US20060129137A1 - Regulation of vacuum level in a wound treatment apparatus - Google Patents

Regulation of vacuum level in a wound treatment apparatus Download PDF

Info

Publication number
US20060129137A1
US20060129137A1 US11/347,073 US34707306A US2006129137A1 US 20060129137 A1 US20060129137 A1 US 20060129137A1 US 34707306 A US34707306 A US 34707306A US 2006129137 A1 US2006129137 A1 US 2006129137A1
Authority
US
United States
Prior art keywords
coupled
negative pressure
regulator
line
terminal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US11/347,073
Inventor
Jeffrey Lockwood
Robert Petrosenko
James Risk
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=23178819&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=US20060129137(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Individual filed Critical Individual
Priority to US11/347,073 priority Critical patent/US20060129137A1/en
Publication of US20060129137A1 publication Critical patent/US20060129137A1/en
Abandoned legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M27/00Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/73Suction drainage systems comprising sensors or indicators for physical values
    • A61M1/732Visual indicating means for vacuum pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/74Suction control
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/74Suction control
    • A61M1/743Suction control by changing the cross-section of the line, e.g. flow regulating valves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84Drainage tubes; Aspiration tips
    • A61M1/85Drainage tubes; Aspiration tips with gas or fluid supply means, e.g. for supplying rinsing fluids or anticoagulants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/96Suction control thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/98Containers specifically adapted for negative pressure wound therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/90Negative pressure wound therapy devices, i.e. devices for applying suction to a wound to promote healing, e.g. including a vacuum dressing
    • A61M1/98Containers specifically adapted for negative pressure wound therapy
    • A61M1/982Containers specifically adapted for negative pressure wound therapy with means for detecting level of collected exudate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/21General characteristics of the apparatus insensitive to tilting or inclination, e.g. spill-over prevention
    • A61M2205/215Tilt detection, e.g. for warning or shut-off

