pH indicator device and formulation

Abstract

Disclosed herein are devices and methods for determining the pH of fluid. Example devices include a device comprising a surface configured to contact the fluid and a pH indicator covalently bound thereto, wherein the pH indicator has a first color prior to contact with the fluid and changes color as a function of the pH of the fluid.

Claims

1. A wound dressing configured to determine the pH of a fluid, the wound dressing comprising: an absorbent layer configured to be positioned over a wound; a pH indication layer over the absorbent layer, the pH indication layer comprising a pH indicator covalently immobilized thereon; wherein the pH indicator is configured to have a first color prior to contact with the fluid and changes color as a function of the pH of the fluid; and wherein the pH indicator comprises 2-[(4-(2-hydroxyethylsulfonyl)-phenyl)diazenyl]-4-methylphenol and 4-[4-(2-hydroxyethylsulphonyl)-phenylazo]-2,6-dimethoxy phenol in about a 2:1 ratio.

2. The wound dressing according to claim 1, wherein the color change in the pH indicator is detectable at a 0.1 unit interval change in pH.

3. The wound dressing according to claim 2, wherein the color change in the pH indicator is detectable between about pH 5 and about pH 10.

4. The wound dressing according to claim 3, wherein the color change in the pH indicator is detectable between about pH 5.5 and about pH 9.5.

5. The wound dressing according to claim 1, wherein the wound dressing comprises a cellulosic material.

6. A wound dressing, comprising: a wound-contacting surface, an opposing non-wound contacting surface, a pH indication zone comprising a pH indicator covalently bound therein, which indicates the pH of a fluid, wherein the color of the pH indicator changes in response to a change in the pH of the fluid; an adhesive layer; at least one conduit for directing fluid towards the pH indication zone, the conduit configured to wick fluid directly to the pH indication zone without altering the pH of the fluid; and wherein the pH indicator comprises 2-[(4-(2-hydroxyethylsulfonyl)-phenyl)diazenyl]-4-methylphenol and 4-[4-(2-hydroxyethylsulphonyl)-phenylazo]-2,6-dimethoxy phenol in about a 2:1 ratio.

7. The wound dressing according to claim 6, wherein the device has an outer surface and wherein a pH indication zone is located at or near the outer surface.

8. The wound dressing according to claim 7, wherein the device has a peripheral edge extending between the fluid-contacting surface and the opposing non-fluid contacting surface and wherein the outer surface is the peripheral edge.

9. The wound dressing according to claim 6, wherein the at least one conduit directs fluid laterally towards the pH indication zone.

10. The wound dressing according to claim 6, wherein the color change in the pH indicator is detectable at a 0.1 unit interval change in pH.

11. The wound dressing according to claim 10, wherein the color change in the pH indicator is detectable between about pH 5 and about pH 10.

12. The wound dressing of claim 1, further comprising a flexible transparent layer positioned over the pH indication layer.

13. The wound dressing of claim 12, wherein the pH indication layer comprises an adhesive.

14. The wound dressing of claim 13, wherein the pH indicator is covalently bound to the adhesive.

15. The wound dressing of claim 1, wherein the wound dressing is configured to connect to a source of negative pressure.

16. The wound dressing of claim 6, wherein the wound dressing is configured to connect to a source of negative pressure.

Description

DESCRIPTION OF THE DRAWINGS

(1) The foregoing and other objects and advantages will be appreciated more fully upon consideration of the following detailed description, taken in conjunction with the accompanying drawings, in which like reference numbers refer to like parts throughout. These depicted embodiments are to be understood as illustrative and not limiting in any way:

(2) FIGS. 1A and 1B are side cross-sectional views of an illustrative device having a pH indicator, the colour of which changes as a result of alterations in the pH of a fluid.

(3) FIGS. 2A and 2B are side cross-sectional views of an illustrative device in which a fluid is guided via a conduit to a pH indication zone which includes a pH indicator, the colour of the indicator changes as an indication of the pH of the fluid.

(4) FIG. 3 is a photograph of a Post-Op sample dyed with GJM-514, illustrating changes in colour of the dye in response to solution changing pH along a pH unit interval scale.

(5) FIGS. 4A-F are graphic representations of colour pen measurements for the Post-Op sample illustrated in FIG. 3.

(6) FIG. 5 is a photograph of a Post-Op sample dyed with a first combination of dyes, illustrating changes in colour of the dye combination in response to a solution changing pH along a pH unit interval scale.

(7) FIGS. 6A-D are graphic representations of colour pen measurements for the Post-Op sample illustrated in FIG. 5.

(8) FIG. 7 is a photograph of a Post-Op sample dyed with a second combination of dyes, illustrating changes in colour of the dye combination in response to a buffered solution changing pH along a pH unit interval scale.

(9) FIGS. 8A-E are graphic representations of the colour pen measurements for the Post-Op sample illustrated in FIG. 7.

