U.S. patent application number 15/482738 was filed with the patent office on 2017-09-28 for shape and pressure adjustable dressing.
This patent application is currently assigned to Omnitek Partners LLC. The applicant listed for this patent is Jahangir S. Rastegar, Thomas Spinelli. Invention is credited to Jahangir S. Rastegar, Thomas Spinelli.
Application Number | 20170273831 15/482738 |
Document ID | / |
Family ID | 46829024 |
Filed Date | 2017-09-28 |
United States Patent
Application |
20170273831 |
Kind Code |
A1 |
Rastegar; Jahangir S. ; et
al. |
September 28, 2017 |
Shape and Pressure Adjustable Dressing
Abstract
A dressing for application to skin, the dressing including: a
portion; an adhesive applied on a surface of the portion for
adhering the portion to the skin; an elastic member associated with
the portion and restrained into a first shape; and a restraining
member connected to the elastic member to maintain the elastic
member in the first shape; wherein when the restraining member is
removed from restraining the elastic member, the elastic member
moves towards an unrestrained second shape to one or more of
elongate or reduce a dimension of the portion to apply a pressure
to corresponding portions of the skin; and the elastic member has a
circular shape.
Inventors: |
Rastegar; Jahangir S.;
(Stony Brook, NY) ; Spinelli; Thomas; (Northport,
NY) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Rastegar; Jahangir S.
Spinelli; Thomas |
Stony Brook
Northport |
NY
NY |
US
US |
|
|
Assignee: |
Omnitek Partners LLC
Ronkonkoma
NY
|
Family ID: |
46829024 |
Appl. No.: |
15/482738 |
Filed: |
April 8, 2017 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
|
|
13230797 |
Sep 12, 2011 |
9615975 |
|
|
15482738 |
|
|
|
|
13046767 |
Mar 13, 2011 |
8604266 |
|
|
13230797 |
|
|
|
|
12983314 |
Jan 2, 2011 |
8637726 |
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|
13046767 |
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|
Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61B 17/083 20130101;
A61B 17/085 20130101; A61F 2013/0028 20130101; A61F 13/0233
20130101; A61F 13/023 20130101; A61B 2017/00867 20130101; A61F
13/0246 20130101; A61F 2013/00119 20130101 |
International
Class: |
A61F 13/02 20060101
A61F013/02 |
Claims
1. A dressing for application to skin, the dressing comprising: a
portion; an adhesive applied on a surface of the portion for
adhering the portion to the skin; an elastic member associated with
the portion and restrained into a first shape; and a restraining
member connected to the elastic member to maintain the elastic
member in the first shape; wherein when the restraining member is
removed from restraining the elastic member, the elastic member
moves towards an unrestrained second shape to one or more of
elongate or reduce a dimension of the portion to apply a pressure
to corresponding portions of the skin; and the elastic member has a
circular shape.
2. The dressing of claim 1, wherein the adhesive is applied to the
surface of the portion at an annular ring of the circular
shape.
3. The dressing of claim 1, wherein the elastic member is
configured so as to reduce the dimension in a diameter of the
portion.
Description
CROSS-REFERENCE TO RELATED APPLICATION
[0001] This application is a divisional application of U.S.
application Ser. No. 13/230,797, filed on Sep. 12, 2011, now U.S.
Pat. No. 9,615,975, which is a continuation-in-part application of
U.S. application Ser. No. 13/046,767 filed on Mar. 13, 2011, now
U.S. Pat. No. 8,604,266, which is a continuation-in-part
application of U.S. application Ser. No. 12/983,314 filed on Jan.
2, 2011, now U.S. Pat. No. 8,637,726, the contents of which is
incorporated herein by reference.
BACKGROUND
[0002] 1. Field of the Invention
[0003] The present invention relates generally to dressings, and
more specifically to shape and pressure adjustable dressings.
[0004] 2. Prior Art
[0005] In many situations, dressings are desired to apply a certain
amount of pressure on a wound or to apply a certain amount of force
to close a wound or keep it closed, even over time as inflammation
subsides. In other situations, it may be desired to increase the
pressure or force over time to assist healing without a change in
the dressing. In yet other situations it may be desirable to vary
the pressure or force distribution over time. However, the
currently available materials used for dressing wounds are
difficult if not impossible to be used to achieve the above results
in general, and to achieve it with ease and in a reliable manner in
particular, even with the use of such aids as elastic components or
tension fixtures.
[0006] In other situations, the dressing may be required to cover
certain surfaces over the body that due to the shape of the
surfaces, it may be difficult to make a close fit and even more
difficult to apply pressure to the surface and sustain the applied
pressure over time. In such situations, the dressing has to not
only conform to the covered surfaces, but at the same time may have
to provide a certain pattern of pressure or force to achieve
certain goals.
[0007] A need therefore exists for a method to construct dressings
that can be readily applied to the desired area, and then have the
capability of its shape to be varied and/or apply a desired pattern
of pressure or force to the covered area. The disclosed methods of
varying the shape of the component just before use, is also
advantageous in many applications since it can be used to reduce
the size of the required packaging, e.g., a blister shaped
component may be initially stored as a relatively flat sheet and
then be turned to a blister just before application to the
patient's skin.
SUMMARY
[0008] Accordingly, a dressing for application to skin is provided.
The dressing comprising: a portion; an adhesive applied on a
surface of the portion for adhering the portion to the skin; an
elastic member associated with the portion and restrained into a
first shape; and a restraining member connected to the elastic
member to maintain the elastic member in the first shape; wherein
when the restraining member is removed from restraining the elastic
member, the elastic member moves towards an unrestrained second
shape to one or more of elongate or reduce a dimension of the
portion to apply a pressure to corresponding portions of the
skin.
[0009] The portion can have a rectangular shape. The adhesive can
be applied to the surface of the portion at first and second ends
of the rectangular shape. The first and second ends can be
separated in a lengthwise direction. The first and second ends can
be separated in a widthwise direction.
[0010] The elastic member can have a circular shape. The adhesive
can be applied to the surface of the portion at an annular ring of
the circular shape.
[0011] The portion can be constructed of first and second portions,
each having the adhesive applied on a surface of the first and
second portion for adhering the first and second portions to the
skin.
[0012] The portion can include portions for facilitating
application of the portion to the skin in a non-linear shape. The
portions can comprise a series of notches disposed at one or more
of an edge of the portion.
[0013] The elastic member can be configured so as to reduce or
enlarge the dimension in one or more of a width or length of the
portion.
[0014] The elastic member can be configured so as to reduce the
dimension in a diameter of the portion.
[0015] The elastic member can comprise two or more elastic members.
The two or more elastic members can be arranged in one or more of a
width direction or a length direction of the portion. At least one
of the two or more elastic members can be arranged interiorly of
another of the two or more elastic members.
[0016] The elastic member can have a closed, open or complex
shape.
[0017] The elastic member can be attached to a surface of the
portion.
[0018] The elastic member can be formed interiorly to the
portion.
[0019] The elastic member can be at least partially formed
integrally with the portion.
[0020] The restraining member can be a tensile member. The tensile
member can be one or more of a flexible or rigid member.
[0021] The restraining member can be a rigid compressive
member.
[0022] The restraining member can be connected to at least two
points on the elastic member.
[0023] The restraining member can comprise two or more restraining
members, each connected to the elastic member.
[0024] The two or more restraining members can be configured such
that removal of each one incrementally moves the elastic element
from the first shape towards the second shape through one or more
intermediate shapes.
[0025] The two or more restraining members can have one or more of
a differing length or elasticity.
