Patent Description:
Adhesive medical dressings are frequently used in wound care, both for the purpose of treating wounds and scars and for the purpose of preventing these from occurring in the first place.

One problem with adhesive dressings is their tendency to lose the adhesive connection to the skin of a wearer. When the dressing is applied to a body part that moves (e.g. at joints) and/or rubs against clothing or objects, the dressing may become partially detached from the skin. Even partial detachment can compromise the function of the dressing, since compartments for body fluids between the skin and the adhesive skin surface of the dressing may be formed. As fluid accumulates, the compartments grow, and the wear time of the dressing is impaired. A detached dressing is difficult to re-apply, so the dressing typically needs to be replaced with a new dressing, which can be costly.

The wear time may be particularly problematic for convex body parts, such as heels, knees and elbows, which may be referred to as "hard to dress-areas".

Some dressings, typically referred to as "border dressings" comprise an absorbent pad, a backing layer and, an adhesive skin contact layer. The backing layer and, optionally, the adhesive skin contact layer extend peripherally beyond the pad to form a border portion. A border dressing is attached to the skin at the adhesive borders, or at the entire surface of the skin facing layer of the dressing.

<CIT> relates to a wound dressing defining skin facing areas having different degrees of skin adherence.

<CIT> discloses a wound dressing in which a thin layer of a hydrocolloid-containing adhesive material is covered on one side by a backing film and, on the other side, by one or more removable release sheets. The dressing of comprises linear depressions, which serve as guide lines, and assist the user in applying, flexing or folding of the dressing.

<CIT> relates to absorbent articles comprising an absorbent core material which is covered by an apertured film.

For border dressings, detachment of the dressing may initiate at the edges of the absorbent pad. As a patient moves or bends, the backing layer is subjected to tension and extends obliquely from the pad, which is generally much thicker than the backing layer (and the skin contact layer). This way, air pockets may form around the edges of the pad. As the backing layer is stretched, the air pocket increases, leading to detachment of the dressing from the skin. Accumulation of fluids in the air pocket further impairs the wear time of the dressing.

The mechanical tension on the backing layer may also cause shear stresses on the adhesive skin contact layer, that in turn results in detachment.

In view of the above, there is a need for a medical dressing, which is flexible and has an improved wear time.

In view of the above mentioned and other drawbacks of the prior art, it is an object of the present disclosure to provide improvements with respect to medical dressings, particularly with respect to their wear time.

According to a first aspect of the present disclosure, there is provided a medical dressing as defined in claim <NUM>.

The present inventive concept is based on the insight that the flexibility of a medical dressing also poses demands on the backing layer of the dressing. The backing layer needs to conform with the movement of the body, and endure the stress applied during stretching of the dressing.

The three dimensional features form extra material sections of the backing layer, and allow the backing layer to be stretched, e.g. due to bending of a knee, to a higher degree than if the backing layer was essentially flat. When the wearer moves and the dressing is stretched, the three dimensional features flatten out to conform to the movement of the wearer.

In embodiments, the skin contact layer is substantially planar.

In other words, the skin contact layer is a flat layer. The skin contact layer does not follow the contour of the three dimensional features of the backing layer, i.e. it does not follow the depressions formed in the first surface of the backing layer. Instead, it remains adherent to the skin of the wearer. This is beneficial since a pleated or protruded skin contact layer could give rise to liquid leakage, and detachment of the dressing from the skin.

The medical dressing further comprises an absorbent pad arranged between the backing layer and the adhesive skin contact layer, wherein the backing layer and the adhesive skin contact layer extend around the periphery of the absorbent pad.

The inventive concept is particularly beneficial for border dressings comprising an absorbent pad. As mentioned hereinbefore, gaps may form around the edges of the pad, which is typically thicker than the backing layer and the skin contact layer. The backing layer of the present disclosure conforms more easily to the edges of the pad and minimizes the gaps formed around the pad.

