【発明の詳細な説明】潅 注 包 帯本発明は深い傷用の潅注包帯（ｊｒｒｔｇａＮｏｎ ｄｒｅｓｓｉｎｇ）に関し、この潅注包帯は、接着剤と空気及び液体が実質的に不透過性のプレートとを有し、このプレートは液体を供給したり吸引して排出するための及び均圧のための少なくとも一つの孔を有する。[Detailed description of the invention]Irrigation Note Wrap ObiThe present invention relates to non-dressing for deep wounds., this irrigated dressing has an adhesive and a plate that is substantially impermeable to air and liquids.This plate is used for supplying, suctioning and discharging liquid, and for pressure equalization.It has at least one hole.
臨床治療では、深い傷はしばしば感染症に冒され、これは治癒過程に悪影響を及ぼし患者の療養期間を長引かせてしまう。実際、緊急を要しない全ての外科手術のうちの２％、及び緊急を要する全ての外科手術のうちの１０％乃至１２％が感染症を併発する。これらの患者は更に４日乃至７日に亘って１日あたり１５００ＳＥＫの費用で療養しなければならないため、こうした感染症を効率的に治療することが最も重要なことであるのは明らかである。患者の神経の受傷を伴う圧傷（ｐｒｅｓｓｕｒｅ ５ｏｒｅ）はしばしば感染症に冒される。英国国立健康サービス（Ｂｒｌｔｉｓｈ Ｎａｔｉｏｎａｌ Ｈｅａｌｔｈ ５ｅｒｖｉｃｅ）は、圧傷が英国医療サービス（Ｂｒｉｔｉｓｈ Ｍｅｄｉｃａｌ ５ｅｒｖｌｃｅ）に毎年９億８ＥＫ以上の費用を課しているということに注意を促している。In clinical treatment, deep wounds are often affected by infection, which negatively affects the healing process.This will prolong the patient's recuperation period. In fact, all non-emergency surgical procedures2% of all emergency surgeries and 10% to 12% of all emergency surgeries.Concomitant infection. These patients received an additional 1500 ml per day for 4 to 7 days.It is difficult to treat these infections efficiently as medical treatment is required at the SEK cost.It is clear that the most important thing is to Pressure injury with injury to the patient's nerves(pressure 5ore) is often affected by infections. UK National Health ServiceService (Brltish National Health 5 service)British Medical Service (British Medical 5ERVLC)e), which costs more than 908 million EK every year.
現在行われている局部的な医療処置は、死滅した組織を除去し、傷を洗浄し潅注することから成る。こうした傷はゴムドレンで排液され、生理食塩水で濡らしたガーゼ圧縮物が詰められる。追加の圧縮物が頂部上に配置され、接着包帯で覆われる。傷内の圧縮物は傷キャビティの壁を支持するのに役立ち、成る程度傷を動かないようにし、患者の苦痛を緩和する。更に、こうした圧縮物は傷からの液体及びＩＩＩ／＋を吸収し、かくして傷及び期すを取り巻く領域をきれいに保つのに役立つ。小さいものについては、充填物としてフオームラバー等を使用するのがよい。このような材料は、健康的な傷表面をつくるのを促す。傷キャビティを適切に「詰める」には非常に高度な職業的技術を必要とする。−回の包帯巻きには１５分乃至３０分を必要とし、これは患者に大きな苦痛をもたらす。更に、毎日６回乃至７回の包帯巻きが必要とされる。大きな傷では幾つかの圧縮物が必要とされ、一つの圧縮物が傷の後ろに残ってしまうと感染症を助長し傷キャビティを大きくしてしまう。Current local medical treatments include removing dead tissue, cleaning and irrigation of the wound.consists of doing. These wounds were drained with a rubber drain and moistened with saline.Packed with gauze compress. Additional compresses are placed on top and covered with an adhesive bandageIt will be done. Compress within the wound helps support the walls of the wound cavity and to some extent mobilizes the wound.prevent the patient from suffering and alleviate the patient's pain. Additionally, these compresses absorb fluid from wounds.and III/+, thus keeping the area surrounding the wound and wound clean.useful for. For small items, use foam rubber etc. as a filling material.Good. Such materials encourage the creation of a healthy wound surface. wound cavityProper "packing" requires a very high level of professional skill. - For bandagingrequires 15 to 30 minutes, which causes great pain to the patient. Furthermore, everyBandaging is required six to seven times a day. Large wounds require several compressesIt is believed that if a single compress is left behind a wound, it can promote infection and damage the wound cavity.It makes it bigger.
例えば米国特許第３．７５３．４３９号には、感染を起こした傷キャビティを包帯なしで排液し潅注するための装置が開示されている。しかしながら、この従来技術の装置は時々排液するようになっており、包帯として使用することができない。例えば西独特許第２．８０９，８２８号、米国特許第３’、０２Ｂ、８７４号、米国特許第３，８７４，３８７号、米国特許第２ 、２８０ 、９１．５号には、表面的な傷を潅注するための装置が開示されている。これらの特許に開示された包帯を使用する場合には、深い傷を潅注することが不可能であり、更に、これらの包帯の大部分は非常に複雑な構造を有する。上述の特許に開示された方法は実際上の不便を被り、これらを臨床使用に不適にしている。For example, U.S. Pat. No. 3,753,439 describesA device for draining and irrigation without a band is disclosed. However, this conventionalThe technology device sometimes drains and cannot be used as a bandage.stomach. For example, West German Patent No. 2.809,828, U.S. Patent No. 3', 02B, 874No. 3,874,387, U.S. Patent No. 2,280,91.5discloses a device for irrigation of superficial wounds. Disclosed in these patentsWhen using bandages, it is impossible to irrigate deep wounds and, moreover,Most of these bandages have a very complex structure. Those disclosed in the above-mentioned patentsThe methods suffer from practical inconveniences, making them unsuitable for clinical use.
