Reduced-pressure, abdominal treatment systems and methods
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61F-013/00
A61B-017/00
A61M-001/00
출원번호
US-0078140
(2013-11-12)
등록번호
US-9895270
(2018-02-20)
발명자
/ 주소
Coward, Christopher Guy
Beard, Mark Stephen James
Hall, Colin John
Hardman, Ian James
Heaton, Keith Patrick
Sealy, James Joseph
Whyte, David George
출원인 / 주소
KCI Licensing, Inc.
인용정보
피인용 횟수 :
6인용 특허 :
89
초록▼
A method of manufacturing a reduced-pressure abdominal treatment system for treating an open abdominal cavity of a patient is provided. A reduced-pressure abdominal treatment system has an open-cavity treatment device for providing reduced-pressure treatment to a patient's abdominal cavity; a deep-t
A method of manufacturing a reduced-pressure abdominal treatment system for treating an open abdominal cavity of a patient is provided. A reduced-pressure abdominal treatment system has an open-cavity treatment device for providing reduced-pressure treatment to a patient's abdominal cavity; a deep-tissue closure device for applying a closing force on a deep-tissue wound on a patient's fascia; a surface-wound closure subsystem for providing a closing force on a surface wound on the patient's epidermis. The method of manufacturing may also include the step of providing a reduced-pressure supply subsystem.
대표청구항▼
1. A method of manufacturing a system for treating an abdominal cavity of a patient, the method comprising the steps of: forming an open-cavity treatment device comprising a plurality of encapsulated leg members for providing reduced-pressure treatment to a patient's abdominal cavity, wherein each o
1. A method of manufacturing a system for treating an abdominal cavity of a patient, the method comprising the steps of: forming an open-cavity treatment device comprising a plurality of encapsulated leg members for providing reduced-pressure treatment to a patient's abdominal cavity, wherein each of the plurality of encapsulated leg members comprises a leg manifold member disposed within an interior portion of the encapsulated leg member and is formed with fenestrations operable to allow fluid flow into the interior portion;forming a deep-tissue closure device for applying a closing force on a deep-tissue wound on a patient's fascia and configured to be coupled to the open-cavity treatment device; andforming a surface-wound closure subsystem for providing a closing force on a surface wound on a patient's epidermis, wherein the surface-wound closure subsystem is configured to be deployed on an external surface of the patient's epidermis. 2. The method of claim 1 further comprising the steps of providing a reduced-pressure supply subsystem and fluidly coupling the reduced-pressure supply subsystem to the open-cavity treatment device, the deep-tissue closure device, and the surface-wound closure subsystem. 3. The method of claim 1, wherein the step of forming an open-cavity treatment device further comprises the steps of: forming a non-adherent drape with fenestrations;coupling the plurality of encapsulated leg members to the non-adherent drape;forming a central connection member with a connection manifold member; andcoupling the central connection member to the non-adherent drape and to the plurality of encapsulated leg members, wherein each leg manifold member is in fluid communication with the connection manifold member. 4. The method of claim 3 wherein the step of forming a non-adherent drape comprises forming an elastomeric drape, forming fenestrations on the elastomeric drape, and placing visual indicia on the elastomeric drape that indicates various sizes that might be cut. 5. The method of claim 1, wherein the step of forming a deep-tissue closure device comprises the steps of: forming a contractible matrix having a first side and a second, inward-facing side, the first side formed with a plurality of apertures, and the second, inward-facing side formed with a plurality of cells, and further formed with a plurality of inter-cellular apertures, the contractible matrix for disposing proximate the deep-tissue wound;providing a manifold member operable to distribute reduced pressure; andproviding a sealing member operable to provide a pneumatic seal over the patient's abdominal cavity. 6. The method of claim 1, wherein the step of forming a surface-wound closure subsystem comprises the steps of: forming a first attachment member for releasably attaching to a first portion of the patient's epidermis proximate an edge of the surface wound;forming a second attachment member for releasably attaching to a second portion of the patient's epidermis proximate the edge of the surface wound; andforming a sealed contracting member operable to contract when placed under reduced pressure. 7. The method of claim 1, wherein the step of forming a surface-wound closure subsystem comprises the steps of: forming a sealed contracting member;forming a plurality of attachment-base members, each attachment-base member having a base and a first wall having a first end and a second end, the first end of the first wall having a first movable connection member and the second end of the first wall having a second movable connection member, each attachment-base member for releasably attaching to a portion of the patient's epidermis and for coupling to the sealed contracting member;forming a plurality of connecting members, each connecting member having a second wall with a first end and a second end, the first end of the second wall having a third movable connection member and the second end of the second wall having a fourth movable connection member, each connecting member for moveably coupling to one of the plurality of attachment-base members;fluidly coupling a reduced-pressure interface to the sealed contracting member, the reduced-pressure interface operable to deliver reduced pressure to the sealed contracting member; andwherein the plurality of attachment-base members and the plurality of connecting members are operable to moveably couple to form a circumferential wall defining an interior space and wherein the sealed contracting member is to be disposed within the interior space. 8. The method of claim 1, wherein the step of forming a surface-wound closure subsystem comprises the steps of: forming a flexible strap operable to be formed into a closed loop; andforming a plurality of modular closing members, wherein the step of forming a plurality of modular closing members comprises, for each of the plurality of modular closing members, the steps of:forming an attachment member for releasably attaching to a portion of the patient's epidermis proximate an edge of the surface wound, the attachment member formed with a base and a wall,forming a sealed contracting member having a first end and a second end, wherein the sealed contracting member is operable to contract when placed under reduced pressure,coupling the second end of the sealed contracting member to the attachment member,forming a connection member, the connection member operable to selectively couple to the flexible strap,coupling the connection member to the first end of the sealed contracting member, andforming a reduced-pressure interface fluidly coupled to the sealed contracting member for delivering reduced pressure to the sealed contracting member. 