Delivery-and-fluid-storage bridges for use with reduced-pressure systems

• US 8,814,842 B2
• Filed: 03/11/2011
• Issued: 08/26/2014
• Est. Priority Date: 03/16/2010
• Status: Active Grant

• Current Assignee: Solventum Intellectual Properties Company (Solventum Corp.)
• Original Assignee: KCI Licensing Incorporated (3M Company)
• Inventors: Coulthard, Richard Daniel John, Locke, Christopher Brian, Ingram, Shannon C., Robinson, Timothy Mark
• Primary Examiner(s): Su, Susan
• Assistant Examiner(s): Townsend, Guy K
• Application Number:
  US13/046,164
• Publication Number:
  US 20110230849A1
• Time in Patent Office: 1,264 Days
• Field of Search: 604/319
• 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 13/0223 characterized by parametric properties of the fluid retention layer, e.g. absorbency, wicking capacity, liquid distribution
• CPC Class Codes: A61F 13/0289 manufacturing of adhesive 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 1/71 Suction drainage systems containers therefor A61M1/60, A61M1/64; negative pressure wound therapy systems A61M1/90
• CPC Class Codes: A61M 1/73 comprising sensors or indicators for physical values
• CPC Class Codes: A61M 1/913 having a bridging element for transferring the reduced pressure from the connector to the dressing
• CPC Class Codes: A61M 1/915 Constructional details of the pressure distribution manifold
• CPC Class Codes: A61M 1/917 specially adapted for covering whole body parts
• CPC Class Codes: A61M 1/95 with sensors for exudate composition
• CPC Class Codes: A61M 1/962 having pumping means on the suction site, e.g. miniature pump on dressing or dressing capable of exerting suction
• 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 2205/3344 Measuring or controlling pressure at the body treatment site
• CPC Class Codes: A61M 2205/3379 Masses, volumes, levels of fluids in reservoirs, flow rates
• CPC Class Codes: A61M 2205/6081 Colour codes
• CPC Class Codes: A61M 2205/75 with filters
• CPC Class Codes: A61M 2205/7536 allowing gas passage, but preventing liquid passage, e.g. liquophobic, hydrophobic, water-repellent membranes
• CPC Class Codes: A61M 2207/00 : Methods of manufacture, assembly or production
• CPC Class Codes: Y10T 29/49826 : Assembling or joining

Abstract

Systems, methods, and apparatuses are presented that facilitate the provision of reduced pressure to a tissue site by using a delivery-and-fluid-storage bridge, which separates liquids and gases and provides a flow path for reduced pressure. In one instance, a delivery-and-fluid-storage bridge includes a delivery manifold for delivering reduced pressure to a treatment manifold at the tissue site and an absorbent layer proximate the delivery manifold adapted to receive and absorb liquids. The delivery manifold and the absorbent layer are encapsulated in an encapsulating pouch. A first aperture is formed proximate a first longitudinal end of the delivery-and-fluid-storage bridge for fluidly communicating reduced pressure to the delivery manifold from a reduced-pressure source, and a second aperture is formed on a patient-facing side of the delivery-and-fluid-storage bridge. Reduced pressure is transferred to the tissue site via the second aperture. Other systems, apparatuses, and methods are disclosed.

Claims

1. A reduced-pressure treatment system for applying reduced pressure to a tissue site on a patient, the reduced-pressure treatment system comprising:

a reduced-pressure source for supplying reduced pressure;

a treatment manifold for placing proximate the tissue site and adapted to distribute reduced pressure to the tissue site;

a sealing member for placing over the tissue site, wherein the sealing member is adapted to form a fluid seal, and wherein the sealing member has a treatment aperture; and

a delivery-and-fluid-storage bridge having a first longitudinal end and a second longitudinal end and a first side and a second, patient-facing side, wherein the delivery-and-fluid-storage bridge at least partially fluidly couples the treatment manifold and the reduced-pressure source, the delivery-and-fluid-storage bridge comprising;

a delivery manifold extending along a length of the delivery-and-fluid-storage bridge for delivering reduced pressure through the delivery-and-fluid-storage bridge, the delivery manifold comprising a first material and being positioned proximate the reduced-pressure source;

an absorbent layer proximate the delivery manifold and adapted to receive, absorb, and store liquids within the delivery-and-fluid-storage bridge, the absorbent layer comprising a second material, and wherein the first material and the second material have differing properties;

a first encapsulating layer and a second encapsulating layer at least partially enclosing the delivery manifold and the absorbent layer;

a conduit disposed between the first encapsulating layer and the second encapsulating layer and adapted to monitor pressure proximate the tissue site, the conduit positioned at the second longitudinal end of the delivery-and-fluid-storage bridge, the conduit being a lumen substantially isolated from fluid communication with the delivery manifold and the absorbent layer along the length of the delivery-and-fluid-storage bridge;

wherein a first aperture is formed on the first side of the delivery-and-fluid-storage bridge proximate the first longitudinal end, the first aperture is fluidly coupled to the reduced-pressure source; and

wherein a second aperture is formed on the second side of the delivery-and-fluid-storage bridge proximate the second longitudinal end, the second aperture is fluidly coupled to the treatment manifold over the treatment aperture in the sealing member.

