WOUND HEALING

Transcription

MDEBRIDE lingHEALINGSVICESERSUPPORTIVCALL OUR EDUCARE HOTLINE AT 1-888-701-SKIN (7546)medline.com/advancedwoundcareAvailable 8am – 5pm Central TimeURE BALAMOISTNCEMEDLINE ADVANCED WOUND CARE CATALOGNEED MORE CLINICAL INFORMATION?TreatstalledwoundsEDGEEDFOLLOW USMedline Industries, Inc. One Medline Place, Mundelein, IL 60060Medline United States1-800-MEDLINE (633-5463)Medline Canada1-800-396-6996Medline México01-800-831-0898medline.com info@medline.commedline.ca canada@medline.commedlinemexico.com mexico@medline.comHCPCS DISCLAIMER: HCPCS codes and home health consolidated billing codes provided by Medline are intended as general guidelines only.Medline does not guarantee coverage or reimbursement of any products. The customer must address all coverage and reimbursementissues (including correctness and accuracy of codes) with their individual payers. It is the customer’s responsibility to ensure the accuracyand appropriateness of each claim the customer submits, in accordance with all applicable payer requirements.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. 2016 Medline Industries, Inc. Medline is a registered trademark of Medline Industries, Inc. MKT1679031 / LIT049 / 15M / AL / 30165865 Cover CAT AdvWoundCare.indd 1/E N VIR O N M ENTU CATIONBLOGAdvanced Wound Care Catalog 201612/12/16 1:36 PM

NOTESDRIVEN TO HEAL.Effectively managing chronic wounds requiresyou to look at things differently and challenge thestatus quo. Medline’s mission is to help you riseto the challenge by offering the broadest range ofadvanced wound care products in the industry anddelivering a comprehensive package of educationalresources. This approach ensures your facilityhas the tools and expertise to tackledifficult-to-heal chronic wounds.Seeing Things DifferentlyMedline has a long history of rapid innovationin wound care with no intention of slowingdown. The challenges you face in managingchronic wounds drive us to develop newsolutions, positively affecting the quality andefficiency of care.Medline’s Latest Innovations» Hyalomatrix hyaluronic acid based wound device» TheraHoney honey wound dressings» Opticell with Chytoform technology» Optifoam Gentle superabsorbent foamwith silicone face and border2 MEDLINE165865 Cover CAT AdvWoundCare.indd 21-800-MEDLINE (633-5463) medline.com 9912/7/16 3:04 AM

EMPOWERINGCLINICIANS THROUGHCUSTOMIZED SUPPORT.Medline’s educational resources provide you with the support to raise the standard of care.As our valued customer, we invite you to review the resources available with your Medlinerepresentative to develop a unique support plan tailored to your needs.» Advanced Wound & Skin CareProduct SpecialistsMedline product specialists are trained to helpyou optimally leverage the support Medlineoffers as you strive to enhance quality of care.» Educational PackagingMedline’s award-winning educational packagingensures that caregivers have complete step-bystep instructions for use at their fingertips.» Medline UniversityMedline University empowers you to take,assign, and track progress on free onlinecourses designed to enhance expertise.» Skintegrity ProgramA premium suite of products, educationalresources and support tools that assist you intracking outcomes and measuring improvement.» Educare HotlineThe Educare hotline allows access to aboard-certified wound care nurse from8am–5pm Central Standard TimeMonday–Friday. 1-888-701-SKIN (7546)» WoundRounds WoundManagement SystemThis unique wound managementsystem allows long-term carefacilities to streamline and enhancetheir wound care processes.» Wound & Skin Care GuidelinesMedline offers clinical supportin helping you determine andcommunicate your treatment guidelines» Online Product Application VideosA complete library of instructionalapplication videos helps train newstaff on proper product application.Visit: www.medline.com/advancedwoundcareand see how products are applied.» Advanced Wound & Skin CarePocket Reference GuideThis compact booklet contains a wealth ofclinical and product information. Designed to beused by caregivers as a reference tool.» The NE1 Wound Assessment ToolThis proprietary wound assessment toolis designed to dramatically increaseaccuracy, consistency and transparencyin wound assessment.1-800-MEDLINE (633-5463) medline.com/advancedwoundcare 3165865 Body CAT AdvWoundCare.indd 312/7/16 1:37 AM

