专利摘要:
A dressing for skin care, comprising a main compress covered by a membrane (2) having an adhesive contour (12) protruding from this compress, intended to be applied to the skin, this dressing having an inlet opening (6) d a treatment liquid (22) on the main compress, and the membrane comprising on at least a portion of the surface facing said compress a permeability permitting gas exchange.
公开号:FR3044893A1
申请号:FR1562074
申请日:2015-12-09
公开日:2017-06-16
发明作者:Emile Droche
申请人:Emile Droche;
IPC主号:
专利说明:

The present invention relates to a dressing system intended to be applied to the skin of a patient while maintaining a moist medium, as well as to a method of implementing this dressing.
The current used bandage comprises a product forming a compress, which is covered by a film or a membrane whose contours are adhesive to press this compress on the skin.
The primary function of this type of dressing is to protect a superficial wound on the skin of a patient, covering it to keep it dry and away from the external environment that may affect it. This protection to be renewed several times a day, is maintained for a time necessary to obtain sufficient healing of the skin.
This type of dressing, which is economical, is still in use. It may have a slight antiseptic function to prevent infection of the wound, allowing spacing renewals, which are done for example once a day.
The wound can be caused by a variety of problems including a cut, burn, pimple, ulcer or skin condition.
A problem with this type of dressing is that adhesions of healing tissue forming on the wound are usually present on the compress, which is then torn off during the next withdrawal. This slows down the healing cycle and delays healing. In particular healing of ulcers may become impossible.
To limit adhesion of the compress it is known to use in front of the wound a polymer grid and / or a product of the hydro-colloid type, which may be associated with petroleum jelly. However, this solution does not always give complete satisfaction.
A type of high-end dressing proposed today, which is more expensive, promotes healing by maintaining a moist environment with a hydro-colloid mass.
In addition some of these dressings can absorb bleeding. In this case this type of dressing should be replaced several times during treatment, usually after 24 hours the first time, and then for each period of 48 hours.
A particular therapy achieves a negative pressure in the dressing maintaining a moist and antiseptic medium, in particular to promote the absorption of products through the skin. It is known to use different types of pumps to create a negative pressure, however these systems have high costs, and require energy for the actuation of the pump.
As a variant, a type of dressing maintaining a negative pressure in a humid medium, presented in particular in the document US Pat. No. A1-20050070835, comprises a flat reservoir intended to be held on the dressing, containing chemical or electrochemical means which absorb oxygen so as to to reduce the gas pressure in this tank.
However, this type of means designed to absorb oxygen is complex to implement, and increases costs.
The present invention is intended to avoid these disadvantages of the prior art.
It proposes for this purpose a dressing for skin care, comprising a main compress covered by a membrane having an adhesive contour protruding from this compress, intended to be applied to the skin, this dressing being remarkable in that it comprises an opening input of a treatment liquid on the main compress, and in that the membrane has on at least a portion of the surface facing this compress a permeability permitting gas exchange.
An advantage of this dressing is that on the one hand the inlet opening makes it possible to control a flow of the treatment liquid to soak the compress, and that on the other hand the permeability of the membrane to the gas allows during the use of the dressing to let gases escape in order to avoid pressure in this dressing. In addition, the gas exchange avoids the maceration of the wound and allows the renewal of the liquid.
The dressing according to the invention may further comprise one or more of the following characteristics, which may be combined with one another.
According to one embodiment, the dressing comprises, in addition to the permeability, an outlet opening for the air contained in the main compress.
In particular, the inlet or outlet opening may comprise a compress arm which extends from one side of the main compress to traverse the adhesive contour. This type of entry or exit is simple and economical to achieve.
Alternatively, the inlet or outlet opening may form a bore of the membrane disposed on the adhesive contour away from the rim of this membrane.
In this case, the drilling of the inlet or outlet opening advantageously comprises below the membrane a piece of compress which is separated from the main compress. The separation performs a certain braking of the flow, which imposes a supply pressure to obtain the flow of the liquid.
