LIQUID SKIN PROTECTANTS For Intact to Damaged Skin

Choose Your Level of Protection.

When to use Sureprep® or Marathon®

A Variety of Protectants for Intact to Damaged Skin

Although Sureprep® provides adequate protection in many clinical situations, sometimes you need the next level of protection: Marathon®

To ensure the right level of protection for every patient, Medline® offers a range of products. Our complete selection provides clinicians with the flexibility to choose the best protectant for each patient’s skin.

When choosing a skin protectant, consider the following factors: Skin Condition Severity When a skin condition is more problematic or carries a more substantial risk for breakdown, Marathon is recommended.

SUREPREP

MARATHON

Skin Protectant Applications Protection • Adhesives••••••••••••••••••• Protect skin from adhesive stripping from dressings, tape and negative pressure therapy devices.

• Friction•••••••••••••••••••••••••| Protect skin from breakdown caused by friction on heels, buttocks, elbows and other high-risk areas, including amputee stump sites.



• Incontinence•••••••••••• Protect skin from breakdown caused by urine and feces.



• Skin Tears• ••••••••••••••••• Protect against skin tears and protect torn skin from further damage.

Degree and Type of Moisture Within the range of moisture problems, from perspiration to urine to caustic drainage, Marathon is recommended for more challenging circumstances.

Adhesives

SUREPREP

MARATHON

Management

• Denuded Skin•••••••••• Protect skin while preventing additional breakdown.

• Healing Wounds••••• Provide an additional barrier to the delicate skin around a wound during the healing process.

• Macerated Skin•••••• P  rotect the skin around wounds from maceration caused by drainage and corrosive fluids.



• Ostomy Sites• ••••••••••Improve adhesion of ostomy appliances. Help protect skin from the corrosive material when a leak is present.

Skin Tears

Location of Problem Area/Frequency of Care For less accessible areas of the body or for patients who see a clinician less frequently, Marathon is likely a better solution as its longer wear time may alleviate the need for repeated applications.

SUREPREP

MARATHON

Macerated Skin 2

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Sureprep

Sureprep No-Sting Evidence

Sureprep Skin Protectant Protect skin without irritation or allergic reaction. Forms a clear, vapor-permeable, water-resistant coating. Contains alcohol.

Adhesive Trauma Protection In controlled trials, Sureprep No-Stings was found to be significantly better than 3M Cavilon™ No-Sting, with respect to erythema, redness and skin stripping associated with adhesive removal.2 See graphs below for details.

Use on intact skin to protect from breakdown due to: • Adhesive trauma • Moisture • Incontinence • Friction

Incontinence Protection in High-Risk Neonates Sureprep was also evaluated in a study on ten Neonatal Intensive Care Units patients with severe perineal skin breakdown due to constant stooling. The skin condition improved after applying Sureprep. The data indicates that Sureprep No-Stings is a potential treatment for diaper skin breakdown in high-risk infants.1

Change Frequency: With every dressing change. Contraindications: • Direct application to a wound bed. • As a barrier to bacterial contamination. • On infected skin. Pkg

MSC1500 MSC1500Z

1,000/cs 50/bx

Sureprep Skin Protectant Wipes Sureprep Skin Protectant Wipes

Expert Grader Assessment of Erythema2 By day 5, the grader noted significantly less redness on the subject using Sureprep No-Stings (3.6) than the subject using 3M Cavilon No-Sting (5).

Sureprep No-Sting Skin Protectant Water-based no-sting formula contains no alcohol or synthetic solvents,* for painless application on damaged or compromised skin. Forms a long-lasting, clear, vapor-permeable, water-resistant coating. For use on all skin types, including neonatal skin.1 Use on damaged or intact skin to protect from breakdown due to: • Adhesive trauma • Moisture • Incontinence • Friction

Transepidermal Water-Loss (TEWL)2 On day 4 and day 5 subjects using Sureprep No-Stings experienced significantly less water loss than subjects using 3M Cavilon No-Sting; indicating that Sureprep No-Sting provides greater protection from adhesive stripping.

Change Frequency: With each dressing change or within 72 hours, depending on frequency of cleansing. If cleansing is very frequent, more frequent application may be necessary. Contraindications: • Direct application to a wound bed. • As a barrier to bacterial contamination. • On infected skin.

