PRODUCT REFERENCE GUIDE ADVANCED WOUND CARE

SYSTAGENIX

This guide has been developed to provide a useful overview of the products available from Systagenix. Section Let’s Heal® This section describes our passion and agility to drive innovation that has just one goal: to help heal wounds, fast. This is captured by our call to action: Let’s Heal®, which represents our unique integrated wound healing portfolio, built of four categories: Section Sizes, Codes and Ordering Information This section contains everything needed to order your Systagenix products, including individual sizes and codes available. Section Product Information Guidelines This section includes information on the Systagenix advanced wound care portfolio. It contains details on the technical aspects of the dressings, how the dressings work and the clinical benefits you can expect when using the dressings. You will also find the indications and the specific wound types that the dressings are suitable for. All in one simple, easy place for reference.

2 — Introduction

Section 4

Let’s Heal®

Section 6

Sizes, Codes and Ordering Information

Section 12

Introduction to Diagnostics

14 16 18 20

SILVERCEL® Non-Adherent Dressing SILVERCEL® Hydro-Alginate with Silver INADINE® Povidone Iodine Non-Adherent Dressing ACTISORB® Activated Charcoal Dressing with Silver

22 24 26

PROMOGRAN® Matrix ORC/Collagen Dressing PROMOGRAN PRISMA® ORC/Collagen with Silver/ORC Dressing FIBRACOL® PLUS Collagen/Alginate Dressing

28 32 34 36 38 40 42 44 46

TIELLE® Family: Hydropolymer Adhesive Dressings ADAPTIC TOUCH® Non-Adhering Silicone Dressing ADAPTIC® Non-Adhering Dressing ADAPTIC® DIGIT Non-Adhering Digit Dressing NU-DERM® Alginate Dressing NU-DERM® Hydrocolloid Dressing NU-GEL® Hydrogel with Alginate NU-GEL® Wound Dressing BIOCLUSIVE® Transparent Dressing

Contents — 3

Let’s Test®

Let’s Protect®

4 — Section

Let’s Heal®

SILVERC NON-AD

Let’s Promote®

PROMO PROMO PRISMA

Let’s Comfort®

TIELLE ADAPTI ®

To finally provide wound care tools which aid a correct and timely diagnosis.

To protect from infection, while also managing the secondary symptoms of Exudate, Pain, and Odour.

SILVERCEL® NON-ADHERENT with EasyLIFT® SILVERCEL® INADINE® ACTISORB® Silver 220

To promote wound healing in ways that standard dressings may not be able to.

PROMOGRAN® PROMOGRAN PRISMA® FIBRACOL® PLUS

To provide a comfortable and effective healing environment for all types of wounds.

TIELLE® Family with LiquaLock® ADAPTIC® Touch ADAPTIC® ADAPTIC® Digit NU-DERM® Alginate NU-DERM® Hydrocolloid NU-GEL® Hydrogel NU-GEL® Wound Dressing BIOCLUSIVE®

Section

— 5

SILVERCEL® NON-ADHERENT Antimicrobial Dressing CODE

SIZE

EACHES PER CARTON

CAD7050

5cm x 5cm

10

CAD7011

11cm x 11cm

10

CAD7020

10cm x 20cm

5

CAD7230

2.5cm x 30.5cm (rope)

5

SILVERCEL® Antimicrobial Dressing CODE

SIZE

EACHES PER CARTON

CAD050

5cm x 5cm

10

CAD011

11cm x 11cm

10

CAD020

10cm x 20cm

5

CAD230

2.5cm x 30.5cm (rope)

5

INADINE® PVP-I Non-Adherent Antimicrobial Dressing CODE

SIZE

EACHES PER CARTON

P01481

5cm x 5cm

25

P01512

9.5cm x 9.5cm

25

ACTISORB® Antimicrobial dressing CODE

6 — Section

SIZE

DRESSINGS PER carton

CARTONs PER box

MAS065

6.5cm x 9.5cm

10

5 (50 eaches)

MAS105

10.5cm x 10.5cm

10

5 (50 eaches)

MAS190

19cm x 10.5cm

10

5 (50 eaches)

Sizes Codes and Ordering Information

PROMOGRAN® Protease Modulating Matrix CODE

SIZE

EACHES PER CARTON

M772028

28cm2

10

M772123

123cm2

10

PROMOGRAN PRISMA® wound balancing matrix CODE

SIZE

EACHES PER CARTON

PS2028

2

28cm

10

PS2123

123cm2

10

FIBRACOL® Plus Collagen Alginate Dressing CODE

SIZE

EACHES PER CARTON

2981

5.1cm x 5.1cm

12

2982

10cm x 11cm

12

2983

10.2cm x 22.2cm

6

2984

1cm x 1cm 40cm (rope)

6

Section

— 7

TIELLE® Hydropolymer dressing CODE

SIZE

EACHES PER CARTON

TIELLE®

MTL100

7cm x 9cm

10

MTL101EN

11cm x 11cm

10

MTL102

15cm x 20cm

5

MTL103

18cm x 18cm

5

MTL105

15cm x 15cm

10

18cm x 18cm

5 10

TIELLE® SACRUM MTL104 TIELLE® PLUS MTP501

11cm x 11cm

MTP502

15cm x 20cm

5

MTP505

15cm x 15cm

10

20cm x 26.5cm

5

15cm x 15cm

10 10

TIELLE® PLUS HEEL MTP508 TIELLE® PLUS SACRUM MTP506 TIELLE® MAX MTP701

11cm x 11cm

MTP702

15cm x 20cm

5

MTP705

15cm x 15cm

10

ADAPTIC TOUCH® Non-Adhering Silicone Dressing CODE

8 — Section

SIZE

EACHES PER CARTON 10

TCH501

5cm x 7.6cm

TCH502

7.6cm x 11cm

10

TCH503

12.7cm x 15cm

10

TCH504

20cm x 32cm

5

Sizes Codes and Ordering Information

ADAPTIC® Non-Adhering dressing CODE

SIZE

EACHES PER CARTON

2012

7.6cm x 7.6cm

50

2013

7.6cm x 20.3cm

3x36

2014

7.6cm x 40.6cm

36

2015

7.6cm x 20.3cm

24

2019

12.7cm x 22.9cm

12

ADAPTIC® DIGIT Non-Adhering Digit Dressing CODE

SIZE

EACHES PER CARTON

MAD003

Small 2cm Ø

10

MAD013

Medium 2.4cm Ø

10

MAD023

Large 2.8cm Ø

10

MAD042

Extra Large 3cm Ø

10

2.8cm Ø

10

ADAPTIC® Digit

ADAPTIC® Digit Toe MAD062

Section

— 9

NU-DERM® Alginate dressing CODE

SIZE

EACHES PER CARTON

Cartons Per Box

AWD112

2.5cm x 30.5cm (rope)

5

5 (25 eaches)

AWD202

5cm x 5cm

10

5 (50 eaches)

