JP6633323B2 - 陰圧閉鎖療法のための装置および方法 - Google Patents
陰圧閉鎖療法のための装置および方法 Download PDFInfo
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- JP6633323B2 JP6633323B2 JP2015172834A JP2015172834A JP6633323B2 JP 6633323 B2 JP6633323 B2 JP 6633323B2 JP 2015172834 A JP2015172834 A JP 2015172834A JP 2015172834 A JP2015172834 A JP 2015172834A JP 6633323 B2 JP6633323 B2 JP 6633323B2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/05—Bandages or dressings; Absorbent pads 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]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/02—Adhesive bandages or dressings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/02—Adhesive bandages or dressings
- A61F13/0203—Adhesive bandages or dressings with fluid retention members
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-
- A—HUMAN NECESSITIES
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- A61F13/00—Bandages or dressings; Absorbent pads
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-
- A—HUMAN NECESSITIES
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- A61M1/912—Connectors between dressing and drainage tube
- A61M1/913—Connectors between dressing and drainage tube having a bridging element for transferring the reduced pressure from the connector to the dressing
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- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
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- A61M1/915—Constructional details of the pressure distribution manifold
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- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
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- A61M27/00—Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61F13/00—Bandages or dressings; Absorbent pads
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- A—HUMAN NECESSITIES
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- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
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- A61F13/00—Bandages or dressings; Absorbent pads
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- A61F13/00—Bandages or dressings; Absorbent pads
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00361—Plasters
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- A61F2013/00731—Plasters means for wound humidity control with absorbing pads
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- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
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- A61M1/96—Suction control thereof
