Guide for the Treatment of Chronic Wounds Preface

PG_Umschlag_GB_0510.qxp:Außenklapper
26.04.2010
13:41 Uhr
Seite 1
Areas of application
TenderWet 24 active
TenderWet active cavity
Atrauman Ag
PermaFoam
PermaFoam comfort
PermaFoam sacral
PermaFoam concave
PermaFoam cavity
For active wound cleansing in chronic and poorlyhealing, superficial wounds.
Suitable for packing deep wounds or wounds with
pocket formation.
Preface
PAUL HARTMANN AG
89522 Heidenheim
Germany
Guide
for the Treatment of Chronic Wounds
Visit our website:
www.hartmann.info
With the present guide we would like to give you an overview of the ”indicationspecific” uses of hydroactive dressings for chronic wounds and thus support you
systematically in your treatment decisions.
For the treatment of wounds in danger of infection
or infected wounds as well as for prophylaxis against
infections in chronic or acute wounds.
For treatment of superficial as well as heavily to moderately exudating wounds, particularly in sensitive or
previously damaged wound site and infected wounds in
combination with Atrauman Ag.
Simple application in patients with non-sensitive skin
thanks to self-adhesive border around the edges.
For treatment of decubitus in the sacral region.
For applications in the case of decubitus on heel and
elbow.
For treatment of deep wounds with practical folding
technique, also usable for infected wounds.
Using typical wound patterns, the guide shows different chronic wounds (decubital
ulcers, diabetic foot and ulcus cruris (leg ulcer)) in the various wound-healing stages
with the respective characteristics.
Customer service
Wound cleansing (necrosis, infection and fibrin exudation)
Granulation
Epithelization
You can find further information in our Medical Editions:
These stages are further subdivided according to superficial and deep or fissured
wounds as well as the quantity of exudate produced and the respective condition of
the skin (intact or previously damaged peri-wound site).
– Diagnosis, treatment and prevention of the diabetic foot syndrome
– Compendium wounds and wound management
The classification of those hydroactive dressings that are likely to be best suited for
the management of a given wound at a particular stage in the healing process as
well as supplements for fixation and compression provide you with a sound basis for
decision-making during the whole duration of wound treatment.
– Phase-specific wound management of decubitus ulcer
Sorbalgon T
For treatment of deep and fissured wounds which are
heavily to moderately exudating or bleeding.
Tamponing ribbons especially for narrow fistula passages
and puncture channels.
HydroTac
HydroTac comfort
Suitable for the treatment of slightly to moderately
exuding wounds, during the granulation and
epithelialisation phases.
Hydrocoll
For treatment of moderately to lightly exudating,
non-infected wounds.
Especially for treatment of decubitus in the sacral region.
For treatment of decubitus on heel and elbow.
For treatment of lightly exudating and already
epithelializing wounds.
Hydrocoll sacral
Hydrocoll concave
Hydrocoll thin
Hydrosorb
Hydrosorb comfort
Hydrosorb Gel
– Phase-specific wound management of venous leg ulcer
The guide is divided into the following chapters:
You can order all titles through the Internet – http://hartmann.info/english/service –,
or contact directly our German headquarter in Heidenheim: +49 73 21/36-0.
Wound pattern
Decubital ulcers
Diabetic foot
Ulcus cruris (leg ulcer)
Product overview
The guide is rounded off with useful application notes and a practical range of
supplements.
For treatment of wounds in the epithelization stage and
burn wounds up to 2nd degree.
Simple application thanks to self-adhesive border around
the edges.
For moist treatment of deep or fissured wounds, with
low exudate as well as for softening and detaching
necrotic material.
087 006/0 (0510)
Sorbalgon
Chronic wounds, such as pressure sore (decubital ulcers), diabetic foot or ulcus cruris
(leg ulcer), are increasingly becoming a problem in daily caregiving routine. The often
difficult, lengthy treatments and the extra strain that is put on the patients caused by
the long lasting illness are a challenge for the specialized nursing and medical staff.
PG_Umschlag_GB_0510.qxp:Außenklapper
26.04.2010
13:41 Uhr
Seite 1
Areas of application
TenderWet 24 active
TenderWet active cavity
Atrauman Ag
PermaFoam
PermaFoam comfort
PermaFoam sacral
PermaFoam concave
PermaFoam cavity
For active wound cleansing in chronic and poorlyhealing, superficial wounds.
Suitable for packing deep wounds or wounds with
pocket formation.
Preface
PAUL HARTMANN AG
89522 Heidenheim
Germany
Guide
for the Treatment of Chronic Wounds
Visit our website:
www.hartmann.info
With the present guide we would like to give you an overview of the ”indicationspecific” uses of hydroactive dressings for chronic wounds and thus support you
systematically in your treatment decisions.
For the treatment of wounds in danger of infection
or infected wounds as well as for prophylaxis against
infections in chronic or acute wounds.
For treatment of superficial as well as heavily to moderately exudating wounds, particularly in sensitive or
previously damaged wound site and infected wounds in
combination with Atrauman Ag.
Simple application in patients with non-sensitive skin
thanks to self-adhesive border around the edges.
For treatment of decubitus in the sacral region.
For applications in the case of decubitus on heel and
elbow.
For treatment of deep wounds with practical folding
technique, also usable for infected wounds.
Using typical wound patterns, the guide shows different chronic wounds (decubital
ulcers, diabetic foot and ulcus cruris (leg ulcer)) in the various wound-healing stages
with the respective characteristics.