DIMES – YOUR WOUNDCARE NAVIGATORDIMES – FOR SUCCESSFUL CHRONIC WOUND CAREWound care professionals face diverse and complex challenges. That’s why Medline offersa wide variety of products and programs that help clinicians deliver world-class caretailored to any given clinical context.Throughout this catalog, you’ll find evidence-based products*, information and resources,all organized around the DIMES system of wound bed preparation and treatment.*Contact Medline Industries, Inc. for data related to the products mentioned herein.4 MEDLINE165865 Body CAT AdvWoundCare.indd 412/7/16 1:37 AM

oisture BalanceEdge/EnvironmentThe removal ofnonviable tissue bycreating an optimalmoist woundenvironment.Addressing bioburdenand inflammationin the wound.Achieving andmaintaining moisturebalance in andaround the wound.Treating stalledwounds whereepithelium failsto migrate.SupportProducts, Servicesand Education812TheraHoney TenderWet Active16Opticell Ag 20 Maxorb Extra Ag 222426Optifoam Gentle Ag Optifoam Ag Optifoam Ag Post-Op Strip28 Silvasorb 30 Arglaes Powder34 Optifoam Gentle38 Optifoam 40 Opticell 42 Qwick 44 Optilock 46 Maxorb 48 Exuderm 50 Hydrogel Dressings5458Hyalomatrix Puracol Products thatcomplement DIMESbut do not fit intoone of the othercategories.62666872Marathon Sureprep CoFlex TLCFourflex andThreeflex 74 Medigrip 76 Unna-Z and78 Versatel Versatel One80 Cover Dressings82 Suresite Dressing Fixation84 Tapes86 Wound Cleansers88 NE1 1-800-MEDLINE (633-5463) medline.com/advancedwoundcare 5165865 Body CAT AdvWoundCare.indd 512/7/16 1:37 AM

DDEBRIDEMENT (Autolytic)The first step in woundhealing is the removal ofnecrotic tissue that canimpede the growth andproliferation of healthygranulating tissue.THERAHONEY MEDICAL-GRADE MANUKAHONEY SUPPORTS THE BODY’S NATURALAUTOLYTIC DEBRIDEMENT PROCESS BYDRAWING FLUID OUT OF THE WOUND BED.6 MEDLINE165865 Body CAT AdvWoundCare.indd 612/7/16 1:37 AM

DDEBRIDEMENTLook inside.TheraHoney TenderWet Active8121-800-MEDLINE (633-5463) medline.com/advancedwoundcare 7165865 Body CAT AdvWoundCare.indd 712/7/16 1:37 AM

THERAHONEYHoney Wound DressingsThe sweet science of honey.Made with 100% sterile, medical-grade Manuka honey, TheraHoney is apowerful agent in promoting natural autolytic debridement. Its high sugarlevels (87%) encourage osmotic activity that helps clear away necrotic tissue, maintain a moist wound environment conducive to healing, and reducewound odor. Studies show Manuka honey dressings can also significantlylower wound pH and help reduce wound size.1.and the sweet results it can bringThe use of Manuka honeydressings is associated witha statistically significant decreasein wound pH and a reduction inwound size.18 MEDLINE165865 Body CAT AdvWoundCare r1.indd 812/16/16 7:17 AM

D“Honey is a very effectiveagent, well accepted by patients, readily available,inexpensive, and with additionalactivities which are of benefit.”2DEBRIDEMENT[AUTOLYTIC DEBRIDEMENT]The illustrationdepicts Manukahoney drawingexudate fromsubcutaneoustissue to thewound surface,removing debris,slough andnecrotic tissue.1Gethin GT, Cowman S, Conroy RM. The impact of Manuka honey dressings on the surfacepH of chronic wounds. International Wound Journal. 2008; 5(2):185-194. Available at:http://www.ncbi.nlm.nih.gov/pubmed/18494624. Accessed November 6, 2014.2Dr. Peter Molan, Honey Research Unit, Department of Biological Sciences, University ofWaikato, Hamilton, New Zealand.165865 Body CAT AdvWoundCare.indd 912/7/16 1:38 AM

