Device for treating a wound
A medical device is provided that encloses a wound and promotes wound drainage by suction. The device includes an enclosure to be placed over a wound, adhesively connected to the skin around the wound by a flange. Gauze type packing cylinders can be placed in the wound, and suction is provided either by a bulb type pump, or by a pair of regulators. When regulators are used, one alternates the suction that it provides, and the other is continuous, such that the level of suction is periodically varied. The suction facilitates the transfer of liquid from the wound to the packing cylinders and from the packing out of the enclosure. A leak detector is optionally provided.
1. A medical device for treating a wound of a patient, the wound comprising a wound cavity having sides, an interior and at least one wound axis extending generally parallel to the skin of the patient contiguous with the wound cavity, said device being arranged for encouraging the contraction of the wound along the at least one wound axis, comprising:
(a) an enclosure for engaging the skin of the patient over and around the wound and having an opening for communication with the interior of the wound cavity;
(b) a separate anisotropic wound packing formed of plural rolls of gauze, each of said rolls having a longitudinal axis and at least one radial axis and comprising plural spiral layers wound about said longitudinal axis, said plural rolls of said wound packing being arranged to be tailored to individual wound cavity shapes and placed in the interior of the wound cavity with said at least one radial axis of each roll facing a side of the wound cavity and extending parallel to the at least one wound axis;
(c) an enclosure coupled to said wound packing, said enclosure being arranged to be separately placed over said wound packing after said wound packing has been placed in the interior of the wound cavity to produce an enclosed interior space in the wound in which said wound packing is located; and
(d) a source of suction coupled to said enclosure to directly apply continuous suction via said opening in said enclosure to said enclosed interior space to draw fluid from the wound out of the enclosure, while causing said rolls of said wound packing to preferably collapse inward along said at least one radial axis when continuous suction is applied to the wound to impose a controlled directional strain on wound tissue along said at least one radial axis at an amplitude for optimizing closure of the wound, said wound packing also serving to prevent pooling of fluid in the wound cavity.
2. The medical device of claim 1 , wherein said enclosure is arranged to create a substantially air-tight seal with the skin of the patient.
3. A method of controlling the direction of contraction of a wound of a patient, the wound comprising a wound cavity having sides, an interior and at least one wound axis extending generally parallel to the skin of the patient contiguous with the wound cavity, said method comprising the steps of:
(a) providing a separate anisotropic wound packing formed of plural rolls of gauze, each of said rolls having a longitudinal axis and at least one radial axis and comprising plural spiral layers wound about said longitudinal axis, said plural rolls of said wound packing being arranged to be tailored to individual wound cavity;
(b) placing said anisotropic wound packing in said wound cavity with said at least one radial axis of each roll facing a side of the wound and extending parallel to the at least one wound axis to allow a controlled strain to be imposed on the wound tissue;
(c) providing a separate enclosure engaging the skin of the patient over and around the wound, said enclosure having an opening in communication with the interior of the wound;
(d) sealing said wound with said anisotropic wound packing therein to produce an enclosed interior space in the wound in which said wound packing is located contiguous with said wound; and
(e) providing a source of suction coupled to said enclosure to directly apply continuous suction via said opening in said enclosure to said enclosed interior space to draw fluid from the wound out of the enclosure, while causing said rolls of said wound packing to preferably collapse inward along said at least one radial axis when continuous suction is applied to the wound to impose a controlled directional strain on wound tissue along said at least one radial axis at an amplitude for optimizing closure of the wound, said wound packing also serving to prevent pooling of fluid in the wound cavity.