Sustained variable negative pressure wound treatment and method of controlling same
View Patent ↗Disclosed herein are systems and methods for providing reduced or negative pressure, and more particularly cyclical reduced pressure, to treat a wound. The system can include a wound dressing, a fluid collection container, a suction source, filters, and conduits. In addition, the system can include a control device and sensors. The sensors may be configured to monitor certain physiological conditions of a patient such as temperature, pressure, blood flow, blood oxygen saturation, pulse, cardiac cycle, and the like. Application of cyclical reduced pressure between two or more values below atmospheric pressure may be synchronized with the physiological conditions monitored by the sensors. Certain embodiments of the system utilize an air reservoir and one or more valves and pressure sensors or gauges to allow for rapid cycling of the level of reduced pressure within the wound dressing between two or more reduced pressure values.
1. A method of treating a wound, the method comprising:
applying, via a fluid flow path, reduced pressure from a suction source to a wound dressing placed over the wound, the fluid flow path comprising a reservoir and first and second conduits, the first conduit fluidically connected to the suction source and the reservoir, and the second conduit fluidically connected to the reservoir and the wound dressing;
while maintaining pressure under the wound dressing below atmospheric pressure, adjusting pressure under the wound dressing by:
removing gas from under the wound dressing and storing, via the first conduit, at least some of the removed gas in the reservoir thereby causing pressure under the wound dressing to reach a first magnitude of reduced pressure; and
supplying under the wound dressing, via the second conduit, at least some of the stored gas from the reservoir so that pressure under the wound dressing changes from the first magnitude of reduced pressure to a second magnitude of reduced pressure that is closer to atmospheric pressure than the first magnitude of reduced pressure; and
using a valve of the reservoir to vent at least some of the stored gas from the reservoir to atmosphere through a filter so as to reduce pressure in the reservoir,
wherein a difference in pressure between the first magnitude of reduced pressure and the second magnitude of reduced pressure is at least 10 mmHg.
2. The method of claim 1 , further comprising communicating the gas removed by the suction source from under the wound dressing to the reservoir using a third conduit.
3. The method of claim 1 , further comprising:
measuring pressure in the fluid flow path;
detecting overpressure in the fluid flow path based on the measured pressure; and
relieving pressure in the fluid flow path when overpressure is detected.
4. The method of claim 1 , further comprising measuring pressure under the wound dressing, and wherein said adjusting pressure under the wound dressing comprises adjusting pressure based at least in part on the measured pressure.
5. The method of claim 4 , wherein said measuring pressure under the wound dressing comprises measuring pressure using a pressure sensor.
6. The method of claim 1 , wherein said adjusting pressure under the wound dressing further comprises operating a regulator.
7. The method of claim 6 , wherein the regulator comprises a control valve.
8. The method of claim 1 , wherein said adjusting pressure under the wound dressing comprises cycling pressure under the wound dressing between the first and second magnitudes of reduced pressure using the reservoir.
9. The method of claim 1 , further comprising monitoring heart activity of a patient, and wherein said adjusting pressure under the wound dressing comprises adjusting pressure based at least in part on the monitored heart activity.
10. The method of claim 9 , wherein said monitoring heart activity of the patient comprises monitoring heart activity using a sensor.
11. The method of claim 1 , further comprising storing exudate removed from the wound in a collection container.
12. A method of treating a wound of a patient, the method comprising:
monitoring heart activity of the patient;
applying, via a fluid flow path, reduced pressure from a suction source to a wound dressing placed over the wound, the fluid flow path comprising a reservoir and first and second conduits, the first conduit fluidically connected to the suction source and the reservoir, and the second conduit fluidically connected to the reservoir and the wound dressing;
while maintaining pressure under the wound dressing below atmospheric pressure, cycling pressure under the wound by:
removing gas from under the wound dressing so that pressure under the wound dressing reaches a first magnitude of reduced pressure;
storing, via the first conduit, at least some of the removed gas in the reservoir; and
supplying under the wound dressing, via the second conduit, at least some of the stored gas from the reservoir so that pressure under the wound dressing changes from the first magnitude of reduced pressure to a second magnitude of reduced pressure that is closer to atmospheric pressure than the first magnitude of reduced pressure; and
using a valve of the reservoir to vent at least some of the stored gas from the reservoir to atmosphere through a filter so as to reduce pressure in the reservoir,
wherein a difference in pressure between the first magnitude of reduced pressure and the second magnitude of reduced pressure is at least 10 mmHg, and said cycling pressure under the wound is synchronized to the monitored heart activity.
13. The method of claim 12 , wherein said cycling pressure under the wound comprises:
closing a control valve when applying the first magnitude of reduced pressure; and
opening the control valve when applying the second magnitude of reduced pressure.
14. An apparatus for providing negative pressure wound therapy, the apparatus comprising:
a source of negative pressure configured to apply, via a fluid flow path, reduced pressure to a wound dressing placed over a wound, the fluid flow path comprising a reservoir and first and second conduits, the first conduit fluidically connected to the source of negative pressure and the reservoir, and the second conduit fluidically connected to the reservoir and the wound dressing; and
a controller configured to, while the source of negative pressure maintains pressure under the wound dressing below atmospheric pressure, cause pressure under the wound dressing to be adjusted by:
removal of gas from under the wound dressing and storage, via the first conduit, of at least some of the removed gas in the reservoir thereby causing pressure under the wound dressing to reach a first magnitude of reduced pressure; and
supplying under the wound dressing, via the second conduit, of at least some of the stored gas from the reservoir so that pressure under the wound dressing changes from the first magnitude of reduced pressure to a second magnitude of reduced pressure that is closer to atmospheric pressure than the first magnitude of reduced pressure,
wherein a difference in pressure between the first magnitude of reduced pressure and the second magnitude of reduced pressure is at least 10 mmHg, and
wherein the controller is configured to operate a valve of the reservoir to vent at least some of the stored gas from the reservoir to atmosphere so as to reduce pressure in the reservoir.
15. The apparatus of claim 14 , wherein the controller is configured to operate at least one regulator configured to store at least some of the removed gas in the reservoir or supply at least some of the stored gas from the reservoir under the wound dressing.
16. The method of claim 1 , wherein said adjusting pressure under the wound dressing comprises maintaining pressure under the wound dressing at the first magnitude of reduced pressure for a first duration and maintaining pressure under the wound dressing at the second magnitude of reduced pressure for a second duration longer than the first duration.
17. The method of claim 1 , wherein said adjusting pressure under the wound dressing comprises continuously varying pressure under the wound dressing between the first magnitude of reduced pressure and the second magnitude of reduced pressure.
18. The method of claim 1 , wherein the first magnitude of reduced pressure is at least 80 mmHg below atmospheric pressure.
19. The method of claim 8 , wherein said cycling pressure under the wound dressing is performed at a frequency between 10 cycles per minute and 100 cycles per minute.
20. The apparatus of claim 14 , wherein the controller is configured to, while the source of negative pressure maintains pressure under the wound dressing below atmospheric pressure, cause pressure under the wound dressing to be adjusted by cycling of pressure under the wound dressing between the first and second magnitudes of reduced pressure using the reservoir.
21. The apparatus of claim 20 , wherein the controller is configured to cycle pressure under the wound dressing at a frequency between 10 cycles per minute and 100 cycles per minute.