Methods and apparatuses for the treatment of wounds with pressures altered from atmospheric
The invention disclosed comprises methods, apparatuses and compositions to treat acute and chronic wounds with pressures altered from atmospheric. The methods, apparatuses and compositions herein improve the performance of altered pressure wound therapy. The improvements also make the treatments more comfortable for the patient and the delivery of the treatment more convenient for clinicians. These improvements collectively result in improved compliance, improved efficacy, improved safety and improved efficiency, while limiting clinical errors in treatment.
1. An altered pressure device for treating a wound in an encapsulated space delimited by a cover secured over a wound, the device comprising: (a) an altered pressure source communicating with the encapsulated space via a length of tubing coupled with the source; and (b) layered intermediate materials composed of at least one foam layer laminated to at least one additional layer, wherein a top layer of the layered intermediate materials, which is one of the at least one foam layer and the at least one additional layer, comprises structural characteristics that enable gas permeation into the encapsulated space when interfacing with the cover, and wherein at least a bottom layer of the layered intermediate materials, which is another of the at least one foam layer and the at least one additional layer, is constructed to discourage tissue in growth and provide an anti-adherence function, the bottom layer being a tissue contact layer,
wherein at least one layer of the layered intermediate materials is a hydrophobic semi-solid wound dressing interfacing with wound tissue and adhering to at least one of the layered intermediate materials.
2. A device according to claim 1 , wherein the at least one additional layer is a woven material.
3. A device according to claim 1 , wherein the at least one additional layer is a nonwoven material.
4. A device according to claim 1 , wherein the at least one foam layer is comprised of one of perforated and non perforated closed-cell foam including a proteinaceous foam, a polyurethane foam and a polyvinyl alcohol foam.
5. A device according to claim 1 , wherein the at least one foam layer is comprised of a porous open-cell foam including a proteinaceous foam, a polyurethane foam and a polyvinyl alcohol foam.
6. A device according to claim 1 , wherein the at least one additional layer is comprised of one of perforated and non perforated non-porous material including a silicone derivative, a latex rubber, a polytetrafluoro-ethylene (PTFE), a silicone elastomer, a polymer hydromer, a synthetic polymer, a hydrocolloid, or any combination thereof.
7. A device according to claim 1 , wherein the at least one additional layer is comprised of a porous material including one of woven materials, non-woven materials, a fibrotic compact, a fibrotic nest, or any combination thereof.
8. A device according to claim 1 , wherein the cover comprises structural characteristics that provide a moisture vapor transfer rate greater than 2,000 g/m2/24 hr.
9. A device according to claim 1 , wherein the cover comprises at least one zone of void where adhesive is missing or substantially reduced.
10. A device according to claim 1 , further comprising a negative pressure greater than 0 mm Hg but less than 105 mm Hg relative to atmospheric.
11. A device according to claim 1 , further comprising means for controlling multiple altered pressure cycles in sequence, each pressure cycle composed of a specified target non-atmospheric value for a specified target duration.
12. A device according to claim 11 , further comprising at least one negative pressure cycle greater than 0 mm Hg but less than 60 mm Hg relative to atmospheric.
13. A device according to claim 1 , wherein the top layer of the layered intermediate materials is the at least one additional layer.