Advanced Wound Dressings - Medical Monks

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AdvancedWoundDressingsReference guide

ADVANCED WOUND DRESSINGSSystagenixOur passion and agility to driveinnovation has just one goal: tohelp heal wounds, fast. Our productportfolio is the result of over 80 yearsexperience in developing innovativesolutions to help you manage woundstowards healing. We can offer a fullline of products and an integratedapproach in the field of wound care,including products that help establish,protect and maintain a moist woundenvironment, promote wound healing,and control bacteria.Acelity is a global wound care company that leveragesthe strengths of Kinetic Concepts, Inc. and SystagenixWound Management, Limited. Available in more than 80countries, the innovative and complementary ACELITY product portfolio delivers value through solutions that mayspeed healing and lead the industry in quality, safety andcustomer experience. Headquartered in San Antonio, Texas,Acelity employs nearly 5,000 people around the world.We believe in enabling better futures for everyone.2 Product information

IntroductionReference guideAntimicrobialManage odorADVANCED WOUND DRESSINGSReference guideManage exudateFor further information please see www.acelity.comMinimize adherenceThe full assessment of the patient, wound status and choiceof dressings to use should be based on local clinical practiceand guidelines. For full information regarding indications,contraindications, warnings/precautions, wound preparation,dressing application and removal advice, please refer in full to theinstructions for use leaflet provided in the product packaging.Promote granulationThis is an overview of available Systagenix advanced woundcare products. It contains details on the technical aspectsof the dressings, how they work and the clinical benefitsthey can provide. You will also find directions for use and thewound types for which the dressings are suited. All in onesimple, easy place for reference.CompressionCodes and sizesIntroduction and contents 3

ADVANCED WOUND DRESSINGSAntimicrobialTo help manage bacterialcontamination and infection, whilstalso dealing with the secondarysymptoms of exudate and pain.Manage odorADVANCED WOUND DRESSINGSTo help manage bacterial loadand/or absorb odor.Promote granulationTo help promote healing in stalledand chronic wounds.Minimize adherenceTo help protect from adherenceand minimize trauma and painon dressing removal.Manage exudateTo help provide a comfortable andeffective moist wound environmentfor indicated types of wounds and/or protect the wound from externalcontamination.CompressionTo help reduce the effects ofvenous insufficiency.4 Product information

IntroductionReference guideAntimicrobialManage odorACTISORB Silver 220Antimicrobial Binding DressingPROMOGRAN Matrix Wound DressingPROMOGRAN PRISMA MatrixFIBRACOL PlusCollagen Wound Dressing with AlginateADAPTIC TOUCH Non-Adhering Silicone DressingADAPTIC Non-Adhering DressingManage exudate14161820303234363840CompressionDYNA-FLEX Multi-Layer Compression System12Manage exudateCompression12Minimize adherenceTIELLE Dressing FamilyHydropolymer Dressings with LIQUALOCK Advanced Absorption TechnologyTIELLE ESSENTIAL Dressing FamilyFoam DressingsBIOSORB Gelling Fiber DressingNU-DERM Hydrocolloid Wound Dressing FamilyWound DressingNU-DERM AlginateWound DressingBIOCLUSIVE PlusTransparent Film Dressing10Promote granulationMinimize adherence8Manage odorPromote granulationPage6AntimicrobialSILVERCEL NON-ADHERENTAntimicrobial Alginate Dressing with EASYLIFT Precision Film TechnologySILVERCEL Antimicrobial Alginate DressingCodes and sizesCodes and sizesIntroduction and contents 5