Customer service
Wound cleansing (necrosis, infection and fibrin exudation)
Granulation
Epithelization
You can find further information in our Medical Editions:
These stages are further subdivided according to superficial and deep or fissured
wounds as well as the quantity of exudate produced and the respective condition of
the skin (intact or previously damaged peri-wound site).
– Diagnosis, treatment and prevention of the diabetic foot syndrome
– Compendium wounds and wound management
The classification of those hydroactive dressings that are likely to be best suited for
the management of a given wound at a particular stage in the healing process as
well as supplements for fixation and compression provide you with a sound basis for
decision-making during the whole duration of wound treatment.
– Phase-specific wound management of decubitus ulcer
Sorbalgon T
For treatment of deep and fissured wounds which are
heavily to moderately exudating or bleeding.
Tamponing ribbons especially for narrow fistula passages
and puncture channels.
HydroTac
HydroTac comfort
Suitable for the treatment of slightly to moderately
exuding wounds, during the granulation and
epithelialisation phases.
Hydrocoll
For treatment of moderately to lightly exudating,
non-infected wounds.
Especially for treatment of decubitus in the sacral region.
For treatment of decubitus on heel and elbow.
For treatment of lightly exudating and already
epithelializing wounds.
Hydrocoll sacral
Hydrocoll concave
Hydrocoll thin
Hydrosorb
Hydrosorb comfort
Hydrosorb Gel
– Phase-specific wound management of venous leg ulcer
The guide is divided into the following chapters:
You can order all titles through the Internet – http://hartmann.info/english/service –,
or contact directly our German headquarter in Heidenheim: +49 73 21/36-0.
Wound pattern
Decubital ulcers
Diabetic foot
Ulcus cruris (leg ulcer)
Product overview
The guide is rounded off with useful application notes and a practical range of
supplements.
For treatment of wounds in the epithelization stage and
burn wounds up to 2nd degree.
Simple application thanks to self-adhesive border around
the edges.
For moist treatment of deep or fissured wounds, with
low exudate as well as for softening and detaching
necrotic material.
087 006/0 (0510)
Sorbalgon
Chronic wounds, such as pressure sore (decubital ulcers), diabetic foot or ulcus cruris
(leg ulcer), are increasingly becoming a problem in daily caregiving routine. The often
difficult, lengthy treatments and the extra strain that is put on the patients caused by
the long lasting illness are a challenge for the specialized nursing and medical staff.
PG_Umschlag_GB_0510.qxp:Außenklapper
26.04.2010
Product overview *
TenderWet 24 active
13:41 Uhr
Seite 2
Wound pattern
Wound cleansing
Necrosis
TenderWet active cavity
Adhesive tapes
Pütterbinde
Infection
Fibrin/Exudation
Superficial wounds
PermaFoam / PermaFoam comfort
M
TenderWet active 24
Atrauman Ag 1
M
TenderWet active 24
M
M
Exudate +
TenderWet active 24
Omnifix® elastic
Soft, supple adhesive dressing retention sheet for coverage of wound dressings over
the whole surface and securing bandages to joints, round and conical parts of the
body.
M
M
M
M
M
Exudate ++
PermaFoam2
Sorbalgon
Atrauman Ag 1
PermaFoam
PermaFoam comfort 3
Conforming bandages and tubular
bandages
Sorbalgon T
Deep or fissured wounds
Peha-haft® (latex-free)
Cohesive conforming bandage with strong adhesive effect for bandages on joints as
well as on all round and conical parts of the body.
TenderWet active cavity
M
M
TenderWet active cavity
Hydrosorb Gel
TenderWet active cavity
M
M
M
Exudate +
PermaFoam cavity
Exudate ++
M
M
Hydrocoll concave
PermaFoam cavity
Sorbalgon (T)
Hydrocoll thin
1 As primary wound dressing in combination with absorbent wound dressings.
2 PermaFoam
Omnipor
Omnifilm
in infected wounds only under medical supervision.
sacral or concave versions if appropriate
Pehalast®
Elastic gauze bandage made of very skin-friendly, pure cotton with reliable and
non-slip fit, usable on joints or other conical parts of the body, especially suitable for
allergy-sufferers.
Lastodur® strong
Versatilely applicable permanently elastic long-stretch conforming bandage. Can also
be used as a functional support and relief bandage for damage to the skeletal and
locomotor system as well as a sports bandage.
3 Alternatively
Stülpa®-fix
Highly elastic net tubular bandage for safe and long-lasting securing of wound
dressings to all body parts, can be cut as desired without tearing or fraying.
Dressing retention
Stülpa®
Seamless knitted tubular bandage with high two-way elasticity for all types of durable
dressing retentions.
Peha-haft
Peha-haft latex-free
Pehalast
Lastodur strong
Stülpa-fix
M
M
Extremities
Peha-haft
Pehalast
Stülpa-fix
Stülpa
M
M
M
M
Sensitive skin
Pehalast
Omnipor
Peha-crepp
M
M
M
M
M
Normal skin
Omnifix elastic
Omniplast
Omnisilk
Peha-haft
Stülpa-fix
Peha-crepp
Stülpa
M
Hydrosorb Gel
Omnisilk
Omnifix elastic
Hydrocoll
Hydrosorb / Hydrosorb comfort
Omniplast
Peha-crepp®
Lightly cushioning, super-elastic conforming bandage for safe and non-slip securing
of wound dressings.
