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Wound Care Product Guide Gentle and Effective Care 2016 |1 Mölnlycke Health Care Mölnlycke Health Care is a world leading manufacturer of single-use surgical and wound care products and services for the professional health care sector. We offer a wide range of wound care solutions, including products with Safetac® and the Avance® Negative Pressure Wound Therapy System, providing gentle and effective wound healing to patients and care givers. The wound care assortment also has supplementary portfolios in compression, dermatology and orthopaedics. Contents Product Overview03 Advanced Wound Management General Wound Managment Dermatology Bordered Foams Mepilex® Border06 Mepilex® Border Heel & Sacrum07 Mepilex® Border Flex08 Mepilex® Border Post-Op09 Mepilex® Border Lite 10 Self-adhesive Island Dressings Emollient Therapy Mepore®29 Mepore® Film & Pad30 Mepore® Ultra31 Alldress®31 Epaderm® Cream39 Epaderm® Ointment40 Film Dressings Non-bordered foams Mepilex® XT11 Mepilex® Lite12 Mepilex® Transfer13 Tubifast® Garments with 2-Way Stretch® technology Mepore® Film32 Mepore® IV33 Absorbent Secondary Dressing Compression Bandages Elset® & Elset® ‘S’42 Setopress® 42 Antimicrobial Dressings Mepilex® Border Ag (Sacrum)14 Mepilex® Ag15 Melgisorb® Ag16 Mesorb® 34 Stockinettes & Support Bandages Absorbent Alginate Dressing Stockinette™42 Tubegauz® 42 Tubigrip®42 Tubigrip® Shaped Support Bandage (TSSB)42 Tubinette® 43 Tubipad® 43 Tubiton®43 Safetac® 04-05 Wound Contact Layers Mepitel®17 Mepitel® One18 Gelling Fibres Exufiber®19 Melgisorb Plus35 ® Absorbent Sodium Chloride Impregnated Dressing Mesalt® 35 Non-adhesive Foam Dressings Superabsorbants Mextra® Superabsorbent20 Mepore® Film35 Mepore® IV35 NPWT Irrigation & Cleansing Products Avance®21-23 Avance® Solo24 Mepiseal®25 Mepitel® Film26 Mepiform®27 Mepitac® 28 Normasol®35 Steripod® 36 Dressing Fixation & Retention Mefix®37 Tubifast® with 2-Way Stretch® Technology 38 Specialist Garments 41 Orthopaedic Products Collar ‘n’ Cuff® 43 Collafoam® 43 Notac™44 Polysling®44 Tubigrip® Arthro-pad 44 Tubigrip® Lumbar/ Abdominal Supports44 Tubigrip® Hip Spica44 Anti-embolism Stockings Brevet tx® 44 Dressings with Safetac®48-49 Notes50 Connect with us51-52 2| Product overview Wound Care Dressings Dressings with Safetac provide a proven solution to minimise the risks of pain to the patient and trauma to the wound during dressing changes1. Other products include Exufiber, Mepore, Mepore Film, Mepore Film & Pad, Mextra Superabsorbent and Steripod. Our range of products include: Mepitel, Mepilex, Mepilex Border, Mepilex Ag, Mepilex XT, Mepilex Heel and Mepiseal. Negative Pressure Wound Therapy (NPWT) Avance is the only NPWT system purpose designed to minimise unnecessary patient pain and stress2. Fixations with Safetac prevent skin stripping at dressing changes3,4 and the maceration that can delay healing by causing damage to the periwound area 5,6.They may even prevent blistering7. Fixation film with Safetac is easy to work with, apply and can be repositioned during application to achieve best fit and seal. This helps minimise unnecessary contact with the patient’s sensitive wound site, and can help minimise their anxiety. Avance is also light, easy to understand and operate and very quiet – design that contributes to a less stressful NPWT experience day-to-day. Dermatology Emollient therapy The Epaderm range provides all of the moisturising and protective benefits of paraffinbased emollients and can be used for the treatment of eczema, psoriasis and other dry skin conditions. Complete emollient therapy is available in/with just 2 products: Epaderm Ointment, developed by Dermatologists at the RVI, is a 3-in-1 emollient, bath additive and skin cleanser. Epaderm Cream is an award winning 2-in-1 emollient and skin cleanser, formulated with clinically proven ingredients that moisturise and soften the skin. Dressing retention & wet or dry wrapping Tubifast Bandages and Garments with 2-Way Stretch technology are used for dressing retention and, in conjunction with emollients, for wet or dry wrapping to help treat atopic eczema. Ready-made Tubifast Garments are easy to apply, and their two-way stretch construction ensures complete freedom of movement and so aids concordance. Tubifast Bandages can be used for dressing retention and as undercast stockinettes. Used with Epaderm Ointment, both Tubifast Bandages and Tubifast Garments are ideal product combinations for wet or dry wrapping. Reference 1. White R., A Multinational survey of the assessment of pain when removing dressings. Wounds UK 2008; Vol 4, No 1. 2. Chadwick, P., Harrison, M., Morris, C., Bamford, A., Stansby, G. (2010) Avance negative pressure wound therapy system: a clinical focus. Wounds UK 6(4):114-122. 3. Dykes, P.J., Heggie, R., Hill, S.A. (2001) Effects of adhesive dressings on the stratum corneum of skin. Journal of Wound Care 10(2): 7-10. 4. Waring, M., Biefeldt, S., Matzold, K.P., Butcher, M. (2011) An evaluation of the skin stripping of wound dressing adhesives. Journal of Wound Care 20(9):412-422. 5. Wiberg, A.B., Feili, F., Asp, A., Daun, E.K. (2008) Preventing maceration with a soft silicone dressing: in-vitro evaluations. Poster presented at the 3rd Congress of the World Union of Wound Healing Societies, Toronto, Canada. 6. Meaume, S., Van De Looverbosch, D., Heyman, H., Romanelli, M., Ciangherotti, A., Charpin, S. (2003) A study to compare a new self-adherent soft silicone dressing with a self-adherent polymer dressing in stage II pressure ulcers. Ostomy Wound Management 49(9):4451. 7. Johansson, C., Hjalmarsson, T., Bergentz, M., Melin, M., Sandstedt, P., Johansson, C. (2012) Preventing post-operative blisters following hip and knee arthroplasty. Wounds International 3(2): 1-6. |3 Safetac® Safetac® hurts less Safetac is a propietary adhesive technology that minimises pain and wound trauma, and decreases patient stress. Safetac technology is available exclusively in Mölnlycke Health Care dressings, including Mepitel One, Mepilex wound care dressings and other selected Mölnlycke Health Care dressings. Safetac hurts less because it: 1) adheres gently to dry intact skin, but not to moist wound surfaces1 2) conforms to the skin’s uneven surface thereby covering a larger surface area which spreads peel forces on removal to prevent skin stripping2, 3 3) seals around wound margins, ensuring exudate does not spread to the s urrounding skin thereby minimising maceration4. + LESS WOUND ADHERENCE1 + LESS SKIN STRIPPING2,5 + LESS MACERATION6,4 Less suffering, less stress, and = potentially faster healing7, 8 Reference 1. White R. et al. Evidence for atraumatic soft silicone wound dressing use. Wounds UK, 2005. 2. Dykes P.J. et al. Effect of adhesive dressings on the stratum corneum of the skin. Journal of Wound Care, 2001. 3. Zillmer R et al. Biophysical effects of repetitive removal of adhesive dressings on periulcer skin. Journal of Wound Care 2006. 4. Meaume S, et al. A study to compare a new self adherent soft silicone dressing with a self adherent polymer dressing in stage II pressure ulcers. Ostomy Wound M anagement, 2003. 5. Waring P. et al. An evaluation of the skin stripping of wound dressing adhesives. Journal of Wound Care, 2011. 6. Wiberg A.B. et al. Preventing maceration with a soft silicone dressing: in-vitro evaluations. Poster presented at the 3rd Congress of the WUWHS, Toronto, Canada, 2008. 7. White R. A multinational survey of the assessment of pain when removing dressings. Wounds UK, 2008. 8. Upton D. et al. The Impact of Atraumatic Vs Conventional Dressings on Pain and Stress in Patients with Chronic Wounds. Submitted and approved for publication, Journal of Wound Care, 2012. 9. Johansson C. et al. An assessment of a self-adherent, soft silicone dressing in post operative wound care following hip and knee arthroplasty. Poster presentation at EWMA, Brussels, Belgium 2012. 4| The science of Safetac® Safetac conforms to the skin’s uneven surface, while other adhesives adhere only to the top of the skin’s surface. Tissue Trauma Skin Stripping Sealing Adherence Dressings with Traditional Adhesives Safetac minimises pain at removal, seals the wound margins effectively and helps prevent blister formation. Dressings with Safetac Traditional adhesives only adhere to the top of skin pores, and must stick harder to stay in place. Safetac soft silicone adhesive conforms to the skin’s pores, sealing the wound. Exudate is able to travel through the dips and valleys between pores, spreading outward and increasing the risk for maceration. Exudate has nowhere to go, stopping the spread and helping to prevent maceration. Electron microscope of acrylate adhesive after dressing removal Electron microscope picture of a dressing with Safetac after removal. Safetac is in contact with much more skin area, spreading peel forces to avoid skin being stripped at dressing removal2, 5. Because of the force needed to stick to the tops of pores and the smaller contact area, sheer forces can strip skin at removal. With less skin contact, the adhesive is at risk of slight moves and can lead to the friction that forms blisters. More skin contact also eliminates the risk for friction from slighter movement, helping to prevent blistering9. |5 The absorbent self-adherent dressing with Safetac® Bacterial and Viral barrier* backing film: • Showerproof • Breathable Mepilex Border has a unique 5 layer construction, it provides an excellent fluid handling capacity and minimises the risk of maceration. Mepilex Border is ideal for those locations where a self-adherent dressing is required as a gentler alternative to other adhesive bordered dressings. Unique Safetac® layer and border: • Secure fixation • Atraumatic to the wound bed and the surrounding skin on removal • Reduces risk of maceration Mepilex Border minimises pain to the patient and trauma to the wound during dressing