CA2644898A1 - System for percutaneously administering reduced pressure treatment using balloon dissection - Google Patents

System for percutaneously administering reduced pressure treatment using balloon dissection Download PDF

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Publication number
CA2644898A1
CA2644898A1 CA002644898A CA2644898A CA2644898A1 CA 2644898 A1 CA2644898 A1 CA 2644898A1 CA 002644898 A CA002644898 A CA 002644898A CA 2644898 A CA2644898 A CA 2644898A CA 2644898 A1 CA2644898 A1 CA 2644898A1
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CA
Canada
Prior art keywords
reduced pressure
delivery system
pressure delivery
manifold
flow passage
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002644898A
Other languages
French (fr)
Other versions
CA2644898C (en
Inventor
Douglas A. Cornet
Larry D. Swain
Royce W. Johnson
Michael Manwaring
Jonathan Kagan
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KCI Licensing Inc
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Individual
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Application filed by Individual filed Critical Individual
Publication of CA2644898A1 publication Critical patent/CA2644898A1/en
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Publication of CA2644898C publication Critical patent/CA2644898C/en
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    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/32—Joints for the hip
    • A61F2/36—Femoral heads ; Femoral endoprostheses
    • A61F2/3609—Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
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    • A—HUMAN NECESSITIES
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389—The prosthesis being coated or covered with a particular material
    • A61F2310/00395—Coating or prosthesis-covering structure made of metals or of alloys
    • A—HUMAN NECESSITIES
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    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389—The prosthesis being coated or covered with a particular material
    • A61F2310/00592—Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389—The prosthesis being coated or covered with a particular material
    • A61F2310/00928—Coating or prosthesis-covering structure made of glass or of glass-containing compounds, e.g. of bioglass
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01—Constructive details
    • A61H2201/0103—Constructive details inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/74—Suction control
    • A61M1/75—Intermittent or pulsating suction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/92—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing with liquid supply means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90—Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/96—Suction control thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1086—Balloon catheters with special features or adapted for special applications having a special balloon surface topography, e.g. pores, protuberances, spikes or grooves

Abstract

A reduced pressure delivery system for applying a reduced pressure to a tissue site includes a manifold delivery tube having at least two lumens and a manifold having a plurality of flow channels. The manifold is disposed within a first of the lumens of the manifold delivery tube. A balloon having an inner space and being capable of assuming collapsed and expanded positions is provided. The inner space of the balloon is fluidly connected to a second of the lumens of the manifold delivery tube.

Claims (44)

1. A reduced pressure delivery system for applying reduced pressure tissue treatment to a tissue site comprising:
a manifold delivery tube having at least two lumens;
a manifold having a plurality of flow channels, the manifold disposed within a first of the lumens of the manifold delivery tube; and a balloon having an inner space and being capable of assuming collapsed and expanded positions, the inner space being fluidly connected to a second of the lumens of the manifold delivery tube.
2. The reduced pressure delivery system according to claim 1 further comprising a sharp tip operably associated with the manifold delivery tube for selectively puncturing the balloon.
3. The reduced pressure delivery system according to claim 1, wherein the first and second lumens are substantially coaxial.
4. The reduced pressure delivery system according to claim 1 further comprising a reduced pressure delivery tube fluidly connected to at least one of the plurality of flow channels.
5. The reduced pressure delivery system according to claim 4, wherein the reduced-pressure delivery tube is capable of being disconnected from the at least one flow channel.
6. The reduced pressure delivery system according to claim 5, wherein the manifold is bioresorbable.
7. The reduced pressure delivery system according to claim 4, further comprising a reduced pressure source fluidly connected to the reduced-pressure delivery tube.
8. The reduced pressure delivery system according to claim 4, wherein a reduced pressure is applied through the reduced-pressure delivery tube to the at least one flow channel.
9. The reduced pressure delivery system according to claim 8, wherein the reduced pressure is applied cyclically.
10. The reduced pressure delivery system according to claim 1, wherein the manifold delivery tube is a catheter.
11. The reduced pressure delivery system according to claim 1, wherein the manifold delivery tube is a cannula.
12. The reduced pressure delivery system according to claim 1 further comprising markers operably attached to at least one of the manifold delivery tube and the manifold to visualize a location of the manifold delivery tube or the manifold relative to the tissue site.
13. The reduced pressure delivery system according to claim 12, wherein the markers are radio-opaque markers.
14. The reduced pressure delivery system according to claim 1, wherein the manifold further comprises:
a flexible wall surrounding a primary flow passage and adapted to be placed in proximity to the tissue site, the flexible wall including a plurality of apertures through the flexible wall and communicating with the primary flow passage;
a blockage prevention member positioned within the primary flow passage;
a first conduit having at least one outlet fluidly connected to the primary flow passage to deliver reduced pressure to the primary flow passage;
a second conduit having at least one outlet proximate the primary flow passage or the at least one outlet of the first conduit to purge at least one of the primary flow passage and the outlet of the first conduit with a gaseous fluid during the application of reduced pressure.
15. The reduced pressure delivery system according to claim 14, wherein the blockage prevention member is a plurality of projections disposed on an inner surface of the flexible wall and extending into the primary flow passage.
16. The reduced pressure delivery system according to claim 14, wherein the blockage prevention member is a cellular material positioned within the primary flow passage.
17. The reduced pressure delivery system according to claim 1, wherein the manifold further comprises:
a flexible barrier;