HydroTac comfort
Hydrocoll sacral
Saphenamed ucv
Omnifilm
Hypoallergenic adhesive tape made of transparent foil, tolerable to the skin and
breathable. Omnifilm can be easily torn lengthwise and crosswise.
PermaFoam cavity
Sorbalgon
Omnipor®
Hypoallergenic adhesive tape made of white non-woven fabric, counteracts
macerations, with water repellent impregnation.
Varolast
®
PermaFoam concave
HydroTac
Omniplast®
Hypoallergenic adhesive tape made of skin-colored textile fabric, very tensile and
hard-wearing.
Omnisilk®
Hypoallergenic adhesive tape made of white synthetic silk, breathable, with water
repellent impregnation.
Atrauman Ag
PermaFoam sacral
Product overview *
Warning: Use Peha-haft as a cohesive conforming bandage with caution in patients with
circulatory disturbances. Do not apply too tightly.
* Please note: Availability of products vary in each country
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Seite 1
Compression
Granulation
Epithelization
Initial therapy
Pütterbinde®/Pütter-Verband®
Especially strong, short-stretch bandages with textile elasticity made of 100% cotton
which are very well suited for the counter-running Pütter bandaging technique.
The strong fabric generates a high compression with a high working pressure and low
resting pressure.
M
M
Hydrocoll thin
HydroTac
HydroTac comfort
Sensitive skin
M
HydroTac
M
M
Saphenamed ucv
Two-layer compression stocking system for optimum compression treatment of venous
leg ulcer (Ulcus cruris venosum). Convinces with its high waring comfort and by its
ability to produce an optimum pressure gradient.
M
Subsequent treatment after decongestion / reduction of oedema
Hydrocoll3
HydroTac
HydroTac comfort
M
M
Normal skin
M
Varolast®
Ready-to-use, easily applicable zinc paste bandage conformable in both directions
for use as a permanent bandage. When applied, the bandage forms a semi-rigid,
unyielding bandage which effects intense decongestion of deeper venous areas.
HydroTac
Hydrosorb
Further products
Cosmopor® sterile
Adhesive wound dressing with high absorption capacity and good cushioning effect
for the postoperative wound treatment as well as for the sterile care of minor injuries.
M
Hydrofilm®
is an adhesive, waterproof and transparent polyurethane film dressing. Hydrofilm is
sterile and available in different pre-cut sizes. It can be used for the retention of
wound dressings.
M
M
Hydrofilm® Plus
Adhesive, waterproof, transparent wound dressing with good absorption and
cushioning effect for postoperative care of secreting wounds and for protection
against secondary infections.
Hydrosorb Gel
PermaFoam cavity
Sorbalgon
Hydrofilm® roll
is an adhesive, waterproof and transparent polyurethane film for the retention of
wound dressings. The non-sterile film comes on roles of different sizes and can individually be cut to the needed dimensions.
Rolta® soft
Very soft, skin-friendly, synthetic padding bandage which is very well suited as
padding material under support and compression bandages.
M
M
Sacral region
Omnifix elastic
Stülpa-fix
Molipants
(Inco System)
M
M
Fingers and toes
Stülpa Ready-To-Use
Bandage
Peha-haft
M
M
Joints
Stülpa-fix
Omnifix elastic
M
Cosmopor® I.V.
Medicomp® Drain
Peha®-Slit dressing
PermaFoam® tracheostomy
To be used for drainage and extensions.
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Seite 2
Decubitus (Pressure sore)
Wound dressings
Pressure sore as a result of local damage to the skin and subjacent tissue through
pressure, force of gravity, friction or a combination of these factors.
ES gauze swabs (with cut edges folded in)
Usable as a swab or dressing as well as a secondary wound dressing in conjunction
with an impregnated dressing.
Wound cleansing
Nekrosis
Infection
Fibrin/Exudation
Superficial wounds
Zetuvit®
Particularly absorbent, combined dressing pads for care of heavily exudating wounds
and for padding. A non-woven covering on the side facing towards the wound
prevents sticking to the wound.
Zetuvit® Plus
Highly absorbent combined wound dressing pad for the treatment of extremely heavily
exudating wounds, e. g. in lymph oedema; produces a cushioning effect. The absorbent
core consists of soft cellulose fluff blended with liquid-retaining polymers.
TenderWet active 24
Atrauman Ag 1
M
M
M
M
Exsudat +
TenderWet active 24
®
Medicomp
Granulation
Epithelisierung
Soft non-woven swabs for the general wound treatment as swabs and secondary
wound dressing in conjunction with an impregnated dressing.
TenderWet active 24
M
M
PermaFoam2
Sorbalgon
Atrauman Ag 1
M
M
M
Exsudat ++
PermaFoam
PermaFoam comfort 3
Grassolind®
The skin-friendly contact layer free from active agents made of open-weave
cotton lattice tulle can be used as a primary wound dressing.
M
M
TenderWet active cavity
TenderWet active cavity
M
M
M
Exsudat +
PermaFoam cavity
M
M
Exsudat ++
PermaFoam cavity
Sorbalgon (T)
1 As primary wound dressing in combination with absorbent wound dressings.
2 PermaFoam
in infected wounds only under medical supervision.
sacral or concave versions if appropriate.