Definitions

  • the present invention relates to aggressive wound therapy devices, and more particularly to vacuum wound therapy devices. Even more particularly the invention relates to controlling the vacuum applied by vacuum wound therapy devices.
  • a wound bed is subjected to an air pressure lower than the ambient air pressure. Applying a negative pressure or vacuum to a wound draws out exudate, which might contain dirt and bacteria, from the wound to further promote healing.
  • Some dressings include an apparatus attached thereto for applying a vacuum through the bandage to the wound to draw exudate and promote healing.
  • a vacuum bandage is a bandage having a cover for sealing about the outer perimeter of the wound and under which a vacuum is established to act on the wound surface. This vacuum applied to the wound surface accelerates healing of chronic wounds.
  • suction tubes are provided for drawing exudate away from the wound, and the suction tubes may be used to create the vacuum under the cover. If the cover is a flexible cover, which is typically more comfortable for the patient, a porous packing may be provided under the cover to provide the space in which the vacuum is formed.
  • a heater within a wound treatment apparatus to promote healing.
  • FIG. 1 of the '081 patent discloses an open cell polyester foam section covering the wound, a flexible hollow tube inserted into the foam section at one end and attached to a vacuum pump at another end, an adhesive sheet overlying the foam section, and tubing to adhere to the skin surrounding the wound in order to form a seal that allows the creation of a vacuum when the suction pump is operating.
  • the '081 patent further teaches use of negative pressure between about 0.1 and 0.99 atmospheres, and that the pressure can be substantially continuous, wherein the pressure is relieved only to change the dressing on the wound.
  • the '081 patent teaches use of a cyclic application of pressure in alternating periods of application and non-application. In a preferred embodiment, pressure is applied in 5-minute periods of application and non-application.
  • the Russian articles distinguish wound drainage from use of vacuum therapy for healing, and they report that vacuum therapy results in faster cleansing of the wound and more rapid detoxification than with the traditional incision-drainage method.
  • the Nov. 1986 article describes the vacuum therapy protocol as 0.8-1.0 atmosphere for 20 minutes at the time of surgery, and subsequent 1.5 to 3 hour treatments at a vacuum of 0.1 to 0.15 atmosphere, twice daily.
  • These Russian articles teach that use of negative pressure accelerates healing.
  • the Russian articles further teach using this vacuum method to decrease the number of microbes in the wound.
  • the June 1990 article teaches that vacuum therapy provides a significant antibacterial effect.
  • the June 1990 article describes the stepped up inflow of blood to the zone around the wound, which leads to an increase in the number of leukocytes reaching the focus of inflamation.
  • the device disclosed herein limits the rate of change for the negative pressure applied to the wound.
  • the caregiver has the ability to change the negative pressure value and the device controls the rate of change of the negative pressure to reduce patient discomfort.
  • an illustrative embodiment provides a negative pressure source, a variable flow orifice, a pressure transducer, a vacuum bandage, a controller, and a caregiver interface.
  • the caregiver interface is configured to allow a caregiver to select a negative pressure setpoint.
  • the caregiver enters a desired or setpoint value of negative pressure to be applied to the wound through the caregiver interface.
  • the controller monitors the pressure transducer and compares the value with the setpoint. Based on this comparison, the controller adjusts the variable flow orifice. When a new setpoint is input by the caregiver, the controller limits the input to the variable flow orifice to produce the allowable rate of change of negative pressure as monitored by the pressure transducer.
  • the illustrative embodiment comprises a waste canister operably coupled to the negative pressure source.
  • the canister is coupled to the bandage such that, when a vacuum is applied to the canister, the vacuum is applied to the bandage.
  • the waste canister is a disposable waste canister.
  • Illustrative embodiments further provide a plurality of valves, canisters and vacuum pumps.
  • Each valve connects one of the vacuum pumps to an associated waste canister.
  • the controller adjusts each valve to establish the level of vacuum in each of the associated canisters.
  • a plurality of vacuum regulators is also provided, each coupled to a respective one of the valves. Each of the regulators is configured to define a maximum level of vacuum.
  • Each of the regulators also comprises an air intake for supplying additional air to an associated one of the pumps.
  • a plurality of transducers is provided. Each transducer is coupled between a respective valve and an associated waste canister for measuring vacuum.
  • FIG. 1 is a perspective view of a wound treatment apparatus coupled to a bandage attached to a patient;
  • FIG. 2 is a block diagram of the wound treatment apparatus of FIG. 1 ;
  • FIG. 3 is a schematic block diagram of the vacuum evacuating sub-system of the wound treatment apparatus of FIG. 1 ;
  • FIG. 4 is a block diagram of the vacuum evacuating subsystem of FIG. 1 showing the controller in more detail than is shown in FIG. 4 ;
  • FIG. 5 is a cross-sectional view of a waste disposal canister of the wound treatment apparatus along the lines 5 - 5 of FIG. 1 ;
  • FIGS. 6, 7A , 7 B, 8 A- 8 E, 9 A- 9 D, 10 A- 10 F, 11 A- 11 C, 12 A- 12 E, 13 A- 13 D, 14 , 15 A- 15 D, 16 and 17 illustrate an electric circuit realization of the controller of the wound treatment apparatus.
  • FIGS. 1 and 2 An embodiment of a wound treatment apparatus 10 utilizing a vacuum level rate of change controller 20 is shown in FIGS. 1 and 2 .
  • This embodiment utilizes a vacuum level rate of change controller 20 with a wound treatment apparatus 10 having wound irrigation subsystems and wound evacuation subsystems.
  • Appropriate wound treatment apparatus which can be modified to use controller 20 are disclosed more particularly in U.S. patent application Ser. No. 09/725,666 filed on Nov. 29, 2000 and U.S. patent application Ser. No. 09/725,352 filed on Nov. 29, 2000 (U.S. publication no. US-2002-0065494-A1 published May 30, 2002, the disclosures of which have been previously incorporated by reference into this disclosure.
  • Wound treatment apparatus 10 comprises a central unit housing 12 , having wound treatment systems 14 , 16 appended to each side of housing 12 .
  • a user interface 18 is shown positioned between each treatment system 14 , 16 .
  • Central unit housing 12 is configured to be a portable unit allowing a caregiver to move apparatus 10 to wherever the patient 26 is located and to close proximity to the wound or wounds 22 .
  • Housing 12 is shown having a handle portion 24 to assist the caregiver in moving housing.
  • FIG. 1 also shows wound treatment system 14 coupled to a bandage 28 attached to a leg of a patient 26 .
  • Evacuating tube 32 is coupled to both bandage 28 and system 14 .
  • a dispensing tube 30 coupled to a luer-lok port 34 extending from a syringe 36 to allow irrigation and/or medication of the wound 22 .
  • Syringe 36 is filled with a fluid, typically saline, that empties through tube 30 and into bandage 28 , and ultimately onto a wound 22 positioned under bandage 28 .
  • Exudate from wound 22 are drawn from bandage 28 through evacuating tube 32 and into a waste canister 38 where it is collected. It is contemplated that the canister 38 can be discarded when filled and replaced with a new canister.
  • Apparatus 10 comprises a second system 16 on the opposite side of housing 12 from system 14 .
  • This configuration allows two wounds to be treated simultaneously with separate bandages 28 , 29 , yet, under the control of a single controller 20 located in a single housing 12 .
  • Second bandage 29 as part of system 16 , is coupled to a dispensing tube 40 and an evacuating tube 42 , to perform the same functions as described for system 14 . (See FIG. 2 .)
  • User interface 18 is provided to allow the caregiver to provide setpoint and mode information used by controller 20 to control either or both systems 14 , 16 , to dispense fluid from either or both syringes 36 , 236 , and to evacuate from either or both bandages 28 , 29 .
  • each wound treatment system 14 , 16 will work independent of the other, thus, allowing the caregiver flexibility to apply an appropriate and, yet, possibly different level of treatment to each wound 22 .
  • the arrangement of systems relative to user interface 18 on housing 12 allows convenient interaction between systems 14 , 16 and the caregiver.
  • Those skilled in the art will recognize that while two systems 14 , 16 are illustrated, the teachings of this disclosure are applicable to a single system or to a plurality of systems.
  • apparatus 10 allows a caregiver to position it near the patient 26 in preparation for treatment wherever the patient 26 is located.
  • the caregiver couples tube 30 to bandage 28 and waste canister 38 , for treatment of one wound.
  • the caregiver then couples tube 42 to bandage 29 and waste canister 39 , for treatment of a second wound. (See also FIG. 2 .)
  • the caregiver through the use of user interface 18 , can treat the patient 26 by drawing exudate from the wounds.
  • a diagram depicting how wound apparatus 10 operates is shown in FIG. 2 .
  • a controller 20 is provided in housing 12 .
  • controller 20 is an electronic control unit that controls apparatus 10 .
  • Controller 20 receives user input from and provides feedback to user interface 18 through lines 44 , 46 , respectively. It is contemplated that controller 20 will process information from both systems 14 , 16 , and provide appropriate and independent input to each system 14 , 16 .
  • Controller 20 also monitors the status of all various sensors, and provides input for the valves and motors to control the value of the negative pressure and the rate of change of the negative pressure, as discussed in further detail herein.
  • user interface 18 is composed of a conventional graphic liquid crystal display (LCD) and a membrane switch panel.
  • LCD graphic liquid crystal display
  • a power supply 48 provides power to controller 20 and all the attendant systems in housing 12 .
  • Power supply 48 can be a conventional external wall socket supply (not shown), or be a battery pack supply (also not shown), or even be variations of both (e.g., a wall socket supply with a battery pack supply).
  • power supply 48 is a medical grade power supply providing an output of about 65 watts and a voltage of about 12 VDC. It is contemplated that the power supply 48 can be configured for 120 V/60 Hz or 220-240V/50 Hz depending on whether apparatus 10 is used in America or Europe.
  • the battery power provides the device with power to operate for about 60 minutes without connection to an external power source. It is further contemplated that the batteries can be rechargeable, and store energy when the device is connected to an external wall socket.
  • Attitude sensor 50 is provided in communication with controller 20 through line 52 .
  • Attitude sensor 50 is, illustratively, a tilt switch which provides feedback to controller 20 . If the switch is, illustratively, in the closed position, controller 20 will continue to operate, but if the switch opens, controller 20 will shut systems 14 , 16 down. For example, sensor 50 disables systems 14 , 16 if housing 12 tilts at or greater than a predetermined amount, such as 45° from vertical in any direction.
  • controller 20 user interface 18 , power supply 486 , and attitude sensor 50 are all common to and all operate with both systems 14 , 16 .
  • Each system 14 , 16 further comprises fluid dispensing sub-systems 62 , 64 and vacuum evacuating sub-systems 66 , 68 .
  • Fluid dispensing sub-system 62 comprises a syringe 36 having a plunger.
  • Syringe 36 is, illustratively, a standard 60-ml medical syringe utilizing a luer-lok port 34 .
  • Plunger is a conventional plunger that extends into syringe 36 to dispense fluid through luer-lok port 34 .
  • a syringe drive motor 72 is, illustratively, a 12 VDC brushless electric motor or stepper motor configured to provide rotational energy to a syringe drive 74 .
  • motor 72 applies torque and angular velocity to syringe drive 74 which is, illustratively, a power screw.
  • Power screw translates rotational movement of the syringe drive motor 72 into translational movement.
  • the drive has a guide to limit a plunger interface 78 to motion along one axis.
  • syringe drive 72 provides about 5.25 inches (13.3 cm) of travel of plunger interface 78 to evacuate the fluid contained in syringe 24 . Furthermore, syringe drive motor 72 and syringe drive 74 , as a system, provide about 27 pounds of linear force at a velocity of 1.45 inches (3.7 cm) per second to the plunger interface 78 . The resulting force created by the fluid exiting syringe 36 creates, illustratively, 4-PSIG to 6-PSIG positive pressure at wound 22 .
  • a syringe home sensor 84 receives information from plunger interface 78 , and provides feedback to controller 20 when syringe capture mechanism 88 reaches its home position.
  • a syringe full travel sensor 86 determines when syringe 36 is fully evacuated by sensing when plunger interface 78 has reached full travel. After sensor 86 has been activated, controller 20 resets plunger interface 78 to home position once syringe 36 is removed.
  • Syringe capture mechanism 88 holds syringe 36 in place when the caregiver places syringe 36 in apparatus 10 .
  • Capture mechanism 88 is also configured to allow the caregiver to release syringe 36 from apparatus 10 when it is empty.
  • Capture mechanism 88 further includes a syringe sensor 90 that provides feedback to controller 20 through line 92 when syringe 36 is properly held in capture mechanism 88 . Controller 20 prevents system 14 from operating if sensor 90 does not detect syringe 36 being properly held in capture mechanism 88 .
  • Connectors 94 , 96 are provided at opposed ends of dispensing tube 30 . Either one or both connectors 94 , 96 , when closed, block flow from syringe 36 to bandage 28 . Such connectors 94 , 96 allow the patient 26 to be disconnected from apparatus 10 without having to remove bandage 28 or even shut apparatus 10 down.
  • a manual port 98 is also attached to dispensing tube 30 by an auxiliary tube 100 .
  • Port 98 permits the caregiver to attach a dispensing container to the system to manually dispense fluid into bandage 28 . It is appreciated, however, that port 98 is configured to be closed while no syringe is attached to maintain a closed system.
  • the syringe and drive are illustrated as one approach for providing a fluid source and a drive for irrigating a wound bed. It will be appreciated that containers other than syringes may be operated by a drive to expel irrigation fluid toward a wound surface. For example, any type of container of fluid may be squeezed or reduced in volume by a drive mechanism to expel fluid. Also, a container may be held at an elevated position to provide head pressure for irrigation fluid.
  • Connectors 104 , 106 similar to connectors 94 , 96 , are provided at opposed ends of evacuating tube 32 . Either one or both connectors 104 , 106 , when closed, block flow from bandage 28 to waste canister 38 . Such connectors 104 , 106 also allow the patient 26 to be disconnected from apparatus 10 without having to remove bandage 28 or having to shut down apparatus 10 .
  • Waste canister sensors 116 , 118 are engaged when waste container 38 is properly seated in apparatus 10 . This prevents apparatus 10 from operating without canister 38 seated properly in apparatus 10 . As depicted in FIG. 2 , both sensors 116 , 118 provide feedback to controller 20 through lines 120 , 122 , confirming to the caregiver that canister 38 is seated properly in apparatus 10 .
  • waste canister 38 is a disposable unit that “snaps into” side portion 58 of housing 12 . (See also FIG. 1 .)
  • canister 38 includes a window (not shown) to allow monitoring of the fluids.
  • the fluid capacity of canister 38 is about 500-ml.
  • waste canister 38 further includes a hydrophobic filter 108 that is in communication with both evacuating tube 32 and vacuum pump 110 .
  • Such filter 108 is configured to allow air, but not liquid, to pass. Accordingly, as fluid is drawn into canister 38 , fluid is deposited into waste canister 38 while the vacuum continues through filter 108 and pump 110 .
  • filter 108 is a 0.2-micron hydrophobic bacteria filter fixed into rear wall 407 of canister 38 .
  • Hydrophobic filter 108 also serves as a canister full mechanism 114 or valve that shuts off the vacuum supply to the canister 38 when the fluid level exceeds the “full” level. Because hydrophobic filter 108 prevents fluid from passing, once fluid covers filter 108 , vacuum is prevented from passing as well. Illustratively, the absence of any vacuum in the system causes the system to shut down.
  • Vacuum pump 110 creates the negative pressure that is present through canister 38 .
  • the vacuum is present through several devices, including a vacuum pressure transducer 124 .
  • Transducer 124 is coupled to line 128 , extending from canister 38 .
  • Transducer 124 measures the negative pressure that is present through canister 38 .
  • Transducer 124 then provides feedback to controller 20 through line 128 .
  • Controller 20 monitors the negative pressure by comparing the measured value from transducer 124 with the caregiver-defined or setpoint value entered into controller 20 through user interface 18 .
  • a proportional valve 130 is connected to line 126 , through which the negative pressure is present, and which comprises a flow orifice 132 .
  • proportional valve 130 is solenoid controlled.
  • Flow orifice 132 selectively dilates or constricts, thereby controlling the negative pressure level through sub-system 66 .
  • controller 20 provides a signal input to proportional valve 130 based on the level of the vacuum pressure determined from feedback of transducer 124 and comparing that level to the caregiver-defined level. Orifice 132 then dilates or constricts, as necessary, to produce the appropriate level of negative pressure.
  • proportional valve 130 is fully constricted or closed when receiving no signal from controller 20 , and dilates or opens to allow an illustrative maximum of two liters per minute at 250-mmHg (4.83-PSIG) vacuum when the proper signal from controller 20 is applied.
  • a solenoid control valve 130 are the series of standard normally closed proportional solenoid valves available from the Pneutronics Division of Parker Hannifin Corporation, of Hollis, N.H., and having part nos. of the form VSONC-_-_- — — - — — wherein the blanks are filled with alphanumeric symbols for the model numbers, body series, elastomer material, coil resistance, electrical interface, and pneumatic interface, respectively.
  • controllable valves may be used within the teaching of the disclosure. Also, control may be exercised over other components of the system to adjust the pressure presented to the vacuum bandage 28 and the rate of change of the pressure present at the vacuum bandage 28 within the teaching of the disclosure.
  • a vacuum regulator 134 is provided in line 126 between proportional valve 130 and pump 110 as a mechanical limit control for pump 110 .
  • Regulator 134 mechanically establishes a maximum level of negative pressure that is present in the system.
  • vacuum pump 110 will not physically be able to draw a vacuum from bandage 28 beyond the maximum pressure.
  • maximum negative pressure or vacuum is 250-mmHg (4.83-PSIG).
  • a port 136 coupled to regulator 134 , opens so that pump 110 can draw more air to maintain a sufficient flow through pump 110 , to prevent it from becoming damaged.
  • a first air filter 137 is illustratively associated with port 136 , between port 136 and pump 110 , to filter particulates from the air prior to reaching pump 110 .
  • filter 137 is constructed of glass microfibers with a filtration rating of 25 microns.
  • a second filter 139 is associated with pump 110 and an outlet 141 . Filter 139 serves as an exhaust muffler for the air evacuated from pump 110 .
  • Vacuum pump 110 is, illustratively, a diaphragm-type compressor that flows about two liters per minute at 250-mmHg (4.83-PSIG) vacuum.
  • vacuum pump 110 is mounted on the end of a single 12 VDC brushless motor 138 to drive the pump. It is appreciated, however, that pump 110 can be of any other configuration, and mounted in any manner, so long as it draws a desired negative pressure through system 14 .
  • a vacuum pump external to the housing 12 may be a part of the control system. For example, most medical facilities have vacuum ports near where patients are treated, each of which is served by a system vacuum (suction) pump. It is contemplated, therefore, that the pump 110 in the housing 12 may be an appropriate fitting which is, in turn, connected to a facility vacuum pump to provide a vacuum source to the control system.
  • port 136 filters 137 , 139 , electric motor 138 , vacuum pump 110 , and vacuum regulator 134 are all housed in a sound chamber 140 .
  • the interior of sound chamber 140 is lined with a damping foil like the 3M Company's damping foil number 2552, for example. Sound chamber 140 dampens vibration energy produced by these components, as well as assists in dissipating heat they generate.
  • controller 20 , user interface 18 , and power supply 48 are common to, and operate with, both fluid dispensing and vacuum evacuating sub-systems 62 , 64 and 66 , 68 .
  • Providing a second independently operable set of sub-systems 64 , 68 allows the caregiver to treat two wounds using a single apparatus 10 .
  • second fluid dispensing and evacuating sub-systems 64 , 68 also shown in FIG. 2 , comprise identical components as discussed regarding sub-systems 62 , 66 and are labeled in a corresponding manner.
  • syringe motor drive 72 in sub-system 142 is identified as syringe motor drive 172 in sub-system 64
  • a vacuum pump 110 in sub-system 66 is identified as vacuum pump 210 in sub-system 68 .
  • Vacuum 110 applies a negative pressure through waste canister 38 and bandage 14 . Fluid and exudate are then drawn from wound 22 out through tube 32 and into canister 38 .
  • the hydrophobic filter 108 discussed in connection with FIG. 2 , allows the vacuum to pass through waste canister 38 , yet, prevents any of the fluid from escaping, and depositing the fluid into pump 110 .
  • FIG. 4 A cross-sectional view of waste canister 38 located in cavity on side 58 of housing 12 is shown in FIG. 4 .
  • Tube 32 is connected to a check-valve assembly 400 coupled to recess 402 disposed in the front wall 405 of canister 38 .
  • Check valve 400 is configured to allow fluid and exudate from bandage 28 to enter canister 38 and deposit in holding space 404 within canister 38 , yet prevent any fluid already in space 404 from exiting through valve 400 .
  • Check valve 400 thus prevents fluid from escaping when tube 32 is disengaged from valve 400 .
  • canister 38 can be discarded without any fluid escaping.
  • Hydrophobic filter 108 is located on the rear wall 407 of canister 38 .
  • a liquid solidifier is provided in space 404 to decrease the fluidity of the exudate. This is a safety measure to lessen the chance of splashing or run-off if canister 38 (or 39 ) is opened or broken.
  • Filter 108 in canister 38 is shown having an inlet 410 provided in space 404 and an outlet 412 coupled to a connector 416 with a barrier of hydrophobic material 414 provided therebetween.
  • the hydrophobic material allows the vacuum to pass through inlet 410 and outlet 412 , yet prevents any fluid from passing. Similar to check valve 400 , hydrophobic filter 108 also prevents any fluid from escaping when canister 38 is removed from housing 12 .
  • Outlet 412 of filter 108 is in communication with connector 416 .
  • Connector 416 is configured to receive and seal outlet 412 when canister is positioned in cavity.
  • Connector 416 is in communication with line 126 and ultimately with pump 1 10 .
  • hydrophobic filter 108 serves as both the canister full mechanism 114 that shuts off the vacuum supply to the canister 38 when the fluid level exceeds the “full” level as indicated by reference numeral 420 .
  • fluid level is below inlet 410 , as indicated by reference numeral 422 .
  • fluid continues to enter space 404 through valve 400 .
  • the fluid level 420 is above inlet 410 , the fluid is acting as an air block. Fluid cannot pass through filter 108 , but because the fluid level is above inlet 410 , air cannot pass through either. This causes a dramatic pressure drop (vacuum increase) through line 126 .
  • Vacuum pressure transducer 124 is coupled to line 126 measuring the negative pressure passing through canister 38 , as previously discussed. If such a dramatic pressure drop occurs, transducer 124 will provide such data to controller 20 through line 128 . Controller 20 will then know to shut the system down until the full canister is replaced with either an empty or only a partially full canister.
  • Illustrative vacuum bandage 28 is designed to provide a protective environment around wound 22 . Illustratively, such bandages last for up to 7 days without having to be replaced.
  • Bandage 28 includes rinse and drain orifices (not shown) within the body of bandage 28 that communicate with tubes 30 , 32 , respectively. Such orifices are illustratively 0.070-inch (0.18 cm) diameter.
  • Vacuum evacuating sub-system 66 cooperates with bandage to draw the fluid and exudate from the surface of wound 22 , and collect the same into waste canister 38 .
  • bandages 14 are shown and described in U.S. patent application Ser. No. 09/725352, entitled VACUUM THERAPY AND CLEANSING DRESSING FOR WOUNDS, filed on Nov. 29, 2000 and in U.S. patent application Ser. No. 10/144,504, also entitled VACUUM THERAPY AND CLEANSING DRESSING FOR WOUNDS, filed May 13, 2002, the complete disclosures of which are hereby expressly incorporated by reference herein. It is further contemplated that other bandages may be used with this control system, including bandages having separate irrigation and vacuum ports. Examples of such bandages are shown and described in U.S. patent application Ser. No. 09/369,113, entitled WOUND TREATMENT APPARATUS, filed on Aug.
  • the caregiver may activate system 14 , by means previously described, to draw exudate from wound 22 through channels and apertures of bandage member 28 , packing and film, splitter tube and evacuating tube 32 to be deposited in canister 38 .
  • the negative pressure applied to wound 22 created by pump 110 can be applied for a period of time as determined by the caregiver. After a period of drawing, the caregiver may deactivate the negative pressure.
  • Apparatus 10 is a portable, easy to use topical system that is intended to provide a protective/occlusive environment with features to facilitate the administering of standard wound care.
  • Apparatus 10 provides for the care of two independently controlled wounds.
  • Apparatus 10 provides negative pressure to the wound bed 22 , and the caregiver can set the level of negative pressure.
  • the negative pressure is variable from 25-mmHg to 225-mmHg at increments of 10-mmHg.
  • the caregiver can choose between continuous, intermittent (profile), and no negative pressure modes.
  • apparatus 10 may be set up to provide various levels of vacuum at various times.
  • Apparatus 10 controls the rate of negative pressure change to reduce discomfort to patient.
  • Apparatus 10 may be provided with the ability to pause negative pressure therapy for set durations of time.
  • the system may be set up to provide audible alarms to remind the caregiver to reset or start a new cycle of vacuum therapy.
  • the apparatus 10 is intended to provide an occlusive wound healing environment.
  • the apparatus 10 provides an active therapy unit that delivers drainage and cleansing for aggressive wound healing. It is intended, for example, for use on all pressure ulcers (Stage II through Stage IV), surgical draining wounds and leg ulcers.
  • the controller 20 disclosed herein regulates the functions of a vacuum therapy apparatus that provides negative pressure to the wound bed 22 of a patient 26 .
  • the level of negative pressure can be set by a caregiver using a caregiver interface 18 in a range from 25-mmHg to 225-mmHg in increments of 10-mmHg.
  • the controller 20 implements a proportional, integral, derivative (“PID”) 302 control algorithm and pulse width modulation (“PWM”) 304 to adjust the negative pressure applied to the bandage 28 to the setpoint level.
  • PID proportional, integral, derivative
  • PWM pulse width modulation
  • the caregiver can choose between continuous, no negative pressure, and intermittent (profile) modes using the caregiver interface 18 .
  • continuous mode the caregiver selects a desired negative pressure value from the range provided by the system.
  • the desired negative pressure value or setpoint is reached by controlling the rate of change of negative pressure. Once the setpoint is reached, negative pressure approximately equal to the setpoint is applied to the wound bed 22 until interrupted.
  • no negative pressure mode no negative pressure is applied to the wound bed 22 .
  • the controller 20 regulates the negative pressure provided to the wound bed site 22 between two caregiver selected negative pressure values in cycles.
  • the second negative pressure value during profile mode is less than the first negative pressure value and has a value between 25-mmHg and 10-mmHg less than the first caregiver negative pressure value.
  • the difference between the first and second caregiver determined negative pressure values is set in increments of 10-mmHg when the range for the first caregiver determined negative pressure value is variable between 35-mmHg and 225-mmHg in 10-mmHg increments.
  • the first caregiver determined negative pressure value is activated for ten minutes and the second caregiver determined negative pressure value is activated for three minutes during profile mode.
  • the controller 20 regulates the rate of change of the negative pressure applied to the wound bed 22 to provide a gradual increase or decrease in negative pressure.
  • the rate of change of the negative pressure applied to the wound bed 22 is controlled.
  • the vacuum subsystem 66 regulates negative pressure applied to a wound dressing 28 .
  • Pressure is regulated by a proportional valve 130 under microprocessor 320 control.
  • the proportional valve 130 controls pressure by restricting flow.
  • the microprocessor 320 controls valve position by applying a PWM signal 306 to the solenoid of the proportional valve 130 .
  • the PWM signal 306 induces the solenoid to open and close the valve rapidly and as a result of hysteresis and time averaging of the open periods an average position or constriction is approximated.
  • Vacuum pressure transducer 124 provides feedback to microprocessor 320 .
  • the output of the transducer 124 is amplified and filtered to remove high frequency noise such as pump oscillations
  • the resulting voltage is proportional to wound vacuum pressure.
  • the voltage is converted by a 12-bit analog to digital converter (“ADC”) 310 sampled at 100 Hz.
  • ADC analog to digital converter
  • Microprocessor 320 implements a PID control algorithm 302 to adjust the duty cycle of a PWM signal 306 to the solenoid of the proportional valve 130 until the setpoint pressure is achieved.
  • the rise (or fall) time of a system controlled using PID control of a PWM driving signal inherently includes some aspect of control over the rate of change of the controlled parameter. This inherent control is dependent upon the proportional, integral and differential gains implemented in the PID controller 302 .
  • the disclosed controller further limits and controls the rate of change of negative pressure by filtering the control signal with a filter 308 implemented in the micro-controller 320 to ensure that the rate of change of negative pressure does not exceed a desired value.
  • the actual negative pressure over the wound bed 22 indicated by the transducer signal, is raised or lowered slowly to the setpoint.
  • the vacuum therapy device 10 includes a vacuum source 110 , a vacuum bandage 28 , a regulator, a pressure transducer 124 , setpoint circuitry 312 , and a controller 20 .
  • Vacuum source 110 is fluidly coupled through line to vacuum bandage 28 .
  • pressure transducer 124 is positioned to sense the air pressure above a wound bed 22 over which vacuum bandage 28 is affixed.
  • Pressure transducer 124 provides a pressure signal indicative of the air pressure adjacent the wound bed 22 .
  • Setpoint circuitry 312 provides a setpoint signal indicative of the desired air pressure above the wound bed 22 .
  • Setpoint circuitry 312 is incorporated into graphical user interface 18 .
  • Controller 20 is coupled to setpoint circuitry 312 , pressure transducer 124 , and regulator 130 . Controller 20 , in response to the setpoint signal and the pressure signal, controls regulator 130 to adjust the air pressure adjacent the wound bed 22 .
  • controller 22 controls regulator 130 so that the air pressure adjacent the wound bed 22 ultimately is equal to, or substantially equal to, the desired pressure.
  • Regulator 130 is controlled by controller 20 so that the rate of change of the air pressure adjacent the wound bed 22 is within desirable limits. In this manner, the air pressure adjacent the wound bed 22 is adjusted in a controlled fashion until the desired air pressure is achieved. By limiting the rate of change of the air pressure adjacent the wound bed 22 , discomfort to a patient 26 receiving vacuum wound therapy is reduced.
  • Controller 20 is implemented on a microprocessor 320 programmed to run a control algorithm implementing the PID controller 302 , a filter 308 , and PWM signal generator 304 .
  • the program resident on the microprocessor 320 also runs other algorithms.
  • the software consists of foreground and background tasks. The foreground tasks occur in an interrupt handler every 10 msec. Control of the vacuum is performed entirely in the foreground, while screen display and other items, such as BIT are done in background.
  • microprocessor 320 is a 68332 microcontroller with internal timer. Every 10 msec when the 68332 internal timer expires the ADC 310 is set up to read the analog input values. When it has read them all another interrupt goes off to inform the software.
  • This interrupt handler takes the value from the ADC 310 and converts it to a pressure by utilizing a scale factor and an offset. The scale factor and offset are computed by using the calibration value for zero pressure (read at startup) and the factory stored calibration value for 225 mmHg.
  • the desired pressure set by the user and the pressure read from the ADC 310 provide the inputs for the control loop. However, the desired pressure does not immediately correspond to the user set value. Instead it slowly ramps up so as to avoid a sudden change that may cause discomfort for the patient.
  • the desired pressure is computed by determining the elapsed time since the pressure was set and computing a delta value such that the pressure changes no more than 7.5 mmHg per second. For example, if the pressure at zero seconds is zero mmHg and the setpoint pressure is 125 mmHg, then the desired pressure is 7.5 mmHg after one second, 15 mmHg after two seconds, etc.
  • the desired pressure is recomputed with each iteration of the control loop; i.e., every 10 msec so that each iteration increases the desired pressure by 0.075 mmHg.
  • the proportional valve 130 setting is controlled by adjusting the duty cycle of a 5 kHz square wave on the output of a TPU pin from the microcontroller 320 .
  • the setting, adjusted every 10 msec, is the result of an experimentally derived offset for the proportional valve 130 (the point at which the vacuum begins to operate) plus a proportional term and a integral term.
  • the proportional term is the result of the proportional gain (experimentally derived, currently set to 2) times the error signal where the error signal is the desired pressure minus the pressure read.
  • the integral term is the result of the integral gain (experimentally derived, currently set to 0.5) times the running sum of the error signal maintained across all iterations of the control loop.
  • the integral term is not updated whenever the proportional valve 130 is at the maximum and the pressure is still too low or if it is at the minimum proportional valve setting and the pressure is still too high. This helps keep the integral term from causing the pressure to overshoot the target excessively. Whenever the pressure goes to zero, the integral term is reset.
  • the software is also set up to allow for a derivative term but the gain for this was experimentally chosen to be 0, so it no has effect on the control loop. It is within the teaching of the disclosure to implement any of the various methods available for the determination of proper gain constants for implementation of a PID control algorithm and such methods will likely provide a value for the derivative gain.
  • cal hi is set at the factory to the adc 310 value when pressure is 225 mmHg
  • delta t elapsed timer ticks since pressure was changed (due to user, profile mode, alarm, etc)
  • delta p (7.5 mmHg*delta t)/100 ticks per second
  • pressure desired pressure set+/ ⁇ delta p (+/ ⁇ depending on whether pressure is being increased or decreased)
  • pressure desired is constrained so as to not allow it to overshoot pressure set
  • proportional valve 130 if proportional valve 130 is at the maximum and the pressure is still too low, or if proportional valve 130 is at its minimum setting and the pressure is still too high, skip integral sum otherwise,
  • proportional valve output value STARTUP OFFSET+prop term+integral term
  • Execution of the above program by illustrative wound treatment apparatus 10 controls the rate of change of the negative pressure applied to the wound of the patient.
  • the input parameters to the computer program include the desired pressure and an identification code for the wound to which the pressure is to be applied.
  • Those skilled in the art will recognize that proper operation of the computer program requires access to the memory location in which the most recent digitally converted reading of the pressure read by the pressure transducer 124 has been stored.
  • the computer program first checks to ensure that a legitimate wound is identified as the wound to which the pressure is to be applied. If an appropriate wound is not identified, the function sends an error message to the user interface stating that an invalid wound has been identified. If an appropriate wound is identified, then the pressure error signal is calculated by using the most current pressure reading from the desired pressure. The function next determines if the desired pressure is attainable, i.e., if the maximum allowable pressure has already been reached and is still lower than the desired pressure or the minimum allowable pressure has been reached and the current pressure is still higher than the desired pressure. If either of these situations exists the integral term of the PID controller 302 is not updated.
  • the integral term is updated by adding the current error term to the accumulated sum of error terms since the last reset of the integral term.
  • the derivative term of the PIED controller 302 is then calculated by subtracting the last value of the pressure error from the current value of the pressure error.
  • the current value of the pressure error is then stored as the last value of the pressure error for use in the next loop.
  • the PID control 302 is implemented to provide an unfiltered output value for the duty cycle of the pulse width modulator. If the desired pressure is zero, the unfiltered output value for the duty cycle of the pulse width modulator 304 is set to zero. Otherwise, the unfiltered output value for the duty cycle of the pulse width modulator 304 is set to the sum of the last output value, the error signal times the proportional gain, the integral value times the integral gain, and the derivative value times the derivative gain. The unfiltered output value is then filtered to ensure that the output to the PWM does not induce a pressure change greater than the maximum allowable pressure change in any direction.
  • FIG. 6 the pressure sensor circuitry for pressure transducer 124 is shown.
  • apparatus 10 has two parallel system circuits for sensing pressure in two different waste collection canisters 38 , 39 .
  • Pressure transducer 124 is illustratively a Sensyn SDX05G2-A pressure transducer, although other pressure transducers may be used, such as Motorola MPX5050GVP integrated pressure sensor.
  • a supply voltage terminal, pin 5, of pressure transducer 124 is coupled to a pair of OUTput terminals of a voltage regulator 700 , illustratively a MIC5200 Low-Dropout Regulator.
  • the OUTput terminals of voltage regulator 700 are also coupled to the V+ terminal of a differential amplifier 702 such as, for example, a Burr-Brown type INA122U low power instrumentation amplifier.
  • Pin 5 of pressure transducer 124 is also coupled through a capacitance of about 11 microfarads ( ⁇ F) to ground.
  • Pin 2 of pressure transducer 124 is also coupled to ground.
  • Output pin 1 of pressure transducer 124 is coupled to the inverting input terminal ( ⁇ ) of amplifier 702 .
  • Output pin 3 of pressure transducer 124 is coupled to the non-inverting input terminal (+) of amplifier 702 .
  • V ⁇ and Ref terminals of amplifier 702 are coupled to ground.
  • a 1.24 kilohm (Kohm) gain adjusting resistor is coupled across the RG terminals of amplifier 702 .
  • An output terminal, pin 6, of amplifier 702 is coupled through a 100 Kohm resistor to a VAC1 line.
  • the VAC1 line is also coupled to ground through a 0.22 ⁇ F capacitor.
  • a GrouND terminal of voltage regulator 700 is coupled to ground. INput and ENable terminals of voltage regulator 700 are coupled to +12V.
  • the VAC1 line is coupled to an input terminal, A1, of each of two analog-to-digital converters (A/Ds) 704 , 706 .
  • A/Ds 704 , 706 illustratively are Texas Instruments TLC2543 A/Ds.
  • a VAC2 line from pressure transducer 229 is coupled respective the A0 input terminals of A/Ds 704 , 706 .
  • a GrouND terminal and a ⁇ REFerence terminals of each AID 704 , 706 are coupled to ground.
  • the system VoltageREFerence1 line is coupled to +REFerence terminals of both A/Ds 704 , 706 .
  • the system VREF1 line is also coupled to ground through a capacitance of about 10 ⁇ F and a 4.1 volt Zener diode.
  • the system VREF1 line is also coupled to the system A5V line through an 825 ohm resistor.
  • the voltage supply terminals, VCC, of both A/Ds 704 , 706 are coupled to the system 5VCC line and also coupled to ground through a capacitance of about 10 ⁇ F each.
  • the system V-BATTery line, I-BATTery line, MONitor3.3 line, V-PIEZO line, T-BATTery line, MONitor12 line, MONitor5 line, MONitor3.3 line, I-MOTOR-1A line, I-MOTOR-1B line, I-MOTOR-2A line, and I-MOTOR-2B line are coupled to terminals A4 of A/D 704 , A5 of A/D 704 , A6 of A/D 704 , A7 of A/D 704 , A8 of A/D 704 , A4 of A/D 706 , A5 of A/D 706 , A6 of A/D 706 , A7 of A/D 706 , A8 of A/D 706 , A9 of A/D 706
  • the system V-BATT line is coupled to ground through a parallel R-C network consisting of a 0.1 ⁇ F capacitor and a 100 Kohm resistor.
  • the V-BATT line is also coupled to the system BATTery+line through a 402 Kohm resistor.
  • the system T-BATT line is coupled to ground through a 0.1 ⁇ F capacitor and to the system BATTery-THERMal line through a 402 Kohm resistor.
  • the system MON12 line is coupled to ground through a parallel combination of a 0.1 ⁇ F capacitor and a 10 Kohm resistor.
  • the MON12 line is also coupled to the system +12 Volt line through a 30.1 Kohm resistor.
  • the system MON5 line is coupled to ground through a parallel R-C network consisting of a 0.1 ⁇ F capacitor and a 10 Kohm resistor.
  • the MON5 line is also coupled to the system 5 VCC line through a 10 Kohm resistor.
  • the system MON3.3 line is coupled to ground through a 0.1 ⁇ F capacitor and to the system 3.3VCC line through a 100 Kohm resistor.
  • a SerialClocK line is coupled to the InputOutputCLocK terminals of both of A/Ds 704 , 706 .
  • the system MasterInSlaveOut line is coupled to the DataINput terminals of both of A/Ds 704 , 706 .
  • the system notAnalogtoDigitalConverterChipSelect0 and notAnalogtoDigitalConverterChipSelect1 lines are coupled to the notChipSelect terminals of A/Ds 704 , 706 , respectively.
  • the system notADCCS0 and notADCCS1 lines are also individually coupled to ground through a serial combination of a 100 ohm resistor and a 100 pF capacitor.
  • the DataOutput terminal of A/D 704 is coupled to an input terminal 1A of a non-inverting buffer amplifier, illustratively one fourth of a Fairchild type 74VHC125 quad buffer 708 .
  • the buffer 1notOutputEnable terminal of quad buffer 708 is coupled to the system notADC-CS0 line.
  • the DataOUTput terminal of A/D 706 is coupled to an input terminal 2A of a non-inverting buffer amplifier in buffer 708 .
  • the buffer 2notOutputEnable terminal of quad buffer 708 is coupled to the system notADC-CS1 line.
  • the output terminals of these buffers, pins 3 and 6 of quad buffer 708 are coupled to the system MasterInSlaveOut line.