changes. The Safetac technology prevents Mepilex Border from sticking to the wound bed yet adheres gently to the surrounding skin. Multi-layered absorbent foam pad: • Fibre layer for maximum retention • Non-woven spreading layer to optimise the absorption capacity and prevent leakage • Hydrophilic polyurethane foam to quickly absorb exudate *microbes >25nm SSS Mepilex Border Ordering Information Mepilex Border’s unique 5 layer construction. Areas of use A wide range of low to highly exuding wounds such as: • Pressure ulcers • Leg and foot ulcers • Painful wounds • Wounds with compromised/fragile surrounding skin. 6| Art. no Size cm Pieces per inner PIP Code 295260 295360 NHS Code NDC Code for England for Scotland and Wales 7 x 7.5 5 339-0986 ELA381 123636 10 x 12.5 5 339-0978 ELA380 123643 295800 10 x 20 5 327-1590 ELA713 136698 295900 10 x 30 5 327-1608 ELA187 117482 295460 15 x 17.5 5 339-0952 ELA714 123650 295660 17 x 20 5 339-0945 ELA078 117444 Foam layer – to initiate vertical absorption of exudate Highly breathable backing film – a waterproof secure barrier to virus and bacteria >25nm Safetac® layer – seals the wound edge to minimise risk of maceration, minimises pain to patients, and trauma to the wound and skin1,2,3 The all-in-one absorbent heel shaped foam dressing with Safetac® Mepilex Border is an all-in-one foam dressing shaped to fit hard to dress areas that effectively absorbs and retains exudate and maintains a moist wound environment. The Safetac layer seals the wound edges, preventing exudate leakage onto the surrounding skin, thus minimising the risk of maceration1. Mepilex Border has a unique 5 layer construction. As well as treating wounds, it is proven to help prevent pressure ulcers as part of a pressure management protocol. Nonwoven spreading layer – to spread fluids on a wide surface and maximise absorption performance Superabsorbent layer – to absorb and retain fluids in the dressing Mepilex Border Heel Ordering Information Art. no Size cm Pieces per inner PIP Code 283250 18.5 x 24 5 383-1617 NHS Code NDC Code for England for Scotland and Wales ELA651 283250TPS Mepilex Border Sacrum Ordering Information Example of application of Mepilex Border Sacrum. Areas of use • Designed to be applied on the heel • For the prevention of skin damage or for treatment of exuding wounds including: - Pressure ulcers - Diabetic foot ulcers - Heel ulcers - Traumatic wounds - Other secondary healing wounds. NHS Code NDC code for England for Scotland and Wales Art. no Size cm Pieces per inner PIP Code 282500 15 x 15 5 366-7532 ELA577 173815 282000 18 x 18 5 327-3950 ELA300 117598 282400 23 x 23 5 327-1616 ELA173 181319 Reference 1. Wiberg A.B. et al. Preventing maceration with a soft silicone dressing: in-vitro evaluations. Poster presented at the 3rd Congress of the WUWHS, Toronto, Canada, 2008. 2. White R. et al. Evidence for atraumatic soft silicone wound dressing use. Wounds UK, 2005. 3. White R. A Multinational survey of the assessment of pain when removing dressings. Wounds UK, 2008 |7 Showerproof, bacteria and viral barrier* backing film with high permeability to allow effective vapour transmission onwoven spreading layer– to N spread fluids on a wide surface and maximise absorption performance, and with flex-cuts for high conformability1 *microbes >25nm Mepilex Border Flex is an all-in-one oval foam dressing that effectively absorbs and retains exudate 4, and maintains a moist wound environment. The shape of the borders have been designed to adapt to the body’s contours and to distribute forces along the borders, in order to minimise rolling and increase both conformability and ability to stay in place. The perforated ‘flex cut’ design in the absorbent pad provides greater extensibility and flexibility 1. Safetac technology wound contact layer minimises patient pain and trauma to the wound and surrounding skin at removal2 while reducing the risk of maceration3 The absorption layer attracts moisture/ exudate rapidly and prevents it from returning to the wound3 Superabsorbent layer – to absorb and retain fluids in the dressing, and with flex-cuts for high conformability1 Shaped flexibility with Safetac® technology The Safetac layer seals the wound edges, prevents exudate leakage onto the surrounding skin, thus minimising the risk of maceration 5. SSS Mepilex Border Flex Ordering Information Art. no Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 283300 13 x 16 5 384-5559 ELA710 283300TPS 283400 15 x 19 5 384-5567 ELA711 283400TPS Example of Mepilex Border Flex in situ. Areas of use Mepilex Border Flex is designed to be used for the prevention of skin damage or for treatment of exuding wounds including: •P ressure ulcers •D iabetic foot ulcers •L eg and foot ulcers • Traumatic wounds •O ther secondary healing wounds Reference 1. Tensile force, Conformability, in vitro tests. Mölnlycke Health Care lab. report 20130301-002. 2. Upton D et al. Pain and stress as contributors to delayed wound healing. Wound Practice and Research, 2010. 3. Dykes P.J. et al. Effect of adhesive dressings on the stratum corneum of the skin. Journal of Wound Care, 2004. 4. Fluid handling capacity, in vitro test SMTL lab report SMTL 13/4161/1. 5. Wiberg A.B. et al. Preventing maceration with a soft silicone dressing: in-vitro evaluations. Poster presented at the 3rd Congress of the WUWHS, Toronto, Canada, 2008. 8| Polyurethane backing film • Highly breathable • Showerproof, bacteria and viral barrier* • Wide fixation borders *microbes >25nm Multilayered absorbent pad with flex technology The flex technology is a perforated pattern in the absorbent pad which opens up the structure and gives the dressing high flexibility The flexible absorbent all-in-one post-op dressing •S uper-absorbent fibres for high and fast absorption with optimised retention2 •V ery high flexibility over joints (hips, knees etc)4 Mepilex Border Post-Op is an all-in-one postop dressing that effectively absorbs and retains surgical exudates. The Safetac layer minimises incidence of blisters1 and ensures that the dressing can be changed without damaging the wound or surrounding skin or exposing the patient to additional pain 3. The Safetac layer seals the wound edges, preventing the exudates to leak onto surrounding skin, thus minimising the risk for maceration 6,7,8. The flex technology gives high flexibility and high conformability over such as hip and knees, promoting patient mobilisation 4. Safetac® technology layer • Minimises incidence of blisters1 • Minimise pain and trauma at dressing change3 • Does not adhere to the moist wound bed but to dry skin only5 • Seals the wound margins and reduces risk of maceration6,7,8 • Minimise risk of adherence to sutures and staples1 • Minimise risk of skin stripping9,10 Mepilex Border Post-Op Ordering Information Art. no Example of application of Mepilex Border Post-Op. Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 495100 6x8 10 - ELA652 495100TPS 495200 9 x 10 10 - ELA653 495200TPS 495300 9 x 15 10 - ELA654 495300TPS 495400 10 x 20 10 - ELA655 495400TPS 495450 10 x 25 10 - ELA656 495450TPS 495600 10 x 30 10 - ELA657 495600TPS Areas of use •D esigned for exuding wounds. It is intended for acute wounds •S urgical wounds, cuts and abrasions •O ptimised for post-op use and blood absorption •T he flex technology gives very high flexibility and makes it ideal to be used over such as hips and knees 4. Reference 1. Johansson C. et al. An assessment of a self-adherent, soft silicone dressing in post operative wound care following hip and knee arthroplasty. Poster presentation at EWMA, Brussels, Belgium 2012. 2. Fluid handling capacity. Mölnlycke Health Care Lab. report 20121101-002. Downloadable from www.molnlycke.com 3. White R. A multinational survey of the assessment of pain when removing dressings. Wounds UK, 2008. 4. Tensile force. Mölnlycke Health Care Lab. report 20121019-004. Downloadable from www.molnlycke.com 5. White R. et al. Evidence for atraumatic soft silicone wound dressing use. Wounds UK, 2005. 6. Meaume S. et al. A study to compare a new self adherent soft silicone dressing with a self adherent polymer dressing in stage II pressure ulcers. Ostomy Wound Management, 2003. 7. Feili F et al. Retention capacity. Poster presentation at the EWMA conference, Lisbon, Portugal 2008. 8. Wiberg A.B. et al. Preventing maceration with a soft silicone dressing: in-vitro evaluations. Poster presented at the 3rd Congress of the WUWHS, Toronto, Canada, 2008. 9. Waring P. et al. An evaluation of the skin stripping of wound dressing adhesives. Journal of Wound Care, 2011. 10. Dykes P.J. et al. Effect of adhesive dressings on the stratum corneum of the skin. Journal of Wound Care, 2004. |9 The low profile, self-adherent dressing with Safetac® Bacterial and Viral barrier* backing film: • Showerproof • Breathable Mepilex Border Lite is ideal for those locations where a low profile self-adherent dressing is required. It is highly conformable and gentle alternative to other thin adhesive bordered dressings. Mepilex Border Lite minimises pain to the patient and trauma to the wound during dressing changes. The Safetac technology prevents Mepilex Border Lite from sticking to the wound bed yet adheres gently to the surrounding skin. Unique Safetac® layer and border: • Secure fixation • Atraumatic to the wound bed and surrounding skin on removal • Reduces risk of maceration *microbes >25nm Multilayered thin foam pad • Hydrophilic polyurethane foam to quickly absorb exudate • Non-woven spreading layer to optimise the absorption capacity and prevent leakage S Mepilex Border Lite Ordering Information Art. no Mepilex Border Lite is ideal for difficult to dress areas. Areas of use A wide range of non to low exuding wounds such as: • Diabetic foot ulcers •W ounds with compromised/fragile surrounding skin •P ainful wounds •A cute wounds •S urgical wounds •D igit wounds. 