Abstract: Wound fluid blood detection systems and methods are described that are operable in conjunction with reduced pressure wound treatment (RPWT) systems, as well as ancillary therapy and monitoring systems applied concurrently with RPWT systems. The blood detection monitor operates by optically characterizing the content of wound fluids to the extent of identifying percentage blood content. This identification relies upon the transmission of select wavelengths of light across a volume of wound fluid to a photo detector (connected to signal processing instrumentation) capable of quantifying the absorption characteristics of the fluid. The detection components may be implemented in conjunction with either a fluid flow conduit (i.e. the reduced pressure tubing directing fluid away from the wound dressing) or more directly in association with the materials that comprise the wound dressing positioned within the wound bed itself.

Abstract: For application of active substances to a wound surface a porous padding (12) is provided upon the wound (10), which is sealingly covered over with a foil (14). A fluid active substance is introduced into the padding (12) via a supply line (22) and is then suctioned out of the padding (12) via a removal line (26). Closure mechanisms (32, 34) control the introduction of the active substance and the suctioning off of the active substance in the manner, that the active substance after being introduced remains for a predetermined dwell time in the padding (12), before it is suctioned off. After the suctioning off the vacuum in the padding (12) is maintained for a certain time period, before renewed introduction of the active substance. The opening of the closure mechanisms (32, 34) are temporally controlled to occur slowly.

Abstract: A system for treating a patient with a wound comprises a bandage, a receptacle, and a vacuum source. The bandage comprises a cover to seal about the wound and to define a space above the wound in which a vacuum is to be formed. The bandage further comprises a port providing communication with the space. The receptacle is connected to the port to receive exudate from the wound and is provided to be placed below the wound. The vacuum source is spaced apart from the receptacle, is connected to the receptacle, and is effective to provide a vacuum in the receptacle and in the space.

Abstract: The invention relates to a drainage device (100) for the treatment of wounds using reduced pressure, comprising (a) a gas-type wound-covering element (3), which, in the state in contact with the body of the patient, is fastened cohesively at the skin surface around the region of the wound and forms a sealed wound space, remaining between the respective wound and the wound-covering element (3); (b) at least one drainage tube (4), which can be connected to means generating the reduced pressure and can be inserted into the wound space approximately parallel to the wound-covering element (3); and (c) at least one absorption body (2) in the form of at least one layer (7) of a textile section (33), which is interspersed with super-absorbing particles and enclosed in an envelope. Due to the size of the pores of the envelope, the absorbed wound secretions remain within the absorption body (2) and, with that, underneath the wound-covering element (3) until the absorption body is removed from the wound space.

Abstract: A wound treatment arrangement for the debriding and cleansing of a patient's body portion comprising: a flexible elongated body portion enclosure bag; an elongated nozzle arrangement securable to the inner surface of the elongated enclosure bag; a pressurized fluid treatment supply gun; and a connectable and releasable coupler member arranged on the proximal end of the nozzle arrangement so as to sealably receive a corresponding coupler arrangement on the fluid treatment supply gun.

Abstract: A wound care bandage for treating a wound is provided. The bandage includes an SIS layer to be placed on the wound surface and a cover to placed over the wound. Illustratively, the bandage further includes a structure to provide a vacuum space. A method for promoting wound healing is further provided. The method includes applying the above-mentioned wound care bandage to the wound and creating a vacuum in the vacuum space to draw blood controllably from the wound into the SIS layer.

Abstract: In various embodiments, a drug-delivery device includes a skin patch with an integral delivery vehicle adherable to a patient's skin. An exterior surface of the patch defines an envelope within which is disposed a programmable drug pump including a reservoir, a cannula for conducting liquid from the reservoir to the delivery vehicle, and a mechanism for forcing liquid from the reservoir through the cannula and into the delivery vehicle.

Abstract: A wound covering is described herein and which includes a flexible substrate having first and second portions which are affixed together, and moveable one relative to the other, and wherein the second portion is, at least in part, optically transparent, and permits the viewing of a wound site on a patient; and an at least partially rigid member mounted on the first portion, and extends outwardly relative to the first portion.

Abstract: A wound insert or wound packing for preventing wound closure is provided. Such packing may be used alone or in regular bandages or in vacuum bandages or in irrigation bandages. Some illustrative wound inserts are configured for placement within an undermined portion or a tunneled portion of a wound.