  • the system GG-DataInput line is coupled to an input terminal, pin 12, of another of the buffers in quad buffer 708 .
  • GG-DI converted to 3V appears at the output terminal, pin 11, of this buffer.
  • the notOutputEnable terminal of this buffer is coupled through a 1 Kohm resistor to ground.
  • the final buffer input terminal 3A and 3notOutputEnable are coupled to ground.
  • controller 20 includes a microprocessor ( ⁇ P) 320 , which illustratively is a Motorola type MC68LK332QP ⁇ P.
  • the notInterruptReQuest4, notInterruptReQuest5, notInterruptReQuest6 and notInterruptReQuest7 terminals of ⁇ P 320 are coupled to the system GG-DI-3V, GG-DO, GG-CLK and notNMI lines, respectively.
  • TP0, TP1, TP6, TP7 and TP10 terminals of ⁇ P 320 are coupled to the system VALVE2, VALVE1, STEP2, STEP1 and CLocK-TEST lines, respectively.
  • a 32.768 kilohertz (KHz) clock circuit is coupled across the eXTernAL and EXTernAL terminals of ⁇ P 320 .
  • This circuit includes a 32.768 KHz crystal, one terminal of which is coupled to the EXTAL terminal and the other terminal of which is coupled through a 332 Kohm resistor to the XTAL terminal. Both terminals of the crystal are coupled to ground through separate 12 picofarad (pF) capacitors.
  • the XTAL and EXTAL terminals are coupled together through a 10 megaohm (Mohm) resistor.
  • the XFC and VDDSYN terminals of ⁇ P 320 are coupled together through a parallel circuit, one leg of which includes a series 18.2 Kohm resistor and 0.1 ⁇ F capacitor and the other leg of which includes a 0.01 ⁇ F capacitor.
  • Terminal VDDSYN is also coupled to ground through the parallel combination of a 0.1 ⁇ F capacitor, a 0.01 ⁇ F capacitor, and a 0.1 ⁇ F capacitor.
  • Terminal VDDSYN is coupled to +3.3 VCC through a 100 ohm resistor.
  • the system CLKOUT, MISO, MOSI and SCK lines are coupled to the CLKOUT, MISO, MOSI and SCK terminals, respectively, of ⁇ P 320 .
  • the system notADC-CS0 and notADC-CS1 lines are coupled to the notPeripheralChipSelect0/notSlaveSelect and notPeripheralChipSelect1 terminals, respectively, of ⁇ P 320 .
  • the notPeripheralChipSelect3 terminal of ⁇ P 320 is coupled to the notChipSelect terminal of an electronically erasable programmable read only memory (EEPROM) module 720 such as, for example, a MicrochipTechnology type 25LC320 four kilobit (K) by eight bit serial electrically erasable PROM.
  • EEPROM electronically erasable programmable read only memory
  • NotWriteProtect and notHOLD terminals of EEPROM 720 are coupled to the system notEE_WP line.
  • SerialdataInput and SerialdataOutput terminals of EEPROM 720 are coupled to the system MOSI and MISO lines, respectively.
  • a VCC terminal of EEPROM 720 is coupled to the system 3.3VCC line and to ground through a 0.1 ⁇ F capacitor.
  • the VSS terminal of EEPROM 720 is also coupled to ground.
  • the SCK terminal of EEPROM 720 is coupled to the system SCK line.
  • the system TransmitData (TXD) and ReceiveData (RXD) lines are coupled to the TXD and RXD terminals, respectively, of ⁇ P 320 .
  • the notInstructionPIPEline/DevelopmentSerialOut, notInstructionFETCH/DevelopmentSerialIn, notBreaKPoinT/DevelopmentSerialCLocK, TSTIME/ThreeStateControl, FREEZE/QUOtientouT, and notHALT terminals of ⁇ P 320 are coupled to the system notIPIPE/DSO, IFETCH/DSI, notBKPT/DSCLK, TSC, FREEZE and notHALT lines, respectively.
  • the notRESET terminal of ⁇ P 320 is coupled to the system notRESET line and to ground through a manual reset jumper.
  • the notRESET terminal of ⁇ P 320 is also coupled to pin 7 of a common ribbon cable connector 710 , illustratively an IDC10 connector, to the system 3.3VCC line through a 825 ohm resistor, to the data line D3 through a serial combination of a rectifier diode and a 1 Kohm resistor, and to the drain terminal of an N-channel enhancement mode field effect transistor (FET).
  • the source terminal of the FET is coupled to ground while the gate terminal is coupled to the ReSeT terminal of a microprocessor supervisory circuit 708 , illustratively a MAX824TELK integrated ⁇ P supervisory circuit, through a 1 Kohm resistor.
  • the voltage supply, VCC, and GrouND terminals of ⁇ P supervisory circuit 708 are coupled to the system 3.3VCC line and to ground, respectively.
  • the WatchDogInput terminal of ⁇ P supervisory circuit 708 is coupled to the system notWatchDogSTRoBe line through a 10 Kohm resistor and to the system CLocKOUT line through a jumper.
  • the notBusERRor terminal of ⁇ P 320 is coupled to pin 2 of a connector 710 .
  • Pin 1, pins 3 and 5, pin 9, pin 4, pin 6, pin 8, and pin 10 of connector 710 are coupled to the system notDS, ground, 3.3VCC, notBKPT/DSCLK, FREEZE, notIFETCH/DSI, and notIPIPE/DSO lines, respectively.
  • the Address terminals, A0-A19, of ⁇ P 320 are connected to the system address bus lines A0-A19, respectively.
  • the Data terminals, D0-D15, of ⁇ P 320 are connected to the system data bus lines D0-D15, respectively.
  • the Address21/ChipSelect8, Address22/ChipSelect9 Address23/ChipSelect10 terminals of ⁇ P 320 are coupled to the system notSTEPPERS, notSWitchSENSORS, and CONTROL1 lines, respectively.
  • the notChipSelectBOOT, notBusRequest/notChipSelect0, notBusGrant/ChipSelect1, and BusGrantACKnowledge/ChipSelect2 are coupled to the system notBOOT, notDATA, notRAM, notRAML lines, respectively.
  • the FunctionCode0/notChipSelect3, FunctionCode1/notChipSelect4, FunctionCode2/notChipSelect5 terminals of ⁇ P 320 are coupled to the system notLCD, not SWitchPANEL, and notLEDS lines, respectively.
  • the Read/Write terminal of ⁇ P 320 is coupled to the input of a hex schmitt inverter, which illustratively is a Fairchild 74VHC14 Hex Schmitt Inverter.
  • the output of the hex schmitt inverter is coupled to the first input of a first OR-gate, illustratively a 74VHC32 quad 2-input OR-gate.
  • the second input terminal of the first OR-gate is coupled to the notDataStrobe terminal of ⁇ P 320 while the output terminal of the OR-gate is coupled to the system notReaD line.
  • the R/W and DS terminals of ⁇ P 320 are also coupled to the two input terminals of a second 2-input OR-gate.
  • the output terminal of the second OR-gate is coupled to the system notWRite line.
  • PortE6/SIZe0, notDataSizeACKnowledge0, notDataSizeACKnowledge1, notAutoVECtor, and MODeCLocK terminals of ⁇ P 320 are coupled with the system notWatchDogSTRoBe, notDSACK0, notDSACK1, notAVEC, and MODCLK lines, respectively.
  • VoltageSTandBy terminal of ⁇ P 320 is coupled to ground.
  • Controller 20 includes four memory modules, one of which is a boot block flash memory module 712 , illustratively an Intel TE28F800B3B 3-Volt Advanced Boot Block Flash Memory.
  • the data terminals, D0-D15, of the boot block flash memory module 712 are coupled to the system data bus D0-D15 lines, respectively.
  • the address terminals of memory module 712 , A0-A18, are coupled to the system address bus A1-A19 lines, respectively.
  • each of the A0-A19 lines and the D0-D15 lines are coupled to ground through respective series combinations of a 22 ohm resitor and a 100 pF capacitor.
  • the voltage supply terminals, VCCQ and VoltageProgram/erasePower, of memory module 712 are coupled to the system 3.3VCC line.
  • the notResetdeepPowerdown, notChipEnable, notOutputEnable, notWriteEnable terminals of memory module 712 are coupled to the system notRESET, notBOOT, notRD, and notWR lines, respectively.
  • notWriteProtect terminal of module 712 is coupled to ground through a 10 Kohm resistor and to the system 3.3VCC line through a jumper.
  • a Flash Programmable Erasable Read Only Memory (PEROM) module 714 illustratively an Atmel AT29LV256 PEROM.
  • the data terminals, D0-D17, of the PEROM module 714 are coupled to the system data bus D8-D15 lines, respectively.
  • the address terminals of memory module 714 , A0-A14, are coupled to the system address bus A0-A14 lines, respectively.
  • the notOutputEnable, notChipEnable, and VCC terminals of memory module 714 are coupled to the system notRD, notDATA, and 3.3VCC lines, respectively.
  • the VoltageProgram/erasePower terminal of module 714 is coupled to either system 3.3VCC or notWR through a selectable jumper.
  • Controller 20 also includes two 256K static Random Access Memory modules 716 , 718 , illustratively two ISSI IS62LV2568ALL 256K 8 bit Static RAMs.
  • the data terminals, D0-D7, of RAM modules 716 , 718 are coupled to the system data bus D0-D7, D8-D15 lines, respectively.
  • the address terminals, A0-A17, of RAM module 716 are coupled to the system address bus A1-A18 lines, respectively.
  • the address terminals, A0-A16, of RAM module 718 are coupled to the system address bus A1-A17 lines, respectively.
  • the address terminal A17 of RAM module 718 is coupled to either system address bus line A18 or A0 through a selectable jumper.
  • the ChipEnable2, OutputEnable, and Read/Write terminals of RAM modules 716 , 718 are coupled to the system 3.3VCC line, notRD, and notWR lines, respectively.
  • the ChipEnable1 terminals of RAM modules 716 , 718 are coupled to the system notRAML and notRAM lines, respectively.
  • the system notRD, notDATA, notWR, notRAM, and notRAML lines are each coupled to ground through respective series combinations of a 100 ohm resistor and a 100 pF capacitor.
  • user interface 18 includes controls for each of the systems 14 , 16 . Only one of these sets of controls will be described, with the understanding that the other is substantially identical except where noted otherwise.
  • the switches or buttons of a membrane switch panel are coupled to the system notHOME-KEY, notUPARROW, notDowNARROW, notBACK, notENTER, notFLUSH, notPAUSE and notSILENCE lines, respecitviely, through respective 100 pF/100 ohm filters of a pair of filter arrays 722 , a first of the filter arrays 722 being associated with the notHOME-KEY, notUPARROW, notDNARROW, and notBACK lines and a socond of the filter arrays 722 being associated with the notENTER, notFLUSH, notPAUSE, and notSILENCE lines.
  • These lines are coupled through respective 3.3 Kohm pull-up resistors to +3.3 V supply voltage. These lines are also coupled to respective input terminals 1A1, 1A2, 1A3, 1A4, 2A1, 2A2, 2A3 and 2A4 of a Fairchild type 74VHC244 octal buffer 724 .
  • the respective output terminals 1Y1, 1Y2, 1Y3, 1Y4, 2Y1, 2Y2, 2Y3 and 2Y4 of buffer 724 are coupled to the system D0-D7 lines, respectively.
  • the respective output terminals of the other system 14 , 16 are coupled to the system D8-D15 lines.
  • Certain indicators and panel lighting are common to the two systems 14 , 16 , including a power indicator, a battery indicator, a silence indicator and a backlight.
  • the power switch is coupled through a filter tuned at approximately 10 MHz to the system notPOWER LED line which is, in turn, coupled through series 316 ohm resistor to the collector of a transistor, such as, for example, output terminal 1C of a Darlington-coupled pair in an Allegro Microsystems type ULN2003 Darlington array 726 .
  • the system notBATTERY LED line is coupled through a filter tuned at approximately 10 MHz to a series 316 ohm resistor which is, in turn, coupled to, for example, terminal 2C of array 726 .
  • the system notSILENCE LED line is coupled through a filter tuned at approximately 10 MHz to a series 316 ohm resistor which is, in turn, coupled to, for example, terminal 3C of array 726 .
  • the system notBacKLIGHT line is coupled to, for example, terminal 4C of array 726 .
  • System +5 V 5 VCC is coupled to the anodes of indicator LEDs 728 , 730 , 732 , 734 .
  • the cathodes of LEDs 728 , 730 , 734 are coupled through respective series 316 ohm resistors to associated terminals 5C, 6C and 7C of array 726 .
  • the cathode of LED 734 is coupled through a 316 ohm resistor to ground.
  • the system D0-D7 lines are coupled to input terminals of respective flip-flops, such as, for example, input terminals D0-D7, respectively, of a Fairchild type 74VHC273 octal D-type flip-flop 736 .
  • the output terminals of the respective flip-flops such as, for example, terminals Q0-Q6 of flip-flop 736 , are coupled to the bases of respective transistors, such as the bases of the input transistors of Darlington array 726 .
  • the CLocK and notMasterReset terminals of flip-flop 736 are coupled to the system notLEDS and notRESET lines, respectively.
  • the CLK terminal of flip-flop 736 is also coupled to ground through a series combination of a 100 ohm resistor and a 100 pF capacitor.
  • a VCC terminal of flip-flop 736 is coupled to 3 . 3 VCC and is coupled to ground through a 0.1 ⁇ F capacitor
  • the user interface 18 includes a LCD interface for displaying system information to and acquiring information from the caregiver.
  • a first octal 3-state buffer arrays 738 for example a Fairchild 74HCT244 Octal Buffer/Line Driver with 3-State Outputs
  • a second octal 3 state buffer array 740 for example, a Fairchild 74VHC244 Octal Buffer/Line Driver with 3-State Outputs, work in a parallel fashion to transfer input and output information from the LCD to the system data bus.
  • the input terminals, A1-A8, of buffer array 738 and the output terminals, Y1-Y8, of buffer array 740 are coupled to the system address bus D8-D15 lines, respectively.
  • the output terminals, Y1-Y8, of buffer array 738 and the input terminals, A1-A8, of buffer array 740 are coupled to the system LCD-D0, LCD-D1, LCD-D2, LCD-D3, LCD-D4, LCD-D5, LCD-D6, and LCD-D7 lines, respectively.
  • the system LCD-D0 through LCD-D7 lines are coupled through respective 100 pF/100 ohm filters of a pair of filter arrays 742 to pins 6-13, respectively, of a LCD connector 744 .
  • the VCC and GrouND terminals of buffer arrays 738 , 740 are coupled to the system 3.3VCC line and ground, respectively.
  • the VCC terminals of buffer arrays 738 , 740 are coupled to ground through respectivbe 0.1 ⁇ F capacitors.
  • the system notLCD and notWR lines are coupled to the inputs of a 2-input OR gate, the output of which is coupled to the not1OutputEnable and not2OutputEnable terminals of array buffer 738 .
  • the system notLCD and notRD lines are coupled to the inputs of a 2-input OR gate, the output of which is coupled to the not1OutputEnable and not2OutputEnable terminals of array buffer 740 .
  • the system notLCD line is also coupled to the input terminal, D, of a D-type flip-flop 746 , illustratively a Fairchild 74HCT74 Dual D-Type Flip-Flop.
  • the system CLKOUT line is coupled to the CLocK terminal of flip-flop 746 and to ground through a series combination of a 100 ohm resistor and a 100 pF capacitor.
  • the GRounD and VCC terminals of flip-flop 746 are coupled to ground and to the system 5 VCC line, respectively.
  • the CLeaR and PReset terminals of flip-flop 746 are coupled through respective 1 Kohm resistors to the system VCC and 5 VCC lines, respectively.
  • the output terminal, Q, of flip-flop 746 and the system notLCD line are coupled to the inputs of a 2-input AND gate.
  • the notLCD line is also coupled to ground through a series comination of a 100 ohm resistor and a 100 pF capacitor.
  • the output of the AND gate is coupled to the system notDeLaY-LCD line.
  • the system notWR, notRD, A0, notDLY-LCD, and notRESET lines are coupled to respective input terminals, A1-A5, of a octal buffer array 748 , illustratively a Fairchild 74HCT244 octal Buffer with 3-State Outputs.
  • Input A6-A8 of buffer array 748 are coupled to ground through respective 1 Kohm resistors.
  • not1OutputEnable, not2OutputEnable, and GRounD terminals of buffer array 748 are coupled to ground.
  • the voltage terminal, VCC, of buffer array 748 is coupled to the system 5 VCC line and to ground through a 0.1 ⁇ F capacitor.
  • the output terminals, Y1-Y5, of buffer array 748 are coupled to the system notLCD-WRITE, notLCD-READ, LCD-A), notLCD-ChipSelect, and notLCD-RESET lines, which are, in turn, coupled through respective 100 pF/100 ohm filters (e.g. filters tuned at approximately 10 MHz) to pins 3, 2, 4, 5, and 1, respectively, of connector 744 .
  • Four of the filters are included in filter array 743 .
  • Connector 744 includes connections for contrast adjustment.
  • Power for contrast adjustment is provided by an inverting charge pump 750 , for example a Maxim MAX868 Regulated, Adjustable-2x Inverting Charge Pump.
  • the notSHutDoWn and voltageINput terminals of pump 750 are coupled to the system 5VCC line.
  • the PowerGrouND and analogGrouND terminals of pump 750 are coupled to the system ground.
  • Separate 0.1 ⁇ F capacitors are coupled between the flying Capacitor2+ and Capacitor2 ⁇ terminals and the Capacitor1+ and Capaictor1 ⁇ terminals of pump 750 .
  • the C1+ terminal of pump 750 is also coupled to the anode of a first rectifying diode and the cathode of a second rectifying diode through a 0.1 ⁇ F capacitor.
  • the cathode of the first diode is coupled to the OUTput terminal of pump 750 and to ground through a 0.1 ⁇ F capacitor.
  • the anode of the second diode is coupled to ground through a 1.0 ⁇ F capacitor, to the first terminal of a 10 Kohm resistor pot, and to the FeedBack terminal of pump 750 through a 374 Kohm resistor.
  • the FB terminal of pump 750 is also coupled to the system 5 VCC line through a 100 Kohm resistor.
  • the second terminal of the 10 Kohm pot is coupled directly to ground.
  • the first terminal and sweep terminal of the 10 Kohm pot are coupled to pins 16 and 17, respectively, of connector 744 through separate filters tuned at approximately 10 MHz.
  • systems 14 , 16 include controls for the separate syringe drive motors 72 , 172 , respectively. Only one of these control circuits will be described, with the understanding that the other is substantially identical except where noted otherwise.
  • the system notSTEPPERS line is coupled to the CLocK terminal of an octal D-type flip-flop 752 , illustratively a Fairchild 74VHC273 Octal D-Type Flip-Flop.
  • the VCC, GRounD, and MasterReset terminals of flip-flop 752 are coupled to the system 3.3VCC line, ground, and the system notRESET line, respectively.
  • the VCC terminal of flip-flop 752 is coupled to ground through a 0.1 ⁇ F capacitor.
  • the input terminals, D0-D7, of flip-flop are coupled to the system data bus D0-D7, respectively.
  • the output terminals Q0, Q2, Q3, Q4, and Q5 of flip-flop 752 are coupled, respectively, to the DIRection, HALF/notFULL, notRESET, CONTROL, and ENABLE terminals of a stepper motor controller 754 , for example a SGS-Thomson L297 Stepper Motor Controller.
  • the VCC, GRounD, and STEP terminals of controller 754 are coupled to the system 5 VCC, ground, and STEP2 lines, respectively.
  • the VCC terminal of controller 754 is coupled to ground through a 0.1 ⁇ F capacitor.
  • the OSCillator terminal of controller 754 is coupled to ground through a 3,300 pF capacitor and to the system 5 VCC line through a 22.1 Kohm resistor.
  • the SYNChronize terminal of controller 754 which is associated with drive motor 72 , is coupled to the controller circuit for drive motor 172 .
  • the VoltageREFerence terminal of controller 754 is coupled to ground through a 0.1 ⁇ F capacitor and to the wiper of a 1 Kohm resistor pot.
  • the first terminal this 1 Kohm resistor pot is coupled to the system 5 VCC line and the second terminal is connected to the system ground.
  • the motorphaseA, motorphaseB, and notINHibit1 terminals of controller 754 are coupled to the INPUT1, INPUT2, and ENABLE terminals of a first full bridge driver 756 , illustratively an SGS-Thomson L6203 DMOS Full Bridge Driver.
  • the motorphaseC, motorphaseD, and notINHibit2 terminals of controller 754 are coupled to the INPUT1, INPUT2, and ENABLE terminals of a second full bridge driver 758 .
  • the SENSe1 and SENSe2 terminals of controller 754 are coupled to the SENSe terminals of drivers 756 , 758 , respectively, through respective 22.1 Kohm resistors.
  • the SENSe1 and SENSe2 terminals of controller 754 are also coupled to ground through respective 100 pF capacitors.
  • the VoltageREFerence terminals of drivers 756 , 758 are coupled to ground through respective 0.22 ⁇ F capacitors.
  • the VoltageSupply terminals of drivers 756 , 758 are coupled to the system MOTOR-POWER line, to ground through respective 0.1 ⁇ F capacitors, and to the system MOTOR-GND line through respective 0.1 ⁇ F capacitors.
  • the system MOTOR-GND line is also coupled to the system MOTOR-POWER line through a 22 ⁇ F capacitor and to the SENSe terminals of drivers 756 , 758 through respective 0.1 ohm resistors.
  • the SENSe terminals of drivers 756 , 758 are also coupled to the system I-MOTOR-1A and I-MOTOR-1B lines, respectively, through respective 402 Kohm resistors.
  • the system I-MOTOR-1A and I-MOTOR-1B lines are also coupled to ground through respective 0.22 ⁇ F capacitors.
  • the OUTput1 terminal of drivers 756 , 758 is coupled to the BOOT1 terminal of drivers 756 , 758 , respectively, through respective 0.015 ⁇ F capacitors.
  • the OUTput2 terminal of drivers 756 , 758 is coupled to the BOOT1 terminal of drivers 756 , 758 , respectively, through respective 0.015 ⁇ F capacitors.
  • the OUT1 terminal of drivers 756 , 758 are also coupled to the OUT2 terminal of drivers 756 , 758 through respective series combinations of a 10 ohm resistor and a 0.022 ⁇ F capacitors.
  • the OUT1 and OUT2 terminals of driver 756 and the OUT1 and OUT2 terminals of driver 758 are coupled to pins 1-4, respectively, of flush drive connector 760 and to the INput3, INput4, INput5, and INput6 terminals, respectively, of an electronic protection array 762 , illustratively a Harris SP723 Electronic Protection Array.
  • the Voltage+ and Voltage ⁇ terminals of protection array 762 are coupled to the system MOTOR-POWER and MOTOR-GND lines, respectively.
  • the power controller includes an 8-Bit CMOS microcontroller 764 , illustratively a Microchip PIC16C622 EPROM-Based 8-Bit CMOS Microcontroller.
  • a 4 Megahertz (MHz) clock circuit is coupled across the OSCillator1/CLocKIN and OSCillator2/CLocKOUT terminals of microcontroller 764 .
  • This circuit includes a 4 MHz crystal coupled across the OSC1/CLKIN and OSC2/CLKOUT terminals of microcontroller 764 .
  • the OSC1/CLKIN and OSC2/CLKOUT terminals are also coupled to ground through respective 22 pF capacitors.
  • the RportA0/ANaloginput0 and RportA1/ANaloginput1 terminals of microcontroller 764 are coupled to ground through respective parallel combinations of a 22.1 Kohm resistor and a 0.01 ⁇ F capacitor.
  • the RA0/AN0 and RA1/AN1 terminals are also coupled to the system PS and +12V lines, respectively, through separate 100 Kohm resistors.
  • the RportA4/TOCK1, VDD, and VSS terminals of microcontroller 764 are coupled to the system PWR-DN line, the system PPIC-VDD line, and ground, respectively.
  • the RportB0/INTerrupt terminal is coupled to ground through a 10 Kohm resistor.
  • the remaining B port terminals, RB1-RB7, and notMasterCLeaR terminal are coupled to the system PWR-SRC, PS-EN, BATT-EN, GG-DI, GG-DD, GG-CLK, BP-DQ, and PPIC-VDD lines, respectively, through respective 10 Kohm resistors.
  • the system PPIC-VDD line is also coupled to ground through a 1.0 ⁇ F capacitor and to the OUTput terminal, pins 1 and 2, of a linear voltage regulator 766 , such as a Micrel MIC5200 Low-Dropout Regulator.
  • the Input terminals, pins 7 and 8, and the ENable terminal of regulator 766 are coupled to ground through a 22 ⁇ F capacitor and to the cathode terminal of a first and a second rectifier diode.
  • the EN terminal of regulator 766 is coupled to ground through a 0.1 ⁇ F capacitor.
  • the anode of the first rectifier diode is coupled to the system +12V line.
  • the anode of the second rectifier diode is coupled to pin 1 of an ON/OFF switch connector 768 and to the RB0/INT terminal of microcontroller 764 though a 30.1 Kohm resistor.
  • Pin 3 of switch connector 768 is connected to the cathode of a first and a second rectifier diode.
  • the anode of the first rectifier diode is coupled to the cathode of a third rectifier diode and the anode of the third rectifier diode is coupled to the system PS line.
  • the anode of the second rectifier diode is coupled to the anode of a 3.6 volt zener diode.
  • the anode of the 3.6 volt zener diode is coupled to the system BATT+ line.
  • the system PS-EN and BATT-EN lines are coupled to discrete amplifier circuits 770 , 772 . Only the PS-EN amplifier circuit 770 will be described, with the understanding that the BATT-EN amplifier circuit 772 is substantially identical except where noted otherwise.
  • the system PS-EN line is coupled to a voltage divider circuit formed from the series connection to ground of a 10 Kohm resistor and a subsequent 3.57 Kohm resistor.
  • the base of a Darlington transistor for example a MMBT6427LT1 Darlington transistor, is coupled to the center tap of the voltage divider circuit.
  • the collector of the Darlington transistor is coupled to ground.
  • the emitter of the Darlington transistor is coupled to the gate of a HEXFET MOSFET, illustratively an IRF4905 HEXFET Power MOSFET, through a 1 Kohm resistor.
  • the source terminal of the HEXFET MOSFET is coupled to the gate terminal of the MOSFET through a 10 Kohm resistor and to the anode of a Schottky barrier rectifier diode.
  • the cathode of the Schottky diode is coupled to the system PS line in amplifier circuit 770 and to the system BATT+ line in amplifier circuit 772 .
  • the PS line is coupled to the system BF-PS line through a 7 amp fuse.
  • the BF-PS line is coupled to pin 1 of a power entry connector.
  • Pin 2 of the power entry connector is coupled to pin 1 thereof through a 0.1 ⁇ F capacitor, to the system MOTOR-GND line, and to ground.
  • the 7 amp fuse and power entry connector are omitted.
  • the drain terminals of the HEXFET MOSFETs of amplifier circuits 770 , 772 are coupled to the system MOTOR-POWER and +12V lines.
  • the system +12V line is coupled to ground through a 22 ⁇ F capacitor and to the anode of a Schottky barrier rectifier diode.
  • the cathode of said Schottky diode is coupled to ground through a 1,500 ⁇ F capacitor and to the VoltageIN terminal of a 12V to 5V buck regulator 774 , illustratively a Linear Technology LT1076-8 Step-Down Switching Regulator.
  • the GrouND terminal of regulator 774 is coupled to the system ground.
  • the voltage reference, Vc, terminal of regulator 744 is also coupled to ground through a series R-C network consisting of a 10 Kohm resistor and a 0.033 ⁇ F capacitor.
  • the VoltageSWitch and FeedBack/SENSE terminals of regulator 744 are coupled together through a 100 micro-Henries ( ⁇ H) inductor.
  • the Vsw terminal of regulator 744 is also coupled to the anode of a Schottky barrier rectifier diode. The cathode of this Schottky diode is coupled to ground.
  • the FB/SENSE terminal of regulator 744 is also coupled to the system 5 VCC line and to ground through a 1,800 ⁇ F capacitor.
  • the system 5 VCC line is also coupled to ground through a 10 ⁇ F capacitor and to the INput terminal of a high current voltage regulator 776 , for example a Micrel MIC29150-3.3BU High-Current Low-Dropout Regulator.
  • the GrouND terminal of regulator 776 is coupled to ground.
  • the OUTput terminal of regulator 776 is coupled the system 3.3VCC line and to ground through about 11 ⁇ F of capacitance.
  • the battery charging system includes a fast charge controller 778 , illustratively an Unitrode BQ2004H Fast-Charge IC.
  • the BATteryvoltage terminal of controller 778 is coupled to ground through a parallel R-C network consisting of a 100 Kohm resistor and a 0.1 ⁇ F capacitor.
  • the BATT terminal is also coupled to the system BATT+ line through a 402 Kohm resistor.
  • the TemperatureCutOff terminal of controller 778 is coupled to ground through a parallel R-C network consisting of a 10 Kohm resistor and a 0.1 ⁇ F capacitor.
  • the TCO terminal is also coupled to the system +5CHG line through a 32.4 Kohm resistor.
  • the TemperatureSense terminal of controller 778 is coupled to ground through a 0.1 ⁇ F capacitor and to the system BATT-THERM line through a 100 Kohm resistor.
  • the BATT-THERM line is coupled to ground through a 3.57 Kohm resistor and to the system +5CHG line through a 4.87 Kohm resistor.
  • the LED1 terminal of controller 778 is coupled to the system DONE line and to the anode of LED 780 through an 825 ohm resistor.
  • the cathode of LED 780 is coupled to ground.
  • the SeNSe and system ground (VSS) terminals of controller 778 are also coupled to ground.
  • the LED2 terminal of controller 778 is coupled to the system FAST-CHG line.
  • the charging current control, MOD, terminal of controller 778 is coupled the system notDISABLE-CHG line through a 4.87 Kohm resistor.
  • the notINHibit terminal of controller 778 is coupled to ground through a 4.87 Kohm resistor and to the anode of a 5.1 volt zener diode.
  • the cathode of the 5.1 volt zener diode is coupled to ground.
  • the voltage supply (VCC), VoltageSELect, DisplaySELect, and notDischargeCoMmanD terminals of controller 778 are each coupled to the system +5CHG line.
  • the TimerMode1 terminal of controller 778 is coupled to the system +5CHG line through a 1 Kohm resistor.
  • the TM1 terminal may also be coupled to ground or directly to the system +5CHG line through a selectable jumper.
  • the TimerMode2 terminal of controller 778 is coupled to the system SHORT-CHG-HOLDOFF line.
  • the TM2 terminal may also be directly to ground or the system +5CHG line through a selectable jumper.
  • the system +5CHG line is coupled to the OUTput terminals, pins 1 and 2, of a voltage regulator 782 , illustratively a Micrel MIC5200-5.0BM Low-Dropout Regulator, and to the GrouND terminal of regulator 782 through a 1.0 ⁇ F capacitor.
  • the GND terminal of regulator 782 is coupled to ground.
  • the INput, pins 7 and 8, and the ENable terminal of regulator 782 are coupled to the GND terminal of regulator 782 through a 1.0 ⁇ F capacitor.
  • the IN and EN terminals of regulator 782 are also coupled to the cathodes of a first and a second rectifier diode.
  • the anode of the first rectifier diode is coupled to the system +12V line.
  • the anode of the second rectifier diode is coupled to the VoltageINput terminal of a switching regulator 784 , illustratively a Linear Technology LT1171 High Efficiency Switching Regulator, to ground through a 470 ⁇ F capacitor, to the system BF-PS line through a 3 amp fuse, and to the notINH terminal of controller 778 through a 10 Kohm resistor.
  • the operating voltage terminal (Vc) of regulator 784 is coupled to ground through a series combination of a 1 Kohm resistor and a 1 ⁇ F capacitor.
  • the GrouND terminal of regulator 784 is also coupled to ground.
  • the Vin and VoltageSWitch terminals of regulator 784 are coupled together through a 100 ⁇ H inductor.
  • the VSW terminal of regulator 784 is also coupled to the anode of a Schottky barrier rectifier diode.
  • the cathode of this Schottky diode is coupled to the system VBOOST line, to ground through a 390 ⁇ F capacitor, and to the FeedBack terminal of regulator 784 through a 16.2 Kohm resistor.
  • the FeedBack terminal of regulator 784 is also coupled to ground through a 1.24 Kohm resistor.
  • the system VBOOST line is coupled to ground through a 0.1 ⁇ F capacitor and to the INput terminal of a high current voltage regulator 786 , such as a Micrel MIC29302B High-Current Low-Dropout Regulator.
  • the ON/OFF and GrouND terminals of regulator 786 are coupled to the system notDISABLE-CHG line and to ground, respectively.
  • the OUTput terminal of regulator 786 is coupled to ground through a 10 ⁇ F capacitor and to the anode of a Schottky diode. The cathode of this Schottky diode is coupled to the system BATT+ line.
  • the OUT and ADJust terminals of regulator 786 are coupled together through a series R-C network consisting of a 32.4 Kohm resisotor and a 1.0 ⁇ F capacitor.
  • the ADJ terminal of regulator 786 is also coupled to ground through a 200 Kohm resistor and to the cathode of a first rectifier diode.
  • the anode of this first rectifier diode is coupled to the cathode of a second rectifier diode and to the FB terminal of regulator 784 .
  • the anode of this second rectifier diode is coupled to the output terminal, pin 1, of an operational amplifier 788 , illustratively a National Semiconductor LMC6482 CMOS Dual Rail-to-Rail Input and Output Operational Amplifier, and to the inverting input ( ⁇ ) of amplifier 788 through a 412 Kohm resistor.
  • an operational amplifier 788 illustratively a National Semiconductor LMC6482 CMOS Dual Rail-to-Rail Input and Output Operational Amplifier, and to the inverting input ( ⁇ ) of amplifier 788 through a 412 Kohm resistor.
  • the inverting input terminal of amplifier 788 is coupled to ground through a 49.9 Kohm resistor.
  • the positive voltage terminal, pin 5, and the negative voltage terminal, pin 4, of amplifier 788 are coupled to the system +5CHG and ⁇ 5CHG lines, respectively.
  • the non-inverting terminal (+) of amplifier 788 is coupled to the non-inverting input (+) of an operational amplifier 792 , illustratively a National Semiconductor LMC6482 CMOS Dual Rail-to-Rail Input and Output Operational Amplifier, through a 95.3 Kohm resistor.
  • the non-inverting terminal of amplifier 792 is also coupled to the system +5CHG line through a 200K ohm resistor and to ground through a 0.1 ⁇ F capacitor.
  • the inverting input terminal ( ⁇ ) of amplifier 792 is coupled to ground through a 200 Kohm resistor.
  • the inverting and output terminals of amplifier 792 are coupled together through a 169 Kohm resistor.
  • the output terminal of amplifier 792 is also coupled to the system ⁇ BATT line through a 1.0 Kohm resistor.
  • the positive voltage supply, V+, and negative voltage supply, V ⁇ , terminals of amplifier 792 are coupled to the system +5CHG and ⁇ 5CHG lines, respectively, and to ground through respective 0.1 ⁇ F capacitors.
  • the non-inverting input terminal of amplifier 788 is also coupled to the output terminal of an instrumentation amplifier 790 , such as a Burr-Brown INA128U Low Power Instrumentation Amplifier.
  • the REFerence terminal of amplifier 790 is coupled to ground.
  • the positive voltage supply and negative voltage supply terminals of amplifier 790 are coupled to the system +5CHG and ⁇ 5CHG lines, respectively, and to ground through respective 0.1 ⁇ F capacitors.
  • a 7.15 Kohm gain adjusting resistor is coupled across the RG terminals of amplifier 790 .
  • the non-inverting input terminal (+) of amplifier 790 is coupled to the system BATT- and BATT-SENSE lines.
  • the inverting terminal ( ⁇ ) of amplifier 790 is coupled to the ground and to the system MOTOR-GND line.
  • the non-inverting input terminal (+) and the inverting terminal ( ⁇ ) of amplifier 790 are coupled together through a 0.025 ohm resistor.
  • the system BATT-TERM line is coupled to ground through a 3.57 Kohm resistor, to the system +5CHG line through a 4.87 Kohm resistor, and to pin 3 of a battery connector 796 .
  • the system BATT+ line is coupled to pin 1 of connector 796 through a 7 amp fuse.
  • the system BATT ⁇ line is coupled to pin 2 of connector 796 .
  • Pin 4 of connector 796 is coupled to ground.
  • the battery charging system also includes a battery charge monitor 794 , for example a Unitrode BQ2014 Gas Gauge IC with External Charge Control.
  • the SEG2/PROG2, SEG3/PROG3, SEG4/PROG4, and SEG5/PROG5 terminals of monitor 794 are each coupled to ground through respective 100 Kohm resistors.
  • the DONE terminal of monitor 794 is coupled to the system DONE line and to ground through a 200 Kohm resistor.
  • the ground terminal, VSS, of monitor 794 is coupled to ground.
  • the VSS terminal of monitor 794 is also coupled to the supply terminal, VCC, of monitor 794 through a capacitance of about 1.1 ⁇ F.
  • a 10 Kohm resistor is coupled across the VCC and DISCTL terminals of monitor 794 .
  • the VCC terminal of monitor 794 is also coupled to the cathode of a 5.1 volt zener diode and to the system BATT+ line through a 10 Kohm resistor.
  • the cathode of this 5.1 zener diode is coupled to ground.
  • the DisplayInputOutput terminal of monitor 794 is coupled to the anode of a first rectifier diode and the cathode of a second rectifier diode.
  • the cathode of this first rectifier diode is coupled to the system BATT+ line.
  • the anode of the second rectifier diode is coupled to ground.
  • the DIO terminal of monitor 794 is also coupled to the system BP-DQ line through a 1 Kohm resistor.
  • the system BP-DQ is further coupled to the system PPIC-VDD line through a 100 Kohm resistor.
  • the BATTerySENSe terminal of monitor 794 is coupled to the system BATT+ line through a 681 Kohm resistor and to ground through a parallel combination of a 0.1 ⁇ F capacitor and a 66.5 Kohm resistor.
  • the SENSE terminal of monitor 794 is coupled to ground through a 0.1 ⁇ F capacitor and to the system BATT-SENSE line through a 100 Kohm resistor.
  • the data bus lines D0-D7 are coupled to the output terminals, 1Y1-1Y4 and 2Y1-2Y4, respectively, of an octal 3-state buffer 820 , for example a Fairchild 74VHC244 Octal Buffer/Line Driver with 3-STATE Outputs.
  • the not1OutputEnable and not2OutputEnable terminals of buffer 820 are coupled to the system notSWSENSORS line.
  • the supply voltage terminal, VCC is coupled to the system 3.3VCC line and to the ground through a 0.1 ⁇ F capacitor.
  • the input terminals, 1A1-1A4, of buffer 820 are coupled to the system notSYRINGE2, notHOME2, notEND2, and notWASTE2, respectively.
  • the input terminals, 2A2-2A4, of buffer 820 are coupled to the system notSYRINGE1, notHOME1, and notEND1 lines, respectively.
  • the input terminals of buffer 820 , 1A1-1A4 and 2A1-2A4, are each coupled to the system 5 VCC line through respective 475 ohm resistors.
  • the data bus lines D8-D15 are coupled to the output terminals, 1Y1-1Y4 and 2Y1-2Y4, respectively, of an octal 3-state buffer 822 , for example a Fairchild 74VHC244 Octal Buffer/Line Driver with 3-STATE Outputs.
  • the not1OutputEnable and not2outputEnable terminals of buffer 822 are coupled to the system notSWSENSORS line and to ground through an R-C series network consisting of a 100 ohm resistor and a 100 pF capacitor.
  • the supply voltage terminal, VCC is coupled to the system 3.3VCC line and to the ground through a 0.1 ⁇ F capacitor.
  • the input terminals 1A1, 1A4, 2A1, 2A3, and 2A4 of buffer 822 are coupled to the system notWASTE1, PWR-ON, PWR-SRC, FAST-CHG, and CHG-DONE lines, respectively.
  • the input terminals 1A2 and 1A3 of buffer 822 are coupled to ground through respective 1.0 Kohm resistors.
  • the input terminal 2A2 of buffer 822 is also coupled to ground through a tilt switch.
  • Input terminals 1A1, 1A4, and 2A2 are each coupled to the system 5 VCC line through respective 475 ohm resistors.
  • the system notHOME2 and notEND2 lines are coupled through respective 10 MHz filters of a filter array 824 to pins 2 and 6 of flush sensor connector 826 , respectively.
  • Pins 2 and 6 of connector 826 are coupled to the INput3 and INput1 terminals, respectively, of an electronic protection array 834 , illustratively a Harris SP723 Electronic Protection Array For ESD And Over-Voltage Protection.
  • the system notSYRINGE2 and notWASTE2 lines are coupled through respective 10 MHz filters of filter array 824 to pin 1 and pin 5, respectively, of a drainage and syringe sensor connector 828 .
  • Pins 1 and 5 of connector 828 are coupled to the INput5 and INput6 terminals, respectively, of protection array 834 .
  • the system notHOME1 and notEND1 lines are coupled through respective 10 MHz filters of filter array 824 to pins 2 and 6 of a flush sensor connector 830 .
  • Pins 2 and 6 of connector 830 are coupled to the INput3 and INput1 terminals, respectively, of an electronic protection array 836 , illustratively a Harris SP723 Electronic Protection Array For ESD And Over-Voltage Protection.
  • the system notSYRINGE1 and notWASTE1 lines are coupled through respecitve 10 MHz filters of filter array 824 to pin 1 and pin 5, respectively, of a drainage and syringe sensor connector 832 .
  • Pins 1 and 5 of connector 832 are coupled to the INput6 and INput5 terminals, respectively, of protection array 836 .
  • the INput4 terminals of protection arrays 834 , 836 are coupled to pin 1 of connectors 826 , 830 , respectively, and to the system 5 VCC through respective 1,000 pF filters of filter array 824 .
  • the voltage supply pins, V+, and ground pins, V ⁇ , of protection arrays 834 , 836 are coupled to the system 5 VCC line and ground, respectively.
  • Pins 3 and 7 of connectors 826 , 830 are coupled to ground.
  • Pins 5 of connectors 826 , 830 are coupled to INput2 terminals of protection arrays 834 , 836 , respectively, and to the 5 VCC line through respective 1,000 pF filters of filter array 824 .
  • Pins 2 and 6 of connectors 828 , 832 are coupled to ground.
  • systems 14 , 16 each include respective proportional valves and vacuum pumps. Only one valve connector circuit and one vacuum pump connector circuit will be described, with the understanding that others of these are substantially identical except where noted otherwise.
  • the system MOTOR-GND line is coupled, through a 1.0 ⁇ F capacitor, to the system +12V line, the source terminal of a p-channel enhancement mode MOSFET 800 , illustratively a TEMIC SI9407 P-Channel Enhancement Mode MOSFET, and the gate of MOSFET 800 through a 10.0 Kohm resistor.
  • the system VALVE1 line is coupled to the base of a Darlingtion transistor through a 10.0 Kohm resistor.
  • the collector terminal of this Darlington transistor is coupled to the gate of MOSFET 800 through a 1 Kohm resistor and the emitter terminal is coupled to ground.
  • the drain of MOSFET 800 is coupled to pin 1 of a proportional valve connector 802 through a 1,000 pF filter 804 .
  • the system MOTOR-GND line is coupled to pin 2 of connector 802 and to the anode of a rectifier diode. The cathode of this rectifier diode is coupled to pin 1 connector 802 .
  • the MOTOR-GND line is also coupled to filter 804
  • the system MOTOR-GND line is coupled, through a 1.0 ⁇ F capacitor, to the system +12V line, the source terminal of a p-channel Enhancement mode MOSFET 806 , illustratively a TEMIC S19407 P-Channel Enhancement Mode MOSFET, and the gate of MOSFET 806 through a 10.0 Kohm resistor.
  • the system VACPUMP1 line is coupled to the base of a Darlingtion transistor through a 10.0 Kohm resistor as shown in FIG. 16 .
  • the collector terminal of this Darlington transistor is coupled to the gate of MOSFET 806 through a 1 Kohm resistor and the emitter terminal is coupled to ground.
  • MOSFET 806 The drain of MOSFET 806 is coupled to pin 1 of vacuum pump connector 808 through a 1,000 pF capacitor filter 810 .
  • the system MOTOR-GND line is coupled to pin 2 of connector 808 and to the anode of a rectifier diode. The cathode of this rectifier diode is coupled to pin 1 of connector 808 .
  • the MOTOR-GND line is also coupled to filter 810 .
  • the system +5CHG line is coupled to ground through a 1.0 ⁇ F capacitor and to the INput terminal of a voltage inverter 798 , illustratively a MAXIM MAX870 Switched-Capacitor Voltage Inverter.
  • the OUTput terminal of inverter 798 is coupled to ground through a 1.0 ⁇ F capacitor and to the system ⁇ 5CHG line.
  • the internal oscillator Capacitor1 and Capacitor2 terminals of inverter 798 are coupled together through a 1.0 ⁇ F capacitor.
  • the GrouND terminal of inverter 798 is coupled to ground.
  • the system TXD line is coupled to the Transmitter1-INput terminal of a RS-232 transceiver 812 , illustratively a MAXIM MAX232E+5V RS-232 Transceiver as shown in FIG. 17 .
  • the system RXD line is coupled to the Reciever1OUTput of transceiver 812 .
  • the Transmitter2-INput and GrouND terminals of transceiver 812 are coupled to ground.
  • the positive charge pump Capacitor1+ and Capacitor1 ⁇ terminals of transceiver 812 are coupled together through a 0.1 ⁇ F capacitor.
  • the negative charge pump Capacitor2+ and Capacitor2 ⁇ terminals of transceiver 812 are coupled together through a 0.1 ⁇ F capacitor.
  • the supply voltage terminal, VCC, of transceiver 812 is coupled to the system 3.3VCC line and to ground through a 0.1 ⁇ F capacitor.
  • the charge pump voltage terminals, V+ and V ⁇ are coupled to the system 3.3VCC line and ground, respectively, through respective 0.1 ⁇ F capacitors.
  • the Transmitter1-OUTput and Receiver1OUTput terminals of transceiver 812 are coupled to pins 1 and 2, respectively, of connector 816 through respective 1,000 pF filters of a filter array 814 . Pin 3 of connector 816 is coupled to ground.
  • the system data bus lines D8-D15 are coupled to the Data0-Data7 input terminals, respectively, of an octal D-type flip-flop 818 , illustratively a Fairchild 74VHC273 Octal D-Type Flip-Flop as shown in FIG. 17 .
  • the data output terminals, Q0-Q3, of flip-flop 818 are coupled to the system VACPUMP2, VACPUMP1, ALARM-LO, and ALARM-HI lines, respectively.
  • the supply voltage terminal, VCC, of flip-flop 818 is coupled to the system 3.3VCC line and to ground through a 0.1 ⁇ F capacitor.
  • the notMasterReset and CLocK terminals of flip-flop 818 are coupled to the system CONTROL1 and notRESET lines, respectively.
  • the CLK terminal of flip-flop 818 is also coupled to ground through an R-C series network consisting of a 100 ohm resistor and a 100 pF capacitor.
  • the system V-PIEZO line is coupled to ground through a 100 Kohm resistor and to the A terminal of a PIEZO horn through a 402 Kohm resistor as shown in FIG. 17 .
  • the B terminal of the PIEZO horn is coupled to the system +12V line.
  • the A terminal of the PIEZO horn is also coupled to the collector of a first and a second Darlington transistor through a 1.69 Kohm resistor and a 1.13 Kohm resistor, respectively.
  • the emitters of the first and second Darlington transistors are coupled to ground.
  • the bases of the first and second Darlington transistors are coupled to the system ALARM-LO and ALARM-HI lines, respectively, through respective 10 Kohm resistors.