a cellular material disposed adjacent to the flexible barrier, the cellular material including the plurality of flow channels; and a reduced-pressure delivery tube fluidly connected to at least one of the plurality of flow channels.
18. The reduced pressure delivery system according to claim 1, wherein the balloon is expanded by injecting a fluid into the inner space.
19. The reduced pressure delivery system according to claim 1, wherein the tissue site includes a hard tissue.
20. The reduced pressure delivery system according to claim 1, wherein the tissue site includes a soft tissue.
21. A reduced pressure delivery system for applying reduced pressure tissue treatment to a tissue site comprising:
an impermeable membrane having an inner space, the impermeable membrane being capable of assuming compressed and relaxed conditions;
a manifold having a plurality of flow channels, the manifold positioned within the inner space of the impermeable membrane; and wherein a reduced pressure within the inner space of the impermeable membrane is less than the pressure outside the impermeable membrane to reduce a volume of space occupied by the manifold within the impermeable membrane.
22. The reduced pressure delivery system according to claim 21, wherein the impermeable membrane is sealed to maintain the reduced pressure within the impermeable membrane.
23. The reduced pressure delivery system according to claim 21 further comprising a reduced pressure source fluidly connected to the inner space of the impermeable membrane to maintain the reduced pressure within the inner space.
24. The reduced pressure delivery system according to claim 21, wherein the impermeable membrane is dissolvable when placed in contact with bodily fluids or bodily tissue.
25. The reduced pressure delivery system according to claim 21, wherein the impermeable membrane is capable of assuming an expanded position to dissect tissue adjacent the tissue site.
26. The reduced pressure delivery system according to claim 25, wherein the impermeable membrane is expanded by injecting a fluid into the inner space.
27. The reduced pressure delivery system according to claim 21 further comprising an instrument having a sharp tip to selectively rupture the impermeable membrane.
28. The reduced pressure delivery system according to claim 21 further comprising:
a seal disposed on the impermeable membrane; and an instrument to push the manifold through the seal.
29. The reduced pressure delivery system according to claim 21 further comprising markers operably attached to at least one of the impermeable membrane and the manifold to visualize a location of the impermeable membrane or the manifold relative to the tissue site.
30. The reduced pressure delivery system according to claim 29, wherein the markers are radio-opaque markers.
31. The reduced pressure delivery system according to claim 21 further comprising a reduced-pressure delivery tube having a distal end fluidly connected to at least one of the flow channels of the manifold.
32. The reduced pressure delivery system according to claim 31 further comprising a reduced pressure source fluidly connected to a proximal end of the reduced-pressure delivery tube to deliver a second reduced pressure to the at least one flow channel.
33. The reduced pressure delivery system according to claim 32, wherein the second reduced pressure is applied cyclically.
34. The reduced pressure delivery system according to claim 31, wherein the reduced-pressure delivery tube is capable of being disconnected from the at least one flow channel.
35. The reduced pressure delivery system according to claim 34, wherein the manifold is bioresorbable.
36. The reduced pressure delivery system according to claim 21, wherein the manifold further comprises:
a flexible wall surrounding a primary flow passage and adapted to be placed in proximity to the tissue site, the flexible wall including a plurality of apertures through the flexible wall and communicating with the primary flow passage;
a blockage prevention member positioned within the primary flow passage;
a first conduit having at least one outlet fluidly connected to the primary flow passage to deliver reduced pressure to the primary flow passage;
a second conduit having at least one outlet proximate the primary flow passage or the at least one outlet of the first conduit to purge at least one of the primary flow passage and the outlet of the first conduit with a fluid during the application of reduced pressure.
37. The reduced pressure delivery system according to claim 36, wherein the blockage prevention member is a plurality of projections disposed on an inner surface of the flexible wall and extending into the primary flow passage.
38. The reduced pressure delivery system according to claim 36, wherein the blockage prevention member is a cellular material positioned within the primary flow passage.
39. The reduced pressure delivery system according to claim 36, wherein the fluid is a gas
40. The reduced pressure delivery system according to claim 36, wherein the fluid is a liquid
41. The reduced pressure delivery system according to claim 21, wherein the manifold further comprises:
a flexible barrier;
a cellular material attached to the flexible barrier, the cellular material including the plurality of flow channels; and a reduced-pressure delivery tube fluidly connected to at least one of the plurality of flow channels.
42. The reduced pressure delivery system according to claim 21, wherein the tissue site includes hard tissue.
43. The reduced pressure delivery system according to claim 21, wherein the tissue site includes soft tissue.
44. A reduced pressure delivery system for applying reduced pressure tissue treatment to a tissue site comprising:
a manifold delivery tube having at least one passageway and a distal end, the distal end capable of being placed adjacent the tissue site;
a manifold having a plurality of flow channels, the manifold configured to be delivered through the passageway of the manifold delivery tube to the tissue site; and an impermeable membrane positionable at the distal end of the manifold delivery tube, the impermeable membrane having an inner space and being capable of assuming at least one of an expanded position and a collapsed position.
CA2644898A 2006-03-14 2007-03-14 System for percutaneously administering reduced pressure treatment using balloon dissection Expired - Fee Related CA2644898C (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US78217106P 2006-03-14 2006-03-14
US60/782,171 2006-03-14
US11/717,892 2007-03-13
US11/717,892 US8029498B2 (en) 2006-03-14 2007-03-13 System for percutaneously administering reduced pressure treatment using balloon dissection
PCT/US2007/006649 WO2007106592A2 (en) 2006-03-14 2007-03-14 System for percutaneously administering reduced pressure treatment using balloon dissection

