Abstract: This disclosure describes devices, systems, and methods related to dressings with regions with different adhesive properties, and manufacture and use thereof. An illustrative dressing includes a first region including a first adhesive material. The first adhesive material has a first tackiness. The dressing further includes at least a second region including a second adhesive material. The second adhesive material has a second tackiness in a first phase and a third tackiness in a second phase. The third tackiness is greater than the second tackiness. The first adhesive material is configured to maintain the first tackiness when the second adhesive material in the second phase.

Abstract: A dressing for treating a tissue site with negative pressure may include a bioresorbable manifold layer, which may include a first surface, a second surface opposite the first surface, a thickness. The bioresorbable manifold layer may include a plurality of sacrificial zones configured to degrade upon placement of the bioresorbable manifold layer with respect to the tissue site and application of negative pressure to the bioresorbable manifold layer so as to allow communication of negative pressure between the first surface and the second surface. The bioresorbable manifold layer may include a bioresorbable manifolding structure formed from a first bioresorbable composition and comprising a plurality of apertures corresponding to each of the plurality of sacrificial zones. The bioresorbable manifold layer may also include a second bioresorbable composition disposed within each of the plurality of apertures to form the sacrificial zones.

Abstract: An assembly includes a drape substantially sealable over a wound bed and a trackpad configured to couple a tube to the drape and allow the tube to provide suction to the wound bed. The assembly also includes a vent opening in the drape, a filter coupled to the drape and communicating with the vent opening, a cover coupled to the drape and movable between a first position to cover the vent opening and filter and a second position to uncover the vent opening and the filter, and a fluid indicator coupled to the drape and operable to provide a visual indication that fluid build-up is present in the wound bed.

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: An apparatus for filling a wound can include an array of at least four truncated ellipsoids interconnected to define at least one fluid path through, for example perpendicular to, the array. The longest principal axis of each ellipsoid may be perpendicular to the array. Each truncated ellipsoid may be a spheroid and/or may include an approximately elliptical contact surface at each contact surface between two interconnected ellipsoids. Each fluid pathway may have four continuously-curved concave sides and may have a parallelogram-shaped cross-section with continuously-curved concave edges. A dressing may include the apparatus, a dressing layer coupled to the apparatus, a backing layer disposed over a surface of the dressing layer opposite the apparatus, and an attachment device disposed on at least a margin of the backing layer. Methods of treating various tissue sites using the apparatus or dressing with negative-pressure therapy are also disclosed.

Abstract: A system for use in treating a tissue site with negative pressure, which may comprise a dressing or tissue interface and a plurality of standoffs for storing and releasing a biocompatible polymer to the tissue site. The standoff may be cells or closed-end cells. In some examples, the biocompatible polymer may comprise collagen, oxidized regenerated cellulose, or a combination thereof. Method for using and manufacturing the dressing or tissue interface may also be disclosed.

Abstract: A dressing for treating a tissue site with negative pressure includes a manifold having a first surface and a second surface opposite the first surface. The dressing also includes a first layer adjacent to the first surface and a second layer adjacent to the second surface. The first layer and the second layer each include a polymer film. The dressing also includes a plurality of fluid restrictions in the polymer film adjacent to at least the first surface, and a plurality of bonds between the first layer and the second layer. The plurality of bonds defines separable sections of the manifold. Each of the separable sections of the manifold has at least one rounded edge.

Abstract: A dressing for treating a tissue site with negative pressure may include a manifold including a first surface and a second surface opposite the first surface, a first layer adjacent to the first surface and a second layer adjacent to the second surface, the first layer and the second layer each comprising a polymer film, a plurality of fluid restrictions in the polymer film adjacent to at least the first surface, and at least one x-ray detectable marker extending in a linear pattern along the dressing.

Abstract: In one aspect, a dressing for transferring skin grafts from a donor site to a recipient site is disclosed, which comprises a substrate having a surface configured for contact with one or more epidermal skin grafts, a plurality of capture sites distributed across said substrate surface, wherein each of said capture sites is configured for capturing at least one epidermal skin graft, and a plurality of topographical features distributed over said substrate surface and coupled to at least one of said capture sites so as to provide at least one of inducing proliferation and facilitating migration of keratinocytes in the captured epidermal skin grafts to surrounding tissue.

Abstract: A method of manufacturing a tissue interface for a reduced pressure tissue treatment system is provided. The method includes foaming a plurality of polymer particles to form a porous polymer. The method also includes sintering the porous polymer to form a sintered porous polymer. The method further includes texturing the sintered porous polymer. A system to provide reduced pressure at a tissue site is provided. The system includes a cover configured to form a seal over the tissue site. The system also includes a reduced-pressure source configured to provide reduced pressure through the cover at the tissue site. The system further includes a tissue interface configured to be disposed underneath the cover at the tissue site and comprising a porous polymer that is formed from one or more polymer particles that may be foamed and textured.

Abstract: An assembly includes a drape substantially sealable over a wound bed and a trackpad configured to couple a tube to the drape and allow the tube to provide suction to the wound bed. The assembly also includes a vent opening in the drape, a filter coupled to the drape and communicating with the vent opening, a cover coupled to the drape and movable between a first position to cover the vent opening and filter and a second position to uncover the vent opening and the filter, and a fluid indicator coupled to the drape and operable to provide a visual indication that fluid build-up is present in the wound bed.