The first surface of the backing layer is not adhesively attached to the skin contact layer or the absorbent pad in the areas forming the depressions.

That is, the depressions formed in the first surface of the backing layer are free from contact with the underlying skin contact layer or absorbent pad. This enables expansion of the backing layer as the dressing (and the wearer) stretches or moves.

The three dimensional features may be arranged in a discrete or continuous pattern on the second surface of the backing layer.

For example, the three dimensional features may be formed in a zig-zag or wave pattern extending across the surface of the backing layer. Alternatively, the three dimensional features are arranged in a discrete pattern across the surface of the backing layer. For example, a pattern of oval, rectangular, elliptical or bean shaped three dimensional features may be envisioned.

The pattern of three dimensional features also has the advantage of improving the visual appearance of the dressing.

In embodiments, the pattern of three dimensional features extends over at least <NUM>%, preferably at least <NUM>%, and more preferably at least <NUM>% of the surface area of the dressing.

It is beneficial to have the patterned backing layer across as much surface as possible of the dressing, not only at the border or at the central portion, to maximize the flexibility of the entire dressing.

In embodiments, the dressing has a longitudinal (y) direction and a lateral (x) direction, and the three dimensional features are arranged to extend in at least one of, preferably both of, the longitudinal (y) and the lateral (x) directions.

The three dimensional features may be arranged to extend only, or substantially more, in the longitudinal (y), or lateral (x) directions. This may be beneficial if one would want to selectively steer the flexibility or stretching ability of the dressing in one particular direction.

To maximize flexibility, and wear time, the three dimensional features may be arranged to extend in both of the longitudinal (y) and the lateral (x) directions. The dressing is thereby flexible in both directions regardless of how the dressing is applied to a body part.

In embodiments, the three dimensional features have a height of between <NUM> and <NUM>, preferably between <NUM> and <NUM>, more preferably between <NUM> and <NUM>
These dimensions leave sufficient extra backing layer material that can expand as the dressing and the body part stretches.

The height of the three dimensional features may be varied depending on the desired degree of stretchability. The height is also dependent on the thickness of the backing layer. For example, for a thicker backing layer, the height of the three dimensional features may be higher, whereas for a thinner backing layer, the height may be lower.

In embodiments, the backing layer has a non-uniform thickness.

Accordingly, the backing layer comprises zones that are thinner than the remaining parts of the backing layer. This has the effect that the stretching ability of the backing material is improved, and thereby also the wear time. Furthermore, the breathability of the dressing is improved.

In embodiments, each three dimensional feature comprises a top portion, and at least one slope portion, wherein the thickness of the backing layer in the top portion of the three dimensional feature is higher than in the at least one slope portion of the three dimensional feature.

Accordingly, the backing material in the slopes of each protrusion is thinner. This enhances the ability of the backing layer to stretch while also enhancing the breathability of the backing layer, and the dressing.

It also has the effect that the backing layer better conforms to the edges of the pad and minimizes gap formation around such edges.

In embodiments, the slope portion is at least <NUM>% thinner, preferably at least <NUM>% thinner, and more preferably at least <NUM>% thinner than the top portion of the three dimensional features.

In order to further enhance the flexibility of the dressing, and thereby the wear time, the absorbent pad may comprise a plurality of cuts extending at least partly through the absorbent pad.

According to second aspect, not forming part of the present disclosure, there is provided a method for forming a backing layer.

According to third aspect of the present disclosure, there is provided a method for forming a medical dressing as defined in claim <NUM>.

The backing layer is first heated to a temperature close to its melting point, and then subjected to a structured surface of the molding tool to form protrusions in the backing layer.

Step b) is preferably performed at a temperature between <NUM> and <NUM>, preferably between <NUM> and <NUM>. This is to cure the backing layer and affix the pattern of three dimensional features in the backing layer.

In embodiments the method further comprises the step of stretching the backing layer by applying vacuum to the first surface of the backing film.