[0026] The portion can include one or more rigid portions for
facilitating the elongation or reduction in the dimension over a
width of the portion. The one or more rigid portions can comprise a
bar. The one or more rigid portions can comprise an embossed part
of the portion.
[0027] The portion can have at least a part that is formed of an
elastic material. The elastic material can be a woven fabric having
one or more of weft and warp fibers being elastic.
[0028] The elastic member can have a second elastic member and the
portion can be formed at least partially of a first elastic member
restrained into a shape in which the portion is applied to the
skin. The restraining member can restrain both the first and second
elastic members.
[0029] Also provided is a method for applying pressure to skin with
a dressing. The method comprising: adhering at least a portion of
the dressing to the skin; and subsequent to the adhering, changing
the shape of the dressing by removing a restraint which restrains
an elastic member associated with the dressing into a first shape;
wherein the removing of the restraint from restraining the elastic
member moves the elastic member towards an unrestrained second
shape to one or more of elongate or reduce a dimension of the
dressing to apply a pressure to corresponding portions of the
skin.
[0030] Further provided is a method for applying pressure to skin
with a dressing. The method comprising adhering a first portion of
the dressing to the skin; with the first portion adhered to the
skin, changing the shape of the dressing from a second shape to a
first shape by application of a force to the dressing to
elastically deform the dressing; with the dressing in the second
shape, applying a second portion of the dressing to the skin where
the first and second portions bridge a wound on the skin such that
an elastic force in the dressing tending to return the dressing to
the second shape closes the wound; and subsequent to the applying
of the second portion of the dressing to the skin, further changing
the shape of the dressing to further close the wound by removing a
restraint which restrains an elastic member associated with the
dressing into a third shape; wherein the removing of the restraint
from restraining the elastic member moves the elastic member
towards an unrestrained fourth shape to further close the
wound.
[0031] still yet also provided is a woven fabric comprising: having
a body with a length longer than a width; and end portions of the
body in a length direction having less elasticity than a central
portion of the body between the end portions; wherein weft and warp
fibers forming the body are arranged offset from the length
direction and a width direction.
BRIEF DESCRIPTION OF THE DRAWINGS
[0032] These and other features, aspects, and advantages of the
apparatus and methods of the present invention will become better
understood with regard to the following description, appended
claims, and accompanying drawings where:
[0033] FIG. 1(a) illustrates a first embodiment of a dressing
having a first layer and a second layer.
[0034] FIG. 1(b) illustrates the dressing of FIG. 1(a) in which the
first and second layers are separated.
[0035] FIG. 1(c) illustrates the first layer of FIG. 1(b) after the
second layer has been separated therefrom.
[0036] FIG. 2(a) illustrates the dressing of FIG. 1(a) attached to
the surface of skin.
[0037] FIG. 2(b) illustrates the dressing of FIG. 2(a) after the
second layer has been removed.
[0038] FIG. 3(a) illustrates two component sheets of a second
embodiment of a dressing.
[0039] FIG. 3(b) illustrates the two component sheets of FIG. 3(a)
attached into an assembly.
[0040] FIG. 3(c) illustrates one of the components of FIG. 3(b)
attached to the skin of a patient and the other of the components
separated therefrom.
[0041] FIG. 4(a) illustrates another embodiment of a dressing.
[0042] FIG. 4(b) illustrates the dressing of FIG. 4(a) attached to
skin of a patient.
[0043] FIG. 4(c) illustrates the dressing of FIG. 4(b) being
compressed together.
[0044] FIG. 5(a) illustrates a top view of yet another embodiment
of a dressing.
[0045] FIG. 5(b) illustrates a side view of the dressing of FIG.
5(a) when at a temperature lower than a threshold temperature.
[0046] FIG. 5(c) illustrates the dressing of FIGS. 5(a) and 5(b)
attached over a cut in skin.
[0047] FIG. 5(d) illustrates the dressing of FIG. 5(c) after the
dressing has attained a temperature greater than the threshold
temperature to close the cut in the skin.
[0048] FIG. 6(a) illustrates a top view of yet another embodiment
of a dressing.
[0049] FIG. 6(b) illustrates a side view of the embodiment of FIG.
6(a).
[0050] FIG. 6(c) illustrates the dressing of FIGS. 6(a) and 6(b)
after the second layer has been removed.
[0051] FIG. 7(a) illustrates a top view of a variation of the
embodiment of FIG. 6(a).
[0052] FIG. 7(b) illustrates a side view of the embodiment of FIG.
7(a).
[0053] FIG. 8(a) illustrates a top view of another variation of the
embodiment of FIG. 6(a).
[0054] FIG. 8(b) illustrates the dressing of FIG. 8(a) after the
second layer has been removed.
[0055] FIG. 9 illustrates a top view of yet another embodiment of a
dressing FIGS. 9A and 9B illustrate a side view of the dressing of
FIG. 9 in a first shape and second shape, respectively, where the
second shape is elongated.
[0056] FIG. 10A illustrates a top view of yet another embodiment of
a dressing.
[0057] FIG. 10B illustrates a partial section view as taken along
line 10B-10B in FIG. 10A.
[0058] FIG. 10C illustrates a holding member for use in the
dressing of FIG. 10A.
[0059] FIG. 10D illustrates a top view of the dressing of FIG. 10A
held in an elongated shape with the holding member of FIG. 10C.
[0060] FIG. 11 illustrates an alternative holding member for use
with the dressing of FIG. 10A.
[0061] FIG. 12 illustrates another alternative holding member for
use with the dressing of FIG. 10A.
[0062] FIG. 13 illustrates yet another embodiment of a
dressing.
[0063] FIG. 14 illustrates yet another embodiment of a
dressing.
[0064] FIG. 15A illustrates yet another embodiment of a
dressing.
[0065] FIG. 15B illustrates a partial enlarged view of the dressing
of FIG. 15A.
[0066] FIG. 15C illustrates a clip used in the dressing of FIG.
15A.
[0067] FIG. 16A illustrates yet another embodiment of a
dressing.
[0068] FIG. 16B illustrates a partial enlarged view of the dressing
of FIG. 16A.
[0069] FIG. 16C illustrates a variation of the embodiment of FIGS.
16A and 16B.
[0070] FIGS. 17A and 17B illustrate a variation of a dressing.
[0071] FIGS. 18A-18C illustrate a use of another alternative
dressing.
[0072] FIG. 19 illustrates an alternative woven portion for a
dressing capable of deforming from the second shape into the first
shape.
[0073] FIGS. 20a and 20b illustrate another alternative dressing
portion.
[0074] FIGS. 20c and 20d illustrate an alternative of the dressing
portion of FIGS. 20a and 20b.
[0075] FIGS. 20e and 20f illustrate another alternative of the
dressing portion of FIGS. 20a and 20b.
[0076] FIGS. 21a-21c illustrate another alternative of the dressing
portion of FIGS. 20a and 20b.
[0077] FIGS. 22a-22c illustrate an alternative of the dressing
portion of FIGS. 21a-21c.
[0078] FIG. 23 illustrates an embodiment of a dressing portion.
[0079] FIGS. 24a-24c illustrate another alternative dressing
portion in which an elastic member having a complex shape is
provided.
[0080] FIGS. 24d and 24e illustrate an alternative dressing portion
of FIGS. 25a and 25b.
[0081] FIGS. 25a and 25b illustrate another alternative dressing
portion in which multiple elastic members are provided along a
length of the wound.
[0082] FIGS. 25c and 25d illustrate an alternative dressing portion
of FIGS. 25a and 25b.