ADVANCED WOUND DRESSINGSSILVERCEL NON-ADHERENTAntimicrobial Alginate Dressing withEASYLIFT Precision Film TechnologyWHAT IS IT?SILVERCEL NON-ADHERENT Antimicrobial Alginate Dressing withEASYLIFT Precision Film Technology is a non-woven pad composed ofalginate, carboxymethylcellulose (CMC) and silver coated nylon fibers,with a non-adherent wound contact layer.HOW DOES IT WORK?Non-adherenceEASYLIFT Precision Film Technology allows for: Easy and pain free removal1 Intact removal, minimizing the risk of fibers shedding1,2 Effective protection of the newly formed tissue3Antimicrobial action Provides a sustained release of silver ions for up to 7 days4 I s effective in vitro against a broad spectrum of wound pathogens,including MRSA, MRSE and VRE1,3 Effectively prevents and disrupts biofilms in vitro5Absorbency Manages moderate to highly exuding wounds6 Allows for effective exudate management7 H elps maintain a moist wound environment beneficialto wound healing7References1. Clark, R. et al. Simulated in use tests to evaluate a Non-Adherent Antimicrobial silver alginatedressing. Poster, CAWC 2009 (in vitro). 2. Snyder, R. et al. Snyder poster, Non-AdherentProperties of a New Antimicrobial Dressing Demonstrated by Clinical Evaluations.3. Clark, R. and Bradbury, S. SILVERCEL NON ADHERENT Made Easy. Wounds International Vol.1(5) 2010. 4. Clark, R. et al. The Evaluation of Absorbent Silver containing dressings In vitro.Poster Wounds UK 2009. 5. McInroy, L., et al. Effect of a new non adherent absorbent silverantimicrobial dressing on biofilm formation. Poster, 2009 (in vitro). 6. International case series:Using SILVERCEL Non-Adherent: Case Studies. London: Wounds International, 2012. 7. Gray, D.Silvercel Non-Adherent dressing: taking the pain out of antimicrobial use. Wounds UK 2009,Vol 5(4). 8. Edwards, J. Use of SILVERCEL NON-ADHERENT dressings on burn wounds: a caseseries. Wounds UK 2013, Vol 9(3): 85-88.6 Product information

IntroductionReference guide Alginate CMC Silver coated nylon fibersSILVERCEL NON-ADHERENT Dressing may also be effective inthe treatment of first and second degree burns without causingproblems of drying out and adherence8.Manage exudateSILVERCEL NON-ADHERENT Dressing is suitable for use undercompression bandaging6 and can be combined with an absorbentsecondary dressing such as a dressing from the TIELLE Dressing Family.Minimize adherenceSILVERCEL NON-ADHERENT Dressing is an effective barrier to bacterialpenetration. The barrier functions of the dressing may help reduceinfection in moderate to heavily exuding partial and full-thickness wounds,including pressure ulcers, leg ulcers (e.g. venous, arterial, mixed, PG),diabetic foot injuries, donor sites, traumatic wounds and surgicalwounds.Promote granulationWHEN DO I USE IT?Manage odorLaminated nonadherent woundcontact layerAntimicrobialNon-woven padcomposed of:CompressionPlease refer to the full instructions for use in the packaging insert.SILVERCEL NON-ADHERENT DressingSizeEaches Carton/BoxHCPCS code9001121” x 12”5 ea/ct - 5 ct/bxA61999002022” x 2”10 ea/ct - 5 ct/bxA61969004044 1/4” x 4 1/4”10 ea/ct - 5 ct/bxA61979004084” x 8”5 ea/ct - 5 ct/bxA6197Codes and sizesItem codeAntimicrobial 7