THERAHONEY 100% Medical-Grade Manuka HoneyRECOMMENDED USE» All wound depthsRECOMMENDEDSECONDARY DRESSINGS» Optifoam Gentle» All drainage levels» As a primary dressing» OptiLock » Qwick ABOUT THERAHONEYINDICATIONS» Partial- and full-thickness wounds» Surgical and trauma wounds» Leg ulcers» Minor abrasions, lacerations,and cuts» Pressure injuries» First- and second-degree burns» Minor scalds and burns» Diabetic foot ulcers» Made of 100% medicalgrade honey (Leptospermumscoparium)1» Promotes autolyticdebridement via highsugar levels (87%)2,3,4» Helps rapidly reduce odor2,4» Creates a moist woundhealing environment4CHANGE FREQUENCYCONTRAINDICATIONS» TheraHoney may be left inplace for up to 7 days» Third-degree burns» Dressing change frequency willdepend on amount of drainage» Individuals with a known sensitivityto honey or bee venom» Should be paired with anabsorbent dressing5» Compatible with silverdressings and woundcleanser surfactants6DID YOU KNOW?TheraHoney draws fluid from the woundbed, encouraging autolytic debridement.Use Qwick in conjunction with TheraHoneyfor optimal absorbency. For moreinformation on Qwick, see pg. 42.References1. Data on file. 2. Cimolai, N. Sweet success? Honey as a topical wound dressing BCMJ. Vol. 49, No. 2, March 2007: 64-67. 3. Green AE. Wound healing properties of honey.Br J Surg 1988; 75(12): 1278. 4. Molan P, Debridement of Wounds with Honey, J Wound Technology 2009: 12-17. 5. Tovey FI. Honey and healing. J R Soc Med 1991; 84(7): 447.6. Schultz, G; Gibson, D. “The Impact of Silver Impregnated Dressings and Wound Cleansers on the Osmotic Strength of 100% Manuka Honey Gel Dressing”. Department ofObstetrics and Gynecology; Institute of Wound Research; University of Florida; Gainesville, FL. 2013.10 MEDLINE165865 Body CAT AdvWoundCare.indd 1012/7/16 1:38 AM

DORDERING INFORMATIONTo order by the dressing, add “H” to the end of the item number.THERAHONEY GELDEBRIDEMENTIdeal for partial- and full-thickness wounds with minimal drainage.Item No.MNK0005MNK0015Description0.5-oz. (14.2 g) Tube1.5-oz. (42.5 g) TubeHCPCSA4649A4649Pkg10/bx12/csTHERAHONEY FOAM FLEXImpregnated foam dressing ideal for absorption.Item No.MNK1344Description4 x 4” (10.2 x 10.2 cm) PadHCPCSA6209Pkg10/bxHCPCSA4649Pkg10/bxTHERAHONEY SHEETIdeal for easy handling and application.Item No.MNK0077Description4 x 5" (10.2 x 12.7 cm) SheetTHERAHONEY HD200% more honey compared to TheraHoney Sheet.Item No.MNK0082MNK0087Description2 x 2" (5.1 x 5.1 cm) Sheet4 x 5" (10.2 x 12.7 cm) SheetHCPCSA4649A4649Pkg10/bx10/bxTHERAHONEY RIBBON200% more honey compared to TheraHoney Sheet.Item No.MNK0089Description1 x 12" (2.5 x 30.5 cm) RibbonHCPCSA4649Pkg10/bx1-800-MEDLINE (633-5463) medline.com/advancedwoundcare 11165865 Body CAT AdvWoundCare.indd 1112/7/16 1:38 AM

TENDERWET ACTIVEPolyacrylate Gel PadRECOMMENDED USE» All wound depths» All drainage levels» As a primary dressingRECOMMENDEDSECONDARY DRESSINGS» Bordered gauze» Stratasorb CompositeINDICATIONS» Pressure injuries» Lacerations and abrasions» Partial- and full-thickness wounds» Skin tears» Leg ulcers» First- and second-degree burns» Diabetic ulcers» Surgical wounds» Solution is released as exudateis absorbed, providing anautolytic debriding process1CHANGE FREQUENCYCONTRAINDICATIONS» TenderWet Active may be left in24 hours» Do not apply topical medicationor disinfectant during treatmentof Tenderwet Active» Change frequency will depend onthe amount of drainageABOUT TENDERWET ACTIVE» Absorbs and retainsmicroorganisms2» Uses physiologicallycompatible Ringer’s solution3» More effective thanwet gauze therapy4» Will not stick to wound bed,which helps ease the painof dressing changes5» Cost-effective4,6» Helps create an ideal moisthealing environment» High fluid retention» Easy application and removalReferences1. Paustian C, Stegman MR. Preparing the wound for healing: the effect of activated polyacrylate dressing on debridement. Ostomy/Wound Management. 2003;49(9):3442. 2. Bruggisser R. Bacterial and fungal absorption properties of a hydrogel dressing with a super absorbent polymer core. Journal of Wound Care. 2005;14(9):1-5. 3.Biocompatibility data on file. 4. Coyne N. Eliminating wet-to-dry treatments. Remington Report. 2003:8-11. 5. Mueller V, Doucette M, Jasper J, VandenBeld K. Reduction ofPain Through the Utilization of Polyacrylate Activated Dressings. Presented at SAWC. Orlando, FL. 2004. 6. Edwards J. Wound Care is Not What it Used to Be: Finding theMost Efficient Debridement Method for Chronic Wounds. Presented at SAWC. Orlando, FL. 2004.12 MEDLINE165865 Body CAT AdvWoundCare.indd 1212/7/16 1:38 AM

