Abstract:
A method for producing a connection device for use in the negative pressure therapy of wounds, includes introducing a flexible conduit into an injection mold, the conduit being constructed for impingement with negative pressure and/or fluid media, and comprising at least two lumens, forming a coupling body at an end section of the conduit by injection molding an elastomeric material to the end section of the conduit, said coupling body being constructed for attachment to a negative pressure bandage which covers the wound and seals the wound tight against the environment, said the conduit being constructed for communication with the wound space through at least one opening, and attaching and fastening an end cap to the coupling body, thereby sealing the coupling body tight to the outside.

Description:
CROSS-REFERENCES TO RELATED APPLICATIONS 
       [0001]    This application claims the benefit of prior filed U.S. provisional Application No. 61/681,359, filed Aug. 9, 2012, and of German Patent Application, Serial No. 10 2012 214 175.8, filed Aug. 9, 2012, pursuant to 35 U.S.C. 119(e), the disclosure of which is incorporated herein by reference. 
     
    
     BACKGROUND OF THE INVENTION 
       [0002]    The invention relates to a method for producing a connection device for use in the negative pressure treatment of wounds. 
         [0003]    The following discussion of related art is provided to assist the reader in understanding the advantages of the invention, and is not to be construed as an admission that this related art is prior art to this invention. 
         [0004]    In the recent past, the negative pressure treatment of wounds, in particular of problematically healing wounds has gained increasing importance. Negative pressure treatment means that a body or wound area which is exposed to the surrounding atmosphere is sealed against the environment i.e., the atmosphere in which we live and breathe, in a pressure tight or vacuum tight manner, wherein within the sealed wound region a pressure which is lower relative to the atmospheric pressure, i.e. negative pressure can be applied and permanently maintained. Negative pressure in the context of the field at issue here, relates to a negative pressure, which is typically between 0 and 250 mmHg (mm mercury column) below the surrounding atmospheric pressure. It has been shown that this facilitates wound healing. For the negative pressure tight sealing, a negative pressure bandage is provided, which for example can include a pressure tight—or negative pressure tight film layer, which is typically adhesively attached to an uninjured body region that surrounds the wound to achieve a tight sealing. In order to apply and maintain a negative pressure to the wound space by way of a negative pressure generating device, i.e., a vacuum pump in the broadest sense, conduit to which negative pressure can be applied can be used in the systems for negative pressure therapy at issue here, which conduit interact with the negative pressure bandage in order to apply negative pressure to or into the wound space. 
         [0005]    DE 10 2009 060 596 A1 discloses a connection device of the aforementioned type. The conduit is attached to the wound averted side of the coupling body and fixed there. For the negative pressure communication with the wound space openings are provided which extend through the walling of the conduit and the coupling body. A similar connection device is known from DE 10 2010 006 272 A1 in which the conduit itself forms a coupling body in that a wound side longitudinal end section of the conduit transitions on both sides one-piece into lateral wing sections. The one-piece configuration i.e., the production of conduit and coupling body in a single manufacturing step is extremely complicated however and therefore disadvantageous. 
         [0006]    Further connection devices are known from DE 10 2010 006 273 A1. In this embodiment the conduit s arranged sandwich like between different layers, which form a coupling body toward the wound bandage and are sealingly fixed which also involves great effort. 
         [0007]    In WO 2009/124548 it is proposed o produce a rather cup shaped or plate shaped coupling body with radially extending contact areas and with a receiving section for inserting a conduit one-piece in the injection molding method. 
         [0008]    It would therefore be desirable and advantageous to provide an improved method for producing a connection device, which can be carried out reliably and economically and is suited for producing flat and flexible connection devices. 