Abstract

A wound treatment apparatus has a vacuum bandage covering a wound of a patient, a vacuum source coupled to the vacuum bandage, and a controller that operates the vacuum source to apply negative pressure to the wound through the bandage in a controlled manner. The controller is programmed to limit the rate of change of the negative pressure applied to the wound. A caregiver has the ability to change one or more negative pressure setpoint values and the controller of the wound treatment apparatus controls the rate of change of the negative pressure to reduce patient discomfort.

Description

  • This application is a continuation of U.S. patent application Ser. No. 10/192,894 which was filed Jul. 11, 2002 and which claimed priority under 35 U.S.C. § 119(e) to U.S. Provisional Patent Application Ser. No. 60/304,990, filed on Jul. 12, 2001, the disclosures of which are hereby incorporated by reference herein.
  • BACKGROUND
  • The present invention relates to aggressive wound therapy devices, and more particularly to vacuum wound therapy devices. Even more particularly the invention relates to controlling the vacuum applied by vacuum wound therapy devices.
  • Medical professionals, such as nurses and doctors, routinely treat patients having surface wounds of varying size, shape, and severity. Aggressive wound therapy, as opposed to passive wound therapy, takes advantage of environmental modifications to actively induce healing. It is known that controlling the topical atmosphere adjacent a wound can enhance the healing process. Several aggressive wound therapy strategies are known including hyperbaric therapy, thermal therapy and negative pressure therapy.
  • In negative pressure therapy, a wound bed is subjected to an air pressure lower than the ambient air pressure. Applying a negative pressure or vacuum to a wound draws out exudate, which might contain dirt and bacteria, from the wound to further promote healing. Some dressings include an apparatus attached thereto for applying a vacuum through the bandage to the wound to draw exudate and promote healing. However, it has been found that rapid changes in negative pressure levels applied to open wounds (chronic wounds) can cause discomfort to patients.
  • It is also known to use a vacuum treatment bandage for accelerating wound healing. A vacuum bandage is a bandage having a cover for sealing about the outer perimeter of the wound and under which a vacuum is established to act on the wound surface. This vacuum applied to the wound surface accelerates healing of chronic wounds. Typically, suction tubes are provided for drawing exudate away from the wound, and the suction tubes may be used to create the vacuum under the cover. If the cover is a flexible cover, which is typically more comfortable for the patient, a porous packing may be provided under the cover to provide the space in which the vacuum is formed. Additionally, it is known a heater within a wound treatment apparatus to promote healing. The following U.S. patents establish the nature of vacuum and/or heat treatment bandages and devices: U.S. Pat. Nos. 6,095,992, 6,080,189, 6,071,304, 5,645,081, 5,636,643, 5,358,494, 5,298,015, 4,969,880, 4,655,754, 4,569,674, 4,382,441, and 4,112,947. All of such references are incorporated herein by reference for purposes of disclosing the nature of such vacuum or heat treatment of wounds.
  • As shown, for example, in U.S. Pat. No. 5,645,081 (hereinafter the '081 patent), a method of treating tissue damage is provided by applying negative pressure to a wound. The negative pressure is provided in sufficient duration and magnitude to promote tissue migration in order to facilitate the closure of the wound. FIG. 1 of the '081 patent discloses an open cell polyester foam section covering the wound, a flexible hollow tube inserted into the foam section at one end and attached to a vacuum pump at another end, an adhesive sheet overlying the foam section, and tubing to adhere to the skin surrounding the wound in order to form a seal that allows the creation of a vacuum when the suction pump is operating. The '081 patent further teaches use of negative pressure between about 0.1 and 0.99 atmospheres, and that the pressure can be substantially continuous, wherein the pressure is relieved only to change the dressing on the wound. Alternatively, the '081 patent teaches use of a cyclic application of pressure in alternating periods of application and non-application. In a preferred embodiment, pressure is applied in 5-minute periods of application and non-application.
  • The following pending applications, assigned to the same assignee as the present application is licensed, are also specifically incorporated herein by reference: U.S. patent application Ser. No. 09/369,113 filed Aug. 5, 1999 and titled Wound Treatment Apparatus, U.S. patent application Ser. No. 09/725,352 filed Nov. 29, 2000 (Publication No. US-2002-0065494-A1 published May 30, 2002) and titled Vacuum Therapy and Cleansing Dressing for Wounds, and U.S. patent application Ser. No. 09/725,666 filed Nov. 29, 2000 and titled Wound Treatment Apparatus.
  • Various prior art references teach the value of the vacuum bandage or the provision of vacuum to the surface of a chronic wound. Several Russian language articles exist that establish the efficacy of vacuum therapy. Examples of such prior art articles, each of which discusses the use of application of vacuum to a wound to promote healing, are as follows: Vacuum therapy in the treatment of acute suppurative diseases of soft tissues and suppurative wound, Davydov, et al. Vestn. Khir., September 1988 (“the September 1988 article”); Pathenogenic mechanism of the effect of vacuum therapy on the course of the wound process, Davydov, et al. Khirurigiia, June 1990 (“the June 1990 article”); and Vacuum therapy in the treatment of suppurative lactation mastitis, Davydov, et al., Vestn. Khir., November 1986 (“the November 1986 article”).
  • The Russian articles distinguish wound drainage from use of vacuum therapy for healing, and they report that vacuum therapy results in faster cleansing of the wound and more rapid detoxification than with the traditional incision-drainage method. The Nov. 1986 article describes the vacuum therapy protocol as 0.8-1.0 atmosphere for 20 minutes at the time of surgery, and subsequent 1.5 to 3 hour treatments at a vacuum of 0.1 to 0.15 atmosphere, twice daily. These Russian articles teach that use of negative pressure accelerates healing. The Russian articles further teach using this vacuum method to decrease the number of microbes in the wound. The June 1990 article teaches that vacuum therapy provides a significant antibacterial effect. The June 1990 article describes the stepped up inflow of blood to the zone around the wound, which leads to an increase in the number of leukocytes reaching the focus of inflamation. Moreover, the Russian articles teach improvement of local blood circulation using vacuum therapy. The September 1988 article teaches improved inflow of blood into the wound zone, which intensifies the repair processes. The June 1990 article teaches that vacuum therapy promotes mobilization of blood plasma, intertissue fluid, and lymph into the wound. The June 1990 article reports that cellular and non-cellular elements of connective tissue appear twice as quickly in wounds treated with vacuum therapy. Subsequent articles and patents further develop the benefits obtained with vacuum therapy. The prior art, therefore, teaches the benefit and value of a vacuum bandage.
  • SUMMARY
  • The device disclosed herein limits the rate of change for the negative pressure applied to the wound. The caregiver has the ability to change the negative pressure value and the device controls the rate of change of the negative pressure to reduce patient discomfort.
  • Accordingly, an illustrative embodiment provides a negative pressure source, a variable flow orifice, a pressure transducer, a vacuum bandage, a controller, and a caregiver interface. The caregiver interface is configured to allow a caregiver to select a negative pressure setpoint. The caregiver enters a desired or setpoint value of negative pressure to be applied to the wound through the caregiver interface. The controller monitors the pressure transducer and compares the value with the setpoint. Based on this comparison, the controller adjusts the variable flow orifice. When a new setpoint is input by the caregiver, the controller limits the input to the variable flow orifice to produce the allowable rate of change of negative pressure as monitored by the pressure transducer.
  • Additionally, the illustrative embodiment comprises a waste canister operably coupled to the negative pressure source. The canister is coupled to the bandage such that, when a vacuum is applied to the canister, the vacuum is applied to the bandage. In some embodiments. the waste canister is a disposable waste canister.
  • Illustrative embodiments further provide a plurality of valves, canisters and vacuum pumps. Each valve connects one of the vacuum pumps to an associated waste canister. The controller adjusts each valve to establish the level of vacuum in each of the associated canisters. A plurality of vacuum regulators is also provided, each coupled to a respective one of the valves. Each of the regulators is configured to define a maximum level of vacuum. Each of the regulators also comprises an air intake for supplying additional air to an associated one of the pumps. A plurality of transducers is provided. Each transducer is coupled between a respective valve and an associated waste canister for measuring vacuum.
  • Additional features and advantages of the apparatus will become apparent to those skilled in the art upon consideration of the following detailed description exemplifying the best mode of carrying out the apparatus as presently perceived.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • The illustrative apparatus will be described hereinafter with reference to the attached drawings, which are given as non-limiting examples only, in which:
  • FIG. 1 is a perspective view of a wound treatment apparatus coupled to a bandage attached to a patient;
  • FIG. 2 is a block diagram of the wound treatment apparatus of FIG. 1;
  • FIG. 3 is a schematic block diagram of the vacuum evacuating sub-system of the wound treatment apparatus of FIG. 1;
  • FIG. 4 is a block diagram of the vacuum evacuating subsystem of FIG. 1 showing the controller in more detail than is shown in FIG. 4;
  • FIG. 5 is a cross-sectional view of a waste disposal canister of the wound treatment apparatus along the lines 5-5 of FIG. 1; and
  • FIGS. 6, 7A, 7B, 8A-8E, 9A-9D, 10A-10F, 11A-11C, 12A-12E, 13A-13D, 14, 15A-15D, 16 and 17 illustrate an electric circuit realization of the controller of the wound treatment apparatus.
  • DETAILED DESCRIPTION OF THE DRAWINGS
  • An embodiment of a wound treatment apparatus 10 utilizing a vacuum level rate of change controller 20 is shown in FIGS. 1 and 2. This embodiment utilizes a vacuum level rate of change controller 20 with a wound treatment apparatus 10 having wound irrigation subsystems and wound evacuation subsystems. Appropriate wound treatment apparatus which can be modified to use controller 20 are disclosed more particularly in U.S. patent application Ser. No. 09/725,666 filed on Nov. 29, 2000 and U.S. patent application Ser. No. 09/725,352 filed on Nov. 29, 2000 (U.S. publication no. US-2002-0065494-A1 published May 30, 2002, the disclosures of which have been previously incorporated by reference into this disclosure.
  • Wound treatment apparatus 10 comprises a central unit housing 12, having wound treatment systems 14, 16 appended to each side of housing 12. A user interface 18 is shown positioned between each treatment system 14, 16. Central unit housing 12 is configured to be a portable unit allowing a caregiver to move apparatus 10 to wherever the patient 26 is located and to close proximity to the wound or wounds 22. Housing 12 is shown having a handle portion 24 to assist the caregiver in moving housing. FIG. 1 also shows wound treatment system 14 coupled to a bandage 28 attached to a leg of a patient 26. Evacuating tube 32 is coupled to both bandage 28 and system 14. Also shown is a dispensing tube 30 coupled to a luer-lok port 34 extending from a syringe 36 to allow irrigation and/or medication of the wound 22. Syringe 36 is filled with a fluid, typically saline, that empties through tube 30 and into bandage 28, and ultimately onto a wound 22 positioned under bandage 28. Exudate from wound 22 are drawn from bandage 28 through evacuating tube 32 and into a waste canister 38 where it is collected. It is contemplated that the canister 38 can be discarded when filled and replaced with a new canister.
  • Apparatus 10 comprises a second system 16 on the opposite side of housing 12 from system 14. This configuration allows two wounds to be treated simultaneously with separate bandages 28, 29, yet, under the control of a single controller 20 located in a single housing 12. Second bandage 29, as part of system 16, is coupled to a dispensing tube 40 and an evacuating tube 42, to perform the same functions as described for system 14. (See FIG. 2.) User interface 18 is provided to allow the caregiver to provide setpoint and mode information used by controller 20 to control either or both systems 14, 16, to dispense fluid from either or both syringes 36, 236, and to evacuate from either or both bandages 28, 29. It is contemplated that each wound treatment system 14, 16 will work independent of the other, thus, allowing the caregiver flexibility to apply an appropriate and, yet, possibly different level of treatment to each wound 22. The arrangement of systems relative to user interface 18 on housing 12 allows convenient interaction between systems 14, 16 and the caregiver. Those skilled in the art will recognize that while two systems 14, 16 are illustrated, the teachings of this disclosure are applicable to a single system or to a plurality of systems.
  • The portability of apparatus 10 allows a caregiver to position it near the patient 26 in preparation for treatment wherever the patient 26 is located. To prepare apparatus 10 for treatment, the caregiver couples tube 30 to bandage 28 and waste canister 38, for treatment of one wound. The caregiver then couples tube 42 to bandage 29 and waste canister 39, for treatment of a second wound. (See also FIG. 2.) The caregiver, through the use of user interface 18, can treat the patient 26 by drawing exudate from the wounds.
  • A diagram depicting how wound apparatus 10 operates is shown in FIG. 2. A controller 20 is provided in housing 12. Illustratively, controller 20 is an electronic control unit that controls apparatus 10. Controller 20 receives user input from and provides feedback to user interface 18 through lines 44, 46, respectively. It is contemplated that controller 20 will process information from both systems 14, 16, and provide appropriate and independent input to each system 14, 16. Controller 20 also monitors the status of all various sensors, and provides input for the valves and motors to control the value of the negative pressure and the rate of change of the negative pressure, as discussed in further detail herein. Illustratively, user interface 18 is composed of a conventional graphic liquid crystal display (LCD) and a membrane switch panel.
  • A power supply 48 provides power to controller 20 and all the attendant systems in housing 12. Power supply 48 can be a conventional external wall socket supply (not shown), or be a battery pack supply (also not shown), or even be variations of both (e.g., a wall socket supply with a battery pack supply). Illustratively, power supply 48 is a medical grade power supply providing an output of about 65 watts and a voltage of about 12 VDC. It is contemplated that the power supply 48 can be configured for 120 V/60 Hz or 220-240V/50 Hz depending on whether apparatus 10 is used in America or Europe. Illustratively, the battery power provides the device with power to operate for about 60 minutes without connection to an external power source. It is further contemplated that the batteries can be rechargeable, and store energy when the device is connected to an external wall socket.
  • An attitude sensor 50 is provided in communication with controller 20 through line 52. Attitude sensor 50 is, illustratively, a tilt switch which provides feedback to controller 20. If the switch is, illustratively, in the closed position, controller 20 will continue to operate, but if the switch opens, controller 20 will shut systems 14, 16 down. For example, sensor 50 disables systems 14, 16 if housing 12 tilts at or greater than a predetermined amount, such as 45° from vertical in any direction.
  • It is contemplated that controller 20, user interface 18, power supply 486, and attitude sensor 50 are all common to and all operate with both systems 14, 16. Each system 14, 16 further comprises fluid dispensing sub-systems 62, 64 and vacuum evacuating sub-systems 66, 68. Fluid dispensing sub-system 62 comprises a syringe 36 having a plunger. Syringe 36 is, illustratively, a standard 60-ml medical syringe utilizing a luer-lok port 34. Plunger is a conventional plunger that extends into syringe 36 to dispense fluid through luer-lok port 34. A syringe drive motor 72 is, illustratively, a 12 VDC brushless electric motor or stepper motor configured to provide rotational energy to a syringe drive 74. When a signal is sent from controller 20 along line 76 to syringe drive motor 72, motor 72 applies torque and angular velocity to syringe drive 74 which is, illustratively, a power screw. Power screw translates rotational movement of the syringe drive motor 72 into translational movement. The drive has a guide to limit a plunger interface 78 to motion along one axis. In the illustrated embodiment, syringe drive 72 provides about 5.25 inches (13.3 cm) of travel of plunger interface 78 to evacuate the fluid contained in syringe 24. Furthermore, syringe drive motor 72 and syringe drive 74, as a system, provide about 27 pounds of linear force at a velocity of 1.45 inches (3.7 cm) per second to the plunger interface 78. The resulting force created by the fluid exiting syringe 36 creates, illustratively, 4-PSIG to 6-PSIG positive pressure at wound 22.
  • A syringe home sensor 84 receives information from plunger interface 78, and provides feedback to controller 20 when syringe capture mechanism 88 reaches its home position. A syringe full travel sensor 86 determines when syringe 36 is fully evacuated by sensing when plunger interface 78 has reached full travel. After sensor 86 has been activated, controller 20 resets plunger interface 78 to home position once syringe 36 is removed.
  • Syringe capture mechanism 88 holds syringe 36 in place when the caregiver places syringe 36 in apparatus 10. Capture mechanism 88 is also configured to allow the caregiver to release syringe 36 from apparatus 10 when it is empty. Capture mechanism 88 further includes a syringe sensor 90 that provides feedback to controller 20 through line 92 when syringe 36 is properly held in capture mechanism 88. Controller 20 prevents system 14 from operating if sensor 90 does not detect syringe 36 being properly held in capture mechanism 88.
  • Connectors 94, 96 are provided at opposed ends of dispensing tube 30. Either one or both connectors 94, 96, when closed, block flow from syringe 36 to bandage 28. Such connectors 94, 96 allow the patient 26 to be disconnected from apparatus 10 without having to remove bandage 28 or even shut apparatus 10 down.
  • A manual port 98 is also attached to dispensing tube 30 by an auxiliary tube 100. Port 98 permits the caregiver to attach a dispensing container to the system to manually dispense fluid into bandage 28. It is appreciated, however, that port 98 is configured to be closed while no syringe is attached to maintain a closed system.
  • The syringe and drive are illustrated as one approach for providing a fluid source and a drive for irrigating a wound bed. It will be appreciated that containers other than syringes may be operated by a drive to expel irrigation fluid toward a wound surface. For example, any type of container of fluid may be squeezed or reduced in volume by a drive mechanism to expel fluid. Also, a container may be held at an elevated position to provide head pressure for irrigation fluid.
  • Connectors 104, 106, similar to connectors 94, 96, are provided at opposed ends of evacuating tube 32. Either one or both connectors 104, 106, when closed, block flow from bandage 28 to waste canister 38. Such connectors 104, 106 also allow the patient 26 to be disconnected from apparatus 10 without having to remove bandage 28 or having to shut down apparatus 10.
  • Waste canister sensors 116, 118 are engaged when waste container 38 is properly seated in apparatus 10. This prevents apparatus 10 from operating without canister 38 seated properly in apparatus 10. As depicted in FIG. 2, both sensors 116, 118 provide feedback to controller 20 through lines 120, 122, confirming to the caregiver that canister 38 is seated properly in apparatus 10.
  • In the illustrated embodiment, waste canister 38 is a disposable unit that “snaps into” side portion 58 of housing 12. (See also FIG. 1.) Illustratively, canister 38 includes a window (not shown) to allow monitoring of the fluids. Illustratively, the fluid capacity of canister 38 is about 500-ml.
  • The illustrated embodiment of waste canister 38 further includes a hydrophobic filter 108 that is in communication with both evacuating tube 32 and vacuum pump 110. Such filter 108 is configured to allow air, but not liquid, to pass. Accordingly, as fluid is drawn into canister 38, fluid is deposited into waste canister 38 while the vacuum continues through filter 108 and pump 110. Illustratively, filter 108 is a 0.2-micron hydrophobic bacteria filter fixed into rear wall 407 of canister 38. Hydrophobic filter 108 also serves as a canister full mechanism 114 or valve that shuts off the vacuum supply to the canister 38 when the fluid level exceeds the “full” level. Because hydrophobic filter 108 prevents fluid from passing, once fluid covers filter 108, vacuum is prevented from passing as well. Illustratively, the absence of any vacuum in the system causes the system to shut down.
  • Vacuum pump 110 creates the negative pressure that is present through canister 38. For monitoring and controlling such negative pressure, the vacuum is present through several devices, including a vacuum pressure transducer 124. Transducer 124 is coupled to line 128, extending from canister 38. Transducer 124 measures the negative pressure that is present through canister 38. Transducer 124 then provides feedback to controller 20 through line 128. Controller 20 monitors the negative pressure by comparing the measured value from transducer 124 with the caregiver-defined or setpoint value entered into controller 20 through user interface 18.
  • A proportional valve 130 is connected to line 126, through which the negative pressure is present, and which comprises a flow orifice 132. (See also FIG. 5.) Illustratively, proportional valve 130 is solenoid controlled. Flow orifice 132 selectively dilates or constricts, thereby controlling the negative pressure level through sub-system 66. Specifically, controller 20 provides a signal input to proportional valve 130 based on the level of the vacuum pressure determined from feedback of transducer 124 and comparing that level to the caregiver-defined level. Orifice 132 then dilates or constricts, as necessary, to produce the appropriate level of negative pressure. Illustratively, proportional valve 130 is fully constricted or closed when receiving no signal from controller 20, and dilates or opens to allow an illustrative maximum of two liters per minute at 250-mmHg (4.83-PSIG) vacuum when the proper signal from controller 20 is applied. Illustrative examples of a solenoid control valve 130 are the series of standard normally closed proportional solenoid valves available from the Pneutronics Division of Parker Hannifin Corporation, of Hollis, N.H., and having part nos. of the form VSONC-_-_-— —-— —wherein the blanks are filled with alphanumeric symbols for the model numbers, body series, elastomer material, coil resistance, electrical interface, and pneumatic interface, respectively. Those skilled in the art will recognize that other controllable valves may be used within the teaching of the disclosure. Also, control may be exercised over other components of the system to adjust the pressure presented to the vacuum bandage 28 and the rate of change of the pressure present at the vacuum bandage 28 within the teaching of the disclosure.
  • A vacuum regulator 134 is provided in line 126 between proportional valve 130 and pump 110 as a mechanical limit control for pump 110. Regulator 134 mechanically establishes a maximum level of negative pressure that is present in the system. Thus, vacuum pump 110 will not physically be able to draw a vacuum from bandage 28 beyond the maximum pressure. Illustratively, such maximum negative pressure or vacuum is 250-mmHg (4.83-PSIG). In addition, when proportional valve 130, pursuant to a signal from controller 20, creates a negative pressure less than the maximum negative pressure level, a port 136, coupled to regulator 134, opens so that pump 110 can draw more air to maintain a sufficient flow through pump 110, to prevent it from becoming damaged. A first air filter 137 is illustratively associated with port 136, between port 136 and pump 110, to filter particulates from the air prior to reaching pump 110. Illustratively, filter 137 is constructed of glass microfibers with a filtration rating of 25 microns. A second filter 139 is associated with pump 110 and an outlet 141. Filter 139 serves as an exhaust muffler for the air evacuated from pump 110.
  • Vacuum pump 110 is, illustratively, a diaphragm-type compressor that flows about two liters per minute at 250-mmHg (4.83-PSIG) vacuum. Illustratively, vacuum pump 110 is mounted on the end of a single 12 VDC brushless motor 138 to drive the pump. It is appreciated, however, that pump 110 can be of any other configuration, and mounted in any manner, so long as it draws a desired negative pressure through system 14. It is also contemplated that a vacuum pump external to the housing 12 may be a part of the control system. For example, most medical facilities have vacuum ports near where patients are treated, each of which is served by a system vacuum (suction) pump. It is contemplated, therefore, that the pump 110 in the housing 12 may be an appropriate fitting which is, in turn, connected to a facility vacuum pump to provide a vacuum source to the control system.
  • It is contemplated that port 136, filters 137, 139, electric motor 138, vacuum pump 110, and vacuum regulator 134 are all housed in a sound chamber 140. Illustratively, the interior of sound chamber 140 is lined with a damping foil like the 3M Company's damping foil number 2552, for example. Sound chamber 140 dampens vibration energy produced by these components, as well as assists in dissipating heat they generate.
  • As previously indicated, it is contemplated that controller 20, user interface 18, and power supply 48 are common to, and operate with, both fluid dispensing and vacuum evacuating sub-systems 62, 64 and 66, 68. Providing a second independently operable set of sub-systems 64, 68 allows the caregiver to treat two wounds using a single apparatus 10. Accordingly, second fluid dispensing and evacuating sub-systems 64, 68 also shown in FIG. 2, comprise identical components as discussed regarding sub-systems 62, 66 and are labeled in a corresponding manner. For example, syringe motor drive 72 in sub-system 142 is identified as syringe motor drive 172 in sub-system 64, and a vacuum pump 110 in sub-system 66 is identified as vacuum pump 210 in sub-system 68.
  • Vacuum 110 applies a negative pressure through waste canister 38 and bandage 14. Fluid and exudate are then drawn from wound 22 out through tube 32 and into canister 38. The hydrophobic filter 108, discussed in connection with FIG. 2, allows the vacuum to pass through waste canister 38, yet, prevents any of the fluid from escaping, and depositing the fluid into pump 110.
  • A cross-sectional view of waste canister 38 located in cavity on side 58 of housing 12 is shown in FIG. 4. Tube 32 is connected to a check-valve assembly 400 coupled to recess 402 disposed in the front wall 405 of canister 38. Check valve 400 is configured to allow fluid and exudate from bandage 28 to enter canister 38 and deposit in holding space 404 within canister 38, yet prevent any fluid already in space 404 from exiting through valve 400. Check valve 400, thus prevents fluid from escaping when tube 32 is disengaged from valve 400. In addition, canister 38 can be discarded without any fluid escaping. Hydrophobic filter 108 is located on the rear wall 407 of canister 38. A liquid solidifier is provided in space 404 to decrease the fluidity of the exudate. This is a safety measure to lessen the chance of splashing or run-off if canister 38 (or 39) is opened or broken.
  • Filter 108 in canister 38 is shown having an inlet 410 provided in space 404 and an outlet 412 coupled to a connector 416 with a barrier of hydrophobic material 414 provided therebetween. As previously discussed, the hydrophobic material allows the vacuum to pass through inlet 410 and outlet 412, yet prevents any fluid from passing. Similar to check valve 400, hydrophobic filter 108 also prevents any fluid from escaping when canister 38 is removed from housing 12. Outlet 412 of filter 108 is in communication with connector 416. Connector 416 is configured to receive and seal outlet 412 when canister is positioned in cavity. Connector 416 is in communication with line 126 and ultimately with pump 1 10.
  • In the illustrated embodiment, hydrophobic filter 108 serves as both the canister full mechanism 114 that shuts off the vacuum supply to the canister 38 when the fluid level exceeds the “full” level as indicated by reference numeral 420. When the fluid level is below inlet 410, as indicated by reference numeral 422, fluid continues to enter space 404 through valve 400. When the fluid level 420 is above inlet 410, the fluid is acting as an air block. Fluid cannot pass through filter 108, but because the fluid level is above inlet 410, air cannot pass through either. This causes a dramatic pressure drop (vacuum increase) through line 126. Vacuum pressure transducer 124 is coupled to line 126 measuring the negative pressure passing through canister 38, as previously discussed. If such a dramatic pressure drop occurs, transducer 124 will provide such data to controller 20 through line 128. Controller 20 will then know to shut the system down until the full canister is replaced with either an empty or only a partially full canister.
  • Illustrative vacuum bandage 28 is designed to provide a protective environment around wound 22. Illustratively, such bandages last for up to 7 days without having to be replaced. Bandage 28 includes rinse and drain orifices (not shown) within the body of bandage 28 that communicate with tubes 30, 32, respectively. Such orifices are illustratively 0.070-inch (0.18 cm) diameter. Vacuum evacuating sub-system 66 cooperates with bandage to draw the fluid and exudate from the surface of wound 22, and collect the same into waste canister 38.
  • Examples of bandages 14 are shown and described in U.S. patent application Ser. No. 09/725352, entitled VACUUM THERAPY AND CLEANSING DRESSING FOR WOUNDS, filed on Nov. 29, 2000 and in U.S. patent application Ser. No. 10/144,504, also entitled VACUUM THERAPY AND CLEANSING DRESSING FOR WOUNDS, filed May 13, 2002, the complete disclosures of which are hereby expressly incorporated by reference herein. It is further contemplated that other bandages may be used with this control system, including bandages having separate irrigation and vacuum ports. Examples of such bandages are shown and described in U.S. patent application Ser. No. 09/369,113, entitled WOUND TREATMENT APPARATUS, filed on Aug. 5, 1999, (assigned to the same Assignee or Affiliated Assignee as the present disclosure), the complete disclosure of which is hereby expressly incorporated by reference hererin. Further details of wound treatment apparatus 10 and alternative embodiments thereof are shown and described in U.S. patent application Ser. No. 10/159,583, entitled WOUND TREATMENT APPARATUS, filed on May 31, 2002, the complete disclosure of which is hereby expressly incorporated by reference herein.
  • Illustratively, the caregiver may activate system 14, by means previously described, to draw exudate from wound 22 through channels and apertures of bandage member 28, packing and film, splitter tube and evacuating tube 32 to be deposited in canister 38. The negative pressure applied to wound 22 created by pump 110 can be applied for a period of time as determined by the caregiver. After a period of drawing, the caregiver may deactivate the negative pressure.
  • Apparatus 10 is a portable, easy to use topical system that is intended to provide a protective/occlusive environment with features to facilitate the administering of standard wound care. Apparatus 10 provides for the care of two independently controlled wounds. Apparatus 10 provides negative pressure to the wound bed 22, and the caregiver can set the level of negative pressure. Illustratively, the negative pressure is variable from 25-mmHg to 225-mmHg at increments of 10-mmHg. The caregiver can choose between continuous, intermittent (profile), and no negative pressure modes. It will be appreciated that apparatus 10 may be set up to provide various levels of vacuum at various times. Apparatus 10 controls the rate of negative pressure change to reduce discomfort to patient. Apparatus 10 may be provided with the ability to pause negative pressure therapy for set durations of time. The system may be set up to provide audible alarms to remind the caregiver to reset or start a new cycle of vacuum therapy.
  • The apparatus 10 is intended to provide an occlusive wound healing environment. The apparatus 10 provides an active therapy unit that delivers drainage and cleansing for aggressive wound healing. It is intended, for example, for use on all pressure ulcers (Stage II through Stage IV), surgical draining wounds and leg ulcers.
  • The controller 20 disclosed herein regulates the functions of a vacuum therapy apparatus that provides negative pressure to the wound bed 22 of a patient 26. The level of negative pressure can be set by a caregiver using a caregiver interface 18 in a range from 25-mmHg to 225-mmHg in increments of 10-mmHg. The controller 20 implements a proportional, integral, derivative (“PID”) 302 control algorithm and pulse width modulation (“PWM”) 304 to adjust the negative pressure applied to the bandage 28 to the setpoint level.
  • The caregiver can choose between continuous, no negative pressure, and intermittent (profile) modes using the caregiver interface 18. In continuous mode, the caregiver selects a desired negative pressure value from the range provided by the system. The desired negative pressure value or setpoint is reached by controlling the rate of change of negative pressure. Once the setpoint is reached, negative pressure approximately equal to the setpoint is applied to the wound bed 22 until interrupted. As the name implies, in the no negative pressure mode, no negative pressure is applied to the wound bed 22. In the profile mode, the controller 20 regulates the negative pressure provided to the wound bed site 22 between two caregiver selected negative pressure values in cycles.
  • Illustratively, the second negative pressure value during profile mode is less than the first negative pressure value and has a value between 25-mmHg and 10-mmHg less than the first caregiver negative pressure value. The difference between the first and second caregiver determined negative pressure values is set in increments of 10-mmHg when the range for the first caregiver determined negative pressure value is variable between 35-mmHg and 225-mmHg in 10-mmHg increments. Illustratively, the first caregiver determined negative pressure value is activated for ten minutes and the second caregiver determined negative pressure value is activated for three minutes during profile mode.
  • During initiation or termination of any mode, and during transition between cycles of profile mode, the controller 20 regulates the rate of change of the negative pressure applied to the wound bed 22 to provide a gradual increase or decrease in negative pressure. Thus the rate of change of the negative pressure applied to the wound bed 22 is controlled.
  • The vacuum subsystem 66 regulates negative pressure applied to a wound dressing 28. Pressure is regulated by a proportional valve 130 under microprocessor 320 control. The proportional valve 130 controls pressure by restricting flow. The microprocessor 320 controls valve position by applying a PWM signal 306 to the solenoid of the proportional valve 130. The PWM signal 306 induces the solenoid to open and close the valve rapidly and as a result of hysteresis and time averaging of the open periods an average position or constriction is approximated.
  • Vacuum pressure transducer 124 provides feedback to microprocessor 320. The output of the transducer 124 is amplified and filtered to remove high frequency noise such as pump oscillations The resulting voltage is proportional to wound vacuum pressure. The voltage is converted by a 12-bit analog to digital converter (“ADC”) 310 sampled at 100 Hz.
  • Microprocessor 320 implements a PID control algorithm 302 to adjust the duty cycle of a PWM signal 306 to the solenoid of the proportional valve 130 until the setpoint pressure is achieved. The rise (or fall) time of a system controlled using PID control of a PWM driving signal inherently includes some aspect of control over the rate of change of the controlled parameter. This inherent control is dependent upon the proportional, integral and differential gains implemented in the PID controller 302. However, the disclosed controller further limits and controls the rate of change of negative pressure by filtering the control signal with a filter 308 implemented in the micro-controller 320 to ensure that the rate of change of negative pressure does not exceed a desired value. Thus, the actual negative pressure over the wound bed 22, indicated by the transducer signal, is raised or lowered slowly to the setpoint.
  • In the illustrated embodiment, the vacuum therapy device 10 includes a vacuum source 110, a vacuum bandage 28, a regulator, a pressure transducer 124, setpoint circuitry 312, and a controller 20. Vacuum source 110 is fluidly coupled through line to vacuum bandage 28. Illustratively, pressure transducer 124 is positioned to sense the air pressure above a wound bed 22 over which vacuum bandage 28 is affixed. Pressure transducer 124 provides a pressure signal indicative of the air pressure adjacent the wound bed 22. Setpoint circuitry 312 provides a setpoint signal indicative of the desired air pressure above the wound bed 22. Setpoint circuitry 312 is incorporated into graphical user interface 18. Controller 20 is coupled to setpoint circuitry 312, pressure transducer 124, and regulator 130. Controller 20, in response to the setpoint signal and the pressure signal, controls regulator 130 to adjust the air pressure adjacent the wound bed 22.
  • As mentioned above, illustratively, controller 22 controls regulator 130 so that the air pressure adjacent the wound bed 22 ultimately is equal to, or substantially equal to, the desired pressure. Regulator 130 is controlled by controller 20 so that the rate of change of the air pressure adjacent the wound bed 22 is within desirable limits. In this manner, the air pressure adjacent the wound bed 22 is adjusted in a controlled fashion until the desired air pressure is achieved. By limiting the rate of change of the air pressure adjacent the wound bed 22, discomfort to a patient 26 receiving vacuum wound therapy is reduced.
  • Controller 20 is implemented on a microprocessor 320 programmed to run a control algorithm implementing the PID controller 302, a filter 308, and PWM signal generator 304. The program resident on the microprocessor 320 also runs other algorithms. The software consists of foreground and background tasks. The foreground tasks occur in an interrupt handler every 10 msec. Control of the vacuum is performed entirely in the foreground, while screen display and other items, such as BIT are done in background.
  • Illustratively, microprocessor 320 is a 68332 microcontroller with internal timer. Every 10 msec when the 68332 internal timer expires the ADC 310 is set up to read the analog input values. When it has read them all another interrupt goes off to inform the software. This interrupt handler takes the value from the ADC 310 and converts it to a pressure by utilizing a scale factor and an offset. The scale factor and offset are computed by using the calibration value for zero pressure (read at startup) and the factory stored calibration value for 225 mmHg.
  • The desired pressure set by the user and the pressure read from the ADC 310 provide the inputs for the control loop. However, the desired pressure does not immediately correspond to the user set value. Instead it slowly ramps up so as to avoid a sudden change that may cause discomfort for the patient. The desired pressure is computed by determining the elapsed time since the pressure was set and computing a delta value such that the pressure changes no more than 7.5 mmHg per second. For example, if the pressure at zero seconds is zero mmHg and the setpoint pressure is 125 mmHg, then the desired pressure is 7.5 mmHg after one second, 15 mmHg after two seconds, etc. The desired pressure is recomputed with each iteration of the control loop; i.e., every 10 msec so that each iteration increases the desired pressure by 0.075 mmHg.
  • The proportional valve 130 setting is controlled by adjusting the duty cycle of a 5 kHz square wave on the output of a TPU pin from the microcontroller 320. The setting, adjusted every 10 msec, is the result of an experimentally derived offset for the proportional valve 130 (the point at which the vacuum begins to operate) plus a proportional term and a integral term.
  • The proportional term is the result of the proportional gain (experimentally derived, currently set to 2) times the error signal where the error signal is the desired pressure minus the pressure read.
  • The integral term is the result of the integral gain (experimentally derived, currently set to 0.5) times the running sum of the error signal maintained across all iterations of the control loop. The integral term is not updated whenever the proportional valve 130 is at the maximum and the pressure is still too low or if it is at the minimum proportional valve setting and the pressure is still too high. This helps keep the integral term from causing the pressure to overshoot the target excessively. Whenever the pressure goes to zero, the integral term is reset.
  • The software is also set up to allow for a derivative term but the gain for this was experimentally chosen to be 0, so it no has effect on the control loop. It is within the teaching of the disclosure to implement any of the various methods available for the determination of proper gain constants for implementation of a PID control algorithm and such methods will likely provide a value for the derivative gain.
  • Mathematically, the described control algorithm can be represented as follows:
  • cal lo is read at startup to the adc 310 value when pressure is 0 mmHg
  • cal hi is set at the factory to the adc 310 value when pressure is 225 mmHg
  • cal range=cal hi−cal lo
  • pressure read=((raw input from adc−cal lo)*225)/cal range
  • delta t=elapsed timer ticks since pressure was changed (due to user, profile mode, alarm, etc)
  • delta p=(7.5 mmHg*delta t)/100 ticks per second
  • pressure desired=pressure set+/−delta p (+/−depending on whether pressure is being increased or decreased)
  • pressure desired is constrained so as to not allow it to overshoot pressure set
  • error signal=pressure desired−pressure read
  • prop term=PROP GAIN*error signal
  • if proportional valve 130 is at the maximum and the pressure is still too low, or if proportional valve 130 is at its minimum setting and the pressure is still too high, skip integral sum otherwise,
  • integral sum=integral sum+error signal
  • integral term=INT GAIN*integral sum
  • proportional valve output value=STARTUP OFFSET+prop term+integral term
  • An exemplary computer program written in C programming language to implement the PID control algorithm 302 and filter 308 to control the pressure adjustment is set forth below:
    Drainset[WOUND1].min_press_set = DEFAULT_MIN_PRESS;
    Drainset[WOUND1].state = VAC_INIT;
    Drainset[WOUND2].mode = MODE_OFF
    Drainset[WOUND2].pause_time = 0;
    Drainset[WOUND2].press_set = DEFAULT_PRESSURE;
    Drainset[WOUND2].min_press_set = DEFAULT_MIN_PRESS;
    Drainset[WOUND2].state = VAC_INIT;
    Drainage_timer_id[WOUND1] = NULL_TIMER_ID;
    Drainage_timer_id[WOUND2] = NULL_TIMER_ID;
    Pressure_read[WOUND1] = Pressure_set[WOUND1] = 0;
    Pressure_read[WOUND2] = Pressure_set[WOUND1] = 0;
    Pvalve_set[WOUND1] = 0;
    Pvalve_set[WOUND2] = 0;
    Profile_cnt[WOUND1] = 0;
    Profile_cnt[WOUND2] = 0;
    Time_clogged[WOUND1] = Time_loose[WOUND1] = 0;
    Time_clogged[WOUND2] = Time_loose[WOUND2] = 0;
    Integral_term[WOUND1] = 0;
    Integral_term[WOUND2] = 0;
    Last_error_signal[WOUND1] = 0;
    Last_error_signal[WOUND2] = 0;
    //for control loop
    GAIN1 = 2;
    GAIN2 = 0;
    GAIN3 = 0;
    }
    /********************************************
    * FUNCTION  : GetDrainage
    * INPUTS  : wid - Wound ID to get data for
    * OUTPUTS  : dval - Current settings for drainage.
    * DESCRIPTION  : Returns current drainage setting for specified wound.
    *********************************************/
    void GetDrainage(int wid, DRAINSET *dval)
    {
    WORD errcode;
      if ((wid <WOUND1) || (wid> NOWOUND))
      {
      #ifndef_WINDOWS
      #include “ascii.h”
      #endif
      #define PROFILE_CYCLE  13 // 10 minutes at max, 3 at min
      #define PROFILE_MAX_MINUTES 10
      #define SEC30    (TICKS_PER_SEC *30L)
      #define PRESS_CHANGE  7 // max  change  .7  mmHg/100  msec  =>  7
    mmHg/sec   (TBD want 7.5).
      /*LITERALS & CONSTANTS*/
      /*EXTERNAL PROCEDURES*/
      /*INTERNAL & PUBLIC VARIABLES*/
      STATIC DRAINSET Drainset[2];  // current drainage settings for each
    wound.
      STATIC int Drainage_timer_id[2];  //timer id for drainage pause for each
    wound.
      STATIC int Pressure_read[2];  // Most recent pressure readings
      STATIC int Pvalve_set[2];  // Most recent prop. valve setting
      STATIC int Pressure_set[2];  // Most recent pressure desired
      STATIC WORD Profile_cnt[2];  // ticks in minutes since profile mode started
      STATIC DWORD Time_clogged[2];  //timer value when clog detected
      STATIC DWORD Time_loose[2];  //timer value when loose detected
      STATIC int Integral_term[2];  // for integral control of prop. valve
      STATIC int Last_error_signal[2];  // for derivative control of prop. valve
      //for control loop, all values TBD
      STATIC int GAIN1;
      STATIC int GAIN2;
      STATIC int GAIN3;
      /*INTERNAL PROCEDURES*/
      STATIC void AdjustPressure(int wid, int press);
      #ifndef_WINDOWS
    #pragma region(“code=code”)
    #endif
    /********************************************
    *FUNCTION : InitVacuum
    *INPUTS : none
    *OUTPUTS : none
    *DESCRIPTION : Initialize ad vacuum variables
    *********************************************/
    void InitVacuum( )
    {
    Drainset[WOUND1].mode = MODE_CONTINUOUS;
    Drainset[WOUND1].pause_time = 0;
    Drainset[WOUND1].press_set = DEFAULT_PRESSURE;
  • Execution of the above program by illustrative wound treatment apparatus 10 controls the rate of change of the negative pressure applied to the wound of the patient. The input parameters to the computer program include the desired pressure and an identification code for the wound to which the pressure is to be applied. Those skilled in the art will recognize that proper operation of the computer program requires access to the memory location in which the most recent digitally converted reading of the pressure read by the pressure transducer 124 has been stored.
  • The computer program first checks to ensure that a legitimate wound is identified as the wound to which the pressure is to be applied. If an appropriate wound is not identified, the function sends an error message to the user interface stating that an invalid wound has been identified. If an appropriate wound is identified, then the pressure error signal is calculated by using the most current pressure reading from the desired pressure. The function next determines if the desired pressure is attainable, i.e., if the maximum allowable pressure has already been reached and is still lower than the desired pressure or the minimum allowable pressure has been reached and the current pressure is still higher than the desired pressure. If either of these situations exists the integral term of the PID controller 302 is not updated. If neither of these situations exists, the integral term is updated by adding the current error term to the accumulated sum of error terms since the last reset of the integral term. The derivative term of the PIED controller 302 is then calculated by subtracting the last value of the pressure error from the current value of the pressure error. The current value of the pressure error is then stored as the last value of the pressure error for use in the next loop.
  • Finally, the PID control 302 is implemented to provide an unfiltered output value for the duty cycle of the pulse width modulator. If the desired pressure is zero, the unfiltered output value for the duty cycle of the pulse width modulator 304 is set to zero. Otherwise, the unfiltered output value for the duty cycle of the pulse width modulator 304 is set to the sum of the last output value, the error signal times the proportional gain, the integral value times the integral gain, and the derivative value times the derivative gain. The unfiltered output value is then filtered to ensure that the output to the PWM does not induce a pressure change greater than the maximum allowable pressure change in any direction.