Advantageously, the membrane comprises an inlet bore, a washer, for example rigid, is disposed under this membrane around this bore to achieve a centering of a pouring tip of the liquid. In this way, a tactile means is easily achieved for finding the piercing, and an aid for positioning the mouthpiece.
Advantageously, the dressing comprises a means for closing the inlet opening, comprising a flexible part coming on this opening. This protects the entrance of the arrival of dirt.
Advantageously, the permeability allowing gaseous exchange is formed by a microstructure or micro-perforations of the membrane.
According to one embodiment, the dressing comprises an integrated reservoir designed to receive the liquid. In this case, there is no need to use additional means for filling the liquid.
In particular the integrated reservoir may be formed by an upper waterproof sheet fixed by its contour on the membrane, or on a lower waterproof sheet which is itself fixed on the membrane.
Advantageously, the dressing with integrated reservoir comprises a valve opening the reservoir to the main compress, controlled by a button. The button allows simple and easy control of the opening of the reservoir to achieve the infiltration of the compress.
Advantageously for a dressing with integrated reservoir, the membrane has no outlet opening in addition to the permeability. The built-in reservoir allows a rate of impregnation of the compress by capillarity, the gas exchange permeability of this compress is sufficient to empty the air contained therein. The invention furthermore relates to a method of treating a problem on the skin of a patient, comprising applying to the skin a dressing comprising any one of the preceding features, and then impregnating the skin. main compress with the liquid. The invention will be better understood and other features and advantages will appear more clearly on reading the following description given by way of example, with reference to the accompanying drawings in which: - Figure 1 is a top view of a dressing according to the invention; FIG. 2 is a view from below of this dressing; - Figure 3 is a sectional view along the sectional plane III-III of a bottle filled with liquid dressing; FIG. 4 is an external view of this vial filling the dressing; - Figure 5 is a top view of a dressing according to a first variant; FIG. 6 is a view from below of this dressing; FIGS. 7 and 8 are detailed views respectively of the inlet and the outlet of this dressing; FIG. 9 is an external view of a bottle filling this dressing; - Figure 10 is a sectional view along the X-X sectional plane of a vial filling with liquid this dressing; - Figure 11 is an axial sectional view along the X-X cutting plane of a liquid-filled bottle a similar dressing comprising a guide ring; - Figures 12 and 13 are respectively detail and overall views of a similar dressing having a closure tab of the inlet bore presented open and closed; FIGS. 14 and 15 show a dressing comprising an integrated reservoir of liquid, viewed from above, and in section along the section plane XV-XV; - Figure 16 shows the dressing seen from below; - Figures 17 and 18 are sectional views along the XV-XV section plane of this tank with an opening valve respectively presented in closed and open position; and - Figure 19 is a view along the same sectional plane of a dressing having a reservoir according to a variant.
Figures 1 and 2 show a rectangular-shaped dressing comprising a flexible outer membrane 2 receiving below a flat compress 4, which is surrounded by a border of the constant width membrane receiving a self-adhesive adhesive coating 12.
The membrane 2 has at least on the surface facing the compress 4 a permeability for gas exchange, for example through a microstructure or micro-perforations.
Advantageously, the membrane 2 is made of plastic, in particular one can use a polyurethane which is flexible and economical.
On one side of the rectangle the compress 4 is extended by an inlet arm 6 to the outer contour of the membrane 2, ending in a concave arc 10 which is also cut on this membrane. On the opposite side, the pad 4 is extended by an outlet arm 8 having a reduced width.
Once applied to the skin, the adhesive coating 12 of the membrane 2 completely closes the contour of the compress 4, except the ends of the inlet arms 6 and outlet 8 which remain accessible from the outside.
FIGS. 3 and 4 show a bottle 24 containing a treatment liquid 22, comprising a tapered tip 26 ending in a rounded shape having an axial bore 28.
Once the dressing has been applied to the skin, the operator adjusts the tip 26 of the bottle 24 on the concave arcuate cutout 10 of the inlet arm of the pad 6 and of the membrane 2, and injects the liquid 22 with a slight pressure, for example by pressing on the bottle which is flexible plastic, to propel it by capillarity in the inlet arm 6 and then in the entire compress 4.