       SUMMARY OF THE INVENTION 
       [0009]    According to one aspect of the present invention, a method for producing a connection device for use in the negative pressure therapy of wounds, includes introducing a flexible conduit into an injection mold, the conduit being constructed for impingement with negative pressure and/or fluid media, and comprising at least two lumens, forming a coupling body at an end section of the conduit by injection molding an elastomeric material to the end section of the conduit, said coupling body being constructed for attachment to a negative pressure bandage which covers the wound and seals the wound tight against the environment, said the conduit being constructed for communication with the wound space through at least one opening; and attaching and fastening an end cap to the coupling body, thereby sealing the coupling body tight to the outside. 
         [0010]    With the method according to the invention the preferably flatly constructed conduit is thus initially provided separate which has the general advantage o allow endless manufacturing by extrusion, wherein subsequent thereto section s of a respectively desired line length can be provided by cutting to length. The coupling body is then formed by molding on to an end section of the conduit and completed by attaching and fastening the end cap. It is especially advantageous that in this type of manufacturing the coupling body a sealing transition to the conduit can at the same time be reliably formed, or in other words that during forming the coupling body the associated and provided conduit is that the same time sealingly joined to the coupling body. 
         [0011]    The at least one opening in the walling of the coupling body which walling faces the negative pressure bandage can either be produced during the injection molding process by appropriate configuration of the injection molding tool or in a subsequent work step for example by a punching process. Production by way of injection molding process however is preferred. Preferably, multiple openings are provided which are preferably configured in the shape of oblong holes. 
         [0012]    The method according to the invention is also particularly suited for forming a very flat connection device in that the conduit is led approximately parallel to the plane of the two-dimensional extent of the coupling body to be produced. In this context, essentially parallel means a slant of up to 15° in relation to this plane of extent which also forms the contact surface to the negative pressure bandage. 
         [0013]    A process sequence is advantageous in which the elastomeric material is molded to the end section of the conduit so that at least one lumen ends freely after injection molding the material of the coupling body around the end section and that by fastening the end cap, the at least one freely ending lumen is sealed tight against the outside. In this variant it is advantageous that during the molding-on of the material that forms the coupling body on the end section of the conduit, fluid conducting sections which are in the following referred to as lumens are formed inside the coupling body. Process technically this is realized in that for example rod-shaped elements are provided inside the injection molding tool which then form these lumens and in particular prevent that during the injection molding process material enters the lumens of the conduit. It is also conceivable however that in the conduit or the end section of the conduit extend as far as the inner side of the end cap and its lumens are then sealingly closed by the end cap. 
         [0014]    According another advantageous feature of the invention, the elastomeric material is molded to the end section of the conducting in such a manner that at least two lumens and freely after the molding and that by fastening the end cap the freely ending lumens are closed sealingly towards the outside and are connected to each other so as to be in flow communication, in that the end cap has a recess which connects the at least two lumens with each other. This has the advantage that the lumens of the conduit or the coupling body can be connected to each other at their distal ends and with this in a manner of speaking without dead space. This is particularly advantageous for when the one lumen is intended to function as rinsing lumen because in this case a complete rinsing of the lumens with fluid media in particular air can be insured without the formation of deposits at step space science which cannot or only with difficulty be circulated. The formation of this communication at the distal ends of the lumens by way of fastening and ceiling the end cap offers a very economical way of producing the coupling body or the connection device. It is noted that the end cap itself can be produced as injection molding component in a injection molding process. 
         [0015]    According another advantageous feature of the invention, the conduit and/or the coupling body and/or the end cap are formed from a flexible elastomeric material, in particular from silicone or on silicon basis with a shore—A hardness of at most 65, in particular of at most 60, is particular of at most 50 in particular of at most 40, and of at least 10, in particular of at least 15. 
         [0016]    For attaching the end cap it is advantageous when the end cap is materially connected with the injection molded material of the coupling body, i.e. in particular and preferably glued to the injection molded material of the coupling body. 