ADVANCED WOUND DRESSINGSSILVERCEL Antimicrobial Alginate DressingWHAT IS IT?SILVERCEL Antimicrobial Alginate Dressing is a sterile, non-woven padcomposed of a high G (guluronic acid) alginate, carboxymethylcellulose(CMC) and silver coated nylon fibers.HOW DOES IT WORK?Due to the excellent fluid handling capacity and the prolongedantimicrobial activity, SILVERCEL Dressing is an ideal dressing for themanagement of chronic wounds1.Antimicrobial actionSILVERCEL Dressing provides a sustained release of silver ions for up to7 days, allowing for an effective antimicrobial protection for the entirewear time, depending on the level of exudate2.SILVERCEL Dressing is effective in vitro against more than 150 woundpathogens, including MRSA, MRSE, VRE, Pseudomonas aeruginosa,Escherichia Coli, Streptococcus pyogenes, Klebsiella pneumoniae andCandida albicans2.AbsorbencyThe unique composition of the dressing manages exudate in moderateto heavily exuding wounds, promoting a favorable environment foreffective wound management.SILVERCEL Dressing I ncreases its tensile strength when in contact with wound exudate,allowing for intact removal2 Minimizes the risk of maceration and leakage3 H as been proven in vitro to absorb and retain fluid even undercompression4,5References1. SILVERCEL Hydroalginate: a case study series. Case Study series, Wounds UK Supplement1(3) 2005. 2. Teot, L. et al. The management of wounds using Silvercel hydroalginate. WoundsUK, 2005. 3. Kirienko, A.I. et al. Experience in use of silver-containing hydroalginate dressingSILVERCEL for venous trophic ulcers management. 2006. 4. Rennison T et al. Simulated In-UseTests to Evaluate an Elemental Silver Hydro-Alginate Wound Dressing. Poster, ETRS 2006 (Invitro). 5. Stephens, S. et al. Evaluation of an Elemental Silver Hydro-Alginate Wound Dressing.Poster, 2007 6. Addison, D. et al. SILVERCEL Alginate. A new silver dressing. Poster, WUWHS2004. 7. Di Lonardo, A. et al. The use of SILVERCEL to dress excision wounds following burnssurgery. Wounds UK 2006, Vol 2(4):122-124.8 Product information

IntroductionReference guide Silver coated nylon fibersAntimicrobialNon-woven padcomposed of: Alginate CMCManage odorAs the product contains alginate it may assist in the control of minorbleeding in superficial wounds.Please refer to the full instructions for use in the packaging insert.CompressionA clinical study has suggested that SILVERCEL Dressing may also beeffective in the treatment of first and second degree burns, managingboth wound exudate and blood serum and promoting a moist woundhealing environment7.Manage exudateSILVERCEL Dressing can be used under compression bandaging5 and isefficacious both when dry and pre-wet with saline6.Minimize adherenceSILVERCEL Dressing is intended for use in the management of indicatedmoderate to heavily exuding partial and full-thickness chronic wounds,including pressure injuries, venous leg ulcers, diabetic foot ulcers, donorsites, and traumatic surgical wounds.Promote granulationWHEN DO I USE IT?SILVERCEL DressingSizeEaches Carton/BoxHCPCS code8002022” x 2”10 ea/ct - 5 ct/bxA61968004044 1/4” x 4 1/4”10 ea/ct - 5 ct/bxA61978004084” x 8”5 ea/ct - 5 ct/bxA61978001121” x 12”5 ea/ct - 5 ct/bxA6199Codes and sizesItem codeAntimicrobial 9

ADVANCED WOUND DRESSINGSACTISORB Silver 220Antimicrobial Binding DressingWHAT IS IT?ACTISORB Silver 220 Antimicrobial Binding Dressing is an activatedcharcoal dressing with silver, enclosed in a non-adherent nylon sleeve.HOW DOES IT WORK?ACTISORB Silver 220 Dressing is different from other charcoaldressings, it has a triple action that not only masks odor but alsoaddresses its cause: Activated charcoal traps odor in the dressing1 A ctivated charcoal binds bacteria and toxins in the dressing thatimpair the healing process Silver kills the bacteria in the dressing2Antimicrobial actionACTISORB Silver 220 Dressing is effective in vitro against 150microorganisms associated with wound infection, including MRSA andVRE3.A recent in vitro study shows the dressing provides effectiveantimicrobial action without causing any harm to host cells norpreventing fibroblast proliferation4,5.Odor and exudate managementACTISORB Silver 220 Dressing eliminates malodor thereby improvingthe patient’s quality of life6-8.As malodor might be accompanied by wound fluids, ACTISORB Silver220 Dressing is able to manage exudate and helps maintain a moistwound healing environment7,9.References1. Nisbet, L. et al. The benefits of activated charcoal cloth with silver on odour controland bacterial endotoxin binding. Poster, Wounds UK 2011 (in vitro). 2. Addison, D. et al. Acomparison of the antimicrobial properties of silver dressings for chronic wound care. Poster,EWMA 2002 (in vitro). 3. Rennison et al. Antimicrobial efficacy of silver impregnated activatedcharcoal wound dressing. Poster, ETRS 2003. 4. Cullen, B. The effects of silver-basedwound dressings on protease activity and cell proliferation. Poster, 2003. 5. Nisbet, L. etal. The beneficial effects of a non-releasing silver containing wound dressings on fibroblastproliferation. Poster, Wounds UK 2011. 6. Jackson, L. Use of a charcoal dressing with silveron an MRSA-infected wound. B J Comm Nursing 2001, Vol. 2:19-26. 7. Hampton, S., ActisorbSilver 220: a unique antibacterial dressing. J Comm Nursing 2002:17-19. 8. Leak, K. PEG siteinfections: a novel use for Actisorb Silver 220. B J Comm Nursing 2002, Vol. 7(6):321-325. 9.International case series: Using ACTISORB : Case Studies. London: Wounds International, 2012.10 Product information