AWD404

10cm x 10cm

10

5 (50 eaches)

AWD408

10cm x 20cm

5

5 (25 eaches)

NU-DERM® Hydrocolloid Dressing CODE

SIZE

DRESSINGS PER TRAY

TRAYS PER CASE

10

10 (100 eaches)

NU-DERM® Hydrocolloid Border Thin HCT101

10cm x 10cm

NU-DERM® Hydrocolloid Standard (foam backing) HCF204

10cm x 10cm

5

10 (50 eaches)

HCF208

20cm x 20cm

5

4 (20 eaches)

NU-DERM® Hydrocolloid Border HCB102

5cm x 5cm

20

5 (100 eaches)

HCB204

10cm x 10cm

10

16 (160 eaches)

HCB106

15cm x 15cm

5

4 (20 eaches)

10

6 (60 eaches)

5

4 (20 eaches)

NU-DERM® Hydrocolloid Border Elbow/Heel HCH207

8cm x 12cm

NU-DERM® Hydrocolloid Border Sacrum HCS100

10 — Section

15cm x 18cm

Sizes Codes and Ordering Information

NU-GEL® Hydrogel with Alginate CODE

SIZE

TUBES PER CARTON

CARTONS PER BOX

MNG415

15g

10

4 (40 eaches)

MNG425

25g

6

4 (24 eaches)

NU-GEL® Wound Dressing CODE

SIZE

EACHES PER CARTON

2497

9.5cm x 9.5cm

5

2498

15.2cm x 20.3cm

5

BIOCLUSIVE® Transparent dressing CODE

SIZE

DRESSINGS PER CARTON

Cartons Per CASE

2460

3.8cm x 3.8cm

100

4 (400 eaches)

2461

5.1cm x 7.6cm

100

4 (400 eaches)

2463

10.2cm x 12.7cm

50

4 (200 eaches)

2465

12.7cm x 17.8cm

20

5 (100 eaches)

2467

10.2cm x 25.4cm

20

6 (120 eaches)

2469

20.3cm x 25.4cm

10

8 (80 eaches)

Section

— 11

Welcome to 21st century wound care “The development of specific diagnostic tests for use in wounds has the potential to revolutionize their treatment, and help improve standards of wound care (while) aiding in the cost effective use of limited resources.” World Union of Wound Healing Societies. Principles of best practice: A consensus document: MEP Ltd. London, 2008. Research suggests that wounds that heal well have a lower overall protease activity than those that heal poorly. As a result, a test that readily provides this information might be clinically useful in understanding how well a wound is healing, and whether an intervention that modulates protease activity may be needed.

12 — Section

Product Information

FINALLY, A TEST YOU’LL WANT TO TAKE...

coming soon.

Section

— 13

SILVERCEL NON-ADHERENT ®

SILVERCEL® Non-adherent antimicrobial dressing with silver

WHAT IS IT? SILVERCEL® NON-ADHERENT Dressing is the next generation of Silver Antimicrobial Dressing with the unique feature of a Non-Adherent layer that maximizes protection of the wound bed, particularly at dressing change. The unique composition: a mixture of alginate, carboxymethylcellulose (CMC), and silver coated nylon fibres manages exudate effectively in infected or heavily colonised wounds. The optimally spaced perforations on the unqiue EasyLIFT® film layer keeps the dressing simple and convenient to use, minimizing pain and trauma at dressing change for your patients. HOW DOES IT WORK? SILVERCEL® NON-ADHERENT is designed to absorb and retain high amounts of exudate, while allowing easy, intact and atraumatic pain free removal from the wound bed.1 The silver ions within the dressing protect the wound from bacterial contamination.1 SILVERCEL® NON-ADHERENT – designed not to stick Maintains a sustained release of silver ions for up to 7 days in vitro 1 Stays strong for intact removal, even when wet 2 Optimally spaced perforations allow ‘free flow’ of exudate into the dressing, and also ensure the dressing stays intact Conforms to the wound bed for complete coverage when moist, and is designed not to stick to the wound bed at dressing change SILVERCEL® NON-ADHERENT has been proven to be 75% Less Adherent than the market leading silver dressing 3 Effective against over 150 pathogens including MRSA, MRSE and VRE 2

• • • • • •

INDICATIONS: May help reduce infection in moderate to heavily exuding partial and full-thickness wounds including: Pressure ulcers Venous ulcers Diabetic ulcers Donor sites Traumatic and surgical wounds Suitable for use under medical supervision, in the management of infected wounds, or wounds which have an increased risk of infection.

• • •

14 — Section

• •

Product Information

How do I use it? Cut or fold SILVERCEL® Non-Adherent to fit the wound. Cover the dressing with a non-occlusive secondary dressing such as one of the Tielle® Hydropolymer Dressings. Reapply SILVERCEL® Non-Adherent when the secondary dressing has reached its absorbent capacity or whenever good wound care practice dictates that the dressing should be changed. Please refer to package insert for full instructions.

CODE

SIZE

EACHES PER CARTON

CAD7050

5cm x 5cm

10

CAD7011

11cm x 11cm

10

CAD7020

10cm x 20cm

5

CAD7230

2.5cm x 30.5cm (rope)

5

References: 1. Clark, R PhD; Stephens, S-A (BSc (Hons); Del Bono, M; Abloye, O; Bayliff, S BSc (Hons); The Evaluation of Absorbent Silver containing Dressings In Vitro; Systagenix Wound Management. Poster Presentation CAWC Quebec City October 2009 2. R.Clark, Michelle Del Bono, Sally-Anne Stephens, Omotayo Abioye, Simon

Bayliff: Simulated in use tests to evaluate a Non-Adherent Antimicrobial silver alginate dressing. Presentation Quebec City October 2009. 3. Clark,Stephens,Del Bono: From Lab to Leg The importance of correlating in-vitro and in-vivo test systems to clinical experience. Poster presented SAWC 2010.

Section

— 15

SILVERCEL

®

SILVERCEL® Antimicrobial Dressing

WHAT IS IT? SILVERCEL® is a sterile, non-woven pad composed of a high G (guluronic acid) alginate, carboxymethylcellulose (CMC) and silver coated nylon fibres. The unique composition of SILVERCEL® is designed to manage exudate and help control infected or heavily colonised wounds. HOW DOES IT WORK? SILVERCEL® has a number of features that can help with controlling Infection: SILVERCEL® minimizes the risk of maceration and leakage1, 2 and has been proven to absorb and retain fluid even under compression

•

• In vitro studies show that the level of silver released from SILVERCEL

®

maintained beyond 7 days Designed not to break up in the wound 1,4 SILVERCEL® maintains its strength within a moist wound environment 1,4 Effective against over 150 pathogens including MRSA and VRE 2

• • •

is

3

INDICATIONS: SILVERCEL® is intended for use in the management of all moderate to heavily exuding partial and full thickness chronic wounds including: pressure ulcers, venous ulcers, diabetic ulcers, donor sites, traumatic and surgical wounds. As the product contains alginate it may assist in supporting the control of minor bleeding in superficial wounds. It is also suitable for use under medical supervision, in the management of infected wounds, or wounds in which there is an increased risk of infection. How do I use it? Application Fold or cut to the size of the wound and apply directly to the wound. Loosely pack deep wounds ensuring that the dressing does not overlap the edges of the wound. Secure in position with a non-occlusive secondary dressing like TIELLE® Hydropolymer dressing. Please refer to package insert for full instructions.

