The present invention relates to the field of surgery where surgical pins (hereinafter used in a generic sense to mean pins or wires) are utilized and, more particularly, is concerned with a surgical pin compression wound dressing module, device and system.
Surgical procedures are often performed to fixate fractured bones or to secure an anatomical stabilization device, such as a halo or external fixator. Surgical pin placement involves inserting a portion of the surgical pin through the patient's skin and into a bone while allowing a portion of the surgical pin to extend outward from the patient's skin. The exposed pin allows a fixation device to be attached. These surgical pins must remain in position for some period of time depending on their intended purpose.
Prior approaches, such as disclosed in U.S. Pat. Nos. 4,943,293, 5,360,020, 5,702,388 and 8,216,288, include the utilization of devices, such as collars, retainers or clips, to stabilize a wound dressing or sponge in place over a surgical pin site. These devices are deficient in three main areas.
A first main area of deficiency is the lack of symmetrical wound compression. Adequate wound compression is directly related to the precise geometric coupling between the wound dressing and wound dressing stabilization device being used. These prior art approaches lack an adequate wound dressing housing and therefore provide asymmetric wound compression. Such asymmetry could lead to unequal skin tension and possible skin breakdown and soft tissue necrosis.
A second main area of deficiency is the lack of a closed wound dressing environment. Without the provision of a closed wound dressing environment drainage from the surgical pin site will communicate with the patient's adjacent skin. This in turn can allow bacteria upon a patient's skin to track into the surgical pin site causing a subsequent infection.
A third main area of deficiency is the failure to provide sufficient stabilizing of the surgical pin. Poor stabilizing of the surgical pin is first due to the inability of the collars, retainers or clips to maintain adequate pressure on the patient's skin. Due to a lack of rigidity, and the inherent pliability of wound dressing materials, most of the downward pressure needed to stabilize the surgical pin is absorbed by the wound dressing or sponge. Also, the close proximity between the securing devices, e.g. the collars, retainers or clips, with the wound dressing material being used provides an inferior point of fixation.
Furthermore, specific problems following the application of surgical fixation pins occur in aftercare relating to pin site wound dressings. Ordinary wound dressings lack wound compression, leading to excessive bleeding and drainage around the pin sites. Also, continuity of drainage soaked wound dressings with the patient's adjacent skin permits bacterial proliferation. Such proliferation allows bacteria from the skin outside the surgical pin site to be channeled into the surgical pin site. These circumstances set the stage for wound infections. In addition, the common method for changing and maintaining wound dressings around surgical pin sites is ineffective and laborious to say the least. Attempting to wrap sterile dressings around surgical pin sites does not provide adequate wound coverage or compression. For medical staff it is also a time consuming process resulting in decreased time to care for other patients. For the patient, lack of compliance because of the complexity of changing their surgical pin site dressings at home results in leaving drainage soaked pin site dressings on for days. These combined circumstances predispose the patient to wound infections. Furthermore, the high volume of disposable medical wound dressings used, and increased medical waste from daily dressing changes, will increase health care costs.
Accordingly, there remains a need in the art for an innovation that will overcome the deficiencies of past approaches and the problems that remain unsolved.
The present invention is directed to an innovation that overcomes the deficiencies of the past approaches and the problems that remain unsolved by providing a surgical pin compression wound dressing module, device and system. A surgical pin compression wound dressing stabilizing device and system symmetrically compress the compressive wound dressing module so as to precisely fit and stabilize it about the surgical pin at the wound site while also stabilizing the surgical pin at the wound site. Also, the stabilizing device and system establish a closed environment about the surgical pin at the wound site in which the compressed compressive wound dressing module is confined and any wound drainage from the wound site is isolated and drained away from the patient's adjacent skin through the device.
Accordingly, in one aspect of the present invention, a surgical pin compression wound dressing stabilizing device includes:
In another aspect of the present invention, the stabilizing device also includes:
In another aspect of the present invention, the stabilizing device also includes:
In another aspect of the present invention, a surgical pin compression wound dressing module includes:
In another aspect of the present invention, the main body of the module is composed of a compressive wound dressing made of a sponge material.
In another aspect of the present invention, the peripheral rib is composed of the same compressive wound dressing as the main body.
In another aspect of the present invention, a surgical pin compression wound dressing stabilizing system includes:
These and other aspects, features, and advantages of the present invention will become more readily apparent from the attached drawings and the detailed description of the preferred embodiments, which follow.
The preferred embodiments of the invention will hereinafter be described in conjunction with the appended drawings provided to illustrate and not to limit the invention, in which:
Like reference numerals refer to like parts throughout the several views of the drawings.