3 Alternatively
Dressing retention
M
M
Sacral region
Omnifix elastic
Stülpa-fix
Molipants
(Inko System)
M
M
M
Extremities
Peha-haft
Pehalast
Stülpa-fix
M
M
M
M
Sensitive skin
Pehalast
Omnipor
Peha-crepp
M
M
M
M
M
M
Normal skin
Omnifix elastic
Omniplast
Omnisilk
Peha-haft
Stülpa-fix
Hydrofilm roll
Hydrotul®
is a hydroactive, skin-caring, non-occlusive impregnated contact layer for atraumatic
wound treatment. The carrier material consists of polyamide impregnated
with a non-medicated triglyceride (neutral fat) based hydroactive impregnation.
Atrauman®
The skin-caring contact layer free from active agents and made of close-weave, hydrophobic polyester tulle can be used as a primary wound dressing.
Deep or fissured wounds
TenderWet active cavity
Hydrosorb Gel
Menalind professional skin protection foam
Contact layers
Warning: Use Peha-haft as a cohesive conforming bandage with caution in
patients with circulatory disturbances. Do not apply too tightly.
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Seite 3
HydroTac®/HydroTac® comfort
Dekubitus
Properties:
Druckgeschwür infolge lokaler Schädigung der Haut und des darunter liegenden
HydroTac
is a foam
dressing
with a Reibung
gas-permeable,
waterproof
and bacteria
resistant
Gewebes durch
Druck,
Scherkräfte,
oder einer
Kombination
dieser Faktoren.
outer layer made of polyurethane. The dressing face in contact with the wound is
impregnated with a hydrogel. The gel consists of a water containing polyurea / hybrid
polyurethane-polymer,
Wundreinigung which contains propylene glycol.
Benefits:
Easy,
hygienic application dueInfektion
to “Initial Tack”.
Nekrose
Fibrinbelag
Assists the moist wound environment for effective wound healing.
Low-pain removal of the wound dressing because the gel counteracts sticking to
the wound as far as possible.
Dressing change:
HydroTac should be changed when it is clinically indicated or when exudate becomes
visible at the edges of the dressing.
Granulation
Epithelization
HydroTac
Normal skin
M
Atrauman Ag*
M
M
Hydrocoll thin
HydroTac
HydroTac comfort
M
M
3
3
HydroTac
Hydrosorb Gel
PermaFoam cavity
Sorbalgon
M
M
M
M
6 cm round
Pack of 3
6 cm round
Pack of 10
Atrauman
Ag* Pack of 3
10 x 10 cm
10 x 10 cm
Pack of 10
10 x 20 cm
Pack of 3
20 x 20 cm
Pack of 3
3.5 x 3.5 cm
Pack of 10
7.5 x 7.5 cm
Pack of 3
7.5 x 7.5 cm
Pack of 10
Exsudat
++
9 x 14 cm
Pack of 3
TenderWet
14 x 14 cm active
Packcavity
of 3
German
PZN No.
24 active
345111 1
345112 8
345130 6
345131 2
345132 9
345149 9
345263 6
345265 9
345268 8
345270 2
active
cavity
345271
9
PermaFoam cavity
Sorbalgon/Sorbalgon T
TenderWet active cavity
M
M
Sorbalgon/Sorbalgon T
Reference
number
TenderWet
685 848
685 849
685 831
685 832
685 833
685 844
685 810
685 814
685 815
685 820
TenderWet
685 822
M
M
M
M
dimension 24 active
TenderWet
M
Sales units
M
Hydrosorb Gel
Exsudat
+
Internal
M
M
M
External
dimension
HydroTac
6 cm round
6 cm round
10 x 10 cm
10 x 10 cm
10 x 20 cm
20 x 20 cm
HydroTac comfort
8 x 8 cm
12.5 x 12.5 cm
12.5 x 12.5 cm
15 x 20 cm
TenderWet active
20 xcavity
20 cm
Sensitive skin
M
M
2
M
1
4
2
1
HydroTac
Hydrosorb
M
Exsudat +
TenderWet active cavity
Pressure sore stages Decubitus*
Stage I:
Persistent, sharply defined area of reddening on intact skin.
Further indicative clinical signs may also include oedema formation, induration and local hyperthermia of the skin.
Stage II:
Partial loss of the skin. The epidermis as far as the dermis
(corium) is damaged. This is a superficial ulcer which results
from pressure damage and may manifest clinically as an
abrasion, blister or shallow crater.
Loss of all skin layers and damage to the subcutaneous tissue, which may extend as far as the fascia beneath the skin.
Clinically, the pressure ulcer looks like an open sore with or
without undermining of surrounding skin.
Loss of skin involving the entire skin thickness with
extensive tissue necrosis and damage to muscles, bones and
supporting structures (tendons, joint capsule).
* mit saugender Wundauflage
M
M
Extremitäten
Peha-haft
Pehalast
Stülpa-fix
M
M
M
M
empfindliche Haut
Pehalast
Omnipor
Peha-crepp
Stage III:
M
M
M
M
M
normale Haut
Omnifix elastic
Omniplast
Omnisilk
Peha-haft
Stülpa-fix
Achtung:
Peha-haft als kohäsive Fixierbinde ist mit Vorsicht bei Patienten mit
Durchblutungsstörungen einzusetzen: Nicht zu fest anwickeln.