Stinging Assesment 3

4

Ordering information Item # Description

Pkg

MSC1505 MSC1505Z MSC1510 MSC1510Z MSC1513 MSC1513Z MSC1528 MSC1528H

500/cs 50/bx 125/cs 25/bx 100/cs 25/bx 12/cs 1 bottle

Sureprep No-Sting Skin Protectant Wipes Sureprep No-Sting Skin Protectant Wipes Sureprep No-Sting Applicator Wand, 1 ml Sureprep No-Sting Applicator Wand, 1 ml Sureprep No-Sting Wand, 3 ml Sureprep No-Sting Wand, 3 ml Sureprep No-Sting Spray, 28 ml Sureprep No-Sting Spray, 28 ml

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Sureprep No-Sting spray is as gentle as the 3M Cavilon No-Sting.

6 Mean(g/m²/hour) Water Loss (g/m²/hour) Sting Assesment Mean Erythema Score Mean Water Loss (g/m²/hour) Sting AssesmentMean Water Loss Mean Erythema Score Sting Assesment Mean Erythema Score

Ordering information Item # Description

5 4 6 3 5 2 46 1 35 0 24

25 02

s

Sureprep No-Sting Wipes were tested

Sureprep No-Sting▲ Day 1

Day 2

Day 3

Day 4

Day 5

3M Cavilon No-Sting

Sureprep No-Sting▲ 3M Cavilon No-Sting Day 1

Day 2

Day 3

Day 4

Day 5

Day 1

Day 2

Day 3

Day 4

Day 5

20 1 0 25 15

Sureprep No-Sting▲

20 10

3M Cavilon No-Sting

25 155 20 100

Sureprep No-Sting▲ Day 1

Day 2

Day 3

Day 4

Day 5

15 5 10 0 2.5

3M Cavilon No-Sting

Sureprep No-Sting▲ 3M Cavilon No-Sting Day 1

Day 2

Day 3

Day 4

Day 5

Day 1

Day 2

Day 3

Day 4

Day 5

5 2.0 0 2.5 1.5 2.0 1.0 2.5 1.5 0.5 2.0 1.00 1.5 0.5 1.0 0

0

* Sureprep No-Sting Spray contains a solvent

3M Cavilon No-Sting

13

0.5

Test data from an independent lab. Results on file and will be sent upon request.

Sureprep No-Sting▲

Sureprep No-Sting Spray

3M Cavilon No-Sting

Alcohol

Sureprep No-Sting Spray

3M Cavilon No-Sting

Alcohol

Sureprep No-Sting Spray

3M Cavilon No-Sting

Alcohol

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Marathon Liquid Skin Protectant

Marathon Liquid Skin Protectant Evidence

Cyanoacrylate-based, no-sting formula binds to the skin at a molecular level to create a long-lasting, breathable barrier. Marathon forms a fully flexible, clear and remarkably strong protective layer on skin.

Evaluation of a Cyanoacrylate Protectantu to Manage Skin Tears in the Acute Care Population6 During a study for the management of skin tears, Marathon required only a one-time application during the documentation period. Its application involved significantly less costs and staff time. Nurse satisfaction with Marathon was high. There were no complications, and patient discomfort was minimal.

Use on intact skin to provide a barrier to breakdown, or to protect injured skin from: • Adhesive trauma • Moisture • Incontinence • Friction Change Frequency: Up to three days, reapply as needed. Contraindications: • Direct application to a wound bed. • As a barrier to bacterial contamination. • On infected skin.

Day 1

Item # Description

Pkg

MSC093005 MSC093001

10/bx 5/bx

Marathon Liquid Skin Protectant, 0.5 g Vial Marathon Liquid Skin Protectant, 0.5 g Vial

Evaluation of a Cyanoacrylate Protectantu to Manage Peristomal Skin Irritation Under Ostomy Skin Barrier Wafers7 For patients using ostomy wafers, Marathon helped reduce discomfort levels at initial assessment from 9.5 to 0 by the second wafer change (1-10 scale). With Marathon, the length between wafer changes also increased. Because of the skin protectant action of Marathon, immediate adherence of the wafer was reported at all wafer changes. Epidermal restoration occurred within 10 days, and patients reported high satisfaction with this method of periostomal skin irritation management.

Marathon Liquid Skin Protectant Evidence Marathon’s strength is evidenced in the skin’s resistance to external friction and moisture, especially when compared to other solvent-based no-sting barriers. Abrasion Resistance Test4

Test data from an independent lab. Results on file and will be sent upon request.

7.3 Mean TEWL gm/hr/sq meter Mean TEWL gm/hr/sq meter

Marathon helps reduce damage caused by friction. In abrasion resistance testing, areas where Marathon was applied showed significantly better protection of skin from frictional forces and from TEWL compared to 3M Cavilon™ or no treatment at all.