かくして、深い傷の処置を改善し且つ簡単にする補助器具についての大きな必要がある。この補助器具は、安価で取扱いが容易であり且つ苦痛を緩和するものでなければならない。Thus, there is a great need for aids to improve and simplify the treatment of deep wounds.There is. This auxiliary device is inexpensive, easy to handle, and relieves pain.There must be.
本発明の一つの目的は、傷キャビティの深さに関わらず全ての種類の傷キャビティに使用でき、更に、安価に製造できる潅注包帯を提供することである。One objective of the present invention is to treat all types of wound cavities regardless of the depth of the wound cavity.It is an object of the present invention to provide an irrigating dressing that can be used for various purposes and can be manufactured at low cost.
本発明の他の目的は、特殊な訓練を受けていない職員が取り扱うことができ、患者の自由な動きを妨げることのない潅注包帯を提供することである。Another object of the invention is that it can be handled by untrained personnel and that patientsThe purpose of the present invention is to provide an irrigated dressing that does not impede a person's free movement.
本発明の更に他の目的は、現在の技術と比べて傷キャビティの再包帯巻きの数を大きく減らす潅注包帯を提供することである。Yet another object of the invention is to reduce the number of wound cavity re-dressings compared to current technology.It is to provide a greatly reducing irrigation bandage.
これらの目的は、外側層、内側接着剤層、及び任意に前記接着剤層に貼り付けた剥離層からできた、実質的に空気及び水が不透過性の可撓性プレートを有し、このプレートには少なくとも一つの孔が形成され、この孔には液体を供給したり吸引して出したりするため導管が連結され、前記孔は均圧にも使用される、潅注包帯によって達成される。These purposes include an outer layer, an inner adhesive layer, and optionally an adhesive layer affixed to said adhesive layer.a substantially air- and water-impermeable flexible plate made of a release layer;At least one hole is formed in the plate of theThe irrigation bag is connected with a conduit for pulling in and out, and the hole is also used for pressure equalization.Achieved by obi.
本発明の実施態様を概略に例示する添付図面を参照して本発明を以下に詳細に説明する。The invention will be described in detail below with reference to the accompanying drawings, which schematically illustrate embodiments of the invention.I will clarify.
図面の簡単な説明、第１図は、本発明による潅注包帯の断面図であり、第２図は、本発明による潅注包帯の外面を示す平面図であり、第３図乃至第６図は、本発明による潅注包帯の部分の異なる実施態様を示す断面図であり、第７図は、液体を供給したり排出したりするための導管の一実施態様の断面図であり、第８図は、本発明による潅注包帯の別の実施態様の断面図であり、・第９図は、液体を供給したり排出したりするための導管の変形態様を示す図であり、第１０ａ図及び第１０ｂ図は、本発明による潅注包帯に連結できる袋の実施態様を示す図である。Brief description of the drawing, FIG. 1 is a cross-sectional view of an irrigated bandage according to the invention, and FIG.Note: It is a plan view showing the outer surface of the bandage.3 to 6 show cross-sections of different embodiments of parts of the irrigated dressing according to the invention.is a diagram,FIG. 7 is a cross-sectional view of one embodiment of a conduit for supplying and discharging liquid;can be,FIG. 8 is a cross-sectional view of another embodiment of an irrigated dressing according to the invention;FIG. 9 is a diagram showing a modified form of a conduit for supplying and discharging liquid.the law of nature,Figures 10a and 10b show embodiments of a bag that can be connected to an irrigation bandage according to the invention.FIG.
実 施 例第１図及び第２図は本発明による潅注包帯を図示し、この潅注包帯は、外□側層２及び内側接着剤層３でできた、皮膚に簡単に馴染む可撓性プレート１を有する。外側層は空気及び液体不透過性の可撓性材料、例えばポリウレタンフォームでできており、内側接着剤層は、例えば、親水コロイド接着剤でできている。内側接着剤層３には保護紙５が設けられ、この保・護紙は、変形態様ではパッケージの一部を形成してもよい。外側層と内側層との間の中心には、例えばシリコンでできた補則部分４がある。Example1 and 2 illustrate an irrigated dressing according to the invention, which irrigated dressing has an outer □ side layer.2 and an inner adhesive layer 3, comprising a flexible plate 1 that easily conforms to the skin.. The outer layer is an air and liquid impermeable flexible material, e.g. polyurethane foam.The inner adhesive layer is made of, for example, a hydrocolloid adhesive. insideA protective paper 5 is provided on the adhesive layer 3, and this protective paper is used as a package in a modified form.may form part of the In the center between the outer layer and the inner layer, there is a layer of silicone, for example.There is a supplementary rule part 4 that has been completed.
変形態様では、この補剤分をプレート１の頂面又は底面に設けてもよい。In a variant, this supplement may be provided on the top or bottom side of the plate 1.
二つの孔６．７がプレートｌ及び補則部分４に形成され、連結部８．９がこれらの孔に配置されている。液体を供給したり排出したりするため、皮膚に優しく且つ壊れることのない可撓性材料でできた導管１０が孔６の連結部８に固定される。この導管は、例えば、管壁の厚いシリコンホースである。このホースの下端は真っ直ぐに切断されているのがよいが、端部が尖っているのが適当であり、これはホースの使用を容易にする。更に、可撓性パッド１１、例えば開孔毛管システムを形成する合成繊維又はフオームラバー製の円筒形部片がホースの下端に配置されている。導管の端部に設けられたこのパッドは、傷キャビティの空間を多かれ少なかれ満たすことができる。導管１０は、所定長さを有するか、或いは適当な長さに合わせて引き離すことができるように弱くされた部分即ち破断線１７を種々の高さに有するかのいずれかである。これを第７図に示す。Two holes 6.7 are formed in the plate l and the supplementary part 4, and a connection 8.9 connects them.located in the hole. Because it supplies and drains liquid, it is gentle on the skin andA conduit 10 made of an unbreakable flexible material is secured to the connection 8 of the hole 6.. This conduit is, for example, a thick-walled silicone hose. The bottom end of this hose isIt is better to have a straight cut, but it is better to have a pointed end.facilitates use of the hose. Furthermore, a flexible pad 11, e.g. an open capillary systemA cylindrical piece of synthetic fiber or foam rubber forming a foam is placed at the lower end of the hose.has been done. This pad at the end of the conduit frees up more space in the wound cavity.can be satisfied at least. The conduit 10 may have a predetermined length or a suitable length.The weakened part, that is, the break line 17, so that it can be pulled apart according to the desired length.Either have it at various heights. This is shown in FIG.