Stage IV:
*based on the classification of the National Pressure Ulcer Advisory Panel 1989
Menalind professional Hautprotektor
3
M
HydroTac comfort
intakte Wundumgebung
PermaFoam comfort
PermaFoam sacral
4
PermaFoam
concave
TenderWet 24 active
vorgeschädigte Wundumgebung
PermaFoam
Hydrocoll3
HydroTac
HydroTac comfort
M
TenderWet 24 active
Sorbalgon
M
M
TenderWet 24 active
M
Exsudat ++
M
M
2
1
M
2
M
1
PG_Innen_GB_0510.qxp:Einleger
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Seite 4
Diabetic foot
Hydrosorb®
Diabetic foot syndromes are an ulceration or disintegration of tissue on the foot,
whose development is attributable to diabetic secondary diseases such as sensomotor
or autonomous neuropathy and/or peripheral occlusive arterial disease.
Properties:
Hydrosorb is a transparent hydrogel dressing made of polyurethane.
Benefits:
Optimum environment for cell migration thanks to the high water content of the
hydrogel dressing.
Granulation
Epithelisierung
Guarantees rest of the wound required for the formation of sensitive epithelial
tissue.
Wound documentation facilitated by transparency and the grid lines on the surface.
Dressing change:
In the case of decreasing secretion, Hydrosorb can remain on the wound for up to
seven days.
Wound cleansing
Necrosis
Infection
Fibrin/Exudation
Superficial wounds
Hydrosorb comfort
Normal Skin
M
Hydrosorb
Hydrosorb comfort
M
M
External
dimensions
5 x 7.5 cm
10 x 10 cm
20 x 20 cm
4.5 x 6.5 cm
7.5 x 10 cm
12.5 x 12.5 cm
21.5 x 24 cm
Internal HydroTacUnit of sale
dimensions
Hydrosorb
5 x 7.5 cm
Pack of 5
10 x 10 cm
Pack of 5
20 x 20 cm
Pack of 3
2.5 x 3.8 cm
Pack of 5
4 x 6.8 cm
Pack of 5
8 x 8 cm
Pack of 5
16 x 18.5 cm
Pack of 3
M
M
HydroTac
Code No.
M
M
M
M
M
Hydrocoll thin
HydroTac
Hydrosorb
HydroTac comfort
Sensitive skin
Exsudat ++
PermaFoam2
Sorbalgon
Atrauman Ag1
Hydrocoll
HydroTac
HydroTac comfort
M
PermaFoam
PermaFoam comfort3
M
TenderWet 24 active
M
M
TenderWet 24 active
Atrauman Ag1
M
M
M
M
Exsudat +
TenderWet active 24
900 853
900 854
900 855
900 702
900 706
900 723
900 729
German
PZN no.
442662 9
442663 5
442664 1
025650 9
772119 7
772120 5
025651 5
Deep or fissured wounds
Hydrosorb® Gel
PermaFoam cavity
M
M
M
M
TenderWet active cavity
M
TenderWet active cavity
M
M
TenderWet active cavity
Hydrosorb Gel
M
Exsudat +
Properties:
Hydrosorb Gel is a clear, viscous hydrogel whose components are water with an
electrolytic composition, which provides a balanced moist wound environment from
the very beginning.
Benefits:
Hydrosorb
Gel directly onto the wound bed to ensure efficient dosage.
Can
be applied
PermaFoam
two cavity
scales to show how much gel has been used and how much gel
Features
Sorbalgon
remains
thus enabling easy wound documentation.
Can be combined with all kinds of dressings.
Dressing changes are almost painless.
The easy handling of the syringe mechanism helps save time.
Is very cost-efficient as the syringe can be completely emptied.
Dressing change:
Hydrosorb
Gel may
be left onthe
themore
wound
for up to 3and
days.time-consuming
The dressing should
The higher
the degree
of severity,
cost-intensive
the be
changed when exudate leaks out through the secondary absorptive dressing.
treatment
M
M
Exsudat ++
PermaFoam cavity
Sorbalgon (T)
1 As primary wound dressing in combination with absorbent wound dressings.
2 PermaFoam
in infected wounds only under medical supervision.
Classification
Hydrosorb Gelof DFS according to Wagner/Armstrong
Dressing retention
M
M
Extremities
Peha-haft
Pehalast
Stülpa
M
M
M
M
Sensitive skin
Pehalast
Omnipor
Peha-crepp
0
1
2
M
Fingers and toes
Stülpa Fertigverband
Peha-haft
M
M
Joints
Stülpa
Omnifix elastic
M
M
M
M
M
M
Normale skin
Omnifix elastic
Omniplast
Omnisilk
Peha-haft
Stülpa
Warning: Use Peha-haft as a cohesive conforming bandage with caution in patients
with circulatory disturbances. Do not apply too tightly.
3
4
5
A
Pre- or post-ulcerative lesion
Superficial wound
Wound penetrating to tendon or
capsule
Wound penetrating to boneContents
or
joint
Hydrosorb Gel
Gangrene
of some portion 8ofg the
15 g
foot
Gangrene involves the whole foot
B
with
infection
C
with
ischemia
D
with infection
and ischemia
M
M
M
M
M
M
M
Code No.M
M
M
M5
M
M
M
900 843 M
900 844
M Unit
of sale
M
M
syringes
10 syringes
M
M
M
German
PZN no.
