pressure at the skin.

12. The method of claim 11, wherein updating the therapeutic regimen based on the received at least one physiological parameter comprises adding one or more of additional cooling or elevation of the joint to the therapeutic regimen.

13. The method of claim 1, wherein the at least one physiological parameter received by the receiving device is further transmitted to a remote clinician.

14. The method of claim 1, 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.

15. The method of claim 1, wherein the first sensory element is configured to measure at least one physiological parameter of the joint intermittently or continuously.

16. A method for monitoring a subject undergoing a therapeutic regimen on a joint of the subject, the method comprising:

providing a first adhesive panel adhered onto skin of the subject on a first side of the joint;

measuring at least one physiological parameter of the joint with a first sensory element positioned in a pocket within the first adhesive panel;

transmitting the measured at least one physiological parameters from a first transmitter in communication with the first sensory element to a receiving device;

receiving transmitted at least one physiological parameter from the first transmitter; and

providing an alert to a user based in response to the received at least one physiological parameter.

17. The method of claim 16, further comprising:

providing a second adhesive panel adhered onto skin of the subject on a second side of the joint;

measuring the at least one physiological parameter of the joint with a second sensory element positioned in a pocket within the second adhesive panel;

transmitting the measured at least one physiological parameters from a second transmitter in communication with the second sensory element to the receiving device; and

receiving transmitted at least one physiological parameter from the second transmitter.

18. The method of claim 16, wherein the first adhesive panel is adhered onto the skin for long-term wear.

19. The method of claim 18, wherein the first adhesive panel is adhered onto the skin for up to 14 days.

20. The method of claim 16, wherein the joint comprises a knee.

21. The method of claim 16, wherein the at least one physiological parameter comprises one or more of a range of motion of the joint, a frequency of motion of the joint, an activity level of the subject, a temperature of the skin, a pressure at the skin, an oxygenation of the subject, a pH at the skin, or a glucose level of the subject.

22. The method of claim 21, wherein the at least one physiological parameter comprises the range of motion of the joint, and wherein measuring the at least one physiological parameter comprises detecting one or more of a minimum or a maximum range of motion of the joint with the first sensory element.

23. The method of claim 22, wherein providing the alert to the user comprises notifying the user to change or add elements to the therapeutic regimen based on the detected one or more of the minimum or the maximum range of motion.

24. The method of claim 16, wherein the at least one physiological parameter comprises one or more of the temperature of the skin or the pressure at the skin, and wherein one or more of swelling or inflammation of the joint is determined in response to the measured temperature of the skin or the measured pressure at the skin.

25. The method of claim 24, wherein providing the alert to the user comprises notifying the user to add one or more of additional cooling or elevation of the joint to the therapeutic regimen.

26. The method of claim 16, further comprising determining a compliance of the subject with the therapeutic regimen, and wherein providing the alert to the user comprises alerting the user when the compliance is determined to be inadequate.

27. The method of claim 16, further comprising transmitting the received at least one physiological parameter received to a remote clinician.

28. The method of claim 16, wherein the alert is provided to the user with a receiving device comprising a workstation, a personal computer, a laptop computer, a tablet computer, a smartphone, a wearable computer, or a dedicated receiver.

29. The method of claim 16, wherein the at least one physiological parameter of the joint is measured intermittently or continuously.