プレート１の外側層２並びに導管１０及び剛性部分４は、シリコン、塩化ビニルプラスチック、又は任意の他の適当なプラスチック又はラバーから成るのがよい。The outer layer 2 of the plate 1 as well as the conduits 10 and rigid parts 4 are made of silicone, vinyl chloride.May be made of plastic or any other suitable plastic or rubber.
孔７は関連した連結部９とともに均圧機能を有する。The bore 7, together with the associated connection 9, has a pressure equalization function.
ここでは空気が自由に通過する。孔７は必然的にでないが連結部を備えているが、通孔から成るのがよい。連結部を孔７に配置した場合には、変形態様として水シール１３（・第３図参照）を備えているのがよく、幅狭の孔領域内に十分な隙間がない場合には、一時的にだけ連結部に連結され、次いで外される水シール装置（図示せず）を゛備えるのがよい。更に他の実施態様では、第４図に示すように、連結部に水レベル表示器１４、例えば透明なゴムホースが取付けられている。かくして、傷キャビティが潅注液で満たされ、吸引除去を開始しなければならないときに視認を行うことができる。第５図から明らかなように、細菌が入らないようにするための空気フィルタ１５を孔７に設けるのがよい。第６図に示すように、外゛開本透過層及び接着剤層に代わる多孔性の空気透過性材料でできた領域１６を孔７の代わりにプレート１に設けえもよく、かくして、均圧機能を果たす。この場合、この多孔性材料は適当には撥水性表面を皮膚に面する側に有する。連結部８及び９の両方は適当には病院の出口システムに連結されるようになっている。Air passes freely here. Although hole 7 is not necessarily provided with a connecting portion,, preferably consists of a through hole. When the connecting part is placed in the hole 7, the modified form is water.A seal 13 (see Figure 3) is preferably provided to ensure sufficient clearance within the narrow hole area.If there is no time limit, a water sealing device that is only temporarily connected to the connection and then removed.It is preferable to provide a location (not shown). In yet another embodiment, as shown in FIG.A water level indicator 14, for example a transparent rubber hose, is attached to the connection.. The wound cavity is thus filled with irrigation fluid and suction removal must begin.Visual confirmation can be performed when the vehicle is not available. As is clear from Figure 5, bacteria do not enter theIt is preferable to provide an air filter 15 in the hole 7 to prevent the air from entering the air. It is shown in Figure 6.In addition, an area made of a porous air permeable material can be used instead of an open book permeable layer and an adhesive layer.The area 16 can also be provided in the plate 1 instead of the hole 7, thus performing the pressure equalization function.vinegar. In this case, the porous material suitably has a water-repellent surface on the side facing the skin.. Both connections 8 and 9 are suitably adapted to be connected to a hospital exit system.ing.
突出したりして邪魔になる部品を無くすため、連結部８及び９は、適□当には、外側層２の外面、即ち接着剤層に底力゛付けられた側の反対側の側部が皿形に座ぐりされている。補剤プレート部分４は、包帯がこのプレートがなくても十分に安定する場合には設けなくてもよい。使用前、及び潅注及び排液の後、前記二つの連結部を接着テープの片又は、例えばシリコン絆創膏の蓋で閉じることができる。In order to eliminate parts that protrude and get in the way, the connecting parts 8 and 9 should beThe outer surface of the outer layer 2, that is, the side opposite to the side that is applied with the adhesive layer, is seated in a dish shape.It's hollowed out. Supplementary plate part 4 allows the bandage to be applied sufficiently without this plate.It may not be provided if it is stable. Before use and after irrigation and drainage, the above twoThe joint can be closed with a piece of adhesive tape or with a lid, e.g. a silicone bandage.Ru.
ホースの側から遠ざかる方向に向いた側では、孔６及びこの孔と関連した連結部は、潅注液を傷キャビティに供給し、又ここから排液するための例えば注射器（第１図参照）に連結されるようになっている。大きな傷キャビティの場合には、点滴でキャビティを満たすのが必要である。こうした場合には、キャビティを排液するための関連した注射器を備えた連結部を二方向弁に連結するのがよい。この注射器によって、液体がキャビティから一方の方向で吸い出され、他の方向に押し出される。On the side facing away from the side of the hose there is a hole 6 and a connection associated with this hole.For example, a syringe ((see Figure 1). In case of large wound cavity,It is necessary to fill the cavity with a drip. In these cases, eject the cavity.A connection with an associated syringe for dispensing may be connected to the two-way valve. childThe syringe draws liquid out of the cavity in one direction and in the other direction.being pushed out.
変形態様では、液体の供給及び排出並びに均圧用の単一の孔をプレート１に形成することができる。これは、孔に連結された二重導管である導管１０によって、又は傷キャビティからの空気を導管の側方に通すことによって行われる。In a variant, a single hole is formed in plate 1 for the supply and discharge of liquid and for pressure equalization.can do. This is achieved by a double conduit 10 connected to the hole.or by passing air from the wound cavity to the side of the conduit.