16 — Section

Product Information

CODE

SIZE

EACHES PER CARTON

CAD050

5cm x 5cm

10

CAD011

11cm x 11cm

10

CAD020

10cm x 20cm

5

CAD230

2.5cm x 30.5cm (rope)

5

References: 1. Teot L et al. The management of wounds using SILVERCEL™ Hydro-Alginate. Wounds UK Supplement. 2005.1(2) 2. Addison D et al. An Antimicrobial Dressing for moderate to heavily exuding infected and critically colonised wounds. Systagenix Wound Management Gargrave U.K. Poster presented at EWMA Pisa May 2003 3. Rennison T et al. Evaluations of a silver Hydro-Alginate dressing to Determine

suitability for use on chronic wounds. Systagenix Wound Management Gargrave U.K. Poster presented at EWMA Prague May 2006. 4. Clark R, PhD; Stephens S-A, BSc (Hons); Del Bono, M; Abioye, O; Bayliff S, BSc (Hons). Simulated in-use tests to evaluate a non-adherent antimicrobial silver alginate wound dressing. SAWC, Texas, Dallas 2009

Section

— 17

INADINE

®

INADINE® PVP-I Non-Adherent Dressing

WHAT IS IT? INADINE® PVP-I Non-Adherent Dressing consists of a low adherent knitted viscose fabric impregnated with a polyethylene glycol (PEG) base containing 10% Povidone Iodine; equivalent to 1.0% available iodine. INADINE® Dressings are designed to protect the wound, even if infected. HOW DOES IT WORK? The Povidone molecule provides an effective, and controlled release of iodine. The polyethylene glycol provides a water-soluble environment, which allows the Iodine to reach the bacteria in the wound. INADINE® Dressing has long been established for use in wound care, its

features include:

• Povidone Iodine controls bacteria by reducing bacterial load and inhibits

infection 1-3 Povidone Iodine is a broad spectrum antimicrobial 1-3 Safe for use on adults and children and in combination with systemic antibiotics 1-3

• •

INDICATIONS: INADINE® Dressing is designed to protect the wound, even if infected. INADINE® Dressing is indicated for the management of ulcerative wounds and may also be used for the prevention of infection in minor burns and traumatic skin loss injuries. How do I use it? Application Apply directly to the wound or burn site. To ensure INADINE® dressing stays in situ, use with a secondary dressing like TIELLE® Hydropolymer dressing. Changing the dressing When the colour of the dressing turns to white, this indicates the loss of antiseptic efficacy and this is when the INADINE® dressing should be changed.

Please refer to package insert for full instructions.

18 — Section

Product Information

CODE

SIZE

EACHES PER CARTON

P01481

5cm x 5cm

25

P01512

9.5cm x 9.5cm

25

References: 1. Mclure A.R et al Journal of Hospital Infection. 1992 Aug;21(4):291-9. 2. Goldenheim P.D Postgrad. Med.Jnl.,1993;69 (suppl.3):S97-S105.

3. Adams l. Wound healing altered with the use of povidone iodine. 1985. 4. A. Langely. INADINE wound dressings speed healing, reduce patient discomfort and cut costs by almost 40%. Burns 1989. Vol. 15.

Section

— 19

ACTISORB SILVER 220 ®

ACTISORB® ACTIVATED CHARCOAL DRESSING WITH SILVER

WHAT IS IT? ACTISORB® Silver 220 Dressing consists of activated charcoal impregnated with silver and encased in a nylon sleeve. ACTISORB® Silver 220 Dressing is designed to trap wound malodour while protecting the wound from infection. By removing harmful elements from the wound, a more stable wound healing environment can be achieved. HOW DOES IT WORK? Activated charcoal traps odour and bacterial toxins

• Binds toxins which are known to impair healing • Reduces wound odour and improves patient’s quality of life 5,6

2

Silver kills bacteria Reduces infection and exudate 3, 4 Effective wet or dry Consistent adsorption of bacteria

•

1

•

INDICATIONS: ACTISORB® Silver 220 Dressing is suitable as the first therapeutic step in the management of all chronic wounds. It is indicated for fungating carcinomas, ulcerative, traumatic and surgical wounds where bacterial contamination, infection or odour occurs. How do I use it? Application Apply directly to the wound or malodourous site. Where absorption is required support use with a secondary dressing like TIELLE® Hydropolymer dressing. ACTISORB® Silver 220 can be easily packed into deep wounds, and is effective wet or dry. ACTISORB® Silver 220 dressing should not be cut, otherwise particles of activated carbon may get into the wound and cause discoloration. Please refer to package insert for full instructions.

20 — Section

Product Information

CODE

SIZE

Dressings per carton

cartons per box

MAS065

6.5cm x 9.5cm

10

5 (50 eaches)

MAS105

10.5cm x 10.5cm

10

5 (50 eaches)

MAS190

19cm x 10.5cm

10

5 (50 eaches)

References: 1. Russel AD et al. Antimicrobial activity and action of silver. Progress in Medicinal Chemistry. 31, 351-370, Elsevier Service 1994 2. Price PE et al. J Wound Care; 9(2):93-95 3. Milward PA. Nursing Times 1991; 87(13):70-72. 4. Leak, K. PEG site infections: a novel use for ACTISORB* Silver 220.Br J

Community Nurs. 2002; 7 (6) 5. Kramer A et al Antibacterial activity and endotoxin-binding capacity of ACTISORB* Silver 220. J Hospital Infect. 2003; 53: 511-4. 6. Robson MC et al. Wound healing alterations caused by infection. Clinics in Plastic Surgery 1990; 17: 485-492.

Section

— 21

PROMOGRAN

®

PROMOGRAN® Protease Modulating Matrix

WHAT IS IT? PROMOGRAN® matrix is sterile, freeze-dried composite of 55% collagen and 45% oxidised regenerated cellulose (ORC). PROMOGRAN® matrix is designed to promote an optimal healing environment. 1 With PROMOGRAN® matrix stalled wounds close: faster,1,2 cost effectively. 1,3,4 In the presence of exudate the PROMOGRAN® matrix transforms into a soft and conformable, biodegradable gel: this allows contact with all areas of the wound. HOW DOES IT WORK? PROMOGRAN® matrix has been proven to reduce levels of proteases such as MMPs

and Elastase. This may restore the balance of the wound microenvironment, promoting granulation tissue and helping the wound close.5 Reducing MMP and Elastase activity has been shown to reduce wound surface area. Collagen/ORC is more effective than collagen alone: Binds and inactivates 3 times more proteases 5,6,7 Enhances granulation tissue formation 8 Reduces bacterial growth 5-7, 9 Protects growth factors 10

• • • •

INDICATIONS: PROMOGRAN® matrix is indicated for the management of all wounds healing by secondary intent which are clear of necrotic tissue, including: Diabetic ulcers Venous ulcers Pressure ulcers Ulcers caused by mixed vascular aetiologies Traumatic and surgical wounds PROMOGRAN® matrix has demonstrated haemostatic properties. PROMOGRAN® matrix can be used under compression therapy.