Abstract: In one example embodiment, an apparatus for treating a tissue site may include a contact layer formed from a compressible material. The contact layer may include a plurality of apertures extending at least partially through the contact layer. The contact layer may be configurable such that at least a portion of the apertures include a first plurality of orifices having a diameter in a first diameter range and such that at least a portion of the apertures include a second plurality of orifices having a diameter in a second diameter range. The first diameter range may be from about 2 mm to about 6 mm. The second diameter range may be from about 8 mm to about 15 mm. The apparatus may include a cover configured to form a sealed space including the contact layer and the tissue site.

Abstract: In one example embodiment, an apparatus for treating a tissue site may include a contact layer formed from a compressible material. The contact layer may include a plurality of apertures extending at least partially through the contact layer. The contact layer may be configurable such that at least a portion of the apertures include a first plurality of orifices having a diameter in a first diameter range and such that at least a portion of the apertures include a second plurality of orifices having a diameter in a second diameter range. The first diameter range may be from about 2 mm to about 6 mm. The second diameter range may be from about 8 mm to about 15 mm. The apparatus may include a cover configured to form a sealed space including the contact layer and the tissue site.

Abstract: An apparatus for filling a wound can include an array of at least four truncated ellipsoids interconnected to define at least one fluid path through, for example perpendicular to, the array. The longest principal axis of each ellipsoid may be perpendicular to the array. Each truncated ellipsoid may be a spheroid and/or may include an approximately elliptical contact surface at each contact surface between two interconnected ellipsoids. Each fluid pathway may have four continuously-curved concave sides and may have a parallelogram-shaped cross-section with continuously-curved concave edges. A dressing may include the apparatus, a dressing layer coupled to the apparatus, a backing layer disposed over a surface of the dressing layer opposite the apparatus, and an attachment device disposed on at least a margin of the backing layer. Methods of treating various tissue sites using the apparatus or dressing with negative-pressure therapy are also disclosed.

Abstract: Disclosed are photo-responsive pressure sensitive adhesives, wound dressings that contain the photo-responsive pressure sensitive adhesives, and methods to remove the wound dressing. The photo-responsive pressure sensitive adhesive comprises a viscoelastic polymeric matrix. The viscoelastic polymeric matrix comprises a polymer that includes at least a first polymeric segment and at least a second polymeric segment that are each covalently linked together through a photo-cleavable moiety. The photo-cleavable moiety is capable of photolytic cleavage of the covalent bonds formed between the moiety and the first and/or second polymeric segments, respectively, in response to electromagnetic radiation.

Abstract: A method may include forming a mesh comprising a plurality of strands meshed together. Each of the plurality of strands may include a polymeric film. The method may include perforating the mesh to form a perforated mesh having one or more perforations. The method may further include texturing the perforated mesh to form at textured and perforated mesh having at least one of a dimple or a channel. A system may include a cover configured to form a seal over the tissue site. The system may also include a reduced-pressure source configured to provide reduced pressure through the cover at the tissue site. The system may further include a tissue interface configured to be disposed underneath the cover at the tissue site. The tissue interface may include a textured mat having a plurality of strands of polymeric film matted together and at least one of a dimple or a channel.

Abstract: An apparatus and methods for distinguishing outgrowth of cells from surrounding biological material are disclosed. In some embodiments, the method may include delivering a marker to cellular material originating from a donor tissue site, followed by transplanting the cellular material from the donor tissue site to a recipient tissue site. One or more locations of the transplanted cellular material at the recipient site may be identified by locating a distribution of the marker at the recipient tissue site.

Abstract: In an example embodiment, a dressing for disrupting debris in a tissue site may comprise a manifold having a first face and a second face. The dressing may also include a plurality of surface features formed from a compressible material. The plurality of surface features may define channels on at least the first face of the manifold. The channels may receive tissue in response to the application of negative pressure. In another example embodiment, a system for softening tissue at a tissue site may include a contact layer. The contact layer may include at least two concentric edges and at least one frangible strut mechanically coupling the concentric edges. The concentric edges and the frangible strut may define through-holes in the contact layer. The through-holes in the contact layer may have an open area in a range of about 0.25 square centimeters to about 15 square centimeters.

Abstract: In one example embodiment, an apparatus for treating a tissue site may include a contact layer formed from a compressible material. The contact layer may include a plurality of apertures extending at least partially through the contact layer. The contact layer may be configurable such that at least a portion of the apertures include a first plurality of orifices having a diameter in a first diameter range and such that at least a portion of the apertures include a second plurality of orifices having a diameter in a second diameter range. The first diameter range may be from about 2 mm to about 6 mm. The second diameter range may be from about 8 mm to about 15 mm. The apparatus may include a cover configured to form a sealed space including the contact layer and the tissue site.

Abstract: Systems, methods, and apparatuses for treating a tissue site are described. In some embodiments, the method may include receiving input information related to a tissue site of a patient, processing the input information in a processor to generate options for a user to select a desired action, and executing the desired action to provide output information related to the tissue site. The method may further include communicating the output information to a user via a communications network.