         [0017]    According another advantageous feature of the invention, in the method step of the injection molding-on a preferably thin border region is formed into which the end cap is inserted and which then surrounds the end cap collar-like in a circumferential direction. Such a border region which for example has a wall thickness of 0.2 to 1.5 mm can be very easily produced in the injection molding method because it only has to protrude by several few millimeters, for example 1 to 10 mm, in particular 1 to 8 mm, in particular 1 to 5 mm, in order to form a collar like receptacle for the end cap. 
         [0018]    According another advantageous feature of the invention, the coupling body can be formed with a first region which includes a first art which at least partially surrounds the end section of the conduit, an intermediate part which adjoins the first part, and the end cap, and with a second region which extends two-dimensionally and is formed with a thickness which is smaller than the thickness of the first region. The mentioned intermediate part of the coupling body results when the end section of the conduit does not essentially extend over the entire longitudinal extent of the first region but forms only a relatively short attachment for molding on the coupling body. In this case, the lumens of the conduit are continued in the interior of the coupling body by channel-forming recesses, which are formed during the injection molding, i.e., lumens. Forming the coupling body with a relatively short first part, which surrounds the end section of the conduit, and the intermediate part adjoining the first part in which intermediate part the lumens of the conduit are continued is preferred. In this case it is advantageous when the end section of the conduit i.e., the region of the conduit which is surrounded with the material of the coupling body by injection molding protrudes into the injection mold is about 2 to 20 mm, in particular 2 to 15 mm and further in particular 3 to 12 mm and further in particular 5 to 10 mm. 
         [0019]    According another advantageous feature of the invention, the aforementioned two-dimensionally extending region of the coupling body can be configured to have a thickness of 0.1 to 0.2 mm, in particular 0.1 to 1.5 mm, in particular 0.1-1.0 mm, in particular 0.1-0.8 mm, in particular from 0.1-0.5 mm. 
         [0020]    According another advantageous feature of the invention, the two-dimensional extent of the second region is configured so that the contact surface of the second region with the wound-averted topside of the negative pressure bandage is at least 1.5 times, in particular at least 1.8 times the size of the contact surface of the first region with the wound-averted topside of the negative pressure bandage. The contact surface is viewed or calculated in the perpendicular projection to the plane of extent of the coupling body. 
         [0021]    According another advantageous feature of the invention, the first region can be configured to have a maximal thickness which is at most 3 mm, in particular at most 2 mm greater than the thickness of the conduit and when the first region is configured to have a thickness which is at most 5 mm, in particular at most 3 mm in particular at most 2 mm greater than the width of the conduit. 
         [0022]    According another advantageous feature of the invention, the thickness extent of the conduit can be at most 7 mm, in particular at most 6 mm in particular at most 3 mm and further in particular 4-6 mm, wherein its width transverse to the longitudinal extent is at least 12 mm, in particular at least 15 mm, in particular between 15 mm and 30 mm, in particular between 15 mm and 25 mm, in particular between 15 mm and 22 mm. 
         [0023]    According another advantageous feature of the invention, in case of a multi-lumen configuration of the conduit, one of the lumens can be configured significantly greater than the other lumen. The lumen which is configured with a greater conducting cross section is in this case suited as suction lumen for discharge of wound secrete with particle shaped components often contained therein, which suction lumen that can be impinged with negative pressure. In order to prevent collapsing of an in particular flat conduit it can be advantageous to provide supporting means inside a lumen to prevent collapsing, which supporting means preferably extend one-piece from the inner walls of the conduit and thereby define or delimit partial cross sections of a lumen. In this case, it can also be advantageous that two lumens or partial sections of a lumen inside the provided conduit, which lumens or partial sections of a lumen are not separated form each other negative pressure tight are pressure tight sealed against each other in their extension inside the thereby formed coupling body and transverse to their longitudinal extent during the process step of the molding on. Thus according to this further inventive ides lumens are formed inside the coupling body which are separated from each other, which however at the same time can be fluidly connected at their distal ends if this is considered as useful. 