408478 4
369483 6
PG_Innen_GB_0510.qxp:Einleger
26.04.2010
13:43 Uhr
Seite 5
®
Hydrocollfoot
Diabetic
Properties:
Diabetic
foot syndromes are an ulceration or disintegration of tissue on the foot,
whose development
Hydrocoll
is a self-adherent,
is attributable
absorbent
to diabetic
hydrocolloid
secondary
dressing.
diseases such as sensomotor
or autonomous neuropathy and/or peripheral occlusive arterial disease.
Benefits:
Simple application and good wearing comfort due to thin, highly flexible material.
Practically
no gel residues left on the wound in case of dressing changes.
Wound cleansing
Dressing change:
Hydrocoll
is changed when the dressing
blister formation
Necrosis
Infectionis visibly discolored and
Fibrin/Exudation
approximately corresponds to the size of the wound.
Granulation
Epithelisierung
Superficial wounds
Hydrocoll sacral
Normal Skin
Deep or fissured wounds
M
M
Hydrocoll thin
HydroTac
HydroTac comfort
Hydrosorb Gel
PermaFoam cavity
Sorbalgon
M
HydroTac
M
Sensitive skin
M
M
M
M
Hydrocoll sacral
Hydrocoll concave
Hydrocoll thin
900 740
900
742
PermaFoam
900 744
PermaFoam
900 748
900 749
900 755
900 756
900 757
900 758
900 760
900 754
German
PZN no.
169063 3
169065 6
–
comfort3
441987 1
754765 8
754766 4
169074 5
169075 1
754767 0
754768 7
467250 6
M
5 x 5 cmExsudat ++Pack of 10
7.5 x 7.5 cm
Pack2 of 10
PermaFoam
10 x 10 cm
Pack of 10
Sorbalgon
15 x 15 cm
Pack of 5
Agof1 5
20 x 20 cmAtraumanPack
12 x 18 cm
Pack of 5
8 x 12 cm
Pack of 10
7.5 x 7.5 cm
Pack of 10
10 x 10 cm
Pack of 10
15 x 15 cm
Pack of 5
5 x 25 cm
Pack of 12
Hydrocoll
Code No.
M
Unit of sale
M
Size
Hydrocoll
HydroTac
HydroTac comfort
M
M
M
TenderWet 24 active
M
M
M
M
TenderWet 24 active
Atrauman Ag1
M
Exsudat +
Hydrocoll concave
TenderWet active 24
HydroTac
Hydrosorb
M
TenderWet active cavity
M
TenderWet active cavity
PermaFoam cavity
M
M
M
M
TenderWet active cavity
Hydrosorb Gel
M
Exsudat +
M
M
Exsudat ++
PermaFoam cavity
Sorbalgon (T)
1 As primary wound dressing in combination with absorbent wound dressings.
2 PermaFoam
in infected wounds only under medical supervision.
Classification of DFS according to Wagner/Armstrong
Dressing retention
M
M
Extremities
Peha-haft
Pehalast
Stülpa
M
M
M
M
Sensitive skin
Pehalast
Omnipor
Peha-crepp
0
1
2
M
Fingers and toes
Stülpa Fertigverband
Peha-haft
M
M
Joints
Stülpa
Omnifix elastic
M
M
M
M
M
M
Normale skin
Omnifix elastic
Omniplast
Omnisilk
Peha-haft
Stülpa
The higher the degree of severity, the more cost-intensive and time-consuming the
treatment
Warning: Use Peha-haft as a cohesive conforming bandage with caution in patients
with circulatory disturbances. Do not apply too tightly.
3
4
5
A
Pre- or post-ulcerative lesion
Superficial wound
Wound penetrating to tendon or
capsule
Wound penetrating to bone or
joint
Gangrene of some portion of the
foot
Gangrene involves the whole foot
B
with
infection
C
with
ischemia
D
with infection
and ischemia
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
PG_Innen_GB_0510.qxp:Einleger
26.04.2010
13:43 Uhr
Seite 6
Ulcus cruris (leg ulcer)
Sorbalgon®/Sorbalgon® T
Loss of tissue in pathologically altered tissue of the lower leg, e.g. as a result of a chronic
venous insufficiency (ulcus cruris venosum), disturbed blood circulation (ulcus cruris
arteriosum) or a combination of these factors (ulcus cruris mixtum).
Properties:
Sorbalgon is a dressing or tamponade composed of calcium alginate fibers. The
alginate fibers transform into a gel when they come into contact with the wound
secretion.
Benefits:
Granulation
Epithelization
Wound cleansing and secretion removal also in deep wounds.
Good draping quality thanks to loose compound of fibers.
Dressing change:
Sorbalgon is changed after complete transformation into the gel state.
Wundreinigung
Wound
cleansing
Necrosis
Infection
Fibrin/Exudation
Sorbalgon
Sorbalgon
Dressings
M
Sensitive skin
PermaFoam
PermaFoam comfort
HydroTac
Sorbalgon
T
Tamponing ribbons
M
M
PermaFoam 2
Sorbalgon
Atrauman Ag1
M
M
M
Exsudat ++
5 x 5 cm
5 x 5 cm
10 x 10 cm
10 x 10 cm
10 x 20 cm
1g / 30 cm
2g / 30 cm
Pack of 3
Pack of 10
Pack of 3
Pack of 10
Pack of 5
HydroTac
Pack of
3
Pack of
5
Hydrosorb
M
M
M
Size
Hydrocoll thin
HydroTac
Unit of
sale
Code No.
