Guide for the Treatment of Chronic Wounds Preface
Transcription
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 PG_Innen_GB_0510.qxp:Einleger 26.04.2010 13:43 Uhr 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. PG_Innen_GB_0510.qxp:Einleger 26.04.2010 13:43 Uhr 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. PG_Innen_GB_0510.qxp:Einleger 26.04.2010 13:43 Uhr 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 26.04.2010 13:43 Uhr 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