Absorbent multilayer hydrogel wound dressings
View Patent ↗The invention provides wound dressings comprising an absorbent (porous) hydrogel composition comprising a foam portion which comprises a flexible plasticized hydrophilic polymer matrix having an internal cellular structure, and a continuous portion which comprises a flexible plasticized hydrophilic polymer matrix having relatively continuous internal structure. The continuous portion of the hydrogel composition includes apertures providing fluid flow communication through the continuous portion between an external surface of the continuous portion and the foam portion whereby the foam portion can take up external water or other fluid into the cellular structure through the apertures of the continuous portion. The continuous portion of the hydrogel composition may be tacky to the skin, allowing its use as a bioadhesive.
1. A wound dressing comprising a hydrogel composition, said hydrogel composition comprising a first portion which comprises a flexible plasticized hydrophilic polymer matrix having an internal cellular structure, and a second portion which comprises a flexible plasticized hydrophilic polymer matrix having a relatively continuous internal structure, wherein the first and the second portion are of the same material, wherein an outward facing surface of the second portion is a skin-contactable surface, wherein the second portion of the hydrogel composition includes apertures providing fluid flow communication through the second portion between the skin-contactable surface of the second portion and the first portion, and wherein the apertures of the second portion of the hydrogel composition continue into the first portion of the composition to invade it, without penetrating it entirely, whereby the first portion and second portion of the hydrogel composition can take up external water or other fluid into the cellular structure through the apertures of the second portion and first portion.
2. A wound dressing according to claim 1 , wherein the dressing further comprises a backing layer over the hydrogel composition.
3. A wound dressing according to claim 2 , wherein the backing layer is substantially liquid-impermeable.
4. A wound dressing according to claim 3 , further comprising a layer of adhesive on the surface of the backing layer facing the hydrogel composition.
5. A wound dressing according to claim 4 , wherein the backing layer extends beyond at least one edge of the layer of hydrogel composition to provide an adhesive-coated margin adjacent to said edge for adhering the dressing to a surface.
6. A wound dressing according to claim 5 , further comprising at least one removable cover sheet to cover the wound facing surface of the hydrogel composition before use.
7. A wound dressing according to claim 6 , wherein the removable cover sheet provided with projections which extend into the apertures in the hydrogel composition.
8. A wound dressing according to claim 7 , wherein the projections extend only part way into the hydrogel sheet.
9. A wound dressing according to claim 1 , further comprising an absorbent layer for receiving fluid transmitted through said hydrogel composition.
10. A wound dressing according to claim 9 , wherein the absorbent layer comprises a further layer of hydrophilic foam.
11. A wound dressing according to claim 6 , which is sterile and packaged in a microorganism-impermeable container.
12. A wound dressing according to claim 1 , wherein the first portion of said hydrogel composition comprises a porous foam having an internal cellular structure such that the volume ratio of cell void to matrix is greater than about 1:3 and the second portion comprises a relatively non-porous matrix.
13. A wound dressing according to claim 1 , wherein one or both of the said portions of the hydrogel composition is adhered to the skin.
14. A wound dressing according to claim 1 , wherein the external surface of the said second portion of the hydrogel composition defines a wound contacting surface of the dressing.
15. A wound dressing according to claim 1 , wherein the absorption capacity of the hydrogel composition is between about 30% and about 10000%.
16. A wound dressing according to claim 1 , wherein the water uptake rate of the first portion of the hydrogel composition is at least about 2 μl/s as measured by the test method described herein.
17. A wound dressing according to claim 1 in the form of a sheet, wherein the sheet has a substantially uniform thickness of between about 0.5 to about 10 mm.
18. A wound dressing according to claim 1 , wherein the hydrogel composition has been obtained by a process which comprises polymerising a polymerisable mixture comprising a hydrophilic monomer, where the polymerisable mixture prior to polymerization comprises a first portion including a relatively high concentration of introduced gas bubbles and a second portion including a relatively low concentration of gas bubbles.
19. The wound dressing of claim 1 , wherein the apertures have a tapered shape with the wide end of the tapered shape at the skin contacting surface.
20. A method for dressing a wound or a burn, comprising covering the wound or burn with a dressing comprising a hydrogel composition comprising a first portion which comprises a flexible plasticized hydrophilic polymer matrix having an internal cellular structure, and a second portion which comprises a flexible plasticized hydrophilic polymer matrix having relatively continuous internal structure, wherein the first and second portion are of the same material, wherein an outward facing surface of said second portion is a skin-contactable surface, and wherein the said second portion of the hydrogel composition includes apertures providing fluid flow communication through the said second portion between the skin-contactable surface of the said second portion and the first portion, and wherein the apertures of the second portion of the hydrogel composition continue into the first portion of the composition to invade it, without penetrating it entirely, whereby the first and second portion of the hydrogel composition can take up external water or other fluid into the cellular structure through the apertures of the said first and second portion.
21. The wound dressing of claim 19 , wherein the apertures have a dimension at the skin contact surface of from 1 mm to 3 mm and a width at the top of the second hydrogen composition of 0.1 to 1 mm.
22. The wound dressing of claim 19 , wherein the angle of taper, measured from the perpendicular to the plane of the support sheet, is from 10 to 60 degrees.
23. The wound dressing of claim 19 , wherein the mean cross-sectional area of the apertures at their mid-point is from 10 to 25% of the total area of the central region of the first hydrophilic polymer.
24. The wound dressing of claim 19 , wherein the density of the apertures is from 10 to 100 per cm 2 .
25. The method for dressing a wound or a burn of claim 20 , wherein the apertures have a tapered shape with the wide end of the tapered shape at the skin contacting surface.