PANSEMENT HEMOSTATIQUE POUR CIRCONCISION

HAEMOSTATIC CIRCUMCISION BANDAGE

Abrégé français

La présente invention concerne un bandage de circoncision hémostatique comprenant un corps de bandage fait d'un matériau étanche flexible et d'une configuration unitaire. Le bandage a une partie support de corps pénien apte à être enroulée autour d'un corps pénien entier le protégeant contre une contamination et une partie fixation de corps reliée à la partie support du corps pénien, qui est apte à être fixée temporairement au corps d'un porteur et conçue pour maintenir le bandage en place. Le bandage a également un tampon élastique placé sur la partie support du corps pénien, qui est apte à faciliter l'hémostase au moyen de l'application d'une compression régulière légère, ainsi qu'un tampon absorbant placé sur le tampon élastique, qui est conçu pour aider à absorber le sang et à favoriser la cicatrisation d'une plaie causée par une circoncision. La partie fixation de corps comprend en outre une partie centrale apte à être fixée à une zone de scrotum et deux parties d'aile symétriques placées sur les deux côtés de la partie centrale et aptes à être fixées aux régions d'abdomen et inguinale. La partie support du corps pénien comprend en outre une partie patte conçue pour faciliter le retrait du bandage, et le tampon élastique est fait de mousse ou éponge de caoutchouc.

Abrégé anglais

The present invention relates to a haemostatic circumcision bandage comprising a bandage body made of a pliable waterproof material and of a unitary configuration. The bandage has a shaft supporting portion adapted to be wrapped around an entire penile shaft protecting it against contamination and a body attachment portion connected to the shaft supporting portion, which is adapted to be temporarily attached to a wearer's body and provided to keep the bandage in place. The bandage also has a resilient pad placed on the shaft supporting portion, which is adapted to facilitate haemostasis by means of applying a gentle even compression, as well as an absorbent pad placed over the resilient pad, which is provided to help absorb blood and promote healing a wound caused by circumcision. The body attachment portion further comprises a central portion adapted to be attached to a scrotum area and two symmetrical wing portions located on both sides of the central portion and adapted to be attached to the abdomen and inguinal areas. The shaft supporting portion further comprises a tab portion provided for easy removal of the bandage, and the resilient pad is made of rubber foam or sponge.

Revendications

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CLAIMS:
1.A haemostatic circumcision bandage comprising:
a bandage body made of a pliable waterproof material having
a shaft supporting portion adapted to be wrapped around an entire penile
shaft;
a body attachment portion connected to said shaft supporting portion,
wherein said shaft supporting portion has an integrated configuration
comprising a
permanently attached assembly including:
a resilient pad placed on said shaft supporting portion, said resilient pad is
adapted to facilitate
haemostasis of a wound caused by circumcision by means of applying an even
compression to said
penile shaft throughout the time of application of said bandage;
an absorbent pad placed over said resilient pad, said absorbent pad is
provided for helping
absorb blood, promote healing and to maintain dryness of the wound,
wherein said body attachment portion further comprises:
a central portion extending perpendicularly from substantially a middle of
said shaft supporting
portion, said central portion is adapted to be attached to a scrotum area and
two symmetrical wing portions located on both sides of said central portion,
said wing
portions being spread between said central portion and said shaft supporting
portion in such a way
that lateral edges of said wings adjacent to said central portion are
substantially parallel to the
corresponding adjacent lateral edges of said central portion,
and wherein lateral edges of said wings adjacent to said shaft supporting
portion are
substantially parallel to the corresponding adjacent edges of said shaft
supporting portion,
said wing portions are adapted to be attached to an abdomen and inguinal
areas.
2. The haemostatic circumcision bandage according to claim 1 , wherein said
bandage body has a
unitary configuration.
3. The haemostatic circumcision bandage according to claim 1, wherein said
central portion has a
configuration of a bird's tail.

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4. The haemostatic circumcision bandage according to claim 1, wherein said
shaft supporting
portion further comprises a tab portion provided for easy removal of said
bandage.
5.The haemostatic circumcision bandage according to claim 1, wherein said
resilient pad is made
of rubber foam or sponge.
6.The haemostatic circumcision bandage according to claim 1, wherein said
absorbent pad
comprises a non-adherent gauze impregnated with a contact coagulant agent,
wherein said gauze
is covered by a fine plastic mesh provided to limit adhesion of said gauze to
the wound.
7. The haemostatic circumcision bandage according to claim 1, wherein an inner
surface of said
bandage is covered by a waterproof adhesive material and is provided by a
protective liner or
backing.