[0083] FIGS. 26a-26f illustrate two additional embodiments of a
dressing having utility for puncture wounds.
[0084] FIGS. 27a-27c illustrate a variation of the dressing of
FIGS. 18a-18c.
DETAILED DESCRIPTION
[0085] A schematic of a basic design based on a first embodiment is
shown in the FIGS. 1(a) to 1(c). In FIG. 1(a), the cross-section of
a plane assembly 100 is shown, and consists of a first layer 101
and a second layer 107. The two layers are attached together using
any methods known in the art, such as with adhesives, so that the
user could readily separate them. The layer 101 consists of
components 102 and 104, which are attached together with an
intermediate component 103. Similarly, the components 104 and 106
are attached together with an intermediate component 105. The
components 102, 104 and 106 are considered to be relatively devoid
of internal stresses, while the components 103 and 105 have been
originally shaped as shown in FIG. 1(c), but have been elastically
flattened and held in the flattened configuration by the component
107, as shown in FIG. 1a, to form the assembly 100. Obviously, if
the component (layer) 107 is separated from the assembly 100, as
shown in FIG. 1(b), the components 103 and 105 would return to
their original shape, and the layer 100 will take the shape shown
in FIG. 1(c).
[0086] The first layer 101 can be formed of any material which can
be fabricated into a certain (original) shape and elastically
deformed into another shape, such as a plastic or metal or
combination thereof. Furthermore, plate 107 can be formed of any
material rigid enough to prevent the first layer 101 from taking
the original shape while attached to the first layer.
[0087] In the schematic of FIGS. 1(a)-1(c), the assembly 100 is
shown to be in the shape of a flat plate. It is, however,
appreciated by those skilled in the art, that the assembly may form
a curved surface; more stressed (preloaded or elastically deformed)
and essentially unstressed (preloaded or elastically deformed)
components may be used in the assembly; and in their unstressed
state, the stressed (preloaded or elastically deformed)
component(s) may have been constructed to assume a variety of
shapes (configurations), including complex shapes and curvatures.
In general, upon the removal of the constraining component(s), the
stressed (preloaded or elastically deformed) component(s) will tend
to return to their unstressed (natural) state. It is appreciated
that the stressed component(s), while tending to return to their
unstressed (natural) state (shape or configuration), may still
retain part of their induced internal stresses.
[0088] The dressing assembly 100 may be applied to the body surface
110, e.g., via an adhesive layer on the free surface of the layer
101 (not shown), as can be seen in FIG. 2(a). Once the assembly 100
is securely attached to the body surface, the layer 107 (wholly or
partially) is removed. FIG. 2(b) shows the case in which the layer
107 is removed. At least part of the preloading stresses in the
components 103 and 105 are then released. As a result, the layer
101 tends to its natural (stress-free) state. The components 102
and 106 are then pulled towards each other in the direction 112,
and the underlying skin is pulled together. Thereby if a cut was
present in the section of the skin 111 between the 102 and 106
components, the above action would tend to force it closed. The
component 104 of the layer 107 is also pushed away from the
skin.
[0089] In the schematics of FIGS. 1(a)-1(c), for the sake of
simplicity, only two distinct layers are used and only one of the
layers is provided with the preloaded components. However, more
than one layer can be utilized, and layers with partially preloaded
components may also be used to construct the dressing components.
It is also possible to construct devices that are constructed with
at least two layers of fully preloaded components. In addition, the
final assembly (assembly 100) does not have to be flat, and may
assume any appropriate shape and configuration as dictated with the
particular application.
[0090] It should also be noted that in the schematics of FIGS.
1(a)-1(c), and in the remaining illustrations, only living joints
are illustrated at discontinuities in the first layer 101. It is,
however, appreciated that regular joints, such as pin joints and/or
sliding joints, may also be used in the construction of the present
devices.
[0091] Another embodiment of a dressing is shown schematically in
FIGS. 3(a)-3(c). The dressing assembly 200 shown in FIG. 3(b),
consists of at least two components (sheets) 201 and 202, which in
their free (natural) form are curved as shown in FIG. 3(a). The
dressing 200 is assembled by deforming the components 201 and 202
to their assembly configuration and attaching them together,
preferably using adhesives, to achieve their final (assembled)
configuration. In FIG. 3(a), and for the sake of simplicity, the
two components 201 and 202 are shown to be deformed in a
symmetrical manner, which upon bending in the directions 203 and
204, respectively, could be nearly flattened to their final shape
in the assembly. In this particular case, since the two components
201 and 202 are considered to be identical and with symmetrical
initial deformation, then upon their assembly after being flattened
would assume a flat configuration. It is readily seen that by using
two or more components with varying shape, and/or size, and/or
materials, and/or initial (free or natural) configuration, one
could construct infinite number of assemblies, which upon partial
or full removal of one or more of the components, the desired final
shape, size, configuration, and when appropriate applied force
(moment or torque) to the attached member, could be achieved.
[0092] In certain assemblies, it may be necessary to use less
strong adhesives for assembling certain components of the assembly
for reasons such as ease of removal. In such cases, it may be
necessary to provide mechanical locking action, such as by bending
sides or corners of one component over the other, or by using
attachment methods such as sewing or stapling or by using one or
more clipping elements, etc., which is/are readily removable before
applying the dressing to the patient or following its application.
FIG. 3(c) illustrates the dressing 200 attached to a surface of the
skin and sheet 202 removed, in which case sheet 201 is deformed
towards its original shape and the skin takes the shape of the
sheet 201 and is pulled together.
[0093] Yet another embodiment of a dressing is shown in FIGS.
4(a)-4(c). The schematic of the side view of a plate formed with
two flat sides 231 and a middle side 232, forming a simple example
of a dressing element 230 is shown in FIG. 4(a). The adhesives that
are preferably provided on these surfaces may then apply the
dressing element 230 to the surface of the skin 233 as shown in
FIG. 4(b), via the surfaces 231. The part 232 is then compressed
together (or twisted or otherwise deformed) in the direction of
bringing the surfaces 231 together (direction 235), such as with a
tie-wrap, string wire or the like. As a result, the underlying skin
is pulled together in the direction 234, thereby closing a wound or
providing a desired compressive pressure, or in short the desired
effect.
[0094] In all the disclosed embodiments, appropriate dressing
components such as gauzes, medications, etc., may be disposed
(preferably in the middle regions) of the dressing assemblies to
cover the wound. Ventilation or drainage ports may also be provided
when appropriate in these regions. Elastic or removable elements
may also be provided over or around such regions for administering
medication. In certain cases, it may also be desirable to construct
one or more components of the assembly with transparent materials
so that the affected region could be observed.
[0095] In addition, the applied pressure or wound closing action of
the dressing element may be increased or decreased over time by
removing, e.g., a larger piece of the shape/configuration affecting
components or by further deformation of the shape/configuration
affecting components. The pressure applied by the dressing can also
be varied so that the skin can be "pushed" and "pulled."
[0096] Referring now to FIGS. 5(a)-5(d), the component 101, 201
disposed on the skin can be formed, at least in part, of a shape
memory material. Thus, when disposed on the skin, the component
101, 201 can change shape, in whole or in part, due to a shape
memory effect upon being heated by the temperature of the skin to
at or above a transition temperature of the shape memory material.