第８図は、本発明の潅注包帯の更に別の実施態様を図示する。この潅注包帯は不透過性の袋１８を有し、この袋は傷キャビティを充填するのに使用される。水のような液体又は空気のようなガスで全体が又は部分的に満たされたこの袋は、満たされると傷キャビティの壁の形状に適合する。この袋を使用した場合には、圧縮材料又は他の充填材料が必要とされない。通常は、この袋は弾性であり且つ高分子材料、場合によってはフオーム材料又はラテックスラバーでできているが、非弾性であってもよい。この袋は、動かないようにするのに支持及び寄与を与えるばかりでなく、その異物が治癒過程を賦勢する。FIG. 8 illustrates yet another embodiment of the irrigated dressing of the present invention. This irrigation bandage isIt has a permeable bag 18, which is used to fill the wound cavity. WaterThis bag, wholly or partially filled with a liquid such as, or a gas such as air, isWhen pressed, it conforms to the shape of the wall of the wound cavity. When using this bag, the pressureNo shrinkage or other filler material is required. Usually this bag is elastic and highMade of molecular materials, sometimes foam materials or latex rubber,It may be inelastic. This bag provides support and contributes to immobilization.Not only that, but the foreign body also stimulates the healing process.
この場合、プレート１には、袋１８を連結し且つこの袋を再充填するための更に別の開口１９が形成される。この間口１９には、例えば、ゴム膜が設けられている。この実施態様は、患者及び職員の両方について、傷に包帯を巻（のを更に容易にする。有利には、本発明にょる潅注は袋と傷の表面との間に層を含む。In this case, the plate 1 has an additional device for connecting the bag 18 and for refilling this bag.Another opening 19 is formed. For example, a rubber membrane is provided in this frontage 19.Ru. This embodiment further facilitates wound dressing for both patients and personnel.make it easier Advantageously, the irrigation according to the invention includes a layer between the bag and the wound surface.
袋１８°は積極的な機能も有する。この袋は、例えば、液体で満たされた袋の内部から例えば薬剤調製物を通すことができるように半透膜からできている。変形゛態様では、薬剤調製物、他の治癒物質、殺菌剤等を袋の壁に備えるのがよい。Bag 18° also has a positive function. This bag can be used, for example, inside a bag filled with liquid.It is made of a semi-permeable membrane so that, for example, a drug preparation can pass therethrough. deformationIn this embodiment, pharmaceutical preparations, other healing substances, disinfectants, etc. may be provided on the walls of the bag.
液体レベルがプレート１に達した後、傷キャビティからの液体の吸引を容易にするため、傷の表面に面した袋の壁に開放連通管即ちダクト２４（第１゜ａ図参照）を設けるのがよく、このダクトは、液体をパッド１１又は導管１０の開口に向かって分配したり排出したりするのに役立つ。この袋は、第１０ｂ図に示すように、別体のダクトの代わりに締め付は部分２５を有してもよく、これらの締め付は部分２５は、結果的に袋の壁と傷の表面との間にダクトを形成する。これらの締め付は部分は、参照番号２５を附した袋の弾性の低い材料によらでつくられる。更に、毛管活性材料、例えば織物を袋の外壁面に貼り付けて潅注液体の排液を容易にするのがよい。別の実施態様は一外側壁と内側壁との間の層に液体ダクトが形成されるように二重壁を備えた袋１）８を設計することである。この場合でも外側壁は、・例えば薬剤調製物を通すことのできる半透材料、又は毛管活性材料のいずれかでできているのがよい。更に、ダクトには全体的に又は部分的に孔が穿たれているのがよ□く、袋には全体的に又は部分的にダクトが形成されているのがよく、この際、これと同時に毛管材料及び半透材料の両方でできている。After the liquid level reaches plate 1, it is possible to facilitate suction of the liquid from the wound cavity.An open communicating tube or duct 24 (see Figure 1a) is placed in the wall of the bag facing the surface of the wound in order to), the duct directing the liquid towards the pad 11 or the opening of the conduit 10.Useful for distributing and discharging. This bag is as shown in Figure 10b.In addition, instead of a separate duct, the clamping may have a section 25, these clampingThe portion 25 consequently forms a duct between the wall of the bag and the surface of the wound. theseThe fastening part is made of a less elastic material of the bag with reference number 25.. In addition, a capillary active material, such as a fabric, can be applied to the outer wall of the bag to allow drainage of irrigation fluid.It's better to make it easier. Another embodiment includes one liquid duct in the layer between the outer and inner walls.The objective is to design the bag 1) 8 with a double wall so that a In this caseThe outer wall may also be made of semi-permeable material, or capillary active material, through which drug preparations can pass, for example.It is best if it is made of one of the following materials. Additionally, the duct may be fully or partially perforated.It is best to have a duct perforated in the bag, either completely or partially.It is preferably made of both a capillary material and a semi-permeable material at the same time.
袋１８は゛、更に、潅注の後、実質的に安定器として役立つ。この場合、袋は本発明の潅注包帯とだけでなく他の別体のプレート又は接着剤層とも使用することができる。傷中の異物であることによって、袋は治癒過程を賦勢する。袋の導入を更に容易にするためプレート１と袋１８との間の連結部をホースで延長す、る、４のがよい。The bag 18 also serves essentially as a stabilizer after irrigation. In this case, the bag is a bookFor use not only with the irrigated bandage of the invention, but also with other separate plates or adhesive layers.Can be done. By being a foreign body in the wound, the sac stimulates the healing process. introduction of bagsTo further facilitate the process, the connection between plate 1 and bag 18 is extended with a hose., 4 is better.
第９図は、導管１０の下部の一実施態様を図示する。FIG. 9 illustrates one embodiment of the lower portion of conduit 10. FIG.
この実施態様は、袋を備えた包帯の場合に使用するのに特に適している。この場合、傷の最深部に、配置される・烙］き導管の端部には、毛管機能又は非毛管機能を有する・連。This embodiment is particularly suitable for use in the case of bandages with bags. this placeThe end of the burnt conduit, which is placed in the deepest part of the wound, may have a capillary or non-capillary function.A group with the ability.
