Custom Wound Dressing for Irregular Post-Breast Surgery Wounds

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Solution Overview

Problem

Current negative pressure wound therapy (NPWT) systems face challenges in effectively treating wounds with irregular shapes, particularly post-breast surgery wounds, due to the difficulty in applying standard wound dressings that provide uniform and full coverage.

Innovation Solution

A custom-designed wound dressing with an elongate portion and a bridging portion, configured to fit post-surgical breast wounds, featuring a wound contact layer, an absorbent layer, and a cover layer with a fluidic connector, allowing for the application of negative pressure and fluid management tailored to the specific anatomy.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If a standard wound dressing is used for post-breast surgery wounds, then the dressing structure is simple and easy to manufacture, but the dressing cannot provide full coverage and uniform application of negative pressure due to the irregular shape of the wound

Engineering Contradiction:
Improveadaptability to irregular wound shapesVSAvoiddressing structure complexity
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The wound dressing is divided into multiple functional layers (wound contact layer, absorbent layer, transmission layer, and cover layer), each performing a specific function. This segmentation allows the dressing to adapt to irregular wound shapes while maintaining structural organization and manufacturability.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The dressing incorporates an aperture in the cover layer positioned away from the wound contact layer, creating a localized region for fluidic connection. This local quality modification enables the dressing to accommodate the specific anatomical requirements of post-breast surgery wounds while maintaining overall structural simplicity.

Inventive Principle:
Principle #3Local quality

2Productivity

If negative pressure is applied to promote wound healing, then wound healing is accelerated, but fluid accumulation and adverse cytokines/bacteria may worsen if not properly managed

Engineering Contradiction:
Improvewound healing rateVSAvoidfluid accumulation and adverse cytokines/bacteria
Core Design Contradiction:
ProductivityVSObject-generated harmful factors

Solution Approach 1:

The transmission layer is configured with porous structure that allows fluid to pass through from the wound contact layer to the cover layer, while the aperture in the cover layer provides a controlled pathway for fluid and gas exchange. This enables effective fluid management to prevent accumulation of harmful substances while maintaining negative pressure for accelerated healing.

Inventive Principle:
Principle #31Porous materials

Solution Approach 2:

The aperture in the cover layer acts as an intermediary structure that facilitates controlled fluid and gas exchange between the wound site and the external environment. This mediator enables the removal of adverse cytokines and bacteria through the negative pressure system while maintaining the therapeutic negative pressure environment.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Reliability

If a cover layer is sealed over the wound to maintain negative pressure, then negative pressure is effectively maintained, but fluid and gas exchange with the external environment is restricted

Engineering Contradiction:
Improvenegative pressure maintenanceVSAvoidfluidic connection capability
Core Design Contradiction:
ReliabilityVSAdaptability or versatility

Solution Approach 1:

The cover layer is designed with a localized aperture that creates a specific region for fluidic connection while the rest of the cover layer maintains its sealing function. This local modification allows the dressing to simultaneously achieve reliable negative pressure maintenance and necessary fluid-gas exchange for post-breast surgery wound treatment.

Inventive Principle:
Principle #3Local quality

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The solution enables improved wound healing by ensuring consistent negative pressure application and fluid management across the wound site, enhancing the effectiveness of NPWT for post-breast surgery wounds.

Implementation Method 1

an absorbent layer and/or transmission layer

Methodology Applied
Scientific EffectAbsorption: Absorption (physical)

Implementation Method 2

absorbent layer configured to absorb wound exudate

Methodology Applied
Scientific EffectCapillary action: Capillary Action

Implementation Method 3

negative pressure wound therapy (NPWT) systems... placing a cover that is impermeable or semi-permeable to fluids over the wound, using various means to seal the cover to the tissue of the patient surrounding the wound, and connecting a source of negative pressure (such as a vacuum pump) to the cover in a manner so that negative pressure is created and maintained under the cover

Methodology Applied
Scientific EffectNegative pressure: Pressure Drop

Implementation Method 4

connecting a source of negative pressure (such as a vacuum pump) to the cover

Methodology Applied
Scientific EffectSuction: Suction

Data Source

PatentEP3423123B1Negative pressure wound therapy apparatus for post breast surgery wounds
Publication Date: 2024.11.13 SMITH & NEPHEW PLC
  • EP3423123B1 patent drawingFigure 1A
  • EP3423123B1 patent drawingFigure 1B
  • EP3423123B1 patent drawingFigure 2A

AI summary

Disclosed embodiments relate to apparatuses and methods for wound treatment. In certain embodiments, a negative pressure wound therapy apparatus includes one or more wound dressings configured to be used to treat surgical wounds including post-breast surgery wounds. In some embodiments, a single negative pressure source can be used with one or more wound dressing to treat one or more wounds.