Apparatus for aspirating, irrigating and cleansing wounds

• US 9,844,473 B2
• Filed: 12/29/2014
• Issued: 12/19/2017
• Est. Priority Date: 10/28/2002
• Status: Expired due to Term

• Current Assignee: Smith & Nephew PLC
• Original Assignee: Smith & Nephew PLC
• Inventors: Blott, Patrick Lewis, Greener, Bryan, Hartwell, Edward Yerbury, Walker, Tina Michelle, Nicolini, Derek, Lee-Webb, Julian
• Primary Examiner(s): Kidwell, Michele M
• Application Number:
  US14/584,274
• Publication Number:
  US 20150209492A1
• Time in Patent Office: 1,086 Days
• Field of Search: 604543, 604311, 604316, 604317
• 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 wound dressing comprising;

a backing layer having a proximal, wound-facing side and a distal side;

a boss mounted to the backing layer at an opening in the backing layer and protruding distally therefrom;

a porous material having a proximal, wound-facing side and a distal side, the porous material provided on the proximal side of the backing layer;

an adhesive on a periphery of the backing layer, wherein the adhesive is configured to attach the backing layer to skin around the wound; and

a membrane provided on the proximal, wound-facing side of the porous material, the membrane comprising a plurality of apertures configured to contact the wound, wherein the porous material is configured to be in fluid communication with the membrane; and

a first manifold provided on the proximal, wound-facing side of the porous material, wherein the first manifold is configured to be in communication with a distal side of the membrane;

a fluid offtake tube configured to be mounted to the boss and provide fluid communication between a negative pressure source and the wound dressing.

2. The apparatus of claim 1, wherein the porous material is attached to the backing layer.

3. The apparatus of claim 1, wherein the proximal, wound-facing side of the backing layer is capable of forming a substantially fluid-tight seal over the wound and the distal side is configured to be exposed to atmospheric pressure.

4. The apparatus of claim 1, wherein the membrane and the porous material are configured to be simultaneously removed from the wound together with the backing layer.

5. The apparatus of claim 1, further comprising the negative pressure source configured to apply negative pressure to the wound dressing.

6. The apparatus of claim 1, further comprising a controller configured to adjust negative pressure applied by the negative pressure source.

7. The apparatus of claim 1, further comprising a second manifold provided on the distal side of the porous material and the proximal, wound-facing side of the backing layer, wherein the second manifold is configured to be in communication with the fluid offtake tube.

8. The apparatus of claim 1, wherein the boss is positioned on the proximal, wound-facing side of the backing layer.

9. The apparatus of claim 1, wherein the porous material comprises foam.

10. An apparatus for treating a wound, comprising:

a wound dressing comprising;

a backing layer having a proximal, wound-facing side and a distal side;

a reinforcement mounted to the backing layer at an opening in the backing layer and protruding distally therefrom;

a porous material having a proximal, wound-facing side and a distal side, the porous material provided on the proximal side of the backing layer;

an adhesive on a periphery of the backing layer, wherein the adhesive is configured to attach the backing layer to skin around the wound;

a first membrane provided on the proximal, wound-facing side of the porous material, the first membrane comprising a plurality of apertures configured to contact the wound, wherein the porous material is configured to be in fluid communication with the first membrane; and

a second membrane provided on the distal side of the porous material and on the proximal, wound-facing side of the backing layer, the second membrane comprising a plurality of apertures, wherein the porous material is configured to be in fluid communication with the second membrane; and

a fluid offtake tube configured to extend through the reinforcement and provide fluid communication between the wound dressing and a negative pressure source.

11. The apparatus of claim 10, further comprising a vacuum pump configured to apply negative pressure to the wound dressing.

12. The apparatus of claim 11, further comprising a controller configured to adjust negative pressure applied by the vacuum pump.

13. The apparatus of claim 10, further comprising a collection container configured to be in fluid communication with the dressing.

14. The apparatus of claim 10, wherein the proximal, wound-facing side of the backing layer is capable of forming a substantially fluid-tight seal over the wound and the distal side is configured to be exposed to atmospheric pressure.

15. The apparatus of claim 10, wherein the first membrane and the porous material are configured to be simultaneously removed from the wound together with the backing layer.

16. The apparatus of claim 10, wherein the second membrane is configured to be in communication with the fluid offtake tube.

17. The apparatus of claim 10, wherein the reinforcement is positioned on the proximal, wound-facing side of the backing layer.

18. The apparatus of claim 10, wherein the porous material comprises foam.