(10) FIG. 9 is a photograph of a Post-Op sample dyed with a third combination of dyes, illustrating changes in colour of the dye combination in response to a buffered solution changing pH along a pH unit interval scale.

(11) FIGS. 10A-F are graphic representations of the colour pen measurements for the Post-Op sample illustrated in FIG. 9.

(12) FIG. 11 is a photograph of a Post-Op sample dyed with a fourth combination of dyes, illustrating changes in colour of the dye combination in response to a buffered solution changing pH along a pH unit interval scale.

(13) FIGS. 12A-E are graphic representations of the colour pen measurements for the Post-Op sample illustrated in FIG. 11.

(14) FIGS. 13A-F are photographs of pH sensitive gauze in ex-vivo wound model with alternating pH 5 and pH 8 horse serum being pumped in.

(15) FIG. 13A is a photograph of pH 5 after 2.5 hours approx.

(16) FIG. 13B is a photograph of pH 5 after 5.5 hours approx.

(17) FIG. 13C is a photograph of pH 8 after 8 hours approx.

(18) FIG. 13D is a photograph of pH 5 after 3.5 hours approx.

(19) FIG. 13E is a photograph of pH 5 after 5.5 hours approx. with the flow rate of horse serum increased at 3.5 hours.

(20) FIG. 13F is a photograph of pH 5 after 7.5 hours with the flow rate of horse serum increased at 3.5 hours and at 5.5 hours.

(21) FIGS. 14A to F are photographs of pH sensitive foam (V.A.C. WhiteFoam trade mark of KCI) in an ex-vivo wound model with alternating pH 5 and pH 8 horse serum being pumped in.

(22) FIG. 14A is a photograph at pH 5 after 2.5 hours approx.

(23) FIG. 14B is a photograph at pH 5 after 5.5 hours approx.

(24) FIG. 14C is a photograph at pH 8 after 15 hours approx.

(25) FIG. 14D is a photograph at pH 5 after 3.5 hours approx.

(26) FIG. 14E is a photograph at pH 5 after 5.5 hours approx., with the flow rate of horse serum increased at 3.5 hours.

(27) FIG. 14F is a photograph at pH 5 after 7.5 hours approx., with the flow rate of horse serum increased at 3.5 hours and at 5.5 hours.

(28) FIGS. 15A to E are photographs of pH sensitive gauze in an ex-vivo wound model with alternating basic and acidic water being pumped in.

(29) FIG. 15A is a photograph at 8 am Day 1 showing basic pH.

(30) FIG. 15B is a photograph at 12:57 pm Day 1 (5 hours) showing basic pH.

(31) FIG. 15C is a photograph at 08:03 am Day 2 (24 hours) showing basic pH.

(32) FIG. 15D is a photograph at 12:41 pm Day 2 (5 hours) showing acidic pH.

(33) FIG. 15E is a photograph at 15:06 Day 2 (7 hours) showing acidic pH.

(34) FIG. 15F is a photograph at 16:47 Day 2 (9 hours) showing acidic pH.

(35) FIGS. 16A to F are photographs of pH sensitive foam in an ex-vivo wound model with alternating basic and acidic water being pumped in.

(36) FIG. 16A is a photograph at 8 am Day 1 showing basic pH.

(37) FIG. 16B is a photograph at 12:57 pm Day 1 (5 hours) showing basic pH.

(38) FIG. 16C is a photograph at 08:03 am Day 2 (24 hours) showing basic pH.

(39) FIG. 16D is a photograph at 09:06 Day 2 (1 hour) showing acidic pH.

(40) FIG. 16E is a photograph at 15:06 Day 2 (7 hours) showing acidic pH.

(41) FIG. 16F is a photograph at 16:47 Day 2 (9 hours) showing acidic pH.

(42) FIGS. 17A to H are photographs of pH sensitive foam in a clear Perspex wound model with alternating basic and acidic water.

(43) FIG. 17A is a photograph at 8 am Day 1 showing basic pH.

(44) FIG. 17B is a photograph at 12:56 Day 1 (5 hours) showing basic pH.

(45) FIG. 17C is a photograph at 16:20 Day 1 (8.5 hours) showing basic pH.

(46) FIG. 17D is a photograph at 8:02 am Day 2 (24 hours) showing basic pH.

(47) FIG. 17E is a photograph at 09:05 am Day 2 (1 hour) showing acidic pH.

(48) FIG. 17F is a photograph at 10:50 am Day 2 (3 hours) showing acidic pH.

(49) FIG. 17G is a photograph at 13:26 Day 2 (5.5 hours) showing acidic pH.

(50) FIG. 17H is a photograph at 15:05 Day 2 (7 hours) showing acidic pH.

DETAILED DESCRIPTION

(51) To provide an understanding of the devices and methods describe herein, certain illustrative embodiments and examples will now be described.