  • In the detailed descriptions that follow, several integrated circuits and other components are identified, with particular circuit types and sources. In many cases, terminal names and pin numbers for these specifically identified circuit types and sources are noted. This should not be interpreted to mean that the identified circuits are the only circuits available from the same, or any other, sources that will perform the described functions. Other circuits are typically available from the same, and other, sources which will perform the described functions. The terminal names and pin numbers of such other circuits may or may not be the same as those indicated for the specific circuits identified in the application.
  • Turning now to FIG. 6, the pressure sensor circuitry for pressure transducer 124 is shown. As mentioned above, apparatus 10 has two parallel system circuits for sensing pressure in two different waste collection canisters 38, 39. Thus, the description below of circuitry associated with sensing pressure in one of canisters 38, 39 is applicable to both unless specifically noted otherwise. Pressure transducer 124 is illustratively a Sensyn SDX05G2-A pressure transducer, although other pressure transducers may be used, such as Motorola MPX5050GVP integrated pressure sensor.
  • A supply voltage terminal, pin 5, of pressure transducer 124 is coupled to a pair of OUTput terminals of a voltage regulator 700, illustratively a MIC5200 Low-Dropout Regulator. The OUTput terminals of voltage regulator 700 are also coupled to the V+ terminal of a differential amplifier 702 such as, for example, a Burr-Brown type INA122U low power instrumentation amplifier. Pin 5 of pressure transducer 124 is also coupled through a capacitance of about 11 microfarads (μF) to ground. Pin 2 of pressure transducer 124 is also coupled to ground. Output pin 1 of pressure transducer 124 is coupled to the inverting input terminal (−) of amplifier 702. Output pin 3 of pressure transducer 124 is coupled to the non-inverting input terminal (+) of amplifier 702.
  • V− and Ref terminals of amplifier 702 are coupled to ground. A 1.24 kilohm (Kohm) gain adjusting resistor is coupled across the RG terminals of amplifier 702. An output terminal, pin 6, of amplifier 702 is coupled through a 100 Kohm resistor to a VAC1 line. The VAC1 line is also coupled to ground through a 0.22 μF capacitor. A GrouND terminal of voltage regulator 700 is coupled to ground. INput and ENable terminals of voltage regulator 700 are coupled to +12V.
  • Referring now to FIGS. 7A-7B, the VAC1 line is coupled to an input terminal, A1, of each of two analog-to-digital converters (A/Ds) 704, 706. A/ Ds 704, 706 illustratively are Texas Instruments TLC2543 A/Ds. A VAC2 line from pressure transducer 229 is coupled respective the A0 input terminals of A/ Ds 704, 706. A GrouND terminal and a −REFerence terminals of each AID 704, 706 are coupled to ground. The system VoltageREFerence1 line is coupled to +REFerence terminals of both A/ Ds 704, 706. The system VREF1 line is also coupled to ground through a capacitance of about 10 μF and a 4.1 volt Zener diode. The system VREF1 line is also coupled to the system A5V line through an 825 ohm resistor.
  • The voltage supply terminals, VCC, of both A/ Ds 704, 706 are coupled to the system 5VCC line and also coupled to ground through a capacitance of about 10 μF each. The system V-BATTery line, I-BATTery line, MONitor3.3 line, V-PIEZO line, T-BATTery line, MONitor12 line, MONitor5 line, MONitor3.3 line, I-MOTOR-1A line, I-MOTOR-1B line, I-MOTOR-2A line, and I-MOTOR-2B line are coupled to terminals A4 of A/D 704, A5 of A/D 704, A6 of A/D 704, A7 of A/D 704, A8 of A/D 704, A4 of A/D 706, A5 of A/D 706, A6 of A/D 706, A7 of A/D 706, A8 of A/D 706, A9 of A/D 706, and A10 of A/D 706, respectively.
  • The system V-BATT line is coupled to ground through a parallel R-C network consisting of a 0.1 μF capacitor and a 100 Kohm resistor. The V-BATT line is also coupled to the system BATTery+line through a 402 Kohm resistor. The system T-BATT line is coupled to ground through a 0.1 μF capacitor and to the system BATTery-THERMal line through a 402 Kohm resistor. The system MON12 line is coupled to ground through a parallel combination of a 0.1 μF capacitor and a 10 Kohm resistor. The MON12 line is also coupled to the system +12 Volt line through a 30.1 Kohm resistor.
  • The system MON5 line is coupled to ground through a parallel R-C network consisting of a 0.1 μF capacitor and a 10 Kohm resistor. The MON5 line is also coupled to the system 5 VCC line through a 10 Kohm resistor. The system MON3.3 line is coupled to ground through a 0.1 μF capacitor and to the system 3.3VCC line through a 100 Kohm resistor. A SerialClocK line is coupled to the InputOutputCLocK terminals of both of A/ Ds 704, 706. The system MasterInSlaveOut line is coupled to the DataINput terminals of both of A/ Ds 704, 706.
  • The system notAnalogtoDigitalConverterChipSelect0 and notAnalogtoDigitalConverterChipSelect1 lines are coupled to the notChipSelect terminals of A/ Ds 704, 706, respectively. The system notADCCS0 and notADCCS1 lines are also individually coupled to ground through a serial combination of a 100 ohm resistor and a 100 pF capacitor. The DataOutput terminal of A/D 704 is coupled to an input terminal 1A of a non-inverting buffer amplifier, illustratively one fourth of a Fairchild type 74VHC125 quad buffer 708. The buffer 1notOutputEnable terminal of quad buffer 708 is coupled to the system notADC-CS0 line.
  • The DataOUTput terminal of A/D 706 is coupled to an input terminal 2A of a non-inverting buffer amplifier in buffer 708. The buffer 2notOutputEnable terminal of quad buffer 708 is coupled to the system notADC-CS1 line. The output terminals of these buffers, pins 3 and 6 of quad buffer 708, are coupled to the system MasterInSlaveOut line. The system GG-DataInput line is coupled to an input terminal, pin 12, of another of the buffers in quad buffer 708. GG-DI converted to 3V appears at the output terminal, pin 11, of this buffer. The notOutputEnable terminal of this buffer is coupled through a 1 Kohm resistor to ground. The final buffer input terminal 3A and 3notOutputEnable are coupled to ground.
  • Turning now to FIGS. 8A-8E, controller 20 includes a microprocessor (μP) 320, which illustratively is a Motorola type MC68LK332QP μP. The notInterruptReQuest4, notInterruptReQuest5, notInterruptReQuest6 and notInterruptReQuest7 terminals of μP 320 are coupled to the system GG-DI-3V, GG-DO, GG-CLK and notNMI lines, respectively. TP0, TP1, TP6, TP7 and TP10 terminals of μP 320 are coupled to the system VALVE2, VALVE1, STEP2, STEP1 and CLocK-TEST lines, respectively. A 32.768 kilohertz (KHz) clock circuit is coupled across the eXTernAL and EXTernAL terminals of μP 320. This circuit includes a 32.768 KHz crystal, one terminal of which is coupled to the EXTAL terminal and the other terminal of which is coupled through a 332 Kohm resistor to the XTAL terminal. Both terminals of the crystal are coupled to ground through separate 12 picofarad (pF) capacitors. The XTAL and EXTAL terminals are coupled together through a 10 megaohm (Mohm) resistor.
  • The XFC and VDDSYN terminals of μP 320 are coupled together through a parallel circuit, one leg of which includes a series 18.2 Kohm resistor and 0.1 μF capacitor and the other leg of which includes a 0.01 μF capacitor. Terminal VDDSYN is also coupled to ground through the parallel combination of a 0.1 μF capacitor, a 0.01 μF capacitor, and a 0.1 μF capacitor. Terminal VDDSYN is coupled to +3.3 VCC through a 100 ohm resistor.
  • The system CLKOUT, MISO, MOSI and SCK lines are coupled to the CLKOUT, MISO, MOSI and SCK terminals, respectively, of μP 320. The system notADC-CS0 and notADC-CS1 lines are coupled to the notPeripheralChipSelect0/notSlaveSelect and notPeripheralChipSelect1 terminals, respectively, of μP 320. The notPeripheralChipSelect3 terminal of μP 320 is coupled to the notChipSelect terminal of an electronically erasable programmable read only memory (EEPROM) module 720 such as, for example, a MicrochipTechnology type 25LC320 four kilobit (K) by eight bit serial electrically erasable PROM.
  • NotWriteProtect and notHOLD terminals of EEPROM 720 are coupled to the system notEE_WP line. SerialdataInput and SerialdataOutput terminals of EEPROM 720 are coupled to the system MOSI and MISO lines, respectively. A VCC terminal of EEPROM 720 is coupled to the system 3.3VCC line and to ground through a 0.1 μF capacitor. The VSS terminal of EEPROM 720 is also coupled to ground. The SCK terminal of EEPROM 720 is coupled to the system SCK line.
  • The system TransmitData (TXD) and ReceiveData (RXD) lines are coupled to the TXD and RXD terminals, respectively, of μP 320. The notInstructionPIPEline/DevelopmentSerialOut, notInstructionFETCH/DevelopmentSerialIn, notBreaKPoinT/DevelopmentSerialCLocK, TSTIME/ThreeStateControl, FREEZE/QUOtientouT, and notHALT terminals of μP 320 are coupled to the system notIPIPE/DSO, IFETCH/DSI, notBKPT/DSCLK, TSC, FREEZE and notHALT lines, respectively. The notRESET terminal of μP 320 is coupled to the system notRESET line and to ground through a manual reset jumper.
  • The notRESET terminal of μP 320 is also coupled to pin 7 of a common ribbon cable connector 710, illustratively an IDC10 connector, to the system 3.3VCC line through a 825 ohm resistor, to the data line D3 through a serial combination of a rectifier diode and a 1 Kohm resistor, and to the drain terminal of an N-channel enhancement mode field effect transistor (FET). The source terminal of the FET is coupled to ground while the gate terminal is coupled to the ReSeT terminal of a microprocessor supervisory circuit 708, illustratively a MAX824TELK integrated μP supervisory circuit, through a 1 Kohm resistor.
  • The voltage supply, VCC, and GrouND terminals of μP supervisory circuit 708 are coupled to the system 3.3VCC line and to ground, respectively. The WatchDogInput terminal of μP supervisory circuit 708 is coupled to the system notWatchDogSTRoBe line through a 10 Kohm resistor and to the system CLocKOUT line through a jumper.
  • The notBusERRor terminal of μP 320 is coupled to pin 2 of a connector 710. Pin 1, pins 3 and 5, pin 9, pin 4, pin 6, pin 8, and pin 10 of connector 710 are coupled to the system notDS, ground, 3.3VCC, notBKPT/DSCLK, FREEZE, notIFETCH/DSI, and notIPIPE/DSO lines, respectively. The Address terminals, A0-A19, of μP 320 are connected to the system address bus lines A0-A19, respectively. The Data terminals, D0-D15, of μP 320 are connected to the system data bus lines D0-D15, respectively.
  • The Address21/ChipSelect8, Address22/ChipSelect9 Address23/ChipSelect10 terminals of μP 320 are coupled to the system notSTEPPERS, notSWitchSENSORS, and CONTROL1 lines, respectively. The notChipSelectBOOT, notBusRequest/notChipSelect0, notBusGrant/ChipSelect1, and BusGrantACKnowledge/ChipSelect2 are coupled to the system notBOOT, notDATA, notRAM, notRAML lines, respectively. The FunctionCode0/notChipSelect3, FunctionCode1/notChipSelect4, FunctionCode2/notChipSelect5 terminals of μP 320 are coupled to the system notLCD, not SWitchPANEL, and notLEDS lines, respectively.
  • The Read/Write terminal of μP 320 is coupled to the input of a hex schmitt inverter, which illustratively is a Fairchild 74VHC14 Hex Schmitt Inverter. The output of the hex schmitt inverter is coupled to the first input of a first OR-gate, illustratively a 74VHC32 quad 2-input OR-gate. The second input terminal of the first OR-gate is coupled to the notDataStrobe terminal of μP 320 while the output terminal of the OR-gate is coupled to the system notReaD line. The R/W and DS terminals of μP 320 are also coupled to the two input terminals of a second 2-input OR-gate. The output terminal of the second OR-gate is coupled to the system notWRite line. PortE6/SIZe0, notDataSizeACKnowledge0, notDataSizeACKnowledge1, notAutoVECtor, and MODeCLocK terminals of μP 320 are coupled with the system notWatchDogSTRoBe, notDSACK0, notDSACK1, notAVEC, and MODCLK lines, respectively. VoltageSTandBy terminal of μP 320 is coupled to ground.
  • Controller 20 includes four memory modules, one of which is a boot block flash memory module 712, illustratively an Intel TE28F800B3B 3-Volt Advanced Boot Block Flash Memory. The data terminals, D0-D15, of the boot block flash memory module 712 are coupled to the system data bus D0-D15 lines, respectively. The address terminals of memory module 712, A0-A18, are coupled to the system address bus A1-A19 lines, respectively. In addition, each of the A0-A19 lines and the D0-D15 lines are coupled to ground through respective series combinations of a 22 ohm resitor and a 100 pF capacitor. The voltage supply terminals, VCCQ and VoltageProgram/erasePower, of memory module 712 are coupled to the system 3.3VCC line. The notResetdeepPowerdown, notChipEnable, notOutputEnable, notWriteEnable terminals of memory module 712 are coupled to the system notRESET, notBOOT, notRD, and notWR lines, respectively. notWriteProtect terminal of module 712 is coupled to ground through a 10 Kohm resistor and to the system 3.3VCC line through a jumper.
  • Another memory module included in controller 20 is a Flash Programmable Erasable Read Only Memory (PEROM) module 714, illustratively an Atmel AT29LV256 PEROM. The data terminals, D0-D17, of the PEROM module 714 are coupled to the system data bus D8-D15 lines, respectively. The address terminals of memory module 714, A0-A14, are coupled to the system address bus A0-A14 lines, respectively. The notOutputEnable, notChipEnable, and VCC terminals of memory module 714 are coupled to the system notRD, notDATA, and 3.3VCC lines, respectively. The VoltageProgram/erasePower terminal of module 714 is coupled to either system 3.3VCC or notWR through a selectable jumper.
  • Controller 20 also includes two 256K static Random Access Memory modules 716,718, illustratively two ISSI IS62LV2568ALL 256K 8 bit Static RAMs. The data terminals, D0-D7, of RAM modules 716, 718 are coupled to the system data bus D0-D7, D8-D15 lines, respectively. The address terminals, A0-A17, of RAM module 716 are coupled to the system address bus A1-A18 lines, respectively. The address terminals, A0-A16, of RAM module 718 are coupled to the system address bus A1-A17 lines, respectively. The address terminal A17 of RAM module 718 is coupled to either system address bus line A18 or A0 through a selectable jumper.
  • The ChipEnable2, OutputEnable, and Read/Write terminals of RAM modules 716, 718 are coupled to the system 3.3VCC line, notRD, and notWR lines, respectively. The ChipEnable1 terminals of RAM modules 716, 718 are coupled to the system notRAML and notRAM lines, respectively. The system notRD, notDATA, notWR, notRAM, and notRAML lines are each coupled to ground through respective series combinations of a 100 ohm resistor and a 100 pF capacitor.
  • Referring now to FIGS. 9A-9D, user interface 18 includes controls for each of the systems 14, 16. Only one of these sets of controls will be described, with the understanding that the other is substantially identical except where noted otherwise. The switches or buttons of a membrane switch panel are coupled to the system notHOME-KEY, notUPARROW, notDowNARROW, notBACK, notENTER, notFLUSH, notPAUSE and notSILENCE lines, respecitviely, through respective 100 pF/100 ohm filters of a pair of filter arrays 722, a first of the filter arrays 722 being associated with the notHOME-KEY, notUPARROW, notDNARROW, and notBACK lines and a socond of the filter arrays 722 being associated with the notENTER, notFLUSH, notPAUSE, and notSILENCE lines. These lines are coupled through respective 3.3 Kohm pull-up resistors to +3.3 V supply voltage. These lines are also coupled to respective input terminals 1A1, 1A2, 1A3, 1A4, 2A1, 2A2, 2A3 and 2A4 of a Fairchild type 74VHC244 octal buffer 724. The respective output terminals 1Y1, 1Y2, 1Y3, 1Y4, 2Y1, 2Y2, 2Y3 and 2Y4 of buffer 724 are coupled to the system D0-D7 lines, respectively. The respective output terminals of the other system 14, 16 are coupled to the system D8-D15 lines.
  • Certain indicators and panel lighting are common to the two systems 14, 16, including a power indicator, a battery indicator, a silence indicator and a backlight. The power switch is coupled through a filter tuned at approximately 10 MHz to the system notPOWER LED line which is, in turn, coupled through series 316 ohm resistor to the collector of a transistor, such as, for example, output terminal 1C of a Darlington-coupled pair in an Allegro Microsystems type ULN2003 Darlington array 726. The system notBATTERY LED line is coupled through a filter tuned at approximately 10 MHz to a series 316 ohm resistor which is, in turn, coupled to, for example, terminal 2C of array 726. The system notSILENCE LED line is coupled through a filter tuned at approximately 10 MHz to a series 316 ohm resistor which is, in turn, coupled to, for example, terminal 3C of array 726. The system notBacKLIGHT line is coupled to, for example, terminal 4C of array 726.
  • System +5 V 5 VCC is coupled to the anodes of indicator LEDs 728, 730, 732, 734. The cathodes of LEDs 728, 730, 734 are coupled through respective series 316 ohm resistors to associated terminals 5C, 6C and 7C of array 726. The cathode of LED 734 is coupled through a 316 ohm resistor to ground.
  • The system D0-D7 lines are coupled to input terminals of respective flip-flops, such as, for example, input terminals D0-D7, respectively, of a Fairchild type 74VHC273 octal D-type flip-flop 736. The output terminals of the respective flip-flops, such as, for example, terminals Q0-Q6 of flip-flop 736, are coupled to the bases of respective transistors, such as the bases of the input transistors of Darlington array 726. The CLocK and notMasterReset terminals of flip-flop 736 are coupled to the system notLEDS and notRESET lines, respectively. The CLK terminal of flip-flop 736 is also coupled to ground through a series combination of a 100 ohm resistor and a 100 pF capacitor. A VCC terminal of flip-flop 736 is coupled to 3.3 VCC and is coupled to ground through a 0.1 μF capacitor
  • Referring now to FIGS. 10A-10F, the user interface 18 includes a LCD interface for displaying system information to and acquiring information from the caregiver. A first octal 3-state buffer arrays 738, for example a Fairchild 74HCT244 Octal Buffer/Line Driver with 3-State Outputs, and a second octal 3 state buffer array 740, for example, a Fairchild 74VHC244 Octal Buffer/Line Driver with 3-State Outputs, work in a parallel fashion to transfer input and output information from the LCD to the system data bus.
  • The input terminals, A1-A8, of buffer array 738 and the output terminals, Y1-Y8, of buffer array 740 are coupled to the system address bus D8-D15 lines, respectively. The output terminals, Y1-Y8, of buffer array 738 and the input terminals, A1-A8, of buffer array 740 are coupled to the system LCD-D0, LCD-D1, LCD-D2, LCD-D3, LCD-D4, LCD-D5, LCD-D6, and LCD-D7 lines, respectively. The system LCD-D0 through LCD-D7 lines are coupled through respective 100 pF/100 ohm filters of a pair of filter arrays 742 to pins 6-13, respectively, of a LCD connector 744.
  • The VCC and GrouND terminals of buffer arrays 738, 740 are coupled to the system 3.3VCC line and ground, respectively. In addition, the VCC terminals of buffer arrays 738, 740 are coupled to ground through respectivbe 0.1 μF capacitors. The system notLCD and notWR lines are coupled to the inputs of a 2-input OR gate, the output of which is coupled to the not1OutputEnable and not2OutputEnable terminals of array buffer 738. Similarly, the system notLCD and notRD lines are coupled to the inputs of a 2-input OR gate, the output of which is coupled to the not1OutputEnable and not2OutputEnable terminals of array buffer 740.
  • The system notLCD line is also coupled to the input terminal, D, of a D-type flip-flop 746, illustratively a Fairchild 74HCT74 Dual D-Type Flip-Flop. The system CLKOUT line is coupled to the CLocK terminal of flip-flop 746 and to ground through a series combination of a 100 ohm resistor and a 100 pF capacitor. The GRounD and VCC terminals of flip-flop 746 are coupled to ground and to the system 5 VCC line, respectively. The CLeaR and PReset terminals of flip-flop 746 are coupled through respective 1 Kohm resistors to the system VCC and 5 VCC lines, respectively.
  • The output terminal, Q, of flip-flop 746 and the system notLCD line are coupled to the inputs of a 2-input AND gate. The notLCD line is also coupled to ground through a series comination of a 100 ohm resistor and a 100 pF capacitor. The output of the AND gate is coupled to the system notDeLaY-LCD line. The system notWR, notRD, A0, notDLY-LCD, and notRESET lines are coupled to respective input terminals, A1-A5, of a octal buffer array 748, illustratively a Fairchild 74HCT244 octal Buffer with 3-State Outputs.
  • Input A6-A8 of buffer array 748 are coupled to ground through respective 1 Kohm resistors. not1OutputEnable, not2OutputEnable, and GRounD terminals of buffer array 748 are coupled to ground. The voltage terminal, VCC, of buffer array 748 is coupled to the system 5 VCC line and to ground through a 0.1 μF capacitor. The output terminals, Y1-Y5, of buffer array 748 are coupled to the system notLCD-WRITE, notLCD-READ, LCD-A), notLCD-ChipSelect, and notLCD-RESET lines, which are, in turn, coupled through respective 100 pF/100 ohm filters (e.g. filters tuned at approximately 10 MHz) to pins 3, 2, 4, 5, and 1, respectively, of connector 744. Four of the filters are included in filter array 743.
  • Connector 744 includes connections for contrast adjustment. Power for contrast adjustment is provided by an inverting charge pump 750, for example a Maxim MAX868 Regulated, Adjustable-2x Inverting Charge Pump. The notSHutDoWn and voltageINput terminals of pump 750 are coupled to the system 5VCC line. The PowerGrouND and analogGrouND terminals of pump 750 are coupled to the system ground. Separate 0.1 μF capacitors are coupled between the flying Capacitor2+ and Capacitor2− terminals and the Capacitor1+ and Capaictor1− terminals of pump 750. The C1+ terminal of pump 750 is also coupled to the anode of a first rectifying diode and the cathode of a second rectifying diode through a 0.1 μF capacitor.
  • The cathode of the first diode is coupled to the OUTput terminal of pump 750 and to ground through a 0.1 μF capacitor. The anode of the second diode is coupled to ground through a 1.0 μF capacitor, to the first terminal of a 10 Kohm resistor pot, and to the FeedBack terminal of pump 750 through a 374 Kohm resistor. The FB terminal of pump 750 is also coupled to the system 5 VCC line through a 100 Kohm resistor. The second terminal of the 10 Kohm pot is coupled directly to ground. The first terminal and sweep terminal of the 10 Kohm pot are coupled to pins 16 and 17, respectively, of connector 744 through separate filters tuned at approximately 10 MHz.
  • Referring now to FIGS. 11A-11C, systems 14, 16 include controls for the separate syringe drive motors 72, 172, respectively. Only one of these control circuits will be described, with the understanding that the other is substantially identical except where noted otherwise. The system notSTEPPERS line is coupled to the CLocK terminal of an octal D-type flip-flop 752, illustratively a Fairchild 74VHC273 Octal D-Type Flip-Flop. The VCC, GRounD, and MasterReset terminals of flip-flop 752 are coupled to the system 3.3VCC line, ground, and the system notRESET line, respectively. In addition, the VCC terminal of flip-flop 752 is coupled to ground through a 0.1 μF capacitor.
  • The input terminals, D0-D7, of flip-flop are coupled to the system data bus D0-D7, respectively. The output terminals Q0, Q2, Q3, Q4, and Q5 of flip-flop 752 are coupled, respectively, to the DIRection, HALF/notFULL, notRESET, CONTROL, and ENABLE terminals of a stepper motor controller 754, for example a SGS-Thomson L297 Stepper Motor Controller. The VCC, GRounD, and STEP terminals of controller 754 are coupled to the system 5 VCC, ground, and STEP2 lines, respectively. In addition the VCC terminal of controller 754 is coupled to ground through a 0.1 μF capacitor. The OSCillator terminal of controller 754 is coupled to ground through a 3,300 pF capacitor and to the system 5 VCC line through a 22.1 Kohm resistor.
  • The SYNChronize terminal of controller 754, which is associated with drive motor 72, is coupled to the controller circuit for drive motor 172. The VoltageREFerence terminal of controller 754 is coupled to ground through a 0.1 μF capacitor and to the wiper of a 1 Kohm resistor pot. The first terminal this 1 Kohm resistor pot is coupled to the system 5 VCC line and the second terminal is connected to the system ground. The motorphaseA, motorphaseB, and notINHibit1 terminals of controller 754 are coupled to the INPUT1, INPUT2, and ENABLE terminals of a first full bridge driver 756, illustratively an SGS-Thomson L6203 DMOS Full Bridge Driver. The motorphaseC, motorphaseD, and notINHibit2 terminals of controller 754 are coupled to the INPUT1, INPUT2, and ENABLE terminals of a second full bridge driver 758. The SENSe1 and SENSe2 terminals of controller 754 are coupled to the SENSe terminals of drivers 756, 758, respectively, through respective 22.1 Kohm resistors. The SENSe1 and SENSe2 terminals of controller 754 are also coupled to ground through respective 100 pF capacitors.
  • The VoltageREFerence terminals of drivers 756,758 are coupled to ground through respective 0.22 μF capacitors. The VoltageSupply terminals of drivers 756,758 are coupled to the system MOTOR-POWER line, to ground through respective 0.1 μF capacitors, and to the system MOTOR-GND line through respective 0.1 μF capacitors. The system MOTOR-GND line is also coupled to the system MOTOR-POWER line through a 22 μF capacitor and to the SENSe terminals of drivers 756, 758 through respective 0.1 ohm resistors. The SENSe terminals of drivers 756, 758 are also coupled to the system I-MOTOR-1A and I-MOTOR-1B lines, respectively, through respective 402 Kohm resistors. The system I-MOTOR-1A and I-MOTOR-1B lines are also coupled to ground through respective 0.22 μF capacitors.
  • The OUTput1 terminal of drivers 756,758 is coupled to the BOOT1 terminal of drivers 756,758, respectively, through respective 0.015 μF capacitors. Similarly, the OUTput2 terminal of drivers 756,758 is coupled to the BOOT1 terminal of drivers 756,758, respectively, through respective 0.015 μF capacitors. The OUT1 terminal of drivers 756,758 are also coupled to the OUT2 terminal of drivers 756,758 through respective series combinations of a 10 ohm resistor and a 0.022 μF capacitors. The OUT1 and OUT2 terminals of driver 756 and the OUT1 and OUT2 terminals of driver 758 are coupled to pins 1-4, respectively, of flush drive connector 760 and to the INput3, INput4, INput5, and INput6 terminals, respectively, of an electronic protection array 762, illustratively a Harris SP723 Electronic Protection Array. The Voltage+ and Voltage− terminals of protection array 762 are coupled to the system MOTOR-POWER and MOTOR-GND lines, respectively.
  • Turning now to FIGS. 12A-12E, the power controller for wound treatment apparatus 10 is shown. The power controller includes an 8-Bit CMOS microcontroller 764, illustratively a Microchip PIC16C622 EPROM-Based 8-Bit CMOS Microcontroller. A 4 Megahertz (MHz) clock circuit is coupled across the OSCillator1/CLocKIN and OSCillator2/CLocKOUT terminals of microcontroller 764. This circuit includes a 4 MHz crystal coupled across the OSC1/CLKIN and OSC2/CLKOUT terminals of microcontroller 764. The OSC1/CLKIN and OSC2/CLKOUT terminals are also coupled to ground through respective 22 pF capacitors. The RportA0/ANaloginput0 and RportA1/ANaloginput1 terminals of microcontroller 764 are coupled to ground through respective parallel combinations of a 22.1 Kohm resistor and a 0.01 μF capacitor. The RA0/AN0 and RA1/AN1 terminals are also coupled to the system PS and +12V lines, respectively, through separate 100 Kohm resistors.
  • The RportA4/TOCK1, VDD, and VSS terminals of microcontroller 764 are coupled to the system PWR-DN line, the system PPIC-VDD line, and ground, respectively. The RportB0/INTerrupt terminal is coupled to ground through a 10 Kohm resistor. The remaining B port terminals, RB1-RB7, and notMasterCLeaR terminal are coupled to the system PWR-SRC, PS-EN, BATT-EN, GG-DI, GG-DD, GG-CLK, BP-DQ, and PPIC-VDD lines, respectively, through respective 10 Kohm resistors. The system PPIC-VDD line is also coupled to ground through a 1.0 μF capacitor and to the OUTput terminal, pins 1 and 2, of a linear voltage regulator 766, such as a Micrel MIC5200 Low-Dropout Regulator.
  • The Input terminals, pins 7 and 8, and the ENable terminal of regulator 766 are coupled to ground through a 22 μF capacitor and to the cathode terminal of a first and a second rectifier diode. In addition, the EN terminal of regulator 766 is coupled to ground through a 0.1 μF capacitor. The anode of the first rectifier diode is coupled to the system +12V line. The anode of the second rectifier diode is coupled to pin 1 of an ON/OFF switch connector 768 and to the RB0/INT terminal of microcontroller 764 though a 30.1 Kohm resistor. Pin 3 of switch connector 768 is connected to the cathode of a first and a second rectifier diode. The anode of the first rectifier diode is coupled to the cathode of a third rectifier diode and the anode of the third rectifier diode is coupled to the system PS line. The anode of the second rectifier diode is coupled to the anode of a 3.6 volt zener diode. The anode of the 3.6 volt zener diode is coupled to the system BATT+ line.
  • The system PS-EN and BATT-EN lines are coupled to discrete amplifier circuits 770, 772. Only the PS-EN amplifier circuit 770 will be described, with the understanding that the BATT-EN amplifier circuit 772 is substantially identical except where noted otherwise. The system PS-EN line is coupled to a voltage divider circuit formed from the series connection to ground of a 10 Kohm resistor and a subsequent 3.57 Kohm resistor. The base of a Darlington transistor, for example a MMBT6427LT1 Darlington transistor, is coupled to the center tap of the voltage divider circuit. The collector of the Darlington transistor is coupled to ground. The emitter of the Darlington transistor is coupled to the gate of a HEXFET MOSFET, illustratively an IRF4905 HEXFET Power MOSFET, through a 1 Kohm resistor.
  • The source terminal of the HEXFET MOSFET is coupled to the gate terminal of the MOSFET through a 10 Kohm resistor and to the anode of a Schottky barrier rectifier diode. The cathode of the Schottky diode is coupled to the system PS line in amplifier circuit 770 and to the system BATT+ line in amplifier circuit 772. In circuit 770, the PS line is coupled to the system BF-PS line through a 7 amp fuse. The BF-PS line is coupled to pin 1 of a power entry connector. Pin 2 of the power entry connector is coupled to pin 1 thereof through a 0.1 μF capacitor, to the system MOTOR-GND line, and to ground. In circuit 772, the 7 amp fuse and power entry connector are omitted.
  • The drain terminals of the HEXFET MOSFETs of amplifier circuits 770, 772 are coupled to the system MOTOR-POWER and +12V lines. The system +12V line is coupled to ground through a 22 μF capacitor and to the anode of a Schottky barrier rectifier diode. The cathode of said Schottky diode is coupled to ground through a 1,500 μF capacitor and to the VoltageIN terminal of a 12V to 5V buck regulator 774, illustratively a Linear Technology LT1076-8 Step-Down Switching Regulator. The GrouND terminal of regulator 774 is coupled to the system ground. The voltage reference, Vc, terminal of regulator 744 is also coupled to ground through a series R-C network consisting of a 10 Kohm resistor and a 0.033 μF capacitor.
  • The VoltageSWitch and FeedBack/SENSE terminals of regulator 744 are coupled together through a 100 micro-Henries (μH) inductor. The Vsw terminal of regulator 744 is also coupled to the anode of a Schottky barrier rectifier diode. The cathode of this Schottky diode is coupled to ground. The FB/SENSE terminal of regulator 744 is also coupled to the system 5 VCC line and to ground through a 1,800 μF capacitor. The system 5 VCC line is also coupled to ground through a 10 μF capacitor and to the INput terminal of a high current voltage regulator 776, for example a Micrel MIC29150-3.3BU High-Current Low-Dropout Regulator. The GrouND terminal of regulator 776 is coupled to ground. The OUTput terminal of regulator 776 is coupled the system 3.3VCC line and to ground through about 11 μF of capacitance.
  • Now referring to FIGS. 13A-13D, the battery charging system for wound treatment apparatus 10 is shown. The battery charging system includes a fast charge controller 778, illustratively an Unitrode BQ2004H Fast-Charge IC. The BATteryvoltage terminal of controller 778 is coupled to ground through a parallel R-C network consisting of a 100 Kohm resistor and a 0.1 μF capacitor. The BATT terminal is also coupled to the system BATT+ line through a 402 Kohm resistor. The TemperatureCutOff terminal of controller 778 is coupled to ground through a parallel R-C network consisting of a 10 Kohm resistor and a 0.1 μF capacitor. The TCO terminal is also coupled to the system +5CHG line through a 32.4 Kohm resistor.
  • The TemperatureSense terminal of controller 778 is coupled to ground through a 0.1 μF capacitor and to the system BATT-THERM line through a 100 Kohm resistor. The BATT-THERM line is coupled to ground through a 3.57 Kohm resistor and to the system +5CHG line through a 4.87 Kohm resistor. The LED1 terminal of controller 778 is coupled to the system DONE line and to the anode of LED 780 through an 825 ohm resistor. The cathode of LED 780 is coupled to ground.
  • The SeNSe and system ground (VSS) terminals of controller 778 are also coupled to ground. The LED2 terminal of controller 778 is coupled to the system FAST-CHG line. The charging current control, MOD, terminal of controller 778 is coupled the system notDISABLE-CHG line through a 4.87 Kohm resistor. The notINHibit terminal of controller 778 is coupled to ground through a 4.87 Kohm resistor and to the anode of a 5.1 volt zener diode. The cathode of the 5.1 volt zener diode is coupled to ground. The voltage supply (VCC), VoltageSELect, DisplaySELect, and notDischargeCoMmanD terminals of controller 778 are each coupled to the system +5CHG line.
  • The TimerMode1 terminal of controller 778 is coupled to the system +5CHG line through a 1 Kohm resistor. The TM1 terminal may also be coupled to ground or directly to the system +5CHG line through a selectable jumper. The TimerMode2 terminal of controller 778 is coupled to the system SHORT-CHG-HOLDOFF line. The TM2 terminal may also be directly to ground or the system +5CHG line through a selectable jumper.
  • The system +5CHG line is coupled to the OUTput terminals, pins 1 and 2, of a voltage regulator 782, illustratively a Micrel MIC5200-5.0BM Low-Dropout Regulator, and to the GrouND terminal of regulator 782 through a 1.0 μF capacitor. The GND terminal of regulator 782 is coupled to ground. The INput, pins 7 and 8, and the ENable terminal of regulator 782 are coupled to the GND terminal of regulator 782 through a 1.0 μF capacitor.
  • The IN and EN terminals of regulator 782 are also coupled to the cathodes of a first and a second rectifier diode. The anode of the first rectifier diode is coupled to the system +12V line. The anode of the second rectifier diode is coupled to the VoltageINput terminal of a switching regulator 784, illustratively a Linear Technology LT1171 High Efficiency Switching Regulator, to ground through a 470 μF capacitor, to the system BF-PS line through a 3 amp fuse, and to the notINH terminal of controller 778 through a 10 Kohm resistor.
  • The operating voltage terminal (Vc) of regulator 784 is coupled to ground through a series combination of a 1 Kohm resistor and a 1 μF capacitor. The GrouND terminal of regulator 784 is also coupled to ground. The Vin and VoltageSWitch terminals of regulator 784 are coupled together through a 100 μH inductor. The VSW terminal of regulator 784 is also coupled to the anode of a Schottky barrier rectifier diode. The cathode of this Schottky diode is coupled to the system VBOOST line, to ground through a 390 μF capacitor, and to the FeedBack terminal of regulator 784 through a 16.2 Kohm resistor. The FeedBack terminal of regulator 784 is also coupled to ground through a 1.24 Kohm resistor.
  • The system VBOOST line is coupled to ground through a 0.1 μF capacitor and to the INput terminal of a high current voltage regulator 786, such as a Micrel MIC29302B High-Current Low-Dropout Regulator. The ON/OFF and GrouND terminals of regulator 786 are coupled to the system notDISABLE-CHG line and to ground, respectively. The OUTput terminal of regulator 786 is coupled to ground through a 10 μF capacitor and to the anode of a Schottky diode. The cathode of this Schottky diode is coupled to the system BATT+ line.
  • The OUT and ADJust terminals of regulator 786 are coupled together through a series R-C network consisting of a 32.4 Kohm resisotor and a 1.0 μF capacitor. The ADJ terminal of regulator 786 is also coupled to ground through a 200 Kohm resistor and to the cathode of a first rectifier diode. The anode of this first rectifier diode is coupled to the cathode of a second rectifier diode and to the FB terminal of regulator 784. The anode of this second rectifier diode is coupled to the output terminal, pin 1, of an operational amplifier 788, illustratively a National Semiconductor LMC6482 CMOS Dual Rail-to-Rail Input and Output Operational Amplifier, and to the inverting input (−) of amplifier 788 through a 412 Kohm resistor.
  • The inverting input terminal of amplifier 788 is coupled to ground through a 49.9 Kohm resistor. The positive voltage terminal, pin 5, and the negative voltage terminal, pin 4, of amplifier 788 are coupled to the system +5CHG and −5CHG lines, respectively. The non-inverting terminal (+) of amplifier 788 is coupled to the non-inverting input (+) of an operational amplifier 792, illustratively a National Semiconductor LMC6482 CMOS Dual Rail-to-Rail Input and Output Operational Amplifier, through a 95.3 Kohm resistor. The non-inverting terminal of amplifier 792 is also coupled to the system +5CHG line through a 200K ohm resistor and to ground through a 0.1 μF capacitor.
  • The inverting input terminal (−) of amplifier 792 is coupled to ground through a 200 Kohm resistor. The inverting and output terminals of amplifier 792 are coupled together through a 169 Kohm resistor. The output terminal of amplifier 792 is also coupled to the system −BATT line through a 1.0 Kohm resistor. The positive voltage supply, V+, and negative voltage supply, V−, terminals of amplifier 792 are coupled to the system +5CHG and −5CHG lines, respectively, and to ground through respective 0.1 μF capacitors.
  • The non-inverting input terminal of amplifier 788 is also coupled to the output terminal of an instrumentation amplifier 790, such as a Burr-Brown INA128U Low Power Instrumentation Amplifier. The REFerence terminal of amplifier 790 is coupled to ground. The positive voltage supply and negative voltage supply terminals of amplifier 790 are coupled to the system +5CHG and −5CHG lines, respectively, and to ground through respective 0.1 μF capacitors. A 7.15 Kohm gain adjusting resistor is coupled across the RG terminals of amplifier 790.
  • The non-inverting input terminal (+) of amplifier 790 is coupled to the system BATT- and BATT-SENSE lines. The inverting terminal (−) of amplifier 790 is coupled to the ground and to the system MOTOR-GND line. The non-inverting input terminal (+) and the inverting terminal (−) of amplifier 790 are coupled together through a 0.025 ohm resistor.
  • The system BATT-TERM line is coupled to ground through a 3.57 Kohm resistor, to the system +5CHG line through a 4.87 Kohm resistor, and to pin 3 of a battery connector 796. The system BATT+ line is coupled to pin 1 of connector 796 through a 7 amp fuse. The system BATT− line is coupled to pin 2 of connector 796. Pin 4 of connector 796 is coupled to ground.
  • Referring now to FIG. 14, the battery charging system also includes a battery charge monitor 794, for example a Unitrode BQ2014 Gas Gauge IC with External Charge Control. The SEG2/PROG2, SEG3/PROG3, SEG4/PROG4, and SEG5/PROG5 terminals of monitor 794 are each coupled to ground through respective 100 Kohm resistors. The DONE terminal of monitor 794 is coupled to the system DONE line and to ground through a 200 Kohm resistor. The ground terminal, VSS, of monitor 794 is coupled to ground. The VSS terminal of monitor 794 is also coupled to the supply terminal, VCC, of monitor 794 through a capacitance of about 1.1 μF. A 10 Kohm resistor is coupled across the VCC and DISCTL terminals of monitor 794.
  • The VCC terminal of monitor 794 is also coupled to the cathode of a 5.1 volt zener diode and to the system BATT+ line through a 10 Kohm resistor. The cathode of this 5.1 zener diode is coupled to ground. The DisplayInputOutput terminal of monitor 794 is coupled to the anode of a first rectifier diode and the cathode of a second rectifier diode. The cathode of this first rectifier diode is coupled to the system BATT+ line. The anode of the second rectifier diode is coupled to ground. The DIO terminal of monitor 794 is also coupled to the system BP-DQ line through a 1 Kohm resistor. The system BP-DQ is further coupled to the system PPIC-VDD line through a 100 Kohm resistor.
  • The BATTerySENSe terminal of monitor 794 is coupled to the system BATT+ line through a 681 Kohm resistor and to ground through a parallel combination of a 0.1 μF capacitor and a 66.5 Kohm resistor. The SENSE terminal of monitor 794 is coupled to ground through a 0.1 μF capacitor and to the system BATT-SENSE line through a 100 Kohm resistor.
  • Referring now to FIGS. 15A-15D, the data bus lines D0-D7 are coupled to the output terminals, 1Y1-1Y4 and 2Y1-2Y4, respectively, of an octal 3-state buffer 820, for example a Fairchild 74VHC244 Octal Buffer/Line Driver with 3-STATE Outputs. The not1OutputEnable and not2OutputEnable terminals of buffer 820 are coupled to the system notSWSENSORS line. The supply voltage terminal, VCC, is coupled to the system 3.3VCC line and to the ground through a 0.1 μF capacitor. The input terminals, 1A1-1A4, of buffer 820 are coupled to the system notSYRINGE2, notHOME2, notEND2, and notWASTE2, respectively. The input terminals, 2A2-2A4, of buffer 820 are coupled to the system notSYRINGE1, notHOME1, and notEND1 lines, respectively. The input terminals of buffer 820, 1A1-1A4 and 2A1-2A4, are each coupled to the system 5 VCC line through respective 475 ohm resistors.
  • The data bus lines D8-D15 are coupled to the output terminals, 1Y1-1Y4 and 2Y1-2Y4, respectively, of an octal 3-state buffer 822, for example a Fairchild 74VHC244 Octal Buffer/Line Driver with 3-STATE Outputs. The not1OutputEnable and not2outputEnable terminals of buffer 822 are coupled to the system notSWSENSORS line and to ground through an R-C series network consisting of a 100 ohm resistor and a 100 pF capacitor. The supply voltage terminal, VCC, is coupled to the system 3.3VCC line and to the ground through a 0.1 μF capacitor.
  • The input terminals 1A1, 1A4, 2A1, 2A3, and 2A4 of buffer 822 are coupled to the system notWASTE1, PWR-ON, PWR-SRC, FAST-CHG, and CHG-DONE lines, respectively. The input terminals 1A2 and 1A3 of buffer 822 are coupled to ground through respective 1.0 Kohm resistors. The input terminal 2A2 of buffer 822 is also coupled to ground through a tilt switch. Input terminals 1A1, 1A4, and 2A2 are each coupled to the system 5 VCC line through respective 475 ohm resistors.
  • The system notHOME2 and notEND2 lines are coupled through respective 10 MHz filters of a filter array 824 to pins 2 and 6 of flush sensor connector 826, respectively. Pins 2 and 6 of connector 826 are coupled to the INput3 and INput1 terminals, respectively, of an electronic protection array 834, illustratively a Harris SP723 Electronic Protection Array For ESD And Over-Voltage Protection. The system notSYRINGE2 and notWASTE2 lines are coupled through respective 10 MHz filters of filter array 824 to pin 1 and pin 5, respectively, of a drainage and syringe sensor connector 828. Pins 1 and 5 of connector 828 are coupled to the INput5 and INput6 terminals, respectively, of protection array 834.
  • The system notHOME1 and notEND1 lines are coupled through respective 10 MHz filters of filter array 824 to pins 2 and 6 of a flush sensor connector 830. Pins 2 and 6 of connector 830 are coupled to the INput3 and INput1 terminals, respectively, of an electronic protection array 836, illustratively a Harris SP723 Electronic Protection Array For ESD And Over-Voltage Protection. The system notSYRINGE1 and notWASTE1 lines are coupled through respecitve 10 MHz filters of filter array 824 to pin 1 and pin 5, respectively, of a drainage and syringe sensor connector 832. Pins 1 and 5 of connector 832 are coupled to the INput6 and INput5 terminals, respectively, of protection array 836.
  • The INput4 terminals of protection arrays 834, 836 are coupled to pin 1 of connectors 826, 830, respectively, and to the system 5 VCC through respective 1,000 pF filters of filter array 824. The voltage supply pins, V+, and ground pins, V−, of protection arrays 834,836 are coupled to the system 5 VCC line and ground, respectively. Pins 3 and 7 of connectors 826, 830 are coupled to ground. Pins 5 of connectors 826, 830 are coupled to INput2 terminals of protection arrays 834, 836, respectively, and to the 5 VCC line through respective 1,000 pF filters of filter array 824. Pins 2 and 6 of connectors 828, 832 are coupled to ground.
  • Turning now to FIG. 16, systems 14, 16 each include respective proportional valves and vacuum pumps. Only one valve connector circuit and one vacuum pump connector circuit will be described, with the understanding that others of these are substantially identical except where noted otherwise. The system MOTOR-GND line is coupled, through a 1.0 μF capacitor, to the system +12V line, the source terminal of a p-channel enhancement mode MOSFET 800, illustratively a TEMIC SI9407 P-Channel Enhancement Mode MOSFET, and the gate of MOSFET 800 through a 10.0 Kohm resistor. The system VALVE1 line is coupled to the base of a Darlingtion transistor through a 10.0 Kohm resistor. The collector terminal of this Darlington transistor is coupled to the gate of MOSFET 800 through a 1 Kohm resistor and the emitter terminal is coupled to ground. The drain of MOSFET 800 is coupled to pin 1 of a proportional valve connector 802 through a 1,000 pF filter 804. The system MOTOR-GND line is coupled to pin 2 of connector 802 and to the anode of a rectifier diode. The cathode of this rectifier diode is coupled to pin 1 connector 802. The MOTOR-GND line is also coupled to filter 804
  • The system MOTOR-GND line is coupled, through a 1.0 μF capacitor, to the system +12V line, the source terminal of a p-channel Enhancement mode MOSFET 806, illustratively a TEMIC S19407 P-Channel Enhancement Mode MOSFET, and the gate of MOSFET 806 through a 10.0 Kohm resistor. The system VACPUMP1 line is coupled to the base of a Darlingtion transistor through a 10.0 Kohm resistor as shown in FIG. 16. The collector terminal of this Darlington transistor is coupled to the gate of MOSFET 806 through a 1 Kohm resistor and the emitter terminal is coupled to ground. The drain of MOSFET 806 is coupled to pin 1 of vacuum pump connector 808 through a 1,000 pF capacitor filter 810. The system MOTOR-GND line is coupled to pin 2 of connector 808 and to the anode of a rectifier diode. The cathode of this rectifier diode is coupled to pin 1 of connector 808. The MOTOR-GND line is also coupled to filter 810.
  • Referring now to FIG. 17, the system +5CHG line is coupled to ground through a 1.0 μF capacitor and to the INput terminal of a voltage inverter 798, illustratively a MAXIM MAX870 Switched-Capacitor Voltage Inverter. The OUTput terminal of inverter 798 is coupled to ground through a 1.0 μF capacitor and to the system −5CHG line. The internal oscillator Capacitor1 and Capacitor2 terminals of inverter 798 are coupled together through a 1.0 μF capacitor. The GrouND terminal of inverter 798 is coupled to ground.
  • The system TXD line is coupled to the Transmitter1-INput terminal of a RS-232 transceiver 812, illustratively a MAXIM MAX232E+5V RS-232 Transceiver as shown in FIG. 17. The system RXD line is coupled to the Reciever1OUTput of transceiver 812. The Transmitter2-INput and GrouND terminals of transceiver 812 are coupled to ground. The positive charge pump Capacitor1+ and Capacitor1− terminals of transceiver 812 are coupled together through a 0.1 μF capacitor. The negative charge pump Capacitor2+ and Capacitor2− terminals of transceiver 812 are coupled together through a 0.1 μF capacitor. The supply voltage terminal, VCC, of transceiver 812 is coupled to the system 3.3VCC line and to ground through a 0.1 μF capacitor. The charge pump voltage terminals, V+ and V−, are coupled to the system 3.3VCC line and ground, respectively, through respective 0.1 μF capacitors. The Transmitter1-OUTput and Receiver1OUTput terminals of transceiver 812 are coupled to pins 1 and 2, respectively, of connector 816 through respective 1,000 pF filters of a filter array 814. Pin 3 of connector 816 is coupled to ground.
  • The system data bus lines D8-D15 are coupled to the Data0-Data7 input terminals, respectively, of an octal D-type flip-flop 818, illustratively a Fairchild 74VHC273 Octal D-Type Flip-Flop as shown in FIG. 17. The data output terminals, Q0-Q3, of flip-flop 818 are coupled to the system VACPUMP2, VACPUMP1, ALARM-LO, and ALARM-HI lines, respectively. The supply voltage terminal, VCC, of flip-flop 818 is coupled to the system 3.3VCC line and to ground through a 0.1 μF capacitor. The notMasterReset and CLocK terminals of flip-flop 818 are coupled to the system CONTROL1 and notRESET lines, respectively. The CLK terminal of flip-flop 818 is also coupled to ground through an R-C series network consisting of a 100 ohm resistor and a 100 pF capacitor.
  • The system V-PIEZO line is coupled to ground through a 100 Kohm resistor and to the A terminal of a PIEZO horn through a 402 Kohm resistor as shown in FIG. 17. The B terminal of the PIEZO horn is coupled to the system +12V line. The A terminal of the PIEZO horn is also coupled to the collector of a first and a second Darlington transistor through a 1.69 Kohm resistor and a 1.13 Kohm resistor, respectively. The emitters of the first and second Darlington transistors are coupled to ground. The bases of the first and second Darlington transistors are coupled to the system ALARM-LO and ALARM-HI lines, respectively, through respective 10 Kohm resistors.
  • Although a vacuum wound therapy device and a method of providing vacuum wound therapy to a wound have been described in detail with reference to a certain preferred embodiment, variations and modifications of the device and method are within the scope and spirit of the invention as described and defined in the following claims.