DORDERING INFORMATIONTo order by the box, add “Z” to the end of the item number.DEBRIDEMENTTENDERWET ACTIVE CAVITYIdeal for all wounds with necrotic tissue.Item No.MSC8401MSC8402MSC8403MSC8405Description1.6" (4.1 cm) Round2.2" (5.6 cm) Round3 x 3" (7.6 x 7.6 cm) Square4 x 5" (10.2 x 12.7 cm) RectangleHCPCSA6242A6242A6242A6243Pkg7/bx, 6 bx/cs7/bx, 6 bx/cs7/bx, 6 bx/cs7/bx, 6 bx/csHCPCSA6242A6242A6242A6243Pkg7/bx, 6 bx/cs7/bx, 6 bx/cs7/bx, 6 bx/cs7/bx, 6 bx/csTENDERWET ACTIVEIdeal for shallow wounds with necrotic tissue.Item No.MSC8301MSC8302MSC8303MSC8305Description1.6" (4.1 cm) Round2.2" (5.6 cm) Round3 x 3" (7.6 x 7.6 cm) Square4 x 5" (10.2 x 12.7 cm) RectangleTenderWet provides a moist wound environment tohelp promote autolytic debridement of necrotic tissue61-800-MEDLINE (633-5463) medline.com/advancedwoundcare 13165865 Body CAT AdvWoundCare.indd 1312/7/16 1:38 AM

IINFECTION/INFLAMMATIONPotentially harmfulmicroorganisms contaminatenearly all wounds. Activelymanaging bioburden andinfection risk is key to effectivewound management.ANTIMICROBIAL SILVER DRESSINGSMANAGE BIOBURDEN TO HELPPREVENT DELAYED HEALINGDUE TO INFECTION.14 MEDLINE165865 Body CAT AdvWoundCare.indd 1412/7/16 1:38 AM

IINFECTION/INFLAMMATIONLook inside.Opticell Ag Maxorb Extra Ag Optifoam Gentle Ag Optifoam Ag Optifoam Ag Post-Op StripSilvasorb Arglaes Powder162022242628301-800-MEDLINE (633-5463) medline.com/advancedwoundcare 15165865 Body CAT AdvWoundCare.indd 1512/7/16 1:38 AM

OPTICELL Ag Antimicrobial Chitosan-Based Gelling FiberHARNESSING THE POWEROF THE OCEAN.Opticell Ag utilizes Chytoform, Medline’schitosan-based gelling fiber technology todeliver excellent benefits to wounds. OpticellAg is highly absorbent and can be moistenedto address dry or lightly draining wounds.Opticell Ag delivers broadspectrum antimicrobialefficacy without harmingskin cells (noncytotoxic).16 MEDLINE165865 Body CAT AdvWoundCare r1.indd 1612/16/16 7:18 AM

IAN OPTIMAL HEALINGENVIRONMENT.Opticell with Chytoform technologyThe smooth, thin and conformable profileprovides for intimate contact with the wound.Competition (Stitched Gelling Fiber)INFECTION/INFLAMMATIONOpticell Ag is highly conformable and retains its shape andsize in the wound better than other gelling fibers. This qualityensures that the Opticell Ag dressing remains in optimal andcomplete contact with the wound even as it absorbs moisture.The ridges in the dressing may leadto an uneven wound contact surface.Opticell’s exceptionalabsorption capabilityhelps reduce dressingchange frequencyand limit maceration.ABSORPTION STUDY RESULTS1302520151050Opticell AquacelExtra Durafiber Average Fluid Absorbed (g/100cm2)Based on in vitro testing, Opticell had the highestaverage absorbency of the three dressings testedReferences1. Data on file.165865 Body CAT AdvWoundCare.indd 1712/7/16 1:38 AM