(52) FIG. 1A depicts a device 100 having a fluid-contacting surface 102 and an opposing non-fluid-contacting surface 104. FIG. 1B depicts the device 100 being brought into contact with a fluid 106. The device 100 can be made of any material that is suitable for contact with the fluid without disintegrating.

(53) The device further includes a pH indicator 108 which is applied to one or both of surfaces 102 and/or 104. The pH indicator is covalently immobilised on or adjacent to the surface 102 and/or 104 so that it is not washed away by the fluid.

(54) In embodiments, the pH indicator is chemically bound to the surface 102 and/or 104. For example, the pH indicator is covalently bound directly to the surface 102 and/or 104. In alternative embodiments, the surface 102 and/or 104 is provided within an adhesive and the pH indicator is covalently bound to reactive moieties within the adhesive. For example, a conventional acrylic adhesive, such as K5 (Smith & Nephew, Inc) used in the construction of wound dressings contains residues of 2-hydroxy-ethylmethacrylate, which provide a reactive functional hydroxyl (OH) group, pendant to the polymer backbone, to which the pH indicator can be covalently bound. Other suitable adhesives include acrylic-based adhesives with pendant OH or COOH groups.

(55) In embodiments on which the pH indicator is only applied to one surface of a non-porous device, then an indication, for indicating which side the pH indicator is applied to may be provided. This indication allows the user to appropriately orient the device during placement on or in the fluid to ensure that the surface which has the pH indicator is correctly orientated and comes into contact with the fluid.

(56) The pH indicator may be applied across substantially the entire surface 102 and/or 104, to allow any variations in the pH at the meniscus of the fluid sample to be identified. Alternatively, the pH indicator may be applied to discrete areas of surfaces 102 and/or 104. The pH indicator exhibits a first colour prior to contact with a fluid and changes colour as a function of the pH of the fluid. The first colour of the pH indicator may be colourless.

(57) The pH indicator is capable of reversibly changing colour in response to pH. In embodiments, the pH indicator is a phenylazo compound. In certain embodiments, the phenylazo compound is selected from the group listed in Table 1. In some embodiments, the phenylazo compound is not 2-[4-(2-hydroxyethylsulfonyl)-phenyl]diazenyl]-4-methylphenol. In some embodiments, the phenylazo compound is not hydroxy-4-[4[(hydroxyethylsulphonyl)-phenylazo]-napthalene-2-sulphonate. In some embodiments, the phenylazo compound is not 2-fluoro-4-[4[(2-hydroxyethanesulphonyl)-phenylazo]-6-methoxy phenol. In some embodiments, the phenylazo compound is not 4-[4-(2-hydroxyethylsulphonyl)-phenylazo]-2,6-dimethoxyphenol. In certain embodiments, the phenylazo compound is 2-[4(2-hydroxyethylsulfonyl)-phenyl]diazenyl]-4-methylphenol. In some embodiments, the pH indicator includes a plurality of phenylazo compounds. In some embodiments, the pH indicator includes a combination of phenylazo compounds, for example a combination of phenylazo compounds selected from the group listed in Table 1. In some embodiments, the pH indicator includes a combination of two phenylazo compounds. In some embodiments, the pH indicator includes a combination of three phenylazo compounds. In some embodiments, 2-[4(2-hydroxyethylsulfonyl)-phenyl]diazenyl]-4-methylphenol is combined with at least one other phenylazo compound selected from the group listed in Table 1. The ratio of phenylazo compound may be 1:1, but other ratios are envisaged, for example, but in no way limiting, 0.5:1.5 or 1.5:0.5 or 1:2 or 2:1 or 1:0.1. In alternative embodiments, the pH indicator includes at least one phenylazo compound, for example a phenylazo compound selected from the group listed in Table 1 and at least one other compound that is not a phenylazo compound. In certain embodiments, the pH indicator is not a phenylazo compound.

(58) FIGS. 2A&B illustrate a device in which temporal changes in pH can be monitored whilst the device is in situ. FIG. 2A shows a side cross-sectional view of a device 200 comprising an absorbent element 204, the lower surface of which is a fluid-contacting surface 206. The device also comprises a pH indication zone 208 which is located at or adjacent to the opposing non fluid-contacting surface 210. This pH indication zone includes a pH indicator (e.g., as disclosed herein) which is capable of reversibly changing colour in response to changes in pH. In this illustrated embodiment, the pH indication zone 208 is disposed above the absorbent layer 204, so the pH indicator can be monitored over time without having to remove the device from any substrate that it is adhered to.