During this injection, the air contained in the closed volume formed under the membrane 2, filled by the compress 4, is driven away by the outlet arm 8 which is permeable to this air.
In particular by providing a transparent or translucent membrane 2, it is possible to follow the advance of the liquid through the compress 4, and to check the complete filling. In addition we can provide a colored liquid that makes it easier to follow its progress.
One can also ensure the filling of the dressing by a flow of liquid through the output arm 8, which would translate a complete filling. The inlet and outlet ports 6 and 8 allow more in use of the dressing, a flow of liquid avoiding a rise in pressure in the occasional compression of the dressing, for example in the case where it is located on a joint of a limb that is bent.
In addition some time after the initial filling of the dressing, it is possible in the same way to make a refeeding with the same liquid, or a different liquid during the evolution of the treatment, to compensate for evaporation or slight seepage of liquid .
The reduced width of the output arm 8 relative to that of the inlet arm 6 is adapted to allow air flow which is easily done by a small section, while the inlet section for the liquid is larger.
In addition to a gas outlet via the outlet arm 8, gaseous production in the dressing, for example oxygen, is evacuated in a simple manner over the entire surface of this compress by the gas permeability of the membrane 2.
The reduced section of the inlet and outlet ports at the ends of the arms 6, 8 limits the possibility of entry of bacteria into the dressing. In addition these inlet and outlet ports are remote from the main compress 4 by the length of the arms 6, 8, which limits the possibility of migration of bacteria to this compress.
A compress impregnated with a liquid which is confined to the wound, having at least initially an antiseptic is obtained. The composition of the liquid may change during treatment. The dressing can be kept much longer thanks to the possibility of reloading in liquid.
In particular one can achieve with the same dressing cutaneous or transcutaneous treatments involving an evolution of the medical products used. This type of treatment is particularly interesting for treating lesions such as canker sores, pimples, ulcers, allergies, or to reduce scars.
When removing the dressing, maintaining the entire wound surface in a moist environment greatly limits the bonding and tearing of the regenerated tissue. In addition, the renewal of the fluid makes it possible to maintain the dressing longer, which is changed less often, which also reduces the risk of tearing off these tissues.
Any type of reservoir for the filler liquid may be used, including in particular plastic or glass bottles, ampoules or syringes.
Figures 5, 6, 7 and 8 show a dressing forming an elongate rectangle, having a similar compress 4 surrounded by a border receiving the adhesive coating 12.
On a small side of the rectangle, the border receives below an inlet system remote from the contour of the membrane 2, comprising a square piece of inlet pledget 30 having on one side facing the main compress 4 a tip 32 separated from this compress by a small distance.
The membrane 2 has an inlet bore 34 disposed in the middle of the square entrance piece 30.
On the opposite small side of the rectangle, the border receives underneath an output system comprising an arm 36 connected to the compress 4, and at a small distance from its end, a square piece of exit compress 38 which is remote from the contour of the membrane 2. The membrane 2 has an outlet bore 40 disposed in the middle of the square piece of outlet pad 38.
In this manner, after application of the adhesive coating 12 to the skin, pieces of inlet and outlet pledgets 38 are moved away from the edges of the membrane 2 to seal these pieces with respect to the outside.
Also obtained by the small distance without compress on the inlet and outlet, a braked passage between the main compress 4 and this inlet or outlet, which allows a passage of the liquid only in the case where a certain pressure is applied. By simple capillarity we have no liquid passage.
FIGS. 9 and 10 show the application of the tapered tip 26 of the bottle 24 on the inlet bore 34, which makes it possible to apply pressure on the liquid 22, for example by pressing the bottle which is flexible, obtain an impregnation of the piece of compress input 30, which is communicated by the tip 32 and the small distance separating it from the main compress 4, to this compress to fully soak.