通又は非連通室又はダクト２２を有するパッド１１・が、備えられている。場合によっては、パッドは、外圧又は内圧に対してダクトを開放状態に保持する安定化手段を有する。パッドの室又はダクトは外方に及び導管１０に開口し、表面の主要部分又は非主要部分に孔が形成されていることのある可撓管２１と連通するのがよい。これらの可撓管は傷め表面に亘って分布されており、傷からの液体並びに潅注液体が袋と傷の表面との間のこれらの管を通ってパッドに排液される。A pad 11 with communicating or non-communicating chambers or ducts 22 is provided. caseIn some cases, the pad is a stabilizer that holds the duct open against external or internal pressure.It has a means of conversion. The chambers or ducts of the pad open outwardly and into the conduit 10 and areIt communicates with a flexible tube 21 that may have holes formed in its main or non-main parts.It is better. These flexible tubes are distributed over the wound surface and allow fluid flow from the wound.Irrigation fluid drains into the pad through these tubes between the bag and the wound surface.
変形態様では、パッドは更に剛性の材料、例えば皮膚に優しいプラスチックでできている。このパッドは潅注液体を広範な領域に亘って分配するため、複数の孔を有する。In a variant, the pad can be made of a more rigid material, such as a skin-friendly plastic.coming. This pad has multiple holes to distribute irrigation fluid over a large area.has.
袋１８を使用した上述の実施態様では、導管１０は袋の側方に配置されている。In the embodiment described above using a bag 18, the conduit 10 is placed on the side of the bag.
導管１０が袋１８を貫通していてもよいということは理解されよう。It will be appreciated that the conduit 10 may extend through the bag 18.
本発明による潅注包帯は以下の通りに作動する。導管１０、及び場合によっては導管の端部のパッド１１を治療されるべき傷キャビティの最深部に配置し、この際、キャビティの残部をガーゼ圧縮物で満たす。袋１８を使用する実施態様をこの代わりに使用する場合には、袋を適当な程度まで充填し、次いでその容積の最小調整のため傷キャビティに配置する。次いで、接着剤を皮膚に向けてプレートｌを傷キャビティ上に貼り付け、プレートが所定位置にあるとき、連結部８及び９を除いてこのシステムをシールする。潅注治療では、キャビティが完全に満たされているように傷の表面は常に上向きである。The irrigation bandage according to the invention works as follows. conduit 10, and optionallyPlace the pad 11 at the end of the conduit in the deepest part of the wound cavity to be treated;At this time, fill the remainder of the cavity with gauze compress. This embodiment uses bag 18.When used in place ofPlace it in the wound cavity for minor adjustments. Then, place the plate with the adhesive facing the skin.1 onto the wound cavity, and when the plate is in place, connect the connecting parts 8 andSeal this system except for 9. Irrigation treatment completely fills the cavity.The surface of the wound is always facing upwards as shown.
次いで、導管及びパッド傷の最深部に配置する。傷キャビティが非常に大きいものでない場合には、注射器を連結部８に連結し、キャビティがみたされ゛たこと′を示・す：表゛示があるまで潅注液体をキャビティに供給する。次い・で。The conduit and pad are then placed in the deepest part of the wound. The wound cavity is also very large.If not, connect the syringe to the connection part 8 and check that the cavity is filled.’ indicates: Supply irrigation fluid to the cavity until indicated. Next.
キャビティを排液し、注射器を取り外し、連結部を閉じる。パッド１１は傷キャビティの底部の液体を吸収するｊのにも役立つ。これはホース端だけでは行うことかで・きない。吸引の後、傷キャビティ内の圧縮物を液体で、約５０％まで飽和させる。Drain the cavity, remove the syringe and close the connection. Pad 11 is for scratches.It also helps absorb liquid at the bottom of the bottle. This cannot be done only at the hose end.I can't do that. After suction, the compress inside the wound cavity is filled with liquid to about 50%.Make peace.
本発明を以下の例によって例示する。し、かじなか・ら、これらの例は本発明を限定するものではな、い。The invention is illustrated by the following examples. However, Kajinaka et al., these examples illustrate the present invention.It's not a limitation.
例 １５０１以下の小さなキャビティ （例えば膿を排出した腺腫）の潅注充填流の５０ｃｔｘ３の注射器を導管で連結部に、耶り付、ける。水シールが閉じるか或いはキャビテ、イ・が満、た・、され・なことを表示器が示したとき、抵抗があるまで液体、を注入する。次いで、注入した液体ばかりで・７な、ぐ、膿汁α及び・潅・注前に傷に存在する細菌をも吸引するのに注射器を使用する。Example 1Irrigation of small cavities smaller than 501 (e.g. adenomas draining pus)Fit a 50 ct x 3 syringe of fill flow into the connection with the conduit. water seal closedWhen the indicator indicates that the fill or cavity is full,Inject the liquid until there is resistance. Next, the injected liquid made me feel 7 years old.A syringe is also used to aspirate the pus α and any bacteria present in the wound before irrigation.
次いで、注射器及び水゛シール又は表示器等を外す。Next, remove the syringe and water seal or indicator.
連結部をシールして、次の潅注が行わ−れるまで傷、鳴閉塞状態をつくりだす。The joint is sealed, creating a wound-occlusion condition until the next irrigation.