• • • • •

How do I use it? Preparation 1. Prepare the wound per standard wound care protocol and debride when necessary. 2. PROMOGRAN® matrix may be used when visible signs of infection are present in the wound area only when proper medical treatment addresses the underlying cause. 22 — Section

Product Information

3. Hydrate with saline for wounds with low or no exudate. Application 1. Apply directly to wound, covering the entire wound bed. PROMOGRAN® matrix forms a gel on contact with exudate or through saline hydration. 2. Cover PROMOGRAN® matrix with a secondary dressing to maintain a moist wound healing environment. 3. Choose a suitable secondary dressing depending on level of exudate. 4. The biodegradable gel is naturally absorbed over time. Please refer to package insert for full instructions.

CODE

SIZE

EACHES PER CARTON

M772028

28cm2

10

M772123

123cm2

10

References: 1. Lazaro-Martinez et al. Randomized comparative trial of a collagen/oxidized regenerated cellulose dressing in the treatment of neuropathic diabetic foot ulcers. F.R. Circ. Esp.2007, 82(1), 27-31 2. Veves A et al. A randomized, controlled trial of Collagen/ORC vs. standard treatments in the management of diabetic foot ulcers. Arch Surg 2002;137:822-827 3. Snyder. Sequential therapies and advanced wound care products as a standard practice in the home care setting. Home health abstract for SAWC, San Diego, April 2008 (presentation at the J&J satellite symposium) 4. Ghatenekar O. Willis. M. Persson U. Health Economics. ‘Cost effectiveness of treating deep diabetic foot ulcers with collagen/ORC in four European countries’. J Wound Care, Vol 11, No2. Feb 2002 5. Cullen B, Smith R, McCulloch E, Silcock D, Morrison L. Mechanism of action of Collagen/ORC, a protease modulating matrix for treatment of diabetic foot ulcers. Wound Rep Regen 2002;10:16-25.

6. Cullen B. The role of oxidized regenerated cellulose/collagen in chronic wound repair. Part 2. Ostomy Wound Manage.2002 Jun;48(6 suppl):8-13 7. Smeets R, Ulrich D, Unglaub F, Woltje M, Pallua N. Effect of oxidized regenerated cellulose/collagen matrix on proteases in wound exudate of patients with chronic venous ulceration. Int Wound J 2008;5:195-203. 8. Hart J, Silcock D, Gunnigle S, Cullen B, Light ND, Watt PW. The role of oxidized regenerated cellulose / collagen in wound repair: effects in vitro on fibroblast biology and in vivo in a model of compromised healing. Int J Biochem Cell Biol 2002;34:1557-1570. 9. Cullen, B., Jenkins, E., Gibson, M., McInroy, L., Clark R. The effect of collagen based wound dressings on bacterial growth. SAWC, Dallas, 2009. 10. Cullen et al. Use of oxidized regenerated cellulose in facilitating wound healing. Presented at EWMA 2010

Section

— 23

PROMOGRAN PRISMA

®

PROMOGRAN PRISMA® Matrix Wound Dressing

WHAT IS IT? PROMOGRAN PRISMA® matrix is a freeze-dried composite of collagen, oxidised regenerated cellulose (ORC) and silver. Made from a matrix of 55% collagen, 44% ORC and 1% ORC/Silver

•

PROMOGRAN PRISMA® matrix is designed to ‘kick start’ the healing process while providing protection from infection.1-2 In the presence of exudate PROMOGRAN PRISMA® matrix transforms into a soft and conformable, biodegradable gel; this allows contact with all areas of the wound. With PROMOGRAN PRISMA® matrix see stalled wounds close: faster,3-5 cost effectively,3,6 while providing protection from infection. 7-8

HOW DOES IT WORK? PROMOGRAN PRISMA® matrix binds and inactivates proteases such as MMPs and Elastase to help rebalance the wound microenvironment, while providing low level silver to help prevent infection.1-2 By reducing activity of both MMPs and Elastase, wound surface area can be reduced. INDICATIONS: PROMOGRAN PRISMA® matrix is indicated for the management of all wounds healing by secondary intent which are clear of necrotic tissue including: Diabetic ulcers Venous ulcers Pressure ulcers Ulcers caused by mixed vascular aetiologies Traumatic and surgical wounds PROMOGRAN PRISMA® matrix has known haemostatic properties. PROMOGRAN PRISMA® matrix can be used under compression therapy.

• • • • •

How do I use it? Preparation 1. Prepare the wound per standard wound care protocol and debride when necessary. 2. PROMOGRAN PRISMA® matrix may be used when visible signs of infection are present in the wound area only when proper medical treatment addresses the underlying cause. 24 — Section

Product Information

3. Hydrate with saline for wounds with low or no exudate. Application 1. Apply directly to wound, covering the entire wound bed. PROMOGRAN PRISMA® matrix forms a gel on contact with exudate or through saline hydration. 2. Cover PROMOGRAN PRISMA® matrix with a secondary dressing to maintain a moist wound healing environment. 3. Choose a suitable secondary dressing depending on level of exudate. 4. The biodegradable gel is naturally absorbed over time. Please refer to package insert for full instructions.

CODE

SIZE

EACHES PER CARTON

PS2028

28cm2

10

PS2123

123cm2

10

References: 1. Cullen B et al. ORC/Collagen Matrix Containing Silver Controls Bacterial Bioburden while Retaining Dermal Cell viability. Poster presented at EWMA Prague, May 2006 2. Gregory S et al. The Ability of ORC/Collagen containing silver to reduce Bioburden and retain dermail Cell Viability. Johnson & Johnson Wound Management, Gargrave, UK. Poster presented at ETRS Stuttgart, September 2005 3. Nisi G et al. Use of protease-modulating matrix in the treatment of pressure sores. Chir Ital 2005;57:465-8 4. Lazaro-Martinez et al. Randomized comparative trial of a collagen/oxidized regenerated cellulose dressing in the treatment of neuropathic diabetic foot ulcers. F.R. Circ. Esp.2007, 82(1), 27-31