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- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/07—General characteristics of the apparatus having air pumping means
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- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
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- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/20—Closure caps or plugs for connectors or open ends of tubes
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- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Vascular Medicine (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Surgery (AREA)
- Otolaryngology (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Massaging Devices (AREA)
Description
本出願は、2009年12月22日に出願した米国仮出願第61/289,358号、2010年5月7日に出願した米国仮出願第61/332,440号、および2010年7月29日に出願した米国仮出願第61/369,008号の利益を主張するものであり、それぞれの全体は参照により本明細書に組み込まれている。
301212993 福澤 昌和(その2)
102 創傷パッキング材料
103 柔軟なドレープ
104 導管
105 捕集ユニット、容器
106 陰圧源
107 フィルター
201 陰圧創傷治療システム
202 柔軟なシュラウド
203 柔軟なドレープ
204 導管
205 創傷パッキング材料
206 開口
207 流路
210 遠位端
211 近位端
212 接着層
213 剥離層、剥離シート
214 柔軟なグロメット
301 陰圧創傷治療システム
302 封止円板
303 ドレープ
304 導管
306 開口
307 流路
310 環状下側支持円板
311 シール
312 接着層
313 保護剥離層
315 上側支持円板
316 中心孔
318 テープの一片または他の接着剤
401 陰圧創傷治療システム
402 一体化された封止リング
403 柔軟なドレープ
404 導管
406 開口
501 陰圧創傷治療システム
502 吸引アダプタ
504 導管
503 ドレープ
505 創傷パッキング材料
506 ドレープの開口
510 下層
511 上層
512 接着剤
513 保護剥離層
515 開口
516 開口
517 絆創膏、クリップ、または他の固定手段
518 近位端
519 遠位端
520 エアーリーク
521 フィルター
602 柔軟な吸引アダプタ
603 柔軟なドレープ
604 導管
605 創傷パッキング材料
606 開口
608 細長い流路
609 スペーサー
610 下層もしくは下側シート
611 上層もしくは上側シート
612 接着剤の層
613 保護剥離層
614、615 コネクタ
616 近位端
617 遠位端
618 開口
619 スペーサー
620 メッシュ
701 創傷治療システム
702 吸引アダプタ
704 導管
707 スペーサー流路
710 下層
711 上層
718 近位端
719 遠位端
720 エアーリーク
721 フィルター
730 コネクタ
731 陰圧源
802 吸引アダプタ
803 ドレープ
804 導管
806 開口
810 細長い平行流路
812 接着剤層
813 剥離層
816 開口
901 創傷治療システム
902 吸引流路
903 ドレープ
904 導管
905 創傷パッキング材料
907 スペーサー
910 底部層
911 上部層
912 接着剤層
913 剥離シート
916 開口
1001 創傷治療システム
1002 吸引流路
1003 ドレープ
1010 尾根または折り曲げ部
1101 創傷治療システム
1102 吸引流路
1103 ドレープ
1107 突起
1110 底部層
1111 上部層
1116 開口
1201 創傷治療システム
1202 吸引アダプタ
1206 面取り面
1216 中心開口
1218 近位部分
1219 遠位部分
1301 創傷治療システム
1302 穿孔キャップ
1303 ドレープ
1307 吸引基部
1308および1309 係合機構
1310 バイオネットまたは他の穿孔要素
1311 中心開口
1401 創傷治療システム
1403 ドレープ
1404 導管
1405 創傷パッキング材料
1406 着脱可能な部分
1407 流路
1408 シールブリッジ
1412 接着剤
1501 システム
1502 ブリッジ
1503 近位端
1505 遠位端
1510 上層
1512 上側流路層
1514 中間層
1516 下側流路層
1518 底部層
1520 アプリケータ
1522 視界窓
1524 制御されたエアーリーク
1526 開口
1528 両面接着テープ
1529 保護剥離層
1530 柔軟な層
1532 保護剥離層
1601 創傷治療システム
1603 上部層
1604 導管
1605 ウィッキング層
1606 開口
1607 底部層