The application of vacuum allows the backing layer to be stretched, and to provide a non-uniform thickness in the backing layer.

Preferably step b) and step c) are performed simultaneously.

This way, vacuum is applied simultaneously with contacting the backing layer with a structured mold. Accordingly, the pattern of three dimensional pattern becomes fixed and stretched simultaneously. This also results in that the slopes of the three dimensional features become thinner than the top of the protrusion.

The present invention will now be described more fully hereinafter with reference to the accompanying drawings, in which currently preferred embodiments of the present invention are shown. The present invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein; rather, these embodiments are provided for thoroughness and completeness, and fully convey the scope of the present invention to the skilled person.

<FIG> illustrates a dressing <NUM> according to the prior art. The dressing comprises a wound contact layer <NUM> and a backing layer <NUM>. A wound pad <NUM> is arranged between the backing layer <NUM> and the wound contact layer <NUM>. The dressing is applied to a wound <NUM> formed on the skin <NUM> of a wearer.

The dressing according to prior art has a higher tendency to detach from the skin <NUM> during use due to the formation of annular air pockets or air gaps <NUM> around the periphery of the wound pad <NUM>. Pressure may build up in such gaps <NUM> during stretching or movement of the wearer. When a stretching force is applied, the backing layer <NUM> stretches obliquely from the pad <NUM> as well as downwards towards the underlying wound contact layer <NUM>, creating a tension to the edges, and thus, detachment typically starts at the edges of the pad <NUM>.

Furthermore, when the dressing is applied to a wearer in vertical position, e.g. on a leg of a person standing, gravitational forces may force the exudate to leak from the wound pad <NUM> into the gap <NUM>. As fluid accumulates, the detachment of the dressing is further impaired.

<FIG> illustrates a dressing <NUM> according to the present disclosure, comprising an adhesive skin contact layer <NUM> and a backing layer <NUM>, wherein the backing layer <NUM> has a first surface <NUM> facing the skin contact layer <NUM> and an opposing second surface <NUM>, wherein the backing layer <NUM> comprises a plurality of three dimensional features <NUM> forming protrusions <NUM> on the second surface <NUM> of the backing layer <NUM> and depressions <NUM> on the first surface <NUM> of the backing layer <NUM>.

As illustrated in <FIG>, the skin contact layer <NUM> is substantially planar and adherent to the skin of a wearer.

As used herein, the term "substantially planar" means that the layer is substantially flat; i.e. it does not comprise any protrusions. Furthermore, the skin contact layer is not arranged to follow the contour of the three dimensional features of the three dimensional features provided in the backing layer. In other words, the depressions formed in the first surface of the backing layer are not "occupied" by any part of the skin contact layer.

In the embodiment illustrated in <FIG>, a pad <NUM> is arranged between the backing layer <NUM> and the adhesive skin contact layer <NUM>, wherein the backing layer <NUM> and the adhesive skin contact layer <NUM> extend around the periphery of the absorbent pad <NUM>.

Accordingly, a border portion <NUM> is formed by the adhesive skin contact layer <NUM> and the backing layer <NUM> around the pad <NUM> of the dressing <NUM>.

So called "border dressings" are commonly used in the field, and the inventive concept is particularly beneficial for such dressings.

As shown in <FIG>, the backing layer <NUM> comprising the three dimensional features <NUM> is arranged in close proximity to the absorbent pad <NUM> such that essentially no, or only a minor gap is formed around the periphery of the pad <NUM>. The backing layer <NUM> conforms to the thicker pad <NUM> due to the extra backing layer material provided by the three dimensional features <NUM>. In use, when the wearer and consequently also the dressing moves, the three dimensional features <NUM> flatten out and extend along with the movement of the wearer. The tension formed near the pad edges is thereby considerably reduced. Accordingly, the risk of detachment is reduced as well as the risk for pressure being built up around the edges of the pad <NUM>.

