A TWO-WAY VACUUM ASSISTED CLOSURE SYSTEM

Abstract

Disclosed is a two-way vacuum assisted closure system in the medical field which eliminates leakages based on the upper gastrointestinal system organs such as the stomach and intestine after stab wounds and/or wounds after surgical operations.

Claims

1. A two-way vacuum assisted closure system which eliminates the leakages based on organs in the surgical operation complications, comprising: a vacuum device which enables vacuuming process with negative pressure; an organ protective sponge which will be placed up to the grooves in a manner such that it is joined with the colon within the abdomen and transfers the fluids accumulated herein; an elliptical sponge which is placed onto the organ protective sponge and transfers the absorbed fluids received from the organ protective sponge; an adhesive cover which prevents air entrance by means of sticking onto the elliptical sponge and onto the abdomen front wall skin on both sides of the open abdomen and enables a closed negative pressure environment by means of cutting the atmosphere contact; a connection hose which is pasted onto the adhesive cover, transfers the negative pressure provided by the vacuum device to the elliptical sponge and the organ protective sponge and transfers the gathered fluids; characterized by further comprising: an organ protective additional sponge whose one end is placed onto or next to the damaged tissue causing leakage and other end is removed out of the closest side wall to the damaged tissue, transfers the leakages by means of gathering the leakages coming through the damaged organs; an organ non-protective additional sponge which is placed on the organ protective additional sponge and transfers the fluids accumulated on the organ protective additional sponge; an additional adhesive cover which prevents air entrance within the abdomen by sticking onto the organ protective additional sponge which is removed out of the abdomen side wall and onto abdomen side wall skin and provides a negative atmosphere pressure by means of cutting the atmosphere contact; and an additional connection hose which is pasted on the additional adhesive cover and transmits the negative pressure provided by the vacuum device to the organ non-protective additional sponge and the organ protective additional sponge and transfers the gathered fluids.

2. The two-way vacuum assisted closure system according to claim 1, comprising a six-arm organ protective sponge.

3. The two-way vacuum assisted closure system according to claim 1, comprising a single-arm organ protective additional sponge.

4. The two-way vacuum assisted closure system according to claim 1, comprising an armless organ non-protective additional sponge.

5. The two-way vacuum assisted closure system according to claim 1, comprising micropores on the organ protective additional sponge for the passage of the fluids.

6. The two-way vacuum assisted closure system according to claim 1, comprising a pressure value sensor measuring pressure of the additional connection hose.

Description

FIGURES CLARIFYING THE INVENTION

[0022] FIG. 1 is a demounted view of the inventive the two-way vacuum assisted closure system elements.

[0023] FIG. 2 is a view of the inventive the two-way vacuum assisted closure system which is applied on the patient.

DESCRIPTION OF PART REFERENCES

[0024] 1. Vacuum device [0025] 2. Organ protective sponge [0026] 3. Elliptical sponge [0027] 4. Adhesive cover [0028] 5. Connection hose [0029] 6. Organ protective additional sponge [0030] 7. Organ non-protective additional sponge [0031] 8. Additional adhesive cover [0032] 9. Additional connection hose

DETAILED DESCRIPTION OF THE INVENTION

[0033] In this detailed description, preferred embodiments of the inventive the two-way vacuum assisted closure system are described only for clarifying the subject matter.

[0034] The vacuum device (1) which enables vacuum process seen in FIG. 1, which is chargeable and operates with electric, enables continuous or intermittent negative pressure.

[0035] 6-armed organ protective sponge (2) is placed up to the grooves next to the colon on both sides within the abdomen. Both surfaces of the organ protective sponge (2) are covered with double-layer internal organ protective layers which are made of aromatic thermoplastic polyurethanes. On these organ protective layers, there are micropores changing between 400 to 600 micron lengths for the passage of the fluids. The organ protective sponge (2) transfers the cytokine loaded fluids within the abdomen to the elliptical sponge (3) by means of absorbing thereof with the micropores.

[0036] The elliptical sponge (3) which has an elliptical shape applied on the organ protective sponge (2), is a complementary sponge layer for the temporary abdomen closure which is at the same level with the skin level, transfers the fluids coming from the organ protective sponge (2) layer to the connection hose (5). The bottom surface of the elliptical sponge (3) is brought to the same level with the abdomen connective tissue; upper surface is brought to the same level with the skin. Also, because the elliptical sponge (3) does not have any contact with the internal organs, the internal organ is not required to be covered by the protective layer.

[0037] The adhesive cover (4) prevents air entrance by means of sticking to the elliptical sponge (3) and on the skin of the front wall of the abdomen on both sides of the open abdomen. The adhesive cover (4) provides a closed negative pressure by means of cutting the contact with the atmosphere totally.