         [0024]    According another advantageous feature of the invention, the coupling body can be configured with three lumen that extend adjacent one another and which are fluidly connected at their ends, wherein one lumen is configured a rinsing lumen and the two other lumens are configured as suction lumens. It can further be especially advantageous when the lumen that is configured as rinsing lumen is closed in the direction toward the wound i.e., without openings and then preferably only communicates via its distal end with the further lumens inside the coupling body. This can in a refinement of the invention—as mentioned before—advantageously be realized by a flow communication via the end cap. 
         [0025]    For connecting the connection device to the negative pressure bandage it is advantageous that a side of the coupling body which negative pressure bandage is configured with an adhesive layer or with an adhesive coating in order to create a connection to the negative pressure bandage which is essentially negative pressure tight against the environment. 
         [0026]    According another advantageous feature of the invention, for producing the adhesive layer or coating an at least three-layered adhesion-providing layer can be formed which has a center carrier layer, a first adhesive layer which is held on the carrier layer and faces the coupling body and a second adhesive layer which is held ion the carrier layer and faces away ford the coupling body. The adhesive providing layer is configured so that it does not block the at least one opening in the coupling body and that the first adhesive layer and the second adhesive layer are formed from different adhesive materials with different adhesive properties. In this context it is advantageous that when the coupling body is formed from silicone, the first adhesive layer includes a silicone adhesive. It is further advantageous when the second adhesive layer includes an acrylate adhesive which is then generally suited to enter into an essentially negative pressure tight connection with typical wound bandage materials. The first and the second adhesive layer have preferably a thickness of 20 to 400 μm. In the case of the center carrier layer a nonwoven, a flat material with a textile binding, for example a knitted fabric, a woven fabric or a plastic film, a metal foil or a composite material thereof is preferred. It is further advantageous when the wound facing side of the second adhesive layer is covered by a detachable protective layer which is preferably two-piece and further preferably provided with a finger tap and/or a graspable region which protrudes over the second adhesive layer. 
         [0027]    According another advantageous feature of the invention, a connection piece, preferably made of a flexible polymeric material can be fastened to the wound-averted end of the conduit i.e., the end of the conduit which faces a negative pressure generating device, in a pressure tight and preferably materially bonding manner in particular by an adhesive connection. This connection piece can either serve for connection with a further conduit section or it servers as connecting element to a further coupling element in particular a quick coupling element or plugin connector. 
         [0028]    The aforementioned connection piece is preferably made of a flexible polymeric material, whereby a closure member is formed, which adjoins the connection piece one-piece, and is thus securely held on the connection piece. This closure member can have one or multiple closure plug sections and close openings of the connection piece or of a quick coupling element, which can be releasably arranged on the connection piece by interference fit. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWING 
         [0029]    Other features and advantages of the present invention will be more readily apparent upon reading the following description of currently preferred exemplified embodiments of the invention with reference to the accompanying drawing, in which: 
           [0030]      FIG. 1  shows a top view on a connection device according to the invention for use in the negative pressure therapy of wounds for further connection with a not shown negative pressure generating device; 
           [0031]      FIG. 2  shows a cross section through a conduit of the connection device according to  FIG. 1 ; 
           [0032]      FIG. 3  shows an enlarged perspective partial view of the connection device according to  FIG. 1  with view on the wound averted side of the connection device; 
           [0033]      FIG. 4  shows a perspective view according to  FIG. 3 , however without end cap; 
           [0034]      FIG. 5  shows a perspective view of the connection device taken in the direction onto the wound facing side of the connection device however without conduit and without end cap; and 
           [0035]      FIG. 6  shows a perspective view of the end cap. 
       
    
    
     DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS 
       [0036]    Throughout all the Figures, same or corresponding elements are generally indicated by same reference numerals. These depicted embodiments are to be understood as illustrative of the invention and not as limiting in any way. It should also be understood that the drawings are not necessarily to scale and that the embodiments are sometimes illustrated by graphic symbols, phantom lines, diagrammatic representations and fragmentary views. In certain instances, details which are not necessary for an understanding of the present invention or which render other details difficult to perceive may have been omitted. 
