CONTINUOUS WOUND DRESSING WITH PLASMA ELECTRODE

Abstract

The invention relates to a treatment device for dielectric harrier discharge plasma treatment of a wound surface or skin surface, having: a flexible, planar electrode assembly with at least one planar electrode (6, 6′) and a dielectric layer (5) which at least partially embeds the at least one electrode (6, 6′), has a contact side (7) facing the wound surface or skin surface and electrically shields the planar electrode (6, 6′) from the wound surface or skin surface such that only a dielectric barrier current can flow from the electrode (6, 6′) to the wound surface or skin surface; and a control device (2) which has a separate housing (25) and via which the electrode (6, 6′) can he connected to an operating voltage. The treatment device allows simpler wound treatment in that the assembly of electrode (6, 6′) and dielectric layer (5) is designed for uninterrupted contact with the wound surface or skin surface and that the housing (25) of the control device (2) can be fastened with a fastening device (3, 3′) to the body having the wound surface or skin surface.

Claims

1. A treatment apparatus for a dielectric barrier plasma treatment of a wound surface or skin surface, comprising: a flexible planar electrode arrangement with at least one planar electrode and a dielectric layer, which at least partially embeds the at least one planar electrode, wherein the flexible planar electrode arrangement comprises an application side configured to face toward a wound surface or skin surface, and electrically shields the at least one planar electrode from the wound surface or skin surface in such a way that only a dielectric barrier current can flow from the at least one planar electrode to the wound surface or skin surface, wherein the dielectric layer includes a plurality of through-openings; an air tight cover positioned over the through-openings in the dielectric in a gas-tightly sealed manner which delimits a fluid space communicating with the through-openings; a line connected to the cover; a control apparatus, which contains a pump and comprises a separate housing, by means of which the at least one planar electrode is connectable to an operating voltage; and, a container for receiving or releasing liquid transported by the pump which is replaceably connected to one or more of the pump and the housing, wherein the pump is connectable to the fluid space by the line connected to the cover, wherein the flexible planar electrode arrangement is configured for uninterrupted application on the wound surface or skin surface, and wherein the housing of the control apparatus is fastenable by a fastening device on a body comprising the wound surface or skin surface.

2-3. (canceled)

4. The treatment apparatus as claimed in claim 1 wherein the fluid space is at least partially filled with a liquid-absorbent material.

5. The treatment apparatus as claimed in claim 3, wherein a flow path in the control apparatus has the container preceding the pump.

6. The treatment apparatus as claimed in claim 5, further comprising a gas-permeable, liquid-retaining filter in the container in the flow path toward the pump.

7. (canceled)

8. The treatment apparatus as claimed in claim 1 wherein the flexible planar electrode arrangement forms a tongue-shaped connecting piece, which is insertable as a narrow web and fixable in a reception slot of the control apparatus in order to establish an electrical connection between the operating voltage and the at least one planar electrode.

9. The treatment apparatus as claimed in claim 1 further comprising a control button for releasing a connection between the flexible planar electrode arrangement and the control apparatus.

10. The treatment apparatus as claimed in claim 1 wherein the control apparatus is configured to permit the operating voltage delivered to the at least one planar electrode to include high-voltage signals.

11. The treatment apparatus as claimed in claim 1 wherein the at least one planar electrode and the dielectric layer are contained in an integral application piece.

12. The treatment apparatus as claimed in claim 11 wherein the control apparatus is configured to permit the operating voltage delivered the at least one planar electrode to be an alternating current (AC) voltage which reaches the at least one planar electrode via a high-voltage stage which is arranged on the application piece.

13. The treatment apparatus as claimed in claim 1 wherein the control apparatus comprises a battery voltage supply which provides an output direct current (DC) voltage which is converted into alternating current (AC) voltage signals in the control apparatus by an inverter stage.

Description

[0018] The invention will be described in more detail below with the aid of exemplary embodiments represented in the drawing, in which:

[0019] FIG. 1 shows a schematic plan view of a first embodiment of a treatment apparatus having an aspiration device;

[0020] FIG. 2 shows a side view of the treatment apparatus according to FIG. 1;

[0021] FIG. 3 shows a schematic representation of the construction of the control apparatus of the first embodiment;

[0022] FIG. 4 shows a schematic plan view of a second embodiment of a treatment apparatus;

[0023] FIG. 5 shows a side view of the embodiment according to FIG. 4;

[0024] FIG. 6 shows a schematic representation of the construction of the control apparatus according to the second embodiment;

[0025] FIG. 7 shows a plan view of an application piece for the first and second embodiments;

[0026] FIG. 8 shows a height section through the application piece;

[0027] FIG. 9 shows a view of the application piece from the application side (from below);

[0028] FIG. 10 shows a view from below of an application side of an electrode arrangement having a single planar electrode, a high-voltage stage being integrated into the dielectric layer;

[0029] FIG. 11 shows a height section through the arrangement according to FIG. 10;

[0030] FIG. 12 shows a view of the application side of an electrode arrangement having two electrodes, both of which are supplied in phase opposition with high-voltage signals which are generated in a high-voltage stage which is integrated into the application piece;

[0031] FIG. 13 shows a height section along the line A-A in FIG. 12;

[0032] FIG. 14 shows a plan view of a third embodiment of the treatment apparatus, in which no aspiration with a pump takes place;

[0033] FIG. 15 shows a side view of the embodiment according to FIG. 14;

[0034] FIG. 16 shows a schematic representation of the construction of the control apparatus for the third embodiment.