(59) A transparent layer 212 overlays at least part of the pH indication zone, which protects the integrity of the pH indicator but still allows the user to monitor the colour of the pH indicator over time. The device includes at least one conduit that is configured to direct fluid to the pH indication zone 206, ensuring that the pH of the fluid is not materially altered as it passes through the components of the device. One or a plurality of conduits could be used. As shown in FIGS. 2A&B, two conduits are used, although one or more other conduits could also be included. The two conduits 214 and 216 are oriented vertically and extend across the device. The conduits are preferably sealed, so as to not exchange fluid with the absorbent layer, but are in communication with the pH indication zone 208 and direct the fluid to the pH indication zone 208 located in the upper part of the device. The conduits may be in the form of narrow capillaries which transmit the fluid towards the pH indication zone 208. The conduits may incorporate or may be formed from wicking materials, for example, woven, non-woven, knitted, tows or fibres made of suitable materials to facilitate wicking of the fluid towards the pH indication zone 208. In alternative embodiments, a pH indication zone is provided at or near a lateral edge 218 or 220 of the device and at least one conduit is provided within the device to direct the fluid laterally to the pH indication zone. In some embodiments, the pH indication zone is provided in a layer of the device which forms an outer surface of the device and a transparent cover layer is not used. In some embodiments, the conduits may take the form of a long strip or be of an elongated lozenge shape when viewed from the fluid-contacting surface. Alternatively, the conduit may be formed of crosses or quadrilateral shapes.

(60) Methods of immobilising a phenylazo dye on the devices illustrated in FIGS. 1 and 2 are also contemplated. An example includes the following steps:

(61) In a first step, 25 mg of a phenylazo pH indicating dye, for example a phenylazo pH indicating dye selected from the group listed in Table 1, is reacted with 140 μl concentrated sulphuric acid for 30 mins to form a dye solution.

(62) In a second step, 200 ml of distilled water is added to the dye solution formed in the first step.

(63) In a third step, 406 μl of a 32% w/v solution of sodium hydroxide is added to the solution formed in the second step.

(64) In a fourth step, 25.45 ml of a 2.36M solution of sodium carbonate is added to the solution formed in the third step.

(65) In a fifth step, 1.35 ml of a 32% w/v solution of sodium hydroxide is added to the solution formed in the fourth step and the volume made up to 250 ml with distilled water.

(66) In a sixth step, a material on which the pH indicating dye is to be bound is placed in the solution and left to react for approximately 1-2 hours. Examples of suitable materials include, but are not limited to: TENCEL fibres of the Durafiber product, polyurethane foam of the Allevyn product, cellulose pad of the Opsite Post-op product, or K5 adhesive-coated polyurethane film, all available from Smith & Nephew, Inc. The material is then washed with distilled water until no dye is released. The material is then dried.

EXAMPLES

(67) A sample of the pad from an Opsite Post-Op dressing (Smith & Nephew, Inc) was prepared in different samples, and each sample was covalently bound with one or a combination of phenylazo dyes, selected from GJM-514, GJM-492, GJM-546, and GJM-534. The structures of these dyes are shown in Table 1. It was discovered that these dyes had colour-changing characteristics that varied according to changes in pH. The Post-Op samples were covalently bound with GJM-514 alone or with GJM-514 combined with one of GJM-492, GJM-546 and GJM-534 using the method as described above in relation to FIGS. 1-3. The Post-Op material was exposed to buffered solutions having a pH of 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9 and 9.5. Photographs were taken of each sample to demonstrate the visible changes in colour. A colour pen (for example, Dr Lange Colour Pen), a pen-type colorimeter was used to detect marginal colour changes which are undetectable by the human eye. Colour pen measurements include, but are not limited, to three different readings: the L*, a* and b* values. L* represents the lightness/luminosity of the colour L*=0 is black L*=100 is diffuse white a* is the colour's position between red/magenta and green A positive a* value indicates magenta A negative a* value indicates green b* is the colours position between yellow and blue a positive b* value indicates yellow a negative b* value indicates blue

Example 1: Post-Op Pad Dyed with GJM-514

(68) A sample of the pad from an Opsite Post-Op dressing (Smith & Nephew) was covalently bound with the dye GJM-514 was exposed to buffered solutions at pH 5-pH 9.5. The panel of photographs in FIG. 3 demonstrates the colour change of GJM-514 over this pH range, going from yellow in colour (at pH 5) to pink (at pH 9.5).

(69) Table 2 illustrates the colour pen measurements (L*, a* and b*) of the colour of the GJM-514 dye over a pH range of pH 5-pH 9.5. An optimal dye for use as a pH indicator is one which demonstrates a linear change in a measurement of a specific parameter of colour (for example L*, a* or b*) over a broad pH range. Outside of the linear region, the dye is either unable to change colour in response to a change in pH or the change in colour is so minimal that it is undetectable.