IntroductionReference guideACTISORB Silver 220 Dressing is suitable for use under compressionbandaging.CompressionACTISORB Silver 220 Dressing can be combined with an appropriatesecondary dressing such as a dressing from the TIELLE Dressing Familyto help manage wound exudate and help maintain a moist woundhealing environment.Manage exudateACTISORB Silver 220 Dressing can be combined with a non-adherentprimary contact layer, such as ADAPTIC TOUCH Non-Adhering SiliconeDressing.Minimize adherenceACTISORB Silver 220 Dressing is indicated to protect against infectionor odor in a wide range of wounds, including pressure ulcers, leginjuries deriving from different aetiologies, diabetic foot ulcers,fungating carcinoma, traumatic and surgical wounds where bacterialcontamination, infection or odor occurs.Promote granulationWHEN DO I USE IT?Manage odorNon-adherentspun-bondednylon sleeveAntimicrobialActivated charcoalwith silverPlease refer to the full instructions for use in the packaging insert.Item codeSizeEaches Carton/BoxHCPCS code6502202 1/2” x 3 3/4”10 ea/ct - 5 ct/bxA62061052204 1/8” x 4 1/8”10 ea/ct - 5 ct/bxA62071902204 1/8” x 7 1/2”10 ea/ct - 5 ct/bxA6207Manage odor 11Codes and sizesACTISORB Silver 220 Dressing

