Reduced-pressure treatment systems and methods employing a variable cover
A system, dressing, and method for providing reduced pressure treatment to a tissue site on a wound bed of a patient includes a variable wound dressing having a variable cover that is pliable at ambient pressure and less-pliable when placed under reduced pressure. The variable wound dressing has a first side and a second, patient-facing side, and in use, a treatment space is formed between the second, patient-facing side of the variable dressing and the wound bed. One or more ports are used to supply reduced pressure within the variable cover and to the wound site. A reduced-pressure subsystem is also included that is operable to supply reduced pressure to the one or more ports.
1. A method for providing reduced-pressure treatment to a wound bed at a tissue site, the method comprising the steps of: providing a sealed envelope having a first side, a second side, and an interior space, the interior space having a plurality of polymer granules, beads, or balls disposed therein; disposing the sealed envelope over the tissue site to form a treatment space between the wound bed and the sealed envelope; forming a fluid seal over the tissue site; providing reduced pressure to the interior space of the sealed envelope to decrease a volume of the interior space and make the sealed envelope more rigid; and providing reduced pressure to the treatment space.
2. The method of claim 1 , further comprising the step of disposing a wicking member in the treatment space.
3. The method of claim 1 , further comprising the step of disposing a support member over the tissue site.
4. The method of claim 1 , wherein the step of disposing the sealed envelope over the tissue site comprises the steps of disposing a support member over the tissue site and disposing the sealed envelope over the support member.
5. The method of claim 1 , wherein the step of forming a fluid seal over the tissue site comprises applying an over-drape over at least a portion of the sealed envelope to form a fluid seal between the sealed envelope and the tissue site.
6. The method of claim 1 , wherein the interior space is fluidly sealed from the tissue site.
7. A variable wound dressing for treating a wound bed at a tissue site comprising: a sealed envelope having a first wall coupled to a second wall to define an interior space between a portion of the first wall and a portion of the second wall; a plurality of polymer granules, beads, or balls disposed within the interior space of the sealed envelope; and a reduced-pressure port in fluid communication with the interior space and operable to provide reduced pressure to the interior space from a source of reduced pressure to decrease a volume of the interior space and cause the sealed envelope to become more rigid, wherein the reduced pressure port comprises a first reduced pressure port and a second reduced pressure port, and wherein the second reduced pressure port extends through the sealed envelope.
8. The variable, reduced-pressure wound dressing of claim 7 , further comprising:
a reduced-pressure port in fluid communication with the interior space and in fluid communication with the tissue-facing side of the variable cover.
9. The variable wound dressing of claim 7 , wherein the interior space has a first volume (V 1 ) at a first reduced pressure (P 1 ) and a second volume (V 2 ) at a second reduced pressure (P 2 ), and wherein P 1 >P 2 on an absolute pressure scale and V 1 >V 2 .
10. The variable wound dressing of claim 9 wherein the sealed envelope is more rigid at the second reduced pressure (P 2 ) than the first reduced pressure (P 1 ).
11. The variable wound dressing of claim 7 , further comprising a support member having a first side and a second side, and wherein the first side of the support member is coupled to the second wall of the sealed envelope to support the sealed envelope when positioned at the tissue site without reduced pressure being supplied.
12. The variable wound dressing of claim 11 , wherein the support member comprises a high-density polyethylene sheet.
13. The variable wound dressing of claim 7 , wherein the interior space is fluidly sealed from the tissue site.
14. A system for providing reduced-pressure treatment to a wound bed at a tissue site comprising: a variable wound dressing-comprising a sealed envelope having a first side, a second side, and an interior space, the second side forming a treatment space with the wound bed when the sealed envelope is positioned at the tissue site, the variable wound dressing further comprising a plurality of polymer granules, beads, or balls disposed within the interior space and adapted to cause the sealed envelope to become more rigid when a reduced pressure is applied to the interior space; a first reduced-pressure port in fluid communication with the interior space, and operable to provide reduced pressure to the interior space from a source of reduced pressure to decrease a volume of the interior space; a second reduced-pressure port extending through the sealed envelope and adapted to be in fluid communication with the treatment space when the sealed member is positioned at the tissue site, and operable to provide reduced pressure to the treatment space from a source a reduced pressure; and a reduced-pressure subsystem operable to supply reduced pressure to the first reduced-pressure port and the second reduced-pressure port.
15. The system of claim 14 , wherein the second reduced-pressure port has a first portion and a second portion, and further comprising a wicking member associated with the second portion of the second reduced-pressure port.
16. The system of claim 14 , wherein the variable wound dressing further comprises a support member adjacent the second side of the sealed envelope to support the sealed envelope when positioned at the tissue site without reduced pressure being supplied.
17. The system of claim 16 , wherein the support member is coupled to the second-side of the sealed envelope.
18. The system of claim 14 , wherein the solid members comprise a plurality of polymer beads.
19. The system of claim 14 , wherein the solid members comprise a plurality of polystyrene balls.
20. The system of claim 14 , wherein the reduced-pressure subsystem comprises:
a reduced-pressure source;
a three-way valve fluidly coupled to the reduced-pressure source, the first reduced-pressure port, and the second reduced-pressure port; and
wherein the three-way valve is operable to provide reduced-pressure to the first reduced-pressure port and the second reduced-pressure port.
21. The system of claim 14 , further comprising an over-drape for sealing at least a portion of the sealed envelope to the tissue site.
22. The system of claim 14 , wherein:
the second reduced-pressure port has a first portion and a second portion, and further comprising a wicking member associated with the second portion of the second reduced-pressure port; and
the variable wound dressing further comprises a support member adjacent the second side of the sealed envelope to support the sealed envelope when positioned at the tissue site without reduced pressure being supplied.
23. The system of claim 14 , wherein the first reduced-pressure port and the second reduced-pressure port comprises a single reduced-pressure port having a valve.