Surgery: splint – brace – or bandage – Bandage structure
Reexamination Certificate
1999-07-14
2001-08-21
Brown, Michael A. (Department: 3764)
Surgery: splint, brace, or bandage
Bandage structure
C602S042000, C602S043000, C602S044000, C602S045000, C602S046000, C602S047000
Reexamination Certificate
active
06278036
ABSTRACT:
DESCRIPTION
The invention relates to a film dressing, in particular for the human or animal body, consisting of a thin film which can be fastened by means of a pressure sensitive adhesive layer to the body. The dressing can be occlusive or nonocclusive.
Pressure sensitive adhesive, nonocclusive film dressings have been used for a long time in the medical sector. The term “nonocclusive” means in this connection that although the dressing is impermeable to bacteria and liquid water, it permits oxygen and water vapour to pass through. The last property in particular allows water vapour arising on the skin to escape through the dressing. The dressings are used, for example, for covering wounds and burns, as incision films, for dermal application of active ingredients or else for fixing medical instruments such as catheters or needles to the skin.
The transparent or opaque polymer films used in the dressings are continuous, that is to say they are not perforated and not microporous. The pressure sensitive adhesive layer which is applied must also be permeable to water vapour in such a way that the overall permeability of the dressing is not less than the required extent. In order to meet these requirements and provide a flexible, conformable dressing, the films must be extremely thin. However, this circumstance leads to great difficulties in applying the dressing. Thus, this often requires two people in order to prevent creasing of the films and self-adhesion of the adhesive areas.
Occlusive film dressings—dressings with a very low or no permeability for water vapour—are likewise indicated in certain cases. Extremely thin films are also used for these dressings, because of the required ability to conform, so that once again the same application difficulties arise as with nonocclusive dressings.
One contribution to solving the problem is disclosed in DE-A 19 35 916, wherein the area of the polymer film which is not coated with pressure sensitive adhesive is covered with a rigid supporting sheet which is pulled off only after application of the dressing. The remaining problems relate to the manipulation of the dressing on application and the pulling off of the protective sheet since it is absolutely necessary to avoid contamination of the pressure sensitive layer during this.
Approaches to solutions relate to designing the supporting sheet to have a larger area than the polymer film, which makes it possible to form grasping points free of pressure sensitive adhesive (DE-C 33 44 334), or attaching gripping strips near the edge of the supporting sheet (EP 0 066 899 and EP 0 473 918). These proposals suffer from being associated with the disadvantage of a considerable expenditure of material together with, in some cases, elaborate processing steps.
U.S. Pat. No. 4,915,102 describes another possibility in which the one-piece protecting layer, that is to say layer which can be detached again and which covers the pressure sensitive adhesive layer before application, has a hinge-like connection on one edge of the dressing to the supporting sheet. On application, the protecting layer which has been pulled off accordingly remains connected to the supporting sheet and is used eventually as grasping aid when pulling off the supporting sheet. However, only a relatively narrow, adhesive-free grasping rim is provided on the edge opposite to the hinge-like connection but is used for the application. As mentioned above, special industrial processing steps are needed to produce it.
It is therefore an object of the present invention to provide a film dressing which overcomes the known deficiencies in the convenience of use while being as simple as possible to produce.
This object is achieved, in the case of a film dressing consisting of a flexible, conformable polymer film which is detachably connected on the side facing away from the skin to a supporting sheet and is equipped on the side facing the skin with a pressure sensitive adhesive layer which in turn is provided with an at least two-part protecting layer which can be pulled off, by the protecting layer having hinge-like connections on two opposite edges to the supporting sheet.
This design permits, inter alia, the supporting sheet to have the same surface area as the polymer film, and thus additional cutting and/or punching processes to be avoided. The protecting layer parts can, after detachment from the pressure sensitive adhesive layer, be swung outwards and can be grasped for application of the dressing without the need to accept contamination of the pressure sensitive adhesive layer. After the polymer film has been pressed onto the skin, the supporting sheet can conveniently be pulled off with the attached parts of the protecting layer.
There are numerous possibilities for producing the hinge-like connection between protecting layer and supporting sheet, of which some of those particularly preferred will be described. On the one hand, the protecting layer can project in the form of a strip beyond the edge of the dressing and, after folding round this edge, is adhesively fastened to the supporting sheet surface facing away from the skin. A crease in the protecting layer promotes movability thereof around the hinge axis. The converse design, that is to say the supporting sheet is, after folding around the edge, fastened to the underside of the protecting layer, is also possible in principle but will remain restricted to special cases because of possible disadvantages.
In the case where circumstances allow the supporting sheet and the protecting layer to be produced from the same material, an integral flat material will be folded around the polymer film so that the ends come to rest on the side of the adhesive layer. The adhesion of the polymer film to this flat material is brought about by known methods.
In another preferred embodiment of the invention, the supporting sheet, polymer film coated with pressure sensitive adhesive and protecting layer have the same outer contours and the hinge-like connection between supporting sheet and protecting layer is formed by attaching a longitudinally creased strip, with one part adhering to the supporting sheet side facing away from the skin and the other part adhering to the free side of the protecting layer. The strip is preferably provided with pressure sensitive adhesive, but can also be fixed by other suitable adhesive systems. Sealing on at room temperature or with heat input provides further possibilities for fixing. It is, of course, unnecessary for the strip to enclose the entire length of the edge of the hinge; on the contrary, it is sufficient in some cases for only parts of the edge to be covered. All flexible sheet materials are suitable as material for the strip.
The film dressing according to the invention preferably has a quadrangular contour with the hinge-like connections being formed on opposite edges. The size of the polymer film need not correspond to the size of the supporting sheet; it may also be smaller so that the supporting sheet projects beyond the polymer film. In this case, the contour of the polymer film may differ from the supporting sheet. This applies, for example, when a polymer film with a rounded contour is covered by an angular—in particular quadrangular—protective sheet. If no straight edges are present in the case of a polymer film with a rounded contour, such as, for example, the circular shape, the contour of the supporting sheet will be chosen, for example, to have on opposite sides straight edges tangential to the rounded contour of the polymer film which have a length such that reliable hinge formation is ensured.
Known polymers are suitable as material for the supporting sheet, such as, for example, polyethylene, polypropylene, polyamide or polyester. However, textile flat materials and paper are also in use. The thickness of the supporting sheet varies between 20 &mgr;m and 200 &mgr;m, preferably 30-80 &mgr;m. Either the supporting sheet is bonded to the polymer film with a suitable adhesive, or the connection is brought about by the mechanical forces of
Anhauser Dieter
Ecker Jurgen
Schentek Heike
Brown Michael A.
Hamilton Lalita M.
Jordan and Hamburg LLP
Lohmann GmbH & Co. KG
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