Claims (20)

1. A vacuum wound therapy system for applying negative pressure to a wound of a patient, the system comprising
a bandage configured to be placed adjacent the wound,
a negative pressure source,
a regulator coupled to the negative pressures source,
a variable flow orifice coupled to the regulator and having a flow orifice, the negative pressure source being operable to produce a negative pressure that is communicated to the bandage through the regulator and the variable flow orifice,
a controller coupled to the variable flow orifice to control a size of the flow orifice, the regulator being configured to establish a maximum negative pressure communicated to the flow orifice, air being drawn through the regulator by the negative pressure source along a first pneumatic path and the regulator having an air intake through which additional air is drawn by the negative pressure source in the event that the air drawn by the negative pressure source along the first pneumatic path is insufficient.
2. The system of claim 1, wherein the regulator has a port that opens to permit air to be drawn into the air intake of the regulator when a negative pressure established by the variable flow orifice is less than the maximum negative pressure.
3. The system of claim 2, wherein the regulator has an air filter coupled to the port.
4. The system of claim 3, wherein the air filter comprises glass microfibers.
5. The system of claim 3, wherein the air filter has a filtration rating of 25 microns.
6. The system of claim 1, wherein the negative pressure source comprises a vacuum pump.
7. The system of claim 6, wherein the vacuum pump has an outlet and further comprising a filter coupled to the outlet.
8. The system of claim 6, wherein the filter serves as an exhaust muffler for the vacuum pump.
9. The system of claim 6, wherein the vacuum pump 110 is a diaphragm-type compressor.
10. The system of claim 1, further comprising a sound chamber in which the negative pressure source and the regulator are housed.
11. The system of claim 10, wherein the sound chamber is lined with a damping foil.
12. The system of claim 1, further comprising a canister coupled to the bandage, the negative pressure that is communicated to the bandage through the regulator and the variable flow orifice also being communicated through the canister, and the canister being configured to collect exudate drawn from the wound.
13. The system of claim 12, further comprising a pressure transducer to measure the negative pressure at a location between the variable flow orifice and the canister.
14. The system of claim 1, wherein the variable flow orifice comprises a proportional valve and the controller sends a pulse-width-modulated signal to the proportional valve to control the size of the flow orifice.
15. The system of claim 1, wherein the controller controls the size of the flow orifice based on a proportional, integral, derivative control algorithm.
16. The system of claim 1, wherein the controller controls a time rate of change of the negative pressure communicated to the bandage to be less than a predetermined maximum allowable rate.
17. The system of claim 1, further comprising a fluid source to deliver an irrigation fluid to the bandage.
18. The system of claim 17, wherein the fluid source comprises a syringe.
19. The system of claim 1, further comprising a portable housing which carries the negative pressure source, the regulator, the variable flow orifice, and the negative pressure source.
20. The system of claim 19, further comprising a canister coupled to the bandage, the negative pressure that is communicated to the bandage through the regulator and the variable flow orifice also being communicated through the canister, and the portable housing having a cavity in which the canister is insertable.
US11/347,073 2001-07-12 2006-02-03 Regulation of vacuum level in a wound treatment apparatus Abandoned US20060129137A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US11/347,073 US20060129137A1 (en) 2001-07-12 2006-02-03 Regulation of vacuum level in a wound treatment apparatus

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US30499001P 2001-07-12 2001-07-12
US10/192,894 US7022113B2 (en) 2001-07-12 2002-07-11 Control of vacuum level rate of change
US11/347,073 US20060129137A1 (en) 2001-07-12 2006-02-03 Regulation of vacuum level in a wound treatment apparatus

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US10/192,894 Continuation US7022113B2 (en) 2001-07-12 2002-07-11 Control of vacuum level rate of change

Publications (1)

Publication Number Publication Date
US20060129137A1 true US20060129137A1 (en) 2006-06-15

Family

ID=23178819

Family Applications (2)

Application Number Title Priority Date Filing Date
US10/192,894 Expired - Lifetime US7022113B2 (en) 2001-07-12 2002-07-11 Control of vacuum level rate of change
US11/347,073 Abandoned US20060129137A1 (en) 2001-07-12 2006-02-03 Regulation of vacuum level in a wound treatment apparatus

Family Applications Before (1)

Application Number Title Priority Date Filing Date
US10/192,894 Expired - Lifetime US7022113B2 (en) 2001-07-12 2002-07-11 Control of vacuum level rate of change

Country Status (13)

Country Link
US (2) US7022113B2 (en)
EP (2) EP2204213B2 (en)
JP (1) JP2004534595A (en)
AT (2) ATE465707T1 (en)
AU (1) AU2002316630A1 (en)
CA (1) CA2451774A1 (en)
DE (1) DE60236156D1 (en)
DK (1) DK1406567T3 (en)
ES (1) ES2345038T3 (en)
HK (1) HK1139885A1 (en)
PT (1) PT1406567E (en)
TW (1) TW579291B (en)
WO (1) WO2003005943A2 (en)

Cited By (48)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070016152A1 (en) * 2005-07-14 2007-01-18 Boehringer Laboratories, Inc. System for treating a wound with suction and method detecting loss of suction
US20070219532A1 (en) * 2005-07-14 2007-09-20 Boehringer Technologies, Lp Pump system for negative pressure wound therapy
US20080177253A1 (en) * 2004-04-13 2008-07-24 Boehringer Laboratories Inc. Growth stimulating wound dressing with improved contact surfaces
US20080188360A1 (en) * 2007-02-06 2008-08-07 Chu Yong S Inflatable cushion bag for striking
US20090012441A1 (en) * 2007-07-06 2009-01-08 Sharon Mulligan Subatmospheric pressure wound therapy dressing
WO2009151645A2 (en) * 2008-06-13 2009-12-17 Premco Medical Systems, Inc. Wound treatment apparatus and method
US7678090B2 (en) 1999-11-29 2010-03-16 Risk Jr James R Wound treatment apparatus
US20100100075A1 (en) * 2006-10-13 2010-04-22 Bluesky Medical Group Inc. Control circuit and method for negative pressure wound treatment apparatus
US7723560B2 (en) 2001-12-26 2010-05-25 Lockwood Jeffrey S Wound vacuum therapy dressing kit
US7763000B2 (en) 1999-11-29 2010-07-27 Risk Jr James R Wound treatment apparatus having a display
US7794438B2 (en) 1998-08-07 2010-09-14 Alan Wayne Henley Wound treatment apparatus
US7867206B2 (en) 2000-11-29 2011-01-11 Kci Licensing, Inc. Vacuum therapy and cleansing dressing for wounds
US7896856B2 (en) 2002-08-21 2011-03-01 Robert Petrosenko Wound packing for preventing wound closure
US7896864B2 (en) 2001-12-26 2011-03-01 Lockwood Jeffrey S Vented vacuum bandage with irrigation for wound healing and method
US20110054283A1 (en) * 2009-08-13 2011-03-03 Michael Simms Shuler Methods and dressing systems for promoting healing of injured tissue
US7910791B2 (en) 2000-05-22 2011-03-22 Coffey Arthur C Combination SIS and vacuum bandage and method
US20110071483A1 (en) * 2007-08-06 2011-03-24 Benjamin Gordon Apparatus
US20110077605A1 (en) * 2005-07-14 2011-03-31 Boehringer Technologies, L.P. Pump system for negative pressure wound therapy
US7927318B2 (en) 2001-10-11 2011-04-19 Risk Jr James Robert Waste container for negative pressure therapy
US7988680B2 (en) 2000-11-29 2011-08-02 Kci Medical Resources Vacuum therapy and cleansing dressing for wounds
US20120016322A1 (en) * 2010-07-19 2012-01-19 Kci Licensing, Inc. Systems and methods for electrically detecting the presence of exudate in dressings
US20120078539A1 (en) * 2007-08-06 2012-03-29 Smith & Nephew Plc Canister status determination
US8168848B2 (en) 2002-04-10 2012-05-01 KCI Medical Resources, Inc. Access openings in vacuum bandage
WO2012161723A1 (en) * 2011-05-24 2012-11-29 Kalypto Medical, Inc. Device with controller and pump modules for providing negative pressure for wound therapy
US8350116B2 (en) 2001-12-26 2013-01-08 Kci Medical Resources Vacuum bandage packing
US8864748B2 (en) 2008-05-02 2014-10-21 Kci Licensing, Inc. Manually-actuated reduced pressure treatment system having regulated pressure capabilities
US8974428B2 (en) 2011-11-01 2015-03-10 J&M Shuler Medical, Inc. Mechanical wound therapy for sub-atmospheric wound care system
US9058634B2 (en) 2011-05-24 2015-06-16 Kalypto Medical, Inc. Method for providing a negative pressure wound therapy pump device
US9067003B2 (en) 2011-05-26 2015-06-30 Kalypto Medical, Inc. Method for providing negative pressure to a negative pressure wound therapy bandage
US9398982B2 (en) 2010-12-01 2016-07-26 Daniel Eduard Kleiner Device for use in endoluminal vacuum therapy
US9408954B2 (en) 2007-07-02 2016-08-09 Smith & Nephew Plc Systems and methods for controlling operation of negative pressure wound therapy apparatus
US9931446B2 (en) 2008-07-17 2018-04-03 Smith & Nephew, Inc. Subatmospheric pressure mechanism for wound therapy system and related methods therefor
US9956327B2 (en) 2007-07-02 2018-05-01 Smith & Nephew Plc Wound treatment apparatus with exudate volume reduction by heat
US9974890B2 (en) 2008-05-21 2018-05-22 Smith & Nephew, Inc. Wound therapy system and related methods therefor
US10004835B2 (en) 2008-09-05 2018-06-26 Smith & Nephew, Inc. Canister membrane for wound therapy system
US10058643B2 (en) 2006-10-20 2018-08-28 J&M Shuler Medical, Inc. Sub-atmospheric wound-care system
US10071190B2 (en) 2008-02-27 2018-09-11 Smith & Nephew Plc Fluid collection
US10130526B2 (en) 2006-09-28 2018-11-20 Smith & Nephew, Inc. Portable wound therapy system
US10265441B2 (en) 2012-09-14 2019-04-23 Kci Licensing, Inc. System, method, and apparatus for regulating pressure
US10369259B2 (en) 2012-06-03 2019-08-06 Daniel Eduard Kleiner Endoluminal vacuum therapy device
US10556045B2 (en) 2014-12-30 2020-02-11 Smith & Nephew, Inc. Synchronous pressure sampling and supply of negative pressure in negative pressure wound therapy
US10583228B2 (en) 2015-07-28 2020-03-10 J&M Shuler Medical, Inc. Sub-atmospheric wound therapy systems and methods
US10737000B2 (en) 2008-08-21 2020-08-11 Smith & Nephew, Inc. Sensor with electrical contact protection for use in fluid collection canister and negative pressure wound therapy systems including same
US10912869B2 (en) 2008-05-21 2021-02-09 Smith & Nephew, Inc. Wound therapy system with related methods therefor
US11160917B2 (en) 2020-01-22 2021-11-02 J&M Shuler Medical Inc. Negative pressure wound therapy barrier
US11167075B2 (en) 2016-08-31 2021-11-09 Smith & Nephew Plc Systems and methods for controlling operation of a reduced pressure therapy system to detect leaks
US11471571B2 (en) 2017-04-19 2022-10-18 Smith & Nephew, Inc. Negative pressure wound therapy canisters
USD977624S1 (en) 2016-02-29 2023-02-07 Smith & Nephew Plc Portable negative pressure apparatus