10 | Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 281000 4x5 10 317-7011 ELA272 117529 281100 5 x 12.5 5 317-7029 ELA273 117536 281200 7.5 x 7.5 5 317-7037 ELA269 117543 281300 10 x 10 5 317-7045 ELA270 117550 281500 15 x 15 5 317-7060 ELA271 174973 Safetac layer • Reduces pain and trauma at dressing change3-5 • Does not adhere to the moist wound bed but to dry skin only • Seals the wound margins and reduces the risk of maceration Polyurethane backing film • Breathable • Barrier to virus and bacteria* The foam dressing with exudate channels and Safetac® Mepilex XT is a soft and conformable8 foam dressing with integrated channels, designed to transfer even viscous exudates rapidly2 into the absorbent foam pad. Safetac technology seals the wound edges, preventing exudate from leaking onto the surrounding skin, thus minimising the risk of maceration6. Safetac also ensures that the dressing can be changed with minimised risk of damaging the wound or surrounding skin or exposing the patient to additional pain 3-5. Polyurethane foam pad • Enhanced exudate management capacity1 • Exudate channels to absorb viscous exudate2 • Conformable and flexible foam8 *microbes >25nm SSS Mepilex XT Ordering Information Art. no Mepilex XT. Areas of use Mepilex XT is designed for a wide range of low to moderate exuding acute and chronic wounds in all healing phases, such as: • Leg and foot ulcers • Pressure ulcers • Traumatic wounds. Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 211160 10 x 11 5 395-3320 ELA722 200993 211260 11 x 20 5 395-3338 ELA723 201006 211360 15 x 16 5 395-3346 ELA724 201013 211460 20 x 21 5 395-3353 ELA725 201020 Mepilex Ordering Information Art. no Size cm Pieces per inner PIP Code 294015 294500 NHS Code NDC Code for England for Scotland and Wales 5x5 5 377-5939 ELA715 182329 20 x 50 2 342-9537 ELA383 123629 Mepilex Heel Ordering Information Art. no Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 288100 13 x 20 5 229-3769 ELA277 128730 288300 15 x 22 5 353-1951 ELA429 - Reference 1. Fluid handling and retention properties Mepilex XT: Report no. 20130123-006/20121107-014/20130729-001 (SMTL). 2. Fluid handling and retention properties with Viscous test Fluid Mepilex XT, Report No. 20130104-004/ 20121012-004/20130515-001/20130814-004(MHC). 3. White R. A Multinational survey of the assessment of pain when removing dressings. Wounds UK, 2008 4. Meuleneire F and Fostier A. Local treatment of heel pressure ulcers with a silicone foam dressing. Poster presentation. WUWHS, 2008. 5.Upton D and Solowiej K. The impact of atraumatic vs conventional dressings on pain and stress. J Wound Care. 2012 May; 21(5):209-215. 6. Wiberg A.B. et al. Preventing maceration with a soft silicone dressing: in-vitro evaluations. Poster presented at the 3rd Congress of the WUWHS, Toronto, Canada, 2008. 7. External Test Lab Report no. 413098 (Nelson Laboratories). 8. Meuleneire F and Fostier A. Local treatment of heel pressure ulcers with a silicone foam dressing. Poster presentation. WU WHS , 2008. | 11 Unique Safetac® layer: • Atraumatic to the wound bed and the surrounding skin on removal • Reduces risk of maceration Thin foam pad: • Absorbs low levels of exudate • Conforms to body contours The low profile dressing with Safetac® Mepilex Lite has a low profile and is highly conformable. It is comfortable for patients and ideal for cutting to fit difficult to dress areas. Mepilex Lite minimises pain to the patient and trauma to the wound during dressing changes. The Safetac technology prevents Mepilex Lite from sticking to the wound bed yet adheres gently to the surrounding skin allowing easy application of secondary fixation. Film backing: • Breathable S Mepilex Lite Ordering Information Mepilex Lite on foot ulcer. Areas of use A wide range of non to low exuding wounds such as: • Diabetic foot ulcers • Radiotherapy induced skin reactions • Leg ulcers • Pressure ulcers • Partial thickness burns • Epidermolysis Bullosa (EB) •W ounds with compromised/fragile surrounding skin. 12 | Art. no Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 284000 6 x 8.5 5 303-5565 ELA182 117581 284100 10 x 10 5 303-5573 ELA184 097470 284300 15 x 15 5 303-5581 ELA185 - 284500 20 x 50 2 311-6787 ELA234 - Apply appropriate absorbing secondary dressing (e.g. Mesorb®) and fixate Unique Safetac® layer: • Atraumatic to the wound bed and surrounding skin on removal •R educes risk of maceration The exudate transfer dressing with Safetac® Mepilex Transfer conforms to the body enabling the management of difficult-to-dress wounds. The foam layer enables rapid transfer of exudate into a secondary absorbent pad (eg Mesorb). The risk of maceration is therefore minimised. Mepilex Transfer minimises pain to the patient and trauma to the wound during dressing changes. The Safetac technology prevents Mepilex Transfer from sticking to the wound bed yet adheres gently to the surrounding skin. Ultra thin foam backing: •H ighly conformable and comfortable • Ideal for large, exuding and difficult-to-dress wounds SSS Mepilex Transfer Post-Op Ordering Information Art. no Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 294600 7.5 x 8.5 5 329-5755 ELA336 294700 10 x 12 5 329-5748 ELA337 - 294800 15 x 20 5 292-4157 ELA111 175079 294502 20 x 50 4 292-4165 ELA617 175086 - Mepilex Transfer application. Areas of use A wide range of exuding and difficult-todress wounds such as: • Fungating tumours1 • Epidermolysis Bullosa (EB)2 • Donor sites • Venous leg ulcers. • Also useful for protecting large areas of fragile skin, such as radiotherapy induced skin reactions. Reference 1. Grocott P, The Palliative Management of Fungating Malignant Wounds, Education Booklet. Wound Care Society. June 2001 Vol. 8. No. 2. 2. Weiner, M.S. Pain management in epidermolysis bullosa: an intractable problem. Ostomy Wound Manage 2004; 50: 8, 13-14. | 13 Bacterial and Viral barrier* backing film • Showerproof • Breathable Multilayered absorbent foam pad: • The compressed foam with silver, absorbs and spreads the exudate while allowing silver to be released • Fibre layer for maximum retention All-in-one antimicrobial absorbent foam dressing with Safetac® Mepilex Border Ag is an antimicrobial all-in-one foam dressing that effectively absorbs and retains exudate and maintains a moist wound environment. Unique Safetac® layer and border: • Reduces pain and trauma before, during and after dressing change1 • Does not adhere to the moist wound bed but to dry skin only 2 • Seals the wound margins and reduces risk of maceration 3 The Safetac layer seals the wound edges, preventing exudate leaking onto the surrounding skin, thus minimising the risk for maceration. The Safetac layer ensures that the dressing can be changed without damaging the wound or surrounding skin or exposing the patient to additional pain. Rapid, sustained release of ionic silver • Antimicrobial activity within 30 minutes up to 7 days 3 *microbes >25nm Mepilex® Border Ag Ordering Information Art. no Size cm Pieces per inner PIP Code 395260 395360 NHS Code NDC Code for England for Scotland and Wales 7 x 7.5 5 362-3824 ELA516 174829 10 x 12.5 5 362-3873 ELA517 174836 395460 15 x 17.5 5 362-3840 ELA518 - 395660 17 x 20 5 362-3832 ELA519 - 395800 10 x 20 5 362-3881 ELA520 174843 395700 10 x 25 5 362-3865 ELA521 174850 Areas of use 395900 10 x 30 5 362-3857 ELA522 - Mepilex Border Ag is designed for moderate to highly exuding wounds such as: • Leg and foot ulcers •P ressure ulcers •M alignant wounds •P artial thickness burns • Traumatic wounds •S urgical wounds where a moist environment, exudate management, gentle fixation and an anti-microbial action is indicated. Mepilex Border Sacrum AG Ordering Information Art. no NHS Code NDC Code for England for Scotland and Wales Size cm Pieces per inner PIP Code 382000 18 x 18 5 362-3931 ELA523 382200 20 x 20 5 362-3923 ELA524 - 382400 23 x 23 5 362-3915 ELA525 174935 174928 Reference 1. White R., A Multinational survey of the assessment of pain when removing dressings. Wounds UK 2008; Vol 4, No 1 2. Dykes PJ. The effect of adhesive dressing edges on cutaneous irritancy and skin barrier function. J Wound Care 2007, 16(3):97-100. 3. External lab report: NAMSA 09C 29253 01/09C 29253 02. 14 | • Antimicrobial activity within 30 minutes for up to 7 days1 Unique Safetac® layer: • Atraumatic to the wound and surrounding skin • Minimises the risk of maceration Film backing: • Breathable The antimicrobial foam dressing with Safetac® Mepilex Ag is a antimicrobial dressing, which combines Safetac technology with silver. Mepilex Ag’s rapid and sustained activity begins to inactivate wound related pathogens (including MRSA) within 30 minutes and for up to seven days1. The Safetac technology allows the dressing to be changed without causing additional pain to the patient or trauma to the wound and surrounding skin. Absorbent foam pad: • Absorbs exudate • Conforms to body contours SS Precautions • Do not use on patients with a known sensitivity to silver •D o not use Mepilex Ag during radiation treatment or examinations e.g. X-ray, ultrasound, diathermy or Magnetic Resonance Imaging •D o not use Mepilex Ag together with oxidising agents such as hypochlorite solutions or hydrogen peroxide. Mepilex Heel Ag in situ. Areas of use Mepilex Ag is designed for the management of low to moderately exuding wounds such as: • Leg and foot ulcers • Pressure ulcers • Partial thickness burns. Mepilex Ag may be used on infected wounds as part of a treatment regimen under supervision of a qualified healthcare professional. Mepilex Ag can also be used under compression bandaging. Mepilex Ag Ordering Information Art. no Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 287110 10 x 10 5 331-4986 ELA339 174867 287210 10 x 20 5 331-5009 ELA340 174881 287310 15 x 15 5 331-5025 ELA341 174874 287410 20 x 20 5 331-5033 ELA342 - 287510 20 x 50 12 354-3493 ELA649 180103 Mepilex Heel Ag Ordering Information Art. no Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 388100 13 x 20 5 362-3899 ELA720 174911 388300 15 x 22 5 362-3907 ELA721 - Reference 1. Taherinejad, F., Hamberg, K. Antimicrobial effect of a silver-containing foam dressing on a broad range of common wound pathogens. Poster presentation at the 3rd Congress of the World Union of Wound Healing Societies, Toronto, Canada, 2008. | 15 Highly absorbent antimicrobial alginate dressing Silver-containing alginate • Provides sustained antimicrobial effect • In vitro testing show antimicrobial effect from 4 hours up to 7 days 1 Melgisorb Ag absorbs up to 45% more than Aquacel® Ag2 dressing*. The high fibre strength allows removal in one piece. Rapid and sustained antimicrobial effect. *Excludes Aquacel Ag ribbon Alginate with CMC fibres • Suitable for highly exuding wounds • Designed for shallow and deep wounds • Allows removal in one piece SSS •C avity wounds •P artial thickness burns •S uperficial and partial thickness burns. As Melgisorb Ag contains alginate, it may assist in supporting the control of minor bleeding in superficial wounds. Melgisorb Ag. Areas of use Melgisorb Ag is indicated for the management of moderate to heavily exuding partial to full thickness wounds such as: •P ost-operative surgical wounds •T rauma wounds (dermal lesions, trauma injuries or incisions) •L eg ulcers •P ressures ulcers •D iabetic ulcers •G raft and donor sites Reference 1. Data on file 2008-0253. 