ガーゼ圧縮物でキャビティを一満だ、すと、毛管活性のガーゼ材料中・並びに織物中・を流れる液体は吸引力を受けてパッドに向かって導かれる□。・ガーゼか、ら膿汁を洗い流し、これは包帯の必要を、−少）なく、する、。・６、例 ２５０１以上の大きなキャビティ （例えば床擦れ）の潅注関連した器具を備えた点滴袋を導管で連結部に取り付；する。傷を例１におけるように充填する。次いで、装置を外し二方向弁を備えた注射器を連結する。排液した液体を排尿袋又はプラスチック袋に導く。キャビティから液体が排液されるまで吸い出しを数回行う。Filling the cavity with the gauze compress will cause the capillary active gauze material to fill and become woven.The liquid flowing through the object is guided towards the pad by the suction force□.・Gauze?, wash away the pus, which eliminates the need for bandages.・6, Example 2Irrigation of large cavities above 501 (e.g. bedsores)Attach the IV bag with associated equipment to the connection via the conduit. The wound in Example 1Fill as shown. The device is then removed and a syringe equipped with a two-way valve is connected. drainageDirect the liquid into a urine bag or plastic bag. Fluid drains from cavitySuction is performed several times until the
本発明の潅注包帯によれば、包帯が毎日３枚乃至７枚必要とされる代わりに一枚だけでよく、これは患者が肉体及び精神の両方で傷つくのを緩和し、医療サービス及び高額の金を節約する。更に、本発明の潅注包帯は取扱いが非常に容易であり、そのため、特別に訓練した職員を必要としない。患者が自身で包帯を取り扱うことも考えられる。包帯には、潅注に使用しないときには突出部がないため、床擦れのできた患者に非常に適しており、患者が自由に動くことができる。この包帯は大きな傷にも小さな傷にも使用することができる。特に、導管に弱くされた部分又は破断線が設けてあり、袋がこれに取付けられている場合には、包帯を特定のキャビティに容易に適合させることができる。With the irrigated bandage of the present invention, one bandage can be used instead of three to seven bandages each day.This will alleviate both physical and mental harm to the patient and improve medical services.Save time and a lot of money. Furthermore, the irrigated dressing of the present invention is very easy to handle.and therefore does not require specially trained personnel. The patient handles the bandage himself/herself.It is also possible. The bandage has no protrusions when not used for irrigation;Very suitable for patients with bedsores, allowing patients to move freely. thisBandages can be used on both large and small wounds. Especially vulnerable to conduits.If there is a broken area or break line and the bag is attached to it, the bandage should not be removed.Can be easily adapted to specific cavities.
特表千４−５０ｆ；７６０ （５）ＦＩＧ、５ ＦＩＧ−６ＩＧ−８国際調査報告国際調査報告ＰＣＴ／ＳＥ ９０１００４４１Special Table Sen 4-50f; 760 (5)FIG, 5 FIG-6IG-8international search reportinternational search reportPCT/SE 90100441
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SE8902498-8 | 1989-07-11 | ||
| SE8902498ASE462516B (en) | 1989-07-11 | 1989-07-11 | WOOL TAPE FOR DEEP SAAR |
| Publication Number | Publication Date |
|---|---|
| JPH04506760Atrue JPH04506760A (en) | 1992-11-26 |
| JP2935743B2 JP2935743B2 (en) | 1999-08-16 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2510947AExpired - LifetimeJP2935743B2 (en) | 1989-07-11 | 1990-06-20 | Irrigation bandage |
| Country | Link |
|---|---|
| EP (1) | EP0482096A1 (en) |
| JP (1) | JP2935743B2 (en) |
| BR (1) | BR9007525A (en) |
| SE (1) | SE462516B (en) |
| WO (1) | WO1991000718A1 (en) |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2011512202A (en)* | 2008-02-14 | 2011-04-21 | スパイラキュア インコーポレイテッド | Apparatus and method for treatment of damaged tissue |
| JP2014204995A (en)* | 2008-10-29 | 2014-10-30 | ケーシーアイ ライセンシング インコーポレイテッド | Open-cavity, reduced-pressure treatment devices and systems |
| US9259358B2 (en) | 2009-01-07 | 2016-02-16 | Kci Licensing, Inc. | Reduced pressure therapy of the sacral region |
| US10117977B2 (en) | 2007-03-14 | 2018-11-06 | The Board Of Trustees Of The Leland Stanford Junior University | Devices and methods for application of reduced pressure therapy |
| US10182947B2 (en) | 2008-11-25 | 2019-01-22 | Kci Licensing, Inc. | Pressure indicator |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7198046B1 (en) | 1991-11-14 | 2007-04-03 | Wake Forest University Health Sciences | Wound treatment employing reduced pressure |
| US5645081A (en)* | 1991-11-14 | 1997-07-08 | Wake Forest University | Method of treating tissue damage and apparatus for same |
| US5636643A (en)* | 1991-11-14 | 1997-06-10 | Wake Forest University | Wound treatment employing reduced pressure |
| FR2722397A1 (en)* | 1994-07-12 | 1996-01-19 | Laboratoire Perouse Implant | INTERNAL PROSTHESIS AND CORRESPONDING PROSTHETIC DEVICE |
| US6458109B1 (en) | 1998-08-07 | 2002-10-01 | Hill-Rom Services, Inc. | Wound treatment apparatus |
| CA2390131C (en) | 1999-11-29 | 2009-06-23 | Hill-Rom Services, Inc. | Wound treatment apparatus |
| US6855135B2 (en) | 2000-11-29 | 2005-02-15 | Hill-Rom Services, Inc. | Vacuum therapy and cleansing dressing for wounds |
| DK1406567T3 (en) | 2001-07-12 | 2010-05-31 | Kci Medical Resources | Controlling the rate of vacuum change |
| EP1478313B2 (en) | 2001-12-26 | 2018-03-07 | KCI Medical Resources | Vented vacuum bandage |
| DE60225480T2 (en) | 2001-12-26 | 2009-03-19 | Hill-Rom Services, Inc., Batesville | VACUUM PACKAGING BIND |
| CA2477674A1 (en) | 2002-02-28 | 2003-09-12 | Jeffrey S. Lockwood | External catheter access to vacuum bandage |
| CA2495385A1 (en)* | 2002-08-21 | 2004-03-04 | Hill-Rom Services, Inc. | Wound packing for preventing wound closure |
| US7846141B2 (en) | 2002-09-03 | 2010-12-07 | Bluesky Medical Group Incorporated | Reduced pressure treatment system |
