Wound Therapeutics
Transcription
Wound Therapeutics
ConvaTec Wound Therapeutics Life enhancing products and services ConvaTec Wound Therapeutics and you ConvaTec Wound Therapeutics is, and always will be, about successful patient outcomes – for all our customers. If you would like to learn more about how we can help you or your organisation benefit from our products or services, or if you have any comments you think we should hear, then please get in touch by visiting our website or calling one of the contacts on the back cover. You can be sure that we will listen. Table of Contents ConvaTec Wound Therapeutics 1 Wound Management Guide 2-6 Products Versiva® XC 7 AQUACEL® 8 AQUACEL Ag CarboFLEX® 10 ® 11 CombiDERM ACD 12 CombiDERM® NA 13 KALTOSTAT 14 DuoDERM Signal® DuoDERM Extra Thin CGF 16 DuoDERM CGF® 17 DuoDERM Paste 18 DuoDERM® Hydroactive® Gel 19 SAF-Gel 20 Flexi-Dress® 21 SurePress 22 ConvaCare® 23 ® ® ® 15 ™ ® ™ ® ConvaTec Wound Therapeutics ConvaTec Wound Therapeutics ConvaTec Wound Therapeutics ConvaTec delivers more than innovative technologies With ground-breaking products such as DuoDERM®, Versiva® XC Gelling Foam Dressing, AQUACEL® dressing and AQUACEL® Ag dressing, ConvaTec has led the way in wound care innovation for over 20 years. But good science and sound research are just part of the ConvaTec approach. To make wound care easier and more effective, we consider the whole healing process and all the elements within it. To understand every stage of the wound care cycle, we look beyond the laboratory to the clinical environment. We listen to the needs of healthcare professionals, we understand the pressures on purchasers, and we focus on the most important element of all, the patient. That’s what we mean by ConvaTec Wound Therapeutics. It’s a comprehensive approach that grounds our science in the everyday realities of healthcare. We don’t just develop products that help to heal or manage wounds, we make a difference to people’s lives through ethical, cost effective, life-enhancing solutions, and deliver the successful outcomes that matter. 1 Wound Management Guide Wound Management Guide Wound Management Guide Necrotic Treatment aim • Debride • Remove eschar Treatment Choice Exudate Levels Primary Dressing Secondary Dressing Light DuoDERM® Hydroactive® Gel DuoDERM® Extra Thin CGF™ DuoDERM® Paste CombiDERM ACD® CombiDERM® NA CarboFLEX® (Malodorous Wounds) Moderate KALTOSTAT® (Bleeding Wounds) DuoDERM® Extra Thin CGF™ AQUACEL® AQUACEL® Ag DuoDERM Signal® CombiDERM ACD® Versiva® XC CombiDERM® NA CarboFLEX® (Malodorous Wounds) Versiva® XC Heavy KALTOSTAT® (Bleeding Wounds) CombiDERM ACD® AQUACEL® CombiDERM® NA AQUACEL® Ag CarboFLEX® (Malodorous Wounds) Versiva® XC Versiva® XC 2 Wound Management Guide Sloughy Treatment aim • Remove slough • Provide clean base for granulation tissue Treatment Choice 3 ConvaTec Support Centre Exudate Levels Primary Dressing Secondary Dressing Light DuoDERM® Hydroactive® Gel DuoDERM® Extra Thin CGF™ DuoDERM® Paste DuoDERM Signal® CombiDERM ACD® CombiDERM® NA CarboFLEX® (Malodorous Wounds) Moderate KALTOSTAT® (Bleeding Wounds) DuoDERM Signal® AQUACEL® CombiDERM ACD® AQUACEL® Ag CombiDERM® NA Versiva XC CarboFLEX® (Malodorous Wounds) Versiva® XC ® AUSTRALIA: Freecall 1800 335 276 NEW ZEALAND: Toll Free 0800 441 763 Wound Management Guide Granulating Treatment aim • Promote granulation • Provide healthy base for epithelialising tissue Treatment Choice Exudate Levels Primary Dressing Secondary Dressing Light DuoDERM® Hydroactive® Gel DuoDERM® Extra Thin CGF™ DuoDERM Signal® Moderate KALTOSTAT® (Bleeding Wounds) CombiDERM ACD® AQUACEL® CombiDERM® NA AQUACEL® Ag DuoDERM® Extra Thin CGF™ Versiva® XC DuoDERM Signal® Versiva® XC 4 Wound Management Guide Epithelialising Treatment aim • Promote epithelialisation and wound maturation Treatment Choice 5 ConvaTec Support Centre Exudate Levels Primary Dressing Light DuoDERM® Extra Thin CGF™ DuoDERM Signal® AUSTRALIA: Freecall 1800 335 276 NEW ZEALAND: Toll Free 0800 441 763 Wound Management Guide Fungating/Malodorous Treatment aim • Manage complex wound • Manage bleeding exudate, malodour Treatment Choice Exudate Levels Primary Dressing Secondary Dressing CarboFLEX® Light DuoDERM® Hydroactive® Gel KALTOSTAT® (Bleeding Wounds) Moderate KALTOSTAT® (Bleeding Wounds) AQUACEL® AQUACEL® Ag Heavy KALTOSTAT® (Bleeding Wounds) AQUACEL® AQUACEL® Ag CarboFLEX® CarboFLEX® 6 Products Versiva® XC 7 AQUACEL® 8 10 CarboFLEX® 11 CombiDERM ACD® 12 CombiDERM® NA 13 KALTOSTAT® 14 DuoDERM Signal® 15 DuoDERM® Extra Thin CGF™ 16 DuoDERM CGF® 17 DuoDERM® Paste 18 DuoDERM® Hydroactive® Gel 19 SAF-Gel™ 20 Flexi-Dress® 21 SurePress® 22 ConvaCare® 23 Products AQUACEL® Ag Product Description Exudate Management – For moderately to heavily exuding wounds Versiva® XC Gelling Foam dressing consists of a waterproof top polyurethane foam/film layer, which protects the wound from external contaminants and provides a bacterial/viral barrier1. It also manages the moisture vapour transmission of the exudate absorbed by the dressing1. An absorptive non-woven fibrous layer (with Hydrofiber® Technology) absorbs and retains exudate by forming a cohesive gel. Versiva® XC is available as an adhesive dressing or non-adhesive dressing. The adhesive dressing has a thin adhesive border that secures the dressing in place while allowing gentle removal. The non-adhesive dressing has a thin non-adhesive wound contact layer which allows gentle dressing removal. The dressing absorbs and retains exudate creating a moist wound environment which supports the body’s healing process and aids in the removal of non-viable tissue from the wound (autolytic debridement) without damaging new tissue1. Clinical Benefits Application* • Provides a moist wound environment Carefully cleanse the wound with saline and dry surrounding skin. Choose a dressing and size, ensuring the pad area is larger than the wound. • Protects periwound skin and reduces the risk of maceration2 Adhesive Dressing - Remove release paper from the