2. Data on file 2008-0256. 16 | This product can also be used under compression bandages. Melgisorb Ag can be used in the management of infected wounds or wounds in which there is an increased risk of infection under the medical supervision of a healthcare professional. Melgisorb Ag Ordering Information Art. no Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 256050 5x5 10 346-8337 ELS199 164776 256100 10 x 10 10 346-8345 ELS200 173525 256150 15 x 15 10 346-8352 ELS201 - 256600 3 x 44 10 346-8329 ELS198 173518 The wound contact layer with Safetac® on two sides Mesorb (Secondary absorbent dressing): • Air permeable, fluid repellent strike-through exudate barrier Mepitel minimises pain to the patient and trauma to the wound during dressing changes. Safetac technology prevents Mepitel from sticking to the wound bed yet adheres gently to the surrounding skin. It is also adherent on the outer side, which allows easy application of a secondary dressing. Mepitel can remain in place for up to 14 days1-3 which allows undisturbed wound healing when used in conjunction with a simple secondary pad, such as Mesorb. In addition, topical treatments may be applied through Mepitel whilst in situ. Mepitel (Elastic Polyamide Net): • Allows free passage of exudate to secondary dressing • Allows visual inspection of the wound • Can be left in place for up to 14 days • Maintains integrity Unique Safetac® layer: • Atraumatic to the wound and surrounding skin on removal SSS Mesorb is a soft, highly absorbent dressing which can retain large amounts of exudate. The fluid-repellent strike-through barrier helps prevent exudate from soiling clothing and bed linen. Mesorb is the secondary dressing of choice for use in conjunction with Mepitel. Mepitel Ordering Information Mesorb® applied over Mepitel. Areas of use Mepitel can be used on a wide range of exuding wounds such as: • Partial thickness burns • Graft fixation • Wounds with compromised/fragile surrounding skin • Skin tears • Abrasions • Epidermolysis Bullosa (EB) 4. Art. no Size cm Pieces per inner PIP Code 290500 290700 NHS Code NDC Code for England for Scotland and Wales 5x7 5 303-8932 EKH002 022069 8 x 10 5 303-8940 EKH003 022076 291000 12 x 15 5 303-8957 EKH005 022083 292030 20 x 32 5 332-7285 EKH021 098163 Reference 1. Marconi R, Laverda F, Trevisan g. Poster Presentation European Wound Management association, Helsinki, Finland, 2009. 2. Barraziol R, Fraccalenta E, Schiavon M. Poster Presentation European Wound Management association, Helsinki, Finland, 2009. 3. Eagle M, Clinical report, Mölnlycke Health Care (1998), Taylor R JoWC, Vol 8, No 9 (1999), P. 429-430, Young T, Community nurse, 5, No 10 (1999), p.53-54. 4. Denyer, J. The use of atraumatic wound dressings in epidermolysis bullosa. Poster presentation at the European Wound Management Association conference, Prague, Czech Republic, 2006. | 17 Polyurethane net • Open mesh structure allows free passage of exudate into secondary dressing • High transparency • Allows application of topical treatment Mesorb (secondary absorbent dressing): • Air permeable, fluidrepellent strike-through exudate barrier Safetac® layer: • Reduces pain and trauma before, during and after dressing changes1 • Does not adhere to the moist wound bed but to dry skin only • Seals the wound margins and reduces the risk of maceration2 The wound contact layer with Safetac® on one side Mepitel One minimises pain to the patient and trauma to the wound during dressing changes. Its high transparency provides complete visibility of the wound bed and allows for immediate wound assessment, without having to remove the dressing. Mepitel One can remain in place for up to 14 days1,2 which allows undisturbed wound healing when used in conjunction with a simple secondary pad, such as Mesorb. Mepitel One allows for topical preparations to pass through and for wound irrigation whilst in situ. SSS Mepitel One can also be used as a protective layer on nonexuding wounds and on areas with fragile skin. Mepitel One Ordering Information Mesorb applied over Mepitel One. Areas of use Mepitel One is designed for a wide range of wounds such as: • Skin abrasions • Skin tears • Partial thickness burns • Traumatic wounds • Blistering, lacerations • Partial and full thickness grafts • Leg and foot ulcers • Hand surgery5. Art. no Size cm Pieces per inner PIP Code NHS Code for NDC Code England and for Scotland Wales 289170 6x7 5 350-6888 EKH037 150922 289270 9 x 10 5 350-6896 EKH038 150939 289470 13 x 15 5 350-6904 EKH039 150946 289670 24 x 27.5 5 350-6912 EKH040 150953 289750 27.5 x 50 2 TBC EKH076 TBC 289800 9.5 x 150(roll) 1 TBC EKH077 TBC Reference 1. Marconi R, Laverda F, Trevisan G. Poster Presentation European Wound Management Association, Helsinki, Finland, 2009. 2. Barraziol R, Fraccalenta E, Schiavon M. poster presentation European Wound Management association, Helsinki, Finland, 2009. 5. Collin A. Use of Mepitel One dressing following hand surgery: A case study series. Poster presentation at Wounds UK Conference, Harrogate, United Kingdom, 2009. 18 | Hydrolock Technology • Highly absorbent poly-vinyl alcohol fibres • Excellent tensile strength • Dressing removal in one piece • Saves nursing time and increases patient comfort Fixate Exufiber with an appropriate secondary dressing such as Mepilex Border High retention capacity • Minimises exudate leakage and maceration • Absorbs and retains exudate, bacteria and blood Gelling fibre dressing Exufiber is a unique gelling fibre dressing with patented Hydrolock® Technology that helps you to manage the challenges of highly exuding wounds whilst improving the patient experience. Hydrolock Technology consists of highly absorbent poly-vinyl alcohol (PVA) fibres which transform into a gel that facilitates moist wound healing and ease of removal at dressing change. The excellent locking properties of Hydrolock® technology minimise free fluid inside the dressing and enable superior retention1. At dressing change Exufiber delivers high tensile strength when wet and maintains structural integrity to ensure removal in one piece. SSS Exufiber is available both as sheet and ribbon dressings. Exufiber Ordering Information Art. no Exufiber. Areas of use Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 603300 5x5 10 394-4337 - - 603301 10 x 10 10 394-4345 - - 603302 15 x 15 10 394-4352 - - 603305 4.5 x 10 10 394-4402 - - 603306 4.5 x 20 10 394-4386 - - 603307 4.5 x 30 10 394-4378 - - 603308 2 x 45 5 401-0005 - - 603303 20 x 30 5 394-4360 - - Exufiber is intended to be used in a wide range of exuding wounds: •L eg and foot ulcers •P ressure ulcers •P ilonidal sinus •P artial thickness burns •S urgical wounds •D onor sites •M alignant wounds •D ermal lesions and other external wounds inflicted by trauma. Reference 1. 1.SMTL method TM-404 for Free Swell Absorption and Retention. Test performed at SMTL, UK. Laboratory report 20140806-001. | 19 Fluid-repellent backing Hydrophilic wound contact layer A superabsorbent dressing with a fluid-repellent backing Mextra Superabsorbent’s unique 4 layer construction works in a precise sequence to deliver optimal exudate management: 1. Hydrophilic wound contact layer transmits fluid upwards. 2. Distribution layer allows rapid fluid uptake and spreads exudate evenly into the absorbent layer. 3. Absorbent layer maintains integrity upon exudate absorption and minimises the risk of maceration and leakage. • Distribution layer that directs exudate evenly upwards into the absorbent layer • Absorbent layer comprises optimal amounts of fibres and superabsorbent particles 4. Fluid repellent backing layer minimises fluid strike-through and allows moisture vapour transmission. SSS Mextra® Superabsorbent Ordering Information Art. no Mextra Superabsorbent dressing. Areas of use Mextra Superabsorbent is intended for use on moderately to highly exuding wounds such as leg ulcers and pressure ulcers. Mextra Superabsorbent may be used on top of a primary dressing such as Mepitel One or Melgisorb. Mextra Superabsorbent may also be used under compression bandaging. 