An external heat source may also be used to affect the shape
change. Such materials are well known in the art and can be either
metals or plastics which exhibit the shape memory effect. A
dressing having such a configuration can eliminate the second
component 107, 202 since the shape memory material can take one
form, such as flat, at a first temperature (FIG. 5(b)) and take
another shape, such as that shown in FIG. 5(d) at a second
temperature. Thus, the plate 107, 202 is not needed to maintain the
sheet 101, 201 in the shape shown in FIGS. 5(a) and 5(b). In this
configuration, the dressing component can be shaped as shown in
FIG. 5(d) when subjected to a temperature above the threshold
temperature (e.g., body temperature) and can be flat when subjected
to a temperature lower than the threshold temperature.
[0097] This dressing has particular utility when used as a
butterfly type dressing for closing wounds that may otherwise
require stitches. In this regard, the plan or top view shape of the
dressing 101, 201 can be shaped like a conventional butterfly
bandage having a narrowed section in the middle thereof, as shown
in FIG. 5(a). Once placed over a cut 300 on the skin 302, such as
with adhesive on a face 303 of the dressing 101, 201, as shown in
FIG. 5(c), preferably disposed on the surface outside of the
narrowed portion. After the dressing 101, 201 is warmed by the body
heat of the skin, the shape memory material changes its shape to
another shape, such as that shown in FIG. 5(d) to close the cut 300
by applying pressure in the direction of arrows 304. The portion of
the dressing 101, 201 contacting the cut 300 may have a gauze
and/or a medicated layer.
[0098] In a variation of such embodiment, the shape memory material
dressing can be kept cool and applied to the skin while it is cold.
Then the room temperature will activate it to change its shape so
that you are not limited to activation with body temperature, which
might be very close to the environmental temperature.
[0099] Other active materials that could be employed for the
dressing could be active polymers, which would require a voltage to
get them to pull.
[0100] Another embodiment will now be described in which the shape
of the dressing changes after release of a release member, similar
to those described with regard to FIGS. 1-4, where the shape change
is a change in length of the dressing. FIG. 6(a) illustrates a
dressing for a wound, generally referred to by reference numeral
600. The dressing 600 includes a first component 601, which can be
a first layer, having a first shape with a first length L1. The
dressing 600 further includes a second component, which can be a
second layer, which is releasably attached to a first surface 604
of the first component 601 to maintain the first component 601 in a
second shape different from the first shape. In the embodiment of
FIGS. 6(a)-6(c), the second shape has a second length L2 which is
longer than the first length. An adhesive is disposed on a surface
603 of the first component 601 different from the first surface 604
for attaching the first component 601 to the wound such that the
second component 602 can be released from the first component 601
to allow the first component to take the first shape to apply a
pressure to portions of the skin surrounding the wound to close the
wound.
[0101] Thus, the dressing 600 is applied to the skin by adhering
the surface 603 to the skin while the first component 601 is
constrained into the first shape have a length L1. The second
component 601 is then removed from the first component 601 to
remove such constraint and allow the first component 601 to take
the second shape having a shorter length L2, thus applying pressure
to the skin which tends to close a wound.
[0102] The first component 601 can be formed of any material which
can be fabricated into the first shape and elastically deformed
into the second shape, such as an elastic material which can
elastically stretch in at least one direction. Furthermore, the
second component 602 can be formed of any material rigid enough to
prevent the first component 601 from taking the second shape while
attached to the first component 601.
[0103] In addition to an elastic material, the change of shape from
the first length L1 to the second length L2 can be achieved by any
other means for elastically biasing the first component 601 into
the first length L1, such as one or more elastically deformed
members attached at one end to a first portion of the first
component and attached at a second (or another end) to a second
portion of the first component. An example of such, referred to by
reference numeral 700, is illustrated in FIGS. 7(a) and 7(b) having
a biasing member 703 attaching first and second portions 701a, 701b
of the first component 701. Such biasing member 703 can be of any
material, such as plastic or metal that can elastically deform into
the first shape and back to the second shape. FIG. 7(b) illustrates
the second component 702 having a loop portion 702a adjacent to the
biasing member 703 for facilitating removal of the second
component.
[0104] The first component can have such elastic properties
throughout the length L1 or a portion thereof, such as portion 605
which is adjacent to the wound. Also, although the embodiment of
FIGS. 6(a)-6(c) is described with regard to a shape change in one
direction, such shape change can occur in a different direction
(such as perpendicular to the direction shown) or in more than one
direction (such as in the direction shown and a direction
perpendicular thereto). An example of such is shown in FIGS. 8(a)
and 8(b), referred to by reference numeral 800, in which the first
shape of the first component is a first diameter (shown in FIG.
8(a)) and the second shape is a second diameter smaller than the
first diameter (shown in FIG. 8(b)). Such a variation is useful to
apply pressure to the skin in more than one direction to close a
wound, such as a puncture wound.
[0105] As discussed above, the first component can further include
one or more of a medicament and gauze. As also discussed above, the
two components can be attached together using any methods known in
the art, such as with adhesives, so that the user could readily
separate them and more intermediate components (not shown) can be
used.
[0106] Another embodiment of a shape and/or pressing adjustable
dressing will now be described with regard to FIGS. 9, 9A and 9B,
referred to generally with reference numeral 900. The dressing 900
includes adhesive portions 902 at each end of the dressing 900
having an adhesive for adhering to skin and a release layer 904
which is releasably adhered to the adhesive portions such that it
can be removed when the adhesive portions are to be adhered to the
skin. The dressing further includes a portion 906 capable of being
elastically deformed from a first shape to a second shape. As
discussed above, the change in shape can take a great number of
forms, such as being elongated, as shown in FIG. 9B (stretched by
"S"). In the case where portion 906 changes shape by elongating,
the same can facilitate such elongation with biasing elements or
elastic material. The adhesive portions 902 and portions 906 can be
connected together by sewing, adhering, heat welding and the like.
Further, although the adhesive portions 902 and portion 906 are
illustrated as separate portions, the same can be integrally
formed. As will be described below, the dressing 906, and
variations thereof, can be used to close a wound by itself (see
FIGS. 18A-18C) or with various holding members, examples of which
are described below (see FIGS. 10A-16B). The holding member has
been referred to alternatively above as a second component and the
adhesive portions 902 and portions 906 as a first component.
[0107] FIGS. 10A and 10B illustrate a first variation of the
dressing 900 of FIG. 9 in which the dressing is used together with
a holding member. The dressing, generally referred to by reference
numeral 910, is similar to that of the dressing in FIG. 9 in which
like reference numerals refer to similar features, except that a
pocket 912 is formed at each of two ends of the portion 906A. The
pocket 912, as shown in FIG. 10B can be formed by folding over an
end of the portion 906A on itself and closing the same to form a
pocket 912, by sewing, adhering, heat welding or the like.
[0108] FIG. 10C illustrates a holding member 914 which can take any
number of shapes, such as having curved ends 916 and a weakened
portion 918. The length of the holding member is such that when the
curved ends 916 are disposed in the pockets 912, the portion 906A
changes shape by elongating a distance "S". The holding member 914
can be formed of many materials, such as wire, plastic and the like
as long as it is rigid enough to maintain the portion 906A in the
elongated state and may also be flexible such that the holding
member and dressing can be applied over a curved surface of the
skin. Although shown elongated flat, the holding member can also
maintain the portion 906A elongated in a non-linear shape, such as
curved.
[0109] As discussed above, the dressing 910 can be applied to the
skin in the elongated state by removing the release layers 904 and
adhering the dressing to the skin about the wound. After
application to the skin, the holding member 914 can be removed or
released such that the portion 906A can return to or towards its
first shape. Such can be achieved by simply removing the holding
member 914 from the pockets 912 or cutting or breaking the holding
member 914, such as with a weakened portion 918. Such weakened
portions are well known in the art and can include a perforated
area or reduced cross-section area.