dressing, avoiding finger contact with the wound contact surface and the adhesive border. Place the pad directly over the wound, ensuring the wound is in the centre of the dressing pad, and smooth down the adhesive border. Non-Adhesive Dressing - Remove dressing from the pack being careful to minimise finger contact with the wound contact surface. Place the pad directly over the wound ensuring the wound is in the centre of the dressing pad. An appropriate retention bandage or tape should be used to secure the dressing in place. Versiva® XC dressing may be used as a primary dressing or as a secondary dressing in combination with appropriate dressings such as, but not limited to, AQUACEL® or AQUACEL® Ag dressing. Change dressing when clinically indicated. Maximum recommended wear time is up to 7 days. To remove, press down gently on the skin and carefully lift one corner of the dressing until it is no longer adhered to the skin. Continue until all edges are free. Carefully lift away and discard. *Please refer to pack insert for full instructions, prior to use. • Provides superior cushioning3 • Easy to apply and remove2 • Provides a bacterial/viral barrier1 Indications Versiva® XC Adhesive Gelling Foam dressing is indicated for moderately to heavily exuding wounds. • C hronic wounds: Leg ulcers, pressure ulcers, diabetic foot ulcers • A cute wounds: Minor cuts, abrasions, lacerations and scalds, surgical wounds, traumatic wounds, second degree burns References Specifications Description Non-adhesive 7.5cm x 7.5cm 11cm x 11cm 15cm x 15cm 20cm x 20cm • Comforts patients over time whilst the dressing is in situ and upon removal1 Pack Size 10 10 5 5 Adhesive 10cm x 10cm 10 14cm x 14cm 10 19cm x 19cm 5 22cm x 22cm 5 Adhesive Heel 18.5cm x 20.5cm 5 Adhesive Sacral 21cm x 25cm 5 ARTG Number: 135122 Product Code 410606 410607 410608 410614 1.Versiva XC Gelling Foam Dressing [package insert]. Skillman, NJ: ConvaTec;2005. 2 Munter KC, Vanscheidt W, Klovekorn. A prospective study on the use of a non-adhesive gelling foam dressing on exuding leg ulcers. J Wound Care. 2007; 16 (6): 261-265. 3.Griffiths et al. The cushioning effect of a new gelling foam dressing compared with a number of other foam dressings in an in vitro study. Poster presented at European Wound Management Association meeting; May 2007; Glasgow. 410609 410610 410615 410611 410612 410613 7 Product Description Exudate Management – For moderately to heavily exuding wounds AQUACEL® dressing is the original Hydrofiber® dressing, a technology unique to ConvaTec. The Hydrofiber® dressing is made up of 100% Sodium Carboxymethylcellulose and converts to a soft gel when in contact with wound exudate, which maintains a moist wound environment that supports the body’s healing process1. The unique gelling action of Hydrofiber® fibres absorb and retain exudate and lock away harmful components contained within wound exudate, such as bacteria2 and proteinases3. The ability of AQUACEL® dressing to retain and absorb exudate is higher than some alginates4,5 and gauze5 giving longer wear time, leading to fewer dressings changes, reduced nursing time and lower overall wound care cost.4,5,6 Clinical Benefits Application* •Supports moist wound healing environment Carefully cleanse the wound with saline and dry the surrounding skin before placing AQUACEL® dressing directly onto the wound allowing an overlap onto the surrounding skin of at least 1cm. For cavity wounds, loosely pack AQUACEL® dressing ribbon to about 80% capacity leaving at least 2.5cm outside the wound for easy retrieval. The AQUACEL® dressing should then be covered with an appropriate moisture retentive secondary dressing such as, but not limited to, Versiva® XC dressing, DuoDERM CGF® dressing, DuoDERM® Extra Thin CGF™ dressing, or DuoDERM Signal® dressing. *Please refer to pack insert for full instructions, prior to use. Specifications Size 5 cm x 5 cm 10 cm x 10 cm 15 cm x 15 cm 2 cm x 45 cm rope Dressings Per Box 10 10 5 5 Surgical Size Dressings Size Dressings Per Box 4 cm x 10 cm 10 4 cm x 20 cm 10 4 cm x 30 cm 10 Product Code 177901 177902 177903 177904 Product Code 403730 403731 403732 RPBS Codes Size 10 cm x 10 cm 15 cm x 15 cm 2 cm x 45 cm rope RPBS Code 4921B 4922C 4698G Product Code 177902 177903 177904 •Highly absorbent giving longer wear time than alginate5 or gauze4 • Retains fluid within its structure reducing the risk of maceration and excoriation7 • Costs less overall than gauze8,9,10 and an alginate6 by saving time, money and resources. • Soft and conformable adding to patient comfort • Cohesive gel allows easy, atraumatic removal • Promotes faster wound healing11 Indications AQUACEL® dressing is indicated as a primary dressing for moderate to highly exuding wounds. •Chronic wounds: leg ulcers, pressure ulcers, diabetic ulcers •Acute wounds: donor sites, abrasions, lacerations, post-surgical wounds and firstand second-degree burns AQUACEL® dressing can be used on infected wounds under medical supervision in an appropriate protocol of care and for wounds that require autolytic debridement. ARTG Number: 135122 8 ConvaTec Support Centre AUSTRALIA: Freecall 1800 335 276 NEW ZEALAND: Toll Free 0800 441 763 References 1. AQUACEL Hydrofiber Wound Dressing [insert package]. Skillman, NJ: ConvaTec;2004. 2. Bowler PG, Jones SA, Davies BJ, Coyle E. Infection control properties of some wound dressings. J Wound Care. 1999: 8: 499-502. 3.Hoekstra MJ, Hermans MHE, Richters CD, Ditrieux RP. A histological comparison of acute inflammatory responses with a Hydrofibre or tulle gauze dressing. J Wound Care. 2002: 11 (3):113-117. 4.Lyndon MJ. The development of AQUACEL® Hydrofiber® dressing. AQUACEL® Hydrofiber® dressing: the next stop in wound dressing. Proceedings Satellite Symposium. European Academy of Dermatology & Venereology. February 1998: 1-3. 5.Waring M, Parsons D, Clay C. A new wound care treatment for the 90’s-The Hydrofiber®. Proceedings of the 5th European Conference on Advances in Wound Management. November 21-24, 1995: 82. 