Externally-applied patient interface system and method
A surface-wound healing dressing for a wound or incision includes a slip drain located within the closed wound or incision. A wick is placed over the closed wound or incision in contact with the slip drain. A mat is placed over the wick and adapted for fluidic communication therewith. A recoil core includes a foam material and is adapted for placement on the mat. A wound healing method includes the steps of placing a slip drain, placing a wick over the slip drain, placing a recoil core over the wick and covering the recoil core with an overdrape. The overdrape is adapted for connection to an external negative pressure source, such as a vacuum.
1. A dressing assembly for a wound or incision, which comprises:
an external patient interface including an external fluid transfer component, said fluid transfer component being adapted for transferring fluid from the wound or incision;
said external patient interface including an overdrape placed over said fluid transfer component in contact with a surrounding skin surface;
said fluid transfer component including a porous core with a surface;
said overdrape having an opening to said fluid transfer component;
said opening forming a discharge port for discharging fluid from said dressing assembly;
an internal fluid transfer component located in said wound or incision in fluidic communication with said external fluid transfer component and comprising multiple drain strips each having an internal portion located within said wound or incision and an external portion located externally thereto;
said drain strips each comprising a flat, flexible material;
each said drain strip external portion being folded over the skin surface adjacent to said wound or incision;
a pressure source connected to said fluid transfer component;
a wicking material cover enclosing said core and including a perimeter edge;
said fluid transfer component having compressed and uncompressed configurations;
said wicking material edge buckling and forming a laterally-projecting rim with said fluid transfer component in its compressed configuration;
said core forming an air-entrapment interior zone with the application of negative pressure thereto;
said core forming a fluid transfer zone at its outer surface and adjacent to said wicking material cover;
said fluid transfer zone being adapted for directing fluid from said wound or incision to said discharge port;
a sensor connected to said fluid transfer component and adapted for sensing a characteristic thereof and providing an output signal corresponding to said characteristic;
a controller connected to said sensor and receiving input signals therefrom and providing an output signal to said pressure source; and
a feedback loop connected to said controller output and to said controller for providing a feedback signal corresponding to said controller output and inputting same to said controller.
2. A method for treating a wound or incision externally, which comprises the steps of:
locating a slip drain within said wound or incision;
placing a wick over the closed wound or incision in contact with the slip drain;
placing said external patient interface on a patient over the wound or incision;
providing an overdrape and placing same over said fluid transfer component in contact with a surrounding skin surface;
providing said fluid transfer component with a recoil core including a surface and a wicking material layer engaging same; and
transferring fluid from the wound or incision to the fluid transfer component.
3. The method of claim 2 , which includes additional step of providing said slip drain with an internal portion located within said wound or incision and an external portion located externally thereto.
4. The method of claim 3 , which includes the additional steps of:
providing a sensor connected to said fluid transfer component;
sensing a characteristic thereof and providing an output signal corresponding to said characteristic;
providing a controller connected to said sensor and receiving input signals therefrom;
providing an output signal to said pressure source;
providing a feedback loop connected to said controller output and to said controller; and
said feedback loop providing an output signal corresponding to said controller output and inputting same to said controller in said feedback loop.
5. The method of claim 2 , which includes additional step of providing said compression core with a fluid transfer zone.
6. The method of claim 2 , which includes the additional steps of:
providing a hemostasis treatment method; and
applying a subdermal hemostatic pressure to said patient via said patient interface.
7. A surface-wound healing dressing for a closed wound or incision comprising:
a slip drain configured for placement within said closed wound or incision;
a wick configured for placement over said closed wound or incision and in contact with said slip drain;
a mat configured for placement over said wick and configured for fluidic communication therewith;
an external fluid transfer component including a foam recoil core and configured for placement over said mat;
said external fluid transfer component having proximal and distal surfaces and a perimeter edge extending therebetween;
an overdrape configured for placement over said external fluid transfer component in covering relation and configured for releasable attachment to a patient;
wherein said dressing is configured for draining said closed wound or incision via said slip drain;
wherein said recoil core is configured for compressing under negative pressure and recoiling to its original position when said negative pressure is removed;
a negative pressure source configured for extracting fluid and air from said dressing;
wherein said overdrape includes an opening to said external fluid transfer component distal surface forming a discharge port configured for discharging fluid from said dressing assembly; and
wherein said overdrape includes perimeter ports to said external fluid transfer component perimeter edge.
8. The dressing assembly according to claim 7 , wherein:
said perimeter ports comprise an inflow perimeter port and an outflow perimeter port;
said dressing assembly further comprising an input pump connected to said inflow perimeter port and configured for supplying fresh air to said dressing; and
said outflow perimeter port connected to said negative pressure source and configured for removing air from said dressing.
9. The dressing assembly according to claim 7 , which includes:
an internal fluid transfer component located in said wound or incision in fluidic communication with said external fluid transfer component.
10. The dressing assembly according to claim 7 , wherein:
said slip drain includes an internal portion configured for placement within said wound or incision and an external portion configured for placement externally thereto.
11. The dressing assembly according to claim 10 , wherein:
said slip drain external portion is configured for folding over a skin surface adjacent to said wound or incision; and
said slip drain external portion being configured for attachment to said overdrape and for extraction when said overdrape is removed.
12. The dressing assembly according to claim 7 , wherein:
said slip drain comprises a flat, flexible material.
13. The dressing assembly according to claim 7 , wherein:
said slip drain comprises a plurality of slip drains.
14. The dressing assembly according to claim 7 , wherein:
said wick comprises a proximal wicking material layer engaging said external fluid transfer component proximal surface and configured for overlying said wound or incision; and
a distal wicking material layer engaging said external fluid transfer component distal surface and said overdrape.
15. The dressing assembly according to claim 7 , wherein said recoil core comprises a reticulated, compressible foam material chosen from among the group consisting of polyurethane ether (PUE) and polyvinyl acetate (PVA).
16. The dressing assembly according to claim 7 , wherein said wick comprises rayon.
17. The dressing assembly according to claim 7 , wherein said negative pressure source comprises a manually-operated vacuum-type device.
18. The dressing assembly according to claim 7 , which includes:
a wicking material cover enclosing said external fluid transfer component;
said cover including a perimeter edge;
said fluid transfer component having compressed and uncompressed configurations; and
said wicking material cover edge buckling and forming a laterally-projecting rim with said fluid transfer component in its compressed configuration.
19. The dressing assembly according to claim 18 , which includes:
said recoil core forming an air-entrapment interior zone with the application of negative pressure thereto;
said recoil core forming a fluid transfer zone at its outer surface and adjacent to said wicking material cover; and
said fluid transfer zone being adapted for directing fluid from said wound or incision to said discharge port.
20. The dressing assembly according to claim 7 , which includes:
a sensor connected to said fluid transfer component and adapted for sensing a characteristic thereof and providing an output signal corresponding to said characteristic;
a controller connected to said sensor and receiving input signals therefrom and providing an output signal to said pressure source; and
a feedback loop connected to said controller output and to said controller for providing a feedback signal corresponding to said controller output and inputting same to said controller.