[0035] The first embodiment, represented in FIGS. 1 to 3, shows an application piece 1 which is connected directly to a control apparatus 2. The control apparatus 2 is provided with a fastening device 3 in the form of a fastening loop, in order to apply the control apparatus 2 on a patient's body.

[0036] The application piece 1 consists of a frame-shaped edge piece 4, which is provided on a lower side with a pressure-sensitive adhesive and is provided for adhesive application on a patient's skin, optionally around a wound surface. The edge piece 4 protrudes on all sides beyond a dielectric layer 5, which is configured in a planar and flexible manner and embeds a planar and flexible electrode 6 and shields against contact on all sides. The dielectric layer 5 prevents a direct galvanic current flowing from the electrode 6 to the patient's skin, which acts as a counter electrode, when the dielectric layer is applied with its lower side (application side 7) on the patient's skin in the region of a wound surface or skin surface. On the upper side of the dielectric layer 5, i.e. on the side opposite the application side, the dielectric layer 5 is covered in an airtight manner with a gas-tight cover 8. The cover does not reduce the flexibility of the application piece 1 and is, for example, configured in the form of a film. A suction cup 9, to which a tube line 10 that leads to the control apparatus 2 is connected, is arranged on an opening of the cover 8.

[0037] The electrode 6 and the dielectric layer 5 together form a tongue-shaped appendage 11, with which the electrode 6 enclosed by the dielectric layer 5 is inserted into the control apparatus 2. The control apparatus 2 is provided with a button 12, by which the connection of the tongue-shaped appendage 11 to the control apparatus 2 can be released. FIG. 1 furthermore shows an on/off button 13 and also two display lights 14 for displaying operating states of the control apparatus 2.

[0038] FIG. 2 furthermore illustrates that the control apparatus 2 may also be fixed on the patient's body by means of a further fastening device 3′, here in the form of a suction cup. The fastening devices 3 and 3′ therefore cooperate in order to fix the control apparatus 2 on the patient's body. The control apparatus 2 represented in FIG. 3 is represented as a wireless apparatus and comprises three batteries 15, with which a battery supply voltage is produced. The supply voltage from the batteries 15 travels to a microcontroller 16, which controls the running of the control apparatus 2. The microcontroller 16 controls an inverter stage 17 with which, in a manner known per se, an AC voltage with an increased peak voltage of for example 250 V is generated from the DC voltage of the batteries 15. The inverter stage 17 supplies, via a first output 18, a high-voltage stage 19 in which high-voltage pulses of a few tens of kV with opposite polarity are generated. This is carried out in a manner known per se with the aid of discharge paths (not shown) which, when a threshold voltage is exceeded, ignite and cause a current pulse through a primary coil. A secondary coil wound with a suitable transformer ratio makes it possible to form a high-voltage pulse at its output, which is conducted to a contact 20 of a contact instrument 21. The contact instrument 21 may be locked and unlocked by the button 12.

[0039] A second output 22 of the inverter stage 17 supplies a suction pump 23, which protrudes with a tube adapter 24 out from a housing 25 enclosing the control apparatus 2 and allows connection to the tube line 10.

[0040] The switching of the high-voltage supply on and off by the high-voltage stage 19 may expediently be controlled by a program stored in the microcontroller 16. For example, the plasma treatment may be carried out over a duration of from 1 to 2 minutes, which may respectively be followed by a pause of several hours. Furthermore, the aspiration by the suction pump 23 may suitably be controlled periodically, for example in each case for a few seconds at time intervals of between 10 and 60 minutes in the case of acutely weeping wounds.

[0041] In the embodiment represented in FIGS. 4 to 6, an almost identical construction of the application piece 1 and of the control apparatus 2 is produced. The only difference is that the suction pump 23 comprises an attached container 26, which comprises a reception chamber (illustrated by symbol 27) and a filter (illustrated by symbol 28). Aspirated liquid is collected in the reception chamber 27 of the container 26. The filter 28 prevents the aspirated liquid from entering the suction pump 23. After the end of the treatment, the container 26 may be released from the pump 23 and disposed of with the aspirated liquid. FIG. 6 shows that the container 26 is arranged between the pump 23 and the connection adapter 24.

