Incisional absorbent dressing
Dressings, systems, and methods are disclosed, in some embodiments, that involve treating a tissue site with reduced pressure. In one embodiment, a reduced-pressure dressing may include a dressing bolster, a retention pouch, and a sealing member. The dressing bolster may be adapted to apply a compressive force to the tissue site capable of closing a wound or incision therein. The retention pouch may be adapted to retain and manage fluid extracted from the tissue site to keep the tissue site substantially free of fluid and to prevent clogging of the reduced-pressure dressing. The sealing member may provide a seal over the retention pouch, the dressing bolster, and a portion of the epidermis of the patient. Other dressings, systems, and methods are disclosed.
1. A dressing for treating a tissue site, comprising:
a dressing bolster adapted to be positioned proximate to the tissue site;
a retention pouch positioned proximate the dressing bolster and in fluid communication with the dressing bolster, the retention pouch comprising a first permeable layer, a second permeable layer, and an absorbent core, the absorbent core being encapsulated between the first and the second permeable layer;
a sealing member adapted to cover the retention pouch and the dressing bolster and to provide a fluid seal between the dressing and the tissue site, the first permeable layer positioned proximate the dressing bolster and the second permeable layer positioned proximate the sealing member; and
an interface coupled to the sealing member and adapted to be in fluid communication with the dressing bolster;
wherein a portion of the second permeable layer is indented to define a gap between the sealing member and the retention pouch.
2. The dressing of claim 1 , wherein upon application of a reduced pressure to the dressing, the dressing bolster is adapted to contract and to apply a compressive force capable of closing an incision at the tissue site.
3. The dressing of claim 1 , wherein the dressing bolster is comprised of a hydrophobic material adapted to distribute a reduced pressure to the tissue site.
4. The dressing of claim 1 , wherein the dressing bolster is adapted to be positioned between the tissue site and the retention pouch.
5. The dressing of claim 1 , wherein the first permeable layer and the second permeable layer each comprise a fluid acquisition surface and a directional wicking surface, the fluid acquisition surface facing an opposite direction from the directional wicking surface, wherein the fluid acquisition surface of the first permeable layer is positioned facing the dressing bolster and the fluid acquisition surface of the second permeable layer is positioned facing the absorbent core.
6. The dressing of claim 5 , wherein the directional wicking surface of the first and the second permeable layer each have a grain oriented in a longitudinal direction along a length of the dressing, the directional wicking surface of the first and the second permeable layer being oriented to direct fluid along the length of the dressing.
7. The dressing of claim 1 , further comprising a filter positioned in the gap.
8. The dressing of claim 1 , wherein the dressing bolster and the retention pouch provide fluid communication between the interface and the tissue site, and wherein when the retention pouch has reached a maximum fluid capacity, the interface is in fluid communication with the tissue site at least through an edge of the dressing bolster.
9. The dressing of claim 1 , wherein the portion of the second permeable layer that is indented is coupled to the first permeable layer.
10. A system for treating a tissue site of a patient, comprising:
a dressing, comprising:
a dressing bolster having a first side and a second side, the first side facing opposite the second side, wherein the first side of the dressing bolster is adapted to be positioned facing the tissue site,
a retention pouch positioned proximate to the second side of the dressing bolster, the retention pouch adapted to retain a fluid and comprising a first permeable layer, a second permeable layer, and an absorbent core, wherein the absorbent core is encapsulated between the first and the second permeable layer,
a sealing member adapted to cover the retention pouch, the dressing bolster, and a portion of an epidermis of the patient proximate to the tissue site, the sealing member having a sealing member aperture, and
an interface coupled to the sealing member, the interface in fluid communication with the dressing through the sealing member aperture;
wherein a portion of the second permeable layer is indented to define a gap between the sealing member aperture and the retention pouch;
a reduced-pressure source; and
a delivery conduit for fluidly coupling the reduced-pressure source to the interface.
11. The system of claim 10 , wherein upon application of a reduced pressure to the dressing, the dressing bolster is adapted to contract and to apply a compressive force capable of closing an incision at the tissue site.
12. The system of claim 10 , wherein the dressing bolster is comprised of a hydrophobic material adapted to distribute a reduced pressure to the tissue site.
13. The system of claim 10 , wherein the first permeable layer is positioned proximate the dressing bolster and the second permeable layer is positioned proximate the sealing member.