Publications (2)

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CA2644898A1 true CA2644898A1 (en) 2007-09-20
CA2644898C CA2644898C (en) 2012-10-09

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CA2644898A Expired - Fee Related CA2644898C (en) 2006-03-14 2007-03-14 System for percutaneously administering reduced pressure treatment using balloon dissection
CA2810300A Active CA2810300C (en) 2006-03-14 2007-03-14 Use of percutaneous tube for administering reduced pressure treatment using balloon dissection
CA2644865A Active CA2644865C (en) 2006-03-14 2007-03-14 System for administering reduced pressure treatment having a manifold with a primary flow passage and a blockage prevention member
CA2644864A Active CA2644864C (en) 2006-03-14 2007-03-14 Use of percutaneous tube for administering reduced pressure treatment using balloon dissection
CA2644901A Expired - Fee Related CA2644901C (en) 2006-03-14 2007-03-14 System and method for percutaneously administering reduced pressure treatment using a flowable manifold

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CA2810300A Active CA2810300C (en) 2006-03-14 2007-03-14 Use of percutaneous tube for administering reduced pressure treatment using balloon dissection
CA2644865A Active CA2644865C (en) 2006-03-14 2007-03-14 System for administering reduced pressure treatment having a manifold with a primary flow passage and a blockage prevention member
CA2644864A Active CA2644864C (en) 2006-03-14 2007-03-14 Use of percutaneous tube for administering reduced pressure treatment using balloon dissection
CA2644901A Expired - Fee Related CA2644901C (en) 2006-03-14 2007-03-14 System and method for percutaneously administering reduced pressure treatment using a flowable manifold

Country Status (12)

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US (10) US20070219585A1 (en)
EP (4) EP1993512B1 (en)
JP (9) JP5065372B2 (en)
KR (4) KR101198563B1 (en)
CN (4) CN101437472B (en)
AU (5) AU2007225048B2 (en)
BR (1) BRPI0709320A2 (en)
CA (5) CA2644898C (en)
MX (4) MX2008011742A (en)
RU (4) RU2405588C2 (en)
WO (4) WO2007106589A2 (en)
ZA (4) ZA200807377B (en)

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