System for percutaneously administering reduced pressure treatment using balloon dissection

• US 8,029,498 B2
• Filed: 03/13/2007
• Issued: 10/04/2011
• Est. Priority Date: 03/14/2006
• Status: Active Grant

• Current Assignee: Solventum Intellectual Properties Company (Solventum Corp.)
• Original Assignee: KCI Licensing Incorporated (3M Company)
• Inventors: Kagan, Jonathan, Johnson, Royce W., Cornet, Douglas A., Manwaring, Michael, Swain, Larry D.
• Primary Examiner(s): Deak; Leslie
• Assistant Examiner(s): MARCETICH, ADAM M
• Application Number:
  US11/717,892
• Publication Number:
  US 20070219471A1
• Time in Patent Office: 1,666 Days
• Field of Search: 604/28, 604/93, 604/175, 604/176, 604/164, 604/30, 604/246, 604/502, 604/506, 604/543, 604/27, 604/44, 604/48, 604/57, 604/73, 604/540
• US Class Current: 604/543
• CPC Class Codes: A61B 17/12168 having a mesh structure A61B17/1214 takes precedence
• CPC Class Codes: A61B 17/12181 formed by fluidized, gelatinous or cellular remodelable materials, e.g. embolic liquids, foams or extracellular matrices
• CPC Class Codes: A61B 17/12186 liquid materials adapted to be injected
• CPC Class Codes: A61B 17/1219 expandable in contact with liquids
• CPC Class Codes: A61B 17/12195 comprising a curable material
• CPC Class Codes: A61B 17/1355 Automated control means therefor
• CPC Class Codes: A61B 17/80 Cortical plates , i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
• CPC Class Codes: A61B 17/88 Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices A61B17/7074 takes precedence
• 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 2/0077 Special surfaces of prostheses, e.g. for improving ingrowth A61F2/30767 takes precedence
• CPC Class Codes: A61F 2/30767 Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• CPC Class Codes: A61F 2/36 Femoral heads ; Femoral endoprostheses
• CPC Class Codes: A61F 2/3662 Femoral shafts
• CPC Class Codes: A61F 2002/0086 for preferentially controlling or promoting the growth of specific types of cells or tissues
• CPC Class Codes: A61F 2002/30677 Means for introducing or releasing pharmaceutical products, e.g. antibiotics, into the body
• CPC Class Codes: A61F 2002/3068 the pharmaceutical product being in a reservoir
• CPC Class Codes: A61F 2002/30785 parallel
• CPC Class Codes: A61F 2002/30787 inclined obliquely with respect to each other
• CPC Class Codes: A61F 2002/30968 Sintering
• CPC Class Codes: A61F 2002/3611 Heads or epiphyseal parts of femur
• CPC Class Codes: A61F 2002/3625 : Necks
• CPC Class Codes: A61F 2002/368 : with lateral apertures, bores, holes or openings, e.g. for reducing the mass, for receiving fixation screws or for communicating with the inside of a hollow shaft
• CPC Class Codes: A61F 2002/3694 : with longitudinal bores
• CPC Class Codes: A61F 2310/00395 : Coating or prosthesis-covering structure made of metals or of alloys
• CPC Class Codes: A61F 2310/00592 : Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
• CPC Class Codes: A61F 2310/00928 : Coating or prosthesis-covering structure made of glass or of glass-containing compounds, e.g. of bioglass
• CPC Class Codes: A61H 2201/0103 : inflatable
• CPC Class Codes: A61H 9/005 : Pneumatic massage
• CPC Class Codes: A61L 31/146 : Porous materials, e.g. foams or sponges
• 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 1/964 : having venting means on or near the dressing
• CPC Class Codes: A61M 2025/1086 : having a special balloon surface topography, e.g. pores, protuberances, spikes or grooves
• 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 37/00 : Other apparatus for introducing media into the body for reproduction or fertilisation A61B17/425; apparatus for iontophoresis or cataphoresis A61N1/30; Percutany, i.e. introducing medicines into the body by diffusion through the skin salt baths A61H33/04
• CPC Class Codes: A61M 5/14 : Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor

Abstract

A reduced pressure delivery system for applying a reduced pressure to a tissue site includes a manifold delivery tube having at least two lumens and a manifold having a plurality of flow channels. The manifold is disposed within a first of the lumens of the manifold delivery tube. A balloon having an inner space and being capable of assuming collapsed and expanded positions is provided. The inner space of the balloon is fluidly connected to a second of the lumens of the manifold delivery tube.