14. The system of claim 13 , wherein the first permeable layer and the second permeable layer each comprise a fluid acquisition surface and a directional wicking surface, the fluid acquisition surface facing an opposite direction from the directional wicking surface, wherein the fluid acquisition surface of the first permeable layer is positioned facing the dressing bolster and the fluid acquisition surface of the second permeable layer is positioned facing the absorbent core.
15. The system of claim 14 , wherein the directional wicking surface of the first and the second permeable layer each have a grain oriented in a longitudinal direction along a length of the dressing, the directional wicking surface of the first and the second permeable layer being oriented to direct fluid along the length of the dressing.
16. The system of claim 10 , further comprising a filter positioned in the gap.
17. The system of claim 10 , wherein the dressing bolster and the retention pouch provide fluid communication between the interface and the tissue site, and wherein when the retention pouch has reached a maximum fluid capacity, the interface is in fluid communication with the tissue site at least through an edge of the dressing bolster.
18. The system of claim 10 , wherein the indented portion of the second permeable layer is coupled to the first permeable layer.
19. The system of claim 10 , further comprising a fluid capacity indicator, the fluid capacity indicator comprising:
a moving member adapted to move under a reduced pressure communicated through the retention pouch; and
a visual indicator associated with the moving member.
20. The system of claim 19 , wherein:
the moving member comprises a collapsible wall having a first end and a second end;
the visual indicator comprises an indicator member coupled to the first end of the collapsible wall, the indicator member having an extended position and a retracted position;
the collapsible wall is adapted to collapse under a reduced pressure greater than a threshold pressure (P t ); and
the dressing further comprises a base coupled to the second end of the collapsible wall, the base being coupled to the sealing member.
21. The system of claim 19 , wherein when the retention pouch has reached a maximum fluid capacity, the retention pouch substantially precludes the communication of the reduced pressure to the fluid capacity indicator.
22. The system of claim 10 , wherein the dressing bolster is positioned between the tissue site and the retention pouch.
23. A method of manufacturing a dressing for treating a tissue site, the method comprising:
providing a dressing bolster having a first side and a second side, the first side facing opposite the second side, wherein the dressing bolster is adapted to distribute reduced pressure to the tissue site and to contract upon application of reduced pressure;
providing a first permeable layer, a second permeable layer, and an absorbent core;
encapsulating the absorbent core between the first permeable layer and the second permeable layer to form a retention pouch;
forming an indentation in a portion of the second permeable layer of the retention pouch;
positioning the first permeable layer of the retention pouch proximate to the second side of the dressing bolster; and
covering the dressing bolster and the retention pouch with a sealing member, the second permeable layer being positioned proximate to the sealing member with the indented portion of the second permeable layer defining a gap between the sealing member and the retention pouch, a portion of the sealing member being adapted to sealingly engage an epidermis proximate to the tissue site.
24. The method of manufacturing of claim 23 , wherein the first permeable layer and the second permeable layer each have an edge, and wherein encapsulating the absorbent core between the first permeable layer and the second permeable layer comprises coupling the edge of the first permeable layer to the edge of the second permeable layer around the absorbent core.
25. The method of manufacturing of claim 23 , wherein the first permeable layer and the second permeable layer each comprise a fluid acquisition surface and a directional wicking surface, the fluid acquisition surface facing an opposite direction from the directional wicking surface, the method further comprising positioning the fluid acquisition surface of the first permeable layer facing the dressing bolster and positioning the fluid acquisition surface of the second permeable layer facing the absorbent core.
26. The method of manufacturing of claim 25 , further comprising orienting the directional wicking surface of the first and the second permeable layer to direct fluid in a longitudinal direction along a length of the dressing.
27. The method of manufacturing of claim 23 , further comprising positioning a filter in the gap.
28. A dressing for treating a tissue site of a patient, comprising:
a dressing bolster adapted to be positioned proximate to the tissue site;
a retention pouch positioned proximate the dressing bolster and in fluid communication with the dressing bolster, the retention pouch comprising a first permeable layer, a second permeable layer, and an absorbent core;
a sealing member adapted to cover the retention pouch and the dressing bolster and to provide a fluid seal between the dressing and the tissue site, the first permeable layer positioned proximate the dressing bolster and the second permeable layer positioned proximate the sealing member;
wherein the retention pouch includes a portion where the absorbent core is removed to provide a notch allowing the first permeable layer to contact the second permeable layer.
29. The dressing of claim 28 , wherein the dressing bolster and the retention pouch are adapted to move independently of each other under the application of reduced pressure.