USRE48007E1 - Vented emergency wound dressings - Google Patents

Abstract

A wound dressing provides a tenacious occlusive seal against the skin of a wearer, even in the presence of excessive blood or heavy perspiration. The preferred embodiment combines an adhesive backing layer with a hydrogel island providing superior hydrophilic gel adhesion. The product performs under extreme temperatures (i.e., 32-140° F.), and may be used to hold other dressings in place. The preferred embodiments are entirely translucent, and include a large pull-tab for easy removal. Two dressings may be packaged in a pliable re-sealable protective pouch, thereby forming a portable “kit.” Different “vented” embodiments are disclosed. A preferred structure includes a cover layer peripherally bonded to backing and hydrogel layers having a central aperture therethrough. The cover layer has one or more vent holes, and pressure is released through the central aperture and out the vent hole(s).

Description

REFERENCE TO RELATED APPLICATIONS

This application claims priority from U.S. Provisional Patent Application Ser. No. 61/915,198, filed Dec. 12, 2013, and is also a continuation-in-part of U.S. patent application Ser. No. 12/748,008, filed Mar. 26, 2010, which claims priority from U.S. Provisional Patent Application Ser. No. 61/163,613, filed Mar. 26, 2009, the entire content of all of which is incorporated herein by reference.

FIELD OF THE INVENTION

This invention relates generally to wound dressings and, in particular, to a wound dressing that provides a unique combination of a flexible backing material and hydrogel to provide a safe and effective patch for emergency situations, including battlefield applications.

BACKGROUND OF THE INVENTION

There are instances when an emergency wound dressing may be required not only to stop bleeding, but also to block the transfer of gasses to or from the lungs. Bullet wounds in battlefield situations represent one such need. Until now, however, there are few if any bandages that will remain affixed to a recipient given heat and moisture from weather, sweating, and so forth.

SUMMARY OF THE INVENTION

This invention is a wound dressing that uses a novel combination of materials to provide a tenacious occlusive seal, even in the presence of excessive blood or heavy perspiration. The preferred embodiment combines an adhesive backing layer with a hydrogel island providing superior hydrophilic gel adhesion. The product performs under extreme temperatures (i.e., 32-140° F.), and may be used to hold other dressings in place. The preferred embodiments are entirely translucent, and include a large pull-tab for easy removal. One or two dressings may be packaged in a pliable re-sealable protective pouch.

Different “vented” embodiments are disclosed. A preferred structure includes a cover layer peripherally bonded to backing and hydrogel layers having a central aperture therethrough. The cover layer has one or more vent holes, and pressure is released through the central aperture and out the vent hole(s).

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a plan view drawing that illustrates a preferred embodiment of the invention;

FIG. 2 is a drawing that depicts a vented structure;

FIG. 3 is a drawing that depicts a vented structure with an active status indicator;

FIG. 4 is a partially exploded view of a wound dressing assembly according to the invention;

FIG. 5 is a plan view drawing that shows one set of dimensions.

FIG. 6 is an exploded view drawing that illustrates a vented embodiment of the invention seen from a bottom perspective;

FIG. 7 is a not-to-scale cross section depicting the way in which the venting structure operates;

FIG. 8 is a detail drawing with applicable dimensions;

FIG. 9 shows details of a pouch structure;

FIG. 10 depicts an embodiment of the invention utilizing four vent holes; and

FIG. 11 illustrates an optional valve structure.

DETAILED DESCRIPTION OF THE INVENTION

This invention is a wound dressing that uses a novel combination of materials to provide a tenacious occlusive seal, even in the presence of excessive blood or heavy perspiration.FIG. 1 is a plan view drawing that illustrates a preferred embodiment of the invention, including abacking layer104 and apre-formed hydrogel pad102. Thebacking layer104 is preferably a flexible polyethylene “tape” (i.e., 3.0 mil) having a hypoallergenic pressure-sensitive water-resistant adhesive such as anacrylic adhesive500. Thehydrogel pad102 may be obtained from Katecho, Inc. of Des Moines, Iowa (product code KM-10). The hydrogel material may be obtained from Katecho, Inc. of Des Moines, Iowa (product code KM-10). The backing material may be obtained from 3M Corp. of St. Paul, Minn. Other vendors are possible.