20 | Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 610000 10 x 10 10 372-5280 EJE148 - 610100 10 x 15 10 372-5298 EJE147 - 610200 10 x 20 10 372-5306 EJE150 - 610300 15 x 20 10 372-5314 EJE146 - 610400 20 x 25 10 372-5322 EJE145 - 610500 20 x 30 10 372-5330 EJE149 - NPWT Avance® NPWT with Safetac® Avance is a unique NPWT system that helps prevent unnecessary pain to the patient and trauma to the wound. Avance Film with Safetac technology helps protect the periwound area against maceration, prevents skin stripping at dressing changes and help prevent the formation of painful blisters. The Avance pump is lightweight and comes with a unique docking station, giving patients greater mobility. It can be used with a choice of dressing kits, depending on the wound and a patient’s needs, and numerous accessories to help with more complicated dressings. Avance with Dynamic Exudate Management NPWT that hurts less from acute care to home care The Avance unique Dynamic Exudate Management is an intelligent pump software which monitors wound exudate levels. Depending on the level of exudate, the software adjusts its flushing cycles, from between 4 times per minute to once every 5 minutes, in order to transport the exudate towards the canister, reducing the risk of blockage or maceration. With Avance, patients use the same NPWT system at home as they did in hospital. Avance is simple to learn and operate for both patients and care givers, helping speed up the discharge process. Minimising pain and achieving an optimal seal promotes better patient compliance, an important consideration in successful healing. •E asy to use. Avance is lightweight, portable and comes with a docking station for easy recharging. The same pump can be used in hospital and at home. •C onvenience. Avance dressing kits come complete with everything you need for less painful NPWT. The choice of foam and gauze gives you the flexibility to treat all wound types wherever the location. High exudate High flushing rate Medium exudate Medium flushing rate Low to moderate exudate Flushing less frequent | 21 Avance® Film with Safetac® technology. Avance® Gauze dressing kit, ViewPad and Avance® Film with Safetac® technology. Avance® Film with Safetac® technology Flexible finance options Traditional film adhesives can be aggressive, causing irritation, pain and skin stripping on removal. They may also allow exudate onto the periwound area which could lead to maceration. With a range of convenient tailor-made solutions, Avance makes NPWT available to everyone when they need it, these include: Avance Film with Safetac technology makes it more convenient to securely fixate the NPWT dressing while also minimizing pain and trauma to the surrounding skin at removal. • Ad-hoc daily rental • Easy to apply • Improved patient comfort • Long-term rental agreements, available from 6 months onwards • Capital purchase with a range of warranty and service options • Consignment contracts. • No skin stripping at dressing removal For more information, please contact your local account manager or contact Mölnlycke Health Care directly. • Conforms to the skins pores, sealing round the wound thus minimizing the risk of maceration. Expert advice and support • Can be repositioned without loss of adhesion Avance Film with Safetac technology is available in selected dressing kits. Whatever finance option you choose, you can expect the following support: • Clinical support - Specialists offering on-site support wherever your patient is being treated • Availability - Clinical and technical helpline available 24 hours a day, 7 days a week, 365 days a year • Education - Initial training and ongoing education for all members of staff. 22 | Avance® Ordering Information Art. no Description Pieces per inner PIP Code NHS Code - - - Pump 6602000 Avance® Pump with Docking Station Dressing Kit 664156 Avance® Gauze Dressing Kit incl Film with Safetac®, ViewPad™ Small 5 385-4635 ELZ382 664256 Avance® Gauze Dressing Kit incl Film with Safetac®, ViewPad™ - Medium 5 385-4627 ELZ383 664356 Avance® Gauze Dressing Kit incl Film with Safetac®, ViewPad™ - Large 5 385-4619 ELZ384 663152 Avance® Gauze Dressing Kit incl Transparent Film, ViewPad™ Small 5 385-4668 ELZ305 663252 Avance Gauze Dressing Kit incl Transparent Film, ViewPad™ - Medium 5 385-4650 ELZ649 663352 Avance® Gauze Dressing Kit incl Transparent Film, ViewPad™ - Large 5 385-4643 ELZ307 663752 Avance® Gauze Dressing Kit incl Transparent Film, ViewPad™ - X-large 5 - ELZ680 664152 Avance® Foam Dressing Kit incl Film with Safetac®, ViewPad™ - Small 5 385-4833 ELZ373 664252 Avance® Foam Dressing Kit incl Film with Safetac®, ViewPad™ - Medium 5 385-4825 ELZ374 664352 Avance Foam Dressing Kit incl Film with Safetac , ViewPad™ - Large 5 385-4718 ELZ375 662152 Avance® Foam Dressing Kit incl Transparent Film, ViewPad™ - Small 5 385-4692 ELZ379 662252 Avance® Foam Dressing Kit incl Transparent Film, ViewPad™ - Medium 5 385-4858 ELZ380 662352 Avance® Foam Dressing Kit incl Transparent Film, ViewPad™ - Large 5 385-4841 ELZ381 662752 Avance® Foam Dressing Kit incl Transparent Film, ViewPad™ - X-large 5 - ELZ679 662452 Avance Foam Dressing Kit incl Transparent Film, ViewPad™, Mepitel - Small 5 385-4700 ELZ648 662552 Avance® Foam Dressing Kit incl Transparent Film, ViewPad™, Mepitel® - Medium 5 385-4684 ELZ303 662652 Avance® Foam Dressing Kit incl Transparent Film, ViewPad™, Mepitel® - Large 5 385-4676 ELZ304 662852 Avance® Foam Abdominal Dressing Kit 5 - ELZ717 6602013 Avance® Tubing with Quick-connector and Canister 300 ml kit 5 364-3962 ELZ316 6602014 Avance® Tubing with Quick-connector and Canister 800 ml kit 5 364-3954 ELZ317 ® ® ® ® ® Canisters Accessories 662000 Avance® Transparent Film 20x28cm 5 364-3947 ELZ311 664000 Avance Film with Safetac 20 x 27cm 10 371-7881 ELZ525 6602019 Avance® Y-connector with Quick-Connector 10 364-3939 ELZ312 661005 Avance Round Drain 10 364-3921 ELZ313 661010 Avance Flat Drain 10 - ELZ314 662018 Avance® VIewPadTM 10 385-4601 ELZ387 6601002 Avance drain adapter to be used with round or flat drain 10 - - 6602924 Avance® Carrying Case 5 - ELZ315 6602004 Avance® Rail Holder 1 - - ® ® ® For ordering, queries and advice please call the Avance Customer Support Helpline on 0800 023 4457 or email [email protected] | 23 A single-patient use NPWT solution for multi week treatment The small and lightweight Avance® Solo pump maximises patient freedom and mobility. It also combines perfectly with Avance NPWT dressings with Safetac® technology to minimise unnecessary pain and skin damage. Avance® Solo allows quick and easy discharge of patients from hospital to home whilst also reducing the challenges of logistics and administration. Easy to use The 150 ml canister easily twists into place and can be removed in the same way. Avance® Solo and Accessories. Availability of multiple pressure levels: between -60 and -175 mm Hg. Avance Solo has an interface with only 4 buttons which allows easy operation. Choice between constant and intermittent therapy mode. Avance® Solo Ordering Information Product Avance Solo Multi Week NPWT Pump starter kit incl Canister, Carrying case, Charge Avance Solo Tubing and Canister 150 ml Kit Pieces Product per inner Code NHS Code for NDC Code England and for Scotland Wales 1 6603000 ELZ546 - 10 6603013 ELZ547 - For accessories and dressing kit ordering information see page 34. 24 | Sealant for NPWT with Safetac® Plunger Achieving and maintaining a seal is essential for effective delivery of NPWT: a poor seal can increase the risk of exudate spreading to the surrounding periwound area which may lead to maceration. Dressing leaks can also lead to repeat dressing changes which can be time consuming and costly. Mepiseal Applicator Mepiseal is quick and easy to apply allowing you to secure any NPWT dressing with confidence – forming a seal that prevents exudate spread and promotes effective negative pressure wound therapy for as long as the dressing is in place. Mixer Mepiseal Mepiseal® Ordering Information Art. no Size ml Pcs/Shelf PIP Code 495100 3 2x6 399-9836 NHS Code for NDC Code for England and Scotland Wales ELZ659 ELZ659 Mepiseal. Areas of use Mepiseal can be used with any NPWT system. It can also be used wherever you need added fixation and wound sealing. Benefits of using Mepiseal • Atraumatic • Protects skin • Easy to use • Versatile. | 25 • Transparent, breathable, elastic polyurethane film for patient comfort and optimized wound healing environment • Showerproof, bacteria and viral barrier (microbes >25nm) •P aper frame for ease of application The skin protective film dressing with Safetac® Mepitel Film provides a transparent covering to protect the skin or wound from microbial contamination, fluid strike through and other external contamination; while conforming to surface irregularities and body contours. Mepitel® Film maintains a moist environment and is vapour permeable, allowing excess moisture to pass away from the skin. The Safetac layer provides instant tack adhesion that minimises the requirement of extra pressure to fixate well. The Safetac layer also ensures atraumatic dressing changes. Unique Safetac® layer: • Reduces pain and trauma before, during and after dressing change1,2,3,5,6 • Does not adhere to the moist wound bed but to dry skin only2 • Seals the wound margins and reduces risk of maceration3,4 Mepitel Film can also be used as a protective cover for open surgical wounds e.g abdomen, fixate primary dressing as a secondary dressing and be used in combination with gels and ointments. Fixation tapes and devices can be fixated on top of the Mepitel Film product, Mepitel Film is then used as a protective landing zone for the fixation tape. Mepitel Film Ordering Information Art. no Size cm Mepitel Film dressing. Areas of use Mepitel Film is designed for a wide range of superficial wounds such as: • Superficial skin injuries • Superficial burns • Radiotherapy induced skin reactions • Pressure ulcers, category 1 and 2 • Protects fragile and sensitive skin Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 296800 6.5 × 7 10 373-4159 EIJ084 296500 10.5 × 12 10 373-4167 EIJ085 - 296700 10.5 × 25 10 373-4175 EIJ086 - 296900 15.5 × 20 10 373-4183 EIJ087 - Reference 1. White R. A multinational survey of the assessment of pain when removing dressings. Wounds UK 2008. 