OPTICELL Ag Antimicrobial Chitosan-Based Gelling FiberRECOMMENDED USE» All wound depths» All drainage levels» As a primary dressingRECOMMENDEDSECONDARY DRESSINGS» Optifoam Gentle» Bordered gauze» Stratasorb CompositeINDICATIONS» Partial- and full-thickness wounds» Surgical wounds» Venous stasis ulcers» Trauma wounds» Pressure injuries/ulcers» Donor sites» First- and second-degree burns» Arterial ulcers and legulcers of mixed etiology» Diabetic foot ulcersABOUT OPTICELL Ag » Chytoform gellingfiber technology» Broad spectrumantimicrobial ionic silver» Highly conformable» Versatile – can be usedwith all drainage levelsCHANGE FREQUENCYCONTRAINDICATIONS» May be left in placefor up to 7 days» Individuals with a sensitivityto silver or chitosan, whichis derived from shellfish» Dressing change frequency willdepend on the amount of drainage» Third-degree burns» Three times the wetstrength of Aquacel traditional gelling fiber 1» No lateral wicking –limits maceration» Highly absorbent 1» Maintains a moist woundhealing environment» Surface area memory(SAM) – retains its sizeIN VITRO ANTIBACTERIAL EFFICACY OF OPTICELL Ag Opticell Ag has been shown to effectively kill microorganismsfor up to 7 days, including:1» Gentle removal from the wound» Designed to minimizepain during removal» Methicillin-resistant Staphylococcus aureus(MRSA) ATCC 33591—gram positive bacteria» Escherichia coli ATCC 8739—gram negative bacteria» Pseudomonas aeruginosa ATCC 9027—gram negative bacteria» Candida albicans ATCC 10231—yeast» Vancomycin-resistant Enterococcus faecium(VRE) ATCC 51575—gram positive bacteria» Staphylococcus aureus ATCC 6538—gram positive bacteriaReferences1. Data on file.18 MEDLINE165865 Body CAT AdvWoundCare.indd 1812/7/16 1:38 AM

IORDERING INFORMATIONINFECTION/INFLAMMATIONTo order by the box, add “Z” to the end of the item number.To order by the dressing, add “H” to the end of the item number.OPTICELL Ag GELLING FIBER SHEETSIdeal for partial- and full-thickness wounds of all drainage levels.Item n2 x 2" (5.1 x 5.1 cm)4 x 5" (10.2 x 12.7 cm)6 x 6" (15.2 x 15.2 cm)8 x 12" (20.32 x 30.5 cm)HCPCSA6196A6197A6197A6198Pkg10/bx, 10 bx/cs10/bx, 5 bx/cs5/bx, 10 bx/cs5/bx, 10 bx/csOPTICELL Ag GELLING FIBER RIBBONIdeal for filling partial- and full thickness wounds of all drainage levels.Item No.MSC9818EPDescription0.75 x 18" (1.9 x 30.5 cm)MANAGE PAINAT THE DONOR SITEAfter harvestingthe donor skin,Opticell is placedover the donor site.HCPCSA6199Pkg5/bx, 10 bx/csWhen moistened withfluids and exudate, theabsorbent fibers transforminto a gel.The gelling action enableseffective managementof drainage and removalof dead tissue.What’s Inside?Chytoform is the chitosan-based gelling fiber technology inside Opticell. Chitosan isderived from shellfish, bringing the science of the ocean to wound care.1-800-MEDLINE (633-5463) medline.com/advancedwoundcare 19165865 Body CAT AdvWoundCare.indd 1912/7/16 1:38 AM

MAXORB EXTRA Ag Antimicrobial CMC/Alginate DressingsRECOMMENDED USERECOMMENDEDSECONDARY DRESSINGS» All wound depths» Moderate to heavy drainage levels» As a primary dressing» Optifoam Gentle» Stratasorb Composite» Bordered gauzeINDICATIONS» Pressure injuries6,7» Diabetic foot ulcers» Leg ulcers» Surgical wounds» First- and second-degree burns8» Graft and donor sites» Moderate to heavily drainingpartial- and full-thickness wounds» Trauma woundsABOUT MAXORB Ag » Helps managebacterial burden1,2» Controlled-release ionic silver» Cost-effective4» Easy dressing changesCHANGE FREQUENCYCONTRAINDICATIONS» Maxorb Extra Ag may be leftin place for up to 21 days9» Third-degree burns» Dressing change frequency willdepend on amount of drainage» Patients with a knownsensitivity to alginate or silver» Dry or lightly draining wounds» To control heavy bleeding» As a surgical implant» Highly absorbent 5» Reduces odor6» Fluid will not wick laterally» Up to 21-day antimicrobialprotection1,3» Reinforced silver CMC/alginate ribbon» Ribbon is ideal for tunnelingor undermining wounds10.0Kaltostat Maxorb Extra AgAverage Score8.06.04.02.00.0Pre-treatmentWeek 1Week 2Week 3Week 4MODIFIED ASEPSIS INDEX9Asepsis index is a measure of 10 wound healingparameters. A lower score is preferable.20 MEDLINE165865 Body CAT AdvWoundCare.indd 2012/7/16 1:38 AM