         [0037]    The Figures shown a connection device according to the invention overall designated with the reference numeral  2  for use in the negative pressure therapy of wounds. For this the connection device  2  in a manner that is to describe in more detail, is connectable with a not shown negative pressure generating device, which typically interacts with a liquid collection container for discharging and collecting of wound secrete which have been suctioned from the wound space and rinsing media. The connection device serves for the negative pressure tight coupling to a negative pressure bandage which again seals the wound negative pressure tight against the environment, wherein a negative pressure communication is established to the wound space. 
         [0038]    The connection device  2  according to the invention includes a conduit overall designated with the reference numeral  4  and a coupling body  6 . The coupling body  6  is, molded according to the invention to onto a wound side end section  8  of the conduit in a plastic injection molding process. 
         [0039]    On a wound averted end  10  of the conduit  4  a connection piece  12  and a quick coupling element  14  for further connection in the direction toward the not shown negative pressure generating device are provided exemplary. 
         [0040]    The coupling body  6  includes in the exemplary shown case a block shaped first region  16  which continues the longitudinal extent of the conduit  4  and a second region  18  which has a significantly smaller thickness relative to the first region and extends two dimensionally, which second region starting form the first region  16  preferably extends on both sides and further preferably on at least three sides of the first region  16 , in order to realize a great contact surface of the coupling body with the not shown negative pressure bandage. 
         [0041]    The first region  16  of the coupling body  6  includes a part  20  which at least partially surrounds the end section- 8  of the conduit  4 , an intermediate part  24  adjoining the part  20  in longitudinal direction  22  and an end cap  26 . The part  20  which surrounds the end section, the intermediate section  24  and the two-dimensionally extending second region  18  of the coupling body  6  are produced one-piece from a flexible elastomeric material, preferably from silicone or on silicone basis. For this, the conduit  4  is introduced into a not shown injection mold and the elastomeric material which forms the coupling body is molded to the end section  8  of the conduit  4 . The injection mold is configured or equipped so that the lumen  28 ,  30  of the conduit  4  which forms flow channels is continued inside the coupling body  6 . Thus, corresponding hollow space or channel forming means, in particular in the form of rods or the like have to be provided in the injection molding tool. Even though not shown, it would also be conceivable that the conduit  4  or its end section  8  extends up to the end cap  26 . In this case the part  20 , which at least partially surrounds the end section  8  of the conducting, means  4  in longitudinal direction  22  would be configured longer and the intermediate part  24  would not be required or be configured much shorter. However, it has proven advantageous when the conduit  4  only protrudes into the coupling body  6  with a relatively short end section  8  because in this case the freedom of design of the coupling body  6  inside the intermediate part  24  is greater and openings  32  can be formed in a walling  34  of the coupling body  6  already during the injection molding process which walling faces the negative pressure bandage. 
         [0042]    The intermediate part  24  is thus formed with lumens  36 ,  38 ,  40  in its interior which are separated from each other transverse to the longitudinal direction  22  and which as can be seen from the Figures, adjoin the lumens  28 ,  30  of the conduit. The lumen  30  of the conduit  4  can be configured with a much greater cross section than the lumen  28 ; it includes in a certain sense two partial cross sections which are designated with the reference sings  30   a  and  30   b  which are however not completely fluidly separated from each other. They are delimited by longitudinal ribs  41  in the interior of the conduit  4  which prevent a collapsing of the lumen  30 . The lumens  38  and  40  inside the intermediate part  24  which adjoin the lumen  30  or the partial cross sections  30   a ,  30   b  of the conduit of the coupling body  6  are however separated from each other by a walling  42  which is formed from the material of the intermediate part  24  (which can be best seen in the  FIGS. 4 and 5 ). This separated configuration is preferred, however not strictly required. This provides the advantage that the stability of the coupling body  6  against collapsing of its lumens  36 ,  38 ,  40  is increased and that its rinsability with rinsing media is improved. 