2. White R. Evidence for atraumatic soft silicone wound dressing use. Wounds UK 2005. 3. Meaume S et al. A study to compare a new self adherent soft silicone dressing with a self adherent polymer Ostomy Wound Management 2003. 4. Wiberg AB et al. Preventing maceration with a soft silicone dressing: in-vitro evaluations. Poster publication. WUWHS congress, Canada 2008. 5. Dykes PJ et al. Effect of adhesive dressings on the stratum corneum of the skin. Journal of Wound Care 2001. 6. Waring M. et al. An evaluation of the skin stripping of wound dressing adhesives. Journal of Wound Care, 2011. 26 | The self-adherent scar dressing with Safetac® Unique Safetac® layer: • Gentle comfortable adherence • Requires no secondary fixation Mepiform is a thin and discreet dressing for treating scars. No extra fixation is needed. Mepiform is used by medical professionals for scar treatment. Several clinical studies have shown that topical treatment with silicone gel sheeting has a positive impact on scar formation1. Mepiform conforms well to body contours and can be worn in daily activities. It can be lifted from the skin without losing its adherent properties, allowing for re-application. Film/nonwoven backing: • Thin, conformable and discreet • Breathable • Showerproof Mepiform Ordering Information Art. no Size cm Pieces per inner PIP Code 293250 293450 293150 NHS Code NDC Code for England for Scotland and Wales 5x7 5 332-7335 ELY200 9 x 18 5 332-7343 ELY201 - 4 x 31 5 332-7350 ELY199 097890 134397 Example of Mepiform application. Areas of use • Old and new red and raised hypertrophic and keloid scars •H ealed surgical wounds to reduce the risk of scarring. Reference 1. Mustoe T.A, M.D., et al, International Clinical Recommendations on Scar Management, Special Topic, 2002. | 27 The tape with Safetac® Knitted fabric: • Conformable • Easy to cut Mepitac is an ideal fixation solution for patients with fragile and sensitive skin. Mepitac is suitable for patients requiring repeated application and removal of tape over the same area (e.g. neonates and dialysis patients). Mepitac is highly conformable and easy to apply. The Safetac technology ensures secure fixation and atraumatic removal from the skin. If inspection or repositioning is necessary, Mepitac can be lifted and re-applied. Film backing: • Breathable • Showerproof Unique Safetac backing • Atraumatic to the skin on removal Benefits of Mepitac • Atraumatic to the skin on removal • Conforms well to body contours • Leaves no residues • Showerproof • Breathable. Example of Mepitac application. Areas of use Mepitac is designed for fixation of medical devices such as: • Drains • Tubes • Probes • Electrodes • IV cannulae • Dressings In addition, Mepitac offers gentle skin protection when used under devices e.g. tubes. 28 | Note - The adhesion of Mepitac may decrease when used in humid conditions such as incubators or on patients who have a fever or perspire a lot. Mepitac is not suitable for fixation of arterial catheters and arterial cannulae. Mepitac Ordering Information Art. no Size cm Pieces per PIP Code NHS Code NDC Code inner for England for Scotland and Wales 298300 2 x 300 1 308-9125 EHR041 119615 298400 4 x 150 1 308-9133 EHR088 - • Skin friendly water based, solvent free polyacrylate adhesive The self-adhesive absorbent dressing Rounded corners for secure fixation Mepore is an air-permeable, self-adhesive dressing ideal for low to moderately exuding wounds. Its skin friendly, water based, solvent free adhesive provides a gentle but secure fixation. Absorbent wound pad of viscose, with a low-adherent surface coating: • Latex free • Colophony free SS Mepore Ordering Information Art. no Mepore application. Areas of use Mepore can be used on a wide variety of wounds which have low to moderate exudate levels such as: • Post surgical wounds • Cuts • Grazes • Minor burns. Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 670700 7x8 55 284-2359 N/A - 671500 10 x 11 40 284-2367 N/A - 671600 11 x 15 40 284-2375 N/A - 670800 6x7 60 N/A EIJ500 005734 670900 9 x 10 50 N/A EIJ133 005680 671000 9 x 15 50 N/A EIJ000 017362 671100 9 x 20 30 092-5305 EIJ137 005697 671200 9 x 25 30 092-5347 EIJ139 005710 671300 9 x 30 30 092-5354 EIJ141 017379 671400 9 x 35 30 092-5396 EIJ143 005727 | 29 Supporting protection foil and paper frame for easy and aseptic application Bacterial and Viral barrier* film, impermeable to fluids for safety and protection Breathable, transparent self-adhesive absorbent film dressing Mepore Film & Pad is a transparent self adhesive absorbent film dressing. The application system is designed for ease-of-use. The discreet design attracts less attention making your patient feel more comfortable wearing it. Transparent, breathable, shower-proof film for patient comfort and longer wear time Highly absorbent wound pad with a lowadherent wound contact layer for better patient comfort and longer wear time *microbes >25nm SS Mepore Film & Pad Ordering Information Art. no Size cm 275100 275200 275300 275400 275500 Mepore Film & Pad dressing. Areas of use Mepore Film & Pad can be used for a wide variety of wounds which have low to moderate exudate levels. These include: • Surgical wounds • Cuts • Abrasions. 30 | 275600 275700 275800 275900 Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 4x5 85 357-5412 EIJ048 - 5 x 7 (oval) 5 x 7 (square) 9 x 10 9 x 15 9 x 20 9 x 25 9 x 30 9 x 35 85 N/A EIJ049 - 85 357-5420 EIJ055 - 30 357-5438 EIJ056 - 30 357-5461 EIJ057 - 30 357-5487 EIJ058 - 30 357-5503 EIJ059 - 25 357-5511 EIJ060 - 25 357-5529 EIJ061 - Alldress is an all-in-one self-adherent absorbent dressing ideal for a wide variety of low to moderately exuding wounds as either the primary or secondary dressing. The backing film provides a moist wound environment and helps to protect the wound from water and contamination. Alldress is suitable for a wide variety of wounds with low to moderate exudate levels such as diabetic, venous and pressure ulcers, surgical incisions, lacerations and superficial burns. Alldress may also be used as a secondary dressing for gels, desloughing dressings and alginates (Melgisorb® Plus). The multi-purpose self-adhesive showerproof dressing Mepore Ultra is a self-adhesive, absorbent dressing with an outer film layer protecting the wound from water and contamination. The thin, neutral-toned backing film provides your patient with a showerproof and discreet solution. Mepore Ultra is suitable for wounds with low to moderate exudate levels such as: surgical wounds, minor burns, cuts and abrasions. | 31 Bacterial and Viral barrier* film, impermeable to fluids for safety and protection Supporting protection frame for ease of application Breathable, transparent self-adhesive film dressing Mepore Film is a transparent self-adhesive film dressing ideal as secondary fixation dressing and as primary dressing for a wide range of clean wounds. Mepore Film’s application system is designed for ease-of-use. Transparent, breathable, elastic polyurethane film for patient comfort and optimized wound healing environment Skin-friendly polyacrylic adhesive for gentle and secure fixation *microbes >25nm • Lacerations • Prevention of skin breakdown • Donor sites • IV sites. Mepore Film Ordering Information Mepore film dressing. Areas of use Mepore Film can be used as a conformable fixation dressing to cover primary dressings such as e.g. hydrogels, alginates, and foam dressings. Mepore Film is also designed for a wide range of clean wounds in the granulation phase, such as: • Superficial burns • Superficial pressure ulcers • Abrasions • Closed surgical wounds 32 | Art. no Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 270600 6x7 100 N/A ELW133 271500 10 x 12 70 N/A ELW210 - 272500 10 x 25 20 N/A ELW136 - - 273000 15 x 20 10 254-8758 ELW135 270670 6x7 10 254-8725 N/A - 271570 10 x 12 10 254-8733 N/A - 272570 10 x 25 10 254-8741 N/A - 273500 20 x 30 5 N/A ELW199 - Supporting protection frame for ease of application Breathable and elastic polyurethane film for patient comfort Transparent, breathable IV film dressing Mepore IV is a transparent self-adhesive IV dressing ideal for fixation of intravascular devices, such as IV catheters and other intravascular catheters. Mepore IV’s application system is designed for ease-of-use. Transparency at the catheter site for visual inspection without removing the dressing Nonwoven reinforcement for extra strength when needed *microbes >25nm Bacterial and Viral barrier* film, impermeable to fluids for safety and protection Mepore IV Ordering Information Art. no Size cm Pieces per inner PIP Code 274000 274200 274400 NHS Code NDC Code for England for Scotland and Wales 5.5 x 5 100 326-9263 ELW224 8x9 70 326-9271 ELW225 - 10 x 11 70 326-9321 ELW226 174331 174348 Mepore IV dressing. Areas of use Mepore IV is intended for fixation of intravascular devices, such as: • IV catheters • Peripheral catheters • Central catheters • Paediatric catheters. | 33 • Air permeable, fluid-repellent strike-through exudate barrier The absorbent dressing with strike-through exudate barrier Mesorb is a soft, highly absorbent dressing which can retain large amounts of exudate. The fluid-repellent strike through barrier helps prevent exudate from soiling clothing and bed linen. Wound contact layer shown using Mepitel® • Highly-absorbent fluff pulp core •T wo layers of permeable, smooth nonwoven •L ow-adherent wound contact layer SSS Mesorb Ordering Information Art. no Mesorb application. Areas of use Mesorb is specially designed for direct use on heavily discharging wounds and open drains without any need for supplementary dressing in between. Mepitel One is the primary dressing of choice when using Mesorb. 