IORDERING INFORMATIONINFECTION/INFLAMMATIONTo order by the box, add “Z” to the end of the item number.To order by the dressing, add “H” to the end of the item number.MAXORB EXTRA Ag Ideal for moderate to heavily draining wounds.Item escription2 x 2" (5.1 x 5.1 cm)4 x 4.75" (10.2 x 12.1 cm)4 x 8" (10.2 x 20.3 cm)6 x 6" (15.2 x 15.2 cm)8 x 12" (20.3 x 30.5 cm)HCPCSA6196A6197A6197A6197A6198Pkg10/bx, 5 bx/cs5/bx, 10 bx/cs5/bx, 10 bx/cs5/bx, 10 bx/cs5/bx, 10 bx/csMAXORB EXTRA Ag RIBBON/MAXORB ES Ag RIBBONIdeal for moderate to heavily draining wounds with depth.Maxorb ES Ag is reinforced for extra strength.Item No.MSC1918EPMSC9412EPDescription0.75 x 18" (1.91 x 45.72 cm) ES1 x 12" (2.5 x 30.5 cm) ExtraHCPCSA6199A6199Pkg5/bx, 10 bx/cs20 ea/cs, 4 bx/cs30252625Absorbency (g/100 cm2)20Days1510502017.518Aquacel AgActicoat Absorbent15105Maxorb Extra Ag Aquacel AgMAXIMUM WEAR TIME3Acticoat Absorbent0Maxorb Extra Ag ABSORBENCY COMPARISONS6,7References1. Chakravarthy D, Falconio-West M. A comparison of the antimicrobial efficacy of two silver ion containing absorptive fiber dressings. Presented at SAWC. Las Vegas, NV.2006. 2. Chakravarthy D, Fleck C, Falconio-West M. An evaluation of two polysaccharide-silver based high absorbency wound dressings. Presented at SAWC. Las Vegas,NV. 2006. 3. Freeman R, Bradford C. 21 day in vitro study of sustained antimicrobial activity of a new silver alginate dressing. Presented at Wounds UK. Harrogate. 2006.4. DeLeon J, Nagel M, Hill D, Fudge M, Lucius A, Garcia B. Cost comparison of silver impregnated Hydrofiber and alginate dressings. Presented at SAWC. Las Vegas, NV.2006. 5. Data on file. 6. Chakravarthy D, Freeman R, Beele H, Meuleneire F, Nahuys M. Detailed clinical report: prospective randomized open label pilot study to evaluate anew silver alginate antimicrobial wound dressing on critically colonized chronic wounds. Internal report on file. 7. Freeman R, Beele H, Meuleneire F, Nahuys M. Results of amulticentre randomized prospective open label pilot study to evaluate a new silver alginate antimicrobial wound dressing on critically colonized chronic wounds. Presentedat Wounds UK Conference. Harrogate. 2006. 8. Serena T, Chakravarthy D. Maxorb Ag in the treatment of burn wounds. Symposium on Advanced Wound Care. Tampa,FL. 2007. 9. Bradford C. Freeman R. Percival SL. in vitro study of sustained antimicrobial activity of a new silver alginate dressing. The Journal of the American College ofCertified Wound Specialists, Volume 1, Issue 4, Pages 117–120.1-800-MEDLINE (633-5463) medline.com/advancedwoundcare 21165865 Body CAT AdvWoundCare.indd 2112/7/16 1:38 AM

OPTIFOAM GENTLE Ag Antimicrobial Silicone Foam DressingsRECOMMENDED USE» All wound depths*» All wound drainage levels» As a primary or secondary dressingRECOMMENDEDSECONDARY DRESSINGS**» Gentac tape» Elastic net» Medigrip Tubular Bandage*May be used as a secondary dressing for deep wounds**Only non-bordered dressings require a secondary dressingINDICATIONS» Pressure injuries» Diabetic foot ulcers» Partial- and shallowfull-thickness wounds» Donor sites» Surgical wounds» Skin tears» Wounds with colonization» Leg ulcers» Lacerations and abrasions» First- and second-degree burnsABOUT OPTIFOAM GENTLE Ag » Silicone dressing providesgentle adhesion» Highly conformable1» Moisture vaportransmission rate (MVTR)adjusts to fluid level» Ionic silver provides anantimicrobial barrier 1» Continuous antimicrobialbarrier protection1CHANGE FREQUENCYCONTRAINDICATIONS» Optifoam Gentle Ag may beleft in place for up to 7 days» Third-degree burns» Helps maintain a moistwound-healing environment» Dressing change frequency willdepend on amount of drainage» Lesions with active vasculitis» Waterproof outer layer» Individuals with a knownsensitivity to silver» Highly absorbent 1» Non-staining» Low friction and shearouter layerReferences1. Data on file.22 MEDLINE165865 Body CAT AdvWoundCare.indd 2212/7/16 1:38 AM