6. Armstrong SH, Ruckley CV. Use of a fibrous in exuding leg ulcers. J Wound Care. 1997 (7) 322-324. 7. Robinson BJ. The use of a Hydrofibre dressing in wound management. J Wound Care. 2000 9 (1) 32-34. 8.Harding KG, Price P, Robinson B, Thomas S, Hofman D. Cost and dressing evaluation of Hydrofiber® and alginate dressings in the management of community-based patients with chronic leg ulceration. Wounds. 2001; 13:229-236. 9.Guest F Julian & Ruiz J Francis. Modelling the cost implications of using carboxymethylcellulose dressing compared with gauze in the management of surgical wounds healing by secondary intention in the US and UK in Current Medical Research and Opinion, 2005 21:2: 281-290. 10.Moore PJ, Foster L. Cost benefits of two dressings in the management of surgical wounds. British Jornal of Nursing. 2000 9 (17) 1128-1132. 11.Piggesi A, Baccetti F, Rizzo L, Romanelli* M, Navalesi R, Benzi L. Sodium carboxyl-methyl-cellulose dressings in the management of deep ulcerations of diabetic foot. © 2001 Diabetes UK. Diabetic Medicine, 18, 320-324. 9 Product Description Exudate Management – For moderately to heavily exuding wounds AQUACEL® Ag Hydrofiber® dressing is Sodium Carboxymethylcellulose with 1.2% ionic silver. It offers the unique gelling properties of Hydrofiber® technology with the power of ionic silver. The dressing fibres of AQUACEL® Ag gel on contact with wound fluid by hydrophilic action. The fibres swell as they lock bacterial exudate away from the wound by vertical wicking1, creating a large fluid absorption capacity2. AQUACEL® Ag dressing can kill a broad spectrum of wound pathogens in the dressing that can cause infection including MRSA, VRE and Pseudomonas aeruginosa and aids in reducing the wound bioburden3. Bacteria and other harmful wound exudate components are locked within the gelled AQUACEL® Ag dressing fibres1, where the ionic silver contained within the dressing kills them3. Application* Clinical Benefits Before applying, carefully cleanse the wound with saline and dry surrounding skin. Apply directly onto the wound leaving an adequate overlap onto the surrounding skin of at least 1cm. When using AQUACEL® Ag dressing ribbon in cavity wounds, loosely pack wound to about 80% capacity leaving at least 2.5cm outside the wound for easy retrieval. The AQUACEL® Ag dressing should then be covered with an appropriate secondary wound care dressing. •Supports moist wound healing environment *Please refer to pack insert for full instructions prior to use. •Absorbs and retains higher levels of exudate than most alginates4,5,6 and gauze*5 Specifications Dressings Per Box 10 10 5 5 5 Product Code 403706 403708 403710 403711 403712 •Reduces maceration by locking exudate into its fibres and away from the skin7 Surgical Size Dressings Size Dressings Per Box 4 cm x 10 cm 10 4 cm x 20 cm 10 4 cm x 30 cm 10 Product Code 403739 403740 403741 *AQUACEL Ag® dressing is of the same construction as AQUACEL® dressing with the addition of ionic silver Size 5 cm x 5 cm 10 cm x 10 cm 15 cm x 15 cm 20 cm x 30 cm 2 cm x 45 cm rope References 1.Bowler PG, Jones SA, Davies BJ, Coyle E. Infection control properties of some wound dressings. J Wound Care. 1999: 8: 499-502. 2.Performance Analysis of AQUACEL® vs Sorbsan® and Sorbsan® plus Al128, Data on file, ConvaTec. 3.Jones SA, Bowler P, Walker M, Parsons D. Controlling wound bioburden with a novel silver containing Hydrofiber® dressing. Wound Repair and Regeneration. May-June 2004, 288-294. 4. Waring M, Parsons D, Clay C. A new wound care. Data on file, ConvaTec. 5.Lyndon MJ. The development of AQUACEL® Hydrofiber® dressing. The development of AQUACEL® Hydrofiber® dressing. AQUACEL® Hydrofiber® dressing: the next stop in wound dressing. 6.Harding KG, Price P, Robinson B, Thomas S, Hofman D. Cost and dressing evaluation of Hydrofiber® and alginate dressings in the management of community-based patients with chronic leg ulceration. Wounds. 2001; 13:229-236. 7.B.J. Robinson, The use of a hydrofibre dressing in wound management, J Wound Care. 2000: 9 (1): 32-34. 8.Walker M, Demonstration of the role of intimate contact in the killing capacity of silver, poster presented at SAWC, April 2005. ConvaTec Support Centre •Cohesive gel allows easy, atraumatic removal •Soft and conformable allowing intimate contact with the wound surface. This reduces “dead space” where bacteria may reside8 Indications AQUACEL® Ag dressing is indicated as a primary dressing for moderate to highly exuding wounds where there is an infection or an increased risk of infection. TGA Number: AUST L 90341 10 • Contains ionic silver which can kill a broad spectrum of wound pathogens that can cause infection – including MRSA, VRE and Pseudomonas aeruginosa3 AUSTRALIA: Freecall 1800 335 276 • Chronic wounds: leg ulcers, pressure ulcers, diabetic ulcers and fungating lesions •Acute wounds: post-surgical wounds, abrasions, lacerations and partial thickness burns NEW ZEALAND: Toll Free 0800 441 763 CarboFLEX ® Product Description Exudate Management – For moderately to heavily exuding malodorous wounds CarboFlex® dressing is a five-layer dressing specifically designed to address the management problems associated with malodorous wounds. CarboFlex® dressing provides effective exudate control and odour adsorption while being soft and conformable1,2. Application* Carefully cleanse the wound with saline and dry surrounding skin. Choose a dressing size that is large enough to overlap the wound edge by at least 3cm. For shallow wounds, CarboFlex® dressing can be used as a primary dressing. For deeper wounds, CarboFlex® dressing may be used as a secondary dressing over a suitable cavity filler. Place the fibrous (non-shiny) surface of the dressing directly onto the wound or over the cavity filler. The absorbent wound contact layer will form a soft gel when in contact with wound exudate. For wounds with very heavy levels of exudate, use an appropriate absorptive dressing such as AQUACEL® dressing as a primary dressing (either ribbon for cavities or