Wound cleansing apparatus

• US 9,616,208 B2
• Filed: 02/12/2016
• Issued: 04/11/2017
• Est. Priority Date: 10/28/2003
• Status: Active Grant

• Current Assignee: Smith & Nephew PLC
• Original Assignee: Smith & Nephew PLC
• Inventors: Blott, Patrick Lewis, Greener, Bryan, Hartwell, Edward Yerbury, Walker, Tina Michelle, Lee-Webb, Julian, Nicolini, Derek, Green, Clare, Martin, Robin Paul
• Primary Examiner(s): Kidwell, Michele M
• Assistant Examiner(s): TREYGER, ILYA Y
• Application Number:
  US15/043,143
• Publication Number:
  US 20160235954A1
• Time in Patent Office: 424 Days
• 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 13/05 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 2007/0059 with an open fluid circuit
• CPC Class Codes: A61F 2013/00357 implanted wound fillings or covers membranes for covering bone defects A61F2/2846
• 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 1/772 operating alternately
• 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 2202/0208 Oxygen
• CPC Class Codes: A61M 2205/3653 by Joule effect, i.e. electric resistance
• CPC Class Codes: A61M 2205/368 by electromagnetic radiation, e.g. IR waves
• 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 3/0204 Physical characteristics of the irrigation fluid, e.g. conductivity or turbidity
• CPC Class Codes: A61M 3/0212 after use
• CPC Class Codes: A61M 3/0229 Devices operating in a closed circuit, i.e. recycling the irrigating fluid

Abstract

An apparatus for cleansing and promoting tissue growth in wounds, in which irrigant fluid optionally containing cell nutrients and/or other physiologically active material 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, a biodegradable scaffold in contact with the wound bed and a means for fluid cleansing and back to the dressing. The apparatus has means for supplying thermal energy to the fluid in the wound. The cleansing means (which may be a single-phase, e.g. micro-filtration, 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 treatment of a wound, comprising:

a member comprising a central portion and a plurality of flow channels extending radially therefrom;

wherein each of the plurality of flow channels defines a flow path that is separate along its length from the flow paths defined by each of the other of the plurality of flow channels and the plurality of flow channels are interconnected only at the center portion of the member;

a relatively liquid impermeable backing layer disposed over the member and capable of forming a relatively fluid-tight seal or closure over the wound; and

a conduit having an end portion disposed beneath the backing layer and in fluid communication with each of the plurality of the flow channels via the central portion of the member.

2. The apparatus of claim 1, wherein a first layer and a second layer above the first layer define at least a portion of each of the plurality of flow channels.

3. The apparatus of claim 2, wherein the first layer comprises a porous material.

4. The apparatus of claim 2, wherein the first layer is configured to contact the wound.

5. The apparatus of claim 1, wherein the conduit passes under an edge of a proximal face of the backing layer.

6. The apparatus of claim 1, wherein the conduit is configured to supply fluid to the wound via the member.

7. The apparatus of claim 6, wherein the member is configured to supply fluid to the wound over an extended area of the wound bed.

8. The apparatus of claim 6, further comprising an oxygen source, wherein the fluid supplied to the wound comprises oxygen.

9. The apparatus of claim 1, wherein the backing layer comprises an adhesive film.

10. The apparatus of claim 1, comprising a foam layer beneath the backing layer.

11. The apparatus of claim 1, wherein the member is configured to conform to the wound bed.

12. The apparatus of claim 1, wherein the flow channels radiate at regular intervals from the center portion of the member.

13. The apparatus of claim 1, further comprising a filler overlying the member and positioned under the backing layer.

14. The apparatus of claim 13, wherein the filler is configured to contain fluid therein.

15. A method of treating a wound, comprising:

positioning a wound dressing over a wound, the wound dressing comprising;

a backing layer; and

a plurality of flow channels beneath the backing layer extending radially from a central portion, wherein each of the plurality of flow channels defines a flow path that is separate along its length from the flow paths defined by each of the other of the plurality of flow channels and the plurality of flow channels are interconnected only at the center portion; and

delivering oxygen to the wound through an inlet conduit positioned beneath the backing layer, the inlet conduit having an end portion under the backing layer in fluid communication with the central portion;

wherein oxygen flows from the inlet conduit, through the central portion and along the plurality of flow channels to the wound.

16. The method of claim 15, wherein the plurality of flow channels are defined at least in part between a first layer and a second layer over the first layer.

17. The method of claim 16, wherein the first layer is a porous layer placed in contact with the wound, wherein the oxygen is delivered to the wound through apertures in the porous layer.

18. The method of claim 15, wherein the wound dressing further comprises a filler layer between the backing layer and the channels, wherein the filler layer is configured to collect fluid from the wound.