Note that the inlet bore 34 receiving the end of the tapered tip 26 which is housed in it, we obtain an easy centering of this tip which comes directly in contact with the piece of inlet pad 30, which limits liquid losses to the outside. In a similar manner, the air contained in the compress 4 is pushed towards the outlet arm 36, then passing through the small distance, towards the piece of outlet pad 38 communicating with the outlet piercing 40.
Small distances without compresses on the inlet and outlet also allow to receive the liquid of the compress when it is saturated and compressed by the flexion of a joint for example.
The necessary inlet pressure due to the braking of the passage of the liquid on the inlet, makes it possible to limit the possible infiltrations of other fluids towards the compress 4, in particular if the inlet and outlet systems are dried, as well as the bacterial migration by the compress, which protects it from stains or infections.
In addition, the pieces of the inlet and outlet compressions 30 being remote from the edges of the membrane 2, there is a continuity of the bonding of this membrane all around its periphery, which gives an absence of risk of propagation of the separation starting from an entrance or exit passage that would come to this edge.
FIG. 11 shows a dressing similar to that presented above, furthermore including a washer, for example a rigid guide ring 40, arranged around the inlet piercing 34, between the membrane 2 and the compress 4, which is glued under this membrane by the adhesive coating 12.
The guide washer 40 having a central bore oriented on the inlet bore 34, is a means for centering the tapered tip 26 of the bottle 24 for positioning and holding this end on a rigid portion, to effect a transfer of the liquid 22 avoiding a shift of the bottle which would cause a loss of this liquid.
In addition, the guide washer 40 facilitates for a visually impaired person the search for the positioning of the piercing 34, by perceiving this piece by touching it through the membrane 2.
FIGS. 12 and 13 show a similar dressing also comprising a closure tongue 50 having an end 52 bonded to the membrane 2 near the inlet bore 34, the other end forming a flexible portion 54 which is applied to this entrance piercing to keep it closed.
In this way the inlet bore 34 is kept permanently closed to protect it from soiling, and by a simple lifting of the flexible portion 54, this drilling is discovered for feeding the dressing with liquid.
FIGS. 14, 15 and 16 show a dressing comprising, above the membrane 2, an integrated reservoir formed by a flexible plastics waterproof sheet 60 fixed on this membrane by its contour 62. In particular, the sheet 60 can be fixed on the membrane 2 by a bonding, in particular with a polyurethane adhesive, or by a weld, in particular with a high frequency welding.
An opening valve of the reservoir 66 is disposed on the main median axis of the dressing, on one side of the reservoir 60, to allow a passage of the liquid from this reservoir to the compress 4.
The outline 62 of the sheet of the reservoir 60 leaves on the side opposite to the valve 66, above the compress 4, a free portion 72 of the membrane 2 which is discovered to allow by its gas permeability an exit of the gases contained in this compress.
In this way, during the impregnation of the compress 4, a flow of liquid coming from the valve 66 is obtained which progressively soaks this compress by capillarity while progressing along the main axis of the dressing, and by driving before it the air which is pushed to the opposite side where is the free portion of the membrane 72 for the evacuation of gases.
Figure 17 details the valve 66 comprising a cylindrical button through a piercing of the membrane 2, the top is adjusted under the flexible sheet 60 of the filled tank. The base of the cylindrical button of the valve 66 forms a circular shoulder 64 which is initially bonded under the membrane 2 by the adhesive coating 12, to ensure a seal closing the tank. The shoulder 64 of the valve 66 is surrounded by a rigid washer 68 fitted into the compress 4 and having at least the same thickness, comprising downwardly a horizontal channel 70 passing through this washer.
After setting up the dressing on the skin of the patient 20, pressing the button of the valve 66 through the flexible sheet 60 off the shoulder 64 of the membrane 2. The rigid washer 68 allows the descent of the valve 66 thanks to the vertical space that it preserves below this valve. We obtain a passage of the liquid 22 to the compress 4 through the channel 70.