Thehydrogel pad102 preferably has aperiphery106 spaced apart from the periphery of thebacking layer104 in all dimensions to expose the adhesive layer. An adhesive-free tab108, which may be embossed, is used to release the pad from arelease liner110. Therelease liner110 extends beyond all sides of thebacking layer104, as shown inFIGS. 1-5. The release liner may be a 3.0 mil PET layer. In terms of dimensions, the dressing has a preferred width on the order of 3 to 6 inches and a preferred length on the order of 4 to 8 inches. Other forms besides ovals may be used, including circles, squares and rectangles. Materials other than polyethylene may be used for thebacking layer104 so long as the adhesive and combined system is sufficiently tenacious in terms of adherence to the skin.

FIG. 4 is a partially exploded view of a wound dressing assembly according to the invention, andFIG. 5 is a plan view drawing that shows one set of dimensions. Two systems are shown, enabling the dressings to be folded against one another and placed in apouch400 which may be re-sealable, thereby forming a dressing/carrier “kit.”

On occasion, the wound dressing may need to vent pressure built up from a chest cavity, for example. To address this, one or more vents such as204 may be provided as shown inFIG. 2. As pressure builds around a wound inregion202, it will be released throughvent204. As a further alternative, a passive or active status sensor may be used to indicate a user condition or to show that pressure release has occurred. As shown inFIG. 3, such amonitor302 may be passive, using dyes or other materials which change color in the presence of oxygen or other gasses, for example. The detector may be active, for example, using an electronic pressure sensor, an acoustic sensor (to detect lung sound) or resistive sensor (to detect perspiration or breathing) and a visual indicator such as an LED. The light may have different colors to convey status (i.e., green =OK; yellow =concern; red =emergency).

In all embodiments, beneficial or therapeutic substances may be added to the hydrogel layer. For example, a clotting agent such as calcium carbonate may be added to aid in clotting, and/or an antimicrobial such as chlorhexidine digluconate may be used. Such substances may be in the range of 1-5% or thereabout.

FIG. 6 is an exploded view drawing that illustrates an alternative vented embodiment of the invention seen from a bottom perspective. The article comprises a backing layer shown at604 and the hydrogel pad is shown at602. As with other embodiments disclosed herein, the backing layer is preferably a flexible polyethylene “tape” (i.e., 3.0 mil) having a hypoallergenic pressure-sensitive adhesive. The hydrogel material may be obtained from Katecho, Inc. of Des Moines, Iowa (product code KM-10). The backing material may be obtained from 3M Corp. of St. Paul, Minn. as Part No. 1526. Other material and different vendors are possible.

In the embodiment ofFIG. 6, the entire bottom surface of thebacking layer604 is coated with an adhesive shown by the hatching, and thehydrogel pad602, which is preformed into the shape depicted, is adhered to the backing layer using the adhesive layer, the hydrogel itself, or both. Once adhered, the hydrogel forms an island having a periphery spaced apart from the periphery of thebacking layer104 in all dimensions to expose the adhesive layer. An adhesive-free tab608 may be provided to release the dressing from arelease liner610. The release liner may be a 3.0 mil PET layer.

In terms of dimensions, the dressing ofFIGS. 6, 8 has a preferred width on the order of 3 to 6 inches and a preferred length on the order of 4 to 8 inches. Other shapes besides ovals may be used, including circles, squares and rectangles. Materials other than polyethylene may be used for thebacking layer604 so long as the adhesive and combined system is sufficiently tenacious. A set of applicable dimensions are provided inFIG. 8. Two dressings may be folded against one another and placed in a pouch shown inFIG. 9 which may be re-sealable, thereby forming a dressing/carrier “kit”

Returning toFIG. 6, both thehydrogel layer602 andbacking layer604 include acentral aperture612 which may be round with a preferred diameter in the range of 0.5 to 1.5 inches. Other dimensions and shapes including oval may be used. On the outer side of the backing layer, facing away from the recipient, there is attached acover614 having vent holes616,618. Thecover614 is peripherally bonded to the outer surface of the backing layer alongline620. Thecover614 may be the same material as the backing material, 3M No. 1526, and may have roughly the same outer dimensions as the hydrogel pad. Thecover614 may be attached to the backing layer with or without an adhesive, using thermal welding, for example. The Any appropriate peripheral adhesive may be used, including UV-cured products.