HydroTac
comfort
M
M
Hydrocoll
HydroTac
HydroTac comfort
M
M
TenderWet 24 active
M
M
M
M
M
Normal skin
TenderWet 24 active
Atrauman Ag1
999 580
999 598
999 584
999 595
999 589
999 590
999 592
1 As primary wound dressing in combination with absorbent wound dressings.
2 PermaFoam
in infected wounds only under medical supervision.
Chronic venous insufficiency (CVI)*
Permanent bandage
Compression stocking
Varolast
Saphenamed ucv
Intermittent bandaging Intermittent bandaging
Pütterbinde
Pütterbinde
CVI Grade I: Corona paraplantaris phlebectatica
CVI Grade II: Pigment changes (dermatitis ocre), eczema (stastis dermatitis)
M
M
M
M
Compression treatment in ulcus cruris venosum (venous leg ulcer)
CVI Grade III: Active or cured ulcer
Warning: Compression treatment according to medical advice
*according to the Widmer classification
Dressing retention
Classification of CEAP
M
M
Joints
Stülpa-fix
Omnifix elastic
M
M
M
Extremities
Peha-haft
Pehalast
Stülpa-fix
Stülpa
C-Clinical condition
0 No visible / palpable findings
1 Teleangiectasia or reticular
veins
M
M
M
M
Sensitive skin
Pehalast
Omnipor
Peha-crepp
M
M
M
M
M
Normal skin
Omnifix elastic
Omniplast
Omnisilk
Peha-haft
Stülpa-fix
2 Trunc or branch varicosis
Warning:
Use Peha-haft as a cohesive conforming bandage with caution in patients with
circulatory disturbances. Do not apply too tightly.
3
4
5
6
Venous oedema
Skin changes
A healed venous ulcer
An open venous ulcer
E-Aethiology
Inborn (C)
Primary/
indefinable
Cause (P)
Secondary/
definable
Cause (S)
P-Pathophysiology
A-Anatomic
Superficial vein (C) Reflux (R)
Obstruction (O)
Deep veins (D)
Vv. perforantes (P)
Menalind professional body lotion
Exsudat +
TenderWet active 24
German
PZN no.
–
331895 5
–
331894 9
088491 5
088490 9
735557 4
PG_Innen_GB_0510.qxp:Einleger
26.04.2010
13:44 Uhr
Seite 7
Ulcus
PermaFoam
cruris ®(leg ulcer)
Properties:
Loss
of tissue in pathologically altered tissue of the lower leg, e.g. as a result of a chronic
PermaFoam
is a hydroactive
polyurethane
dressing
with
special pore
structure
venous
insufficiency
(ulcus cruris
venosum),foam
disturbed
blood
circulation
(ulcus
cruris
which enables
and optimal
absorption
woundcruris
exudate,
viscous secretions and
arteriosum)
or afast
combination
of these
factorsof(ulcus
mixtum).
cell debris.
Benefits:
Wundreinigung
Wound
cleansing
Promotes granulation due to specially structured pores.
Improved protection against Infection
macerations.
Necrosis
Fibrin coating
Ideal for the compression treatment of ulcus cruris venosum (venous leg ulcer).
Dressing change:
PermaFoam can remain on the wound for up to four days.
Granulation
Epithelization
M
M
M
Hydrocoll
HydroTac
HydroTac comfort
M
PermaFoam
PermaFoam comfort
M
TenderWet 24 active
M
M
Normal skin
TenderWet 24 active
Atrauman Ag1
M
M
M
M
Exsudat +
TenderWet active 24
Hydrocoll thin
HydroTac
HydroTac comfort
PermaFoam comfort
M
PermaFoam cavity
M
HydroTac
M
M
Sensitive skin
PermaFoam 2
Sorbalgon
Atrauman Ag1
M
M
M
Exsudat ++
HydroTac
Hydrosorb
2
1 As primary wound dressing in combination with
1
absorbent wound dressings.
2 PermaFoam
in infected wounds only under medical supervision.
PermaFoam concave
Chronic venous insufficiency (CVI)*
Permanent bandage
Compression stocking
Varolast
Saphenamed ucv
Intermittent bandaging Intermittent bandaging
Pütterbinde
Pütterbinde
CVI Grade I: Corona paraplantaris phlebectatica
CVI Grade II: Pigment changes (dermatitis ocre), eczema (stastis dermatitis)
M
M
M
M
Compression treatment in ulcus cruris venosum (venous leg ulcer)
CVI Grade III: Active or cured ulcer
PermaFoam sacral
Warning: Compression treatment according to medical advice
*according to the Widmer classification
Dressing retention
Classification of CEAP
M
M
M
M
M
C-Clinical condition
0 No visible / palpable findings
1 Teleangiectasia or reticular
veins
M
M
M
M
M
M
M
M
M
External
Internal
Unit of sale Code No.
German
dimensions skin dimensions Extremities
Sensitive
Normal skin
JointsPZN no.
PermaFoam
diam.