ADVANCED WOUND DRESSINGSPROMOGRAN Matrix Wound Dressing/PROMOGRAN PRISMA MatrixWHAT IS IT?PROMOGRAN Matrix is comprised of 45% oxidized regeneratedcellulose (ORC) and 55% collagen in a sterile, freeze dried composite.PROMOGRAN PRISMA Matrix is comprised of 44% oxidizedregenerated cellulose (ORC), 55% collagen and 1% silver-ORC in asterile, freeze dried composite.PROMOGRAN PRISMA Matrix contains a compound of silver andORC and has nominally twice the amount of Collagen/ORC materialas the same size of PROMOGRAN Matrix.HOW DOES IT WORK?Optimum wound healing environmentPROMOGRAN Matrix and PROMOGRAN PRISMA Matrix maintain anoptimal wound healing environment. This environment is conducive togranulation tissue formation, epithelialization and rapid wound healing.Clinically provenThe efficacy of PROMOGRAN Matrix and PROMOGRAN PRISMA Matrix issupported by a large body of clinical evidence, including 12 published RCTs1-12.Cost-effectivenessIn clinical practice the sequential treatment with PROMOGRAN PRISMA Matrix and PROMOGRAN Matrix has been found to be a cost-effectivetreatment for chronic wounds2.References1. Gottrup, F. et al. Randomized controlled trial on collagen/oxidized regenerated cellulose/silver treatment.Wound Rep Reg 2013, 21:1-10. 2. Nisi, G. et al. Use of a protease-modulating mat ix in the treatment ofpressure sores. Chir Ital 2005, vol. 57(4):465-4682. 3. Lazaro-Martinez, J. L. et al. Randomized comparativetrial of a collagen/oxidized regenerated cellulose dressing in the treatment of neuropathic diabetic foot ulcers.F.R. Circ. Esp. 2007, 82(1), 27-31.4. Veves, A. et al. A Randomized, Controlled Trial of Promogran (a CollagenOxidized Regenerated Cellulose Dressing) vs Standard Treatment in the Management of Diabetic Foot Ulcers.Arch. Surg 2002, vol. 137:822-8274. 5. Vin, F. et al. The healing properties of Promogran in venous leg ulcers.J. Wound Care 2002; 11(9):335-41.5.6. Lobmann, R. et al. Expression of matrix metalloproteinases and growthfactors in diabetic foot wounds treated with a protease absorbent dressing. J Diabetes Complications 2006;20(5) : 329-3356. 7. Ulrich, D. et al. Effect of oxidized regenerated cellulose/collagen matrix on proteasesin wound exudate of patients with diabetic foot ulcers. J Wound Ostomy Continence Nurs. 2011 38(5) 1-77. 8.Smeets, R. et al. Effect of oxidised regenerated cellulose/collagen matrix on proteases in wound exudate ofpatients with chronic venous ulceration. Int. Wound J. 2008, 5:195-2038. 9. Kakagia, D.D. et al. Synergisticaction of protease-modulating matrix and autologous growth factors in healing of diabetic foot ulcers. Aprospective randomized trial. J Diabetes Complications 2007; 21(6): 387-91. 10. Wollina, U et al. Some Effectsof a Topical Collagen-Based Matrix on the Microcirculation and Wound Healing in Patients With ChronicVenous Leg Ulcers: Preliminary Observations. Lower Extremity Wounds 4(4);2005. 11. Kloeters O, UnglaubF, de Laat E, van Abeelen M, Ulrich D. Prospective and randomised evaluation of the protease-modulatingeffect of oxidised regenerated cellulose/collagen matrix treatment in pressure sore ulcers. Int Wound J 2015.12. Motzkau M, Tautenhahn J, Lehnert H, Lobmann R. Expression of matrix-metalloproteases in the fluidof chronic diabetic foot wounds treated with a protease absorbent dressing. Exp Clin Endocrinol Diabetes2011;119:286-290.12 Product information

IntroductionReference guideAntimicrobialManage odorWHEN DO I USE IT?In order to maintain a moist wound healing environment the dressingmust be covered with a semi-occlusive or a non-occlusive secondarydressing.PROMOGRAN MatrixSizeEaches Carton/BoxPG0044.34 sq. in. Hexagon10 ea/ct - 4 ct/bxHCPCS codeA6021PG01919.1 sq. in. Hexagon10 ea/ct - 4 ct/bxA6022PROMOGRAN PRISMA MatrixItem codeSizeEaches Carton/BoxMA0284.34 sq. in. Hexagon10 ea/ct - 4 ct/bxHCPCS codeA6021MA12319.1 sq. in. Hexagon10 ea/ct - 4 ct/bxA6022CompressionItem codeManage exudatePlease refer to the full instructions for use in the packaging insert.Minimize adherenceMay be used under compression therapy.Promote granulationPROMOGRAN Matrix and PROMOGRAN PRISMA Matrix are indicatedfor the management of all wounds healing by secondary intent that areclear of necrotic tissue, including diabetic ulcers, venous ulcers, pressureinjuries, ulcers caused by mixed vascular aetiologies, traumatic andsurgical wounds.Codes and sizesPromote granulation 13

ADVANCED WOUND DRESSINGSFIBRACOL Plus Collagen WoundDressing with AlginateWHAT IS IT?FIBRACOL Plus Collagen Wound Dressing with Alginate is a soft,absorbent, and conformable wound dressing composed of 90%collagen and 10% calcium alginate.HOW DOES IT WORK?In the presence of wound fluid FIBRACOL Plus Dressing maintainsa physiologically moist microenvironment at the wound surface thatis conducive to granulation tissue formation, epithelialization, andenables healing to proceed at a rapid rate.Its unique combination of natural biopolymers created by a processthat combines the structural support of collagen and the gel formingproperties of alginates into a sterile, soft, absorbent, conformabletopical wound dressing.PRBC125514 Product information

