Abstract: In one example embodiment, a system for treating a tissue site is disclosed comprising a dressing adapted to contact the tissue site and provide a fluid seal between a therapeutic environment and a local external environment, and a solution source fluidly coupled to the dressing and adapted to deliver an antimicrobial solution comprising a peroxy ?-keto carboxylic acid, such as peroxy pyruvic acid, to the tissue interface. The system may further comprise a negative-pressure source fluidly coupled to the dressing and adapted to provide negative pressure to the therapeutic environment after delivery of the antimicrobial fluid to the therapeutic environment.

Abstract: A dressing that includes a contact layer having walls defining a plurality of holes and a retainer layer comprising portions protruding into holes of a contact layer is provided herein. Systems, methods and kits using the dressing for debriding a tissue site are also provided herein.

Abstract: A dressing that includes a contact layer having walls defining a plurality of holes and a retainer layer comprising portions protruding into holes of a contact layer is provided herein. Systems, methods and kits using the dressing for debriding a tissue site are also provided herein.

Abstract: An apparatus for treating a tissue site comprising a negative-pressure source configured to be fluidly coupled to the tissue site; an instillation source configured to be fluidly coupled to the tissue site; and a controller operatively coupled to the negative-pressure source and to the instillation source. The controller can be configured to operate the negative-pressure source and the instillation source to intermittently deliver negative pressure to the tissue site for a negative-pressure interval and deliver instillation fluid to the tissue site for an instillation interval. A purge volume of instillation fluid may be delivered to the tissue site at a purge frequency. In some examples, the purge volume may be delivered through the second fluid conductor and removed through the first fluid conductor during a negative-pressure interval.

Abstract: In one example embodiment, a system for treating a tissue site is disclosed comprising a dressing adapted to contact the tissue site and provide a fluid seal between a therapeutic environment and a local external environment, and a solution source fluidly coupled to the dressing and adapted to deliver an antimicrobial solution comprising a peroxy ?-keto carboxylic acid, such as peroxy pyruvic acid, to the tissue interface. The system may further comprise a negative-pressure source fluidly coupled to the dressing and adapted to provide negative pressure to the therapeutic environment after delivery of the antimicrobial fluid to the therapeutic environment.

Abstract: Dressings for treating a tissue site with negative pressure are disclosed, which may include a dressing having multiple layers and incorporating a material adapted to neutralize proteolytic enzymes. In one example embodiment, a dressing may include a first layer comprising a hydrophobic gel having a plurality of apertures. A material adapted to neutralize proteolytic enzymes may be applied to a surface of the first layer. The dressing may further include a second layer comprising a fenestrated film and coupled to the first layer. Additionally, the dressing may include a third layer comprising a manifold, which in some instances may be a polymeric foam. The dressing may further include a fourth layer comprising a polymer drape.

Abstract: A system, apparatus and method for delivering negative pressure and vibrations proximate a wound site. The system comprises a dressing adapted to be fluidly coupled to the wound site and further adapted to translate vibrations to the wound site. A pad is coupled to a negative pressure source and to the dressing. The pad is also coupled to a vibration module. The system further comprises a drape covering the dressing and the pad and forming a seal between the wound site and the environment. The vibration module fluidly couples to the dressing and provides vibrations during application of negative pressure.

Abstract: Disclosed embodiments relate to devices and systems for providing both negative-pressure therapy and instillation, In some embodiments, both negative-pressure and instillation may be provided to a tissue site in a low-profile context that may also prevent siphoning of instillation fluid during negative pressure application. For example, a single bridge may include a negative-pressure pathway with supports and an instillation pathway, and the instillation pathway may be configured with respect to the negative-pressure pathway so that at least a portion of the instillation pathway collapses upon application of negative pressure to the negative-pressure pathway. Collapse of at least a portion of the instillation pathway may be sufficient to close the instillation pathway.

Abstract: A dressing interface for connecting a negative-pressure source to a dressing may have a coupling member comprising an aperture, a first adhesive region having a first region peel strength, and a second adhesive region having a second region peel strength less than the first region peel strength. The dressing interface may further have a flange coupled to the coupling member, and a conduit housing coupled to the flange and extending through the aperture in the contact layer.

Abstract: In some non-limiting examples, a system for stimulating tissue growth at a tissue site may include an interactive body including a body mass and a tissue contact surface configured to contact the tissue site. A plurality of struts and a plurality of voids may be exposed at the tissue contact surface, and may define a tissue interface pattern at the tissue contact surface. The tissue interface pattern may be configured to engage the tissue site and to create tissue deformation in combination with the body mass. Also provided are other systems, apparatus, and methods suitable for stimulating tissue growth.

Abstract: A multi-layer dressing for treating tissue with negative pressure, instillation, or both. In some embodiments a first layer may be formed from reticulated foam having a series of holes. A second layer disposed adjacent to the first layer may be formed from a perforated polymer. The dressing may optionally include a third layer formed from a soft polymer, such as a silicone gel. The third layer may also have perforations or apertures. The third layer is generally oriented to face a tissue site, and may be disposed adjacent to the first layer so that the first layer is disposed between the third layer and the first layer. The perforations or apertures in the third layer may be registered with one or more perforations in the first layer.