Families Citing this family (250)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7759538B2 (en) * 1997-05-27 2010-07-20 Wilhelm Fleischmann Process and device for application of active substances to a wound surface
ATE465707T1 (en) * 2001-07-12 2010-05-15 Kci Medical Resources CONTROL OF VACUUM CHANGE RATE
US7004915B2 (en) * 2001-08-24 2006-02-28 Kci Licensing, Inc. Negative pressure assisted tissue treatment system
US7846141B2 (en) 2002-09-03 2010-12-07 Bluesky Medical Group Incorporated Reduced pressure treatment system
US6979324B2 (en) * 2002-09-13 2005-12-27 Neogen Technologies, Inc. Closed wound drainage system
US7520872B2 (en) * 2002-09-13 2009-04-21 Neogen Technologies, Inc. Closed wound drainage system
US7625362B2 (en) * 2003-09-16 2009-12-01 Boehringer Technologies, L.P. Apparatus and method for suction-assisted wound healing
GB0224986D0 (en) 2002-10-28 2002-12-04 Smith & Nephew Apparatus
US7168853B2 (en) * 2003-01-10 2007-01-30 International Business Machines Corporation Digital measuring system and method for integrated circuit chip operating parameters
CN1802180B (en) * 2003-06-10 2010-09-08 大研医器株式会社 Storage container and medical sucking tool having the same
US7361184B2 (en) * 2003-09-08 2008-04-22 Joshi Ashok V Device and method for wound therapy
KR20070029109A (en) * 2003-10-14 2007-03-13 코닌클리케 필립스 일렉트로닉스 엔.브이. Video encoding method and device
GB0325129D0 (en) 2003-10-28 2003-12-03 Smith & Nephew Apparatus in situ
US11298453B2 (en) 2003-10-28 2022-04-12 Smith & Nephew Plc Apparatus and method for wound cleansing with actives
GB0325126D0 (en) 2003-10-28 2003-12-03 Smith & Nephew Apparatus with heat
US10058642B2 (en) 2004-04-05 2018-08-28 Bluesky Medical Group Incorporated Reduced pressure treatment system
US7708724B2 (en) 2004-04-05 2010-05-04 Blue Sky Medical Group Incorporated Reduced pressure wound cupping treatment system
US7776028B2 (en) 2004-04-05 2010-08-17 Bluesky Medical Group Incorporated Adjustable overlay reduced pressure wound treatment system
US8062272B2 (en) 2004-05-21 2011-11-22 Bluesky Medical Group Incorporated Flexible reduced pressure treatment appliance
US7909805B2 (en) 2004-04-05 2011-03-22 Bluesky Medical Group Incorporated Flexible reduced pressure treatment appliance
US10413644B2 (en) 2004-04-27 2019-09-17 Smith & Nephew Plc Wound treatment apparatus and method
GB0409446D0 (en) * 2004-04-28 2004-06-02 Smith & Nephew Apparatus
US7753894B2 (en) 2004-04-27 2010-07-13 Smith & Nephew Plc Wound cleansing apparatus with stress
GB0409444D0 (en) 2004-04-28 2004-06-02 Smith & Nephew Apparatus
US8529548B2 (en) 2004-04-27 2013-09-10 Smith & Nephew Plc Wound treatment apparatus and method
GB0424046D0 (en) * 2004-10-29 2004-12-01 Smith & Nephew Apparatus
US7824384B2 (en) 2004-08-10 2010-11-02 Kci Licensing, Inc. Chest tube drainage system
US20060116630A1 (en) * 2004-11-30 2006-06-01 Antoine Garabet Method & apparatus for pressurizing a body cavity for diagnostic and rehabilitative purposes
EP1698878A1 (en) * 2005-03-04 2006-09-06 Inficon GmbH Electrode configuration and pressure measuring apparatus
US8708982B2 (en) * 2005-05-04 2014-04-29 Edward D. Lin Wound protection and therapy system
EP1919533A1 (en) * 2005-07-24 2008-05-14 Carmeli Adahan Suctioning system, method and kit
US7503910B2 (en) * 2006-02-01 2009-03-17 Carmeli Adahan Suctioning system, method and kit
EP1909863A1 (en) * 2005-07-24 2008-04-16 Carmeli Adahan Wound closure and drainage system
US7837673B2 (en) * 2005-08-08 2010-11-23 Innovative Therapies, Inc. Wound irrigation device
US7608066B2 (en) * 2005-08-08 2009-10-27 Innovative Therapies, Inc. Wound irrigation device pressure monitoring and control system
WO2007030601A2 (en) * 2005-09-06 2007-03-15 Tyco Healthcare Group Lp Self contained wound dressing with micropump
CN101257938A (en) 2005-09-07 2008-09-03 泰科保健集团有限合伙公司 Wound dressing with vacuum reservoir
JP2009509570A (en) 2005-09-07 2009-03-12 タイコ ヘルスケア グループ リミテッド パートナーシップ Self-contained wound care device
AU2006321892B2 (en) * 2005-12-06 2010-06-17 3M Innovative Properties Company Wound exudate removal and isolation system
EP3348290B1 (en) * 2006-02-06 2019-11-20 KCI Licensing, Inc. Systems for improved connection to wound dressings in conjunction with reduced pressure wound treatment systems
US8235939B2 (en) * 2006-02-06 2012-08-07 Kci Licensing, Inc. System and method for purging a reduced pressure apparatus during the administration of reduced pressure treatment
US20070219585A1 (en) * 2006-03-14 2007-09-20 Cornet Douglas A System for administering reduced pressure treatment having a manifold with a primary flow passage and a blockage prevention member
US20080033324A1 (en) * 2006-03-14 2008-02-07 Cornet Douglas A System for administering reduced pressure treatment having a manifold with a primary flow passage and a blockage prevention member
JP4943497B2 (en) * 2006-03-14 2012-05-30 ケーシーアイ ライセンシング インコーポレイテッド System and method for purging a decompression device during decompression tissue treatment
US9456860B2 (en) * 2006-03-14 2016-10-04 Kci Licensing, Inc. Bioresorbable foaming tissue dressing
US8852149B2 (en) * 2006-04-06 2014-10-07 Bluesky Medical Group, Inc. Instructional medical treatment system
US7615036B2 (en) * 2006-05-11 2009-11-10 Kalypto Medical, Inc. Device and method for wound therapy
US7779625B2 (en) 2006-05-11 2010-08-24 Kalypto Medical, Inc. Device and method for wound therapy
US8226595B2 (en) * 2006-05-26 2012-07-24 Baxter International Inc. Automated dialysis system driven by gravity and vacuum
US8025650B2 (en) 2006-06-12 2011-09-27 Wound Care Technologies, Inc. Negative pressure wound treatment device, and methods
US7686785B2 (en) 2006-07-13 2010-03-30 Boehringer Laboratories, Incorporated Medical suction control with isolation characteristics
US8523859B2 (en) * 2006-08-02 2013-09-03 The Nemours Foundation Vacuum-assisted wound healing around a pin-site
CA2664547A1 (en) 2006-09-26 2008-04-03 Boehringer Technologies, L.P. Pump system for negative pressure wound therapy
US9820888B2 (en) 2006-09-26 2017-11-21 Smith & Nephew, Inc. Wound dressing
US20080243096A1 (en) * 2006-10-05 2008-10-02 Paul Svedman Device For Active Treatment and Regeneration of Tissues Such as Wounds
JP5548454B2 (en) 2006-10-17 2014-07-16 ブルースカイ・メディカル・グループ・インコーポレーテッド Auxiliary power negative pressure wound treatment apparatus and method
US7931651B2 (en) 2006-11-17 2011-04-26 Wake Lake University Health Sciences External fixation assembly and method of use
US8357130B2 (en) * 2006-11-21 2013-01-22 Joshua David Smith Wound care apparatus
US8377016B2 (en) 2007-01-10 2013-02-19 Wake Forest University Health Sciences Apparatus and method for wound treatment employing periodic sub-atmospheric pressure
JP5038439B2 (en) 2007-02-09 2012-10-03 ケーシーアイ ライセンシング インコーポレイテッド Apparatus and method for applying reduced pressure treatment to a tissue site
US8409170B2 (en) 2007-02-09 2013-04-02 Kci Licensing, Inc. System and method for managing reduced pressure at a tissue site
US8267908B2 (en) * 2007-02-09 2012-09-18 Kci Licensing, Inc. Delivery tube, system, and method for storing liquid from a tissue site
US8083712B2 (en) * 2007-03-20 2011-12-27 Neogen Technologies, Inc. Flat-hose assembly for wound drainage system
EP2216057A3 (en) 2007-05-07 2012-05-30 Carmeli Adahan Suction system
GB0715276D0 (en) * 2007-08-06 2007-09-12 Smith & Nephew Pump control
GB0712736D0 (en) * 2007-07-02 2007-08-08 Smith & Nephew Apparatus
GB0712737D0 (en) * 2007-07-02 2007-08-08 Smith & Nephew Apparatus
GB0715263D0 (en) * 2007-08-06 2007-09-12 Smith & Nephew Determining pressure
GB0712764D0 (en) * 2007-07-02 2007-08-08 Smith & Nephew Carrying Bag
GB0712757D0 (en) * 2007-07-02 2007-08-08 Smith & Nephew Pressure control
GB0712739D0 (en) 2007-07-02 2007-08-08 Smith & Nephew Apparatus
GB0712759D0 (en) * 2007-07-02 2007-08-08 Smith & Nephew Measuring pressure
GB0715212D0 (en) * 2007-08-06 2007-09-12 Smith & Nephew Apparatus
WO2009021047A2 (en) * 2007-08-06 2009-02-12 Ohio Medical Corporation Wound treatment system and suction regulator for use therewith
US8048044B2 (en) * 2007-08-14 2011-11-01 Stryker Corporation Drug delivery system
US20090088709A1 (en) * 2007-09-27 2009-04-02 Salvadori Lawrence A Illuminated fluid collection bag
BRPI0817544A2 (en) 2007-10-10 2017-05-02 Univ Wake Forest Health Sciences apparatus for treating damaged spinal cord tissue
ES2555204T3 (en) * 2007-11-21 2015-12-29 T.J. Smith & Nephew Limited Suction and bandage device
JP5613566B2 (en) 2007-11-21 2014-10-22 スミス アンド ネフュー ピーエルシーSmith & Nephew Public Limited Company Wound dressing
CA2705898C (en) 2007-11-21 2020-08-25 Smith & Nephew Plc Wound dressing
GB0722820D0 (en) 2007-11-21 2008-01-02 Smith & Nephew Vacuum assisted wound dressing
US11253399B2 (en) 2007-12-06 2022-02-22 Smith & Nephew Plc Wound filling apparatuses and methods
GB0723872D0 (en) 2007-12-06 2008-01-16 Smith & Nephew Apparatus for topical negative pressure therapy
GB0723855D0 (en) * 2007-12-06 2008-01-16 Smith & Nephew Apparatus and method for wound volume measurement
US20130096518A1 (en) 2007-12-06 2013-04-18 Smith & Nephew Plc Wound filling apparatuses and methods
GB2455962A (en) 2007-12-24 2009-07-01 Ethicon Inc Reinforced adhesive backing sheet, for plaster
JP5645669B2 (en) 2008-01-08 2014-12-24 ブルースカイ・メディカル・グループ・インコーポレーテッド Persistent variable negative pressure wound therapy and its control
JP5925990B2 (en) 2008-01-09 2016-05-25 ウェイク・フォレスト・ユニヴァーシティ・ヘルス・サイエンシズ Device for treating damaged central nervous system tissue
EP2361641B2 (en) * 2008-03-05 2021-11-03 KCI Licensing, Inc. Dressing for applying reduced pressure to and collecting and storing fluid from a tissue site
US8298200B2 (en) 2009-06-01 2012-10-30 Tyco Healthcare Group Lp System for providing continual drainage in negative pressure wound therapy
US8021347B2 (en) 2008-07-21 2011-09-20 Tyco Healthcare Group Lp Thin film wound dressing
WO2009114624A2 (en) 2008-03-12 2009-09-17 Bluesky Medical Group Inc. Negative pressure dressing and method of using same
US8152785B2 (en) 2008-03-13 2012-04-10 Tyco Healthcare Group Lp Vacuum port for vacuum wound therapy
CA2723364A1 (en) * 2008-04-01 2009-11-12 Ohio Medical Corporation Wound treatment system
WO2009123641A1 (en) * 2008-04-04 2009-10-08 Select Comfort Corporation System and method for improved pressure adjustment
AU2012244126B2 (en) * 2008-04-04 2015-06-25 Sleep Number Corporation System and method for improved pressure adjustment
US8048046B2 (en) * 2008-05-21 2011-11-01 Tyco Healthcare Group Lp Wound therapy system with housing and canister support
HUE047281T2 (en) * 2008-05-27 2020-04-28 Smith & Nephew Inc Negative pressure wound therapy device
EP2288321B1 (en) * 2008-05-27 2019-10-23 Smith & Nephew, Inc. Control unit with pump module for a negative pressure wound therapy device
ATE488906T1 (en) * 2008-06-20 2010-12-15 Hoffmann La Roche MEDICAL INFUSION SYSTEM WITH PULSE WIDTH MODULATION AND SAFETY CIRCUIT
GB0811572D0 (en) * 2008-06-24 2008-07-30 Smith & Nephew Negitive pressure wound theraphy device
US8257326B2 (en) * 2008-06-30 2012-09-04 Tyco Healthcare Group Lp Apparatus for enhancing wound healing
CA2729308C (en) * 2008-07-08 2016-11-22 Tyco Healthcare Group Lp Portable negative pressure wound therapy device
CN102159139A (en) 2008-07-18 2011-08-17 韦克福里斯特大学健康科学院 Apparatus and method for cardiac tissue modulation by topical application of vacuum to minimize cell death and damage
US20100022990A1 (en) * 2008-07-25 2010-01-28 Boehringer Technologies, L.P. Pump system for negative pressure wound therapy and improvements thereon
US20100036333A1 (en) * 2008-08-06 2010-02-11 Schenk Iii Albert A Fluid level sensor for a container of a negative pressure wound treatment system
DK2309961T3 (en) * 2008-08-08 2018-03-12 Smith & Nephew Inc Wound dressing of continuous fibers
US8216198B2 (en) 2009-01-09 2012-07-10 Tyco Healthcare Group Lp Canister for receiving wound exudate in a negative pressure therapy system
US8251979B2 (en) 2009-05-11 2012-08-28 Tyco Healthcare Group Lp Orientation independent canister for a negative pressure wound therapy device
US9414968B2 (en) 2008-09-05 2016-08-16 Smith & Nephew, Inc. Three-dimensional porous film contact layer with improved wound healing
RU2513155C2 (en) 2008-10-01 2014-04-20 Шервин ХУА System and method for spine stabilisation using wired pedicle screw
KR20110102931A (en) 2008-12-31 2011-09-19 케이씨아이 라이센싱 인코포레이티드 Manifolds, systems, and methods for administering reduced pressure to a subcutaneous tissue site
US8162907B2 (en) * 2009-01-20 2012-04-24 Tyco Healthcare Group Lp Method and apparatus for bridging from a dressing in negative pressure wound therapy
US8246591B2 (en) 2009-01-23 2012-08-21 Tyco Healthcare Group Lp Flanged connector for wound therapy
US20100191198A1 (en) * 2009-01-26 2010-07-29 Tyco Healthcare Group Lp Wound Filler Material with Improved Nonadherency Properties
US8167869B2 (en) 2009-02-10 2012-05-01 Tyco Healthcare Group Lp Wound therapy system with proportional valve mechanism
US20100204752A1 (en) * 2009-02-10 2010-08-12 Tyco Healthcare Group Lp Negative Pressure and Electrostimulation Therapy Apparatus
GB0902368D0 (en) 2009-02-13 2009-04-01 Smith & Nephew Wound packing
US7873772B2 (en) * 2009-02-17 2011-01-18 Tyco Healthcare Group Lp Portable and programmable medical device
GB0902816D0 (en) 2009-02-19 2009-04-08 Smith & Nephew Fluid communication path
US8882678B2 (en) * 2009-03-13 2014-11-11 Atrium Medical Corporation Pleural drainage system and method of use
KR101019714B1 (en) * 2009-04-01 2011-03-07 쓰리디이미징앤시뮬레이션즈(주) Apparatus for acquiring digital X-ray image
EP2419157A4 (en) * 2009-04-17 2018-01-03 Kalypto Medical, Inc. Negative pressure wound therapy device
US20100305523A1 (en) * 2009-05-27 2010-12-02 Tyco Healthcare Group Lp Active Exudate Control System
US20100318043A1 (en) * 2009-06-10 2010-12-16 Tyco Healthcare Group Lp Negative Pressure Wound Therapy Systems Capable of Vacuum Measurement Independent of Orientation
US20110196321A1 (en) 2009-06-10 2011-08-11 Tyco Healthcare Group Lp Fluid Collection Canister Including Canister Top with Filter Membrane and Negative Pressure Wound Therapy Systems Including Same
US20100318071A1 (en) * 2009-06-10 2010-12-16 Tyco Healthcare Group Lp Fluid Collection Canister Including Canister Top with Filter Membrane and Negative Pressure Wound Therapy Systems Including Same
US20100324516A1 (en) 2009-06-18 2010-12-23 Tyco Healthcare Group Lp Apparatus for Vacuum Bridging and/or Exudate Collection
US8444613B2 (en) * 2009-07-14 2013-05-21 Richard Vogel Pump leak monitor for negative pressure wound therapy
US20110015585A1 (en) * 2009-07-14 2011-01-20 Pal Svedman Method and device for providing intermittent negative pressure wound healing
US20110112490A1 (en) * 2009-07-14 2011-05-12 Vogel David C Releasably Sealable Wound Dressing for NPWT
US20110015589A1 (en) * 2009-07-14 2011-01-20 Pal Svedman Disposable therapeutic device
US20110015590A1 (en) * 2009-07-14 2011-01-20 Pal Svedman Disposable therapeutic device
US20110015619A1 (en) * 2009-07-16 2011-01-20 Pal Svedman Wound dressings for negative pressure therapy in deep wounds and method of using
US8900217B2 (en) 2009-08-05 2014-12-02 Covidien Lp Surgical wound dressing incorporating connected hydrogel beads having an embedded electrode therein
US8758291B2 (en) * 2009-08-07 2014-06-24 Acute Ideas, Inc. Wound ventilation system
DE102009039515A1 (en) * 2009-08-31 2011-03-03 Vcs Medical Technology Gmbh Vacuum therapy device
US20110112574A1 (en) * 2009-09-11 2011-05-12 Svedman Pal Paul Device for manual traction wound closure
US8529526B2 (en) * 2009-10-20 2013-09-10 Kci Licensing, Inc. Dressing reduced-pressure indicators, systems, and methods
US20110106058A1 (en) * 2009-10-29 2011-05-05 Pal Svedman Adhesive Flange Attachment Reinforcer For Suction Port
US20110106027A1 (en) * 2009-11-05 2011-05-05 Tyco Healthcare Group Lp Chemically Coated Screen for Use with Hydrophobic Filters
US8066243B2 (en) * 2010-01-08 2011-11-29 Richard C. Vogel Adapter for portable negative pressure wound therapy device
US8791315B2 (en) 2010-02-26 2014-07-29 Smith & Nephew, Inc. Systems and methods for using negative pressure wound therapy to manage open abdominal wounds
US8814842B2 (en) 2010-03-16 2014-08-26 Kci Licensing, Inc. Delivery-and-fluid-storage bridges for use with reduced-pressure systems
US9061095B2 (en) 2010-04-27 2015-06-23 Smith & Nephew Plc Wound dressing and method of use
GB201011173D0 (en) 2010-07-02 2010-08-18 Smith & Nephew Provision of wound filler
DE102010034292A1 (en) 2010-08-13 2012-02-16 Paul Hartmann Ag Connecting device for merging at least two line sections in a vacuum wound treatment system
GB201015656D0 (en) 2010-09-20 2010-10-27 Smith & Nephew Pressure control apparatus
CA2814657A1 (en) 2010-10-12 2012-04-19 Kevin J. Tanis Medical device
CA2819032C (en) 2010-11-25 2020-06-23 Smith & Nephew Plc Composition i-ii and products and uses thereof
FI123981B (en) * 2010-12-01 2014-01-15 Hld Healthy Life Devices Oy Pulse massage apparatus
US9050175B2 (en) 2011-01-20 2015-06-09 Scott Stephan Therapeutic treatment pad
GB2488749A (en) 2011-01-31 2012-09-12 Systagenix Wound Man Ip Co Bv Laminated silicone coated wound dressing
EP2683285B1 (en) * 2011-03-11 2015-02-18 Lohmann & Rauscher GmbH & Co. KG Vacuum system and endoscopy arrangement for endoscopic vacuum therapy
DE102011013744A1 (en) * 2011-03-11 2012-09-13 Gunnar Loske Vacuum endoscopy system for endoscopic examination of gastro-intestinal track, has vaccum pump unit that is provided with receptacle to which over tube and endoscope are attached
US9302034B2 (en) 2011-04-04 2016-04-05 Smith & Nephew, Inc. Negative pressure wound therapy dressing
GB201106491D0 (en) 2011-04-15 2011-06-01 Systagenix Wound Man Ip Co Bv Patterened silicone coating
DE102011075844A1 (en) 2011-05-13 2012-11-15 Paul Hartmann Ag Device for providing negative pressure for the negative pressure treatment of wounds
WO2012168678A1 (en) 2011-06-07 2012-12-13 Smith & Nephew Plc Wound contacting members and methods
CA2778395A1 (en) * 2011-06-10 2012-12-10 Tyco Healthcare Group Lp Compression device having a pause feature
US9084845B2 (en) 2011-11-02 2015-07-21 Smith & Nephew Plc Reduced pressure therapy apparatuses and methods of using same
US20150159066A1 (en) 2011-11-25 2015-06-11 Smith & Nephew Plc Composition, apparatus, kit and method and uses thereof
CN111419540A (en) 2011-12-16 2020-07-17 凯希特许有限公司 Releasable medical drape
US10940047B2 (en) 2011-12-16 2021-03-09 Kci Licensing, Inc. Sealing systems and methods employing a hybrid switchable drape
AU2013234034B2 (en) 2012-03-12 2017-03-30 Smith & Nephew Plc Reduced pressure apparatus and methods
WO2013173705A1 (en) 2012-05-18 2013-11-21 Basf Se Encapsulated particle
EP2849879A2 (en) 2012-05-18 2015-03-25 Basf Se An encapsulated particle
CA2874509C (en) 2012-05-23 2021-01-26 Smith & Nephew Plc Apparatuses and methods for negative pressure wound therapy
CN102769935B (en) * 2012-07-30 2014-11-05 杭州电子科技大学 Transmitting end of over-distance wireless sensor network circuit
MX353782B (en) 2012-08-01 2018-01-29 Smith & Nephew Wound dressing.
CA3121738A1 (en) 2012-08-01 2014-02-06 Smith & Nephew Plc Wound dressing and method of treatment
WO2014078518A1 (en) 2012-11-16 2014-05-22 Kci Licensing, Inc. Medical drape with pattern adhesive layers and method of manufacturing same
MY169255A (en) 2012-11-16 2019-03-19 Basf Se An encapsulated particle
GB201222770D0 (en) 2012-12-18 2013-01-30 Systagenix Wound Man Ip Co Bv Wound dressing with adhesive margin
USD764654S1 (en) 2014-03-13 2016-08-23 Smith & Nephew, Inc. Canister for collecting wound exudate
EP2968012B1 (en) 2013-03-14 2017-04-26 KCI Licensing, Inc. Absorbent dressing with hybrid drape
MX2015011812A (en) 2013-03-14 2016-07-05 Smith & Nephew Inc Systems and methods for applying reduced pressure therapy.
US9737649B2 (en) 2013-03-14 2017-08-22 Smith & Nephew, Inc. Systems and methods for applying reduced pressure therapy
CN105407932A (en) 2013-03-15 2016-03-16 史密夫及内修公开有限公司 Wound dressing and method of treatment
AU2014266943B2 (en) 2013-05-10 2018-03-01 Smith & Nephew Plc Fluidic connector for irrigation and aspiration of wounds
CN103393402B (en) * 2013-07-01 2016-06-29 西安交通大学 A kind of wound surface dressing binder pressure monitor of Portable burn and wound
US10155070B2 (en) 2013-08-13 2018-12-18 Smith & Nephew, Inc. Systems and methods for applying reduced pressure therapy
EP3038667B1 (en) 2013-08-26 2019-10-09 KCI Licensing, Inc. Dressing interface with moisture controlling feature and sealing function
EP3062753B1 (en) 2013-10-28 2018-11-21 KCI Licensing, Inc. Hybrid sealing tape
WO2015065616A1 (en) 2013-10-30 2015-05-07 Kci Licensing, Inc. Dressing with sealing and retention intereface
WO2015065612A1 (en) 2013-10-30 2015-05-07 Kci Licensing, Inc. Condensate absorbing and dissipating system
EP3527237B1 (en) 2013-10-30 2020-09-09 KCI Licensing, Inc. Absorbent conduit and system
CA2926932C (en) 2013-10-30 2021-10-05 Kci Licensing, Inc. Dressing with differentially sized perforations
US10632020B2 (en) 2014-02-28 2020-04-28 Kci Licensing, Inc. Hybrid drape having a gel-coated perforated mesh
US11026844B2 (en) 2014-03-03 2021-06-08 Kci Licensing, Inc. Low profile flexible pressure transmission conduit
US10406266B2 (en) 2014-05-02 2019-09-10 Kci Licensing, Inc. Fluid storage devices, systems, and methods
USD764653S1 (en) 2014-05-28 2016-08-23 Smith & Nephew, Inc. Canister for collecting wound exudate
USD764048S1 (en) 2014-05-28 2016-08-16 Smith & Nephew, Inc. Device for applying negative pressure to a wound
USD764047S1 (en) 2014-05-28 2016-08-16 Smith & Nephew, Inc. Therapy unit assembly
USD765830S1 (en) 2014-06-02 2016-09-06 Smith & Nephew, Inc. Therapy unit assembly
USD770173S1 (en) 2014-06-02 2016-11-01 Smith & Nephew, Inc. Bag
EP3597159B1 (en) 2014-06-05 2021-08-04 3M Innovative Properties Company Dressing with fluid acquisition and distribution characteristics
US11007082B2 (en) 2014-07-23 2021-05-18 Innovative Therapies Inc. Foam laminate dressing
WO2016018448A1 (en) 2014-07-31 2016-02-04 Smith & Nephew, Inc. Systems and methods for applying reduced pressure therapy
WO2016100098A1 (en) 2014-12-17 2016-06-23 Kci Licensing, Inc. Dressing with offloading capability
US10124093B1 (en) 2015-01-16 2018-11-13 Kci Licensing, Inc. System and method for hybrid control of reduced pressures delivered to a tissue site
AU2016256204C1 (en) 2015-04-27 2022-03-31 Smith & Nephew Plc Reduced pressure apparatuses
WO2016182977A1 (en) 2015-05-08 2016-11-17 Kci Licensing, Inc. Low acuity dressing with integral pump
WO2016184913A1 (en) 2015-05-18 2016-11-24 Smith & Nephew Plc Negative pressure wound therapy apparatus and methods
CN108136084B (en) 2015-08-13 2022-09-13 史密夫和内修有限公司 Systems and methods for applying reduced pressure therapy
WO2017040045A1 (en) 2015-09-01 2017-03-09 Kci Licensing, Inc. Dressing with increased apposition force
AU2015408286B2 (en) * 2015-09-11 2021-06-24 Smith & Nephew, Inc. Systems and methods for applying reduced negative pressure therapy
WO2017048866A1 (en) 2015-09-17 2017-03-23 Kci Licensing, Inc. Hybrid silicone and acrylic adhesive cover for use with wound treatment
AU2015411394B2 (en) 2015-10-07 2021-07-08 Smith & Nephew, Inc. Systems and methods for applying reduced pressure therapy
EP3187202B1 (en) * 2015-12-30 2019-09-25 Paul Hartmann AG Devices for controlling a negative pressure wound therapy system
EP3187203B2 (en) * 2015-12-30 2022-08-24 Paul Hartmann AG Methods and devices for controlling negative pressure at a wound site
CA3016484A1 (en) 2016-03-07 2017-09-14 Smith & Nephew Plc Wound treatment apparatuses and methods with negative pressure source integrated into wound dressing
CN109121396B (en) 2016-04-26 2022-04-05 史密夫及内修公开有限公司 Wound dressing and method for use with an integrated negative pressure source having a fluid intrusion inhibiting feature
EP3452130B1 (en) 2016-05-03 2021-12-01 Smith & Nephew plc Optimizing power transfer to negative pressure sources in negative pressure therapy systems
CN109069711A (en) 2016-05-03 2018-12-21 史密夫及内修公开有限公司 System and method for driving negative pressure source in negative pressure treatment system
EP3452129B1 (en) 2016-05-03 2022-03-23 Smith & Nephew plc Negative pressure wound therapy device activation and control
US11602461B2 (en) 2016-05-13 2023-03-14 Smith & Nephew, Inc. Automatic wound coupling detection in negative pressure wound therapy systems
CN106039544A (en) * 2016-06-30 2016-10-26 昆山韦睿医疗科技有限公司 Negative pressure therapy equipment capable of regulating pressure and pressure regulating method of negative pressure therapy equipment
CN205809465U (en) * 2016-07-22 2016-12-14 京东方科技集团股份有限公司 A kind of adsorbent equipment and detecting system
JP7303104B2 (en) 2016-08-25 2023-07-04 スミス アンド ネフュー ピーエルシー Absorbable Negative Pressure Wound Therapy Dressing
JP7063887B2 (en) 2016-09-29 2022-05-09 スミス アンド ネフュー インコーポレイテッド Construction and protection of components in negative pressure wound healing systems
EP3519001A1 (en) 2016-09-30 2019-08-07 Smith & Nephew PLC Negative pressure wound treatment apparatuses and methods with integrated electronics
AU2017345416B2 (en) * 2016-10-19 2023-03-09 Medtec Medical, Inc. Electronic vacuum regulator device
AU2018220865B2 (en) 2017-02-15 2023-03-16 Smith & Nephew Asia Pacific Pte. Limited Negative pressure wound therapy apparatuses and methods for using the same
CN110582257B (en) 2017-03-08 2022-03-15 史密夫及内修公开有限公司 Negative pressure wound therapy device control in the presence of fault conditions
WO2018170151A1 (en) * 2017-03-15 2018-09-20 Smith & Nephew, Inc. Pressure control in negative pressure wound therapy systems
CA3062507A1 (en) 2017-05-09 2018-11-15 Smith & Nephew Plc Redundant controls for negative pressure wound therapy systems
US11554051B2 (en) 2017-06-30 2023-01-17 T.J. Smith And Nephew, Limited Negative pressure wound therapy apparatus
US11712508B2 (en) 2017-07-10 2023-08-01 Smith & Nephew, Inc. Systems and methods for directly interacting with communications module of wound therapy apparatus
US11559622B2 (en) 2017-07-29 2023-01-24 Edward D. Lin Deformation resistant wound therapy apparatus and related methods of use
US10780201B2 (en) 2017-07-29 2020-09-22 Edward D. Lin Control apparatus and related methods for wound therapy delivery
US10729826B2 (en) 2017-07-29 2020-08-04 Edward D. Lin Wound cover apparatus and related methods of use
US11712373B2 (en) 2017-07-29 2023-08-01 Edward D. Lin Wound therapy apparatus with scar modulation properties and related methods
GB201718070D0 (en) 2017-11-01 2017-12-13 Smith & Nephew Negative pressure wound treatment apparatuses and methods with integrated electronics
CA3074780A1 (en) 2017-09-13 2019-03-21 Smith & Nephew Plc Negative pressure wound treatment apparatuses and methods with integrated electronics
EP3687592A1 (en) 2017-09-29 2020-08-05 T.J. Smith & Nephew, Limited Negative pressure wound therapy apparatus with removable panels
GB201718072D0 (en) 2017-11-01 2017-12-13 Smith & Nephew Negative pressure wound treatment apparatuses and methods with integrated electronics
GB201718054D0 (en) 2017-11-01 2017-12-13 Smith & Nephew Sterilization of integrated negative pressure wound treatment apparatuses and sterilization methods
US11497653B2 (en) 2017-11-01 2022-11-15 Smith & Nephew Plc Negative pressure wound treatment apparatuses and methods with integrated electronics
GB201813282D0 (en) 2018-08-15 2018-09-26 Smith & Nephew System for medical device activation and opertion
US10624794B2 (en) 2018-02-12 2020-04-21 Healyx Labs, Inc. Negative pressure wound therapy systems, devices, and methods
GB201804347D0 (en) 2018-03-19 2018-05-02 Smith & Nephew Inc Securing control of settings of negative pressure wound therapy apparatuses and methods for using the same
US11141317B2 (en) * 2018-03-29 2021-10-12 Kci Licensing, Inc. Wound therapy system with wound volume estimation
WO2019211731A1 (en) 2018-04-30 2019-11-07 Smith & Nephew Pte. Limited Systems and methods for controlling dual mode negative pressure wound therapy apparatus
USD888225S1 (en) 2018-04-30 2020-06-23 Smith & Nephew Asia Pacific Pte. Limited Pump and canister assembly for negative pressure wound therapy
GB201808438D0 (en) 2018-05-23 2018-07-11 Smith & Nephew Systems and methods for determining blockages in a negative pressure wound therapy system
USD898925S1 (en) 2018-09-13 2020-10-13 Smith & Nephew Plc Medical dressing
GB201820668D0 (en) 2018-12-19 2019-01-30 Smith & Nephew Inc Systems and methods for delivering prescribed wound therapy
US20210178035A1 (en) * 2019-12-17 2021-06-17 Ic Surgical, Inc. Negative pressure pumps and related methods
CN111840671A (en) * 2020-07-27 2020-10-30 重庆佑佑宝贝妇儿医院有限公司 Automatic negative pressure regulator and sputum aspirator

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5451373A (en) * 1994-02-16 1995-09-19 Akzo N.V. Obstruction detector for a fluid flow line of a medical laboratory instrument
US5558639A (en) * 1993-06-10 1996-09-24 Gangemi; Ronald J. Ambulatory patient infusion apparatus
US6259067B1 (en) * 1998-10-16 2001-07-10 Medical Solutions, Inc. Temperature control system and method for heating and maintaining medical items at desired temperatures
US7022113B2 (en) * 2001-07-12 2006-04-04 Hill-Rom Services, Inc. Control of vacuum level rate of change