IntroductionReference guideAntimicrobialManage odorMinimize adherenceFIBRACOL Plus Dressing is indicated for the management of exudingwounds, including full-thickness and partial-thickness wounds, pressureinjuries, leg ulcers of multiple aetiologies, diabetic ulcers, second degreeburns, donor sites and other bleeding surface wounds, abrasions, traumaticwounds healing by secondary intention and dehisced surgical incisions.Promote granulationWHEN DO I USE IT?Please refer to the full instructions for use in the packaging insert.SizeEaches Carton/Box29812” x 2”12 ea/ct - 6 ct/bxHCPCS codeA602129824” x 4 3/8”12 ea/ct - 6 ct/bxA602229834” x 8 3/4”6 ea/ct - 6 ct/bxA602229843/8” x 3/8” x 15 3/4”6 ea/ct - 6 ct/bxA6024CompressionItem codeManage exudateFIBRACOL Plus DressingCodes and sizesPromote granulation 15

ADVANCED WOUND DRESSINGSADAPTIC TOUCH Non-Adhering Silicone DressingWHAT IS IT?ADAPTIC TOUCH Non-Adhering Silicone Dressing is a flexible,open-mesh silicone wound contact layer designed to optimize fluidmanagement and minimize pain at dressing change.HOW DOES IT WORK?ComfortADAPTIC TOUCH Dressing helps protect the wound while minimizingpatient pain and trauma at dressing change1.The soft tack silicone helps prevent adherence of the secondarydressing to the wound1,2.PerformanceADAPTIC TOUCH Dressing open-mesh structure allows free passageof exudate into the absorbent secondary dressing, reducing the risk ofexudate pooling and maceration2,3.The small size of the pores minimizes the risk of granulation tissuein-growth3,4.AffordabilityTreatment with ADAPTIC TOUCH Dressing has been shown to be costeffective in clinical practice3.ADAPTIC TOUCH Dressing is up to 29% cheaper than Mepitel .* Based on UK drug tariff February 2014.References1. International case series: Using ADAPTIC TOUCH Non-Adhering Silicone Dressing: Case Studies.London: Wounds International, 2013. 2. Bianchi , J., and Gray, D., Adaptic Touch non-adherent dressing.Wounds UK 2011, 7(1). 3. Bianchi, J. Consensus guidance for the use of Adaptic TOUCH non-adherentdressing. Wounds UK 2011. 4. Brosnan, P. et al. The design principles of non-adherent materials. Poster,EWMA 2012. 5. Le, C., Pairing advanced wound care therapy with NPWT. Today’s wound clinic 2013; 18-20.16 Product information

IntroductionReference guideAntimicrobialCellulose acetatemesh, coated withsoft tack siliconeManage odorx20magnificationADAPTIC TOUCH Dressing can be used under negative pressure woundtherapy (NPWT) for the protection of fragile wound structures.1,5Minimize adherenceADAPTIC TOUCH Dressing is indicated for the management of dry toheavily exuding, partial and full-thickness chronic wounds, including legulcers (e.g. venous, arterial, mixed), pressure injuries, diabetic ulcers,donor sites, 1st and 2nd degree burns, traumatic(e. g. skin tears) and surgical wounds.Promote granulationWHEN DO I USE IT?Manage exudatePlease refer to the full instructions for use in the packaging insert.ADAPTIC TOUCH DressingSizeEaches Carton/BoxHCPCS code5005012” x 3”10 ea/ct - 5 ct/bxA62065005023” x 4 1/4”10 ea/ct - 5 ct/bxA62065005035” x 6”10 ea/ct - 5 ct/bxA62075005048” x 12 3/4”5 ct/bxA6208CompressionItem codeCodes and sizesMinimize adherence 17