[0110] As shown in FIG. 11, the holding member can also be a thin
member 920 which can have one or more ribs 922 for added rigidity.
The thin member can be formed of any material such as plastic. The
thin member 920 can be simply removed from the pockets 912 or cut
or broken, such as with a weakened portion 924. The weakened
portion 924 can be as described above, and may also be realized by
forming the thin member of two pieces 920A, 920B and holding the
same together with tape 926 or other retaining means. When the
dressing is desired to change to or towards its first shape (e.g.,
un-elongated), the tape is simply removed and the two resulting
pieces 920A, 920B of the holding member 920 can be easily
removed.
[0111] FIG. 12 illustrates another example of a holding member 928,
in which the length thereof is variable, so as to provide a user of
the dressing with a desired elongation depending on the severity of
the wound and/or other factors. The holding member 928 includes
first and second portions 928A and 928B which are movable relative
to each other. For example, the holding member 928 can include a
sleeve 930 in which the first and second portions 928A and 928B can
move in the direction of arrow A. The first and second portions
928A and 928B can have teeth on an end thereof which mate with a
gear 934 which is rotatable on the sleeve 930. Rotation of the gear
934 results in the first and second portions 928A and 928B moving
in the direction of arrow A. A knob 936 (shown in dashed lines) can
be attached to the gear 930 to facilitate rotation of the gear 930.
Thus, with holding member 928, the same dressing and holding member
can be used to achieve different amounts of elongation for wounds
of different severity.
[0112] FIG. 13 illustrates another dressing 940, in which one part
of a hook and loop fastener 942 is attached to at least a portion
of the adhesive portion 902 or portion 906 and the other part of
the hook and loop fastener 944 is attached to at least a portion of
a holding member 946. As discussed above, the holding member can be
formed of a variety of materials such that it is rigid enough to
maintain the portion 906 in the second shape (e.g., elongated) and
may or may not be flexible to permit curvature of the dressing 940.
When the dressing is desired to change to or towards its first
shape (e.g., un-elongated), the hook and loop fastener bond is
simply broken by removing the holding member 940.
[0113] FIG. 14 illustrates another dressing 950, in which each end
portion 952A of a holding member 952 is adhered to a portion of the
adhesive portion 902 or portion 906. Such adhesive bond can be
removable or permanent. Where the bond is removable, the dressing
is changed to or towards its first shape (e.g., un-elongated) by
breaking the adhesive bond, i.e., by pulling the holding member 950
away from the portion to which it is adhered. Where the bond is
permanent, the holding member can be cut or broken, such as at one
or more weakened portions 954.
[0114] Referring now to FIGS. 15A, 15B and 15C, there is shown
another embodiment of a dressing, referred to by reference numeral
960. The dressing 960 includes a clip 962 having a protrusion 964
with an opening 964. The clip 962 is retained in the portion 906b,
such as with a loop 966 of material having an opening 968 for
allowing the protrusion to extend from the portion 906b. The clip
can be formed of plastic or metal or any material rigid enough for
its intended purpose. A holding member 970 is used to maintain the
portion 906b in a second shape, such as the portion 906b being
elastic and the holding member 970 holding the portion 906b in an
elongated state. The holding member 970 has ends 972, such as
hooks, for engaging the opening 966 in the protrusion 964 of the
clip 962. As discussed above, the dressing 960 is adhered to the
skin about the wound by removing the release layers 904 and
adhering the adhesive portions 902 to the skin. When the dressing
960 is desired to change to or towards its first shape (e.g.,
un-elongated), the holding member 970 is removed. Alternatively,
the holding member 970 can be destroyed, such as by being cut or
breaking the same about one or more weakened portions, as described
above.
[0115] Referring now to FIGS. 16A and 16B, there is shown yet
another embodiment of a dressing, referred to generally by
reference numeral 980. The dressing 980 includes a holding member
982 having a surface 984 at each end thereof made of individual
barbs 984. The barbs 984 at each can be angled away from each other
so as to grab the portion 906 (and/or adhesive portions 904) and
maintain the portion 906 in a second shape, such as in an elongated
state. The holding member 982 can be formed of a material with
sufficient rigidity to maintain the portion 906 in the second
(e.g., elongated) shape, such as metal or plastic. After the
dressing 980 is adhered to the skin about the wound by removing the
release layers 904 and adhering the adhesive portions 902 to the
skin, the holding member 982 is removed such that the dressing 960
can change to or towards its first shape (e.g., un-elongated).
Alternatively, the holding member 980 can be destroyed, such as by
being cut or breaking the same about one or more weakened portions,
as described above.
[0116] Referring now to FIG. 16C, there is shown a variation of the
dressing embodiment of FIGS. 16A and 16B, referred to generally by
reference numeral 980a and in which like features are denoted with
like reference numerals. In the dressing 980a of FIG. 16C, the
holding member 982a has the surface 984 at each end thereof made of
individual barbs 984. The barbs 984 at each can be angled away from
each other so as to grab the portion 906 (and/or adhesive portions
904) and maintain the portion 906 in a second shape, such as in an
elongated state. In addition, an adhesive, connects at least part
of the surface 982b between the portion 906 and holding member 982a
to further maintain the portion 906 in the second shape.
[0117] Referring now to FIGS. 17A and 17B, there is shown a
variation for use with any of the embodiments described herein in
which the portion 906 (906a, 906b) changes shape by being
elongated. In such variation, the portion 906 includes a gauze pad
990 on a side thereof that contacts the wound. The gauze pad 990
includes strips 990a-990e. Although shown as 5 strips, the gauze
pad 990 can be formed of two or more of such strips 990a-990e. The
strips 990a-990e are positioned such that they form a continuous
(or near continuous) gauze pad 990 when the portion is in its first
un-elongated shape. That is, the strips 990a-990e accommodate the
elongation of the portion 906 and separate when the portion 906 is
elongated.
[0118] Referring now to FIGS. 18A-18C, the same illustrate an
alternative use for the dressings illustrated above. Although
applicable to the embodiments described above, the alternative use
will be described by way of example with reference to the dressing
of FIGS. 9, 9A and 9B. The alternative use for the dressing 900
does not make use of a holding member for maintaining the portion
in a second (elongated) shape. As shown in FIG. 18A, one of the
release members 904 is removed, exposing the adhesive on the
adhesive portion 902A. The adhesive portion 902A is adhered to the
skin 992 about a wound 994 to be closed/covered. With the release
layer 904 from the other end removed, the dressing is urged
into/towards its second shape, such as by pulling in the direction
of arrow B and the other adhesive portion 902B is adhered to the
skin 992 bridging the wound 994, as shown in FIG. 18B. The dressing
900 then tends to try to return to its first (un-elongated) shape
resulting in the wound closing, as shown in FIG. 18C.
[0119] Thus, the alternative use described in FIGS. 18A-18C results
in the wound closing with time, which, depending on the elastic
force in the portion 906 and the severity of the wound, can be from
a relatively short time to an extended time. The time delay results
in less trauma to the patient because pulling the wound closed
tightly at once can be painful. Furthermore, the portion can apply
a constant pressure over time even though other variables change,
such as a reduction in swelling. In dressings of the prior art, the
dressing is pulled taught and applied to close the wound. However,
such can be very painful to the patient and may not fully close the
wound once swelling subsides.