Abstract: A vacuum and irrigation wound bandage system is provided for use with a wound. The system includes a vacuum source, an irrigation source, and a bandage positioned adjacent the wound to create a sealed environment around the wound. The vacuum source of the system is in communication with the bandage to create negative pressure between the bandage and the wound.

Abstract: An apparatus for cleansing wounds in which irrigant fluid from a reservoir connected to a conformable wound dressing and wound exudate from the dressing are moved by a device (which may be a single pump or two pumps) for moving fluid through a flow path which passes through the dressing and over a biodegradable scaffold in contact with the wound bed (which encourages healing tissue growth from the wound bed). The apparatus has means (which includes the device(s)) for providing simultaneous aspiration and irrigation of the wound. A dressing assembly including the dressing and the scaffold, and the dressing and a method of treatment using the apparatus.

Abstract: A method and apparatus are disclosed for delivering at least one agent to a wound site. The method includes the steps of providing a delivery tube having an outlet at a wound site, covering the wound site with a drape and introducing agent at an agent inlet port of the delivery tube. The agent passes along the delivery tube through the drape to the wound site. The agent can be a wide variety or mixture of fluids such as but not limited to pain relief medicament, anti-biotics, saline solution and/or hydrating fluid.

Abstract: An apparatus for cleansing and promoting tissue growth in wounds, in which irrigant fluid optionally containing cell nutrients and/or other physiologically active material from a reservoir connected to a conformable wound dressing and wound exudate from the dressing are recirculated by a device for moving fluid through a flow path which passes through the dressing, a biodegradable scaffold in contact with the wound bed and a means for fluid cleansing and back to the dressing. The apparatus has means for supplying thermal energy to the fluid in the wound. The cleansing means (which may be a single-phase, e.g. micro-filtration, system or a two-phase, e.g. dialytic system) removes materials deleterious to wound healing, and the cleansed fluid, still containing materials that are beneficial in promoting wound healing, is returned to the wound bed. The dressing and a method of treatment using the apparatus.

Abstract: An apparatus for cleansing wounds with means for stressing the wound bed and optionally tissue surrounding the wound, in which irrigant fluid from a reservoir connected to a conformable wound dressing and wound exudate from the dressing are recirculated by a device for moving fluid through a flow path which passes through the dressing and a means for fluid cleansing and back to the dressing. The cleansing means (which may be a single-phase, e.g. micro-filtration, system or a two-phase, e.g. dialytic system) removes materials deleterious to wound healing, and the cleansed fluid, still containing materials that are beneficial in promoting wound healing, is returned to the wound bed. The means for stressing the wound bed and optionally tissue surrounding the wound promotes wound healing. The dressing and a method of treatment using the apparatus.

Abstract: A pump system for applying negative pressure to a wound, including a flow monitor capable of detecting a deviation from a reference airflow rate provided by a controlled leak to determine whether the system is operating normally or abnormally, and a flow status annunciator to indicate a normal operating condition or whether an abnormal condition is a leak or an occluded line in the system. The pump system further includes a pressure controller for regulating operation of a pump to control pressure in the system at a range around a user-selected setpoint. The pump system may also include a waste collector and a level sensor for detecting when the collector is full.

Abstract: The present invention relates to a device (2) for cell therapy, said device being designed to be applied on a living tissue and having at least a tight preferably biocompatible first wall (22), designed to form a cavity (24) between said wall and said tissue, and further comprising means (7) to feed a healing substance in said cavity.

Abstract: A wound dressing having a suction member adaptable for connection to a source of vacuum pressure. The wound dressing preferably has a hydrophobic or biodegradable base layer and one or more absorptive layers for absorbing fluid from the wound. The absorptive layers are preferably quilted with patches containing desiccant, adsorbent, or absorbent material. Alternatively, the wound dressing may allow fluid to pass through the suction member. A semi-permeable cover is provided for allowing the wound to breathe while protecting the wound from undesirable substances such as bacteria, viruses, or fluids. The cover may have a bladder for distributing contact pressure away from the wound. Various sensors may be provided in the wound dressing for sensing various physiological parameters in the wound, such as oxygen saturation, blood pressure, respiratory rate, blood glucose, and serous fluid turbidity. Medicine may also be applied to the wound through the wound dressing.