The first surface <NUM> of the backing layer <NUM> is not adhesively attached to the skin contact layer <NUM> or the absorbent pad <NUM> in the areas forming the depressions <NUM>.

The small gaps provided by the depressions <NUM> between the skin contact layer <NUM>, and the absorbent pad <NUM> and the backing layer <NUM> allows for the backing layer to be stretched when the dressing (and the patient) moves.

When the backing layer <NUM> is stretched, the three dimensional features <NUM> flatten out. During stretching, the depressions <NUM> of the first surface <NUM> will contract, and the top portions of the three dimensional features <NUM> may consequently contact the skin contact layer <NUM>. However, when the dressing <NUM> returns to its non-stretched mode, this partial adhesive contact will substantially diminish, and the three dimensional features <NUM> will essentially return to their protruding pattern.

The three dimensional features may be arranged in a discrete or continuous pattern on the second surface of the backing layer as illustrated in <FIG>.

<FIG> illustrates a dressing <NUM>, wherein the three dimensional features <NUM> are arranged in a discrete pattern <NUM> across the surface of the backing layer <NUM>.

<FIG> illustrates a dressing, wherein the three dimensional features <NUM> are arranged in a zig-zag pattern <NUM>. Such a pattern may be particularly useful in embodiments where the dressing should be adapted to stretch more in the lateral (x) direction.

The pattern of three dimensional features <NUM> extends over at least <NUM>%, preferably at least <NUM>%, more preferably at least <NUM>% of the surface area of the dressing.

As illustrated in <FIG>, the pattern is arranged to extend over the entire surface area of the dressing <NUM>.

This way, the flexibility is optimized, and the visual appearance of the dressing is further improved.

The dressing has a longitudinal (y) direction and a lateral (x) direction, and the three dimensional features <NUM> are arranged to extend in at least one of, preferably both of, the longitudinal (y) and the lateral (x) directions.

The flexibility of the dressing may be improved if the three dimensional features are arranged to extend in both the longitudinal (y) and the lateral (x) directions.

In alternative embodiments, the three dimensional features may be adapted to only extend, or extend significantly more, in one of the longitudinal (y) or the lateral (x) direction.

This may be beneficial for dressings adapted for pressure ulcer prevention purposes, e.g. a sacral dressing. For example, a bedridden patient at risk of developing pressure ulcers may need assistance from a caregiver to be repositioned in bed. This lateral movement may cause stress to the dressing and the backing layer, and the dressing should preferably be flexible in direction of movement when re-positioned. In contrast, the dressing (and the backing layer) is preferably stiffer in the longitudinal direction.

The patterns of three dimensional features <NUM> also have the additional effect of improving the visual appearance of the dressing <NUM>. A user may also be guided on how to apply the dressing correctly. For example, if the dressing is to be applied to a body part where stretching is particularly desired in one direction, the pattern may guide the user on how to apply the dressing to achieve this effect.

As illustrated in <FIG>, the three dimensional features <NUM> have a height, h, of between <NUM> and <NUM>, preferably between <NUM> and <NUM>, more preferably between <NUM> and <NUM>.

As used herein, the "height" refers to the maximal extension of the three dimensional feature in the z direction, and is measured from the from the top of one protrusion to the flat surface of the backing layer.

These dimensions are suitably used, and allow the backing layer <NUM> to stretch properly and conform to the body movement of the wearer.

The backing layer may have a non-uniform thickness. In other words, the backing layer comprises thinner material zones. The stretching ability is thereby improved, and accordingly the wear time. Furthermore, the breathability of the backing layer is improved, which is important for liquid handling.

In embodiments, each three dimensional features <NUM> comprises a top portion <NUM>, and at least one slope portion <NUM>, wherein the thickness of the backing layer <NUM> in the top portion <NUM> of the three dimensional features <NUM> is higher than in the at least one slope portion <NUM> of the three dimensional features <NUM>.