2. The reduced-pressure treatment system of claim 1, further comprising:

a reduced-pressure interface that is fluidly coupled to the first aperture; and

at least one supply conduit fluidly coupled to the reduced-pressure interface and the reduced-pressure source.

3. The reduced-pressure treatment system of claim 1, further comprising an adhesive member proximate the second aperture on the patient-facing side of the second encapsulating layer.

4. The reduced-pressure treatment system of claim 1, wherein the absorbent layer comprises a capillary-containing material.

5. The reduced-pressure treatment system of claim 1, wherein the first material comprises a non-absorbent material and the second material comprises a highly-absorbent material.

6. The reduced-pressure treatment system of claim 1, wherein the first material comprises a material with a plurality of flow channels that distribute fluids and the second material comprises at least one of the following:

capillary-containing material, super absorbent fibers, hydrofibers, sodium carboxymethyl cellulose, alginate, and sodium polyacrylate.

7. The reduced-pressure treatment system of claim 1, wherein the reduced-pressure source comprises a micro-pump.

8. The reduced-pressure treatment system of claim 1, wherein the reduced-pressure source comprises a micro-pump, and wherein the micro-pump is a piezoelectric pump coupled to the first longitudinal end of the delivery-and-fluid-storage bridge.

9. The reduced-pressure treatment system of claim 1, wherein the reduced-pressure source comprises a micro-pump;

wherein the micro-pump is a piezoelectric pump coupled to the first longitudinal end of the delivery-and-fluid-storage bridge; and

a remote battery coupled to the piezoelectric pump.

10. The reduced-pressure treatment system of claim 1, wherein the reduced-pressure source comprises a micro-pump;

wherein the micro-pump is a piezoelectric pump coupled to the first longitudinal end of the delivery-and-fluid-storage bridge; and

wherein the delivery-and-fluid-storage bridge further comprises a separation portion proximate the first longitudinal end inboard of the reduced-pressure source.

11. The reduced-pressure treatment system of claim 1, further comprising a hydrophobic filter proximate the first aperture for preventing fluids from exiting the delivery-and-fluid-storage bridge.

12. The reduced-pressure treatment system of claim 1, wherein the delivery-and-fluid-storage bridge has a reservoir portion with a plan view surface area A₁ and a placement portion with a plan view surface area A₂, and wherein A₁>

A₂.

13. The reduced-pressure treatment system of claim 1, wherein the first encapsulating layer and the second encapsulating layer are formed from an integral piece of polyurethane.

14. The reduced-pressure treatment system of claim 1, wherein there is no canister fluidly coupled between the reduced-pressure source and the delivery-and-fluid-storage bridge.

15. The reduced-pressure treatment system of claim 1, wherein the delivery manifold is positioned in contact with the first aperture.

16. A delivery-and-fluid-storage bridge for use with a reduced-pressure treatment system, the delivery-and-fluid-storage bridge comprising:

a delivery manifold extending along a length of the delivery-and-fluid-storage bridge for delivering reduced pressure through the delivery-and-fluid-storage bridge;

an absorbent layer proximate the delivery manifold adapted to receive and store fluids;

wherein the delivery-and-fluid-storage bridge has a first side and a second, patient-facing side;

a first encapsulating layer and a second encapsulating layer at least partially enclosing the delivery manifold and the absorbent layer;

a first aperture formed on the first encapsulating layer proximate a first longitudinal end of the delivery-and-fluid-storage bridge and the delivery manifold for fluidly communicating reduced pressure to the delivery manifold from a reduced-pressure source, the reduced pressure source being positionable proximate the first aperture;

a second aperture formed on a second, patient-facing side of the second encapsulating layer proximate a second longitudinal end of the delivery-and-fluid-storage bridge for transmitting reduced pressure to a tissue site; and

a conduit disposed between the first encapsulating layer and the second encapsulating layer, the conduit extending substantially along the length of the delivery-and-fluid-storage bridge, an end of the conduit being positioned at the second longitudinal end of the delivery-and-fluid-storage bridge, the conduit being a lumen substantially isolated from fluid communication with the delivery manifold and the absorbent layer along the length of the delivery-and-fluid-storage bridge.

17. The delivery-and-fluid-storage bridge of claim 16, wherein the delivery manifold comprises a non-absorbent material and the absorbent layer comprises is a highly-absorbent material.