a sheet for shallow wounds) and CarboFlex® dressing as a secondary dressing. Clinical Benefits CarboFlex® dressing can be secured in place with tape or other appropriate material. •Non-adherent allowing less traumatic dressing changes *Please refer to pack insert for full instructions, prior to use. • Soft and conformable •Supports moist wound healing environment • Effectively controls wound malodour1 • Absorbs and controls exudate2 • Aesthetically pleasing to patients3 • May help relieve feelings of social isolation and restore lost confidence3 Specifications Size 10 cm x 10 cm 8 cm x 15 cm (oval) 15 cm x 20 cm Dressings Per Box 10 5 5 Product Code 403202 403203 403204 RPBS Code 4742N 4743P Product Code 403202 403204 RPBS Codes Size 10 cm x 10 cm 15 cm x 20 cm ARTG Number: 135121 References Indications CarboFlex® dressing is indicated for the management of malodorous wounds. •Chronic wounds: leg ulcers, pressure ulcers, diabetic ulcers and fungating lesions •Acute wounds: lacerations and postsurgical wounds CarboFlex® dressing may be used as a primary dressing for shallow wounds or with deeper wounds as a secondary dressing over a wound filler. 1.Griffiths B, Jacques E, Jones S, Davies B, Bowler B, Bishop S. Determination of malodour reduction performance in various charcoal containing dressings. Data on file, ConvaTec. 2.Walmsley R, Waring M. An investigation into the fluid handling characteristics of the wound contact layers of several odour absorbing dressings. Data on file, ConvaTec. 3.Williams, C. Role of Carboflex in the Nursing Management of Wound Odor. British Journal of Nursing 2001 vol 10 no. 2. 11 Product Description Exudate Management – As a primary or secondary cover dressing for low to moderately exuding wounds CombiDERM ACD® dressing is an absorbent dressing that is made up of three main parts: an absorbent hydrocolloid adhesive, a central absorbent island pad and gel forming polyacrylate granules. The super absorbent granules act to absorb, gel and hold exudate away from the skin. This helps to create a moist wound healing environment. CombiDERM ACD® dressing retains exudate even under pressure1 helping prevent maceration and allowing longer wear time1. The outer polyurethane film layer is waterproof and bacterial resistant2. Application* Carefully cleanse the wound with saline, and dry surrounding skin. Choose a dressing to ensure that the central pad size is larger than the wound area. Remove the release paper and place the pad directly over the wound. The absorbent portion of the pad will swell and soften as it absorbs wound exudate. To remove the dressing, press down gently on the skin, carefully lift the blue tab and continue until all edges are free. CombiDERM ACD® dressing may be used as a primary dressing or as a secondary dressing in combination with other appropriate dressings such as, but not limited to, AQUACEL®, AQUACEL® Ag, Kaltostat® or DuoDERM® Gel. Clinical Benefits •Supports moist wound healing environment •Outer film layer provides waterproof and bacterial barrier*2 •Poly-acrylate granules absorb and lock in exudate reducing the risk of maceration1 *Please refer to pack insert for full instructions prior to use. •Non-adherent wound contact layer allowing for atraumatic removal1 Specifications •Effective under compression when tested against comparative products*3 Size 10 cm x 10 cm 14 cm x 14 cm 15 cm x 25 cm Dressings Per Box 10 10 5 Product Code 651031 187725 651029 Sacral Size Dressings Size 15 cm x 18 cm Dressings Per Box 5 Product Code 651027 RPBS Code 4692Y 4693B Product Code 651031 651027 RPBS Codes Size 10 cm x 10 cm 15 cm x 18 cm sacral Indications CombiDERM ACD® dressing is indicated for the management of low to moderately exuding wounds. •Chronic wounds: leg ulcers, diabetic ulcers, pressure ulcers •Acute wounds: abrasions, lacerations, surgical wounds * in vitro ARTG Number: 135122 References 1.Chen J. CombiDERM® Absorbent Cover Dressing. Data on file, ConvaTec. (1998). 2.Ameen H, Moore K, Lawrence J.C, Harding K.G. Investigating the bacterial barrier properties of four contemporary wound dressings. J Wound Care. 2000 9 (8) 385-387. 3.Hudak J, Constantine B, Buglino D, Eberhardt D. An in vitro evaluation of the fluid absorption capabilities under compression of a new non-adhesive composite dressing, Data on file, ConvaTec. (1998). 12 ConvaTec Support Centre AUSTRALIA: Freecall 1800 335 276 NEW ZEALAND: Toll Free 0800 441 763 Product Description Exudate Management – As a primary or secondary cover dressing for low to moderately exuding wounds CombiDERM® NA dressing is a non-adhesive absorbent dressing that is made up of two main parts; a central absorbent island pad and gel forming poly-acrylate granules. The super absorbent granules act to absorb, gel and hold exudate away from the skin. This helps to create an ideal moist wound healing environment. CombiDERM® NA dressing retains exudate even under compression1 and helps prevent maceration2. Application* Carefully cleanse the wound with saline and dry surrounding skin. Choose a dressing size that allows the absorbent pad to be slightly larger than the wound area. Remove from the sterile pouch and place the island pad, white side, directly over the wound. The dressing can then be secured, e.g. with compression or other bandaging. CombiDERM® NA dressing may be used as a primary dressing or as a secondary dressing in combination with other appropriate dressings such as, but not limited to, AQUACEL®, AQUACEL® Ag, Kaltostat® or DuoDERM® Gel dressing. To remove, carefully lift the dressing away from the wound. Specifications Dressings Per Box 10 10 5 • Supports moist wound healing environment • Non-adhesive dressing allowing for easy application and atraumatic removal2,3 • Poly-acrylate granules absorb and lock in exudate reducing the risk of maceration2 *Please refer to pack insert for full instructions prior to use. Size 7.5 cm x 7.5 cm 14 cm x 14 cm 15 cm x 25 cm Clinical Benefits Product Code 187774 187773 187775 • Non-adherent wound contact layer allowing for atraumatic removal3 • Effective under compression when tested against comparative products*1 Indications ARTG Number: 135122 References 1.Hudak J, Constantine B, Buglino D, Eberhardt D. An in vitro evaluation of the fluid absorption capabilities under compression dressing. Data on file, ConvaTec. (1998). 