For example, the slope portion <NUM> may be at least <NUM>% thinner, preferably at least <NUM>% thinner, and more preferably at least <NUM>% thinner than the top portion <NUM> of the three dimensional features <NUM>.

This way, the flexibility and breathability of the backing layer is enhanced.

In embodiments, particularly where discrete three dimensional features are envisioned, the length-to-width ratio of each of the three dimensional features <NUM> may be at least <NUM>:<NUM>, preferably at least <NUM>:<NUM>.

The width and length of one protrusion are illustrated in <FIG>.

A suitable width may be in the range of <NUM> - <NUM>, e.g. <NUM> - <NUM>.

A suitable length may be in the range of <NUM> - <NUM>, e.g. <NUM> - <NUM>.

The length l and width w may be based, for instance, on the desired flexibility of the dressing and may also be varied depending on dressing size, and body part on which the dressing is to be applied.

The smallest space, a, between the three dimensional features may be at least <NUM>. For example, the space between the three dimensional features is between <NUM> and <NUM>. As illustrated in <FIG>, the smallest space, a, may e.g. be along a diagonal or oblique extension (relative to the longitudinal (y) and lateral (x) directions).

The space between the three dimensional features depends on the height of the three dimensional features. For example, the smallest space, a, may be larger if the height of the three dimensional features is large, and vice versa.

The discrete pattern may comprise three dimensional features arranged in rows of individual three dimensional features extending in the longitudinal (y) and lateral (x) direction of the dressing.

As illustrated in <FIG>, the center point <NUM> of each feature <NUM> may be offset from a center point of each feature in a neighbouring row of three dimensional features. By offset is meant that the center points are not aligned and not arranged in parallel in respect of a line extending in the lateral (x) or longitudinal (y) directions and drawn between the center points <NUM> of three dimensional features arranged in a row.

The area obtained by the three dimensional features (<NUM>) may be e.g. <NUM>-<NUM>%, preferably <NUM>-<NUM>% of the total area of the backing layer.

<FIG> illustrates a dressing according to one embodiment of the present disclosure.

The dressing comprises a backing layer <NUM>, a skin contact layer <NUM> and an absorbent pad <NUM> comprising three pad layers <NUM>, <NUM> and <NUM>.

The absorbent pad <NUM> comprises a plurality of cuts <NUM> extending at least partially through the absorbent pad. In <FIG>, cuts <NUM> are provided in two of the pad layers <NUM> and <NUM>, but it may be equally conceivable to only have cuts in one of the layers of the dressing.

The cuts <NUM>, which may have various shapes, render the pad more flexible, and enhances the flexibility of the entire dressing.

The cuts <NUM> illustrated in <FIG> each comprises three incisions extending from a common starting point. The angle between such incisions may be between <NUM> and <NUM>°.

Accordingly, the pad or pad layer(s) is/are cut in both the longitudinal (y) and lateral (x) directions of the pad such that the pad becomes flexible in all directions.

In the various embodiments described hereinbefore, the backing layer may be a thin film, sheet or membrane that is vapor permeable and waterproof. Examples of suitable materials for the backing layer include, but are not limited to polyurethane, polyethylene or polyamide films, silicone films, polyester based nonwoven materials, and laminates of polyester-based nonwoven materials and polyurethane films. Suitably, the backing layer is a polyurethane film having a thickness of from <NUM> to <NUM>, e.g. from <NUM> to <NUM>.

The pad according to the present disclosure may be formed from a single layer or multiple layers.

The pad may comprise a foam or a gel. It may also comprise a superabsorbent material e.g. superabsorbent polymers (SAP) or superabsorbent fibers (SAF).

In embodiments, the pad comprises a superabsorbent layer, a liquid acquisition layer, e.g. a nonwoven, and a foam layer.