IORDERING INFORMATIONINFECTION/INFLAMMATIONTo order by the box, add “Z” to the end of the item number.To order by the dressing, add “H” to the end of the item number.OPTIFOAM GENTLE Ag SILICONE FACE AND BORDERIdeal for managing wounds with bioburden. The superabsorbent core absorbsexudate and locks it away, and the five-layer design increases performance.Item No.MSC9644EPMSC9666EPDescription4 x 4" (10.2 x 10.2 cm)2.5 x 2.5" (6.4 x 6.4 cm) Pad6 x 6" (15.2 x 15.2 cm)4.5 x 4.5" (11.4 x 11.4 cm) PadHCPCSPkgA621210/bx, 10 bx/csA621310/bx, 10 bx/csOPTIFOAM GENTLE Ag SILICONE FACED FOAM – NON BORDEREDIdeal for gentle adhesion and bioburden management in wounds. The siliconeface aids in placement of the dressing, and the soft conformable foamcan be cut to size.Item No.MSC9544EPMSC9566EPMSC9588EPDescription4 x 4" (10.2 x 10.2 cm)6 x 6" (15.2 x 15.2 cm)8 x 8" (20.3 x 20.3 cm)HCPCSA6209A6210PendingPkg10/bx, 10 bx/cs10/bx, 10 bx/cs10/bx, 10 bx/csOPTIFOAM GENTLE AG SILICONE BORDERED FOAMIdeal for light to moderately draining wounds with bioburden.Low-profile edges increase conformability.Item No.MSC9744EPMSC9766EPDescription4 x 4" (10.2 x 10.2 cm),2.5 x 2.5" (6.4 x 6.4 cm) Pad6 x 6" (15.2 x 15.2 cm),4.5 x 4.5" (11.4 x 11.4 cm) PadHCPCSPkgA621210/bx, 10 bx/csA621310/bx, 10 bx/cs1-800-MEDLINE (633-5463) medline.com/advancedwoundcare 23165865 Body CAT AdvWoundCare.indd 2312/7/16 1:38 AM

OPTIFOAM Ag Antimicrobial Foam DressingsRECOMMENDED USE» All wound depths*» Light to moderate drainage» Primary or secondary dressingRECOMMENDEDSECONDARY DRESSINGS**» Medfix Tape» Gentac Tape» Medigrip Tubular Bandage*As a secondary dressing**Only non-bordered dressings require a secondary dressingINDICATIONS» Pressure injuries» Diabetic foot ulcers» Partial- and full-thickness wounds» Donor sites» Surgical wounds» Lacerations and abrasions» Wounds with colonization» Skin tears» Ideal for managing bioburdenin post-operative wounds.» First- and second-degree burns» Leg ulcers» Under compression bandagesABOUT OPTIFOAM Ag » Ionic silver provides anantimicrobial barrier 1» Continuous antimicrobialprotection1» Absorbent 1» Conformable1» Can manage repeatedbacteria introduction» Non-stainingCHANGE FREQUENCYCONTRAINDICATIONS» Optifoam Ag may be leftin place for up to 7 days» Third-degree burns» Dressing change frequency willdepend on amount of drainage» Individuals with a knownsensitivity to silver» Lesions with active vasculitis» Moisture vaportransmission rate (MVTR)adjusts to fluid level» Helps create an idealhealing environment» Waterproof outer layer» Low friction and shearouter layerReferences1. Data on file.24 MEDLINE165865 Body CAT AdvWoundCare.indd 2412/7/16 1:38 AM