1608 保護層
1610 流体コネクタ
1612 流路
1701 陰圧創傷治療システム
1703 ドレープ
1704 導管またはチューブ
1708 剥離層
1710 コネクタ
1712 ロープロファイルのポート
1801 陰圧治療システム
1803 上部層
1804 チューブ
1805 柔軟なウィッキング層
1806 開口
1808 底部層
1810 流体コネクタ
1901 陰圧治療システム
1903 ドレーン部分
1904 導管
1905 ウィッキング層
1910 吸引アダプタ
1916 制御されたエアーリーク
1917 フィルター要素
1918 内腔
2001 陰圧創傷治療システム
2004 導管もしくはチューブ
2006 吸引ヘッド
2008 テール
2009 流路
2010 吸引アダプタ
2012 開口
2016 エアーリーク
2101 陰圧創傷治療システム
2103 封止円板
2104 チューブまたは導管
2106 中心開口
2108 接着剤層
2110 フラップ
2201 陰圧創傷治療システム
2203 ポート
2206 側部開口
2210 コネクタ
2212 穿孔端部
2214 尖っていない、より短い端部
2216 接着剤層、エアーリーク
2217 フィルター
2218 開口
2301 陰圧創傷治療システム
2303 ポート
2304 チューブまたは導管
2306 開口
2308 側部開口
2309 流路
2310 穿孔流体コネクタ
2312 穿孔先端部
2314 近位側
2401 陰圧創傷治療システム
2403 ドレープ
2405 ポート
2406 大きな開口
2410 穿孔流体コネクタ
2412、2413 穿孔先端部
2415 エアーリーク
2418 ホース継手
2420、2422 側部ポート
2501 創傷治療システム
2503 ドレープ
2504 チューブまたは導管
2510 流体コネクタ
2515 フィルター
2520 マニホールド
2601 陰圧創傷治療システム
2603 ドレープ
2604 チューブまたは導管
2610 流体コネクタ
2614 エアーリーク
2615 フィルター
2620 マニホールド
2701 陰圧創傷治療システム
2703 ドレープ
2704 導管
2710 流体コネクタ
2712 吸引ブリッジ
2714 制御されたエアーリーク
2715 フィルター
2716 空気流路
2718 開口
2720 流体チャネリング材料
2722 流体不浸透性材料
2801 陰圧創傷治療システム
2804 チューブもしくは導管
2805 吸引ヘッド
2806 開口
2810 流体コネクタ
2814 制御されたエアーリーク
2901 陰圧創傷治療システム
2904 導管
2905 吸引テール
2906 開口
2908 吸引ヘッド
2910 突出部
2912 中心流路
2914 エアーリーク
2915 フィルター
3001 創傷治療システム
3003 ドレープ
3005 吸引ヘッド
3006 開口
3008 プレート
3010 穿孔ノズル
3014 エアーリーク
3101 陰圧治療システム
3103 ドレープ
3104 チューブもしくは導管
3105 吸引ポート
3106 開口
3107 プレート
3110 コネクタ
3111 バーブ
3114 エアーリーク
3116 フラップ
3201 陰圧システム
3202 ドレープ
3203 ポート
3204 チューブ
3205 接着剤層
3207 開口
3209 貫通開口部
3210 被覆体
3212 制御されたエアーリーク
3213 フィルター
3215 切削工具
3217 接続ポート
3301 陰圧治療システム
3304 脱着可能なチューブ
3305 テンプレート
3306 両面接着剤層
3307 切断ガイド
3309 ポート
3311 ドレープ
3312 剥離層
3401 陰圧治療システム
3403 ポート
3405 流路
3407 接着剤層
3409 剥離層
3411 開口部
3501 陰圧システム
3503 ポート
3504 チューブ
3505、3506 ドレープストリップ
3507 取り付けポート
3509 接着剤層
3510 適宜剥離層
3601 陰圧治療
3603 ドレープ
3604 チューブ
3605 排液流路
3607 排液孔
3610 剥離層
3701 陰圧治療システム
3703 ドレープ
3704 チューブ
3705 ポート
3707 小型の自己封止開口部
3709 剥離層
3801 陰圧治療システム
3803 リング
3805 ポート
3807 タブ
3808 陥凹部
3809 コネクタ
3811 剥離層
3812 切開部
3813 ドレープ
3901 陰圧治療システム
3903 ポート
3904 チューブ
3905 一方向弁
3907 ドレープ
3909 エアーリーク
4001 陰圧治療システム
4003 流体コネクタ
4004 チューブ
4005 ドレープ
4007 吸引ヘッド
4009 アダプタ
4011 エアーリークフィルター
4101 陰圧治療システム
4103 吸引アダプタ
4104 単一のチューブ
4105 ドレープ
4106 チューブ
4107 収束点
4109 エアーリーク
4111 シール
4201 陰圧治療システム
4203 ドレープ
4204 チューブ
4205 開口
4206 領域
4207 剥離層
4209 制御されたエアーリーク
4211 ポート
4212 コネクタ
4213 剥離層
4301 陰圧治療システム
4303 ポート
4304 チューブ
4305 穿孔先端部
4307 開口
4308 ドレープ
4309 一部
4311 制御されたエアーリーク
4312 接着剤層
4401 陰圧治療システム
4403 ドレープ
4404 チューブ
4405 吸引ポート
4406 コネクタ
4407 空気流路
4501 陰圧治療システム
4503 ドレープ
4504 チューブ
4505 ポート
4507 交差結合された空気流路