Description

CA 02224427 2003-04-15
HAEMOSTATIC CIRCUMCISION BANDAGE
The present invention is related to bandages, and more particularly to a
haemostatic
circumcision bandage.
Currently, most known bandages applied after circumcision of a male infant are
in the
form of long strips of iodoform or VaselineT"" gauze which are wrapped around
the penis and
sometimes tied to stay in place. Alternatively, some dressings consist of a
small piece of plain
gauze smeared with antibiotic cream and fastened with adhesive tape, or not
secured at all.
Topical coagulant agents such as OXYCELT"" or SURGICELT"~ are occasionally
used and
applied to the wound. Powders like Bismuth Subgalate and the like are also
sprinkled on the
dressings if excessive oozing of blood is noted.
The known dressing have the following problems:
-they are messy , time consuming to prepare and difficult to keep in place
because of the
lubricant nature of creams and ointment; thus, they can easily slide offthe
penis, especially if it is
short;

CA 02224427 1997-12-11
2
- conversely they may be di~cult to remove especially if a lot of adhesive
tape is applied or
the tissues stick to the adhesive material;
- they may be so tightly wound that they can jeopardize the blood circulation
to the gland,
cause soft tissue swelling or interfere with urination. As a result, they
require careful supervision
after application, sometimes requiring loosening or completely changing ofthe
bandage;
- they can become so soiled with urine and faecal matter that their protective
function is
diminished and they may need replacement;
- powdered haemostatic agents are often applied on top of the dressing rather
than against the
wound itself where it is needed the most
The bandage in the present invention addresses these problems and seeks to
minimize
them
SU1VIMARY OF THE INVENTION
Broadly, the present invention relates to a haemostatic circumcision bandage
comprising:
I 5 a bandage body made of a pliable waterproof material having
a shaft supporting portion adapted to be wrapped around an entire penile shaft
protecting said
shaft against contamination;
a body attachment portion connected to said shaft supporting portion, said
body attachment
portion is adapted to be temporarily attached to a wearer's body and provided
to keep said
bandage in place;
a resilient pad placed on said shaft supporting portion, said resilient pad is
adapted to facilitate

CA 02224427 1997-12-11
3
haemostasis by means of applying a gentle even compression;
an absorbent pad placed over said resilient pad, said absorbent pad is
provided for helping
absorb blood and promote healing a wound caused by circumcision. Said bandage
body has a
unitary configuration.
In another embodiment of the present invention, said body attachment portion
further
comprises:
a central portion adapted to be attached to a scrotum area and
two symmetrical wing portions located on both sides of said central portion
and adapted to be
attached to an abdomen and inguinal areas. Said shaft supporting portion
further comprises a tab
portion provided for easy removal of said bandage, and said resilient pad is
made of rubber foam
or sponge.
In yet another embodiment, said absorbent pad comprises a non-adherent gauze
impregnated with a contact coagulant agent, and said bandage is affixed to a
protective liner or
backing having a shape corresponding to the shape of said bandage.
BRIEF DESCRIPTION OF THE DRAWINGS
Fig. 1 shows a perspective view ofthe haemostatic circumcision bandage ofthe
present invention
in use.
Fig. 2 shows a back view of the bandage of Fig. 1.