[0038] The connection hose (5), transfers the negative pressure, which is provided by the vacuum device (1), to the elliptical sponge (3) and the organ protective sponge (2). There are pressure sensors within the connection hose (5) and the applied pressure is measured by means of these pressure sensors.

[0039] The organ protective additional sponge (6) has a similar structure alike the organ protective sponge (2) and has one arm. Both surfaces are covered with double layer internal organ protective layers made of aromatic thermoplastic polyurethane. On these organ protective layers, there are micropores changing between 400 to 600 micron lengths for the passage of the fluids. It transfers the leakages coming from the damaged organ to the organ non-protective additional sponge (7) which is located on the skin at the abdomen side wall in a shorter manner.

[0040] The organ non-protective additional sponge (7) is a sponge which has a rectangular shape applied on the organ protective additional sponge (6) which is removed out of the abdomen side wall and does not have an organ protective cover on it. It transfers the fluids coming through the organ protective additional sponge (6) to the additional connection hose (9).

[0041] The additional adhesive cover (8) prevents air entrance by means of sticking onto the organ protective additional sponge (6) which is removed out of the abdomen side wall and onto the abdomen side wall skin. The additional adhesive cover (8) thus provides a closed negative pressure environment by means of passing its contact with the atmosphere totally.

[0042] The additional connection hose (9) transfers the negative pressure which is provided by the vacuum device (1) to the organ protective additional sponge (6) removed out of the abdomen side wall. There are pressure sensors within the additional connection hose (9) and the value of the applied pressure is measured by means of these pressure sensors.

[0043] In the invention, one end of the organ protective additional sponge (6) which is added to the current technique is placed immediate onto or next the surface of the damaged tissue which causes leakage and the other end is removed out of the closest abdomen side wall to the damaged tissue. 50-100 mmHg negative pressure is applied to the end out of the abdomen. Preferred pressure value is generally 75 mmHg. Since the organ protective additional sponge (6) is short, it is transmitted to the end of the organ protective additional sponge (6) which is in contact with the damaged tissue at the applied negative pressure value. The small intestine content loaded with cytokines leaked from the damaged tissue is taken outside in a shorter manner by means of a 75 mmHg negative pressure value without the accumulation in the abdomen. The leakages never contaminate the other sections of the abdomen. The remaining portion of the abdomen out of the region where there is leakage remains clean. Peritonitis development is not possible since leakage contamination is not present. The product of the current technique applied on the central portion of the abdomen operates in a continuous mode in a manner such that there is a negative pressure with a second collecting hose. The negative pressure value applied on the central portion is 75-125 mmHg. Together with 75 mmHg pressure applied immediate onto and next to the damaged tissue with the organ protective additional sponge (6), since the micro vascular circulation is increased in the damaged tissue in an effective manner granulation develops in a faster manner and the damaged tissue which causes leakage is recovered by means of the granulation tissue in a fast manner.

[0044] Usage of the Closure System Subject to the Invention;

[0045] After the open abdomen is washed and cleaned by means of a warm physiological saline solution, in the leakages occurred in the region where the esophagus passes through the diaphragm muscle, the organ protective additional sponge (6) which is placed on the left bottom portion of the diaphragm muscle in a manner such that it comes next to this region is take out of the abdomen from the left side wall of the abdomen and bottom portion of the costa spring. The other end of the organ protective additional sponge (6), is taken out of the abdomen from the left side wall of the abdomen and bottom portion of the costa spring in the leakages between the region where the esophagus passes through the diaphragm muscle and the stomach, is taken out of the abdomen from the abdomen right side wall and bottom portion of the costa spring in the leakages of duodenum. The organ protective sponge (2) is placed up to the combined grooves with the colon at sides in the open abdomen. The elliptical sponge (3) is at the connective tissue level at the bottom and at the skin level at the upper portion, together with the adhesive cover (4), the organ non-protective elliptical sponge (3) and the abdomen front wall skin on both sides of the cut made to the abdominal region are covered. The organ non-protective additional sponge (7) is placed onto the end of the organ protective additional sponge (6) which is removed out of the abdomen in a manner such that there remains an organ protective layer between the skin and the organ protective additional sponge (6) is pasted on the skin by means of the additional adhesive cover (8). The circular gap with 2-3 cm diameter on the adhesive cover (4) on the middle portion of the open abdomen can only be formed by means of cutting the adhesive cover (4). A connection hose (5) is pasted onto this gap with a circular shape. The connection hose (5) is connected with the vacuum device (1). The circular form gap with 2-3 cm on the additional adhesive cover (8) corresponds on the organ non-protective additional sponge (7) can only be formed by means of cutting the additional adhesive cover (8). An additional connection hose (9) is pasted onto this circular form gap and the additional connection hose (9) is connected to the vacuum device (1). The vacuum device is operated by means of adjusting 75-125 mmHg negative pressure values.