Claims

1. A reduced pressure delivery system for applying reduced pressure tissue treatment to a tissue site comprising:

a manifold delivery tube having at least two lumens;

a manifold having a plurality of flow channels, the manifold disposed within a first of the lumens of the manifold delivery tube;

a balloon having an inner space and being capable of assuming collapsed and expanded positions, the inner space being fluidly connected to a second of the lumens of the manifold delivery tube; and

a sharp tip configured to slide within the manifold delivery tube for selectively puncturing the balloon.

2. The reduced pressure delivery system according to claim 1, wherein the first and second lumens are substantially coaxial.

3. The reduced pressure delivery system according to claim 1 further comprising a reduced pressure delivery tube fluidly connected to at least one of the plurality of flow channels.

4. The reduced pressure delivery system according to claim 3, wherein the reduced-pressure delivery tube is capable of being disconnected from the at least one flow channel.

5. The reduced pressure delivery system according to claim 4, wherein the manifold is bioresorbable.

6. The reduced pressure delivery system according to claim 3, further comprising a reduced pressure source fluidly connected to the reduced-pressure delivery tube.

7. The reduced pressure delivery system according to claim 3, wherein a reduced pressure is applied through the reduced-pressure delivery tube to the at least one flow channel.

8. The reduced pressure delivery system according to claim 7, wherein the reduced pressure is applied cyclically.

9. The reduced pressure delivery system according to claim 1, wherein the manifold delivery tube is a catheter.

10. The reduced pressure delivery system according to claim 1, wherein the manifold delivery tube is a cannula.

11. The reduced pressure delivery system according to claim 1 further comprising markers operably attached to at least one of the manifold delivery tube and the manifold to visualize a location of the manifold delivery tube or the manifold relative to the tissue site.

12. The reduced pressure delivery system according to claim 11, wherein the markers are radio-opaque markers.

16. The reduced pressure delivery system according to claim 1, wherein the manifold further comprises:

a flexible barrier;

a cellular material disposed adjacent to the flexible barrier, the cellular material including the plurality of flow channels; and

a reduced-pressure delivery tube fluidly connected to at least one of the plurality of flow channels.

17. The reduced pressure delivery system according to claim 1, wherein the balloon is expanded by injecting a fluid into the inner space.

18. The reduced pressure delivery system according to claim 1, wherein the tissue site includes a hard tissue.

19. The reduced pressure delivery system according to claim 1, wherein the tissue site includes a soft tissue.

13. The reduced pressure delivery system according to claim wherein the manifold further comprises:

a flexible wall surrounding a primary flow passage and adapted to be placed in proximity to the tissue site, the flexible wall including a plurality of apertures through the flexible wall and communicating with the primary flow passage;

a blockage prevention member positioned within the primary flow passage;

a first conduit having at least one outlet fluidly connected to the primary flow passage to deliver reduced pressure to the primary flow passage; and

a second conduit having at least one outlet proximate the primary flow passage or the at least one outlet of the first conduit to purge at least one of the primary flow passage and the outlet of the first conduit with a gaseous fluid during the application of reduced pressure.

14. The reduced pressure delivery system according to claim 13, wherein the blockage prevention member is a plurality of projections disposed on an inner surface of the flexible wall and extending into the primary flow passage.

15. The reduced pressure delivery system according to claim 13, wherein the blockage prevention member is a cellular material positioned within the primary flow passage.

20. A reduced pressure delivery system for applying reduced pressure tissue treatment to a tissue site comprising:

an impermeable membrane having an inner space, the impermeable membrane being capable of assuming compressed and relaxed conditions;

a manifold having a plurality of flow channels, the manifold positioned within the inner space of the impermeable membrane; and

wherein a pressure within the inner space of the impermeable membrane is less than the pressure outside the impermeable membrane to reduce a volume of space occupied by the manifold within the impermeable membrane.

21. The reduced pressure delivery system according to claim 20, wherein the impermeable membrane is sealed to maintain the pressure within the impermeable membrane.

22. The reduced pressure delivery system according to claim 20 further comprising a reduced pressure source fluidly connected to the inner space of the impermeable membrane to maintain the pressure within the inner space.

23. The reduced pressure delivery system according to claim 20, wherein the impermeable membrane is dissolvable when placed in contact with bodily fluids or bodily tissue.