4509 ドーム型部分
4512 細長い部分
4513 流体アダプタ部分
4601 陰圧創傷治療システム
4603 吸引流路
4604 チューブ
4605 被覆体
4607 中心の捕集器
4609 中心エアーリーク
4701 陰圧治療システム
4703 吸引ユニット
4704 チューブ
4705 不浸透性部分
4707 膜
4709 剥離層
4801 陰圧治療システム
4803 柔軟な吸引アダプタシート
4804 チューブ
4805 平面部分
4806 テール部分
4807 コネクタ
4810 底部層
4811 上部層
4812 穿孔
4813 流路
4815 ドレープ
4901 陰圧治療システム
4903 創傷パッキングパウチ
4904 チューブ
4905 ポート
4907 ドレープ
4909 充填材
4910 膜
4913 遠位ヘッド部分
4915 コネクタ
4917 エアーリーク
5001 陰圧治療システム
5003 封止ポート
5004 チューブ
5005 遠位ヘッド部分
5006 近位テール部分
5007 コネクタ
5009 外側真空リング
5011 スロット
5013 エアーリーク
5014 エアーフィルター
5015 流路
5101 陰圧創傷治療システム
5103 吸引アダプタ
5104 チューブ
5105 真空部分
5106 制御されたエアーリーク部分
5107 コネクタ
5108 液体不浸透性膜
5109 開放端
5111 テープ片
5201 陰圧治療システム
5203 ブラダー
5204 チューブ
5205 吸引アダプタシート
5206 近位部分
5207 ドレープ
5209 ストラップ
5210 コネクタ
5301 陰圧創傷治療システム
5303 ブラダー
5304 チューブ
5305 ドレープ
5307 創傷接触材料
5309 開口
5311 吸引アダプタ
5401 陰圧創傷治療システム
5403 創傷パッキング材料
5404 チューブ
5405 ロール
5407 ドレープ
5408 エアーリーク
5409 ポート
5501 陰圧創傷治療システム
5502 ブリッジ
5503 近位端
5504 コネクタ
5505 遠位端
5506 流路コネクタ
5507 コネクタチューブ
5510 上層
5512 上側流路層
5512および/または5516 流路
5516 下側流路層
5514 中間層
5518 底部層
5520 アプリケータ
5524 エアーリーク
5525 フィルター
5526 開口
5527 キャップの鎖
5528 両面接着テープ
5529 保護剥離層
5530 創傷
5531 ドレープ
5532 溶着部
5533 孔
5534 ポンプまたは陰圧ユニット
5535 開口
5536 キャップ
5540 チューブ
5550 層
5552 バッキング層
5603 底部側
5605 上部側
5607 開放中間領域
5609 繊維
5611 開口
5613 開口部
5704 コネクタ
5704a コネクタ
5716 流路
5740 チューブ
5752 突出部
5754 バーブ
5755 中心流路
5756 リップ
Claims (11)
- 第1のドレープであって、創傷の上に位置付けられて前記創傷の周りの皮膚に封止されるように構成された第1のドレープと、
前記第1のドレープ内に形成された開口と流体的に連通するように構成された柔軟な吸引アダプタであって、
近位部分、
開口を有する拡大された遠位部分、
陰圧源と流体的に連通するように構成された流路、及び
前記第1のドレープ内の前記開口及び前記遠位部分の前記開口を通して創傷部位を視覚化するように構成された視覚化窓
を備える吸引アダプタと、
前記吸引アダプタおよび前記第1のドレープの上に配置されて前記吸引アダプタを前記第1のドレープに対して流体的に封止するように構成された第2のドレープと、
を具備する陰圧創傷治療システムであって、
前記第1のドレープ内に形成された前記開口と前記遠位部分の前記開口とが流体的に連通し、前記流路が、前記近位部分と前記遠位部分との間に位置し、前記遠位部分の前記開口と流体的に連通する、陰圧創傷治療システム。 - 前記第1のドレープが、前記第1のドレープのうちの創傷に面する側に接着剤層をさらに備えている、請求項1に記載の陰圧創傷治療システム。
- 前記第2のドレープが、前記第2のドレープのうちの創傷に面する側に接着剤層をさらに備えている、請求項1または2に記載の陰圧創傷治療システム。
- 前記流路が、創傷部位から流体を引き出すように構成された吸引流路である、請求項1から3の何れか一項に記載の陰圧創傷治療システム。
- 前記吸引アダプタの少なくとも一部が、シリコーン製である、請求項1から4の何れか一項に記載の陰圧創傷治療システム。
- 前記第1のドレープの下の前記創傷のところに位置付けられるように構成された創傷パッキング材料をさらに備えた、請求項1から5の何れか一項に記載の陰圧創傷治療システム。
- 前記柔軟な吸引アダプタの前記拡大された遠位部分の前記開口が、前記第1のドレープの前記開口の上に位置付けられるように構成された中心開口である、請求項1から6の何れか一項に記載の陰圧創傷治療システム。
- 前記吸引アダプタが、前記第1のドレープに対して封止すると共に前記第1のドレープの少なくとも1つの前記開口を囲むように構成されている、請求項1から7の何れか一項に記載の陰圧創傷治療システム。
- 前記吸引アダプタが、面取りされた縁をさらに備える、請求項1から8の何れか一項に記載の陰圧創傷治療システム。
- 前記吸引アダプタが、前記吸引アダプタのうちの創傷に面する側に接着剤層をさらに備える、請求項1から9の何れか一項に記載の陰圧創傷治療システム。
- 前記創傷から創傷浸出液を取り除くように構成された前記陰圧源をさらに備えた、請求項1から10の何れか一項に記載の陰圧創傷治療システム。
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