5. Veves A et al. A randomized, controlled trial of PROMOGRAN® (a collagen/ oxidised regenerated cellulose dressing) vs. standard treatments in the management of diabetic foot ulcers. Arch Surg 2002;137:822-827 6. Cullen, B., Domnelly, T., Rennison, T. Can excessive levels of silver be detrimental to healing? SAWC, San Diego, 2008 7. Gregory S et al. The Ability of ORC/Collagen containing silver to reduce Bioburden and retain dermail Cell Viability. Johnson & Johnson Wound Management, Gargrave, UK. Poster presented at ETRS Stuttgart, September 2005 8. Cullen, B., Nisbet, L., Gibson, M., Lanzara, S., Zamboni, P. A clinical study examining the effect of ORC/Collagen/Silver-ORC on healing and wound biochemistry. SAWC, Dallas, 2009

Section

— 25

FIBRACOL PLUS ®

FIBRACOL® Plus Collagen Alginate Dressing

WHAT IS IT? FIBRACOL® Plus Dressing combines the structural support of collagen with the exudate management of alginate. FIBRACOL® Plus Dressing is composed of 90% collagen and 10% alginate. HOW DOES IT WORK? The combination of collagen and alginate provides the versatility needed when addressing a variety of wound types and a wide range of exudate levels (from low to high). FIBRACOL® Plus Dressing maintains a moist wound environment which is conducive to granulation tissue formation and epithelialisation that enables healing to proceed optimally. INDICATIONS: FIBRACOL® Plus Dressing is indicated for the management of exuding wounds including: Full-thickness and partial-thickness wounds Pressure ulcers Venous ulcers Ulcers caused by mixed vascular etiologies Diabetic ulcers Second-degree burns Donor sites and other bleeding surface wounds Abrasions Traumatic wounds healing by secondary intention Dehisced surgical incisions

• • • • • • • • • •

How do I use it? Application Cut FIBRACOL® Plus Dressing to the size of the wound with sterile scissors Apply directly to the wound, covering the entire wound bed. FIBRACOL® Plus Dressing forms a gel on contact with exudate or through saline hydration Pack deep wounds loosely

• • •

26 — Section

Product Information

• For minimally exudating wounds, apply to a moistened wound bed to initiate gel-forming process

• Cover with an appropriate secondary dressing to maintain a moist woundhealing environment

Please refer to package insert for full instructions.

CODE

SIZE

EACHES PER CARTON

2981

5.1cm x 5.1cm

12

2982

10cm x 11cm

12

2983

10.2cm x 22.2cm

6

2984

1cm x 1cm x 40cm (rope)

6

Section

— 27

TIELLE

®

TIELLE® Hydropolymer FOAM dressings

WHAT IS IT? The TIELLE® Family has a unique design compared to ordinary foams; it contains LiquaLock® technology, which cleverly retains exudate while also letting moisture vapour pass through the dressing, helping to provide an optimal moist wound healing environment. Managing exudate better helps wounds heal faster and increases patient comfort. For instance, in a clinical evaluation of 6993 patients TIELLE® dressings were proven to be clinically efficacious in all wound types studied, with 95% healing or improvement after 4 weeks of treatment, and improved the patients’ quality of life.1 The TIELLE® Family comes in a wide range of sizes, shapes and absorbencies, allowing you to find a dressing that suits your patients’ needs.

HOW DOES IT WORK? Comfort for the wound As exudate is absorbed by the dressing, it is designed to expand and conform to the contours of the wound bed, which helps minimize exudate build-up and the chance of maceration. The super absorbent layer of TIELLE® Plus and TIELLE® Max absorbs up to 30x its own weight.5 Under normal use, the LiquaLock® technology locks fluid into the cell walls, which means reduced potential for it to be released back into the wound2-4 The vapour-permeable backing allows moisture vapour to transfer through the back of the dressing, allowing for absorption of additional exudate TIELLE dressings do not gel or disintegrate- for easy removal and less pain

•

• • •

Comfort for you

• The adhesive dressings allow repositioning as needed on initial application, yet stays were it is placed

• The non-adhesive dressings are cut-able and can be used for all levels of exudate

Comfort for the patient TIELLE® and TIELLE® Plus control leakage and odour for better patient quality of life1,5

•

28 — Section

Product Information

– The adhesive variants require no secondary dressing or tape but still allow for skin-friendly removal , due to the unique water-deactivated adhesive – The polyurethane adhesive and backing provide a bacterial and contaminant barrier6 – Adhesive dressings can be worn in the shower Comfort for the budget Cost-effective wound care relies on reducing the time to healing, but also on reducing the number of dressing changes needed The superior fluid handling7 of TIELLE® Plus and TIELLE® Max means fewer dressing changes All TIELLE® Family dressings provide a wear time of up to seven days depending on wound condition and exudate level

• • •

INDICATIONS: TIELLE® Family dressings are indicated for: pressure ulcers, diabetic ulcers, lower extremity ulcers, donor sites, post-surgical or traumatic wounds. TIELLE® dressings are suitable for use under compression bandaging. TIELLE® range of dressings are indicated for the management of different levels of exuding wounds. TM

TM

TM

TIELLE® Family

TM

Exudate level

Adhesive

Cut-able

✔

—

✔

—

✔

—

✔

—

✔

—

—



TM

TIELLE®

TM TM

TM

TIELLE® Sacrum

TM TM

TM

TIELLE® Plus

TM TM

TM

TIELLE Plus Sacrum ®

TM

TM

TIELLE Plus Heel ®

TIELLE® Max

TM

TM

Section

— 29

TIELLE

®

How do I use it? Application

Dressing Change TIELLE® / TIELLE® PLUS Prepare the wound according to wound management protocol. Ensure surrounding skin is dry.

TIELLE® / TIELLE® PLUS For fragile or friable skin just apply sterile water or saline to a swab.

TIELLE® MAX Prepare the wound according to wound management protocol. If required, cut TIELLE® MAX to the desired size before removing the backing paper.

TIELLE® MAX Change dressing when fluid is present at the edges of the dressing.

TIELLE® / TIELLE® PLUS Select the appropriate TIELLE® dressing, allowing hydropolymer center to overlap the wound edge by 1cm.

TIELLE® / TIELLE® PLUS Lift one corner and apply the swab to the underside of the dressing as it is gently peeled back, breaking the adhesive seal.

Assure all edges are completely sealed

TIELLE® MAX Leave at least 1cm border overlapping the wound edge.

TIELLE® MAX On removal, pinch one corner of the dressing and carefully peel back.

TIELLE® / TIELLE® PLUS Once applied, petroleum jelly smoothed over the edges of the adhesive dressing gives additional water repellency if required.

TIELLE® / TIELLE® PLUS Dressings may be left in place for up to 7 days.

TIELLE® MAX Remove backing paper and position this side of the dressing over the wound site.

TIELLE® MAX Dressings may be left in place for up to 7 days.

Please refer to package insert for full instructions.

30 — Section

Product Information

Please note: TIELLE® can be used in conjunction with dressings such as SILVERCEL® or PROMOGRAN PRISMA® Matrix.