Abstract: An object of the present invention is to provide a tissue cell culture system whereby a call tissue can be efficiently and quickly proliferated in vivo and the onset bacterial infection in an injured part can be avoided in the course of a treatment. More specifically, a closed cell culture system (1) characterized in that a defection (2) of a tissue on the body surface or inside the body is tightly sealed to form a closed environment free from the invasion of bacteria, etc. and then a solution appropriate for cell culture is circulated in the tissue defection thus sealed to thereby regenerate the defective tissue; and a method of administering a drug which comprises dissolving a remedy in the perfusion with the use of the above system and thus promoting the treatment of the defection.

Abstract: A system for draining the chest cavity of a patient subjected to a traumatic chest injury and/or to surgery within the chest. The system includes a small, portable suction device and a chest tube with an improved terminal structure. A number of embodiments of the suction device are disclosed; the first (with two variations) a small, completely disposable, bottle-shaped assembly comprising a motor/pump section, a power section, and a desiccant filled chamber, the second (also with two variations) a small box shaped assembly with a disposable desiccant pouch and a power supply that mounts to a battery charger positioned on an IV pole. A number of chest tube terminus structures are disclosed, including multi-lumen structures having high-airflow and low-airflow lumens as well as “dead” and “live” lumens.

Abstract: A medical device is provided that encloses a wound and promotes wound drainage by suction. The device includes an enclosure to be placed over a wound, adhesively connected to the skin around the wound by a flange. Gauze type packing cylinders can be placed in the wound, and suction is provided either by a bulb type pump, or by a pair of regulators. When regulators are used, one alternates the suction that it provides, and the other is continuous, such that the level of suction is periodically varied. The suction facilitates the transfer of liquid from the wound to the packing cylinders and from the packing out of the enclosure. A leak detector is optionally provided.

Abstract: For application of active substances to a wound surface a porous padding (12) is provided upon the wound (10), which is sealingly covered over with a foil (14). A fluid active substance is introduced into the padding (12) via a supply line (22) and is then suctioned out of the padding (12) via a removal line (26). Closure mechanisms (32, 34) control the introduction of the active substance and the suctioning off of the active substance in the manner, that the active substance after being introduced remains for a predetermined dwell time in the padding (12), before it is suctioned off. After the suctioning off the vacuum in the padding (12) is maintained for a certain time period, before renewed introduction of the active substance. The opening of the closure mechanisms (32, 34) are temporally controlled to occur slowly.

Abstract: A wound shield to manage repetitive access stress may include a conformable substrate to circumscribe a wound. Any suitable dressing may be secured to the conformable substrate providing separation between the wound and the dressing. The wound substrate may provide a site for attachment of adhesive dressings to shield the patient's skin from the pain of repetitive access and or removal of the dressings. A conformable substrate may be composed of one or more layers of any suitable material and may include adhesive on one or more surfaces to secure the substrate to the wound site and or to secure the dressing to the conformable substrate. A wound substrate may include strong adhesive to secure the substrate to the patients skin. The conformable wound substrate will be formed of any suitable non-absorbent material to permit long term application adjacent a wound. Thus many dressings may be applied and removed from a single wound substrate shielding the patient's skin from repetitive insult.

Abstract: An apparatus for cleansing and promoting tissue growth in wounds, in which irrigant fluid optionally containing cell nutrients and/or other physiologically active material from a reservoir connected to a conformable wound dressing and wound exudate from the dressing are recirculated by a device for moving fluid through a flow path which passes through the dressing, a biodegradable scaffold in contact with the wound bed and a means for fluid cleansing and back to the dressing. The apparatus has means for supplying thermal energy to the fluid in the wound. The cleansing means (which may be a single-phase, e.g. micro-filtration, system or a two-phase, e.g. dialytic system) removes materials deleterious to wound healing, and the cleansed fluid, still containing materials that are beneficial in promoting wound healing, is returned to the wound bed. The dressing and a method of treatment using the apparatus.

Abstract: A bandage has a first sheet overlying a wound and located adjacent to it and a top sheet overlying the first sheet. The first sheet has a plurality of discrete passageways overlying the wound and adapted to communicate negative pressure established by a negative pressure source to the wound.

Abstract: A cushioned medical securement device for cushioning and securing a patient medical device includes a laterally and longitudinally extending pad. The pad has an adhesive coated first side surface for adhering to the patient medical device and an opposing adhesive coated second side surface for adhering to a patient's skin. A first release liner is removably mounted on the first side surface. The first release liner has a first liner peel release value. A second release liner is removably mounted on the second side surface. The second release liner has a second liner peel release value that is greater than the first liner peel release value.