9. A method of manufacturing an abdominal treatment system, the method comprising the steps of: forming an open-cavity treatment device for providing reduced-pressure treatment proximate a patient's abdominal contents, the open-cavity treatment device comprising a central connection member, a non-adherent drape, and a plurality of encapsulated leg members coupled to the central connection member and to the non-adherent drape, each of the plurality of encapsulated leg members having an interior portion and a leg manifold member disposed within the interior portion, and being formed with fenestrations operable to allow fluid flow into the interior portion;forming a deep-tissue closure device adapted to be deployed proximate to the open-cavity treatment device for applying a closing force on a deep-tissue wound on a patient's fascia, the deep-tissue closure device having a contractible matrix; andproviding a reduced-pressure treatment subsystem for providing reduced pressure to the open-cavity treatment device and the deep-tissue closure device;wherein each of the leg manifold members comprise a plurality of interconnected flow channels. 10. The method of claim 9 further comprising the step of forming a surface-wound closure subsystem for providing a closing force on a surface wound on a patient's epidermis, wherein the step of forming a surface-wound closure subsystem comprises the steps of: forming a first attachment member for releasably attaching to a first portion of the patient's epidermis proximate an edge of the surface wound;forming a second attachment member for releasably attaching to a second portion of the patient's epidermis proximate the edge of the surface wound; andforming a sealed contracting member operable to contract when placed under reduced pressure. 11. The method of claim 10 further comprising the step of: forming a third attachment member for releasably attaching to a third portion of the patient's epidermis proximate the edge of the surface wound, wherein the third attachment member is spaced from the first and second attachment members; andwherein the third attachment member is coupled to the sealed contracting member. 12. The method of claim 11 further comprising the step of: forming a fourth attachment member for releasably attaching to a fourth portion of the patient's epidermis proximate the edge of the surface wound, wherein the fourth attachment member is spaced from the first, second, and third attachment members; andwherein the fourth attachment member is coupled to the sealed contracting member. 13. The method of claim 10 wherein: the step of forming a first attachment member further comprises the step of coupling a first base member to a first adhesive; andthe step of forming a second attachment member further comprises the step of coupling a second base member to a second adhesive. 14. The method of claim 10 wherein the step of forming a sealed contracting member comprises the steps of: providing a contracting manifold material having a first side and a second, inward-facing side, and a peripheral edge;disposing a first sealing member against the first side of the contracting manifold material;disposing a second sealing member against the second, inward-facing side of the contracting manifold material;disposing a peripheral sealing device against the peripheral edge of the contracting manifold material; andwherein the first sealing member, the second sealing member, and the peripheral sealing device are operable to pneumatically seal the contracting manifold material. 15. The method of claim 14 wherein the peripheral sealing device comprises a third sealing member. 16. The method of claim 14 wherein the peripheral sealing device comprises an outer wall. 17. A method of manufacturing an abdominal treatment system, the method comprising the steps of: forming an open-cavity treatment device for providing reduced-pressure treatment proximate a patient's abdominal contents, the open-cavity treatment device comprising a central connection member, a non-adherent drape, and a plurality of encapsulated leg members coupled to the central connection member and to the non-adherent drape;forming a deep-tissue closure device adapted to be deployed proximate to the open-cavity treatment device for applying a closing force on a deep-tissue wound on a patient's fascia, the deep-tissue closure device having a contractible matrix; andforming a surface-wound closure subsystem for providing a closing force on a surface wound on a patient's epidermis, the surface-wound closure subsystem comprising a sealed contracting member, a plurality of attachment-base members, a plurality of connecting members, wherein the plurality of attachment-base members and the plurality of connecting members are operable to moveably couple to form a circumferential wall defining an interior space and wherein the sealed contracting member is to be disposed within the interior space. 18. The method of claim 17, the method further comprising the step of providing a reduced-pressure treatment subsystem for providing reduced-pressure treatment in the patient's abdominal cavity. 19. The method of claim 18, wherein the step of providing a reduced-pressure treatment subsystem comprises fluidly coupling a reduced-pressure interface to the sealed contracting member by coupling at least one reduced-pressure interface member to at least one attachment-base member. 20. The method of claim 17, further comprising the steps of: coupling the plurality of attachment-base members to the sealed contracting member; andcoupling the plurality of connecting members to the sealed contracting member. 21. A method of manufacturing a system for treating an abdominal cavity of a patient, comprising: forming an open-cavity treatment device comprising a plurality of encapsulated leg members for providing reduced-pressure treatment to a patient's abdominal cavity, wherein each of the plurality of encapsulated leg members has an interior portion with a leg manifold member and is formed with fenestrations operable to allow fluid flow into the interior portion, and further comprising the steps of:forming a non-adherent drape with fenestrations,coupling the plurality of encapsulated leg members to the non-adherent drape,forming a central connection member with a connection manifold member, andcoupling the central connection member to the non-adherent drape and to the plurality of encapsulated leg members, wherein each leg manifold member is in fluid communication with the connection manifold member;forming a deep-tissue closure device for applying a closing force on a deep-tissue wound on a patient's fascia and configured to be coupled to the open-cavity treatment device; andforming a surface-wound closure subsystem for providing a closing force on a surface wound on a patient's epidermis, wherein the surface-wound closure subsystem is configured to be deployed on an external surface of the patient's epidermis. 22. The method of claim 21, wherein the step of forming a non-adherent drape comprises forming an elastomeric drape, forming fenestrations on the elastomeric drape, and placing visual indicia on the elastomeric drape that indicates various sizes that might be cut.
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