Please note: TIELLE® can be used in conjunction with dressings such as SILVERCEL® or PROMOGRAN®

CODE

SIZE

EACHES PER CARTON

TIELLE®

MTL100

7cm x 9cm

10

MTL101EN

11cm x 11cm

10

MTL102

15cm x 20cm

5

MTL103

18cm x 18cm

5

MTL105

15cm x 15cm

10

18cm x 18cm

5 10

TIELLE® SACRUM MTL104 TIELLE PLUS ®

MTP501

11cm x 11cm

MTP502

15cm x 20cm

5

MTP505

15cm x 15cm

10

20cm x 26.5cm

5

15cm x 15cm

10 10

TIELLE® PLUS HEEL MTP508 TIELLE® PLUS SACRUM MTP506 TIELLE® MAX MTP701

11cm x 11cm

MTP702

15cm x 20cm

5

MTP705

15cm x 15cm

10

References: 1. Evaluation of TIELLE® hydropolymer dressings in the management of chronic exudating wounds in primary care. Diehm C., Lawall, H. Int. Wound J. 2005, 2(1):26-35. 2. A non-comparative multicentre clinical evaluation of a new hydropolymer adhesive dressing. Taylor, A., Lane, C., Walsh, J., Whittaker, S., Ballard, K., Young, S.R. J Wound Care 1999, 8(10):489-492. 3. Hydropolymer dressings in the management of wound exudate. Carter, K. Br. J. Comm. Nursing 2003, 8(9) Suppl: 10-16.

4. The Evaluation of Fluid Retention in Foam Dressings, Foster S. and Mistry, P., Wounds UK 2010. 5. Clinical evaluation of TIELLE® Plus dressing in the management of exudating chronic wounds. Schulze, H.J. Br. J. Comm. Nursing 2003, 8(11):18-22. 6. Boothman S. et al, Bacterial Barrier characteristics of TIELLE® to the proposed CEN Test Method, Poster 2002. 7. An evaluation of wound dressings to manage wound exudate and conform to the wound bed, Cullen B. et al, poster SAWC 2010.

Section

— 31

ADAPTIC TOUCH

®

ADAPTIC TOUCH® Non-Adhering Silicone Dressing

WHAT IS IT? ADAPTIC TOUCH® Non-Adhering Silicone Dressing is non-adherent and flexible with an open mesh comprised of cellulose acetate coated with soft tack silicone. It is designed to stay in place and to be atraumatic during dressing change.1,2 HOW DOES IT WORK? Soft tack silicone assists dressing application, conformability and atraumatic removal 1,2 Advanced mesh design means minimized risk of exudate pooling and secondary dressing adherence to the wound 1,2

• •

• Ask us about overall cost savings compared to top silicone primary contact layer brands

INDICATIONS: ADAPTIC TOUCH® Non-Adhering Silicone Dressing is indicated for use in the management of dry to heavily exuding, partial and full-thickness chronic wounds including: Venous ulcers Decubitus (pressure) ulcers Diabetic ulcers Traumatic and surgical wounds Donor sites First and second degree burns It is also suitable for use, under medical supervision, with negative pressure wound therapy (NPWT).1

• • •







• • •

How do I use it? Dressing selection Select a size of ADAPTIC TOUCH® that is larger than the wound to ensure dressing can be applied to intact skin surrounding the wound margins ADAPTIC TOUCH® can be cut to size and the dressing will not unravel or shed fibres If more than one piece of ADAPTIC TOUCH® is required, ensure dressings overlap to avoid secondary dressing adherence to the wound; however overlap should be minimized to prevent occlusion of holes Dressing application Prepare the wound according to wound management protocol

• • • •

32 — Section

Product Information

• Ensure skin surrounding the wound is dry • Remove protective films from dressing • Place ADAPTIC TOUCH dressing directly over the wound and smooth in ®

place around the wound

• Cover with an appropriate semi-occlusive secondary dressing, e.g. TIELLE

®

Hydropolymer Dressing

Please refer to package insert for full instructions.

CODE

SIZE

EACHES PER CARTON 10

TCH501

5cm x 7.6cm

TCH502

7.6cm x 11cm

10

TCH503

12.7cm x 15cm

10

TCH504

20cm x 32cm

5

References: 1. Stephens S. et al., Evaluation of a non-adhering silicone wound contact dressing with optimised design for the management of dry to heavily exuding wounds (in vitro/vivo). Poster, Wounds UK 2010

2. Stephens S. et al., Evaluation of the properties of a non-adhering silicone primary wound contact layer (in vitro). Poster, Wounds UK 2010

Section

— 33

ADAPTIC

®

ADAPTIC® Non-Adhering dressing

WHAT IS IT? ADAPTIC® Non-Adhering Dressing is a primary dressing made of knitted cellulose acetate fabric, impregnated with a specially formulated petrolatum emulsion. It is designed to help protect the wound while preventing the dressing from adhering to the wound1 and to minimize pain and trauma upon removal.2,3 HOW DOES IT WORK? ADAPTIC® Non-Adhering Dressing protects the fragile tissue in wounds by its unique structure with small mesh size, preventing tissue adherence to either the ADAPTIC® dressing or the secondary dressing on top of it

•

• The mesh allows for exudate to easily pass through to the secondary dressing

used, preventing maceration of the wound surface ® Non-Adhering Dressing to be cut to wound size without unravelling or shredding ADAPTIC® Non-Adhering Dressing removes cleanly from the wound, minimizing trauma and pain 2,3

• Knitted cellulose acetate fabric allows ADAPTIC •

INDICATIONS: ADAPTIC® Non-Adhering Dressing is indicated for dry to highly exuding wounds where adherence of dressing and exudate is to be prevented, including: First and second degree burns Abrasions, grafts Venous ulcers Pressure ulcers Nail extractions Eczema, staples Surgical incisions Lacerations Reconstructive procedures Suture lines

• • • • •











• • • • •

How do I use it? Prepare the wound according to wound management protocol Ensure skin surrounding the wound is dry Cut ADAPTIC® Non-Adhering Dressing to size if required and place directly on the wound Cover with a sterile secondary dressing of your choice depending on the amount of wound exudate ADAPTIC® Non-Adhering Dressing may be left in place for several days depending upon amount of exudate

• • • • •

Please refer to package insert for full instructions.

34 — Section

Product Information

CODE

SIZE

EACHES PER CARTON

2012

7.6cm x 7.6cm

50

2013

7.6cm x 20.3cm

3x36

2014

7.6cm x 40.6cm

36

2015

7.6cm x 20.3cm

24

2019

12.7cm x 22.9cm

12

References: 1. Hollinworth H and Collier M. Nurses’ view about pain and trauma at dressing changes: results of a national survey. J Wound Care 2000 : 9 : 369-73 2. EWMA Position Document: Pain at wound dressing changes. European

Wound Management Association, 2002 3. Terrill PJ and Varughese G. A comparison of three primary non-adherent dressings applied to hand surgery wounds. J Wound Care 2000 : 9 : 359-63

Section

— 35

ADAPTIC DIGIT ®

ADAPTIC® DIGIT Non-Adhering Digit Dressing

WHAT IS IT? ADAPTIC® DIGIT Non-Adhering Digit Dressing is made of a unique tacky silicone coated open-knit cellulose fabric with a double-coiled tubular bandage that is specifically designed for dressing fingers and toes ADAPTIC® DIGIT is comfortable, convenient to apply and easy to remove for mild to severe digit injuries

• •

HOW DOES IT WORK? No applicator or scissors are needed making it easy and simple to use:

• ADAPTIC

DIGIT is conformable and non-bulky, therefore allowing maximum digit flexibility ADAPTIC® DIGIT removes cleanly from the wound, minimizing trauma and pain1 ®

•

INDICATIONS: ADAPTIC® DIGIT Dressing is indicated to manage a range of mild to severe digit injuries. How do I use it?

