Apparatus for aspirating, irrigating and cleansing wounds

• US 8,535,296 B2
• Filed: 12/29/2010
• Issued: 09/17/2013
• Est. Priority Date: 10/28/2002
• Status: Active Grant

• Current Assignee: Smith & Nephew PLC
• Original Assignee: Smith & Nephew PLC
• Inventors: Blott, Patrick Lewis, Hartwell, Edward Yerbury, Nicolini, Derek, Lee-Webb, Julian
• Primary Examiner(s): Kidwell, Michele M
• Application Number:
  US12/981,337
• Publication Number:
  US 20110251567A1
• Time in Patent Office: 993 Days
• Field of Search: 604/19, 604289-290, 604304-308, 604/543, 604/317, 604/327
• US Class Current: 604/543
• 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 13/05 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 13/512 characterised by its apertures, e.g. perforations
• CPC Class Codes: A61F 2013/00174 possibility of applying pressure
• CPC Class Codes: A61F 2013/00221 biodegradable, non-irritating
• CPC Class Codes: A61F 2013/00536 for draining or irrigating wounds
• CPC Class Codes: A61F 2013/0054 for deep wounds
• CPC Class Codes: A61F 2013/00927 with biological activity, e.g. enzymes for debriding wounds or others, collagen or growth factors
• CPC Class Codes: A61M 1/74 Suction control underwater drainage A61M1/61
• CPC Class Codes: A61M 1/77 Suction-irrigation systems aspiration tips supplying fluids A61M1/85; specific for negative pressure wound therapy A61M1/92; combined with tracheal tubes A61M16/0463
• 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 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 3/0208 before use
• CPC Class Codes: A61M 3/0212 after use
• CPC Class Codes: A61M 3/0216 Pressure
• CPC Class Codes: A61M 3/022 Volume; Flow rate
• CPC Class Codes: A61M 3/0229 : Devices operating in a closed circuit, i.e. recycling the irrigating fluid

Abstract

An apparatus for cleansing wounds in which irrigant fluid from a reservoir connected to a conformable wound dressing and wound exudate from the dressing are recirculated by a device for moving fluid through a flow path which passes through the dressing and a means for fluid cleansing and back to the dressing. The cleansing means (which may be a single-phase, e.g. microfiltration, system or a two-phase, e.g. dialytic system) removes materials deleterious to wound healing, and the cleansed fluid, still containing materials that are beneficial in promoting wound healing, is returned to the wound bed. The dressing and a method of treatment using the apparatus.

Claims

1. An apparatus for treating a wound, comprising:

a conformable wound dressing comprising a backing layer, wherein the backing layer comprises a proximal wound-facing face and a distal face and is configured to be placed over a wound;

a wound filler comprising a polyurethane foam configured to be placed under the backing layer and over the wound;

at least one inlet passage for moving fluid to the wound, wherein the at least one inlet passage is in fluid communication with an opening in the backing layer;

at least one outlet passage for moving fluid away from the wound, wherein the at least one outlet passage is in fluid communication with an opening in the backing layer;

a wound dressing pressure sensor for detecting negative pressure at the wound;

a fluid reservoir containing an anti-bacterial fluid in fluid communication with the at least one inlet passage to supply anti-bacterial fluid from the fluid reservoir to the wound;

a vacuum pump configured to move fluid through at least the opening in the backing layer and the outlet passage; and

a pressure feedback regulator, wherein the pressure feedback regulator is configured to receive an output signal from the wound dressing pressure sensor and control the vacuum pump to produce a desired negative pressure at the wound.

2. The apparatus of claim 1, wherein the vacuum pump is configured to alternate negative pressure between a first negative pressure level and a second negative pressure level.

3. The apparatus of claim 1, further comprising a bleed configured to maintain a desired balance of fluid.

4. The apparatus of claim 1, wherein the at least one inlet passage and the at least one outlet passage comprise at least one tube connected to the wound dressing through a boss mounted to the backing layer.

5. The apparatus of claim 4, wherein the boss is a circular boss mounted at an opening in the backing layer.

6. The apparatus of claim 1, wherein:

the first fluid passage is a first tube and the second fluid passage is a second tube, the first tube and the second tube are connected to the wound dressing using a first port and a second port connected at openings in the backing layer, and

the first and second ports are separate ports.

7. The apparatus of claim 1, wherein the vacuum pump comprises a diaphragm pump operated by a piezoelectric transducer configured to cause a diaphragm to pulsate.

8. The apparatus of claim 1, wherein the pressure feedback regulator receives an output signal from the wound dressing pressure sensor and controls the vacuum pump to produce a desired pressure at the wound.

9. The apparatus of claim 1, further comprising an electrical line, wherein the pressure feedback regulator is configured to control the vacuum pump using the electrical line.

10. The apparatus of claim 6, wherein the first and second ports are configured to be connected to the distal face of the backing layer at separate locations.

11. The apparatus of claim 1, wherein the foam is hydrophilic.

12. The apparatus of claim 1, wherein the foam is hydrophobic.

13. The apparatus of claim 1, further comprising an irrigant pump configured to move fluid into the wound through the inlet passage and control a rate of delivery of the fluid.

14. The apparatus of claim 13, wherein the irrigant pump comprises at least one of a peristaltic pump and a diaphragm pump.

15. The apparatus of claim 14, wherein fluid aspirated from the wound does not come into contact with the irrigant pump.

16. The apparatus of claim 14, wherein the fluid moved into the wound does not come into contact with the irrigant pump.