The following detailed description is merely exemplary in nature and is not intended to limit the described embodiments or the application and uses of the described embodiments. As used herein, the word “exemplary” or “illustrative” means “serving as an example, instance, or illustration.” Any implementation described herein as “exemplary” or “illustrative” is not necessarily to be construed as preferred or advantageous over other implementations. All of the implementations described below are exemplary implementations provided to enable persons skilled in the art to make or use the embodiments of the disclosure and are not intended to limit the scope of the disclosure, which is defined by the claims. For purposes of description herein, the terms “upper”, “lower”, “left”, “rear”, “right”, “front”, “vertical”, “horizontal”, and derivatives thereof shall relate to the invention as oriented in
The present invention provides an effective, easy to use a surgical pin compression wound dressing module, device and system that will stabilize a surgical orthopedic pin utilized during medical procedures, while simultaneously providing the compressive wound dressing module symmetrically compressed by the surgical pin compression wound dressing device at the wound site where such surgical pin is introduced into the patient's skin. As the surgical pin at the entry site passes through the skin and into the bone, deeper soft tissues and the bone itself are prone to infection. Surgical pin movement within the pin entry site during patient movement is also a cause of tissue breakdown which can result in a higher incidence of infection. Thus, tissue breakdown and resultant wound damage become issues with regards to wound infections. The protective action of the surgical pin compression wound dressing module, device and system, described hereinafter with reference to the drawings, addresses these issues.
Referring to
Preferably, the wound dressing module 102 has a peripheral rib 116 integrally connected to and extending about the outer circumferential surface 110 of the main body 104. The peripheral rib 116 is spaced from and located between the rounded upper and lower corners 112, 114 of the main body 104. The peripheral rib 116 has an annular configuration that protrudes from the outer peripheral surface 110 of the main body 104, and has top and bottom annular surfaces 118, 120 extending perpendicularly outward from the outer peripheral surface 110 of the main body 104, terminating at an outer circumferential surface 122 of the peripheral rib. The peripheral rib 116 may be composed of the same compressive wound dressing sponge material and may have the same predetermined configuration as the main body 104.
Further, the wound dressing module 102 may have a central orifice 124 extending through main body 104 between, and open at, the upper and lower surfaces 106, 108 thereof. The cross-sectional configuration of the central orifice 124 may be the same as that of the particular surgical pin 202 at the wound site 200, such as cylindrical or other suitable geometric shape. The main body 104 and peripheral rib 116 of the module 102 have a radial slit 126 formed through and extending from an outer V-shaped entrance 128, provided in the outer circumferential surface 122 of the peripheral rib 116, to the central orifice 124 of the main body 104. The radial slit 126 in the module 102 enables opening of the main body 104 and peripheral rib 116 of the module sufficiently to allow fitting of the module about the surgical pin 202 projecting above the wound site 200 with the surgical pin disposed through the central orifice 124 of the main body. In an alternate implementation, lower surface 108 of wound dressing module main body 102 could incorporate a concave surface in lieu of the planar lower surface 108 shown in the accompanying figures. Furthermore, it will be apparent to those skilled in the art that rounded corners 112 and 114 could be provided squared off, beveled or incorporating any other surface geometry consistent with the operation of the invention.
The second of the two main components of the system 100 is a surgical pin compression wound dressing stabilizing device 130. As seen in
More particularly, as seen in
The bottom base 136 of the upstanding body 132 further has a lower inner annular surface 150 and a lower intermediate annular surface 152 extending between and interconnecting the lower outer and inner annular surfaces 148, 150. The lower inner annular surface 150 is recessed into the bottom base 136 relative to its lower outer annular surface 148. The lower intermediate annular surface 152 of the bottom base 136 is arcuate in configuration. The lower inner and intermediate annular surfaces 150, 152 of the bottom base 136 together define a central cavity 154 that is open downwardly from the bottom base 136 and recessed into the bottom base. The central cavity 154 surrounds and communicates with the longitudinal passageway 140 through the upright post 134 of the upstanding body 132. As seen in
The upright post 134 and bottom base 136 of the upstanding body 132 of the stabilizing device 130 have a vertical slit 156, which separates the upstanding body into two halves pivotally connected together by a hinge 158 attached at a peripheral location on the bottom base 136 at one end of the vertical slit 156. The hinge 158 allows the upstanding body 132 of the stabilizing device 130 to assume opened and closed positions relative to the surgical pin 202, as seen in
The upright post 134 of the upstanding body 132 of the stabilizing device 130 has closure snaps or clasps 160 (see
As seen in
Functionally, the stabilizing device 130 isolates the surgical pin 202 and the surgical wound site 200 from potential contaminants originating from outside the wound site while also decreasing the amount of wound drainage. Furthermore, the stabilizing device 130 allows for a precise geometrical coupling with the compressible wound dressing module 102. As can be understood from the illustration of
The stabilizing device 130 may be made from a plastic material, preferably clear and capable of providing the device with rigid, non-pliable, structural characteristics. It would be advantageous to utilize a plastic material capable of withstanding conventional operating room sterilization techniques. Any conventional plastic molding process may be utilized to manufacture the stabilizing device 130.