1. Remove shiny backing strip. 2. Place primary non-adhering layer over digit tip and gently smooth to cover any broken skin. 3. Roll down lower ring of tube bandage over primary strip (and secondary dressing if required). Follow this with the top ring to form a double layered tube for protection. Please refer to package insert for full instructions.

36 — Section

Product Information

CODE

SIZE

EACHES PER CARTON

MAD003

Small 2cm Ø

10

MAD013

Medium 2.4cm Ø

10

MAD023

Large 2.8cm Ø

10

MAD042

Extra Large 3cm Ø

10

2.8cm Ø

10

ADAPTIC® Digit

ADAPTIC® Digit Toe MAD062

Reference: 1. Whittaker S. A dressing for the occasion? A comparative trial of two dressings for digit injuries. Professional Nurse Magazine, 1994 Aug. 729-732

Section

— 37

NU-DERM ALGINATE ®

NU-DERM® Alginate WOUND dressing

WHAT IS IT? NU-DERM® Alginate Wound Dressing is a sterile, non-woven pad consisting of high G (guluronic acid) alginate and carboxymethylcellulose (CMC) fibre. NU-DERM® Alginate Wound Dressing is designed to be fast gelling and to allow intact removal. HOW DOES IT WORK? High absorbent capacity1, for fewer dressing changes Absorbs 20x its weight in exudate

• • • Quickly forms a hydrophilic gel at the wound surface to help create a moist wound healing environment

• Conformable when moist; less disruptive to new tissue • Maintains tensile strength when wet for intact dressing removal; minimizes 1

the need the need for wound irrigation

• Can be cut or folded to accommodate wound bed

INDICATIONS: NU-DERM® Alginate Wound Dressing is indicated for the management of moderate to heavily exuding chronic wounds and to control minor bleeding in superficial acute wounds. Chronic wounds: Pressure ulcers, leg ulcers, venous stasis ulcers, diabetic ulcers and arterial ulcers. Superficial acute wounds: Abrasions, lacerations, donor sites and postoperative wounds. How do I use it? Application Select a size of NU-DERM® Alginate Wound dressing that is slightly larger than the wound. 1. Cut (using clean scissors), or fold the dressing to fit the wound. Loosely pack deep wounds, ensuring the dressing does not overlap the wound margins. 2. For heavily exuding wounds, apply to wound bed directly. For wounds with minimal exudate, apply to moistened wound bed. 3. Cover and secure NU-DERM® Alginate wound dressing with a non-occlusive or semi-occlusive secondary dressing. Please refer to package insert for full instructions.

38 — Section

Product Information

CODE

SIZE

EACHES PER CARTON

Cartons Per Box

AWD112

2.5cm x 30.5cm Rope

5

5 (25 eaches)

AWD202

5cm x 5cm

10

5 (50 eaches)

AWD404

10cm x 10cm

10

5 (50 eaches)

AWD408

10cm x 20cm

5

5 (25 eaches)

Reference: 1. Data on file

Section

— 39

NU-DERM HYDROCOLLOID ®

NU-DERM® Hydrocolloid Dressing

WHAT IS IT? NU-DERM® Hydrocolloid Dressing is a sterile hydrocolloid wound dressing designed to maintain a moist wound environment. The NU-DERM® Hydrocolloid Wound Dressings consist of a wound contact layer of hydrocolloid and come in a variety of shapes and sizes. The top layer is either a semi-permeable polyurethane film (Border and Thin), or a film-coated polyurethane foam (Standard). The Border product is conformable, has a top layer of low-friction film, and has bevelled edges all around the product - the border itself is a continuation of the skin-friendly hydrocolloid adhesive material

•

• The Standard product has a top layer of foam, rounded corners, and is uniform in thickness

• The semi-transparent Thin product, which is conformable and has a top layer of low-friction film, allows close and easy monitoring of the wound bed without dressing removal

HOW DOES IT WORK? Helps maintain a moist wound healing environment and encourages autolytic debridement, thus enabling granulation to proceed under optimum conditions Designed to protect low risk wounds against bacterial contamination* The dressing material interacts with wound exudate to form a soft gel - due to the matrix formulation of the hydrocolloid material, most of the gel is removed together with the dressing, resulting in little or no damage to the newly formed tissue The dressings are waterproof and remain in place during showering

• • • •

INDICATIONS: NU-DERM® Border and NU-DERM® Standard are primarily indicated for the management of light to moderately exuding pressure sores and leg ulcers NU-DERM® Thin is primarily indicated for the management of superficial dry/ lightly exuding wounds, post-operative wounds, and superficial wounds and abrasions; however it is also useful on small wounds towards the end of the healing phase

•

•

How do I use it? Application 1. Remove the large part of the protective backing paper from the dressing. 40 — Section

Product Information

2. Apply the exposed part of the dressing, centering it over the wound bed. 3. Remove the small part of the protective backing paper from the dressing and apply. 4. Ensure all edges are smooth and firmly secured. Please refer to package insert for full instructions.

CODE

SIZE

DRESSINGS PER TRAY

TRAYS PER CASE

10

10 (100 eaches)

NU-DERM® Hydrocolloid Border Thin HCT101

10cm x 10cm

NU-DERM® Hydrocolloid Standard (foam backing) HCF204

10cm x 10cm

5

10 (50 eaches)

HCF208

20cm x 20cm

5

4 (20 eaches)

NU-DERM® Hydrocolloid Border HCB102

5cm x 5cm

20

5 (100 eaches)

HCB204

10cm x 10cm

10

16 (160 eaches)

HCB106

15cm x 15cm

5

4 (20 eaches)

10

6 (60 eaches)

5

4 (20 eaches)

NU-DERM® Hydrocolloid Border Elbow/Heel HCH207

8cm x 12cm

NU-DERM® Hydrocolloid Border Sacrum HCS100

15cm x 18cm

* Consult a physician prior to using NU-DERM® Hydrocolloid Dressings on lesions caused by tuberculosis, syphilis or deep fungal infections, cancer and wounds at high risk of infection