FIG. 7 is a not-to-scale cross section depicting the way in which the venting structure operates. As can be seen, if pressure builds up from wound701 onpatient700, the gasses (or liquids) can flow throughaperture612 and out to atmosphere through vent holes616,618. When this happens, theentire cover614 may pull slightly away from thebacking material604, temporarily creating apocket703 that is depressurized through the vent holes. After the pressure is relieved or with negative pressure, thecover614 will typically fall back ontobacking layer604, thereby maintaining a seal around the wound.

FIG. 10 illustrates a preferred embodiment of the invention using fourvent holes1102,1104,1106,1108 and dimensions. As a further embodiment, as opposed to an open central aperture through the hydrogel and backing layers leading to a pocket formed with the cover layer, a one-way bicuspid or tricuspid valve of the type shown inFIG. 11. The apex of the valve would be oriented away from the recipient, which would open when pressurized and close following pressurization to maintain cleanliness.

Claims (17)

We claim:

1. A wound dressing, comprising:

a backing layer having a periphery, a front surface with an adhesive layer adapted for patient contact and a back surface facing away from the patient;

a preformed hydrogel pad having a periphery, the hydrogel pad being attached to the front surface of the backing layer, the hydrogel pad and backing layer both further including aligned central apertures;

the periphery of the hydrogel pad being less than that of the backing layer such that a ring of the adhesive layer remains exposed around the hydrogel pad;

a cover peripherally bonded directly to the back surface of the backing layer so as to create an expandable pocket between the cover and the back surface of the backing layer;

wherein the cover includes at least one vent hole through the cover passage such that pressure from the wound temporarily expands the pocket, enabling liquids or gasses from the wound to be vented through the apertures, through the pocket, and out the at least one vent hole passage to atmosphere; and

after the pressure is relieved or with negative pressure, the cover falls back onto the backing layer, thereby eliminating the pocket between the cover and the back surface of the backing layer and maintaining a seal around the wound.

2. The wound dressing ofclaim 1, wherein the backing layer with the hydrogel pad attached thereto are temporarily held against a larger release layer.

3. The wound dressing ofclaim 1, wherein the backing layer is a polyethylene tape.

4. The wound dressing ofclaim 1, further including an adhesive-free tab a pull-tab on the backing layer to assist in removing the wound dressing from the release layer.

5. The wound dressing ofclaim 1, further including a pouch to protect the dressing, thereby providing a portable kit.

6. The wound dressing of claim 1, having a shape that is circular.

7. The wound dressing of claim 1, having a shape that is rectangular.

8. The wound dressing of claim 1, having a width in the range of 3 to 6 inches.

9. The wound dressing of claim 1, having a length in the range of 4 to 8 inches.

10. A wound dressing, comprising:

a backing layer having a periphery, a front surface adapted for patient contact and a back surface facing away from the patient;

a hydrogel pad having a periphery attached to the front surface of the backing layer, the hydrogel pad and backing layer both further including aligned central apertures;

the periphery of the hydrogel pad being less than that of the backing layer;

a cover having an inner surface bonded directly to the back surface of the backing layer, with the periphery of the cover being larger that the aligned central apertures of the hydrogel pad and the backing layers, thereby forming a pocket between the back surface of the backing layer and the inner surface of the cover;

wherein the pocket formed between the back surface of the backing layer and the inner surface of the cover communicates with at least one passage enabling liquids or gasses from the wound to be vented through the apertures and the pocket to atmosphere; and

wherein, after the pressure is relieved or with negative pressure, the cover falls back onto the backing layer, thereby eliminating the pocket between the cover and the back surface of the backing layer and maintaining a seal around the wound.

11. The wound dressing of claim 10, wherein the backing layer with the hydrogel pad attached thereto are temporarily held against a release layer.

12. The wound dressing of claim 11, further including a pull-tab on the backing layer to assist in removing the wound dressing from the release layer.

13. The wound dressing of claim 10, further including a pouch to protect the dressing, thereby providing a portable kit.

14. The wound dressing of claim 10, wherein the wound dressing is circular.

15. The wound dressing of claim 10, wherein the wound dressing is rectangular.

16. The wound dressing of claim 10, having a width in the range of 3 to 6 inches.

17. The wound dressing of claim 10, having a length in the range of 4 to 8 inches.

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