System and methods for stimulating cartilage formation at a first tissue site through a second tissue site is presented. The system includes a fluid source for supplying a therapeutic solution, a reduced pressure source for supplying reduced pressure, a fluid delivery manifold for deploying adjacent the first tissue site, and a vacuum manifold for deploying within the second tissue site. The fluid delivery manifold extends between a proximal end fluidly coupled to the fluid supply and a distal end having at least one aperture for delivering the therapeutic solution to the defect adjacent the articulating surface of the first tissue site. The vacuum manifold extends between a proximal end fluidly coupled to the reduced pressure source and a distal end having at least one aperture for delivering the reduced pressure to the first tissue site adjacent the opposing surface of the first tissue site.

Systems, apparatuses, and methods for providing negative pressure with instillation fluids to a tissue site are disclosed. Some embodiments are illustrative of an apparatus or system for delivering negative-pressure and/or therapeutic solution of fluids to a tissue site, which can be used in conjunction with sensing properties of fluids extracted from a tissue site and/or instilled at a tissue site. For example, a system may comprise a tissue interface adapted to be coupled to a source of instillation fluid and a dressing interface having a therapy cavity that includes a pH sensor, a humidity sensor, a temperature sensor, and a pressure sensor embodied on a single pad within the dressing interface to provide data indicative of acidity, humidity, temperature and pressure at the tissue site. Such apparatus may further comprise algorithms for processing such data for detecting leakage and blockage conditions as well as providing information relating to the progression of healing of wounds at the tissue site. An illustrative method may comprise disposing the tissue interface at the tissue site and the therapeutic cavity in fluid communication with the tissue interface. The method may further comprise instilling fluid to the therapy cavity and then sensing the pressure, humidity, temperature, and the pH of the fluids adjacent the tissue interface. The method may further comprise determining various flow characteristics of the system by using a processing element electrically coupled to the sensors for transmitting property signals from the sensors to a controller configured to assess the property signals in order to identify the flow characteristics.

A dressing for an internal cavity may include a connector, a negative pressure pathway layer, an instillation pathway layer, a negative pressure manifold, and an instillation manifold. The negative pressure manifold can be disposed within the negative pressure pathway layer and the instillation manifold can be disposed within the instillation pathway layer. A proximate end of the negative pressure manifold can be fluidly coupled with a first channel of the connector. The proximate end of the instillation manifold can be fluidly coupled with a second channel of the connector. The negative pressure pathway layer and the instillation pathway layer can be configured to cooperatively form an inner volume therebetween. The inner volume may be configured to receive a space filler. The negative pressure pathway layer, the instillation pathway layer, and the space filler can be collectively configured to be positioned within the internal cavity.

A biopsy device includes a disposable elongated probe component having a coaxial arrangement of an elongated tubular section and an elongated tissue cutting member, and having a coaxial arrangement of a first driven gear, a second driven gear, and a third driven gear. The first driven gear is configured to rotate the elongated tubular section. The second driven gear is configured to rotate to longitudinally move the elongated tissue cutting member. The third driven gear is configured to rotate or oscillate the elongated tissue cutting member. A driver component has a coaxial arrangement of a first drive gear, a second drive gear, and a third drive gear. The first drive gear is drivably engaged with the first driven gear. The second drive gear is drivably engaged with the second driven gear. The third drive gear is drivably engaged with the third driven gear.

A wound irrigation system and method of making and using. The system uses a pored, closed-ended delivery conduit to enhance the consistency and speed with which anti-microbial or related irrigation fluids may be delivered in order to promote cleansing, debridement and biofilm reduction in wounds. The ease of use of the system as a moist wound healing cascade makes it applicable to both in-home and in-facility environments that is not offered through traditional instillation negative pressure systems. In one form, the fluid delivery conduit is used as part of a dual-conduit approach in order to also help promote the removal of drainage, waste, irrigation overflow or other fluid from the wound. Utilization of such a pored, closed-ended delivery conduit in conjunction with a separate drainage conduit infusing helps reduce the frequency of dressing changes as well as the likelihood of microorganism formation and colonization.

In some embodiments, a negative pressure wound closure system and methods for using such a system are described. Certain disclosed embodiments facilitate closure of the wound by preferentially contracting to exert force on the tissue. Some embodiments may utilize a collapsible structure with a plurality of cells.

A hydrotherapy device for treating a wound on a surface of a patient's body is provided. A body of the hydrotherapy device includes a wall having an outer surface, an inner surface, and a chamber defined by the inner surface. The wall further includes an internal void, a first port extending fully through the wall and in communication with the void, a second port extending from the outer surface partially through the wall and in communication with the void, and a plurality of channels, each extending from the void to the inner surface. A central axis of each channel forms an angle at the inner surface.

Systems, apparatuses, and methods for providing negative pressure to a tissue site are disclosed. Some embodiments are illustrative of an apparatus or system for delivering negative-pressure to a tissue site that can be used in conjunction with sensing properties of fluids extracted from a tissue site. For example, an apparatus may comprise a dressing interface or connector that includes a pH sensor, a humidity sensor, a temperature sensor and/or a pressure sensor embodied on a single pad within the connector and proximate the tissue site to provide data indicative of acidity, humidity, temperature and pressure. Such apparatus may further comprise an ambient port for providing the pressure sensor and the humidity sensor with access to the ambient environment providing readings relative to the atmospheric pressure and humidity.

A wound therapy system includes a dressing sealable over a wound and defining a wound space between the dressing and the wound, tubing fluidly communicable with the wound space, and a canister fluidly communicable with the tubing. The canister, the tubing, and the dressing define a sealed space that includes the wound space. The wound therapy system also includes a therapy unit coupled to the canister. The therapy unit includes a sensor configured to measure a pressure in the sealed space, a valve positioned between the sealed space and a surrounding environment and controllable between an open position and a closed position, and a control circuit. The control circuit is configured to control the valve to alternate between the open position and the closed position to allow airflow through the valve, receive measurements from the sensor, and determine a volume of the wound space based on the measurements.

An apparatus for negative pressure treatment and instillation of wounds. The apparatus includes a dressing for covering a wound in a fluid-tight manner, a drain line for extracting fluid from the wound, a negative pressure unit for generating negative pressure in the drain line, an instillation line for providing an instillation fluid, an optional rinse line for providing a rinse fluid, and a main line connected to the dressing. The main line (60) has a single lumen and is connectable via a connection element (64) to two of the following lines, drain line (20), instillation line (40), and rinse line (50). Also, a method for operating this apparatus.