[0120] The elastic force generated in the elastic portions
described above can be due to a material that can be elastically
deformed, such that it can be deformed into the second shape and be
capable of elastically re-taking the first shape. An example of
such a material is a woven material having at least one of a weft
and warp fibers being elastic (e.g., formed of an elastomer, such
as rubber) in the direction to be deformed (e.g., across the
wound). Alternatively, at least one of the weft and warp fibers can
be elastic in at least a component of the direction to be
deformed.
[0121] Referring now to FIG. 19, the same illustrates an
alternative portion 1000 for use in the embodiments discussed above
in which the portion deforms from the second shape into the first
shape. The portion 1000 is a woven fabric in which the weft and
warp fibers 1002, 1004 are woven at an angle .alpha. offset from a
stretching direction S, such as at 45.degree.. Such a weaving
pattern permits a central part B of the portion 1000 to have at
least one of the weft and warp fibers 1002, 1004 to be elastic and
other portions A to be at least partially formed such that the weft
and/or warp fibers are non-elastic or less elastic than those used
in part B. In this way, the central portion B of the portion 1000
can be elastic (e.g., elastically deform by stretching) and the
other portions A be non-elastic (or less elastic). Thus, an
adhesive for adhering the portion 1000 to the skin can be located
on the other portions A and the stretchable portion B is disposed
across the wound. This enables better adhesion of the portion 1000
to the skin and more effectively utilizes the elasticity of the
portion 1000 and costs associated therewith by concentrating the
elasticity only in the central portion that is associated with the
wound. The adhesive for adhering portions of the portion 1000 to
the skin, release members and holding member(s), if necessary, are
not shown in FIG. 19 for the sake of simplicity.
[0122] Referring now to FIGS. 20a and 20b, the same illustrate a
portion 1010 for use in the embodiments discussed above in which
the portion deforms from the second shape (deformed, such as by
being elongated) into the first shape (such as by being reduced in
length and/or width). Such portion 1010 and others to follow can
have integral or separate portions (e.g., 902) for adhering to the
skin, as discussed above. If separate, such combination is still
referred to hereinafter as a portion.
[0123] The portion 1010 can be formed of an elastic material that
is at least capable of stretching in a direction S across a wound.
The portion includes an elastic member 1012 formed thereon, such as
by being adhered, embossed, attached by stitching, stapling,
clipping or the like. The elastic member 1012 can be formed of
materials capable of being elastically deformed, such as spring
steel, plastic and the like. If stitched, the stitching 1014 can be
at the points indicated by reference numeral 1014. The elastic
member 1012 has a unrestrained shape 1012b, such as that shown in
FIG. 20b, and is capable of being elastically deformed into a
restrained (preloaded) shape 1012a, such as that shown in FIG. 20a.
A restraining member, such as a tensile member, such as a string
1016, restrains the elastic member in the restrained shape 1012a.
The restraining member 1016 can also be a rigid member. The
restraining member can have a portion (not shown) to be grasped to
facilitate pulling, cutting or breaking of the restraining member,
such as a tab or knob. Thus, after adhering at least a part of the
portion 1010 to the skin (or separately provided portions, such as
portions 902 indicated above), as discussed above, with the elastic
member 1012 corresponding to an area where a wound is located, the
restraining member 1016 can be removed, such as by cutting or
otherwise severing such that the elastic member 1012 can take the
unrestrained shape 1012b (or at least try to take such shape by
moving from the restrained shape 1012a towards the unrestrained
shape 1012b) (the cut ends of the restraining member illustrated in
FIG. 20b by reference numerals 1016a). As the elastic member 1012
moves from the restrained shape 1012a towards the unrestrained
shape 1012b, the portion 1010 is reduced in length in the direction
S. Rigid or semi-rigid bars 1018 (shown in broken lines) can be
provided to facilitate the shape change along the width W (or
portion thereof) of the portion 1010. The bars 1018 can be adhered
or otherwise attached a surface of the portion 1010 or formed
therein. Alternatively, the bars 1018 can be a more rigid portion
of the portion 1010, such as by more densely formed weave or an
embossing of the portion 1010.
[0124] FIGS. 20c and 20d illustrate a variation of the portion 1010
illustrated in FIGS. 20a and 20b. The portion illustrated in FIGS.
20c and 20d being referred to by reference numeral 1010a and having
like reference numerals indicate like features. In the portion
1010a, the elastic member 1012 is arranged such that cutting or
otherwise severing the restraining member 1016 while in the
restrained shape 1012c results in the elastic member 1012 taking
the unrestrained shape 1012d to elongate the portion 1010a in the
direction S.
[0125] Different shape, size, configuration and material elastic
members 1012 can produce different desired changes in length
(reduction or enlargement) depending on the desired effect.
[0126] FIGS. 20e and 20f illustrate another variation of the
portion 1010 illustrated in FIGS. 20a and 20b. The portion
illustrated in FIGS. 20e and 20f being referred to by reference
numeral 1010b and having like reference numerals indicate like
features. The portion 1010b includes two restraining members, such
as strings 1016 and 1016b. String 1016b being longer or having
additional elasticity than string 1016. Thus, the change in shape
in the direction S can be accomplished in a stepwise manner by
providing two (or more) restraining members. That is, cutting or
otherwise severing restraining member 1016 permits the elastic
member 1012 to take an intermediate shape 1012e between the
restrained shape 1012a and unrestrained shape 1012b because
restraining member 1016b is longer or more elastic than retraining
member 1016. Once restraining member 1016b is cut or otherwise
severed, the elastic member can move towards the unstrained shape
1012b shown in FIG. 20b. More than two restraining members can be
provided to produce more than one intermediate shape of the elastic
member.
[0127] FIGS. 21a-21c illustrate another variation of the portion
1010 illustrated in FIGS. 20a and 20b. The portion illustrated in
FIGS. 21a and 21b being referred to by reference numeral 1010c and
having like reference numerals indicate like features. The portion
1010c illustrated in FIGS. 21a and 21b is also configured to change
shape in the direction S in a stepwise manner by providing two (or
more) elastic members. The first elastic member 1012 is configured
as shown and described in FIGS. 20a and 20b and additional elastic
members, such as 1020, are also provided and configured similarly
such that they are in a restrained shape 1020a and move towards an
unrestrained shape 1020b, shown in FIG. 21c. As shown in FIG. 21b,
if the restraining member 1016 is cut or otherwise severed, the
portion changes shape in the direction S, similarly to that shown
and described with regard to FIG. 20b. Additionally, one or more of
the restraining members 1022 can be cut or otherwise severed to
produce an additional change in shape, as shown in FIG. 21c.
[0128] Alternatively, the plurality of elastic members (e.g., 1012,
1016) can be provided in the stretching direction S (similar to
that shown in FIG. 25a but configured for a reduction in the length
of the portion) so as to stepwise and selectively reduce the length
of the portion 1010c in the stretching direction S. Such elastic
members 1012, 1022 can be provided in the same sizes, different
sizes, and configured for lengthwise and/or widthwise enlargement
and/or reduction and/or components thereof.
[0129] FIGS. 22a-22c illustrate a variation of the portion 1010c
illustrated in FIGS. 21a-21c. The portion illustrated in FIGS.