(70) TABLE-US-00002 TABLE 2 pH L* a* b* 5 63.3 −1.9 41.5 5.5 69.2 0.3 36.2 6 65.7 1.4 35.1 6.5 59.3 1.2 35.5 7 56.9 2 33.6 7.5 55.4 4.8 30.6 8 46.8 10.4 21.4 8.5 43.3 15.6 15.4 9 40.2 21.3 8.7 9.5 37.5 24.8 4.9

(71) FIGS. 4A and 4B illustrate the L* measurements taken of the GJM-514 dye with the colour pen presented graphically. The L* results of FIG. 4A show that the L* value decreases from pH 5.5 to pH 9.5 as the luminosity of the dye decreases relative to the increasing pH. These results have also been plotted in FIG. 4B and demonstrate a linear region between pH 7.5 and 9.5. The trend line has a gradient of −8.18 and an R.sup.2 value of 0.9918.

(72) FIGS. 4C and 4D illustrate the a* measurements taken of the GJM-514 dye with the colour pen presented graphically. FIG. 4C illustrates the a* measurements taken at various pH values between pH 5-pH 9.5. FIG. 4D illustrates the a* measurements at various pH values over the linear portion of the trend line, between pH 7.5 and 9. The trend line has a gradient of 10.94 and an R.sup.2 value of 0.9997.

(73) FIGS. 4E and 4F illustrate a graphical representation of the b* measurements taken of the GJM-514 dye. FIG. 4E shows the b* measurements taken at various pH values between pH 5-pH 9.5. FIG. 4E illustrates the b* measurements at various pH values over the linear portion of a trend line. From FIG. 4E it can be seen that the values are fairly consistent and steady between pH 5.5 and pH 7, and after pH 7 they start to decrease. FIG. 4F shows that the results give a linear downward trend between pH 7.5 and pH 9, with a gradient of −14.34 and an R.sup.2 value of 0.991.

(74) Taking into account the colour pen results and photographs of the samples, the most accurate working range for GJM514 is between pH 7.5 and pH 9. The linear trend line of the b* measurements has a steeper gradient (−14.34) than the a* measurements (10.94) and therefore b* would be used preferentially to give a more accurate indication of the pH of the dressing when using an optical reader rather than the human eye.

Example 2: Post-Op Pad Dyed with GJM-514:GJM-492 (1:1)

(75) A sample of the pad from an Opsite Post-Op dressing (Smith & Nephew) was covalently bound with the dye GJM-514:GJM-492 at a 1:1 ratio was exposed to buffered solutions at pH 5-pH 9.5. The panel of photographs in FIG. 5 demonstrates the colour change over this pH range, going from yellow in colour (at pH 5) to orange in colour (at pH 9.5).

(76) Table 3 illustrates the colour pen measurements (L*, a* and b*) of the colour of the GJM-514:GJM-492 dye combination over a pH range of pH 5-pH 9.5.

(77) TABLE-US-00003 TABLE 3 pH L* a* b* 5 53.8 11.5 43.3 5.5 50.7 17.4 37.9 6 45.3 23.9 37.5 6.5 40.4 29.9 35.4 7 39.7 30.9 33.8 7.5 39.9 30.4 29.9 8 34.5 31.5 29.2 8.5 37.4 28 29.3 9 33.8 30.7 25 9.5 33.1 31.3 23.2

(78) FIG. 6A illustrates the L* measurements taken with the colour pen presented graphically. The L* results presented in FIG. 6A show that the value for L* decreases over the range of pH 5.5 to pH 9.5 but does not follow a linear downward trend. The L* value is therefore not considered to be a reliable indicator of the colour change of this dye combination over the pH range tested.

(79) FIGS. 6B and 6C illustrate the a* measurements taken with the colour pen presented graphically. FIG. 6B illustrates the a* measurements taken at various pH values between pH 5-pH 9.5. FIG. 6C illustrates the a* measurements at various pH values over the linear portion of a trend line. An upwardly linear trend (gradient=12.34, R.sup.2=0.9997) is identifiable between pH 5 and 6.5, demonstrating that there is a detectable change in colour along the red/magenta to green scale over this pH range.

(80) FIG. 6D illustrates a graphical representation of the b* measurements taken with the colour pen. It can be seen that there is not a significant change in b* value, but there is a downwards trend.

(81) Taking into account the colour pen results and photographs of the samples, the working range for this dye combination appears to be between pH 5 and pH 6.5. With a* giving a useable trend line for this region that could be used to estimate the pH from the material colour.

Example 3: Post-Op Pad Dyed with GJM-514:GJM-546 (1:1)

(82) A sample of the pad from an Opsite Post-Op dressing (Smith & Nephew) was covalently bound with the dye GJM 514:546 at a 1:1 ratio was exposed to buffered solutions at pH 5-pH 9.5. The panel of photographs in FIG. 7 demonstrates the colour change over this pH range, going from orange in colour (at pH 5) to pink (at pH 9.5).

(83) Table 4 illustrates the colour pen measurements (L*, a* and b*) of the colour of the GJM-514:GJM-546 dye combination over a pH range of pH 5-pH 9.5.