Abstract: A wound therapy device is disclosed. The wound therapy device may include a housing for covering at least a portion of a wound and for sealing to a body surface of a patient. The housing may also include a liquid collector for retaining liquid therein and a vacuum connection for coupling to a vacuum source. The vacuum connection may be in gaseous communication with the liquid collector. The vacuum connection may be separated from the liquid collector by a liquid barrier.

Abstract: An apparatus for promoting the healing of an exuding wound includes a wound cover for defining a reservoir over a wound in which a negative pressure may be maintained. The cover may form a substantially fluid-tight seal around the wound and permit fluid communication between the reservoir and a vacuum source suitable for providing an appropriate negative pressure to the reservoir to stimulate healing of the wound. A wound filler positioned between the wound and the wound cover includes a nonwoven material at least partially perforated by sonic welding.

Abstract: A wound treatment apparatus is disclosed to provide vacuum therapy to a wound associated with a patient. The wound treatment apparatus comprises a control unit comprising an alarm and a display displaying an alarm log providing information associated with each activation of the alarm. The display also displays information to instruct a user how to operate the wound treatment apparatus. A method of calibrating the control unit is disclosed.

Abstract: For application of active substances to a wound surface a porous padding (12) is provided upon the wound (10), which is sealingly covered over with a foil (14). A fluid active substance is introduced into the padding (12) via a supply line (22) and is then suctioned out of the padding (12) via a removal line (26). Closure mechanisms (32, 34) control the introduction of the active substance and the suctioning off of the active substance in the manner, that the active substance after being introduced remains for a predetermined dwell time in the padding (12), before it is suctioned off. After the suctioning off the vacuum in the padding (12) is maintained for a certain time period, before renewed introduction of the active substance. The opening of the closure mechanisms (32, 34) are temporally controlled to occur slowly.

Abstract: A wound closure apparatus having a porous pad adapted to be fluidly connected to a vacuum pump. The pad is placed over or within a tissue site, and the vacuum pump may be activated to draw air and exudates from the tissue site. The pad contains multiple pore sizes to prevent granulation tissue from migrating into the pad as reduced pressure treatment is applied. The pad has an outer surface adjacent the wound with pore sizes of a diameter of approximately 100 microns or less to prevent tissue from growing into the pad and is treated for biocompatibility.

Abstract: An apparatus for cleansing wounds with means for stressing the wound bed and optionally tissue surrounding the wound, in which irrigant fluid from a reservoir connected to a conformable wound dressing and wound exudate from the dressing are recirculated by a device for moving fluid through a flow path which passes through the dressing and a means for fluid cleansing and back to the dressing. The cleansing means (which may be a single-phase, e.g. micro-filtration, system or a two-phase, e.g. dialytic system) removes materials deleterious to wound healing, and the cleansed fluid, still containing materials that are beneficial in promoting wound healing, is returned to the wound bed. The means for stressing the wound bed and optionally tissue surrounding the wound promotes wound healing. The dressing and a method of treatment using the apparatus.

Abstract: The present invention is directed to a method of using a multilayered fabric comprising a first absorbable nonwoven fabric and a second absorbable woven or knitted fabric in tissue repair and regeneration.

Abstract: A tissue treatment device has a flexible treatment portion that includes one or more parts and holes arranged in an openwork. A treatment area is defined in the openwork. The treatment portion is deployed such that the treatment area is positioned over tissue to be treated. The openwork minimizes contact between the tissue treatment device and the tissue being treated. A flexible cover is secured against the flexible treatment portion to close the holes and form a treatment volume in the openwork. The minimal contact between the tissue treatment device and the tissue being treated promotes a desired clinical objective.

Abstract: A portable closed wound drainage system that uses a pouch shaped dressing which is inserted into a wound. At least a portion of the outer surface of the pouch is porous to allow exudates to enter. Exudates are removed from the pouch by flexible tubing which is secured inside the pouch at one end and secured at the other end to a portable drain/suction unit. The pouch contains porous material. The tubing can have a single or multi-lumen structure. The pouch and the tube are sealed by a flexible sealing material which is applied to the outer surface of the skin. A cosmetic cover sheet is attached to the patient's skin over the closed wound drainage system.

Abstract: A wound vacuum therapy dressing kit is provided for use with a wound drainage system having a vacuum source. The kit may include a wound dressing member, a sealing film, and a wound measurement device. The wound dressing member may include a wound contacting surface configured to be in contact with and generally conform to a wound surface of a patient. The member may be adapted to be coupled to the vacuum source for communicating suction from the vacuum source to the wound surface. The sealing film of the kit may be provided for placement over the member and may be configured to adhere to a patient's healthy skin surrounding the wound. The wound measurement device may include a transparent top portion and a transparent bottom portion configured for placement adjacent the wound surface. The top portion may include a drawing surface and a grid associated with the drawing surface.

Abstract: A wound closure apparatus having a housing that contains a vacuum pump and a chamber for holding a disposable wound fluid collection canister. The canister resides within the chamber and connects at an outlet with the vacuum pump at an inlet with a porous wound pad. The pad is placed over or within a wound and adhesively secured thereto. When the vacuum pump activates, it evacuates air from the canister resulting in wound fluids flowing from the wound into the canister. Due to the negative effect that a vacuum can impose on tissue when granulation tissue is pulled into the pad, the pad contains multiple pore sizes to prevent granulation tissue from migrating into the pad. The pad has an outer surface adjacent the wound with pore sizes of a diameter of approximately 100 microns or less to prevent tissue from growing into the pad and is treated for biocompatibility.

Abstract: An apparatus includes a fluid permeable dressing and a cover membrane configured to extend over the fluid permeable dressing. A tube is coupled to the fluid permeable dressing and is configured to apply suction through the fluid permeable dressing. A fluid reservoir is coupled to the cover membrane, the fluid vessel including an inlet port configured to receive a fluid and an outlet port fluidically coupled to the fluid permeable dressing.

Abstract: A method for producing cell material (20) having multiple biological cells (21), which have a predefined geometrical arrangement, includes the steps of providing a manipulation tool (10) having a tool body (11), whose surface (12, 14) at least partially contacts the cell material (20), and adjusting the manipulation tool (10) using a change of geometrical properties of the surface (12, 14) in such a way that the geometrical arrangement of the cells (21) is changed. A manipulation tool for performing a method of this type is also described.

Abstract: A wound dressing apparatus includes a wound dressing member dimensioned for positioning relative to a wound bed. The wound dressing member including an internal vacuum reservoir and has a port in communication with the vacuum reservoir for applying subatmospheric pressure to the vacuum reservoir to facilitate removal of fluid from the wound bed. The wound dressing member includes a visual pressure indicator associated therewith for indicating a level of pressure within the vacuum reservoir. The visual pressure indicator includes color indicia having a plurality of colors corresponding to a condition of the pressure within the vacuum reservoir. The wound dressing member includes a lower absorbent member positionable adjacent the wound bed and an upper member which at least partially defines the vacuum reservoir. At least one of the top member and the lower absorbent member has the visual pressure indicator mounted thereto. The preferred visual pressure indicator includes an electronic position sensor.

Abstract: A flexible protective cover for preventing fluid from entering an open epidermal site on a user, comprising: a central portion having at least one rib, an edge connected to the central portion at an angle, a lip disposed around the edge, a sealing member disposed over the lip for providing a sealing engagement between the lip and the open epidermal site, and at least one adjustable strap removably connected to the central portion. Also disclosed is a flexible protective cover having a central portion, an edge connected to the central portion at an angle, an inflatable sealing member integral with the edge for providing the sealing engagement, and at least one adjustable strap removably connected to the central portion.

Abstract: A control unit is adapted for use with a vacuum wound bandage. The control unit has a canister to collect waste material from the vacuum wound bandage, a fluid source to irrigate the wound, and a door to at least partially cover the fluid source.

Abstract: A reduced pressure treatment apparatus includes a drape for positioning over the wound site to create and maintain a substantially air-tight cavity between the wound site and the drape. A multi-lumen suction tube is provided to be attached to a reduced pressure source. The multi-lumen suction tube includes a center lumen and at least one outer lumen and is configured to deliver reduced pressure beneath the drape to the substantially air-tight cavity. The multi-lumen suction tube is adapted to allow fluid to be drawn from the wound site through the center lumen and pressure to be monitored at the wound site through the at least one outer lumen.