Abstract: A method and apparatus for disrupting material at a tissue site is described. A contact layer may be selected for use on the tissue site and positioned adjacent to the tissue site. The contact layer may include walls defining a plurality of through-holes. A sealing member may be positioned over the contact layer and sealed to tissue surrounding the tissue site to form a sealed space enclosing the contact layer. A negative-pressure source may be fluidly coupled to the sealed space. The negative-pressure source may supply negative pressure to the sealed space and the contact layer to draw tissue into the through-holes to form nodules. The negative pressure may be vented from the sealed space to release the nodules.

Abstract: In one example embodiment, a system for treating a tissue site is disclosed comprising a dressing adapted to contact the tissue site and provide a fluid seal between a therapeutic environment and a local external environment, and a solution source fluidly coupled to the dressing and adapted to deliver an antimicrobial solution comprising a peroxy ?-keto carboxylic acid, such as peroxy pyruvic acid, to the tissue interface. The system may further comprise a negative-pressure source fluidly coupled to the dressing and adapted to provide negative pressure to the therapeutic environment after delivery of the antimicrobial fluid to the therapeutic environment.

Abstract: A dressing for treating a tissue site with negative pressure, methods of manufacturing the dressing, and methods of using the dressing are described. The dressing includes a debriding manifold having a plurality of first regions with a first density, and a plurality of second regions with a second density less than the first density. The dressing can include a cover configured to be disposed over the debriding manifold. The cover includes a perimeter extending beyond the debriding manifold.

Abstract: An apparatus for treating a tissue site comprising a negative-pressure source configured to be fluidly coupled to the tissue site; an instillation source configured to be fluidly coupled to the tissue site; and a controller operatively coupled to the negative-pressure source and to the instillation source. The controller can be configured to operate the negative-pressure source and the instillation source to intermittently deliver negative pressure to the tissue site for a negative-pressure interval and deliver instillation fluid to the tissue site for an instillation interval. A purge volume of instillation fluid may be delivered to the tissue site at a purge frequency. In some examples, the purge volume may be delivered through the second fluid conductor and removed through the first fluid conductor during a negative-pressure interval.

Abstract: Some embodiments provide in-line negative pressure wound therapy (NPWT) sampling assessment systems, comprising: a housing; a wound fluid input port configured to fluidly couple with a first wound fluid lumen extending from a wound treatment site; a wound fluid output port configured to fluidly couple with a NPWT control unit; an in-line sampling chamber positioned within the housing and comprising a theranostic sampling element, wherein the first in-line sampling chamber is configured to: removably and fluidly couple between the input port and the output port in-line with a wound fluid path between the wound treatment site and the NPWT control unit with the first theranostic sampling element positioned so that at least some of the wound fluid contacts at least a portion of the first theranostic sampling element; and decouple out of the wound fluid path without interrupting a negative pressure treatment process applied at the wound treatment site.

Abstract: In some non-limiting examples, a system for stimulating tissue growth at a tissue site may include a porous foam and a moisture barrier. The porous foam may include an exterior-facing surface, a tissue contact surface, and a plurality of struts positioned at the tissue contact surface. The plurality of struts may be configured to contact the tissue site and to create tissue deformation at the tissue site without the application of a reduced pressure. The moisture barrier may be configured to cover the exterior-facing surface of the porous foam and to trap moisture at the tissue site. Also provided are other systems, apparatus, and methods suitable for stimulating tissue growth.

Abstract: A wound dressing includes a contact layer and a support layer. The contact layer is configured to engage and provide surface deformation, slough removal, or debride a wound bed and has a first side and a second side, the second side facing the wound surface. The support layer also has a first side and a second side, the second side facing the first side of the contact layer, wherein a portion of the support layer is configured to overlay a periwound surrounding the wound bed.

Abstract: A dressing that includes a contact layer having walls defining a plurality of holes and a retainer layer comprising portions protruding into holes of a contact layer is provided herein. Systems, methods and kits using the dressing for debriding a tissue site are also provided herein.

Abstract: Systems and methods for providing negative-pressure therapy with fluid instillation therapy and, more specifically, scheduling and controlling both the negative pressure therapy and the fluid instillation therapy are described. The method may comprise applying negative pressure to the dressing based on an initial therapy configuration, and monitoring negative pressure parameters associated with the application of negative pressure to the dressing to identify negative pressure alarm conditions. The method may further comprise applying instillation fluid to the dressing based on the initial therapy configuration, and monitoring instillation parameters associated with the application of instillation fluid to the dressing to identify instillation alarm conditions. Both may include modifying the initial therapy configuration to generate a modified therapy configuration in response to the negative pressure and instillation alarm conditions identified.