Family Cites Families (149)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US774529A (en) 1904-08-29 1904-11-08 Charles C F Nieschang Electrothermic and vacuum appliance.
US1000001A (en) 1908-11-09 1911-08-08 Robert A C Holz Vacuum apparatus for hyperemic treatments.
US1385346A (en) 1919-06-27 1921-07-19 Taylor Walter Herbert Surgical wound-dam
US1355846A (en) 1920-02-06 1920-10-19 David A Rannells Medical appliance
US1936129A (en) 1931-12-01 1933-11-21 Andrew J Fisk Method of treating the skin and device therefor
US2221758A (en) 1937-05-12 1940-11-19 Elmquist Francis Surgical dressing
US2195771A (en) 1937-11-09 1940-04-02 Estler Louis Edmond Surgical suction drainage cup
US2338339A (en) 1940-11-08 1944-01-04 Mere Massaging vibrator
US2443481A (en) 1942-10-19 1948-06-15 Sene Leon Paul Device for the treatment of wounds and the like lesions
US2573791A (en) 1947-04-19 1951-11-06 John N M Howells Heat applying bandage
US2577945A (en) 1947-12-06 1951-12-11 Atherton Harold Starr Plaster or bandage for skin application
US2632443A (en) 1949-04-18 1953-03-24 Eleanor P Lesher Surgical dressing
US2682873A (en) 1952-07-30 1954-07-06 Johnson & Johnson General purpose protective dressing
US3026874A (en) 1959-11-06 1962-03-27 Robert C Stevens Wound shield
US3315665A (en) 1963-10-11 1967-04-25 Norman A Macleod Method and apparatus for therapy of skin tissue
US3382867A (en) 1965-03-22 1968-05-14 Ruby L. Reaves Body portion developing device with combined vacuum and vibrating means
US3367332A (en) 1965-08-27 1968-02-06 Gen Electric Product and process for establishing a sterile area of skin
US3520300A (en) 1967-03-15 1970-07-14 Amp Inc Surgical sponge and suction device
US3528416A (en) 1967-11-06 1970-09-15 Lawrence J Chamberlain Protective bandage
US3610238A (en) 1970-04-28 1971-10-05 Us Health Education & Welfare Wound infection prevention device
BE789293Q (en) 1970-12-07 1973-01-15 Parke Davis & Co MEDICO-SURGICAL DRESSING FOR BURNS AND SIMILAR LESIONS
US3782377A (en) 1971-09-07 1974-01-01 Illinois Tool Works Sterile plastic shield
US3814095A (en) 1972-03-24 1974-06-04 H Lubens Occlusively applied anesthetic patch
US3812972A (en) 1972-05-02 1974-05-28 J Rosenblum Liquid filter and method for fabricating same
US3874387A (en) 1972-07-05 1975-04-01 Pasquale P Barbieri Valved hemostatic pressure cap
US3954105A (en) 1973-10-01 1976-05-04 Hollister Incorporated Drainage system for incisions or wounds in the body of an animal
US3903882A (en) 1974-04-19 1975-09-09 American Cyanamid Co Composite dressing
US3935863A (en) 1974-07-19 1976-02-03 Kliger Herbert L Surgical sponge
USRE29319E (en) 1975-04-07 1977-07-26 Hollister Incorporated Drainage system for incisions or wounds in the body of an animal
US4191204A (en) * 1975-04-14 1980-03-04 International Paper Company Pressure responsive fluid collection system
US4058123A (en) 1975-10-01 1977-11-15 International Paper Company Combined irrigator and evacuator for closed wounds
US4080970A (en) 1976-11-17 1978-03-28 Miller Thomas J Post-operative combination dressing and internal drain tube with external shield and tube connector
US4139004A (en) 1977-02-17 1979-02-13 Gonzalez Jr Harry Bandage apparatus for treating burns
US4149541A (en) 1977-10-06 1979-04-17 Moore-Perk Corporation Fluid circulating pad
US4224941A (en) 1978-11-15 1980-09-30 Stivala Oscar G Hyperbaric treatment apparatus
SE414994B (en) 1978-11-28 1980-09-01 Landstingens Inkopscentral VENKATETERFORBAND
WO1980001139A1 (en) 1978-12-06 1980-06-12 Svedman Paul Device for treating tissues,for example skin
US4250882A (en) 1979-01-26 1981-02-17 Medical Dynamics, Inc. Wound drainage device
US4399816A (en) 1980-03-17 1983-08-23 Spangler George M Wound protector with transparent cover
US4297995A (en) 1980-06-03 1981-11-03 Key Pharmaceuticals, Inc. Bandage containing attachment post
US4341209A (en) 1981-01-12 1982-07-27 The Kendall Company Adhesive bandage with foam backing
US4457755A (en) 1981-04-02 1984-07-03 Wilson John D Surgical `in-line` evacuator
US4373519A (en) 1981-06-26 1983-02-15 Minnesota Mining And Manufacturing Company Composite wound dressing
SE429197B (en) 1981-10-14 1983-08-22 Frese Nielsen SAR TREATMENT DEVICE
DE3146266A1 (en) 1981-11-21 1983-06-01 B. Braun Melsungen Ag, 3508 Melsungen COMBINED DEVICE FOR A MEDICAL SUCTION DRAINAGE
US4465062A (en) 1982-05-14 1984-08-14 Gina Versaggi Noninvasive seal for a sucking chest wound
US4569674A (en) 1982-08-03 1986-02-11 Stryker Corporation Continuous vacuum wound drainage system
US4469092A (en) 1982-09-27 1984-09-04 Marshall Walter D Scalp stimulating system
US4533352A (en) 1983-03-07 1985-08-06 Pmt Inc. Microsurgical flexible suction mat
DE3321151C2 (en) 1983-06-11 1986-09-18 Walter Küsnacht Beck Device for aspirating secretions
US4540412A (en) 1983-07-14 1985-09-10 The Kendall Company Device for moist heat therapy
US4778446A (en) 1983-07-14 1988-10-18 Squibb & Sons Inc Wound irrigation and/or drainage device
US4624656A (en) 1983-07-25 1986-11-25 Hospitak, Inc. Hyperbaric gas treatment device
US4553967A (en) 1983-10-14 1985-11-19 E. R. Squibb & Sons, Inc. Wound care and drainage system having hand access port
US4579555A (en) 1983-12-05 1986-04-01 Sil-Fab Corporation Surgical gravity drain having aligned longitudinally extending capillary drainage channels
US4573965A (en) 1984-02-13 1986-03-04 Superior Plastic Products Corp. Device for draining wounds
US4897081A (en) 1984-05-25 1990-01-30 Thermedics Inc. Percutaneous access device
US4872450A (en) 1984-08-17 1989-10-10 Austad Eric D Wound dressing and method of forming same
US4679590A (en) 1984-08-31 1987-07-14 Hergenroeder Patrick T Receptacle for collecting fluids
US4655754A (en) 1984-11-09 1987-04-07 Stryker Corporation Vacuum wound drainage system and lipids baffle therefor
US4605399A (en) 1984-12-04 1986-08-12 Complex, Inc. Transdermal infusion device
US4664652A (en) 1985-02-07 1987-05-12 Snyder Laboratories, Inc. Wound evacuator
US4717382A (en) 1985-04-18 1988-01-05 Emergency Management Products, Inc. Noninvasive apparatus for treating a sucking chest wound
US4637819A (en) 1985-05-31 1987-01-20 The Procter & Gamble Company Macroscopically expanded three-dimensional polymeric web for transmitting both dynamically deposited and statically contacted fluids from one surface to the other
GB2176402B (en) 1985-06-20 1989-04-19 Craig Med Prod Ltd Wound management appliance for use on the human skin
EP0232458A3 (en) 1985-09-26 1988-12-14 Alcon Instrumentation, Inc. Multifunctional apparatus for driving powered surgical instruments
US4633863A (en) 1985-09-27 1987-01-06 Filips Chester P Arterial anchor bandage
US4733659A (en) 1986-01-17 1988-03-29 Seton Company Foam bandage
US4667666A (en) 1986-04-18 1987-05-26 Alice Fryslie Protective bandaging device
CH670049A5 (en) 1986-04-24 1989-05-12 Vebo
US4641643A (en) 1986-04-28 1987-02-10 Greer Leland H Resealing skin bandage
GB8620227D0 (en) 1986-08-20 1986-10-01 Smith & Nephew Ass Wound dressing
US4743232A (en) 1986-10-06 1988-05-10 The Clinipad Corporation Package assembly for plastic film bandage
EP0265906B1 (en) 1986-10-31 1995-04-19 Nippon Zeon Co., Ltd. Wound dressing
JPS63135179A (en) 1986-11-26 1988-06-07 立花 俊郎 Subcataneous drug administration set
US4759354A (en) 1986-11-26 1988-07-26 The Kendall Company Wound dressing
US4820265A (en) 1986-12-16 1989-04-11 Minnesota Mining And Manufacturing Company Tubing set
US5073172A (en) 1987-01-20 1991-12-17 Medinorm Aktiengesellschaft Medizintechnische Produkte Device for aspirating wound fluids
GB8706116D0 (en) 1987-03-14 1987-04-15 Smith & Nephew Ass Adhesive dressings
US4778456A (en) 1987-04-03 1988-10-18 Oddvin Lokken Method of sterilizing an operating field and sterilized cassette therefor
US4765316A (en) 1987-04-20 1988-08-23 Marshall Walter D Scalp stimulator
US4747166A (en) 1987-05-15 1988-05-31 Kuntz David H Fluid aspiration system for the management of urinary incontinence
CA1313987C (en) 1987-06-22 1993-03-02 Toshio Izumi Suction equipment for medical operation
US5002529A (en) 1987-07-10 1991-03-26 Solco Basle, Inc. Postoperative wound drainage
FR2618337B1 (en) 1987-07-22 1989-12-15 Dow Corning Sa SURGICAL DRESSING AND PROCESS FOR MAKING SAME
US5176663A (en) * 1987-12-02 1993-01-05 Pal Svedman Dressing having pad with compressibility limiting elements
US4834110A (en) 1988-02-01 1989-05-30 Richard Patricia A Suction clamped treatment cup saliva sampler
US4906240A (en) 1988-02-01 1990-03-06 Matrix Medica, Inc. Adhesive-faced porous absorbent sheet and method of making same
US4820248A (en) * 1988-03-16 1989-04-11 Neuberne H. Brown, Jr. Belt for use in a transmission system
US4921492A (en) 1988-05-31 1990-05-01 Laser Technologies Group, Inc. End effector for surgical plume evacuator
US4917112A (en) 1988-08-22 1990-04-17 Kalt Medical Corp. Universal bandage with transparent dressing
US5003971A (en) 1988-09-02 1991-04-02 Buckley John T Expansion system for a medical and surgical dressing
US5215539A (en) * 1988-10-12 1993-06-01 Schoolman Scientific Corporation Vacuum strip apparatus for surgery
FR2639234B1 (en) 1988-11-21 1994-05-06 Denance Raymond INJECTION DEVICE FOR MEDICAL AND VETERINARY USE WHOSE STABILIZING SIGHT IS FOR SINGLE USE AND ACTUATES A MEANS AS A VALVE AT THE NEEDLE
US5527293A (en) * 1989-04-03 1996-06-18 Kinetic Concepts, Inc. Fastening system and method
US4969880A (en) 1989-04-03 1990-11-13 Zamierowski David S Wound dressing and treatment method
US5100396A (en) 1989-04-03 1992-03-31 Zamierowski David S Fluidic connection system and method
US5106362A (en) * 1989-04-13 1992-04-21 The Kendall Company Vented absorbent dressing
US5086764A (en) 1989-04-13 1992-02-11 Thomas Gilman Absorbent dressing
US5358494A (en) 1989-07-11 1994-10-25 Svedman Paul Irrigation dressing
JP2719671B2 (en) 1989-07-11 1998-02-25 日本ゼオン株式会社 Wound dressing
US5042978A (en) 1989-08-08 1991-08-27 Eastman Kodak Company Container using a mass of porous material for liquid retention
JPH0336640U (en) * 1989-08-23 1991-04-10
US4988336A (en) * 1989-09-22 1991-01-29 Allied Healthcare Products, Inc. Electronic suction regulator
US5106629A (en) * 1989-10-20 1992-04-21 Ndm Acquisition Corp. Transparent hydrogel wound dressing
US4969881A (en) 1989-11-06 1990-11-13 Connecticut Artcraft Corp. Disposable hyperbaric oxygen dressing
US5014389A (en) 1989-11-15 1991-05-14 Concept Inc. Foot manipulated suction head and method for employing same
US5002528A (en) 1989-12-15 1991-03-26 Aubrey Palestrant Percutaneous irrigation and drainage system
NL9000356A (en) * 1990-02-14 1991-09-02 Cordis Europ DRAINAGE CATHETER.
US5060662A (en) 1990-07-06 1991-10-29 Farnswoth Iii Kenneth F Open air bandage
US5086763A (en) 1990-08-06 1992-02-11 Hathman Johnnie L Protective reclosable wound dressing
WO1992012741A1 (en) * 1991-01-18 1992-08-06 Delamar Gibbons Body vacuum
US5419768A (en) 1991-03-07 1995-05-30 Aeros Instruments, Inc. Electrical medical vacuum regulator
US5636643A (en) 1991-11-14 1997-06-10 Wake Forest University Wound treatment employing reduced pressure
US5645081A (en) 1991-11-14 1997-07-08 Wake Forest University Method of treating tissue damage and apparatus for same
US5176667A (en) * 1992-04-27 1993-01-05 Debring Donald L Liquid collection apparatus
EP0648264A4 (en) * 1992-06-03 1997-10-01 Univ Case Western Reserve Bandage for continuous application of biologicals.
US5964723A (en) * 1992-06-19 1999-10-12 Augustine Medical, Inc. Normothermic tissue heating wound covering
US5986163A (en) * 1992-06-19 1999-11-16 Augustine Medical, Inc. Normothermic heater wound covering
US5947914A (en) * 1995-02-21 1999-09-07 Augustine Medical, Inc. Wound covering
US5954680A (en) * 1992-06-19 1999-09-21 Augustine Medical, Inc. Near hyperthermic heater wound covering
US5678564A (en) * 1992-08-07 1997-10-21 Bristol Myers Squibb Liquid removal system
US5354268A (en) * 1992-11-04 1994-10-11 Medical Instrument Development Laboratories, Inc. Methods and apparatus for control of vacuum and pressure for surgical procedures
US5607388A (en) * 1994-06-16 1997-03-04 Hercules Incorporated Multi-purpose wound dressing
EP0853950B1 (en) * 1994-08-22 2002-10-30 Kinetic Concepts, Inc. Wound drainage canister
US5817145A (en) * 1994-11-21 1998-10-06 Augustine Medical, Inc. Wound treatment device
DE19517699C2 (en) * 1995-05-13 1999-11-04 Wilhelm Fleischmann Device for vacuum sealing a wound
JP2636799B2 (en) * 1995-05-31 1997-07-30 日本電気株式会社 Leachate suction device
GB9523253D0 (en) 1995-11-14 1996-01-17 Mediscus Prod Ltd Portable wound treatment apparatus
US5628735A (en) * 1996-01-11 1997-05-13 Skow; Joseph I. Surgical device for wicking and removing fluid
US5827246A (en) * 1996-02-28 1998-10-27 Tecnol Medical Products, Inc. Vacuum pad for collecting potentially hazardous fluids
SE9601853L (en) * 1996-05-14 1997-06-09 Moelnlycke Ab Wound dressing and manufacturing process therefore
US5735833A (en) * 1996-12-11 1998-04-07 Bristol-Myers Squibb Co. Lavage tip
JP2985816B2 (en) * 1997-02-04 1999-12-06 日本電気株式会社 Liquid sampling device
ATE250912T1 (en) 1997-05-27 2003-10-15 Wilhelm Dr Med Fleischmann DEVICE FOR APPLYING ACTIVE INGREDIENTS TO A WOUND SURFACE
US6080243A (en) * 1998-06-18 2000-06-27 3M Innovative Properties Company Fluid guide device having an open structure surface for attachement to a fluid transport source
GB9719520D0 (en) * 1997-09-12 1997-11-19 Kci Medical Ltd Surgical drape and suction heads for wound treatment
US6071267A (en) * 1998-02-06 2000-06-06 Kinetic Concepts, Inc. Medical patient fluid management interface system and method
US6071304A (en) 1998-04-06 2000-06-06 Augustine Medical, Inc. Wound treatment apparatus with a heater adhesively joined to a bandage
US6213965B1 (en) * 1998-04-06 2001-04-10 Augustine Medical, Inc. Wound treatment apparatus with infrared absorptive wound cover
US6235047B1 (en) * 1998-04-06 2001-05-22 Augustine Medical, Inc. Wound treatment apparatus with a heater, a heat conductive bandage, and heat-spreading means acting between the heater and bandage
US6095992A (en) 1998-04-06 2000-08-01 Augustine Medical, Inc. Wound treatment apparatus for normothermic treatment of wounds
US6080189A (en) 1998-04-06 2000-06-27 Augustine Medical, Inc. Wound treatment apparatus including a heater and an IR-Transparent or IR-Transmissive bandage
GB9822341D0 (en) * 1998-10-13 1998-12-09 Kci Medical Ltd Negative pressure therapy using wall suction
US6203563B1 (en) * 1999-05-26 2001-03-20 Ernesto Ramos Fernandez Healing device applied to persistent wounds, fistulas, pancreatitis, varicose ulcers, and other medical or veterinary pathologies of a patient
US6447491B1 (en) * 1999-06-18 2002-09-10 Genzyme Corporation Rolling seal suction pressure regulator, apparatus and system for draining a body cavity and methods related thereto
KR20030009325A (en) 1999-11-29 2003-01-29 힐-롬 서비시즈, 인크. Wound treatment apparatus
US6685681B2 (en) 2000-11-29 2004-02-03 Hill-Rom Services, Inc. Vacuum therapy and cleansing dressing for wounds
US6663349B1 (en) * 2001-03-02 2003-12-16 Reliance Electric Technologies, Llc System and method for controlling pump cavitation and blockage

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5558639A (en) * 1993-06-10 1996-09-24 Gangemi; Ronald J. Ambulatory patient infusion apparatus
US5451373A (en) * 1994-02-16 1995-09-19 Akzo N.V. Obstruction detector for a fluid flow line of a medical laboratory instrument
US6259067B1 (en) * 1998-10-16 2001-07-10 Medical Solutions, Inc. Temperature control system and method for heating and maintaining medical items at desired temperatures
US7022113B2 (en) * 2001-07-12 2006-04-04 Hill-Rom Services, Inc. Control of vacuum level rate of change

Cited By (97)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8540687B2 (en) 1998-08-07 2013-09-24 Kci Licensing, Inc. Wound treatment apparatus
US7794438B2 (en) 1998-08-07 2010-09-14 Alan Wayne Henley Wound treatment apparatus
US7678090B2 (en) 1999-11-29 2010-03-16 Risk Jr James R Wound treatment apparatus
US8021348B2 (en) 1999-11-29 2011-09-20 Kci Medical Resources Wound treatment apparatus
US7763000B2 (en) 1999-11-29 2010-07-27 Risk Jr James R Wound treatment apparatus having a display
US8747887B2 (en) 2000-05-22 2014-06-10 Kci Medical Resources Combination SIS and vacuum bandage and method
US7910791B2 (en) 2000-05-22 2011-03-22 Coffey Arthur C Combination SIS and vacuum bandage and method
US7988680B2 (en) 2000-11-29 2011-08-02 Kci Medical Resources Vacuum therapy and cleansing dressing for wounds
US10357404B2 (en) 2000-11-29 2019-07-23 Kci Medical Resources Unlimited Company Vacuum therapy and cleansing dressing for wounds
US8246592B2 (en) 2000-11-29 2012-08-21 Kci Medical Resources Vacuum therapy and cleansing dressing for wounds
US7867206B2 (en) 2000-11-29 2011-01-11 Kci Licensing, Inc. Vacuum therapy and cleansing dressing for wounds
US7927318B2 (en) 2001-10-11 2011-04-19 Risk Jr James Robert Waste container for negative pressure therapy
US8350116B2 (en) 2001-12-26 2013-01-08 Kci Medical Resources Vacuum bandage packing
US7723560B2 (en) 2001-12-26 2010-05-25 Lockwood Jeffrey S Wound vacuum therapy dressing kit
US7896864B2 (en) 2001-12-26 2011-03-01 Lockwood Jeffrey S Vented vacuum bandage with irrigation for wound healing and method
US8168848B2 (en) 2002-04-10 2012-05-01 KCI Medical Resources, Inc. Access openings in vacuum bandage
US7896856B2 (en) 2002-08-21 2011-03-01 Robert Petrosenko Wound packing for preventing wound closure
US20080177253A1 (en) * 2004-04-13 2008-07-24 Boehringer Laboratories Inc. Growth stimulating wound dressing with improved contact surfaces
US7951124B2 (en) 2004-04-13 2011-05-31 Boehringer Technologies, Lp Growth stimulating wound dressing with improved contact surfaces
US20070219532A1 (en) * 2005-07-14 2007-09-20 Boehringer Technologies, Lp Pump system for negative pressure wound therapy
US8771259B2 (en) 2005-07-14 2014-07-08 Boehringer Technologies, L.P. System for treating a wound with suction and method of detecting a loss of suction
US20070016152A1 (en) * 2005-07-14 2007-01-18 Boehringer Laboratories, Inc. System for treating a wound with suction and method detecting loss of suction
US9585990B2 (en) 2005-07-14 2017-03-07 Paul Hartmann Ag System for treating a wound with suction and method of detecting a loss of suction
US20110077605A1 (en) * 2005-07-14 2011-03-31 Boehringer Technologies, L.P. Pump system for negative pressure wound therapy
US20090137973A1 (en) * 2005-07-14 2009-05-28 Boehringer Laboratories, L.P. System for treating a wound with suction and method of detecting loss of suction
US7438705B2 (en) 2005-07-14 2008-10-21 Boehringer Technologies, L.P. System for treating a wound with suction and method detecting loss of suction
US8246607B2 (en) 2005-07-14 2012-08-21 Boehringer Technologies, L.P. System for treating a wound with suction and method of detecting loss of suction
US7857806B2 (en) 2005-07-14 2010-12-28 Boehringer Technologies, L.P. Pump system for negative pressure wound therapy
US10130526B2 (en) 2006-09-28 2018-11-20 Smith & Nephew, Inc. Portable wound therapy system
US11141325B2 (en) 2006-09-28 2021-10-12 Smith & Nephew, Inc. Portable wound therapy system
US8663200B2 (en) 2006-10-13 2014-03-04 Bluesky Medical Group Inc. Control circuit and method for negative pressure wound treatment apparatus
US8308714B2 (en) 2006-10-13 2012-11-13 Bluesky Medical Group Inc. Control circuit and method for negative pressure wound treatment apparatus
US11850348B2 (en) 2006-10-13 2023-12-26 Smith & Nephew, Inc. Control circuit and method for negative pressure wound treatment apparatus
US10709826B2 (en) 2006-10-13 2020-07-14 Smith & Nephew, Inc. Control circuit and method for negative pressure wound treatment apparatus
US9636440B2 (en) 2006-10-13 2017-05-02 Bluesky Medical Group Inc. Control circuit and method for negative pressure wound treatment apparatus
US20100100075A1 (en) * 2006-10-13 2010-04-22 Bluesky Medical Group Inc. Control circuit and method for negative pressure wound treatment apparatus
US11666695B2 (en) 2006-10-20 2023-06-06 J&M Shuler Medical, Inc. Sub-atmospheric wound-care system
US10258720B2 (en) 2006-10-20 2019-04-16 J&M Shuler Medical, Inc. Sub-atmospheric wound-care system
US10058643B2 (en) 2006-10-20 2018-08-28 J&M Shuler Medical, Inc. Sub-atmospheric wound-care system
US20080188360A1 (en) * 2007-02-06 2008-08-07 Chu Yong S Inflatable cushion bag for striking
US10328187B2 (en) 2007-07-02 2019-06-25 Smith & Nephew Plc Systems and methods for controlling operation of negative pressure wound therapy apparatus
US9956327B2 (en) 2007-07-02 2018-05-01 Smith & Nephew Plc Wound treatment apparatus with exudate volume reduction by heat
US9408954B2 (en) 2007-07-02 2016-08-09 Smith & Nephew Plc Systems and methods for controlling operation of negative pressure wound therapy apparatus
US7790946B2 (en) 2007-07-06 2010-09-07 Tyco Healthcare Group Lp Subatmospheric pressure wound therapy dressing
US20090012441A1 (en) * 2007-07-06 2009-01-08 Sharon Mulligan Subatmospheric pressure wound therapy dressing
US11559620B2 (en) 2007-08-06 2023-01-24 Smith & Nephew Plc Canister status determination
US10617801B2 (en) 2007-08-06 2020-04-14 Smith & Nephew Plc Canister status determination
US10994060B2 (en) 2007-08-06 2021-05-04 Smith & Nephew Plc Canister status determination
US8974429B2 (en) * 2007-08-06 2015-03-10 Smith & Nephew Plc Apparatus and method for applying topical negative pressure
US20120078539A1 (en) * 2007-08-06 2012-03-29 Smith & Nephew Plc Canister status determination
US20110071483A1 (en) * 2007-08-06 2011-03-24 Benjamin Gordon Apparatus
US8843327B2 (en) * 2007-08-06 2014-09-23 Smith & Nephew Plc Canister status determination
US9878074B2 (en) 2007-08-06 2018-01-30 Smith & Nephew Plc Canister status determination
US11141520B2 (en) 2008-02-27 2021-10-12 Smith & Nephew Plc Fluid collection
US10071190B2 (en) 2008-02-27 2018-09-11 Smith & Nephew Plc Fluid collection
US10946122B2 (en) 2008-05-02 2021-03-16 Kci Licensing, Inc. Manually-actuated reduced pressure treatment system having regulated pressure capabilities
US8864748B2 (en) 2008-05-02 2014-10-21 Kci Licensing, Inc. Manually-actuated reduced pressure treatment system having regulated pressure capabilities
US9974890B2 (en) 2008-05-21 2018-05-22 Smith & Nephew, Inc. Wound therapy system and related methods therefor
US10967106B2 (en) 2008-05-21 2021-04-06 Smith & Nephew, Inc. Wound therapy system and related methods therefor
US10912869B2 (en) 2008-05-21 2021-02-09 Smith & Nephew, Inc. Wound therapy system with related methods therefor
WO2009151645A3 (en) * 2008-06-13 2010-04-22 Premco Medical Systems, Inc. Wound treatment apparatus and method
US8480641B2 (en) 2008-06-13 2013-07-09 Premco Medical Systems, Inc. Negative pressure wound treatment apparatus and method
WO2009151645A2 (en) * 2008-06-13 2009-12-17 Premco Medical Systems, Inc. Wound treatment apparatus and method
US20110092958A1 (en) * 2008-06-13 2011-04-21 Premco Medical Systems, Inc. Wound treatment apparatus and method
US9931446B2 (en) 2008-07-17 2018-04-03 Smith & Nephew, Inc. Subatmospheric pressure mechanism for wound therapy system and related methods therefor
US10737000B2 (en) 2008-08-21 2020-08-11 Smith & Nephew, Inc. Sensor with electrical contact protection for use in fluid collection canister and negative pressure wound therapy systems including same
US10004835B2 (en) 2008-09-05 2018-06-26 Smith & Nephew, Inc. Canister membrane for wound therapy system
US8447375B2 (en) 2009-08-13 2013-05-21 J&M Shuler Medical, Inc. Methods and dressing systems for promoting healing of injured tissue
US10149930B2 (en) 2009-08-13 2018-12-11 J&M Shuler, Inc. Methods and dressing systems for promoting healing of injured tissue
US11813058B2 (en) 2009-08-13 2023-11-14 J&M Shuler Medical Inc. Methods and dressing systems for promoting healing of injured tissue
US20110054283A1 (en) * 2009-08-13 2011-03-03 Michael Simms Shuler Methods and dressing systems for promoting healing of injured tissue
US20120016322A1 (en) * 2010-07-19 2012-01-19 Kci Licensing, Inc. Systems and methods for electrically detecting the presence of exudate in dressings
US8795257B2 (en) * 2010-07-19 2014-08-05 Kci Licensing, Inc. Systems and methods for electrically detecting the presence of exudate in dressings
US10456511B2 (en) 2010-12-01 2019-10-29 Daniel Eduard Kleiner Device for use in endoluminal vacuum therapy
US9398982B2 (en) 2010-12-01 2016-07-26 Daniel Eduard Kleiner Device for use in endoluminal vacuum therapy
US11786648B2 (en) 2010-12-01 2023-10-17 Daniel Eduard Kleiner Device for use in endoluminal vacuum therapy
US9058634B2 (en) 2011-05-24 2015-06-16 Kalypto Medical, Inc. Method for providing a negative pressure wound therapy pump device
WO2012161723A1 (en) * 2011-05-24 2012-11-29 Kalypto Medical, Inc. Device with controller and pump modules for providing negative pressure for wound therapy
CN103842000A (en) * 2011-05-24 2014-06-04 卡利普托医疗公司 Device with controller and pump modules for providing negative pressure for wound therapy
US8945074B2 (en) 2011-05-24 2015-02-03 Kalypto Medical, Inc. Device with controller and pump modules for providing negative pressure for wound therapy
US9067003B2 (en) 2011-05-26 2015-06-30 Kalypto Medical, Inc. Method for providing negative pressure to a negative pressure wound therapy bandage
US10300178B2 (en) 2011-05-26 2019-05-28 Smith & Nephew, Inc. Method for providing negative pressure to a negative pressure wound therapy bandage
US10485906B2 (en) 2011-11-01 2019-11-26 J&M Shuler Medical, Inc. Mechanical wound therapy for sub-atmospheric wound care system
US9393354B2 (en) 2011-11-01 2016-07-19 J&M Shuler Medical, Inc. Mechanical wound therapy for sub-atmospheric wound care system
US8974428B2 (en) 2011-11-01 2015-03-10 J&M Shuler Medical, Inc. Mechanical wound therapy for sub-atmospheric wound care system
US11872340B2 (en) 2012-06-03 2024-01-16 Daniel Eduard Kleiner Endoluminal vacuum therapy device
US10369259B2 (en) 2012-06-03 2019-08-06 Daniel Eduard Kleiner Endoluminal vacuum therapy device
US10265441B2 (en) 2012-09-14 2019-04-23 Kci Licensing, Inc. System, method, and apparatus for regulating pressure
US10556045B2 (en) 2014-12-30 2020-02-11 Smith & Nephew, Inc. Synchronous pressure sampling and supply of negative pressure in negative pressure wound therapy
US10583228B2 (en) 2015-07-28 2020-03-10 J&M Shuler Medical, Inc. Sub-atmospheric wound therapy systems and methods
USD977624S1 (en) 2016-02-29 2023-02-07 Smith & Nephew Plc Portable negative pressure apparatus
USD985755S1 (en) 2016-02-29 2023-05-09 Smith & Nephew Plc Portable negative pressure apparatus
US11564846B2 (en) 2016-08-31 2023-01-31 Smith & Nephew Plc Systems and methods for controlling operation of a reduced pressure therapy system to detect leaks
US11167075B2 (en) 2016-08-31 2021-11-09 Smith & Nephew Plc Systems and methods for controlling operation of a reduced pressure therapy system to detect leaks
US11471571B2 (en) 2017-04-19 2022-10-18 Smith & Nephew, Inc. Negative pressure wound therapy canisters
US11766514B2 (en) 2020-01-22 2023-09-26 J&M Shuler Medical Inc. Negative pressure wound therapy barrier
US11160917B2 (en) 2020-01-22 2021-11-02 J&M Shuler Medical Inc. Negative pressure wound therapy barrier

Also Published As

Publication number Publication date
AU2002316630A1 (en) 2003-01-29
ES2345038T3 (en) 2010-09-14
US20030014022A1 (en) 2003-01-16
WO2003005943A3 (en) 2003-04-10
TW579291B (en) 2004-03-11
DE60236156D1 (en) 2010-06-10
EP1406567A2 (en) 2004-04-14
CA2451774A1 (en) 2003-01-23
EP1406567B1 (en) 2010-04-28
US7022113B2 (en) 2006-04-04
HK1139885A1 (en) 2010-09-30
WO2003005943A2 (en) 2003-01-23
ATE530220T1 (en) 2011-11-15
EP2204213A1 (en) 2010-07-07
DK1406567T3 (en) 2010-05-31
EP2204213B1 (en) 2011-10-26
JP2004534595A (en) 2004-11-18
ATE465707T1 (en) 2010-05-15
PT1406567E (en) 2010-07-21
EP2204213B2 (en) 2020-04-01

Similar Documents

Publication Publication Date Title
EP2204213B1 (en) Control of vacuum level rate of change
JP4944132B2 (en) Suction system, method and kit
EP1977776B2 (en) Wound treatment apparatus
US7532953B2 (en) Wound irrigation device
US7678090B2 (en) Wound treatment apparatus
US20090157016A1 (en) Suctioning system, method and kit
US20020026946A1 (en) Treatment of wound or joint for relief of pain and promotion of healing
WO2003030966A1 (en) Waste container for negative pressure therapy
JPH10504484A (en) Drainage drainage technology

Legal Events

Date Code Title Description
STCB Information on status: application discontinuation

Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION