Composition, apparatus, kit and method and uses thereof
Inactive Publication Date: 2015-06-11
SMITH & NEPHEW INC
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[0053]Certain embodiments provide a method which facilitates applying TNP to a wound site whereby power consumption at a source such as a vacuum pump generating negative pressure is efficient and negative pressure, and thereby therapy, can be continued for as long as desired.
[0054]Certain embodiments facilitate applying TNP to a wound site whereby negative pressure is effectively applied at a wound site and therapy can facilitate in wound healing as desired.
[0055]Certain embodiments facilitate applying to a wound site a TNP dressing which is substantially undisturbed by external influences.
[0056]Certain embodiments facilitate accurately positioning or repositioning a dre
Problems solved by technology
Where hair was present at the application site, this was found to interfere with results and these results were discarded.
In the firstfew minutes the border area had to be continually smoothed down to encourage it to stickdown.As the Mepiseal cured adhesion of the border to the skin improved, however edge lift wasvisible and remained a problem, with significant lift occurring at the dressing corners.Removal of the Mepiseal under the PICO dressing was messy.A4It became apparent that the Mepiseal had not adhered particularly well to the dressingedge.
On removal of the drape the Mepiseal was found to preferentially adhere to the drape allowing clean removal from skin.2. Where Mepiseal was used underneath the border of a PICO dressing it was found that the initial keying of the dressing to the skin was hampered by the presence of the Mepiseal between the skin and the silicone wound contact layer.
Post cure the adhesion of the dressing border to the skin improved and a reduction in loss of negative pressure was recorded, however edge lift was visible and remained a problem.
Cohesive failure was observed as a marked break in the seal during wear.
At break, the silicone on the skin remained adhered and the silicone on the dressing remained adhered, however mechanical failure of silicone bridging these two surfaces was clearly visible.
Cohesive failure was observed as a marked break in the seal during wear.
At break, the silicone on the skin remained adhered and the silicone on the dressing remained adhered, however mechanical failure of silicone bridging these two surfaces was clearly visible.
TABLE 1DIntegrity of Seal and Comments/ObservationsMIComments/ObservationsD1iv-4)Application of the silicone bead improved the seal when compared to the Control,however, large air leaks were recorded by the pump (at 64-65 minutes and110-115 minutes) which required the dressing border to be smoothed down by hand torestore the seal between the skin and the dressing where the Mepiseal had failed.D3iv-5)The cure time of the silicone bead was considered too long for applications where& iv-2)it is on an outer surface.
The
Method used
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[0447]Examples B, C and D were conducted as verification of A, performed for 2 hours wear time on subjects having suitable skin surface when non-prepped by shaving or clipping. Where hair was present at the application site, this was found to interfere with results and these results were discarded.
Procedure
[0448]Step 0. To clean, dry, intact skin, composition was applied. The composition was dispensed to form a continuous bead of material on the skin in the area where the PICO dressing border was to sit
Step 1a / 1b To clean, dry, intact skin, if applicable having composition dispensed thereto as Step 0, a dressing was applied:
(a) a PICO dressing (15 cm×20 cm, such as supplied in the kit with product code 66800866 (Smith & Nephew)) or
(b) a retention strip (15 cm×20 cm, such as supplied in the kit with product code 66800866 (Smith & Nephew)).
[0449]The dressing was orientated such that the midline of the dressing ran longitudinally along the anterior forearm, with the port distal (d) or ...
Example
Steps as Examples C
[0457]In Step 2b smoothed, the bead of silicone was smoothed down using a clean, dry fingertip or the tip of the syringe. The silicone was worked into any visible rucks or creases at the dressing edge. The material was spread such that it afforded overlap on the skin and the top surface of the dressing border.
[0458]In Step 2b poured, P1 was dispensed into the supplied mixing pot and the two components Vigorously mixed for 15 seconds. The curing silicone foam was carefully poured over the junction between the skin and the PICO dressing edge such that it covered the complete perimeter of the dressing.
[0459]Step 3 measurement was not conducted for D8 and D9, D11, D12 and D13
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Abstract
A curable composition for use in wound care comprising, apportioned between at least one Part A and at least one Part B: one or more alkenyl-group containing polymers (i) having at least one alkenyl group or moiety per molecule, one or more SiH-containing polymers (ii) having at least one Si—H unit per molecule; and a catalyst (iii) for curing by addition of alkenyl-containing polymer (i) to SiH-containing polymer (ii), Part A and Part B independently having viscosity at 23° C. in the range 5-300 Pa·s, preferably 10-100 Pa s, at a shearing rate of 10 s−1, and when combined in one Part having cure time at 23° C. in the range from 0.5 min to 25 min, wherein when dispensed into a location about a wound dressing, said wound dressing overlying a wound site and skin thereabout, said dispensing being so as to intimately contact and overlie an edge of said dressing and skin about said edge, the composition cures in contact with said edge and skin at 32° C. to an elastomer exhibiting zero or low tack at a time in the range from 0.5 to less than 30 minutes, apparatus for use with said composition comprising dispensing apparatus or wound dressing, a kit comprising the same, and methods of dispensing and curing the same and of using the same in sealing a wound dressing and in treating a wound site of a human in need thereof.
Description
[0001]Embodiments relate to a composition, an apparatus, a kit, methods using the same and uses thereof in the field of wound care, particularly in advanced wound management, more particularly in the application of topical negative pressure (TNP) therapy to a wound site. In particular, but not exclusively, certain embodiments relate to the management of negative pressure loss from a wound dressing intended for covering a wound site whilst TNP therapy is applied.BACKGROUND[0002]Many different types of wound dressing are known, for aiding in the healing process of a human or animal subject in need thereof. These different types of wound dressing include many different types of materials and layers, for example, gauze, pads' and / or foam pads with overlying drapes or multi-layer wound dressings. Advanced wound management dressings are known for the management or healing of complex wounds. Advanced wound management dressings are dressings which are tailored to include specific provision ...
Claims
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Application Information
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