2.Langmaid S. Utilizing Hydrofiber® technology in conjunction with an absorbent hydrocolloid dressing to prevent peri-wound maceration and contamination in moderate to heavily exuding pressure ulcers. Data on file, ConvaTec. (2005). 3.Sturmey J. The use of CombiDERM® on a mixed aetiology leg ulcer. Data on file, ConvaTec. (1996). 4.Murray M, Flores O, Sinkovic S. Clinical performance of CombiDERM® ACD™ in the management of pressure ulcers in a home care setting. Data on file, ConvaTec. (1996). CombiDERM® NA dressing is indicated for the management of low to moderately exuding wounds. • Chronic wounds: leg ulcers, diabetic ulcers, pressure ulcers4 • Acute wounds: abrasions, lacerations, surgical wounds • Protection of fragile, sensitive surrounding skin *in vitro. 13 Product Description Exudate Management – For moderately to heavily exuding wounds KALTOSTAT® dressing is an absorbent, calcium sodium alginate (80% Ca and 20% Na) with a high Guluronic acid content. When in contact with wound exudate, calcium ions in the dressing exchange with sodium ions in the exudate causing the dressing to transform from a dry, fibrous state to a firm, moist gel. The dressing provides a moist environment helping to create optimal wound healing conditions and maintains its integrity allowing for easy, atraumatic removal1. KALTOSTAT® dressing is also designed to promote haemostasis, providing a matrix to support blood clot formation2. Application* Carefully cleanse the wound with saline and dry surrounding skin. KALTOSTAT® dressing should be folded or cut to the shape of the wound and applied dry directly onto the wound. For moderately exuding wounds, Versiva® XC, DuoDERM® or CombiDERM® dressings, amongst others, can be used as a secondary dressings over Kaltostat® dressing. If highly exuding, a secondary absorbent pad should be used for additional absorbency and secured in place. *Please refer to pack insert for full instructions prior to use. Dressings Per Box 10 10 10 10 5 Product Code 168210 168212 168214 168215 168117 RPBS Code 4699H 4683L 4832H Product Code 168210 168212 168117 RPBS Codes Size 5 cm x 5 cm 7.5 cm x 12 cm 2g rope •Supports moist wound healing environment •Non-adherent to wound surface allowing for easy, non-traumatic removal1 •Longer wear time than conventional dressings, therefore cost-effective1 Specifications Size 5 cm x 5 cm 7.5 cm x 12 cm 10 cm x 20 cm 15 cm x 25 cm 2g rope Clinical Benefits • Haemostatic – helps stop minor bleeding2 Indications KALTOSTAT® dressing is indicated as a primary dressing for moderate to highly exuding wounds and for wounds with minor bleeding. •Chronic wounds: leg ulcers, pressure ulcers, diabetic ulcers and fungating lesions •Acute wounds: donor sites, abrasions, lacerations and post-surgical wounds ARTG Number: 135628 References 1.Harder FP. Wound Treatment in Diabetic Subjects: the Use of the Calcium Sodium Alginate Kaltostat. Poster. Ricklinger Stadtweg 33, Hanover. 2.Sirimanna KS, Todd GB, Madden GJ. A randomised study to compare calcium sodium alginate fibre with two commonly used materials for packing after nasal surgery. Clinical Otolaryngology. 1992, 17; 237-239. 14 ConvaTec Support Centre AUSTRALIA: Freecall 1800 335 276 NEW ZEALAND: Toll Free 0800 441 763 Product Description Moisture Retentive – For moderately exuding partial or full thickness wounds DuoDERM Signal®, dressing is an adhesive, tapered edge hydrocolloid wound dressing with a change indicator. The indicator helps to determine when to change the dressing which is designed to reduce premature dressing changes that can disturb healing and cause discomfort. The hydrocolloid dressing uses ConvaTec’s unique hydrocolloid formulation which consists of a cross-linked honeycomb matrix made from a proprietary mix of Sodium Carboxymethylcellulose, gelatin, pectin and adhesive polymers. The dressing is tapered to be thinner at the edges than at the centre, to help to reduce the incidence of rolling up during use1. DuoDERM Signal® dressing absorbs wound fluid and creates a moist environment that promotes healing by aiding autolytic debridement, facilitating the migration of epithelial cells and allowing non-traumatic removal of the dressing without damaging newly formed tissue1. Application* Carefully cleanse the wound with saline and dry surrounding skin before selecting a dressing that is 3cm larger than the wound area in any one direction. After removing the backing paper, line up the centre of the dressing with the centre of the wound and place the dressing directly over the wound. The dressing should be changed when clinically indicated, when the wound fluid has reached the change indicator or when used for a maximum of seven days. To remove, press down gently on the skin and carefully lift one corner of the dressing, stretching each edge until free. Clinical Benefits •Supports moist wound healing environment •Tapered edges contours to difficult areas and reduces the risk of rolling up •Smooth, low friction backing provides bacterial*2 and viral*3 barrier reducing the risk of infection when used within a protocol of care • Waterproof outer polyurethane film *Please refer to pack insert for full instructions, prior to use. •Green line indicator identifies when dressing needs changing Specifications •Translucent appearance allows visual inspection of the wound Size 10 cm x 10 cm 14 cm x 14 cm 20 cm x 20 cm Dressings Per Box 5 5 5 Product Code 403326 403327 403328 Sacral Dressings Size 18 cm x 15 cm 22.5 cm x 20 cm Dressings Per Box 5 5 Product Code 403332 410501 Heel Dressings Size 18.5 cm x 19.5 cm Indications DuoDERM Signal® dressing is indicated for the management of lightly/moderately exuding wounds. •Chronic wounds: pressure ulcers, leg ulcers •Acute wounds: minor burns, skin donor sites, other surgical and traumatic wounds Dressings Per Box 5 Product Code 410500 * in vitro ARTG Number: AUST L 47931 References 1. DuoDerm Signal [package insert]. Skillman, NJ: ConvaTec; 2004. 