Apparatus for aspirating, irrigating and cleansing wounds
An apparatus for cleansing wounds in which irrigant fluid from a reservoir connected to a conformable wound dressing and wound exudate from the dressing are recirculated by a device for moving fluid through a flow path which passes through the dressing and a means for fluid cleansing and back to the dressing. The cleansing means (which may be a single-phase, e.g. microfiltration, system or a two-phase, e.g. dialytic system) removes materials deleterious to wound healing, and the cleansed fluid, still containing materials that are beneficial in promoting wound healing, is returned to the wound bed. The dressing and a method of treatment using the apparatus.
1. A negative pressure device for treating a wound, the device comprising:
a cover sized to fit over the wound and including an opening therein, the cover defining an encapsulated space surrounding the wound;
an open-cell foam intermediate material layer positionable in the encapsulated space, the intermediate layer comprising at least one vertically extending slot;
a manifold member comprising a plurality of separate, flexible flow channels extending in a radial direction away from a middle portion of the manifold member, each flow channel comprising an opening configured to be in communication with the wound, the opening configured to communicate negative pressure through the flow channels such that liquid can be removed from the wound through the flow channels;
a negative pressure source communicating with the encapsulated space via a length of tubing coupled with the source, the tubing having a proximal end; and
a proximal end piece connected to the proximal end of the tubing and including a flange at a lower portion thereof, wherein the flange is comprised of a substantially planar surface adapted to be engageable with the periphery of the opening in the cover to create a seal.
2. The negative pressure device of claim 1 , wherein the proximal end piece is attachable to the cover adjacent the opening.
3. The negative pressure device of claim 2 , further comprising a semi-solid insertable within the encapsulated space.
4. The negative pressure device of claim 2 , wherein the tubing communicating the negative pressure source with the encapsulated space is flush with the flange.
5. The negative pressure device of claim 1 , wherein the tubing communicating the altered pressure source with the encapsulated space is flush with the flange.
6. A device for treating a wound with non-atmospheric pressure, the device comprising:
a backing layer configured to form a closure over a wound, the backing layer including an opening therein;
a filler material positionable in an enclosed space between the backing layer and the wound, the filler material comprising at least one vertically extending slot;
a member comprising a plurality of flow channels positionable beneath the backing layer, the flow channels interconnected at a center portion of the member and extending in a radial direction, each flow channel configured to separate and move independently;
a negative pressure source configured to apply negative pressure to the wound through a conduit in fluid communication with the negative pressure source, the conduit having a proximal end; and
a boss connected to the conduit, wherein the boss comprises a substantially planar surface configured to engage with a periphery of the opening in the backing layer to create a seal.
7. The device of claim 6 , wherein the boss includes a flange at a lower portion thereof, wherein the flange comprises the substantially planar surface configured to engage with the periphery of the opening in the backing layer.
8. The device of claim 6 , further comprising a gel positionable within the enclosed space between the backing layer and the wound.
9. The device of claim 6 , wherein the conduit extends parallel with the substantially planar surface of the boss at the connection of the conduit with the boss.
10. The device of claim 6 , wherein the proximal end of the conduit is connected to the boss.
11. The device of claim 6 , further comprising a gel positionable within the enclosed space between the backing layer and the wound.
12. The device of claim 6 , wherein the conduit extends parallel with the substantially planar surface of the boss at the connection of the conduit with the boss.
13. The device of claim 6 , wherein the negative pressure source comprises a pump.
14. The device of claim 6 , wherein the conduit is mounted in the boss above the filler material.
15. The device of claim 6 , wherein the boss is heat-sealed to the backing layer.
16. The negative pressure device of claim 1 , wherein the intermediate layer comprises a plurality of slots.
17. The device of claim 6 , wherein the filler material comprises a plurality of slots.
18. The device of claim 6 , wherein the flow channels are interconnected only at a center portion of the member and extending in a radial direction.
19. A negative pressure device for treating a wound, the device comprising:
a cover sized to fit over the wound and including an opening therein, the cover defining an encapsulated space surrounding the wound;
an intermediate material layer positionable in the encapsulated space;
a manifold member positionable beneath the backing layer, the manifold comprising a substantially planar flexible first layer and a substantially planar flexible second layer in communication with the first layer, a periphery of the first layer in contact with a periphery of the second layer, the first and second layers defining a chamber bounded by the periphery of the first and second layers, the first layer comprising a plurality of apertures in communication with the chamber;
a negative pressure source communicating with the encapsulated space via a length of tubing coupled with the source, the tubing having a proximal end; and
a proximal end piece connected to the proximal end of the tubing and including a flange at a lower portion thereof, wherein the flange is comprised of a substantially planar surface adapted to be engageable with the periphery of the opening in the cover to create a seal.