(84) TABLE-US-00004 TABLE 4 pH L* a* b* 5 45.7 22.7 44.1 5.5 43.4 22.8 40.1 6 43.9 24.8 34.6 6.5 36.5 27 25 7 33.4 25.7 16 7.5 28.3 27.8 7.1 8 26.9 26.6 1.3 8.5 25.6 29.3 −0.7 9 24.5 28.8 −2.3 9.5 23.9 29.5 −3.8

(85) FIGS. 8A and 8B illustrate a graphical representation of the L* measurements taken with the colour pen. FIG. 8A shows all data points whilst FIG. 8B is a re-plot of the data points in the linear region between pH 5 to pH 8. The trend line has a gradient of −6.3702 with an R.sup.2 value of 0.9982.

(86) FIG. 8C illustrate the a* measurements taken with the colour pen presented graphically over the pH 5-pH 9.5 range. The results are too variable for the a* measurement to be considered of use in reliably measuring a colour change in the GJM 514:546 dye combination in response to changes in pH.

(87) FIGS. 8D and 8E illustrate a graphical representation of the b* measurements taken with the colour pen. FIG. 8E shows the b* measurements taken at various pH values between pH 5-pH 9.5 and it can be seen that the results follow a downward trend from pH 5 to pH 8, but it appears to plateau after pH 8. FIG. 8E illustrates the b* measurements at various pH values over the linear portion of a trend line which has a gradient of −18.3 and an R.sup.2 of 0.9997. As the b* results gave a steeper gradient it is believed that monitoring the b* value would give a more accurate reading of the pH from the dressing colour. The working range for this dye combination appears to be pH 6 to pH 7.5.

Example 4: Post-Op Pad Dyed with GJM 514:534 (1:1)

(88) A sample of the pad from an Opsite. Post-Op dressing (Smith & Nephew) was covalently bound with the dye GJM 514:534 at a 1:1 ratio was exposed to buffered solutions at pH 5-pH 9.5. The panel of photographs in FIG. 9 demonstrates the colour change over this pH range, going from yellow in colour (at pH 5) to red in colour (at pH 9.5).

(89) Table 5 illustrates the colour pen measurements (L*, a* and b*) of the colour of the GJM-514:GJM-534 dye combination over a pH range of pH 5-pH 9.5

(90) TABLE-US-00005 TABLE 5 pH L* a* b* 5 53.4 6.1 50.3 5.5 52.3 7.5 45.4 6 53.8 7.6 46.1 6.5 49.7 9.8 35.4 7 43.1 16.2 29.9 7.5 37.4 16.2 18.9 8 33.4 20.4 11.9 8.5 31.9 22.8 5.3 9 27.7 27.6 3.6 9.5 28.9 29.1 −0.5

(91) FIGS. 10A and 10B illustrate a graphical representation of the L* measurements taken with the colour pen. FIG. 10A shows all data points whilst FIG. 10B shows only those data points in the linear region. A general downward trend from pH 6 to pH 9 is observed. The trend line has a gradient of −8.8286 and an R.sup.2 value of 0.9742.

(92) FIGS. 10C and 10D illustrate the a* measurements taken with the colour pen presented graphically. FIG. 10C illustrates the a* measurements taken at various pH values between pH 5-pH 9.5. FIG. 10D illustrates the a* measurements at various pH values over the linear portion of a trend line. The results demonstrate an upwards trend between pH 6 to pH 9, with the trend line having a gradient of 6.6335 and an R.sup.2 value of 0.9924.

(93) FIGS. 10E and 10F illustrate a graphical representation of the b* measurements taken with the colour pen. FIG. 10E shows the b* measurements taken at various pH values between pH 5-pH 9.5 and it can be seen that the results follow a downward trend until pH 9. The trend line illustrated in FIG. 10F has a gradient −16.314 and an R.sup.2 value of 0.9925 between pH 6 and pH 9. From the colour pen measurements the working range of this dye combination is between pH 6 and pH 9, and the b* value could be used to accurately measure the pH from the material colour.

Example 5: Post-Op Pad Dyed with GJM 514:534 (1:0.509)

(94) A sample of the pad from an Opsite Post-Op dressing (Smith & Nephew) was covalently bound with the dye GJM 514:534 at a 1:0.509 ratio was exposed to buffered solutions at pH 5-pH 9.5. The panel of photographs in FIG. 11 demonstrates the colour change over this pH range, going from yellow in colour (at pH 5) to red in colour (at pH 9.5).

(95) Table 6 illustrates the colour pen measurements (L*, a* and b*) of the colour of the GJM-514:GJM-534 dye combination over a pH range of pH 5-pH 9.5

(96) TABLE-US-00006 TABLE 6 pH L* a* b* 5 55.4 4.9 43.1 5.5 57.6 2.9 42.6 6 56.8 3.4 42.7 6.5 51.2 5 40 7 49 8.8 34.7 7.5 39.8 11.4 23.5 8 39 17.6 15 8.5 36.5 22.4 10.1 9 34.2 24.3 5.8 9.5 32.3 25.3 0.3

(97) FIG. 12A illustrates a graphical representation of the L* measurements taken with the colour pen. A general downward trend from pH 6 to pH 9.5 is observed.