2. Hutchinson JJ, McGuckin M, Occlusive dressings: a microbiologic and clinical review. Am J Infect Control. 1990; 18 (4): 257-268. 3.Bowler PG, Delgary H, Prince D, Fondberg L. The viral barrier properties of some occlusive dressings and their role in infection control. Wounds. 1993; 5 (1); 1-8. 15 Product Description Moisture Retentive – For lightly exuding superficial thickness wounds DuoDERM® Extra Thin CGF™ dressing is a hydrocolloid that uses ConvaTec’s unique hydrocolloid formulation which consists of a cross-linked honeycomb matrix made from a proprietary mix of Sodium Carboxymethylcellulose, gelatin, pectin and adhesive polymers. DuoDERM® dressings protect the wound, support debridement1, are simple to use2, and offer continuous care throughout all the healing phases. DuoDERM® Extra Thin dressing is easy to mould and can be cut to shape to allow easy treatment of awkward areas. DuoDERM® Extra Thin CGF™ dressings are designed to reduce the risk of further skin breakdown due to friction by preventing contact with clothes/ bedlinen. Application* Carefully cleanse the wound with saline and dry surrounding skin before selecting a dressing that extends 3cm beyond the wound. After removing the silicone backing paper, gently roll the dressing over the wound, and mould into place. DuoDERM® Extra Thin CGF™ dressing may be used as a primary dressing or as a secondary dressing, in combination with other appropriate dressings such as, but not limited to, AQUACEL®, DuoDERM® Hydroactive® Gel or Kaltostat® dressing. To remove, press down gently on the skin and carefully lift the corner of the dressing stretching each edge until free. *Please refer to pack insert for full instructions prior to use. •Supports moist wound healing environment • Aids autolytic debridement1 • Easy to apply and remove2 •Provides a bacterial*3 and viral*4 barrier reducing the risk of infection when used within a protocol of care • Waterproof outer polyurethane film •Secures dressings in awkward areas to reduce the risk of rolling up Specifications Size Dressings Per Box 7.5 cm x 7.5 cm 20 5 cm x 10 cm 20 5 cm x 20 cm 10 10 cm x 10 cm 10 15 cm x 15 cm 10 40 mm spots 20 Surgical Size Dressings Size Dressings Per Box 9 cm x 15 cm 10 9 cm x 25 cm 10 9 cm x 35 cm 10 Clinical Benefits Product Code 187901 187900 187961 187955 187957 187932 Product Code 187920 187921 187922 Indications DuoDERM® Extra Thin CGF® is indicated for the management of lightly exuding wounds. •Acute wounds: minor burns, abrasions, lacerations and post-operative wounds •Chronic wounds: stage 1-2 pressure ulcers, lightly exuding leg ulcers ARTG Number: AUST L 24559 References 1.Romanelli M. Objective measurement of venous ulcer debridement and granulation with a skin colour reflectance analyser. Wounds. 1997 (4): 122-126. 2.Forshaw A, MBE, RN Paediatrics, clinical nurse specialist, wound care/tissue viability, Salford Health Authority Children’s Service, Booth Hall Children’s Hospital Blackley, Manchester. 3.Hutchinson J.J., McGuckin M., Occlusive dressings: a microbiologic and clinical review. Am J Infect Control. 1990; 18 (4): 257-268. 4.Bowler P.G., Delargy H., Prince D., Fondberg L., The viral barrier properties of some occlusive Dressings and their role in infection control. Wounds. 1993; 5 (1); 1-8. 16 ConvaTec Support Centre AUSTRALIA: Freecall 1800 335 276 NEW ZEALAND: Toll Free 0800 441 763 ™ Product Description Moisture Retentive – For moderately exuding partial or full thickness wounds DuoDERM CGF™ (Controlled Gel Formulation) creates an occlusive moist wound environment which promotes healing of low to moderately exuding wounds1,2. On contact with a moist wound surface, the unique hydrocolloid composition of DuoDERM CGF™ dressing (Sodium Carboxymethylcellulose, gelatin, pectin and adhesive polymers) forms a cohesive gel which supports moist wound healing1,2, aids autolytic debridement2 and promotes granulation2. Provides a bacterial and viral barrier*3. DuoDERM CGF™ dressing keeps nerve endings moist, which helps provide relief from discomfort and pain4,5,6. The dressing is easy to apply and remove, allowing non-traumatic removal of the dressing without damaging newly formed tissue6,7. With a wear time of up to 7 days DuoDERM CGF™ dressing can contribute to cost-effective care7. * in vitro Clinical Benefits • Aids autolytic debridement2 Application* A clean, dry site is required. Select a dressing that extends at least 3cm beyond the wound edges. After removing the silicone backing paper, gently roll the dressing over the wound and mould into place for secure adhesion. DuoDERM CGF™ dressing may be used as a secondary dressing, in combination with other appropriate dressings such as, but not limited to, AQUACEL®, DuoDERM® Hydroactive® Gel or Kaltostat® dressing. To remove, press down on the skin and gently roll the dressing away. *Please refer to pack insert for full instructions prior to use. Specifications Size 10 cm 15 cm 15 cm 20 cm 20 cm x x x x x 10 15 20 20 30 cm cm cm cm cm • Provides a bacterial and viral barrier*3 •Keeps nerve endings moist, helping to relieve discomfort and pain4,5,6 • Easy to apply and remove5,6,7 •More cost-effective than some traditional and modern dressings e.g. gauze Indications Dressings Per Box 5 5 5 5 5 Product Code 187660 187661 187643 187662 187644 Dressings Per Box 4897R 4920Y Product Code 187660 187662 RPBS Codes Size 10 cm x 10 cm 20 cm x 20 cm •Supports moist wound healing environment1 DuoDERM CGF® dressing is indicated for the management of low to moderately exuding wounds. •Chronic wounds: pressure ulcers, leg ulcers •Acute wounds: minor burns, skin donor sites, other surgical and traumatic wounds * in vitro ARTG Number: AUST L 24559 References 1.Van Rijswick L, Ingredient-based wound dressing classification: a paradigm that is passé and in need of replacement. J Wound Care. 2006:15 (1). 