Wound drainage system

Surgery – Means and methods for collecting body fluids or waste material – Aspiration collection container or trap

Patent

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Details

604317, 604320, A61M 100

Patent

active

059447036

DESCRIPTION:

BRIEF SUMMARY
FIELD OF THE INVENTION

This invention relates to a closed wound drainage system where sub-atmospheric pressure (partial vacuum) is employed to assist the drainage. The function of wound drainage is to promote rapid and efficient healing of post-operative wounds.


BACKGROUND OF THE INVENTION

A wide range of equipment has been proposed to assist in the draining of fluid from wounds, particularly wounds resulting from surgery or accidents. One type of known construction employs a bellows type container that can be reduced in volume against the pressure of internal springs or by the force of deformation of the container material to provide a vacuum source.
These types of construction exhibit several major limitations one being that to achieve the desired level of vacuum, the container must have a high degree of resilience to develop a vacuum of the order of several pounds per square inch. This is somewhat impractical in terms of cost effective manufacture and it is not possible to effectively control or maintain the desired vacuum level for efficient drainage. Further, as only a small degree of vacuum can be created, it dissipates rapidly as the container fills with fluid. Also, it is normally very difficult, if not impossible, to monitor accurately the rate at which the fluid is collected.
Another known type of equipment for the extraction and collection of wound fluid employs a disposable container connected to a re-useable electronically driven pump, and thus require elaborate and expensive electronics, a pump and rechargeable batteries or a power supply. The inherent complexities of this type of device entails significant additional cost for initial purchase and for maintenance of the pump and controller. While the fluid containers are disposable, special provisions must be made to ensure that the non-disposable components, such as the pump assembly, are protected from contamination by the drained wound fluid.
Yet a further known type of wound fluid collector is that employing a pre-evacuated container which use volatile liquids such as pentane and hexane to achieve the required level of vacuum. However these do not provide a capability to vary or otherwise control the level of vacuum, and if a leak occurs which dissipates the vacuum there is no ability to re-establish the vacuum. These systems often operate at a higher degree of vacuum than is ideally desired for optimum drainage in many situations.
There is a variant of this latter form of wound fluid collector which use an elaborate, separate, non-adjustable regulator of the flexible throttled tube type which can be attached to the drain bottle. This does help to avoid an overly strong suction, but still has the other shortcomings of the non-regulated system and additionally there is the substantial added cost of the regulator, which cannot be re-used for another patient, as the regulator becomes contaminated by the drained wound fluids during use.


OBJECTS OF THE INVENTION

The object of this invention is to provide an improved method and apparatus for effecting closed wound drainage especially in regard to a cost effectiveness, disposability, and reliability and simplicity in operation.


SUMMARY OF THE INVENTION

There is thus provided in one embodiment a method of withdrawing fluid from a wound comprising providing a passage between the wound and a container with valve means to control flow of fluid from the passage to the container, said method comprising cyclically establishing in the passage a level of vacuum at or above a selected value and a higher level of vacuum in the container, drawing fluid from the wound while the valve means is closed to collect said fluid in said passage, and opening said valve means in response to the level of vacuum in said passage falling below said select value to permit discharge of fluid from said passage to the container to thereby re-establish said selected or higher level of vacuum in the passage.
Preferably, the level of vacuum is maintained in the container is greater than that existing in the passage and

REFERENCES:
patent: 3086528 (1963-04-01), Eichelman
patent: 3659605 (1972-05-01), Sielaff
patent: 3830238 (1974-08-01), Kurtz
patent: 4303072 (1981-12-01), Lewis
patent: 4681571 (1987-07-01), Nehring
patent: 4718895 (1988-01-01), Kurtz
patent: 5073172 (1991-12-01), Fell
patent: 5423780 (1995-06-01), Malette

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