Abstract: A hair and scalp covering shield in the form of a flexible bag 10 is shaped to firmly cover the hair and scalp of a person intended for exposure to a hair louse treatment routine. The inlet 14 to the bag 10 in fitted with an elastic band 16. The bag 12 is fitted with an aperture in the form of a hole 24 incorporating a non-return closure type facility 18 to enable the charging of agent to a treatment zone 26 formed within the bag 12 once in use. Treatment of hair lice is effected by starving the treatment zone 26 of oxygen in response to introducing oxygen deficient agent into the zone 26 once the bulk of air has been removed.

Abstract: A bandage bag provides the dual functions of holding a medical apparatus to a patient for daily wear and of serving as a waterproof bandage, especially for a catheter and its insertion site. The bandage bag comprises a bag and two adhesive layers. The bag opens along a first edge. One adhesive layer is placed along the other three edges on the anterior side of the bag. The second adhesive layer is placed along the first edge on the posterior side of the bag. The bag is attached to a patient's arm near the insertion site using the second adhesive layer. The catheter tubing and port is placed in the bag. The bag is then folded over so the first adhesive layer on the anterior side faces the arm and covers the insertion site, forming a waterproof bandage for the insertion site and the medical apparatus.

Abstract: An integrated wound dressing system and method including a bandage and a self-contained receptacle that stores treatment material for the care and treatment of wounds. The treatment material is easily accessible and can be removed from the receptacle through an exit. The treatment material can then be used to control bleeding and/or clean the wound before dressing. The bandage may include a layer of plastic that acts as an occlusion barrier to reduce heat loss and maintain moisture levels at the wound site. The occlusion barrier also acts to prevent the passage of air into or out of the wound site. The bandage also includes fasteners that act to prevent unintentional unraveling and to secure the bandage during final packaging. These fasteners help facilitate the wrapping of amputations, stumps, and extremities. The integrated wound dressing system provides an all-in-one system for treating and dressing wounds and reduces the time required to do so.

Abstract: Described are improvements to the structure and functionality of a reduced pressure adapter used to connect a distribution manifold and a reduced pressure source instrumentation in a reduced pressure wound treatment (RPWT) system. The reduced pressure adapter reduces instances of unintentional liquid ingress into ancillary lumens of a reduced pressure delivery tube, while channeling the liquid to a primary lumen of the reduced pressure delivery tube.

Abstract: Disclosed is an apparatus for the treatment of a wound on a patient. The apparatus is capable of administering localized negative pressure therapy to the wound using a negative pressure source and a drain line for removing exudate from the wound. The apparatus is also capable of administering localized hyperbaric fluid therapy to the wound using a fluid source and a supply line for supplying fluid to the wound.

Abstract: A wound therapy and tissue management system utilizes fluid differentiation. Fluid is differentiated by establishing a gradient within the system. A gradient can be established with matter or energy. Patient interfaces for establishing, maintaining and varying one or more gradients include transfer elements with first and second zones having different flow coefficients. The transfer elements exchange fluid with a patient, generally through a wound site, and with external components of the system. Osmotic solution gradients are controlled by a methodology involving the present invention for extracting solutions, which can include toxins, from patients and for introducing fluids and sumping air to wound sites.

Abstract: A wound therapy apparatus for enhancing healing of a wound includes a wound dressing configured for placement over the wound to define a reservoir over the wound in which a wound contact fluid may be maintained by forming a substantially fluid-tight seal around the wound. An elastic bladder member defined by or within the wound dressing is expandable to exert a pressure on the wound contact fluid within the reservoir. A fluid system is in fluid communication with the reservoir for selectively delivering the wound contact fluid to the reservoir, and a pressure system is in fluid communication with the bladder member for delivering a compressed liquid or gas to the bladder member to effect expansion in the bladder member.

Abstract: An apparatus for cleansing wounds with means for applying flow stress to the wound bed; and in which irrigant fluid from a reservoir connected to a conformable wound dressing and wound exudate from the dressing are moved by a device (which may be a single pump or two pumps) for moving fluid through a flow path which passes through the dressing and a means for providing simultaneous aspiration and irrigation of the wound, and means for applying flow stress to the wound bed. The former removes materials deleterious to wound healing, while distributing materials that are beneficial in promoting wound healing over the wound bed. The latter promotes wound healing. The dressing and a method of treatment using the apparatus.