2. Pack Insert. 3.Bowler PG, Delargy H, Prince D, Fondberg L. The viral barrier properties of some occlusive dressings and their role in infection control. Wounds. 1993: 5(1): 1-8. 4. Burgess B, An investigation of hydrocolloids. Professional Nurse. 1993:8 (7) Supplement. 5.Day D. Managing sacral pressure ulcers with hydrocolloid dressings: Results of a controlled, clinical study. Ostomy/Wound Management. 1995:14 (2); 52-65. 6.Forshaw A. Hydrocolloid dressings in paediatric wound care. J Wound Care. 1993:2(4); 209-212. 7.Harding K, Cutting K, Price P. The cost-effectiveness of wound management protocols of care. British Journal of Nursing. 2000: 9 (19) Supplement. 17 Hydrocolloid Paste Product Description Moisture Retentive – Maintain moisture balance DuoDERM® Paste interacts with wound exudate to form a moist wound environment that is supportive of the healing process by aiding autolytic debridement and allowing the non-traumatic removal of the dressing without damaging newly formed tissue1. Application* Carefully cleanse the wound with saline and dry surrounding skin carefully to remove any greasy substances since these will interfere with the adhesion of the dressing. Swab the piercing spike (on cap) with alcohol. Remove the cap and puncture the tube’s opening by inverting the cap and pressing on the metal membrane. NOTE: A small amount of clear liquid may be evident when the tube is opened. This is normal and is not an indication of product deterioration. Squeeze the paste into the wound. Smooth, if necessary, using a sterile spatula or a sterile gloved finger. The surface of the paste should not protrude above the level of the surrounding skin (excess paste should be removed). NOTE: Do not allow paste on the surrounding normal skin, otherwise the adherence of the dressing will be impaired. Select an appropriate moisture retentive dressing examples being Versiva® XC, DuoDERM® or CombiDERM® dressing of appropriate size so that it extends at least 3.2 cm onto normal skin. Apply in a rolling motion and hold gently in place to ensure good adhesion. NOTE: Refer to the instructions accompanying the Dressing for further information. *Please refer to the pack insert for full instructions prior to use. •Interacts with wound exudate to form a moist wound environment1 • Aids autolytic debridement1 •Allows for the non-traumatic removal of the dressing without damaging newly formed tissue1 •Provides a moisture retentive contact layer between wound bed and secondary dressing1 Indications Specifications Size 30 grams Clinical Benefits Tubes Per Box 1 Product Code 187930 ARTG Number: AUST L 24559 DuoDERM® paste is intended to be used in association with a secondary dressing such as DuoDERM® dressings for the management of exuding dermal ulcers, including full-thickness wounds, such as leg ulcers, pressure ulcers, and diabetic ulcers. The paste aids in the absorption of excessive exudate and extends the life of the secondary dressing. Reference 1.DuoDerm Hydroactive Paste [package insert]. Skillman, NJ: Convatec; 2004. 18 ConvaTec Support Centre AUSTRALIA: Freecall 1800 335 276 NEW ZEALAND: Toll Free 0800 441 763 Product Description Wound Hydration – Hydrates and controls exudate DuoDERM® Hydroactive® Gel provides a balance of fluid/moisture at the wound site, either by absorbing or donating fluid to the wound1. Presented as a clear viscous gel, DuoDERM® Hydroactive® Gel maintains an optimal moist healing environment, through its powerful hydrating action. It helps to promote natural autolysis and the removal of necrotic and sloughy tissue2,3. Application* Carefully cleanse the wound with saline and dry surrounding skin. Using the sterile nozzle supplied, DuoDERM® Hydroactive® Gel is applied directly to the wound up to the level of surrounding skin and covered by an appropriate moisture-retentive dressing, some examples being Versiva® XC, DuoDERM® or CombiDERM® dressing. On necrotic and sloughy wounds DuoDERM® Hydroactive® Gel can be left in place for up to 3 days. For clean granulating tissue, it may be left in place for up to 7 days. *Please refer to pack insert for full instructions prior to use. • Easy to apply – comes with sterile nozzle Tubes Per Box 10 3 Product Code 187990 187987 RPBS Code 4912M 4913N Product Code 187990 187987 RPBS Codes Size 15 grams 30 grams •Brings moisture to dry, necrotic, sloughy or granulating wounds1, 2 • Supports autolytic debridement1, 2 Specifications Size 15 grams 30 grams Clinical Benefits Indications DuoDERM® Hydroactive® Gel is indicated for the management of dry, necrotic and sloughy wounds. It may be used in both superficial and deep wounds. ARTG Number: 134955 References 1.Thomas S, Hay P. Fluid handling properties of hydrogel dressings. Ostomy/Wound Management. 1995, 41 (3); 54-59. 2. Williams C. Granugel: hydrocolloid gel. British Journal of Nursing. 1996, 5 (3); 188-190. 3.Romanelli M, Objective measurement of venous ulcer debridement and granulation with a skin color reflectance analyzer. Wounds: A compendium of Clinical Research and Practice. 1997, 9 (4); 122-126. 