[0042] FIGS. 7 to 9 illustrate the construction of the application piece 1 in an enlarged representation. In particular, it can be seen that the dielectric layer 5 forms a grid-like structure 29 on the application side 7, which structure is formed by mutually perpendicular intersecting webs 30 of equal height. Chambers 31 open toward the application side 7 are thereby formed, which are shielded on their upper side by a continuous sheet of the dielectric layer 5 from the electrode 6 embedded in the dielectric layer 5. The shape of the chambers 31 may also be configured as a rhombus, a honeycomb or also round. Centrally in the chambers 31, the dielectric layer respectively comprises a through-opening 32, which open into an aspiration space 33 that is delimited by the cover 8 on the one hand and the dielectric layer 5 on the other hand. The aspiration space 33 may be filled with an absorbent material which transmits the air aspiration flow through the suction pump 23 but stops the aspirated liquid. Filling of the aspiration space 33 with a liquid-absorbing material is advantageous in particular when, according to the first embodiment, the suction pump 23 is used without a preceding container 26.

[0043] The sectional representation of FIG. 8 shows that the electrode 6 also comprises through-openings, which are aligned with the through-openings 32 but have a larger diameter so that the dielectric layer 5 continuously forms the wall of the through-openings 32, so that direct contact of liquid with the electrode 6 carrying the high voltage cannot take place. The thickness, located in the through-openings 32, of the dielectric layer 5 is large enough that voltage breakdowns or microdischarges are reliably avoided.

[0044] FIGS. 7 and 9 show that the cover 8 extends over the entire region of the electrode 6 and of the dielectric layer 5 in which the through-openings 32 are located. The aspiration space 33 therefore communicates with the through-openings 32, but in other regards seals the dielectric layer 5 in the region of the aspiration space 33 in a gas-tight manner.

[0045] The tongue-shaped appendage 11 which can be seen in FIG. 7 contains a strip-shaped appendage of the electrode 6, which appendage is fully enclosed by the dielectric layer 5 with the exception of the recess 34 which can be seen in FIG. 7, through which a small piece of the electrode 6 is exposed toward the upper side. The tongue-shaped appendage 11 is inserted into the corresponding reception slot of the control apparatus 2, so that the contacting with the contact 20 can take place at a distance from the slot inside the housing 25 of the control apparatus.

[0046] FIGS. 10 and 11 show the application piece 1 from the application side, where the dielectric layer comprises the grid structure 29. Also extending in the region of the grid structure 29 is the extent of the electrode 6, which in this exemplary embodiment is connected by a flat appendage 35 to the output of a high-voltage stage 36, which in this embodiment is located inside the dielectric layer 5 in the application piece 1. Accordingly, the application piece 1 according to FIG. 10 is merely supplied with an AC voltage, such as is available for example at the outputs 18, 22 of the inverter stage 17 in the embodiments of FIGS. 1 to 6.

[0047] The high-voltage stage 36 is preferably integrated into the material of the dielectric layer 5, which to this end may be configured with an enlarged thickness at the edge in which the high-voltage stage 36 is located, as illustrated in the sectional representation of FIG. 11, in which the relevant edge can be seen as a view.

[0048] It is readily apparent that the inverter stage 17 too may be integrated into the material of the dielectric layer 5, so that the control apparatus 2 in this case would merely have to deliver the DC voltage supply.

[0049] It is furthermore clear to the person skilled in the art that not only integration of the high-voltage stage 36 and optionally the inverter stage 17 into the material of the dielectric layer 5 is possible, but also arrangement of the high-voltage stage 36 and optionally the inverter stage 17 with microcomponents on the dielectric layer 5 as a carrier, if a cover, preferably in flexible form, is applied onto the dielectric layer 5 in this case in order to ensure contact protection of the components.

[0050] In the modification of the application piece as represented in FIGS. 12 and 13, two electrodes 6, 6′ are provided which are separated from one another by insulating sections 37 of the dielectric layer 5.

[0051] The two electrodes 6, 6′ preferably both operate as high-voltage electrodes and are driven with oppositely poled high-voltage pulses. The effect of the plasma field is due to the fact that both electrodes use the patient's body as a counter electrode, but between the two electrodes there is an enhanced electric field which amplifies and promotes the plasma formation.

[0052] It is, however, also conceivable to connect the electrodes 6, 6′ in such a way that the electrode 6′ functions as a counter electrode for the electrode 6, so that the plasma field is formed only by a surface discharge between the electrodes 6, 6′. For a wound treatment, however, in almost all cases it is appropriate to use the skin with the patient's wound as a counter electrode.

[0053] The embodiment represented in FIGS. 14 to 16 corresponds to the embodiment according to FIG. 1, but without suction pump 23. The removal of the wound secretion via the through-openings 32 is in this case carried out exclusively by the absorbent material in the aspiration space 33.

[0054] The described embodiments do not restrict the possible refinements of the treatment apparatus according to the invention. In particular, it is not necessary to contact the application piece 1 directly with the control apparatus via the tongue-shaped appendage 11. Furthermore, it is not necessary to produce a releasable connection between application piece 1 and control apparatus 2, if the control apparatus 2 is disposed of together with the application piece 1 after the end of the treatment. In this case, a fixed or clamping, non-releasable connection between application piece 1 and control apparatus 2 is possible and appropriate.