With reference to <FIG>, the layer <NUM> comprises an absorbent foam, the layer <NUM> is a superabsorbent layer, and the layer <NUM> is a nonwoven liquid acquisition layer.

Such a layered pad construction prevents accumulation of body liquids close to the skin.

In the various embodiments described, the term "skin contact layer" means a layer that is in contact with the skin of a wearer. The skin contact layer is adapted to adhere to the skin, which may or may not comprise a wound.

Preferably, the skin contact layer comprises a silicone based adhesive. Such an adhesive is skin-friendly and permits the removal of the dressing without causing damage to the skin.

Examples of suitable silicone gels include the two component RTV systems, such as Q72218 (Dow Corning), and SilGel <NUM> (Wacker Chemic AG) mentioned herein, as well as NuSil silicone elastomers. In embodiments of the invention the adhesive may comprise a soft silicone gel having a softness (penetration) of from <NUM> to <NUM>, e.g. from <NUM> to <NUM>, as measured by a method based on ASTM D <NUM> and DIN <NUM>, the method being described in <CIT>.

The skin contact layer may comprise one or several layers. In embodiments, the skin contact layer comprises a breathable polyolefin based film (e.g. polyethylene, polyamide, polyester, polyurethane) and a silicone adhesive layer.

The skin contact layer <NUM> may be perforated, as illustrated in <FIG>. The perforations <NUM> typically extend through the skin contact layer <NUM>. The perforations allow for a quick absorption into the pad <NUM> without compromising the tight fit to the skin provided by the adhesive layer. The perforations <NUM> may have different shapes and densities along varying regions of the skin contact layer <NUM>, and may be arranged in a regular or irregular pattern.

The thickness ratio between the backing layer and skin contact layer is typically at least <NUM>:<NUM>, preferably at least <NUM>:<NUM>.

It is beneficial to have an even distribution of adhesive over the surface of the pad <NUM> in order to keep the dressing in place during use.

According to another aspect, not forming part of the invention, the present disclosure relates to a method for forming a backing layer comprising a plurality of three dimensional features for a medical dressing comprising:.

<FIG> schematically illustrates the formation of such a backing layer, by means of a roll-to-roll process.

A backing layer <NUM> is fed onto a conveyor belt that transports the backing layer to a heating roll <NUM>. Before heating, the backing layer <NUM> may be covered with a protective release layer <NUM>, which is removed prior to heating. The surface of the heating roll <NUM> has a temperature between <NUM> and <NUM>, preferably between <NUM> and <NUM>, and the backing layer <NUM> is heated for a sufficient period of time, typically about <NUM>-<NUM> seconds, to almost reach its melting point. Alternatively, the heating of the backing layer may be achieved by irradiation from an infrared light source <NUM>.

After heating, the backing layer <NUM>, is transferred to a second roll, i.e. a molding tool <NUM> having a surface comprising a pattern of three dimensional structures <NUM>.

This step b) is typically performed at a temperature between <NUM> and <NUM>, preferably between <NUM> and <NUM>. The backing layer <NUM> is thereby cured and affixed to the three dimensional structures <NUM> of the molding tool <NUM>.

As illustrated by the arrows in <FIG>, vacuum may be applied to the first surface of the backing layer. The vacuum source may be an integral part of the molding tool <NUM> or it may be an external vacuum source.

Preferably, the step b) and c) are performed simultaneously.

The vacuum application enhances the fixation of the three dimensional features in the backing layer <NUM>. It also stretches the backing layer <NUM> such that a non-uniform thickness is obtained. Stretching of the backing layer while simultaneously contacting the first surface of the backing layer with a structured molding tool <NUM> results in three dimensional features comprising slope portions being thinner than the corresponding top portions of the features.

When the three dimensional features have been affixed in the backing layer <NUM>, the backing layer may be covered with a protective release layer <NUM> and stored before assembly with the remaining components of the dressing.