Section

— 41

NU-GEL

®

HYDROGEL WITH ALGINATE

NU-GEL® Hydrogel with Alginate

WHAT IS IT? NU-GEL® Hydrogel is a transparent hydro-active amorphous gel containing sodium alginate that gently and effectively rehydrates necrotic tissue and fibrinous slough, and is designed to create an ideal moist wound healing environment for granulating and epithelising wounds.1 HOW DOES IT WORK? NU-GEL® Hydrogel gently and effectively provides rehydration of the wound for autolytic debridement, significantly decreasing the amount of necrotic tissue and slough2

•

• The

alginate increases the absorptive capacity of NU-GEL® Hydrogel and improves the ability to control wound exudate1 for longer wear time1 NU-GEL® Hydrogel can be applied to the wound with a simple one-handed technique

•

INDICATIONS: NU-GEL® Hydrogel is indicated for debridement and desloughing of wounds together with the management of chronic wounds throughout all stages of the healing process including: dry necrotic wounds soft, sloughy wounds granulating/epithelialising wounds

• • •

Precaution NU-GEL® Hydrogel contains propylene glycol which might cause irritation or sensitisation in a small number of patients. If such reactions are noted, use of NU-GEL® Hydrogel should be discontinued. If wound infection is present, appropriate antimicrobial therapy should be initiated - the use of NU-GEL® Hydrogel may be continued under medical supervision. How do I use it? Application NU-GEL® Hydrogel can be applied to the wound with a simple one-handed technique.

42 — Section

Product Information

• Hold the concertina pack in one hand and direct NU-GEL

Hydrogel into the wound site by applying and even pressure to the base of the concertina pack with thumb or heel of hand. The nozzle tip should be held clear of the wound surface Apply NU-GEL® Hydrogel to the whole wound to a depth of at least 5mm Cover with a suitable secondary dressing appropriate to the level of exudate Any unused gel should be discarded ®

• • •

Please refer to package insert for full instructions.

CODE

SIZE

tubes per carton

cartons per box

MNG415

15g

10

4 (40 eaches)

MNG425

25g

6

4 (24 eaches)

References: 1. A study of two hydrogels used in the management of pressure sores, T. Young et al. Published in the Proceedings of the 6th European Conference on Advances in Wound Management. Conference held in Amsterdam, 1-4th October 1996

2. Autolytic debridement of chronic wounds using a Hydrogel (NU-GEL®). Vanscheidt V, Hasse G & Wunsch N. Vasomed: 9, Jan. 1997; 26-34

Section

— 43

NU-GEL WOUND DRESSING ®

NU-GEL® Wound Dressing

WHAT IS IT? NU-GEL® Wound Dressing is a hydrogel dressing consisting of polyvinyl pyrrolidone in water. The gel is supported by a fusible fibre scrim and protected on both sides by polyethylene film. HOW DOES IT WORK? NU-GEL® Wound Dressing provides a moist environment conductive for optimal wound healing. It protects against dehydration, bacterial contamination and absorbs exudate from the wound.

• Helps

maintain moist wound environment which encourages autolytic debridement Designed to protect against dehydration and provide a physical barrier against bacterial contamination Naturally cooling & soothing to help reduce patient pain and discomfort Absorbs exudate which helps reduce pooling of fluid Remains intact; does not break down Translucent - allows monitoring of wound without disturbing the dressing Versatile - can be cut to size of the wound

• • • • • •

INDICATIONS: NU-GEL® Wound Dressing is indicated for first and second degree burns, partial thickness wounds, decubitus ulcers, donor sites, severe sunburn, superficial injuries or secreting dermal lesions, superficial lacerations, cuts and abrasions, incisions, skin reactions to oncology procedures, dermabrasions and other dermatologic procedures such as facelifts and other plastic surgery procedures. How do I use it? Application 1. Cleanse the wound of excess exudate. 2. Cut the dressing to size with sterile scissors if necessary. 3. Remove the thicker protective plastic film from the dressing and apply the exposed side of the dressing to the wound. 4. Secure the dressing with tape or cover with gauze and tape down. 5. The dressing may be refrigerated (minimum 1 hour) to enhance the cooling effect.

44 — Section

Product Information

6. The dressing may be left in place up to 72 hours depending upon the amount of exudate. Allowing the top plastic film to remain in place retards drying of the dressing. However, if it is desired to apply multiple dressings or to use the dressing to fill a wound cavity, then the top plastic film may be removed. Then a secondary semiocclusive dressing such as BIOCLUSIVE® Transparent Dressing may be applied. Please refer to package insert for full instructions.

CODE

SIZE

EACHES PER CARTON

2497

9.5cm x 9.5cm

5

2498

15.2cm x 20.3cm

5

Reference: 1. Multicentre evaluation of NU-GEL® dressing in full-thickness chronic wounds of the lower extremities Morton I. Altman and Gerit TI. Mulder, California College of Podiatric Medicine, San Francisco, California, USA; and Wound Healing Institute, Aurora, Colorado, USA

Section

— 45

BIOCLUSIVE

®

BIOCLUSIVE® Transparent dressing

WHAT IS IT? BIOCLUSIVE® Transparent Dressings are made from thin, transparent polyurethane film and can be used on Wound Care and Access Devices. BIOCLUSIVE® Dressings may also be used as secondary dressings with PROMOGRAN®, PROMOGRAN PRISMA®, NU-GEL® Hydrogel with Alginate and NU-GEL® Wound Dressing for wounds with low levels of exudate. HOW DOES IT WORK?

• Allows oxygen vapour transfer and helps maintain a moist wound-healing

environment1 Permits continuous observation Works as a physical bacterial/viral barrier and protects site from external contamination1 Helps secure catheters, reducing mechanical irritation Minimizes skin irritation1 and helps protect fragile tissue1 Three-step application, forgiving adhesive for a controlled and waste-free application

• • • • •

INDICATIONS: BIOCLUSIVE® Transparent Dressings should be used under Health Care Professional direction for the following indications; low exuding wounds where observation and protection are desired e.g. General Wound Care, skin biopsies, donor sites, superficial partial thickness burns and surgical incisions. They are also indicated to aid in securing peripheral IVs and Central Venous Catheters. How do I use it? Application 1. Ensure site is clean and dry. 2. Remove center backing liner. 3. Apply dressing over site. One at a time, peel away side backing papers while smoothing film onto skin. Please refer to package insert for full instructions.

46 — Section

Product Information

CODE

SIZE

DRESSINGS PER CARTON

CARTONS PER CASE

2460

3.8cm x 3.8cm

100

4 (400 eaches)

2461

5.1cm x 7.6cm

100

4 (400 eaches)

2463

10.2cm x 12.7cm

50

4 (200 eaches)

2465

12.7cm x 17.8cm

20

5 (100 eaches)

2467

10.2cm x 25.4cm

20

6 (120 eaches)

2469

20.3cm x 25.4cm

10

8 (80 eaches)

Reference: 1. Thomas S (1990) Semipermeable Film Dressings. In: Wound Management and Dressings. London. The Pharmaceutical Press. Pages 25-34

Section

— 47

48

49

50

51

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