34 | Size cm Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 677080 10 x 10 10 255-3527 EJE044 - 677280 10 x 15 10 255-3535 EJE056 109401 677480 10 x 20 10 255-3543 EJE058 109555 677680 15 x 20 10 255-3550 EJE059 - 677780 20 x 25 10 255-3568 EJE060 - 677880 20 x 30 10 255-3576 EJE061 109418 Absorbent alginate dressing Melgisorb Plus absorbs large amounts of wound exudate. When absorbing, the alginate fibres form a soft moist gel, giving a moist environment conducive to wound healing. The gel can easily be removed by irrigating with 0.9 % saline*. Absorbent sodium chloride impregnated dressing Mesalt effectively stimulates the cleansing of wounds in the inflammatory phase by absorbing exudate, bacteria and necrotic material from the wound, thereby facilitating the natural wound healing process. Foam dressings Lyofoam® Max Lyofoam Max is a highly absorbent non-adhesive dressing. It consists of polyurethane foam and a waterproof backing film with high permeability to allow for effective exudate management of moderate to highly exuding wounds*. Lyofoam Max replaces both Lyofoam and Lyofoam Extra. Lyofoam® Max T Lyofoam Max T is a highly absorbent non-adhesive dressing for use around tracheostomy tubes. It consists of polyurethane foam and a waterproof backing film with high permeability to allow effective healing. Lyofoam Max T is available in 9 x 9cm size. *Available on Drug Tariff Irrigation & cleansing products Normasol® Normasol is a sterile solution of 0.9% w/v sodium chloride in purified water, packed in a sachet. Normasol is isotonic, so will not harm cells. Each sachet is sterile, self-contained and disposable resulting in minimal waste and reduced risk of cross contamination. | 35 The controlled wound irrigation system Conveniently ‘pocket’ sized ampoule single use portable Steripod Normal Saline can be used for the cleansing of wounds and topical irrigation of the eye. Directional flow or drop by drop Steripod Normal Saline is a sterile solution of 0.9% w/v Sodium Chloride Ph. Eur. in Purified Water Ph. Eur, packed in a polyethylene capsule. ‘no-touch nozzle’ Steripod Ordering Information Art. no Size ml Pieces per inner PIP Code 501000 20ml 25 014-0129 Steripod. Benefits of using Steripod •S afe and effective irrigation in delicate areas •S terile, self contained and disposable •T wist-off top makes opening quick and easy •C an be squeezed firmly for directional irrigation or gently for drop by drop dispensing •C ost-effective - avoids use of swabs, gallipots, pipettes and syringes 36 | NHS Code NDC Code for England for Scotland and Wales MRB359 036295 Non-woven fabric • Soft and conformable • Strong Self adhesive fabric Mefix is the ideal fixation for dressings, swabs, catheters, and tubes. It provides secure fixation and the adhesive is gentle to the skin. Polyacrylate adhesive • Skin friendly • Gentle adhesion Mefix Ordering Information Mefix fabric. Areas of use Mefix can be used in a wide variety of situations where fixation is required, including fixation of: •D ressings • Swabs • Catheters • Tubes. Art. no Size cm x m Pieces per inner PIP Code NHS Code NDC Code for England for Scotland and Wales 310250 2.5cm x 10m 1 N/A EHR000 310500 5cm x 10m 1 N/A EHR001 - 311000 10cm x 10m 1 N/A EHR002 026579 311500 15cm x 10m 1 N/A EHR003 - 312000 20cm x 10m 1 N/A EHR004 026562 310276 2.5cm x 5m 1 268-4033 N/A - 310576 5cm x 5m 1 268-4793 N/A - 311076 10cm x 5m 1 268-4801 N/A - 311576 15cm x 5m 1 268-4819 N/A - 312076 20cm x 5m 1 268-4827 N/A - 313076 30cm x 5m 1 268-4835 N/A - 017218 | 37 Tubifast with 2-Way Stretch’s light radial and longitudinal elasticity allows patients complete freedom of movement with added comfort Lightweight, tubular dressing retention Tubifast 2-Way Stretch was the world’s first lightweight elasticated tubular bandage with radial and longitudinal stretch1. This unique mode of action allows patients complete freedom of movement, with added comfort. Ideal for dressing retention and skin covering for any part of the body. It can also be used for patch wrapping and as an under-cast stockinette. It is quick and easy to use, with less risk of fraying2 than traditional tubular bandages. Less fray, so there is less risk of fibres in the wound Holds dressings securely in place without the need for tapes, pins or ties Tubifast with 2-Way Stretch Ordering Information Product Tubifast 2-Way Stretch bandage. The benefits of Tubifast with 2-Way Stretch bandages • Tubifast 2-Way Stretch holds dressings securely, without constriction or compression • A variety of lengths are available, ensuring cost-effectiveness by minimising waste • Quick and easy to use: simply cut to size and stretch over the dressing for an even, non-constrictive fit • Available in a range of quick reference, colour-coded sizes, to fit everything from small limbs to adult trunks. Width x Length Limb cm Art. No. PIP Code NHS Code NDC Code for England for Scotland and Wales Red Line 3.5cm x 1m 9-18 2480 005-0088 EGP094 - Small limbs 3.5cm x 10m 9-18 2434 026-8698 EGP115 - Green Line 5cm x 1m 14-24 2481 005-0039 EGP095 - Small and 5cm x 3m 14-24 2485 255-1885 EGP098 - medium limbs 5cm x 5m 14-24 3555 255-5803 EGP101 - 5cm x 10m 14-24 2436 026-8680 EGP117 - Blue Line 7.5cm x 1m 24-40 2482 004-9924 EGP016 - Large limbs 7.5cm x 3m 24-40 2486 255-1877 EGP099 - 7.5cm x 5m 24-40 3556 255-5811 ECJ008 - 7.5cm x 10m 24-40 2438 026-6924 EGP119 - Yellow line 10.75cm x 1m 35-64 2483 023-6539 EGP096 - Extra-large limbs 10.75cm x 3m 35-64 2487 255-1869 EGP100 - heads, children’s 10.75cm x 5m 35-64 3557 255-5829 ECJ014 - trunks 10.75cm x 10m 35-64 2440 000-6221 EGP121 - Purple line 20cm x 1m 64-130 2479 324-1452 EGP097 - Adult trunks 20cm x 5m 64-130 3558 324-1486 – - 20cm x 10m 64-130 2444 – EGP017 - Tubifast with 2-Way Stretch is packaged in single packs. Reference 1. Physical testing of textiles, B.P Saville, Woodhead Publishing, 1999. 2. Data on file – Fibre Survey carried out on behalf of Mölnlycke Health Care Limited May 2009. 38 | S FR LS EE An emollient for dry skin conditions 2 in 1 relief for dry skin conditions Available in 50g, 500g recyclable dispensers Epaderm Cream is a 2 in 1 emollient formulated with clinically proven ingredients that moisturise and soften the skin. It provides all of the moisturising and protective benefits of paraffinbased emollients and can be used for eczema, psoriasis and other dry skin conditions. Epaderm Cream is especially effective if applied immediately after washing to counteract the loss of essential oils from the skin. It can be used on all dry skin conditions and is suitable for all ages, including babies. No colourings For eczema, psoriasis and other dry skin conditions Suitable for all ages, including babies Application Guide Minimum adult amounts required 1 MEASURE ( 4g EPADERM CREAM ) Face, Ears, Neck 1 measure twice a day Arms, Back 2 measures twice a day Legs 4 measures twice a day Anterior Trunk 2 measures twice a day Hands1/2 measure twice a day Genitals1/2 measure twice a day Children under ten years of age require half the above amounts. 30mm Epaderm Cream Ordering Information The benefits of Epaderm Cream Art. no Size PIP Code NHS Code for NDC Code for England and Scotland Wales 99400821 12 x 50g 343-2531 ELZ265 - 99400820 6 x 500g 343-2549 ELZ266 - • Epaderm Cream can be used on the skin or as a skin cleanser • Available in 50g and 500g • Suitable for all ages, including babies. | 39 S FR LS EE Complete emollient therapy Epaderm Ointment’s barrier aids moisture retention within the skin For dry skin conditions Epaderm Ointment is an emollient developed by dermatologists specifically for sufferers of dry skin conditions. Epaderm Ointment offers the three aspects of complete emollient therapy in one as it can be used on the skin, as a bath additive or skin cleanser1. Epaderm Ointment helps to create a barrier which aids moisture retention within the skin. It is highly versatile. Epaderm Ointment can be used on the skin, as a bath additive or as a skin cleanser and offers complete emollient therapy in one product Epaderm Ointment formulation contains no fragrances, colourings or additives 1 MEASURE ( 4g EPADERM 30mm OINTMENT) • Available on prescription in 125g, 500g and 1kg • Suitable for all ages. Application Guide Minimum adult amounts required The benefits of Epaderm Ointment • Epaderm Ointment’s formulation contains no fragrances, colourings or additives • Epaderm Ointment’s barrier aids moisture retention within the skin • Epaderm Ointment can be used on the skin, as a bath additive or skin cleanser and offers complete emollient therapy in one product • Epaderm Ointment is ideal for use in wet or dry wrapping Face, Ears, Neck 1 measure twice a day Arms, Back 2 measures twice a day Legs 4 measures twice a day Anterior Trunk 2 measures twice a day Hands1/2 measure twice a day Genitals1/2 measure twice a day Children under ten years of age require half the above amounts. 1 measure (4g of Epaderm Ointment). Epaderm Ointment Ordering Information Art. no Size PIP Code NHS Code for NDC Code for England and Scotland Wales 99400816 6 x 125g 015-9111 ELZ267 - 99400817 6 x 500g 027-0652 ELZ268 - 99400818 6 x 1kg 339-4822 ELZ269 - Reference 1. Cork MJ, Complete Emollient Therapy. The National Association of Fundholding Practices Official Yearbook. BPC Waterlow, Dunstable 1998: 159-168. 