The time required to affix the three dimensional features in the backing layer is typically about <NUM>-<NUM> seconds and depends on the temperature of the molding tool <NUM>; i.e.when the backing layer <NUM> has reached room temperature after the heating step.

The backing layer may subsequently be arranged onto an adhesive skin contact layer, or onto an absorbent pad, if present.

The process of the present disclosure is not limited to the use of a roll-to-roll process. Any technique for heating the film may be used. The molding tool may be any tool from which a structured pattern can be generated, and is not limited to a cylindrical roll as illustrated in <FIG>. For example, a planar stamping press, or any other embossment tool may be utilized.

According to another aspect, there is provided a method for forming a medical dressing comprising:.

The steps and features of the process for forming a backing layer described above are also applicable for the method for forming a medical dressing.

In order to evaluate the effect of the dressing according to the present disclosure, the wear time was evaluated and compared with reference dressings.

Four different dressings were prepared for comparative analysis. The dressings all had a similar construction, but differed with respect to the backing layer, and with respect to the thickness of the absorbent pad.

The reference dressings (dressings C and D) comprised a skin contact layer; i.e. a <NUM> perforated (<NUM>% open surface area) polyurethane film coated with <NUM> gsm of silicone gel adhesive, an absorbent pad made of polyurethane foam (<NUM> and <NUM>, respectively). The backing layer was made of a <NUM> polyurethane plastic film. Acrylic adhesive was used to assemble the dressing, i.e. to attach the backing layer to the absorbent pad and border portion of the skin contact layer. The size of the dressing size was10x10 cm with a wound pad <NUM>. <NUM> in a central position.

The dressings according to the present disclosure (dressings A and B) differed from the reference dressings in that the backing layer was embossed using a vacuum machine, Formech 300XQ, at <NUM>-<NUM>. Vacuum and heat was applied and the backing layer brought in contact with a metallic net having threads of <NUM> diameter and a distance of <NUM> between each thread. The pattern of the backing layer was that illustrated in <FIG>. The following dressing were tested:.

<FIG> illustrates the test equipment that was used for the wear time evaluation.

The test equipment <NUM> was a plastic plate <NUM> with a cylinder hinge <NUM> of a size to mimic an articulating joint, e.g. a knee (<NUM> in diameter). A polyurethane plastic film <NUM> was attached to the upper surface of the plate <NUM> to mimic the skin. When the dressings <NUM> were applied, the deviation in angle from the horizontal plane was approximately <NUM> degrees. As a next step the plate <NUM> was inclined by attaching a strap and the deviation from the horizontal plane was now approximately <NUM> degrees. Time (in seconds) was then measured from when the dressing <NUM> was applied until at least a part of the border portion of the dressing started detaching from the film <NUM>. Five different sets of dressings (A-D) were tested and the results are illustrated in Table <NUM> below, wherein the time is an average of the dressings tested for each dressing set.

Claim 1:
A medical dressing (<NUM>) comprising an adhesive skin contact layer (<NUM>) and a backing layer (<NUM>), wherein said backing layer (<NUM>) has a first surface (<NUM>) facing said skin contact layer (<NUM>) and an opposing second surface (<NUM>); said dressing (<NUM>) further comprising an absorbent pad (<NUM>) arranged between said backing layer (<NUM>) and said adhesive skin contact layer (<NUM>), wherein said backing layer (<NUM>) and said adhesive skin contact layer (<NUM>) extend around the periphery of said absorbent pad (<NUM>) characterized in that said backing layer (<NUM>) comprises a plurality of three dimensional features (<NUM>) forming protrusions (<NUM>) on said second surface (<NUM>) of said backing layer (<NUM>) and depressions (<NUM>) on said first surface (<NUM>) of said backing layer (<NUM>) and wherein said first surface (<NUM>) of said backing layer (<NUM>) is not adhesively attached to said absorbent pad (<NUM>) in the areas forming said depressions (<NUM>).