| US6979324B2 (en) | 2002-09-13 | 2005-12-27 | Neogen Technologies, Inc. | Closed wound drainage system |
| US7520872B2 (en) | 2002-09-13 | 2009-04-21 | Neogen Technologies, Inc. | Closed wound drainage system |
| US7625362B2 (en) | 2003-09-16 | 2009-12-01 | Boehringer Technologies, L.P. | Apparatus and method for suction-assisted wound healing |
| GB0224986D0 (en) | 2002-10-28 | 2002-12-04 | Smith & Nephew | Apparatus |
| GB0325126D0 (en) | 2003-10-28 | 2003-12-03 | Smith & Nephew | Apparatus with heat |
| GB0325129D0 (en) | 2003-10-28 | 2003-12-03 | Smith & Nephew | Apparatus in situ |
| US11298453B2 (en) | 2003-10-28 | 2022-04-12 | Smith & Nephew Plc | Apparatus and method for wound cleansing with actives |
| GB0325130D0 (en) | 2003-10-28 | 2003-12-03 | Smith & Nephew | Apparatus with scaffold |
| US7754937B2 (en) | 2004-03-18 | 2010-07-13 | Boehringer Technologies, L.P. | Wound packing material for use with suction |
| US7776028B2 (en) | 2004-04-05 | 2010-08-17 | Bluesky Medical Group Incorporated | Adjustable overlay reduced pressure wound treatment system |
| US7909805B2 (en) | 2004-04-05 | 2011-03-22 | Bluesky Medical Group Incorporated | Flexible reduced pressure treatment appliance |
| US8062272B2 (en) | 2004-05-21 | 2011-11-22 | Bluesky Medical Group Incorporated | Flexible reduced pressure treatment appliance |
| US10058642B2 (en) | 2004-04-05 | 2018-08-28 | Bluesky Medical Group Incorporated | Reduced pressure treatment system |
| US7884258B2 (en) | 2004-04-13 | 2011-02-08 | Boehringer Technologies, L.P. | Wound contact device |
| GB0508531D0 (en) | 2005-04-27 | 2005-06-01 | Smith & Nephew | Sai with ultrasound |
| US7753894B2 (en) | 2004-04-27 | 2010-07-13 | Smith & Nephew Plc | Wound cleansing apparatus with stress |
| US8529548B2 (en) | 2004-04-27 | 2013-09-10 | Smith & Nephew Plc | Wound treatment apparatus and method |
| GB0409446D0 (en) | 2004-04-28 | 2004-06-02 | Smith & Nephew | Apparatus |
| BRPI0615715A2 (en) | 2005-09-06 | 2011-05-24 | Tyco Healthcare | micro-wound independent wound dressing |
| GB0606661D0 (en) | 2006-04-03 | 2006-05-10 | Brightwake Ltd | Improvements relating to dressings |
| US8338402B2 (en) | 2006-05-12 | 2012-12-25 | Smith & Nephew Plc | Scaffold |
| GB0712735D0 (en) | 2006-07-26 | 2007-08-08 | Smith & Nephew | Dressing |
| US7931651B2 (en) | 2006-11-17 | 2011-04-26 | Wake Lake University Health Sciences | External fixation assembly and method of use |
| US8030534B2 (en) | 2006-11-28 | 2011-10-04 | Boehringer Technologies, L.P. | Tunnel dressing for use with negative pressure wound therapy system |
| US8377016B2 (en) | 2007-01-10 | 2013-02-19 | Wake Forest University Health Sciences | Apparatus and method for wound treatment employing periodic sub-atmospheric pressure |
| GB0712739D0 (en) | 2007-07-02 | 2007-08-08 | Smith & Nephew | Apparatus |
| GB0712764D0 (en) | 2007-07-02 | 2007-08-08 | Smith & Nephew | Carrying Bag |
| GB0712763D0 (en) | 2007-07-02 | 2007-08-08 | Smith & Nephew | Apparatus |
| RU2489993C2 (en) | 2007-10-10 | 2013-08-20 | Уэйк Форест Юниверсити Хелс Сайенсиз | Device and method of treating spinal cord tissue |
| MX2010005553A (en) | 2007-11-21 | 2010-06-01 | Smith & Nephew | Wound dressing. |
| GB0722820D0 (en) | 2007-11-21 | 2008-01-02 | Smith & Nephew | Vacuum assisted wound dressing |
| DK2214611T3 (en) | 2007-11-21 | 2019-03-25 | Smith & Nephew | Wound dressing |
| GB0723875D0 (en) | 2007-12-06 | 2008-01-16 | Smith & Nephew | Wound management |
| US20130096518A1 (en) | 2007-12-06 | 2013-04-18 | Smith & Nephew Plc | Wound filling apparatuses and methods |
| US11253399B2 (en) | 2007-12-06 | 2022-02-22 | Smith & Nephew Plc | Wound filling apparatuses and methods |
| AU2009204140B9 (en) | 2008-01-08 | 2014-03-13 | Smith & Nephew Plc | Sustained variable negative pressure wound treatment and method of controlling same |
| EP2244746B2 (en)† | 2008-02-27 | 2019-01-02 | Aplion Medical Corporation | Wound dressing with uniform distribution |
| CA3004987A1 (en) | 2008-07-18 | 2010-01-21 | Wake Forest University Health Sciences | Apparatus and method for cardiac tissue modulation by topical application of vacuum to minimize cell death and damage |
| EP2419157A4 (en) | 2009-04-17 | 2018-01-03 | Kalypto Medical, Inc. | Negative pressure wound therapy device |
| US9061095B2 (en) | 2010-04-27 | 2015-06-23 | Smith & Nephew Plc | Wound dressing and method of use |
| US9058634B2 (en) | 2011-05-24 | 2015-06-16 | Kalypto Medical, Inc. | Method for providing a negative pressure wound therapy pump device |
| JP2014516709A (en) | 2011-05-24 | 2014-07-17 | カリプト・メディカル・インコーポレイテッド | Device with controller and pump module for providing negative pressure for wound treatment |
| US9067003B2 (en) | 2011-05-26 | 2015-06-30 | Kalypto Medical, Inc. | Method for providing negative pressure to a negative pressure wound therapy bandage |
| GB2493960B (en) | 2011-08-25 | 2013-09-18 | Brightwake Ltd | Non-adherent wound dressing |
| USD764654S1 (en) | 2014-03-13 | 2016-08-23 | Smith & Nephew, Inc. | Canister for collecting wound exudate |
| USD764653S1 (en) | 2014-05-28 | 2016-08-23 | Smith & Nephew, Inc. | Canister for collecting wound exudate |