40 | SoftSeam technologyTM helps to reduce irritation of sensitive skin Sizes for younger children incorporate fun characters to aid concordance1 Ready-to-wear garments Help to promote fully active days and restful nights (when used in conjunction with emollient therapy)1 Tubifast Garments are ready made garments that are easy to apply, and their 2-Way Stretch construction ensures complete freedom of movement, so aiding concordance. Tubifast Garments can be used for wet or dry wrapping and dressing retention. Complete freedom of movement through the 2-Way Stretch construction Convenient, quick and simple way to wet or dry wrap with no requirement for pins tapes or ties1 Comfortable to wear under nightwear and ordinary clothes1 Tubifast Garments Recommended Fitting Sizes Information based on the British Standards (BS7231:Part 11:1990) Vests, Tights Vests, Leggings, Socks (socks one size fits all 2 to 14 years) Tubifast Garments. The benefits of Tubifast Garments • Flat seams to help prevent irritation of sensitive skin • Convenient, quick and simple way to wrap so aiding concordance • Comfortable to wear under nightwear and ordinary clothes • Freedom of movement • Available in full-sleeved vests, tights, leggings, socks and gloves. Reference 1. Page B (2005) The Benefits of Tubifast Garments in the management of atopic eczema. British Journal of Nursing 14 (5); 289-92. Age Height Inside Leg Arm Length 6 – 24 months 74 – 86 cm 28 – 34 cm 25 – 29.5 cm 2 – 5 years 86 – 110 cm 34 – 47 cm 29.5 – 35.5 cm 5 – 8 years 110 – 128 cm 47 – 58 cm 35.5 – 42 cm 8 – 11 years 128 – 146 cm 58 – 68 cm 42 – 49 cm 11 – 14 years 146 – 164 cm 68 – 77 cm 49 – 57.5cm Important Information Please note: It is recommended that Tubifast Garments are sized according to dimensions as well as age. If in any doubt regarding the selection of size, the next largest size should be chosen (e.g. if the child is wearing a nappy with the Tubifast Garments, please allow for extra sizing). Tubifast Garments Ordering Information Product Age Art. no PIP Code Vest 6 – 24 months* 2 – 5 years 5 – 8 years 8 – 11 years 11 – 14 years 2007 2008 2009 2010 2011 293-7977 293-7985 293-7993 293-8017 293-8025 Tights Leggings 6 – 24 months* 2 – 5 years 5 – 8 years 8 – 11 years 11 – 14 years 2012 2013 2014 2015 2016 293-8033 293-8041 293-8058 293-8066 293-8074 NHS Code for NDC Code for England and Scotland Wales EGC001 EGC002 EGC003 EGC004 EGC005 EGC006 EGC007 EGC008 EGC009 EGC010 - Socks 1 size: 2 – 14 years 2017 293-8082 EGC011 - Gloves Extra Small Child Small Child Medium-Large Child/Small Adult Medium/Large Adult 5922 5923 357-1262 357-1270 EGC178 EGC179 - *Now with integral mitts 5921 357-1254 EGC180 - 5920 357-1247 EGC181 - | 41 Compression bandages Elset®/Elset® ‘S’ Elset and Elset ‘S’ are lightweight compression bandages used to provide compression for the leg following vascular surgery and for general surgical and orthopaedic use. Elset ‘S’ is specifically recommended for above- and below-knee stump bandaging*. Setopress is a lightweight high compression bandage intended to provide graduated high compression in the management of venous leg ulcers*. Tubular bandages Stockinette™ Stockinettes are used as a general-purpose protective skin covering*. Tubegauz® Tubegauz is used to hold dressings securely in place and to protect clothing from ointments and creams. Tubegauz is made from 100% bleached cotton and is recommended for use where natural fibres are preferred. Tubigrip® Tubigrip provides tissue support in the treatment of strains and sprains, soft tissue injuries, general oedema and ribcage injuries*. Tubigrip® Shaped Support Bandage (TSSB) TSSB is a shaped support bandage used to aid venous and lymphatic return in the management of venous disorders of the legs and arms. *Available on Drug Tariff 42 | Tubular bandages continued Tubinette® Tubinette is a surgical stockinette used to hold dressings securely in place and protect clothing from ointments and creams. Tubinette is made from 100% viscose and is intended for use where dressings have to be changed frequently. Tubipad® Tubipad is manufactured from a layer of polyurethane foam bonded to a length of Tubigrip® tubular elasticated bandage. The soft inner layer minimises pressure and friction on the skin, while the outer Tubigrip layer holds the Tubipad securely and comfortably in position. Tubiton® Tubiton is a surgical stockinette used to hold dressings securely in place and protect clothing from ointments and creams. Tubiton is made from 100% unbleached cotton and contains natural oils that help to make it water-repellent. Orthopaedic products Collar ’n’ Cuff® Collar ‘n’ Cuff can be used to form a variety of effective slings and braces e.g. balanced arm sling, wrist support sling, clavicle brace or shoulder immobiliser. Collafoam® Collafoam is used to treat neck strains and sprains by restricting movement of the cervical vertebrae and supporting the head. | 43 Orthopaedic products continued Notac™ Notac is a non-adhesive skin traction kit which provides non-invasive traction for injured or post-operative limbs. Suitable for long- and short-term traction in children and adults. Polysling® Polysling is used to provide arm support or to immobilise the shoulder and arm. Polysling is constructed from a strong, non-stretch material with a comfortable padded lining. Tubigrip® Arthro-pad Tubigrip Arthro-pads are constructed from polyurethane foam enclosed in a double layer of Tubigrip tubular bandage. This double layer of Tubigrip provides firm support, encouraging use of the affected joint. In addition, the combination of Tubigrip and polyurethane foam retains body heat. Tubigrip® Lumbar/Abdominal Supports Tubigrip Lumbar/Abdominal Supports are a convenient alternative to bandages or strapping in post-operative support. The double layer of Tubigrip provides firm, even pressure over the abdomen, while the ‘touch and close’ fasteners make inspection of the wound and dressings a quick and easy process. Tubigrip® Hip Spica Tubigrip Hip Spica provides non-invasive mechanical support and is intended for holding dressings and drains securely in place anywhere between the waist and thigh. Anti-embolism stockings Brevet tx anti-embolism stockings are designed to help prevent the formation of Deep Vein Thrombosis (DVT) in non-ambulatory patients. 44 | Notes | 45 46 | Mepitel One on surgical incision Partial thickness scald. High exuding leg ulcer Fungating wound Skin tear Fixation of meshed grafts Diabetic foot ulcer Digit wound Leg ulcer Sacral pressure ulcer Diabetic foot ulcers Leg ulcer Infected wound Deep partial thickness burns Infected wound Deep partial thickness burns Dressings with Safetac® technology Foot ulcer Leg ulcer Mepilex Heel in situ Mepilex® /Mepilex® Heel Effective, absorbent foam dressing with Safetac® technology for sealing the wound and to minimise pain on removal. Soft and highly conformable. Ideal for cutting to difficult-to-dress areas. Absorbency rating: Radiation induced skin reaction Mepilex® Lite A thinner version of Mepilex offering the same benefits but in a thinner, more conformable d esign that provides more flexible treatment options. Absorbency rating: Infected wound Mepilex® Ag / Mepilex® Heel Ag Antimicrobial foam dressing that protects the skin and targets bacteria with the proven efficacy of silver. Absorbency rating: Mepilex Border Sacrum in situ Infected wound Mepilex® Border Ag / Mepilex® Border Sacrum Ag Antimicrobial all-in-one foam dressing that effectively absorbs and retains exudate and maintains a moist wound environment. Absorbency rating: Mepilex® Border / Mepilex® Border Sacrum / Mepilex® Border Heel / Mepilex® Border Flex Showerproof all-in-one dressing. With multilayered absorbent foam pad and Safetac technology, Mepilex Border is a gentler selfadherent dressing with high exudate management capability. Absorbency rating: Foot ulcer Mepilex® Border Lite A thinner version of Mepilex Border offering the same benefits in a more conformable self- adherent dressing. Ideal for a wide range of wounds, available in small sizes. Absorbency rating: Combined Safetac technology and thin conformable foam. Ideal for difficult-to-dress wounds, Mepilex Transfer allows effective transfer of exudate to a secondary dressing to minimise risk of leakage and maceration on highly exuding wounds. Absorbency rating: Mepitel® / Mepitel® One Mepitel and Mepitel One are both designed for direct contact with the wound, allowing a separate absorbent dressing to be applied without sticking to the wound. Absorbency rating: – Mixed partial thickness burn with blisters Mepitel on a donor site Radiation induced skin reaction Mepilex® Transfer | 47 Reasons to join our digital world: •U pdates on #education and knowledge articles on hot topics such as #stopthepressure and #NPWT •T he latest events, webinars and e-learning • #expertopinions and discussions on healthcare topics that matter to you • Information on new and upcoming products •T raining resources to use at your convenience •R ead our blog articles and join in on our clinical discussions. 48 | @molnlyckeUK Connect with us molnlycke.co.uk molnlycke.co.uk molnlycke.co.uk Mölnlycke Health Care @molnlyckeUK @molnlyckeUK @molnlyckeUK Mölnlycke Health Care Mölnlycke Health Care Mölnlycke Health Care | 49 For further information call freephone 0800 7311876 www.molnlycke.co.uk Mölnlycke Health Care Mölnlycke Health Care, The Arenson Centre, Arenson Way, Dunstable, Bedfordshire, LU5 5UL. Email: info.uk@ molnlycke.com The Mölnlycke Health Care name and logo and Safetac®, Mepitel®, Mepitel® One, Mepitel® Film, Mepilex XT®, Mepilex®, Mepilex® Border, Mepilex® Border Heel, Mepilex® Border Flex, Mepilex® Border Post-Op, Mepilex® Border Lite, Mepilex® Lite, Mepilex® Transfer, Mepiform®, Mepitac®, Mepilex® Ag, Mepilex® Border Ag, Avance®, Mepiseal®, Melgisorb® Ag, Mepore®, Mepore® Ultra, Mepore® Film, Mepore® Film & Pad, Mepore® IV, Mesorb®, Mefix®, Steripod®, Epaderm® Cream, Epaderm® Ointment, Tubifast® 2-Way Stretch®, Exufiber®, Mepilex® Border Sacrum, Mepilex® Heel, Mepilex® Heel Ag, Mepilex® Border Sacrum Ag, Alldress®, Lyofoam® Max, Lyofoam® Max T, Melgisorb® Plus, Mextra® Superabsorbent, Mesalt®, Collar ’n’ Cuff®, Collafoam®, NotacTM, Polysling®, TubigripTM Arthro-pad, Tubigrip® Lumbar/Abdominal Supports, Tubigrip® Hip Spica, Normasol®, Brevet®, Elset®, Elset® ‘S’, Setopress®, StockinetteTM, Tubegauz®, Tubigrip®, Tubigrip® Shaped Support Bandage (TSSB), Tubinette®, Tubipad® and Tubiton® are registered trademarks of Mölnlycke Health Care AB. Aquacel® Ag is a trademark of Convatec Limited. © Mölnlycke Health Care AB 2015. All rights reserved. No part of this publication may be reproduced in any form without the express written permission of Mölnlycke Health Care AB. UKWC0024