IORDERING INFORMATIONINFECTION/INFLAMMATIONTo order by the box, add “Z” to the end of the item number.To order by the dressing, add “H” to the end of the item number.OPTIFOAM Ag ADHESIVEFor wounds with intact periwound skin.Item No.MSC9604EPMSC9606EPDescription4 x 4" (10.2 x 10.2 cm),2.5 x 2.5" (6.4 x 6.4 cm) PadSacrum: 6 x 5.5" (15.2 x 14.2 cm)HCPCSPkgA621210/bx, 10 bx/csA621210/bx, 10 bx/csHCPCSA6209Pkg10/bx, 10 bx/csOPTIFOAM Ag NON-ADHESIVEFor wounds with fragile periwound skin.Item No.MSC9614EPDescription4 x 4" (10.2 x 10.2 cm)4 hrs. at 37 C exposure to 4 sq cm of each dressing106 - 107 Colony Forming Units (CFUs) initial populationNumber of Surviving Colony Forming Units250200Q MRSAQ P. aeruginosa150100500Optifoam Ag ACTICOAT Non-Adhesive Moisture ControlCOMPARATIVE ANTIMICROBIAL EFFECT STUDY1Optifoam Ag has the least number of surviving colonyforming units at 4 hours.1-800-MEDLINE (633-5463) medline.com/advancedwoundcare 25165865 Body CAT AdvWoundCare.indd 2512/7/16 1:38 AM

OPTIFOAM Ag POST-OPAntimicrobial Foam Post-Op DressingRECOMMENDED USERECOMMENDEDSECONDARY DRESSINGS» Incision sites» Light to moderate drainage» Not Applicable» As a primary or secondary dressingINDICATIONSABOUT OPTIFOAM Ag POST-OP» Incision sites» Ionic silver providesantimicrobial barrier 1over incision sites» Continuous antimicrobialprotection1CHANGE FREQUENCYCONTRAINDICATIONS» Optifoam Ag Post-Op Strip maybe left in place for up to 7 days» Third-degree burns» Thin, comformableadhesive border» Dressing change frequency willdepend on amount of drainage» Lesions with active vasculitis» Individuals with a knownsensitivity to silver» Can manage repeatedbacteria introduction» Non-staining» Silicone adhesive border(only for OptifoamGentle Ag Post-Op)DID YOU KNOW?Sureprep Rapid Dry skin protectant ensuresproper adhesion and removal of OptifoamAg Post-Op Strip. For more informationabout Sureprep Rapid Dry, see pg. 66.References1. Data on file.26 MEDLINE165865 Body CAT AdvWoundCare.indd 2612/7/16 1:38 AM

IORDERING INFORMATIONINFECTION/INFLAMMATIONTo order by the box, add “Z” to the end of the item number.To order by the dressing, add “H” to the end of the item number.OPTIFOAM GENTLE Ag POST-OPIdeal for managing bioburden in post-operative wounds.Silicone bordered for gentle adhesion.Item No.MSC9736MSC97310MSC97314Description3.5 x 6" (8.9 x 15.2 cm),1.5 x 4" (3.8 x 10.2 cm) Pad3.5 x 10" (8.9 x 25.4 cm),1.5 x 8" (3.8 x 20.3 cm) Pad3.5 x 14" (8.9 x 35.6 cm),1.5 x 12" (3.8 x 30.5 cm) PadHCPCSPkgA621210/bx, 10 bx/csA621210/bx, 10 bx/csA621310/bx, 10 bx/csOPTIFOAM Ag POST-OPIdeal for managing bioburden in post-operative wounds.Item No.MSC9636MSC96310MSC96314Description3.5 x 6" (8.9 x 15.2 cm),1.5 x 4" (3.8 x 10.2 cm) Pad3.5 x 10" (8.9 x 25.4 cm),1.5 x 8" (3.8 x 20.3 cm) Pad3.5 x 14" (8.9 x 35.6 cm),1.5 x 12" (3.8 x 30.5 cm) PadHCPCSPkgA621210/bx, 10 bx/csA621210/bx, 10 bx/csA621310/bx, 10 bx/cs4 hrs. at 37 C exposure to 4 sq cm of each dressing106 - 107 Colony Forming Units (CFUs) initial populationNumber of Surviving Colony Forming Units250200Q MRSAQ P. aeruginosa15010050COMPARATIVE ANTIMICROBIALEFFECT STUDY10Optifoam Ag ACTICOAT Non-Adhesive Moisture ControlOptifoam Ag has the least numberof surviving colony forming units at4 hours.1

1. Paustian C, Stegman MR. Preparing the wound for healing: the effect of activated polyacrylate dressing on debridement. Ostomy/Wound Management. 2003;49(9):34-42. 2. Bruggisser R. Bacterial and fungal absorption properties of a hydrogel dressing with a super absorbent polymer core. Jou rnal of Wou