6.8 6.3 7.3 5.8 6.8 5.3 6.3 4.8 5.8 4.3 5.3 3.8 4.8

Immediately after skin barrier application

4.3 3.8

Immediately post abrasion

Marathon Liquid Skin Protectant 3M Cavilon No-Sting Immediately after No treatment barrier skin barrier application

Immediately post abrasion

Marathon Liquid Skin Protectant

Marathon provides protection from moisture. In corrosive fluids and wash-off resistance testing, areas where Marathon was applied showed better resistance after each of the five urine and wash-off cycles compared to the areas where 3M Cavilon or no product at all were applied. Marathon shows greater protective capabilities than 3M Cavilon against corrosive fluids (synthetic urine) and wash-off.

110 of Dye Remaining Percentage ofPercentage Dye Remaining

Corrosive Fluids and Wash-Off Resistance Test5

3M Cavilon No-Sting No treatment barrier

90 110 70 90 50 70 30 50 10 Apply

Cycle 1

Cycle 2

Cycle 3

Cycle 4

Cycle 5

30 Marathon Liquid Skin Protectant 10 Apply

Test data from an independent lab. Results on file and will be sent upon request.

Day 8

3M Cavilon No-Sting Cycle 1 Cycle 2 Cycle 3 No treatment barrier

Cycle 4

Marathon Liquid Skin Protectant

Cycle 5

Day 1

Day 10

Skin Protection for Indigent Residents with a Novel Productu (Cyanoacrylate) at one County Long-Term Care Facility8 Marathon proved to be an exceptional barrier against corrosive bodily fluids when used as a skin protectant for several indigent patients with stage II pressure ulcers and incontinence-associated skin irritation. The staff commented that the added degree of strength compared to traditional protectants prevented further damage without affecting limited economic resources available for the treatment of these patients.

3M Cavilon No-Sting

Day 1

Day 16

No treatment barrier

6

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u

Marathon Liquid Skin Protectant

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Remedy with Olivamine is a complete line of advanced skin care products.

Remedy with Phytoplex, is a revolutionary system for the most sensitive skin, delivering nutrients, improving structural moisturization and fighting free radicals.

Soothe & Cool is a cost-effective line with a wide array of cleansers, moisturizers, skin protectants and treatment products.

Products and educational resources that empower clinicians to improve outcomes and reduce costs.

1. Visscher M. Update on the Use of Topical Agents in Neonates. Newborn & Infant Nursing Reviews. 2009;9(1): 31-47. Available at: http://www.nainr. com/article/S1527-3369(08)00172-4. Accessed April 9, 2010. 2. Shannon RJ, Chakravarthy D. Effect of a water-based no-sting, protective barrier formulation and a solvent-containing similar formulation on skin protection from medical adhesive trauma. Int Wound J. 2009 Feb;6(1):82-8. 3. Assessing the Sting Potential of Film Forming Barriers. Data on file. 4. Abrasion test. Data on file. 5. Study to Compare the Wash-off Resistance of Two Barrier Films Exposed to Synthetic Urine. Data on file.

6. Milne C. Evaluation of a Cyanoacrylate Protectant to Manage Skin Tears in the Acute Care Population. Paper presented at: Symposium on Advanced Wound Care; April 2010; Orlando, FL. 7. Milne C. Evaluation of a Cyanoacrylate Dressing to Manage Peristomal Skin Irritation Under Ostomy Skin Barrier Wafers. Paper presented at: Symposium on Advanced Wound Care; April 2010; Orlando, FL. 8. Webb M. Skin Protection for Indigent Residents with a Novel Product (Cyanoacrylate) at one County Long Term Care Facility. Paper presented at: American Professional Wound Care Association Annual Conference; April 2010; Philadelphia, PA.

Medline Industries, Inc. One Medline Place Mundelein, IL 60060 Medline United States 1-800-MEDLINE (633-5463)

Medline Canada 1-800-396-6996

Medline México 01-800-831-0898

www.medline.com | [email protected]

www.medline.ca | [email protected]

www.medlinemexico.com | [email protected]

Some products may not be available for sale in Mexico or Canada. We reserve the right to correct any errors that may occur within this brochure. ©2011 Medline Industries Inc. Medline, Marathon and Sureprep are registered trademarks of Medline Industries, Inc. Cavilon is a trademark of 3M MKT211131 / LIT412/ 10M / 17 / FG