         [0043]      FIG. 4  shows the conduit  4  with the molded on, i.e. one-piece coupling body  6  after the injection molding process i.e., still without end cap  26 .  FIG. 5  shows the coupling body  6  again without end cap  26  and without conduit  4 , i.e., in a not existing state only for illustrating the part  20  of the coupling body, which part  20  surrounds the end section  8  of the conduit  4 . 
         [0044]    It can further be seen best from  FIG. 4  that the lumens  36   38 ,  40  of the coupling body end freely on a front side  44  of the intermediate part  24  which front side faces the end cap  26 . They are closed negative pressure tight against the environment by negative pressure tight attachment of the end cap  26 . The end cap which is attached by interference fit or preferably non-detachably in a materially bonding manner in particular by means of glue, completes the coupling body  6  of the connection device  2  according to the invention. As can be further best seen from  FIG. 4 , a border region  48  is formed during molding-on of the material which forms the coupling body  6 , which border region  48  extends in opposite direction of an attachment direction  46  of the end cap  26 , and which is preferably relatively thin for example only 0.5 to 1.5 mm thick and delimits a receiving opening  50  of the end cap  26 . In the exemplary shown case, the border region  48  extends over three sides so that the receiving opening  50  is delimited on the fourth side by the two-dimensionally extending second region  18  of the coupling body  6 . 
         [0045]    The end cap  26 , which is preferably made of the same material as the coupling body, is shown in  FIG. 6  in a perspective view. An engagement section  52  can be seen with which the end cap  26  engages in the receiving opening  50  and a section  54  which is visible from the outside and which completes the coupling body  6  in an outwardly visible manner. The end cap  26  is preferably, however not necessarily, configured so that the visible section  54  protrudes relative to the engagement section  52  just by the thickness of the protruding border region  48  of the intermediate part  24 . This results in a further labyrinth-like sealing and in addition an essentially groove-free, step-free transition from the intermediate part  24  to the end cap  26  can be realized. 
         [0046]    The end cap  26  is further configured with a recess, overall designated with the reference numeral  58 , by means of which a flow communication between at least two, in the exemplary shown case between all three lumens  36 ,  38 ,  40  is achieved i.e., starting from their distally ending openings in the region of the front side  44 . The recess  58  may be realized in multiple ways, in the simplest case for example in the form of an oblong hole shaped indentation which then adjoins the front side  44  of the intermediate part  24 . In the exemplary shown concrete case, the end cap is formed with a tubular attachment  60  which when attaching the end cap  26 , sealingly engages in the lumen  36  in the intermediate part which lumen is configured complementary to the attachment  60 . This tubular attachment leads in the interior of the end cap  26  into the transverse extending recess  58 , which opens to the front side  44  of the intermediate part  24  in the manner of an oblong hole. In this way, a flow communication is established between all lumens  36 ,  38 ,  40 . 
         [0047]    In the exemplary shown case it is advantageous that the lumen  28  of the conduit and the lumen  36  adjoining the lumen  28  are configured inside the coupling body  6  as rinsing lumens for delivering a fluid medium in the direction toward the wound. Rinsing fluid or other fluids, in particular air are in this way conducted to the distal end openings of the lumens  38 ,  40  in the front side of  44  of the intermediate part  24 . This enables a dead space free rinsing; thus no line section exists that would not be immediately exposed to the flow which is considered especially beneficial with regard to the intended function of the connection device and the negative pressure therapy performed with it and with regard to reducing bacterial growth and infections. The end cap therefore has a dual function, i.e., on one hand it completes the coupling body  6  and closes the openings of the lumens  36 ,  38 ,  40  which after the injection molding process open to the outside, and on the other hand a flow communication is realized by the end cap  26  between the lumens  36 ,  38 ,  40 . 