18. The delivery-and-fluid-storage bridge of claim 16, wherein the delivery manifold comprises a material with a plurality of flow channels that distribute fluids and the absorbent layer comprises at least one of the following:

capillary-containing material, super absorbent fibers, hydrofibers, sodium carboxymethyl cellulose, alginate, and sodium polyacrylate.

19. The delivery-and-fluid-storage bridge of claim 16, further comprising an adhesive member proximate the second aperture on the patient-facing side of the second encapsulating layer.

20. The delivery-and-fluid-storage bridge of claim 16, wherein the absorbent layer comprises a capillary-containing material.

21. The delivery-and-fluid-storage bridge of claim 16, further comprising a hydrophobic filter proximate the first aperture for preventing fluids from exiting the delivery-and-fluid-storage bridge.

22. The delivery-and-fluid-storage bridge of claim 16, wherein the delivery-and-fluid-storage bridge has a reservoir portion with a plan view surface area A₁ and a placement portion with a plan view surface area A₂, and wherein A₁>

A₂.

23. The delivery-and-fluid-storage bridge of claim 16, wherein the first encapsulating layer and the second encapsulating layer are formed from an integral piece of polyurethane.

24. The delivery-and-fluid-storage bridge of claim 16, wherein the delivery manifold comprises:

a plurality of delivery manifolds extending along a length of the delivery-and-fluid-storage bridge for delivering reduced pressure to a tissue site, wherein one of the delivery manifolds is positioned in contact with the first aperture and another of the delivery manifolds is positioned in contact with the second aperture.

25. The delivery-and-fluid-storage bridge of claim 16, wherein the conduit is adapted to monitor pressure at the second longitudinal end of the delivery-and-fluid-storage bridge.

26. The delivery-and-fluid-storage bridge of claim 16, wherein the conduit is substantially isolated from fluid communication with the delivery manifold and the absorbent layer between the first longitudinal end and the second longitudinal end of the delivery-and-fluid-storage bridge.

27. A method for treating a tissue site utilizing a delivery-and-fluid-storage bridge, the method comprising:

placing a treatment manifold proximate the tissue site;

providing a delivery-and-fluid-storage bridge, the delivery-and-fluid-storage bridge comprising;

a delivery manifold extending along a length of the delivery-and-fluid-storage bridge for delivering reduced pressure from a reduced-pressure source to the tissue site, the delivery manifold comprising a first material;

an absorbent layer proximate the delivery manifold adapted to receive and store fluids, wherein the absorbent layer comprises a second material; and

an encapsulating pouch encapsulating the delivery manifold and the absorbent layer, the encapsulating pouch comprising;

a first encapsulating layer and a second encapsulating layer at least partially enclosing the delivery manifold and the absorbent layer;

a first aperture formed on the first encapsulating layer proximate a first longitudinal end of the delivery-and-fluid-storage bridge and the delivery manifold for fluidly communicating reduced pressure to the delivery manifold from the reduced-pressure source, the delivery-and-fluid-storage bridge adapted for positioning the reduced-pressure source proximate the delivery manifold; and

a second aperture formed on a patient-facing side of the second encapsulating layer proximate a second longitudinal end of the delivery-and-fluid-storage bridge for transmitting reduced pressure to the tissue site;

disposing a conduit within the encapsulating pouch, wherein the conduit is adapted to monitor pressure proximate the tissue site, the conduit positioned at the second longitudinal end of the delivery-and-fluid-storage bridge, the conduit being a lumen substantially isolated from fluid communication with the delivery manifold and the absorbent layer;

placing the second longitudinal end of the delivery-and-fluid-storage bridge proximate the treatment manifold;

applying a reduced pressure to the first longitudinal end of the delivery-and-fluid-storage bridge through the first aperture;

communicating the reduced pressure through the delivery manifold to the second longitudinal end of the delivery-and-fluid-storage bridge;

applying the reduced pressure through the second aperture to the treatment manifold proximate the tissue site;

comparing the reduced pressure applied to the first longitudinal end with the pressure monitored proximate the tissue site by the conduit;

receiving fluids through the second aperture from the tissue site; and

wicking liquids extracted from the tissue site through the second longitudinal end into the absorbent layer positioned proximate the delivery manifold.

28. The method of claim 27, further comprising using an adhesive to fluidly seal the second longitudinal end of the delivery-and-fluid-storage bridge over the tissue site.

29. The method of claim 27, further comprising placing a sealing member over the treatment manifold.

30. The method of claim 27, wherein the step of applying a reduced pressure to the first longitudinal end comprises supplying reduced pressure from a reduced pressure source to the first longitudinal end and wherein there is no canister between the reduced-pressure source and the first longitudinal end.