ADVANCED WOUND DRESSINGSADAPTIC Non-Adhering DressingWHAT IS IT?ADAPTIC Dressing is a primary dressing made of knitted celluloseacetate mesh, impregnated with a specially formulated petrolatumemulsion.HOW DOES IT WORK?Easy to remove minimizing painThe unique cellulose acetate mesh of ADAPTIC Dressing protectsregenerating tissue by minimizing wound trauma at dressing change1.Reduces the risk of maceration and adherenceThe pore size of ADAPTIC Dressing: Allows easy passage of exudate to the secondary absorbent dressing,thus minimizing the risk of pooling and macerationat the wound site. Reduces the risk of tissue adherence to both the ADAPTIC Non-Adhering Dressing and the secondary dressing1.References1. Terrill, P.J., and Varughese, G. A comparison of three primary non-adherent dressings applied to handsurgery wounds. J Wound Care. 2000; 9:359-363. 2. Vin, F. et al. The healing properties of Promogran invenous leg ulcers. J. Wound Care 2002; 11(9):335-41.18 Product information

IntroductionReference guideAntimicrobialKnitted celluloseacetate mesh,impregnated withpetrolatum emulsionManage odorx20magnificationADAPTIC Dressing can be used with compression therapy2.Please refer to the full instructions for use in the packaging insert.SizeEaches Carton/BoxHCPCS code20123” x 3”50 ea/ct - 12 ct/bxA622220133” x 8”36 ea/ct - 6 ct/bxA622320143” x 16”36 ea/ct - 6 ct/bxA622320153” x 8”24 ea/ct - 6 ct/bxA622320183” x 60” Roll10 rolls/bxA626620195” x 9” Sheet12 ea/ct - 6 ct/bxA6223CompressionItem codeManage exudateADAPTIC DressingMinimize adherenceADAPTIC Dressing is indicated for dry to highly exuding woundsincluding 1st and 2nd degree burns, lacerations and abrasions, grafts,venous ulcers, pressure ulcers, nail extractions, eczema, staples andsuture lines and surgical incisions and reconstructive procedures.Promote granulationWHEN DO I USE IT?Codes and sizesMinimize adherence 19

ADVANCED WOUND DRESSINGSTIELLE Dressing Family WHAT ARE THEY?The TIELLE Dressing Family consists of a range of hydropolymer foamdressings with LIQUALOCK Advanced Absorption Technology. Theyare designed to manage different levels of exudate across a range ofwound types and they come in a wide selection of shapes and sizeswith or without an adhesive border.HOW DO THEY WORK?Effective fluid managementTIELLE Dressing Family helps provide an optimal wound healingenvironment, minimizing the risk of leakage and maceration. This isachieved through: L IQUALOCK Technology which absorbs and locks fluid away1,2. A breathable top film that wicks away moisture and helps preventwater and bacterial ingress. Retained fluid under the pressures exerted by compression1,2.Compression bandagingSuitable for use with compression bandaging.FlexibilityThe original TIELLE Dressing with a polyurethane adhesive and thenew TIELLE Silicone Border Dressing allow: R epositioning as needed on initial application20 Product information

IntroductionReference guideNEWAntimicrobialManage odorAll ranges of TIELLE Dressings are indicated for the managementof different types of wounds and exudate levels.Please refer to the full instructions for use in the packaging insert.TIELLE Dressing FamilyExudate level —TIELLE Dressing —TIELLE Sacrum Dressing —TIELLE Packing Dressing— TIELLE Plus Dressing —TIELLE PlusSacrum Dressing —TIELLE PlusHeel Dressing —TIELLE Silicone BorderDressing —TIELLE Non AdhesiveDressing— Some of the adhesive dressing outer edges/borders can be cut to assist application to woundsin awkward locations - please contact your Acelity Representativefor a cutting guide.*Pressure equivalent to that of compression bandages (40mmHg).References1. Parker D, Khokhar N, Turton K, Delbono M. An in vitro evaluation of a new hydropolymer dressing with siliconein the management of wound exudate under compression. Poster presented at: Wounds UK Harrogate 2015.2. Turton K, Parker D, Delbono M, Lane T. In vitro evaluations of the dual functionality of a new hydropolymerdressing with silicone for the management of exudate and atraumatic removal.Poster presented at: Wounds UKHarrogate 2015.Manage exudate 21Codes and sizesTIELLE Lite DressingCompressionCut-ableManage exudateAdhesiveMinimize adherenceTIELLE Dressing Family Selection OverviewPromote granulationTIELLE Non Adhesive Dressing