Unlike the bottle placed on the dressing presented above, requiring a transfer of the liquid by an operator who can not spend too much time, the integrated reservoir on the dressing makes it possible to impregnate the compress 4 for a long time. , with a gradual flow of the liquid through the valve 66. The air contained in the compress 4 can then flow gradually through the free portion of the membrane 72, without the need for a particular exit bore.
An independent dressing with no opening to the outside is obtained, the inlet of the liquid to the compress 4 being integrated inside the reservoir, which gives it a high level of protection against soiling and infections.
The treatment of the patient is simplified with a single application of the dressing on the skin, which can be done quickly by unskilled personnel, which reduces costs. The self-contained dressing with integrated reservoir does not require any additional equipment, in particular providing a delivery of dressings comprising a reservoir already filled with the treatment liquid.
As a variant, it is possible to provide dressings delivered with an empty reservoir, the filling being done by an inlet plug, or by injection with a syringe through the flexible sheet 60.
FIG. 19 shows a similar dressing comprising a reservoir formed by a flexible upper sheet 60 which is fixed around its periphery on a flexible lower sheet 80. A central portion of the bottom sheet 80 has a bore fitted on the valve 66, the contour this piercing being bonded to the membrane 2 to ensure the passage of the liquid to this valve with a seal around.
In the closed position the top of the valve 66 is adjusted under the top sheet 60 of the reservoir, the operation of this valve being identical. In general, the dressing according to the invention allows non-surgical treatment of a large variety of wounds or problems of the epidermis, including rapid healing thanks to the presence of a moist medium receiving treatment products, and the maintenance of this dressing for a long enough time without problem of attachment of the regenerated tissue, which avoids tearing them.
权利要求:
Claims (12)
[1" id="c-fr-0001]
1 - dressing for skin care, comprising a main compress (4) covered by a membrane (2) having an adhesive contour (12) protruding from this compress, intended to be applied to the skin, characterized in that it comprises an inlet opening (6, 34) of a treatment liquid (22) on the main compress (4), and in that the membrane (2) has on at least a portion of the surface facing this compress a permeability permitting gas exchange. *
[2" id="c-fr-0002]
2 - dressing according to claim 1, characterized in that it comprises in addition to the permeability, an outlet opening (8, 40) for the air contained in the main compress (4).
[3" id="c-fr-0003]
3 - Dressing according to claim 1 or 2, characterized in that the inlet opening (6) or outlet (8) comprises a compress arm which starts from one side of the main compress (4) to pass through the adhesive contour (12).
[4" id="c-fr-0004]
4 - Dressing according to claim 1 or 2, characterized in that the inlet opening (34) or outlet (40) forms a piercing of the membrane (2) disposed on the adhesive contour (12) away from the edge of this membrane.
[5" id="c-fr-0005]
5 - dressing according to claim 4, characterized in that the drilling of the inlet opening (34) or outlet (40) comprises below the membrane (2) a piece of compress (30, 38) which is separated from the main compress (4).
[6" id="c-fr-0006]
6 - dressing according to any one of the preceding claims, characterized in that the membrane (2) having an inlet bore (34), a rigid washer (40) is disposed under this membrane around this bore to perform a centering a tip (26) for pouring the liquid.
[7" id="c-fr-0007]
7 - dressing according to any one of the preceding claims, characterized in that it comprises a closing means (52) of the inlet opening (34), comprising a flexible portion coming on this opening.
[8" id="c-fr-0008]
8 - Dressing according to any one of the preceding claims, characterized in that the permeability for gas exchange is formed by a microstructure or micro-perforations of the membrane (2).
[9" id="c-fr-0009]
9 - dressing according to any one of the preceding claims, characterized in that it comprises an integrated reservoir adapted to receive the liquid (22).
[10" id="c-fr-0010]
10 - Dressing according to claim 9, characterized in that the integrated reservoir comprises an upper sealing sheet (60) fixed by its contour on the membrane (2), or on a lower sealing sheet (80) which is itself fixed on the membrane.
[11" id="c-fr-0011]
11 - Dressing according to claim 9 or 10, characterized in that it comprises a valve (66) for opening the reservoir to the main compress (4), controlled by a button.