         [0048]    For negative pressure communication with the wound space, the already mentioned openings  32  are formed in the walling  34  of the coupling body which walling  34  faces the negative pressure bandage. It can be seen from the Figures that the lumen  36  of the coupling body which functions as rinsing lumen does not have such an opening which is preferred however not required. The openings  32  which are provided in the region of the longitudinal extent of the lumens  38 ,  40  are preferably shaped as oblong holes and have for example a length of 8 to 12 mm. In the exemplary shown case, two such oblong hole shaped openings are formed along the extent of each lumen  38 ,  40 . During use, the lumens  38 ,  40  of the coupling body communicate with the wound space via these openings  32  and through at least one opening in the negative pressure bandage. Typically, the lumens  38 ,  40  of the coupling body  6  are impinged with negative pressure via the lumen  30  in the conduit  4 ; the lumens  38   40  thus typically function as suction lumens for applying negative pressure and for discharging of wound secrete, rinsing fluids or other supplied fluid media. 
         [0049]    In the following, the shape of the two-dimensionally extending second region  18  of the coupling body which region is exemplary shown in the Figures is described. When viewed from the top, this shape or form can best be described as butterfly like, because this second region  18  when viewed in longitudinal direction  22  has a constriction  62  on either side. In this way, the dimensions of the coupling body  6  or its second region  18  along outlined diagonals  64 , which form an angle of about 45° to the longitudinal direction  22  are greater than in the longitudinal direction  22  and perpendicular thereto. In the exemplary shown and preferred case, the two-dimensionally extending and thin second region  18  extends toward three sides past the also rather flat but bloc-shaped first region  16  of the coupling body  6 . In this way a very good connection to a not shown negative pressure bandage can be achieved because the occurring forces are distributed across a large surface and can therefore be conducted into the regions of the wound bandage which surround the wound and the body surface of the patient without local force peaks. 
         [0050]    For connection to the negative pressure bandage, the coupling body includes on its side  66 , which faces the negative pressure bandage, a not shown adhesive layer. This adhesive layer is preferably configured as an at least three-layered adhesion-providing layer which includes a center carrier layer, a first adhesive layer held on the carrier layer and facing the coupling body, and a second adhesive layer held on the carrier and facing away from the coupling body. The adhesive layers are each configured so as to be optimized with regard to forming an adhesive connection with the material of the coupling body or with the material of the negative pressure bandage. With regard to further materials of this at least three-layered adhesion providing layer reference is made to the non pre published DE 10 2011 108 726.9 whose subject matter is herewith incorporated by reference into the present application. 
         [0051]    Finally,  FIG. 1  shows on the wound-averted end  10  of the conduit the connection piece  12  which is preferably formed from a flexible polymeric material and joined in a negative pressure tight and preferably materially bonding manner to the wound-averted end  10  of the conduit  4 . The connection piece  12  includes a closure member  68  which preferably adjoins the connection piece in one-piece and is therefore securely held on the connection piece  12  and which is capable of closing openings of the connection piece  12  or of a quick coupling element  14  which can be releasably arranged on the connection piece by interference fit. The connection piece  12  is preferably an injection molding part, which is produced one-piece together with the closure member  68 . A further connection means section can be connected to the quick coupling element  14  which leads to the not shown negative pressure generating device with liquid collection container via a complementary configured quick coupling element in a negative pressure tight manner. 
         [0052]    While the invention has been illustrated and described in connection with currently preferred embodiments shown and described in detail, it is not intended to be limited to the details shown since various modifications and structural changes may be made without departing in any way from the spirit of the present invention. The embodiments were chosen and described in order to best explain the principles of the invention and practical application to thereby enable a person skilled in the art to best utilize the invention and various embodiments with various modifications as are suited to the particular use contemplated.