24. The reduced pressure delivery system according to claim 20, wherein the impermeable membrane is capable of assuming an expanded position to dissect tissue adjacent the tissue site.

25. The reduced pressure delivery system according to claim 24, wherein the impermeable membrane is expanded by injecting a fluid into the inner space.

26. The reduced pressure delivery system according to claim 20 further comprising an instrument having a sharp tip to selectively rupture the impermeable membrane.

27. The reduced pressure delivery system according to claim 20 further comprising:

a seal disposed on the impermeable membrane; and

an instrument to push the manifold through the seal.

28. The reduced pressure delivery system according to claim 20 further comprising markers operably attached to at least one of the impermeable membrane and the manifold to visualize a location of the impermeable membrane or the manifold relative to the tissue site.

29. The reduced pressure delivery system according to claim 28, wherein the markers are radio-opaque markers.

30. The reduced pressure delivery system according to claim 20 further comprising a reduced-pressure delivery tube having a distal end fluidly connected to at least one of the flow channels of the manifold.

31. The reduced pressure delivery system according to claim 30 further comprising a reduced pressure source fluidly connected to a proximal end of the reduced-pressure delivery tube to deliver a second reduced pressure to the at least one flow channel.

32. The reduced pressure delivery system according to claim 31, wherein the second reduced pressure is applied cyclically.

33. The reduced pressure delivery system according to claim 30, wherein the reduced-pressure delivery tube is capable of being disconnected from the at least one flow channel.

34. The reduced pressure delivery system according to claim 33, wherein the manifold is bioresorbable.

35. The reduced pressure delivery system according to claim 20, wherein the manifold further comprises:

a flexible wall surrounding a primary flow passage and adapted to be placed in proximity to the tissue site, the flexible wall including a plurality of apertures through the flexible wall and communicating with the primary flow passage;

a blockage prevention member positioned within the primary flow passage;

a first conduit having at least one outlet fluidly connected to the primary flow passage to deliver reduced pressure to the primary flow passage; and

a second conduit having at least one outlet proximate the primary flow passage or the at least one outlet of the first conduit to purge at least one of the primary flow passage and the outlet of the first conduit with a fluid during the application of reduced pressure.

36. The reduced pressure delivery system according to claim 35, wherein the blockage prevention member is a plurality of projections disposed on an inner surface of the flexible wall and extending into the primary flow passage.

37. The reduced pressure delivery system according to claim 35, wherein the blockage prevention member is a cellular material positioned within the primary flow passage.

38. The reduced pressure delivery system according to claim 35, wherein the fluid is a gas.

39. The reduced pressure delivery system according to claim 35, wherein the fluid is a liquid.

40. The reduced pressure delivery system according to claim 20, wherein the manifold further comprises:

a flexible barrier;

a cellular material attached to the flexible barrier, the cellular material including the plurality of flow channels; and

a reduced-pressure delivery tube fluidly connected to at least one of the plurality of flow channels.

41. The reduced pressure delivery system according to claim 20, wherein the tissue site includes hard tissue.

42. The reduced pressure delivery system according to claim 20, wherein the tissue site includes soft tissue.

43. A reduced pressure delivery system for applying reduced pressure tissue treatment to a tissue site comprising:

a manifold delivery tube having at least two lumens;

a manifold having a plurality of flow channels, the manifold disposed within a first of the lumens of the manifold delivery tube, the manifold comprising;

a flexible wall surrounding a primary flow passage and adapted to be placed in proximity to the tissue site, the flexible wall including a plurality of apertures through the flexible wall and communicating with the primary flow passage;

a blockage prevention member positioned within the primary flow passage;

a first conduit having at least one outlet fluidly connected to the primary flow passage to deliver reduced pressure to the primary flow passage; and

a second conduit having at least one outlet proximate the primary flow passage or the at least one outlet of the first conduit to purge at least one of the primary flow passage and the outlet of the first conduit with a gaseous fluid during the application of reduced pressure; and

a balloon having an inner space and being capable of assuming collapsed and expanded positions, the inner space being fluidly connected to a second of the lumens of the manifold delivery tube.

44. The reduced pressure delivery system according to claim 43, wherein the blockage prevention member is a plurality of projections disposed on an inner surface of the flexible wall and extending into the primary flow passage.

45. The reduced pressure delivery system according to claim 43, wherein the blockage prevention member is a cellular material positioned within the primary flow passage.