[12" id="c-fr-0012]
12 - Set comprising a liquid bottle and a dressing according to any one of claims 1 to 8.
类似技术:
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同族专利:
公开号 | 公开日
AU2016368532B2|2020-10-15|
PL3386454T3|2020-08-24|
PT3386454T|2020-06-01|
BR112018011676A2|2018-11-27|
RU2733721C1|2020-10-06|
DK3386454T3|2020-06-02|
JP6975163B2|2021-12-01|
CA3006513A1|2017-06-15|
MX2018006872A|2018-11-09|
EP3386454B1|2020-04-15|
FR3044893B1|2018-05-18|
EP3386454A1|2018-10-17|
CN108495606A|2018-09-04|
US20180360667A1|2018-12-20|
AU2016368532A8|2018-08-02|
AU2016368532A1|2018-07-19|
JP2019500186A|2019-01-10|
WO2017097993A1|2017-06-15|
AU2016368532C1|2021-02-18|
ES2794633T3|2020-11-18|
CA3006513C|2021-03-30|
ZA201804537B|2019-09-25|
MA43403B1|2020-06-30|
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法律状态:
2016-12-08| PLFP| Fee payment|Year of fee payment: 2 |
2017-06-16| PLSC| Publication of the preliminary search report|Effective date: 20170616 |
2018-01-02| PLFP| Fee payment|Year of fee payment: 3 |
2018-11-08| PLFP| Fee payment|Year of fee payment: 4 |
2019-12-19| PLFP| Fee payment|Year of fee payment: 5 |
2020-12-23| PLFP| Fee payment|Year of fee payment: 6 |
2021-12-24| PLFP| Fee payment|Year of fee payment: 7 |
优先权:
申请号 | 申请日 | 专利标题
FR1562074A|FR3044893B1|2015-12-09|2015-12-09|DRESSING FOR SKIN CARE IN A WET MEDIUM|
FR1562074|2015-12-09|FR1562074A| FR3044893B1|2015-12-09|2015-12-09|DRESSING FOR SKIN CARE IN A WET MEDIUM|
BR112018011676-9A| BR112018011676A2|2015-12-09|2016-12-09|moisturizing skin care dressing|
MX2018006872A| MX2018006872A|2015-12-09|2016-12-09|Dressing for skin care in a moist environment.|
PL16809056T| PL3386454T3|2015-12-09|2016-12-09|Dressing for skin care in a moist environment|
US16/060,688| US20180360667A1|2015-12-09|2016-12-09|Dressing for skin care in a moist environment|
EP16809056.1A| EP3386454B1|2015-12-09|2016-12-09|Dressing for skin care in a moist environment|
ES16809056T| ES2794633T3|2015-12-09|2016-12-09|Wet dressing for skin care|
RU2018122676A| RU2733721C1|2015-12-09|2016-12-09|Plaster for skin care in wet environment|
CA3006513A| CA3006513C|2015-12-09|2016-12-09|Dressing for skin care in a moist environment|
PT168090561T| PT3386454T|2015-12-09|2016-12-09|Dressing for skin care in a moist environment|
AU2016368532A| AU2016368532C1|2015-12-09|2016-12-09|Dressing for skin care in a moist environment|
JP2018549612A| JP6975163B2|2015-12-09|2016-12-09|Dressing for skin care in damp environments|
DK16809056.1T| DK3386454T3|2015-12-09|2016-12-09|Forbinding til hudpleje i fugtigt miljø|
MA43403A| MA43403B1|2015-12-09|2016-12-09|Wet Skin Care Dressing|
PCT/EP2016/080468| WO2017097993A1|2015-12-09|2016-12-09|Dressing for skin care in a moist environment|
CN201680072333.2A| CN108495606A|2015-12-09|2016-12-09|Dressing for carrying out skin nursing in moist environment|
ZA2018/04537A| ZA201804537B|2015-12-09|2018-07-06|Dressing for skin care in a moist environment|
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