(98) FIGS. 12B and 12C illustrate the a* measurements taken with the colour pen presented graphically. FIG. 12B illustrates the a* measurements taken at various pH values between pH 5-pH 9.5. FIG. 12C illustrates the a* measurements at various pH values over the linear portion of a trend line. The results demonstrate a linear upwards trend between pH 6.5 to pH 8.5, with the trend line having a gradient of 8.72 and an R.sup.2 value of 0.9987.

(99) FIGS. 12D and 12E illustrate a graphical representation of the b* measurements taken with the colour pen. FIG. 12D shows the b* measurements taken at various pH values between pH 5-pH 9.5 and it can be seen that the results follow a downward trend between pH 6 and pH 8.5. The trend line illustrated in FIG. 12E has a gradient 15.9 and an R.sup.2 value of 0.9833. Taking into account the colour pen results and the photographs of the samples, the working range of this dye combination is between pH 6 and pH 8.5, and the b* value could be used to accurately measure the pH from the material colour.

Examples 6 and 7

(100) Further to the above general method for preparing covalently bonded dye, different materials were also used unto which to bind the dye.

(101) A sample of a gauze (Kerlix Trademark of Covidiene) and polyvinyl alcohol foam (V.A.C. WhiteFoam, trade mark of KCI) were covalently bound with the dye GJM-546 and 492 in a ratio 1:3.92 as described thoughout this disclosure.

(102) These latter materials can be used as pH sensing fillers for Negative Pressure Wound Therapy (NPWT). They were evaluated by use of the following models and experiments.

(103) Materials

(104) TABLE-US-00007 Material Pork Meat (loin or shoulder 2 kg approx. Intact skin and a surface area 20 × 20 cm approx.) pH sensitive VAC foam pH sensitive gauze Renasys drapes Horse serum Citric Acid Sodium Bicarbonate
Equipment

(105) TABLE-US-00008 Equipment Renasys EZ plus pump Peristaltic pump Renasys EZ canister Epidural needle Clingfilm Tubing Glass Dish Scalpel pH meter
Method

(106) Use these solutions to adjust horse serum to pH 5 and pH 8, for use in the meat mode. 1. Place a sheet of cling film in the bottom of a glass dish/tray and place a piece of pork with intact skin upwards on the cling film. 2. Wrap the meat in the cling film and add more if necessary so that the meat is completely sealed. 3. Using a scalpel create 2 wounds each approximately 50 mm in diameter and 25 mm deep in the tissue (and at least 2 cm apart), by removing the skin/fat/muscle, with a relatively flat bottom and minimal tissue flaps. 4. Insert an epidural catheter needle through the side of the wound so that the tip appears at the outside edge of the meat. Use the needle to feed the peristaltic pump tubing through so that it lies at the base of the wound. (Repeat for the other wound). 5. Using small pieces of Flexi-fix and/or adhesive putty (“white-tac”) secure and seal the openings where the fluid tubes exit the cling film. 6. The following combinations are to be tested: a. Dyed VAC foam b. Dyed gauze 7. Add foam to bridge onto intact healthy skin and link both bridges together to work from a single port. Seal over the wounds, fillers and bridging foam with drapes. 8. Make a small hole in the drape where it lies over a foam bridge and attach a port using Flexi-fix strips. 9. Connect the port to a RENASYS NPWT pump (set at −120 mmHg) and switch on. 10. Turn on the peristaltic pump (set to deliver 40 μl/min) to deliver fluid to the wound bed of horse serum at pH 8 11. Monitor the dressings until fluid starts to appear in the canister (make a note of the length of time) 12. Change the fluid to horse serum at a pH of 5, and leave to flow for the amount of time determined in step 11). Then take a photograph of the dressings. 13. Change the fluid to horse serum at a pH of 8, and leave to flow for the amount of time determined in step 11). Then take a photograph of the dressings. 14. Change the fluid back to horse serum at a pH of 5, and leave to flow for the amount of time determined in step 11). Then take a photograph of the dressings. 15. At the end of the experiment disconnect the tubing and seal the meat in cling film for disposal. Clean all surfaces that had contact with the meat with soap/water.

(107) Determination of the ability of dyed VAC foam and gauze to detect changes in pH of wound fluid.

(108) The pH sensitive gauze and VAC foam were washed after the first meat model experiment and then used in an additional wound model, with pH adjusted water. In addition the extra piece of pH sensitive dyed gauze was placed in a clear Perspex wound model and fluid pumped through.

(109) All wound models were monitored by taking photographs, those carried out in meat could only be monitored from the top surface, but the clear Perspex model could be monitored from all sides.