19 ™ Product Description Wound Hydration – Hydrates and controls exudate SAF-Gel™ hydrating dermal wound dressing has an alginate containing formula that remains cohesive as it absorbs. It is indicated for use on chronic and acute wounds, such as dry wounds, pressure ulcers (Stage II-IV), and stasis ulcers. Its multiple single patient-use package helps to eliminate waste. Specifications Size 85 grams Tubes Per Box 1 Product Code 145730 ARTG Number: 139862 Clinical Benefits •Hydrating dermal wound dressing with alginate Indications •Management of partial or full thickness wounds (if the wound bed is dry) - e.g. pressure ulcers and leg ulcers •Necrotic or sloughy wounds to assist in: - The rehydration of non-viable tissue - Autolytic debridement of non-viable tissue 20 ConvaTec Support Centre AUSTRALIA: Freecall 1800 335 276 NEW ZEALAND: Toll Free 0800 441 763 Flexi-DRESS® Product Description Zinc Paste Bandages The Flexi-DRESS® Elastic Unna Boot is designed for ambulatory treatment of venous leg ulcers and lymphatic oedema1. It consists of elasticised/flexible bandage containing preservative free, non-hardening zinc oxide paste1. The Flexi-DRESS® Unna Boot conforms to the contour of the leg, stretches gently and remains flexible. Application* Cleanse the wound according to normal practice, rinse well and dry the surrounding skin prior to application of the bandage. Begin bandaging with Flexi-DRESS® at base of toes. Keep foot and ankle at right angle. Flexi-DRESS® will wrap smoothly onto leg without gaps and pleats. Layer bandage onto leg until it is covered up to the knee. Flexi-DRESS® adapts to contours of leg. Apply an elastic bandage for compression. Maintain even tension and cover Flexi-DRESS® completely. Clinical Benefits • Conforms to the contour of the leg1 • Stretches gently1 *Please refer to pack insert for full instructions prior to use. • Remains flexible1 Specifications •The bandage may be left undisturbed for up to 7 days, unless there is discomfort, leakage of exudate or any other local reactions occur1 Size 7.6 cm x 9.14 m 10 cm x 9.14 m Dressings Per Box 12 12 Product Code 650940 650941 RPBS Codes Size 10 cm x 9.14 m ARTG Number: 140342 RPBS Code 4670T Product Code 650941 Indications •Ambulatory treatment of venous leg ulcers and lymphatic oedema when used in conjunction with compression therapy Reference 1.Flexi-Dress Elastic Unna Boot [package insert]. Skillman, NJ:ConvaTec; 1999. 21 SurePress ® Product Description Compression Therapy – For the treatment of oedema arising from venous incompetency SurePress® High Compression Bandage and Padding is designed for use over a primary wound dressing for patients with impaired venous return1. SurePress® products consist of: •Elasticised bandage consisting of cotton/viscose, nylon and lycra with a yellow centre line and two rectangular extension indicators for different size limbs1. •Soft, nonwoven, absorbent under padding composed of a blend of viscose/ biocomponent and superabsorbent fibres. Application* Cleanse the wound according to normal practice, rinse well and dry the surrounding skin prior to application of the primary dressing and the compression bandage. Clinical Benefits Following the application of a primary dressing, a SurePress® Absorbent Padding (supplied separately) may be used as an underlayer before the compression bandage. This soft, absorbent wrap helps to distribute graduated compression and protect skin from any exudate leaking from the primary dressing. •Produces compression for up to 20 washes1 Determine whether the limb size is “normal” or “large,” using a suitable measure tape. Ankle sizes between 18-26cm are considered “normal”. Ankles in excess of 26cm are considered “large.” •Venous leg ulcer management and associated conditions where compression therapy is indicated1 Having determined the limb size, select the small or large rectangular extension indicator on the bandage. The small rectangle should be selected for “normal” limb sizes and the large rectangle for “large” limb sizes. Reference Start the bandage at the center of the ball of the foot with the lower edge of the bandage at the base of the toes. Wrap the bandage using slight tension 11/2 times around the foot. Indications 1.Sure-Press High Compression Bandage [package insert]. Skillman, NJ: ConvaTec. Anchor the bandage with thumb and start the turn around the heel stretching the bandage until the selected rectangle becomes square then wrap once around the heel area. Anchor the bandage with your thumb, stretch until the selected rectangle becomes square. Wrap the bandage over the front of the ankle and under the arch of the foot to cover the gap. Continue stretching the bandage until the selected rectangle becomes square. Make a turn around the ankle area and proceed up the leg in a spiral fashion overlapping the bandage on each turn by 50% of its width i.e. to the base of the rectangular extension indicators. Upon reaching the area just below the knee, cut off any excess bandage and secure with tape. *Please refer to pack insert for full instructions prior to use. Specifications Size 10 cm x 3 m bandage 10 cm x 3 m padding Dressings Per Box 1 6 Product Code 650947 650948 RPBS Code 4748X 4653X Product Code 650947 650948 RPBS Codes Size 10 cm x 3 m bandage 10 cm x 3 m padding ARTG Number: 136311 22 ConvaTec Support Centre AUSTRALIA: Freecall 1800 335 276 NEW ZEALAND: Toll Free 0800 441 763 ® ConvaCare® Adhesive Remover Wipe For the gentle removal of all adhesives, including skin barriers, tapes, and hydrocolloid dressings. The ConvaCare® Adhesive remover Wipe formula effectively removes tape, skin barrier/wafer, and adhesive residues from the skin that can reduce wear times. Specifications Product Code 37443 Wipes per box 100 ARTG Number: 143903 ConvaCare® Protective Barrier Wipe Non-water soluble formula for skin protection. Provides a barrier film layer on the skin under tapes, skin barriers/wafers, adhesives, and hydrocolloid dressings to help protect against irritation, excoriation and adhesive buildup. Specifications Product Code 37444 Wipes per box 100 ARTG Number: 143902 23 Level 1, 352 Wellington Road MULGRAVE VIC 3170 Telephone: (03) 8562 1300 Free 24 Hour ConvaTec Support Centre AUSTRALIA: Freecall 1800 335 276 NEW ZEALAND: Toll Free 0800 441 763 All correspondence / orders should be addressed to AUSTRALIA: NEW ZEALAND: ConvaTec ConvaTec PO Box 63 PO Box 62663 MULGRAVE VIC 3170 Kalmia Street Auckland 1544 New Zealand For customer orders and price information please contact: Order Entry Australia: New Zealand Telephone: Local (03) 8562 1340 Telephone: Country / Interstate: 1800 339 412 Facsimile: (03) 8562 1341 Country / Interstate: 1800 814 196 0800 441 763 For more information visit our website: www.convatec.com ®/™ indicates trademarks of E.R. Squibb & Sons, L.L.C. W110 MAY 08 AU-08-818