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DETAILED DESCRIPTION OF THE PREFERRED EMBOD>IVVIENT
Referring to drawings, Figs 1 and 2 show a bandage 10 comprising a shaft
supporting
portion 12 made of pliable waterproof material, which is adapted to be wrapped
around the penis
shaft 14 after circumcision. Bandage 10 is temporarily attached to the
wearer's body by means of
a body attachment portion consisting of two symmetrical right and left wing
portions 18
provided to be attached to the abdomen and inguinal areas of the wearer and by
means of a
central portion 16 attached to the scrotum below. Shaft supporting portion 12
and body
attachment portions 16 and 18 form a unitary configuration, wherein an inner
surface 20 is made
of waterproof adhesive and an outer surface of waterproof material, such as
plastic. Preferably,
central portion 16 and right and left portions 18 have a shape of a bird's
tail, which in use opens to
follow the contours of the wearer's body. The inner surface of the shaft
supporting portion 12 is
provided with permanently attached assembly comprising a resilient pad 22 and
an absorbent pad
24 placed over pad 22. The purpose of resilient pad 22 is to facilitate
haemostasis by means of
applying an even compression around the shaft 14 without causing an
undesirable interference
with urination or blood supply to the gland. Resilient pad 22 could be made of
1/10 inch layer of
sponge, foam or other similar material. Absorbent pad 24 is provided to help
heal the wound
caused by circumcision and comprises 1/16 inch gauze layer of absorbent
material which can be
impregnated with a topical clotting agent such as Bismuth Subgalate or the
like. Layer 23
represents a very thin perforated plastic mesh to prevent the sticking of
wound to gauze below.
That support portion 12 is also provided with a 1/4 inch non-adhesive tab 26
to facilitate
the easy removal of the bandage. The bandage 10 can be trimmed to the size of
the wearer and be

CA 02224427 1997-12-11
tightened as required. This bandage 10 can remain in place for 24-48 hours
without interfering
with normal urination. If desired, a topical anti-biotic ointment can be also
applied to the wound.
The entire bandage is stuck to a peel-off backing or liner 28 of smooth
plastic divided into
segments corresponding to the shape of the bandage 10 to facilitate removal of
the bandage prior
to use. In use the bandage should be applied by ai~xing the scrotal portion 16
first, then the shaft
supporting portion 12 is wrapped around penile shaft, and finally the two
symmetrical wing
portions 18 are stuck to the thighs and lower abdomen.
Although the haemostatic circumcision bandage 10 of the present invention is
designed for
the newborn specifically, it can be changed in size for use in other
situations.
Suggested topical clotting agents for possible use with the present invention
are the
following compositions:
bismuth subgalate, calcium or sodium alginate, SURGICEL, kaltostat, aluminum
sulphate, extrait titre de centella asiatica 2gm, exipient QSP 100 gm.
Besides, the absorbent layer of the gauze can also be impregnated with a
topical anesthetic
or even a topical antibiotic so that nothing has to be added by the user.
When using the bandage according to the present invention, the following
trouble-shooting
guide should be considered:
- too tight application of the bandage may still restrict the blood
circulation to the gland. The
user should check for urination capacity from 4-6 hours after application
ofthe bandage. Colour
of the penile tip can also be assessed;

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- if skin is dirty or not dry enough prior to the application of the bandage,
the adhesion may be
insufficient. It is suggested to clean and dry the skin with soft paper towels
or a blow dryer prior
to the application of the bandage;
- if penis is very short, the pad may not grip properly. In this case the
gland may sink into the
dressing so that no compression is applied to the shaft;
-bleeding may be so severe that no simple dressing can arrest it. In this case
minor surgery or
cauterization may be required.
The present invention has the following advantages:
- application is a simple one step procedure in which the entire shaft of the
penis is covered to
minimize the risk of contamination and infection; it is held securely in place
by adhesive strips to
the body of the wearer;
- easy maintenance of applied bandage: urine and faecal matter will not
penetrate inside the shaft
portion as with gauze;
- haemostasis is facilitated by means of applying a gentle and even
compression to the shaft while
permitting normal blood supply to the gland and normal urination; in addition,
a topical coagulant
agent is held directly against the bleeding site;
- the bandage is open at the tip permitting easy visualization of the gland
and proper urination;
- easy removal of the bandage or opening it to re-adjust tension with a small
non-stick tab;
- requires less supervision and may not need more than a single application
for the wound if it
stays in place for 2-3 days;

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- can be removed by an ordinary person without use of scissors;
- a well fitted bandage would also help keep urine and faecal matter off and
result in less
irntation to the patient.
Thus, it can be seen that the objects of the present invention have been
satisfied by the
structure presented hereinabove. While in accordance with the Patent Statutes,
only the best mode
and preferred embodiments of the present invention have been presented and
described in detail, it
is to be understood that the invention is not limited thereto or thereby.
Accordingly, for an
appreciation of the true scope and breadth of the invention, references should
be made to the
following claims.

Dessin représentatif