6 cm round diam. 6 cm round Peha-haft
Pack of 10
409 427 Stülpa-fix
344621 6
Pehalast
Omnifix elastic
10 x 10 cm
10 x 10 cm
Pack of 10
409 401
409432 8
Omnipor
Omniplast
Pehalast
Omnifix
elastic
10 x 10 cm
10 x 10 cm
Pack of 3
409 400
409431 1
Peha-crepp
Omnisilk
Stülpa-fix
10 x 20 cm
10 x 20 cm
Pack of 5
409 403
409435 7
Peha-haft
Stülpa
10 x 20 cm
10 x 20 cm
Pack of 3
409 432
392624 1
Stülpa-fix
15 x 15 cm
15 x 15 cm
Pack of 5
409 405
409433 4
15 x 15 cm
15 x 15 cm
Pack of 3
409 404
409434 0
20 x 20 cm
20 x 20 cm
Pack of 3
409 406
409436 3
PermaFoam comfort
8 x 8 cm
3.5 x 3.5 cm
Pack of 10
409 428
344622 2
self-adhesive
11 x 11 cm
6 x 6 cm
Pack of 10
409 408
409439 2
Warning:
10 x 20 cm
5 x 14 cm
Pack of 5
409 410
409442 3
Use Peha-haft as a cohesive
withPack
caution
patients
15 x 15conforming
cm
10 bandage
x 10 cm
of 5 in 409
412 with
409440 0
circulatory disturbances.20Dox 20not
tightly.
cmapply too
14 x 14
cm
Pack of 3
409 413
409444 6
PermaFoam sacral
18 x 18 cm
11 x 9.5 cm
Pack of 3
409 422
344603 8
self-adhesive
22 x 22 cm
14.5 x 12.5 cm
Pack of 3
409 423
344604 4
PermaFoam concave
16.5 x 18 cm
10.5 x 12 cm
Pack of 3
409 424
344605 0
self-adhesive
PermaFoam cavity
10 x 10 cm
10 x 10 cm
Pack of 3
409 425
344606 7
PermaFoam tracheostomy
8 x 8 cm round
8 x 8 cm round
Pack of 10
409 426
344610 4
2 Trunc or branch varicosis
3
4
5
6
Venous oedema
Skin changes
A healed venous ulcer
An open venous ulcer
E-Aethiology
Inborn (C)
Primary/
indefinable
Cause (P)
Secondary/
definable
Cause (S)
P-Pathophysiology
A-Anatomic
Superficial vein (C) Reflux (R)
Obstruction (O)
Deep veins (D)
Vv. perforantes (P)
Menalind professional body lotion
PermaFoam
PG_Innen_GB_0510.qxp:Einleger
26.04.2010
13:44 Uhr
Seite 8
TenderWet® active
Atrauman® Ag
Properties:
TenderWet active is a wound dressing pad made of polyacrylate which is pre-activated
with Ringer’s solution and ready to use.
Benefits:
Efficient cleansing thanks to the active absorbing and rinsing effect.
Deprives germs of the condition for growth.
High absorption capacity, even under compression treatment.
Dressing change:
TenderWet 24 active and TenderWet active cavity in combination with TenderWet 24
active are changed after approx. 24 hours.
Properties:
Atrauman Ag is a silver-containing contact layer which can be combined with
absorbent wound dressings.
Benefits:
Safe germ destruction with low cytotoxicity.
Macerations are avoided through care of wound edges.
Ideal prophylaxis against infections.
Conforms easily to any wound surface.
Dressing change:
Atrauman Ag can remain on the wound for up to three days.
TenderWet 24 active / TenderWet active cavity
Atrauman Ag …
… for superficial wounds
TenderWet 24 active
(for 24 hours)
Hospital pack
TenderWet active cavity
(for 24 hours with the
corresponding
secondary dressing)
Hospital pack
TenderWet Solution
Size
Unit of sale
Code No.
diam. 4 cm
diam. 5.5 cm
4 x 7 cm, oval
7.5 x 7.5 cm
10 x 10 cm
7.5 x 20 cm
diam. 4 cm
diam. 5.5 cm
4 x 7 cm, oval
7.5 x 7.5 cm
10 x 10 cm
7.5 x 20 cm
diam. 4 cm
diam. 5.5 cm
4 x 7 cm, oval
7.5 x 7.5 cm
10 x 10 cm
7.5 x 20 cm
diam. 4 cm
diam. 5.5 cm
4 x 7 cm, oval
7.5 x 7.5 cm
10 x 10 cm
7.5 x 20 cm
15 ml
Pack of 8
Pack of 8
Pack of 8
Pack of 8
Pack of 8
Pack of 8
Pack of 20
Pack of 20
Pack of 20
Pack of 20
Pack of 20
Pack of 20
Pack of 8
Pack of 8
Pack of 8
Pack of 8
Pack of 8
Pack of 8
Pack of 20
Pack of 20
Pack of 20
Pack of 20
Pack of 20
Pack of 20
Pack of 20
609 823
606 824
609 827
609 817
609 819
609 818
609 825
609 826
609 828
609 820
609 822
609 821
609 807
609 808
609 811
609 801
609 803
609 802
609 809
609 810
609 812
609 804
609 806
609 805
609 490
German
PZN no.
242440 2
242451 4
242464 9
242452 0
242460 3
242465 5
242497 4
242502 8
242572 6
242534 7
242554 8
242573 2
242388 0
242389 7
242392 8
242390 5
242391 1
242401 7
242404 6
242416 4
242434 2
242419 3
242429 9
242435 9
891926 3
Atrauman Ag
Size
Unit of sale
Code No.
5 x 5 cm
5 x 5 cm
10 x 10 cm
10 x 10 cm
10 x 20 cm
10 x 20 cm
Pack of 3
Pack of 10
Pack of 3
Pack of 10
Pack of 3
Pack of 10
499 570
499 571
499 572
499 573
499 574
499 575
German
PZN no.
281385 9
281384 2
281381 3
281380 7
281368 7
281315 0