Apparatuses and methods for negative pressure wound therapy

• US 9,327,065 B2
• Filed: 05/01/2014
• Issued: 05/03/2016
• Est. Priority Date: 12/22/2009
• Status: Expired

• Current Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Original Assignee: Smith & Nephew Incorporated (Smith & Nephew PLC)
• Inventors: Albert, Sean, Armstrong, Ed, Beaudoin, Ken, Blackburn, Iain Michael, Bussone, Phil, Crawford, Brendan, Emmerson, Robert, Ewaschuk, Mike, Gianelis, Stephen, Goddard, Andrew, Gordon, Joseph, Guarraia, Mark, Johnson, Tim, Keith-Lucas, Darwin, Linton, Andrew, Nelsen, Dan, Salame, Michael, Stern, Tim, White, Mark
• Primary Examiner(s): Wiest, Philip R
• Application Number:
  US14/267,636
• Publication Number:
  US 20140330224A1
• Time in Patent Office: 733 Days
• Field of Search: 604313-324, 602/44
• US Class Current: 1/1
• CPC Class Codes: A61F 13/02 Adhesive bandages or dressings
• 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 13/022 having more than one layer with different fluid retention characteristics
• 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 2013/00174 possibility of applying pressure
• CPC Class Codes: A61F 2013/00238 characterised by way of knitting or weaving
• CPC Class Codes: A61F 2013/00536 for draining or irrigating wounds
• CPC Class Codes: A61F 2013/0057 with openable cover
• CPC Class Codes: A61F 2013/0074 containing foams
• CPC Class Codes: A61F 2013/00846 with transparent or translucent part
• CPC Class Codes: A61M 1/86 Connectors between drainage tube and handpiece, e.g. drainage tubes detachable from handpiece
• CPC Class Codes: A61M 1/90 Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
• CPC Class Codes: A61M 1/912 Connectors between dressing and drainage tube
• 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 1/962 having pumping means on the suction site, e.g. miniature pump on dressing or dressing capable of exerting suction
• CPC Class Codes: A61M 1/964 having venting means on or near the dressing
• CPC Class Codes: A61M 2205/583 by visual feedback
• CPC Class Codes: A61M 2205/7518 bacterial
• CPC Class Codes: A61M 39/20 Closure caps or plugs for connectors or open ends of tubes

Abstract

Disclosed herein are several embodiments of a negative pressure appliance and methods of using the same in the treatment of wounds. Some embodiments are directed to improved fluidic connectors or suction adapters for connecting to a wound site, for example using softer, kink-free conformable suction adapters.

Claims

1. An apparatus to provide suction to a wound site through a drape covering the wound site, the apparatus comprising:

an applicator configured to be positioned over an opening in the drape, the applicator comprising;

a flexible layer having an upper surface and a lower surface;

an adhesive provided on the lower surface of the flexible layer configured to seal the applicator to the drape; and

a removable protective release layer provided over the adhesive on the lower surface of the flexible layer; and

a bridge comprising;

a proximal end provided with a connector configured to provide fluid communication with a source of negative pressure,

an enlarged distal end having at least one aperture therethrough, the enlarged distal end of the bridge coupled to the applicator,

an upper wall and a lower wall extending between the proximal end and the enlarged distal end, and

at least a first channel and a second channel positioned between the upper wall and the lower wall such that at least one of the first channel and second channel is configured to provide fluid communication between the at least one aperture and the connector;

wherein the flexible layer of the applicator is coupled using an adhesive to the enlarged distal end of the bridge.

2. The apparatus of claim 1, wherein the flexible layer comprises polyethylene or polyurethane.

3. The apparatus of claim 1, wherein the at least one aperture of the enlarged distal end of the bridge portion is configured to be positioned over the wound site to fluidically connect the wound site to the source of negative pressure.

4. The apparatus of claim 1, wherein the applicator is enlarged relative to the enlarged distal end of the bridge.

5. The apparatus of claim 1, wherein the applicator is substantially square.

6. The apparatus of claim 1, wherein the flexible layer, removable protective release layer, and removable backing layer are shaped with substantially the same perimeter, each having two sets of substantially parallel sides.