The above-described features of the stabilizing device 130 of the present invention embody the potential for numerous modifications or versions of the aforementioned description. All of the features are non-removable from the stabilizing device 130 with the exception of the cap 168 for the wound drainage port 166. However, by interchanging the position of the various features in relationship to the geometric configuration of the stabilizing device 130, the device would still operate the same. For example, by placing the hinge 158 on the opposite side of the bottom base 136 in comparison with the original location would not change the overall functional capabilities of the stabilizing device 130. Different versions of the system 100 would entertain the possibility of the wound dressing module 102 utilizing different types of wound dressing materials. The adaptability of the stabilizing device 130 would be directly related to the geometric shape, depth and diameter of the wound dressing module 102. For example, as alternatives to the circular shape, a wound dressing module 102 having a hexagonal shape may be employed for one type of wound dressing material and a square wound dressing module would be made to closely contour another type of wound dressing material. These versions having different geometric attributes that would coincide with the wound dressing material being used. Other modifications may be made in accordance with the working distance of two or more stabilizing devices 130 used simultaneously, as shown in
Referring now particularly to
The surgical pin compressive wound dressing stabilizing device 130 is a biomedical mechanical device that allows for a compressive wound dressing to be applied and stabilized to the surgical pin sites of medical devices such as, for example, halos, external traction pins and other such devices that utilize surgical wires or pins. This medical device may be provided in any of a myriad of shapes, sized and configurations, without departing from the scope of the invention. However, the wound dressing module 102 is preferably provided having a geometry and size conforming to the central cavity 154 in the underside of the bottom base 136. Accordingly, the wound dressing modules 102 are preferably manufactured to custom fit corresponding pre-manufactured wound dressings. The closed environment provided by the wound dressing stabilizing device prevents wound drainage and helps prevent against bacterial contamination. Together the above-described two main components of the system 100 provide a means for applying wound compression to the wound site 200 of a surgical pin 202 while also stabilizing the surgical pin. Structurally, the rigid nature of the stabilizing device, as well as its precise fit as it couples with a specific wound dressing module, allows for symmetrical wound compression.
By providing a closed environment for the wound dressing material, the stabilizing device 130 acts to isolate the wound dressing module and its corresponding wound drainage from the patient's adjacent skin. Furthermore, the system 100 allows for surgical pin stability and also variability with regards to the amount of wound compression desired.
The easy use and effectiveness of the stabilization system 100 enable medical staff to become more efficient and waste less time with laborious ineffective tasks such as time consuming wound dressing changes. Consequently, more time could be used for other patients resulting in an increase in the quality of patient care. For patients wound dressing changes at home after discharge from hospitals with surgical pins in place would be quite easily managed. The easy handling and manipulating of the stabilization system 100 allow all patients, even those lacking formal experience with post-surgical wound care methods, to properly care for their surgical wound sites. The decrease in both wound care supplies needed and medical waste generated, from the large quantity of discarded wound dressing bandages utilized, will ultimately cut health care costs.
The above-described embodiments are merely examples of implementations set forth for a clear understanding of the principles of the invention. Many variations, combinations, modifications or equivalents may be substituted for elements thereof without departing from the scope of the invention. Therefore, it is intended that the invention not be limited to the particular embodiments disclosed as the best mode contemplated for carrying out this invention, but that the invention will include all the embodiments falling within the scope of the appended claims.
By way of example, as will be apparent to those skilled in the art, the scope of the present invention is intended to include alternate implementations of the system incorporating multiple passageways through the wound dressing pin stabilization device 130 and the corresponding wound dressing module 102, where two or more adjacent pins are too closely located to one another to enable a multiple adjacent devices 100 to be utilized. That is, the system 100 can be produced in a modified version of the device for concurrently stabilizing more than one pin (e.g. where at least two adjacent pins sites are too close together to fit two of the wound dressing modules) in order to obtain desirable results without departing from the intended scope of the invention.
This U.S. non-provisional patent application is a continuation-in-part of, and claims priority to, co-pending U.S. non-provisional patent application Ser. No. 13/066,719, filed by the same inventor on Apr. 23, 2011. The entire contents of U.S. patent application Ser. No. 13/066,719 are incorporated-by-reference herein in its entirety.
Number | Name | Date | Kind |
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4856504 | Yamamoto | Aug 1989 | A |
4915694 | Yamamoto | Apr 1990 | A |
4943293 | Lee, Jr. | Jul 1990 | A |
5080661 | Lavender | Jan 1992 | A |
5360020 | Lee, Sr. | Nov 1994 | A |
5447492 | Cartmell | Sep 1995 | A |
5569207 | Gisselberg | Oct 1996 | A |
5702388 | Jackson | Dec 1997 | A |
5833666 | Davis | Nov 1998 | A |
7999145 | Kairinos | Aug 2011 | B2 |
8216288 | Lee | Jul 2012 | B2 |
9050136 | Webb | Jun 2015 | B2 |
20050049596 | Stewart | Mar 2005 | A1 |
Number | Date | Country | |
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Parent | 13066719 | Apr 2011 | US |
Child | 15646930 | US |