22a-22c being referred to by reference numeral 1010d and having
like reference numerals indicate like features. The portion 1010d
illustrated in FIGS. 22a-22c is configured to change shape in the
direction S in a stepwise manner by providing two (or more) elastic
members, similarly to that of portion 1010c. As in the portion
1010c, the first elastic member 1016 is configured as shown and
described in FIGS. 20a and 20b and one or more additional elastic
members, such as 1020 is also provided and configured similarly
such that they are in a restrained shape 1020a and move towards an
unrestrained shape 1020b, shown in FIG. 21c. However, the
additional elastic members 1020 are provided within the shape of
the first elastic member 1016. As shown in FIG. 22b, if the
restraining member 1016 is cut or otherwise severed, the portion
1010d changes shape in the direction S, leaving the shape of
additional elastic member 1020 unchanged (or changed but still
capable of further change) similarly to that shown and described
with regard to FIG. 20b. Additionally, the restraining member 1022
can be cut or otherwise severed to produce an additional change in
shape, as shown in FIG. 22c. Although the bars 1018 are not shown
in FIGS. 22a-22c, they can be provided for the benefits discussed
above.
[0130] Although the elastic members discussed above are shown
attached to the portion and such portion changes shape (either
stretches or shrinks along direction S) with the change in shape of
the elastic member, such elastic member(s) as described above can
be provided between first and second parts of the portion. Such a
configuration is shown in FIG. 23. FIG. 23 illustrates a portion
1010e having first 1010e1 and second 1010e2 parts. Such parts
1010e1 and 1010e2 are connected by one or more elastic members
1012. Restraining members 1016, 1016b and 1016c having different
lengths or degrees of elasticity can be provided to stepwise change
the length of the portion in the direction S. The portion 1010e can
be used without a dressing to cover the wound or a conventional
dressing can be applied over the wound.
[0131] Although not shown, a single elastic member having a complex
shape (more than one curved and/or linear segments) can be provided
with more than one restraining member, such that cutting each
restraining member incrementally changes the complex shape to
incrementally change the shape of the portion across the wound,
such as in the direction S. Thus, the stepwise change in shape in
the direction S can be accomplished with a single elastic member
and more than one restraining member arranged between various
points on the complex shape.
[0132] One such configuration is shown in FIGS. 24a-24c, generally
referred to as dressing portion 1020. The portion 1020 includes an
elastic member 1022 having a complex shape. Such shape can include
multiple loops 1022a. Although two such loops 1022a are provided,
one or more than two are also possible. Also, although the elastic
member 1020 is shown attached to the dressing portion 1020 (which
can be an elastic material, such as a fabric) at least at points
1014 (such as by stitching), the elastic member 1022 can be
provided between parts of the dressing portion 1022, such as shown
with regard to FIG. 23 and the bars 1018 discussed above can be
utilized for the reasons set forth above. Also, although the
elastic member 1022 is shown as an open shape, closed shapes can
also be utilized. The loops 1022a are each fixed to the dressing
portion 1022 to restrain the same in a first shape such that when
the restraint is removed, each of the loops move towards a second
shape which either tend to open or close a wound over which the
dressing portion 1022 is applied (such as with an adhesive, as
discussed above). Although the embodiment of FIGS. 24a-24c is
described with regard to closing a wound, the elastic members can
be configured to tend to open the wound. Furthermore, some of the
loops 1022a can be configured for closing the wounds, while others
configured to open the wound.
[0133] A restraining member 1024a, 1024b is provided between each
loop 1022a, which when removed, such as by cutting or otherwise
severing the same, removes the restraint on the loop 1022a and
tends to close the loop (in the illustrated embodiment). In the
configuration illustrated in FIGS. 24a-24c, the restraining members
1024a are rigid, As shown in FIG. 24b, when the restraining member
1024a is removed, such as by cutting, loop 1022a (at the top of the
page) becomes smaller which reduces the length of the dressing
portion 1020 to trend to close the wound. If additional closure is
desired, restraining member 1024b can be removed from the lower
loop 1022a, such as by cutting, to further reduce the length of the
dressing portion 1020 as shown in FIG. 24c. Any number of such
loops 1022a can be provided to selectively stepwise close or open
the wound, as needed.
[0134] An alternative configuration of the dressing portion of
FIGS. 24a-24c is shown in FIGS. 24d and 24e and generally referred
to by reference numeral 1020a in which like reference numerals are
used for like features. In the configuration of FIGS. 24d and 24e,
a flexible restraining member is used, such as a string, which is
fixed to the elastic member 1022 at one end and to the dressing
portion 1020a at another end. The restraining member 1024 is cut or
otherwise severed or removed to remove the restraint from the loops
1022a (there such loops 1022a are shown by way of example in FIGS.
24d and 24e). In the configuration of FIGS. 24d and 24e, a
restraining member (1024c) is used for each leg of the loop 1022a.
Thus, restraining members 1024c1 and 1024c2 are cut to remove the
restraint from the top loop 1022a (and partially remove the
restraint from the middle loop 1022a), as shown in FIG. 24e.
Restraining members 1024c3 and 1024c4 can also be cut to remove the
restraint from the bottom loop 1022a (and to remove the remaining
restraint from the middle loop 1022a), Additional loops 1022a may
be provided.
[0135] Referring now to FIGS. 25a and 25b, there is shown another
embodiment of a dressing, generally referred to by reference
numeral 1030. The dressing includes a portion 1032 for covering the
wound, which is flexible, such as an elastic material or fabric. On
a side of the portion 1032 that faces the skin 992, an adhesive
1034 is applied, such as along a peripheral edge of the portion
1032. Release layers (not shown) are also provided, as discussed
above, over the adhesive 1034 and removed when the portion 1032 is
to be adhered to the skin 992. The portion 1032 includes a
plurality of elastic members, such as elastic member 1012
configured as shown and described in FIGS. 20a and 20b along a
length of the dressing 1030. The elastic members 1012 are
configured such that removing a restraint thereon tends to close a
wound 994 over which it is applied in the width direction. Thus, as
shown in FIG. 25b, when the restraint is removed, such as by
cutting the restraining member(s) 1016, a corresponding part of the
portion 1032 changes shape from a first width W1 to a smaller width
W2. Dressing 1032 is particularly useful for longer wounds. As
shown in FIG. 20e, each of the elastic members 1012 may be provided
with more than one restraining member such that the amount of
closure (change in width) can be varied over the length L of the
dressing 1032, which may be particularly useful for wounds that may
be irregular in that the amount of closure necessary may vary over
the length of the wound. Such dressing may be configured in any of
the ways discussed above, such as opening a wound.
[0136] Referring now to FIGS. 25c and 25d, there is shown a
variation of the dressing 1030 shown in FIGS. 25a and 25b, such
dressing being generally referred to by reference numeral 1040 and
in which like reference numerals refer to like features. As shown
in FIG. 25c, the dressing 1040 includes an edge that facilitates
curving the portion 1032a, such as a series of notches 1042. Other
means of facilitating curvature of the portion 1032a, such as a
series of slits or additional elasticity of the portion 1032a at
the edges may also be used. as shown in FIG. 25d, the portion 1032a
can be easily curved and applied over an irregularly shaped
(non-linear) wound 994 by opening some of the notches 1042a and
closing others 1042b.
[0137] The dressings 1030 and 1040 can be provided in large
lengths, such as on a roll, and cut to the desired length. Although
many of the dressings shown above are shown with a portion of the
wound 994 extending past a periphery of the dressing, such is shown
so as to illustrate a closure of the wound. Those skilled in the
art will appreciate that the dressing can completely cover the
extent of the wound.
[0138] Furthermore, although the dressing described above are
discussed with regard to closing or opening a wound, such a use is
not necessary. For example, the dressing may have utility for other
uses for applying an elongating or reducing pressure on the skin.
