Oxygen therapy with ultrasound

Abstract

A treatment is described for delivering oxygen to tissue, especially hypoxic tissue. A medium saturated with gas is delivered to the tissue. Dissolved gas is transferred from the medium to the tissue. Ultrasound is transmitted to the tissue to enhance the transfer of gas to the tissue.

What is claimed is: 
     
         1 . A method of treating a skin wound comprising:
 delivering a medium saturated or supersaturated with a dissolved gas to the skin wound by continuously flowing the medium through a wound dressing applied to the skin wound; and   directing ultrasound to the skin wound before, during or after delivering the medium, wherein the ultrasound is effective to increase the permeability of wound tissue to said dissolved gas in said medium and thereby increase the transfer of said dissolved gas from said medium into said skin wound tissue.   
     
     
         2 . The method of  claim 1  wherein the medium comprises saline medium. 
     
     
         3 . The method of  claim 1  wherein said gas comprises one or more of oxygen, nitric oxide or other gaseous species beneficial to wound tissue healing or preservation. 
     
     
         4 . The method of  claim 1  wherein said ultrasound further comprises a high frequency component effective to enhance diffusion or absorption of oxygen into said wound tissue. 
     
     
         5 . The method of  claim 1  wherein said ultrasound comprises pulsed ultrasound effective to enhance at least one of wound tissue permeability, diffusion, and blood circulation to said wound tissue. 
     
     
         6 . The method of  claim 1  wherein said ultrasound is rectified by electrical or mechanical means to enhance at least one of wound tissue permeability, diffusion, and blood circulation to said wound tissue. 
     
     
         7 . The method of  claim 1  wherein said medium includes therapeutic agents that require the presence of a certain level of dissolved oxygen or other gaseous species to be effective. 
     
     
         8 . The method of  claim 7  wherein said therapeutic agents include antibiotics, growth factors, and other compounds beneficial to the healing process in the presence of certain levels of dissolved oxygen or other gaseous species. 
     
     
         9 . The method of  claim 1  applied to the treatment of hypoxic wound tissue. 
     
     
         10 . A skin wound treatment system comprising:
 a delivery system for delivering a medium saturated or supersaturated with a dissolved gas to the skin wound by continuously flowing the medium through a wound dressing applied to the wound; and   an ultrasound system for generating and directing ultrasound effective to increase the permeability of wound tissue to said dissolved gas in said medium and thereby increase the transfer of said dissolved gas from said medium to said wound tissue.   
     
     
         11 . The skin wound treatment system of  claim 10  wherein the medium comprises saline medium. 
     
     
         12 . The skin wound treatment system of  claim 10  wherein said gas comprises one or more combinations of oxygen, nitric oxide or other gaseous species beneficial to wound tissue healing. 
     
     
         13 . The skin wound treatment system of  claim 10  wherein said ultrasound further comprises a high frequency component having a frequency greater than 500 kHz and effective to enhance diffusion or absorption of gas into said wound tissue or cells. 
     
     
         14 . The skin wound treatment system of  claim 10  wherein said ultrasound comprises pulsed ultrasound effective to enhance at least one of wound tissue permeability, diffusion, and blood circulation to said wound tissue. 
     
     
         15 . The skin wound treatment system of  claim 10  wherein said ultrasound is rectified by electrical or mechanical means to enhance at least one of wound tissue permeability, diffusion, and blood circulation to said wound tissue. 
     
     
         16 . The skin wound treatment system of  claim 10  wherein said medium includes therapeutic agents that require the presence of a certain level of dissolved oxygen or other gaseous species to be effective. 
     
     
         17 . The skin wound treatment system of  claim 16  wherein said therapeutic agents include antibiotics, growth factors, and other compounds beneficial to the healing process in the presence of certain levels of dissolved oxygen or other gaseous species. 
     
     
         18 . The skin wound treatment system of  claim 10  configured for the treatment of hypoxic wound tissue. 
     
     
         19 . A method of treating wound tissue comprising:
 applying a dressing over the wound tissue to form a closed space covering the wound tissue;   delivering a medium saturated or supersaturated with a dissolved gas to the wound tissue by continuously flowing the medium through the closed space covering the wound tissue; and   applying ultrasound to the wound tissue while flowing the medium through the closed space so as to increase the permeability of the wound tissue to the dissolved gas and thereby increase the transfer of the dissolved gas from the medium into the wound tissue.   
     
     
         20 . A wound treatment system for treating wound tissue, the wound treatment comprising:
 a delivery system for delivering a medium saturated or supersaturated with a dissolved gas to the wound tissue, the delivery system comprising:   a wound dressing to cover the wound tissue and form a closed space surrounding the wound tissue, the wound dressing including an inlet opening and an outlet opening;   a supply reservoir containing the medium and connected to the inlet opening of the wound dressing to supply a continuous flow of the saturated medium to the wound dressing; and   a waster container connected to the outlet opening of the wound dressing to receive the medium exiting from the wound dressing ; and   an ultrasound system for generating and directing ultrasound at the wound tissue effective to increase the permeability of the wound tissue to the dissolved gas and thereby increase the transfer of the dissolved gas from the medium to the wound tissue.