31. The method of claim 27, wherein the absorbent layer comprises a capillary-containing material.

32. The method of claim 27, wherein the first material comprises a non-absorbent material and the second material comprises a highly-absorbent material.

33. The method of claim 27, wherein the first material comprises a material with a plurality of flow channels that distribute fluids and the second material comprises at least one of the following:

capillary-containing material, super absorbent fibers, hydrofibers, sodium carboxymethyl cellulose, alginate, and sodium polyacrylate.

34. The method of claim 27, wherein the step of wicking liquids extracted from the tissue site comprises wicking the liquids into the absorbent layer and storing substantially all the liquids received in the absorbent layer.

35. The method of claim 27, wherein step of wicking liquids extracted from the tissue site comprises wicking the liquids into the absorbent layer and storing substantially all the liquids received in the absorbent layer, and further comprising signaling when the absorbent layer is full.

36. The method of claim 27, further comprising determining a fluid saturation level within the delivery-and-fluid-storage bridge based upon the comparison of the reduced pressure applied to the first longitudinal end with the pressure monitored proximate the tissue site, wherein the pressure monitored proximate the tissue site is monitored at the second longitudinal end of the delivery-and-fluid-storage bridge.

37. The method of claim 27, further comprising determining a fluid saturation level within the delivery-and-fluid-storage bridge based upon the comparison of the reduced pressure applied to the first longitudinal end with the pressure monitored proximate the tissue site, wherein the pressure monitored proximate the tissue site is monitored at the tissue site.

38. A delivery-and-fluid-storage bridge, comprising:

a delivery manifold extending along a length of the delivery-and-fluid-storage bridge, wherein the delivery manifold comprises a porous material;

an absorbent layer proximate the delivery manifold adapted to receive and store fluids;

a first encapsulating layer and a second encapsulating layer enclosing the delivery manifold and the absorbent layer;

a first aperture formed on the first encapsulating layer proximate a first longitudinal end of the delivery-and-fluid-storage bridge and the delivery manifold;

a second aperture formed on a second, patient-facing side of the second encapsulating layer proximate a second longitudinal end of the delivery-and-fluid-storage bridge; and

a conduit having an end disposed at the second longitudinal end of the delivery-and-fluid-storage bridge, the conduit being a lumen substantially isolated from fluid communication with the delivery manifold and the absorbent layer along the length of the delivery-and-fluid-storage bridge.

39. The delivery-and-fluid-storage bridge of claim 38, wherein the conduit extends substantially along the length of the delivery-and-fluid-storage bridge.

40. The delivery-and-fluid-storage bridge of claim 38, wherein the conduit is disposed between the first encapsulating layer and the second encapsulating layer.

41. A delivery-and-fluid-storage bridge, comprising:

a delivery manifold extending along a length of the delivery-and-fluid-storage bridge, wherein the delivery manifold comprises a porous material;

an absorbent layer proximate the delivery manifold adapted to receive and store fluids;

a first encapsulating layer and a second encapsulating layer enclosing the delivery manifold and the absorbent layer;

a first aperture formed on the first encapsulating layer proximate a first longitudinal end of the delivery-and-fluid-storage bridge and the delivery manifold;

a second aperture formed on a second, patient-facing side of the second encapsulating layer proximate a second longitudinal end of the delivery-and-fluid-storage bridge; and

a conduit at the second longitudinal end of the delivery-and-fluid-storage bridge, wherein the conduit is a lumen substantially isolated from fluid communication with the delivery manifold and the absorbent layer.

42. The delivery-and-fluid-storage bridge of claim 41, wherein the conduit is disposed between the first encapsulating layer and the second encapsulating layer.

43. The delivery-and-fluid-storage bridge of claim 41, wherein the conduit extend substantially along the length of the delivery-and-fluid-storage bridge.

44. A delivery-and-fluid-storage bridge, comprising:

a delivery manifold extending along a length of the delivery-and-fluid-storage bridge, the delivery manifold comprising a porous material;

an absorbent layer proximate the delivery manifold and adapted to receive and store fluids;

a first encapsulating layer and a second encapsulating layer enclosing the delivery manifold and the absorbent layer;

a first aperture formed on the first encapsulating layer proximate a first longitudinal end of the delivery-and-fluid-storage bridge and the delivery manifold;

a second aperture formed on a second, patient-facing side of the second encapsulating layer proximate a second longitudinal end of the delivery-and-fluid-storage bridge; and

a conduit having an end positioned at the second longitudinal end of the delivery-and-fluid-storage bridge, the conduit being substantially isolated from fluid communication with the delivery manifold and the absorbent layer along the length of the delivery-and-fluid-storage bridge, the conduit being disposed between the first encapsulating layer and the second encapsulating layer and extending substantially along the length of the delivery-and-fluid-storage bridge.