(110) Results and Discussion

(111) The foam was orange in colour when it was loaded into the wound, but the gauze was more of a red colour. It is believed the gauze is red in colour due to the presence of PHMB on the gauze which would make it basic.

(112) Meat Model 1

(113) The experiment was started by pumping pH 5 horse serum into the wound filler for approximately 2.5 hours before fluid started to appear in the canister and the material started to change colour. After approximately 5.5 hours the pH 5 horse serum solution was changed to pH 8 horse serum and this was run overnight. In the morning the solution was then changed back to pH 5 horse serum and was pumped in for several hours (due to time restrictions the flow rate was increased to 800 min after 3.5 hours).

(114) The images of the pH sensitive dyed gauze changing over time can be seen in FIGS. 13A to F; showing that the gauze had started to go orange after 5.5 hours of exposure to pH 5 horse serum and after a night of exposure to pH 8 serum the gauze had returned to a red colour. Then after several hours of exposure to pH 5 the gauze was starting to turn orange again at which time the experiment was ended. Upon removal of the gauze it could be seen that the bottom of the gauze was mostly orange and it could be seen that the colour and therefore the pH were changing through the gauze in a direction from the wound bed towards the drape, which can be explained by the fact that the wound tends to fill up like the filling of a bath and therefore the pH takes time to change from one pH to the other as the pumped fluid is slowly transported through the wound filler.

(115) Images of the pH sensitive dyed VAC foam changing over time can be seen in FIGS. 14A to F They show that the foam had gone yellow when exposed to pH 5 horse serum (5.5 hours image), and that when exposed to pH 8 overnight the foam went red. As with the gauze the foam had started to turn yellow/orange after re-exposure to pH 5 serum for several hours before the experiment was ended, the yellow/orange colour can most clearly be seen near the bridging foam.

(116) Meat Model 2

(117) For the second meat model the basic aqueous solution was used first and was left pumping into the model overnight. The next morning the solution was then changed to an acidic aqueous solution and left pumping for several hours.

(118) The images for the pH sensitive gauze can be seen in FIGS. 15A to F and show that the gauze went red in colour in basic solution and within 5 hours of the fluid being switched to acidic aqueous solution the gauze had started to turn orange. It is believed that this colour change will originate at the base of the wound and work its way up to the surface as the pH in the wound changes, which as mentioned earlier would be similar to the way in which a bath fills up. It is clear the colour change on the surface starts near the area directly below the port, this can be explained as this is the destination (exit point) of the fluid and so the pH would stabilises around this area on the surface first.

(119) The same trend is seen with the dyed VAC foam, as shown in FIGS. 16A to F The foam turns red when in the presence of basic fluid and when the fluid is changed to acidic the foam starts to turn yellow in colour. Like the gauze the colour change seen on the surface is first noticeable around the port where the fluid is removed from the wound.

(120) Clear Perspex Wound Model

(121) The experiment was also carried out using the pH sensitive dyed gauze in a clear Perspex wound model to be able to visualise the colour change throughout the wound. The fluid was not pumped in from the bottom on this occasion but from the left hand side of the wound as seen on the images in FIGS. 17A to H. The fluid inlet is on the same side as the port and halfway up the wound wall. It is believed that the area of this wound is smaller than those created in the meat, hence the colour change occurring faster as the pump speed is the same in both experiments. It can be seen that as the basic fluid is pumped into the wound the gauze turns red (at T=0 hours there was already some basic fluid in the wound hence part of the gauze already being red in colour). It can be seen from all the images in FIGS. 17A to H, both the top surface of the wound (top image) and the bottom (bottom image of each pair), that the colour change moves across the wound from left to right and that the bottom of the wound is slightly ahead of the upper surface of the wound. This colour change pattern is as expected, as fluid fills up from the bottom and so the pH changes at the bottom before the top. The Perspex model is not as realistic as the meat model as the fluid and content from the meat would mean that the pH could take longer to change due to possible buffering effects.

(122) Conclusions and Recommendations

(123) Both the pH sensitive dyed VAC foam and gauze, changed colour as they were exposed to different pH solutions. The colours for indicating the different pH's were clearly visible, and the colour could be reversed by addition of the other pH solution to the wound.

(124) It is to be understood that the foregoing description is merely illustrative and is not to be limited to the details given. While several embodiments have been provided in the present disclosure, it should be understood that the disclosed devices and method and their components, may be embodied in many other specific forms without departing from the scope of the disclosure.

(125) Variations and modifications will occur to those of skill in the art after reviewing this disclosure. The disclosed features may be implemented, in any combination and sub-combinations (including multiple dependent combinations and sub-combinations), with one or more other features described herein. The various features described or illustrated above, including any components thereof, may be combined or integrated in other systems. Moreover, certain features may be omitted or not implemented.

(126) Examples of changes, substitutions, and alterations are ascertainable by one skilled in the art and could be made without departing from the scope of the information disclosed herein. All references cited herein are incorporated by reference in their entirety and made part of this application.