| USD764047S1 (en) | 2014-05-28 | 2016-08-16 | Smith & Nephew, Inc. | Therapy unit assembly |
| USD764048S1 (en) | 2014-05-28 | 2016-08-16 | Smith & Nephew, Inc. | Device for applying negative pressure to a wound |
| USD765830S1 (en) | 2014-06-02 | 2016-09-06 | Smith & Nephew, Inc. | Therapy unit assembly |
| USD770173S1 (en) | 2014-06-02 | 2016-11-01 | Smith & Nephew, Inc. | Bag |
| US11007082B2 (en) | 2014-07-23 | 2021-05-18 | Innovative Therapies Inc. | Foam laminate dressing |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3753439A (en)* | 1971-08-24 | 1973-08-21 | Elias & Brugarolas | General purpose surgical drain |
| US3874387A (en)* | 1972-07-05 | 1975-04-01 | Pasquale P Barbieri | Valved hemostatic pressure cap |
| GB1549756A (en)* | 1977-03-10 | 1979-08-08 | Everett W | Wound irrigating device |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10117977B2 (en) | 2007-03-14 | 2018-11-06 | The Board Of Trustees Of The Leland Stanford Junior University | Devices and methods for application of reduced pressure therapy |
| US10335521B2 (en) | 2007-03-14 | 2019-07-02 | The Board Of Trustees Of The Leland Stanford Junior University | Reduced pressure therapy devices |
| US8961481B2 (en) | 2008-02-14 | 2015-02-24 | Spiracur Inc. | Devices and methods for treatment of damaged tissue |
| JP2013048911A (en)* | 2008-02-14 | 2013-03-14 | Spiracur Inc | Devices and methods for treatment of damaged tissue |
| JP2011512202A (en)* | 2008-02-14 | 2011-04-21 | スパイラキュア インコーポレイテッド | Apparatus and method for treatment of damaged tissue |
| JP2015142761A (en)* | 2008-02-14 | 2015-08-06 | スパイラキュア インコーポレイテッド | Device and method for treatment of damaged tissue |
| JP2013048910A (en)* | 2008-02-14 | 2013-03-14 | Spiracur Inc | Device and method for treatment of damaged tissue |
| US9283307B2 (en) | 2008-02-14 | 2016-03-15 | Kci Licensing, Inc. | Devices and methods for treatment of damaged tissue |
| US10016307B2 (en) | 2008-10-29 | 2018-07-10 | Kci Licensing, Inc. | Reduced-pressure, wound-closure and treatment systems and methods |
| JP2014204995A (en)* | 2008-10-29 | 2014-10-30 | ケーシーアイ ライセンシング インコーポレイテッド | Open-cavity, reduced-pressure treatment devices and systems |
| US9289327B2 (en) | 2008-10-29 | 2016-03-22 | Kci Licensing, Inc. | Open-cavity, reduced-pressure treatment devices and systems |
| US10350114B2 (en) | 2008-10-29 | 2019-07-16 | Kci Licensing, Inc. | Open-cavity, reduced-pressure treatment devices and systems |
| US10905594B2 (en) | 2008-10-29 | 2021-02-02 | Kci Licensing, Inc. | Reduced-pressure, abdominal treatment systems and methods |
| US11246758B2 (en) | 2008-10-29 | 2022-02-15 | Kci Licensing, Inc. | Open-cavity, reduced-pressure treatment devices and systems |
| US10182947B2 (en) | 2008-11-25 | 2019-01-22 | Kci Licensing, Inc. | Pressure indicator |
| US9259358B2 (en) | 2009-01-07 | 2016-02-16 | Kci Licensing, Inc. | Reduced pressure therapy of the sacral region |
| Publication number | Publication date |
|---|---|
| SE462516B (en) | 1990-07-09 |
| EP0482096A1 (en) | 1992-04-29 |
| BR9007525A (en) | 1992-06-23 |
| WO1991000718A1 (en) | 1991-01-24 |
| JP2935743B2 (en) | 1999-08-16 |
| SE8902498D0 (en) | 1989-07-11 |
| Publication | Publication Date | Title |
|---|---|---|
| JPH04506760A (en) | irrigation bandage | |
| US5358494A (en) | Irrigation dressing | |
| US3572340A (en) | Suction drainage device | |
| US7731702B2 (en) | Closed wound drainage system | |
| US6960181B2 (en) | Irrigation dressing with a tubular dam | |
| EP2550990B1 (en) | Medical vacuum sealing drainage device | |
| JP5373092B2 (en) | Decompression system and method with limited access | |
| US5312385A (en) | Device for protected pulse irrigation | |
| ES2547405T5 (en) | Vacuum port for vacuum wound therapy | |
| US8821456B2 (en) | Daneshvar medication pads, suppositories and methods | |
| AU2005300725A1 (en) | Device for the treatment of wounds using a vacuum | |
| CN102802571A (en) | Conformable Medical Dressing With Self Supporting Substrate | |
| KR20160075744A (en) | Drainage device particularly for aspiration in case of therapies with aspiration, fistulas, dehiscences of surgical wounds, bedsores, traumas and similar lesions | |
| CN101744688A (en) | wound care device | |
| CN215425516U (en) | Multipurpose wound dressing patch | |
| JP2010000159A (en) | Instrument for wound and apparatus for wound using the instrument for wound | |
| CN117462832A (en) | Air bag type anal plug with flushing function and using method thereof | |
| CN201959090U (en) | Dressing device | |
| CN111529776A (en) | Honeycomb-shaped multi-cavity anti-blocking collapse-proof washable wound surface drainage device | |
| CN210750554U (en) | Wound/incision leakage irrigation drainage device | |
| RU216560U1 (en) | Device for vacuum therapy of wounds using alternating negative pressure | |
| CN105833421A (en) | Limb disinfection bag and using method thereof | |
| CN221981362U (en) | Air bag type anal plug with flushing function | |
| RU2113236C1 (en) | Device for applying emergency drainage | |
| CN219109966U (en) | Pressure-adjustable chitosan anorectal plug |