7. The apparatus of claim 1, further comprising an intermediate wall, wherein the intermediate wall of the bridge defines one side of the first channel and also defines one side of the second channel.

8. The apparatus of claim 1, wherein the enlarged distal end of the bridge comprises a first aperture and a second aperture, the first aperture corresponding to at least the first channel and the second aperture corresponding to at least the second channel.

9. The apparatus of claim 1, wherein the first channel and second channel are formed as side by side conduits.

10. The apparatus of claim 1, wherein the removable protective release layer covers a perimeter of the flexible layer.

11. The apparatus of claim 1, the applicator further comprising a removable backing layer provided on the upper surface of the flexible layer to facilitate handling of the applicator due to flexibility of the flexible layer, wherein the removable backing layer is positioned beneath the bridge.

12. The apparatus of claim 11, wherein the removable backing layer covers a perimeter of the flexible layer.

13. The apparatus of claim 11, wherein the removable protective release layer covers a first area around a perimeter of the flexible layer and the removable backing layer covers a second area around the perimeter of the flexible layer, wherein the first area is greater than the second area.

14. The apparatus of claim 1, wherein a width of the bridge is greater than a height of the bridge.

15. The apparatus of claim 1, wherein the bridge is comprised of flexible materials.

16. The apparatus of claim 1, further comprising an aperture in the applicator configured to be positioned under the at least one aperture in the enlarged distal end of the bridge.

17. The apparatus of claim 1, wherein the bridge is more rigid than the applicator.

18. The apparatus of claim 1, wherein the first channel overlies the second channel.

19. The apparatus of claim 1, wherein at least the second channel comprises a 3D knitted or 3D fabric material.

20. The apparatus of claim 19, wherein the 3D knitted or 3D fabric material at the enlarged distal end of the bridge has a generally circular shape.

21. A negative pressure wound treatment system, comprising:

a suction adapter comprising the apparatus of claim 1; and

a flexible drape configured to be positioned over a wound and sealed to skin surrounding the wound;

wherein the suction adapter is configured to attach to the drape and surround at least one aperture formed in the drape.

22. The system of claim 21, further comprising a vacuum pump connected by at least one conduit to the suction adapter.

23. A method of applying a suction adapter comprising the apparatus of claim 1 to a wound site, the method comprising:

positioning a drape over the wound site;

removing the removable protective release layer from the applicator to expose the adhesive;

positioning the applicator over an aperture in the drape; and

sealing the applicator to the drape via the adhesive.

24. The method of claim 23, further comprising connecting a fluidic conduit to the proximal end of the bridge.

25. The method of claim 23, further comprising applying negative pressure to the wound site through the suction adapter.

26. An apparatus to provide suction to a wound site through drape covering the wound site, the apparatus comprising:

a bridge comprising;

a proximal end provided with a connector configured to provide fluid communication with a source of negative pressure,

an enlarged distal end having at least one aperture therethrough,

an upper wall and a lower wall extending between the proximal end and the enlarged distal end, and

at least a first channel and a second channel positioned between the upper wall and the lower wall such that at least one of the first channel and second channel is configured to provide fluid communication between the at least one aperture and the connector; and

an applicator configured to be positioned over an opening in the drape comprising a flexible layer having an area that is larger than an area of the enlarged distal end of the bridge;

wherein the flexible layer of the applicator is coupled using an adhesive to the enlarged distal end of the bridge.

27. The apparatus of claim 26, wherein the flexible layer has at least one aperture therethrough.

28. The apparatus of claim 27, wherein the at least one aperture in the enlarged distal end of the bridge is configured, in use, to provide suction to the wound site through the at least one aperture in the applicator.

29. The apparatus of claim 26, further comprising an adhesive provided on a lower surface of the flexible layer configured to seal the applicator to the drape.

30. The apparatus of claim 29, further comprising a removable protective release layer provided over the adhesive on the lower surface of the flexible layer.

31. The apparatus of claim 26, wherein at least one of the first channel and the second channel is configured to provide suction to the wound site.

32. The apparatus of claim 26, wherein the first channel is configured to provide suction to the wound site and the second channel is configured to provide vented air to the wound site.

33. The apparatus of claim 26, wherein the first channel and the second channel are formed as side by side conduits.