ADVANCED WOUND DRESSINGSTIELLE Hydropolymer Adhesive Dressingwith LIQUALOCK TechnologyTIELLE Dressing is an adhesive hydropolymer foam dressing withLIQUALOCK Advanced Absorption Technology for low to moderatelyexuding wounds.1.2.3.4.1. Polyurethane foam backing Vapor permeable1-3 Physical bacterial barrier1-3 Shower proof1-32. Unique skin-friendly adhesive borderEnables pain free removal and repositioning on initial application43. Non woven wicking layer*Distributes fluid across the dressing1, minimizing the risk of leakage andmaceration54. H ydropolymer foam with LIQUALOCK Technology Expands and conforms to the wound bed1,5 Maintains a moist wound healing environmentIn a clinical evaluation of 6,993 patients TIELLE Dressing was provento be clinically efficacious in all wound types and it improved thecondition of the wound in 95% of cases within 4 weeks3.(*No wicking layer present on 7cm x 9cm dressing )References1. Mellor J. and Boothman S. TIELLE hydropolymer dressings: wound responsive technology, TheExudate Supplement Part two P14-17. Br J Nurs Vol 12 No 20 & Br J, Community Nurs Vol 8 No.11.2. Boothman S. et al. Testing of the Bacterial Barrier Properties of TIELLE Dressings Using a ModifiedVersion of the Draft CEN Test Method (prEN 13726-5). Poster 2001. 3. Diehm C. and Lawall, H. Evaluationof TIELLE hydropolymer dressings in the management of chronic exudating wounds in primary care.Int. Wound J. 2005, 2(1):26-35. 4. Ballard, K. Clinical and scientific data of a hydropolymer range ofdressings. J Nursing 2002; 11(20). 5. Carter, K. Hydropolymer dressings in the management of woundexudate, 2003.22 Product information

IntroductionReference guideTIELLE Plus Dressing is an adhesive hydropolymer foam dressing withLIQUALOCK Advanced Absorption Technology for medium to highlyexuding wounds.Manage odor1.AntimicrobialTIELLE Plus Hydropolymer AdhesiveDressing with LIQUALOCK Technology2.Promote granulation3.4.Manage exudateCompression3. Super absorbent wicking layerIt can absorb up to 30x its own weight in fluid44. H ydropolymer foam with LIQUALOCK Technology Expands and conforms to the wound bed5 Maintains a moist wound healing environmentMinimize adherence1. Polyurethane foam backing Vapor permeable1,2 Physical bacterial barrier1,2 Shower proof1,22. Unique skin-friendly adhesive borderEnables pain free removal and repositioning on initial application3Codes and sizesReferences1. Boothman S. et al. Testing of the Bacterial Barrier Properties of TIELLE Dressings Using a Modifi ed Versionof the Draft CEN Test Method (prEN13726-5). Poster 2001. 2. Diehm C. and Lawall, H. Evaluation of TIELLE hydropolymer dressings in the management of chronic exudating wounds in primary care. Int. Wound J. 2005,2(1):26-35. 3. Ballard, K. Clinical and scientifi c data of a hydropolymer range of dressings. J Nursing 2002;11(20). hydropolymer dressings in the management of chronic exudating wounds in primary care. Int. WoundJ. 2005, 2(1):26-35. 4. Turton, K. et al. Evaluation Of The Fluid Handling Properties Of Hydropolymer FoamDressings For Managing Wound Exudate. Wounds UK 2011. 5. Mellor J. and Boothman S. TIELLE hydropolymerdressings: wound responsive technology, The Exudate Supplement Part two P14-17. Br J Nurs Vol 12 No 20 & BrJ, Community Nurs Vol 8 No.11. 6.Schulze, H.J. Clinical evaluation of TIELLE Plus dressing in the managementof exudating chronic wounds. Br. J. Co

venous insufficiency. ADVANCED WOUND DRESSINGS. Reference guide . Item code Size Eaches Carton/Box HCPCS code 900112 1" x 12" 5 ea/ct - 5 ct/bx A6199 900202 2" x 2" 10 ea/ct - 5 ct/bx A6196 . SILVERCEL for venous trophic ulcers management. 2006. 4. Rennison T et al. Simulated In-Use