For example, the dressing can apply an elongating pressure,
particularly incrementally over time, to stretch the skin in
advance of a surgical procedure in which extra skin is necessary,
such as to provide extra skin that is excised for other portions of
the body, such as burned portions. In such an exemplary procedure,
the dressing will be less traumatic than conventional skin
stretching procedures which require an implant of an expanding
device. Although used for purposes other than dressing a wound, the
dressing will still be referred as such (i.e., as a dressing
although capable of other uses).
[0139] Referring now to FIGS. 26a-26f, there are shown two
additional embodiments of a dressing, generally referred to by
reference numerals 1050 and 1100, respectively. A first of such
embodiments is shown in FIGS. 26b and 26e, a second of such
embodiments being shown in FIGS. 26c and 26f, with FIGS. 26a and
26d being common to each of the two embodiments.
[0140] Referring first to FIG. 26a, the dressing 1050, 110 includes
an adhesive ring portion 1052 formed of a material, such as plastic
film or woven fabric and having an adhesive 1054 on a surface
corresponding to a surface contacting the skin 1056 around a wound,
such as a puncture wound 1058. A first elastic member 1060a, 1060b
is formed in a first shape, such as having a convex (slightly cured
away from the skin/adhesive) shape 1060a or concave (slightly
curved towards the skin/skin adhesive) shape 1060b and attached to
the adhesive ring 1054, by any means known in the art, such as by
stitching, adhering, heat welding etc. The first elastic member is
capable of being deformed into a second shape, such as those shown
in FIGS. 26b and 26c by a second elastic member 1062. The second
elastic member is fixed to the dressing, such as around an inner
periphery of the adhesive ring 1054 at a free end 1062a, such as by
adhering, stitching, stapling, clipping, heat welding or the like.
The second elastic member 1062 is restrained into a shape, such as
shown in FIG. 26a by a restraining member 1064, which can be a
rigid member fixed to the second elastic member at at least two
points, such as by adhering or the like. Such restraining member
1064 can also be integrally formed with the second elastic member
1062. Thus, the restraining member 1064 restrains the second
elastic member 1062 into a shape that further restrains the first
elastic member 1060a, 1060b into the first shape, as shown in FIGS.
26b and 26c. Alternatively, restraining members can be used to
restrain each of the first elastic member 1060a, 1060b and second
elastic member 1062 and additional restraint can be used to
restrain the first elastic member 1060a, 1060b in its restrained
shape (such as by releasably fixing a lower surface of the
restraining member 1064 to an upper surface of the first elastic
member 1060a, 1060b.
[0141] When the restraint is removed, such as by cutting or
otherwise severing the restraining member 1064, the restraining
member 1064 coils up on itself such that its diameter is reduced,
thereby removing restraint from the first elastic member 1060a,
1060b to both reduce the diameter of the dressing from D1 to D2 and
to cup the first elastic member 1060a, 1060b either upwards from
the skin 1056, as shown in FIG. 26e, or downwards into the skin
1056, as shown in FIG. 26f. Thus, the reduction in diameter applies
a pressure to the wound to close the same, as shown in FIGS. 26e
and 26f and the cupping of the first elastic member 1060a, 1060b
additionally either provides a sealed evacuated environment for the
wound (which could be cut, puncture or a blister 1058a caused by a
thermal or chemical burn), as shown in FIG. 26e, or apply pressure
to the wound to stop bleeding, as shown in FIG. 26f. Where the
first elastic member 1060a cups upward, the second elastic member
1062 can be configured with a larger diameter such that its
unrestrained shape (see FIG. 26d) does not interfere with the
upward movement of the first elastic member 1060a. After the
dressing 1050, 1100 is applied to the skin and the restraining
member 1064 is removed, such as by cutting, it can be fully removed
from the dressing, such as by cutting it off at its ends or
breaking the same at its ends, such as by providing a weakened
portion at the ends that facilitate breaking. Also, the second
elastic member 1062 can also be fully removed from the dressing
after its restraint is removed and the first elastic member takes
its desired shape, such as by removing the fixation of the first
elastic member.
[0142] The dressings 1050, 1100 can be configured with any of the
features and for any uses discussed in co-pending U.S. application
Ser. No. 13/008,881 filed on Jan. 18, 2011, the entire contents of
which is incorporated herein by reference.
[0143] Referring now to FIGS. 27a-27c, there is shown an embodiment
of a dressing which adds one or more elastic members to the
dressing of FIGS. 18a-18c, such as that illustrated in FIGS. 20a
and 20b. Like reference numerals in FIGS. 27a-27c indicate like
features to those shown in FIGS. 18a-18c, 20a and 20b. The dressing
992a is applied as described with regard to FIGS. 18a-18c. However,
one or more elastic members, such as the one described with regard
to FIGS. 20a and 20 and indicated by reference numeral 1012 is
provided. Therefore, as shown in FIG. 24b, if the dressing does not
fully close the wound 994, or if the wound 994 needs extra closing
after time (e.g., during the healing process such as after swelling
subsides), the elastic members 1012 can be closed to provide any
additional closure to the wound, as shown in FIG. 27c. Similarly,
the elastic member can be configured to opening the wound or
otherwise providing an enlarging pressure to the skin.
[0144] The portions disclosed above may be elastic, inelastic or
partly elastic, and can be configured to conform to the changes in
the configuration of aforementioned elastic members.
[0145] Any of the portions shown in FIGS. 20e-27 can be configured
to change shape by elongating or enlargement (as shown in FIGS. 20c
and 20d) instead of by reducing in length in the direction S.
[0146] Although the restraining members 1016, 1016b, 1016c are
described above as being cut or severed, they can be released from
restraining the elastic members in different ways, such as being
glued or otherwise attached to the elastic member at various points
1014 and such attachment being disconnected, such as by pulling the
restraining member(s) or a portion attached thereto to break the
attachment.
[0147] The elastic members in any of the embodiments discussed
above can also be cut or otherwise severed after they take their
unrestrained shape if it is desired that the application of force
resulting from the elastic member(s) is no longer desired. Such
cutting can be along a cross-sectional area thereof or such elastic
members can be broken along a cross-section portion, such as at a
weakened portion. The weakened portion can be of any type known in
the art, such as by providing a perforated portion or a reduced
cross-sectional area portion to facilitate the breaking.
[0148] The elastic members discussed above, may be provided in any
material, shape, configuration and attachment to the dressing
portion such that it deforms from a first shape to a second shape
for a desired effect. Some examples of materials are plastics
capable of elastic deformation and metals capable of elastic
deformation, such as spring steels. Examples of shapes of the
elastic members are discussed above but is not exhaustive of the
possible shapes, sizes and configurations of the elastic members
that can be utilized for any given desired effect. The elastic
members can be fixed to a surface of the dressing portion, such as
by stitching or adhering, at at least enough points to provide the
desired effect brought about by the shape change when the
preloading of the elastic member is released by releasing a
restraint which maintains the elastic member in the preloaded
shape. The elastic member can also be formed at least partially
integrally with the dressing portion, such as being embossed into
the dressing portion or embossed with an interior insert of a
material capable of elastic deformation. The elastic members can
also be formed inside the dressing portions, such as by being woven
in an interior of the dressing portion.
[0149] Any of the dressings described above may be provided with a
medicament, such as for promoting healing, reducing inflammation,
fighting infection etc.
[0150] While there has been shown and described what is considered
to be preferred embodiments of the invention, it will, of course,
be understood that various modifications and changes in form or
detail could readily be made without departing from the spirit of
the invention. It is therefore intended that the invention be not
limited to the exact forms described and illustrated, but should be
constructed to cover all modifications that may fall within the
scope of the appended claims.
* * * * *