| Fiber gelling dressing |
Aquacel Extra Hydrofiber
|
- Composed of two layers of Hydrofiber®Technology stitched together. It is nine times stronger and has 39% greater absorbency as compared to the original AQUACEL® wound dressing
- Cuttable
- Sheet and rope |
- See "Gelling Fiber"
|
See "Gelling Fiber"
|
Up to 7 days |
- See "Gelling Fiber"
|
- See "Gelling Fiber"
|
Sheet:
5x5cm (2" x 2"), A6196
10x12.5cm (4" x 5"), A6197
15x15cm (6" x 6"), A6197
Ribbon:
2x45cm (.75" x 18")
1x45cm (.39" x 18") |
| Alginate |
CalciCare™ Calcium Alginate
|
- A sterile, reinforced non-woven alginate dressing composed of a high G (guluronic acid) calcium/sodium alginate.
- Cuttable
- Sheet and rope
- Can be used under compression bandages |
- See "Alginate"
|
See "Alginate"
|
Change the dressing on heavily exuding wounds when strike-through to the secondary dressing occurs. Initially may need daily changes |
- See "Alginates"
|
- See "Alginates"
|
Sheet:
2" x 2" (5 cm x 5 cm), A6196
4" x 4.75" (10.2 cm x 12 cm), A6197
4" x 8" (10.2 cm x 20.3 cm), A6197
Rope:
1" x 18" (2.5 cm x 46 cm).A6199 |
| Alginate |
Kaltostat |
- Alginate dressing which promotes hemostasis and manages exudate in low to moderately exuding wounds. |
See "Alginate"
|
See "Alginate"
|
Change the dressing on heavily exuding wounds when strike-through to the secondary dressing occurs. May be left in place up to 7 days. |
To effect hemostasis on bleeding wounds, apply the dressing to the bleeding area. Remove the dressing after bleeding has stopped, and then apply a new dressing. |
For wound with no or light exudate, saturate dressing with saline. For wounds with exudate, remove dressing, which will have turned into gel. Cleanse wound bed and reapply |
Dressing: 2″ × 2″, 3″ × 4 ¾; A6196
4″ × 8″; A6197
6″ × 9½″, 12″ × 24″; A6198
Rope: 2 g; A6199
|
| Antimicrobial (hydrogel) |
Anasept Gel
|
-Amorphous hydrogel with sodium hypochorite, a rapid broad spectrum bactericidal (includes MRSA & VRE) fungicidal, virucidal and sporicidal
Isotonic, non-cytotoxic,
24 month shelf-life when stored at normal room temperature up to 25° C (77° F). |
- See Hydrogels
|
- Sensitivity to hypochlorite (bleach)
-Do not use with other products unless compatibility is known.
- Do not use with products containing silver.
- Limit use to 2-4 weeks unless directed by MD/WOCN. |
Daily or at frequency to prevent drying of wound bed. |
See "Hydrogel"
|
See "Hydrogel"
|
3 oz. Tube |
| Antimicrobial Dressing |
Acticoat 7
|
- Antimicrobial barrier with low adherence.
- Broad spectrum coverage
- 5-layer dressing: 3 outer layers with silver mesh enclosing 2 layers of an absorbent inner core.
|
- May be used on infected wounds.
- For partial and full thickness wounds
- May be used on debrided and grafted partial thickness wounds |
-Avoid use on patients with 3rd Degree Burns, Sensitivity to Silver,
MRIs, Radiation and TENS unit therapy)
- Do not use with Normal Saline.
-Do not use with enzymatic debriders.
- Incompatible with Petroleum or Oil based products.
-May cause transient discoloration of surrounding skin.
|
Up to 7 days depending on drainage |
May cut to size. Cleanse wound as ordered. For heavily exudative wounds, apply the dry dressing to the wound, either side down, as exudate will activate dressing. For other wounds: moisten with Sterile Water, not saline or oil-based cleansing agents. Let dressing drain on a sterile absorbent surface for >2 minutes. in Apply any side. Secure with moist absorbent secondary dressing. |
Remove secondary dressing, then Acticoat 7. If dressing adhered to wound, soak it before removal. |
Dressing: 4″ × 5″, 6″ × 6″, 2″ × 2″; A9270
|
| Antimicrobial Dressing |
Algidex AG® Gel & Paste
|
- Contains silver + alginate + maltodextrin
- Antimicrobial. Absorbs wound exudates,decrease contaminates, decrease odor, create moist environment. Maltodextrin helps the body’s own cells form granulation tissue.
- Patients may refer to this as the “purple stuff” or “grey stuff” due to its color. |
- May be used on infected wounds
- Dry, moist or wet wounds. |
Sensitivity to alginates or other components.
3rd degree burns or acute vasculitis |
Up to 7 days |
Cleanse as ordred. Apply directly to ulcer base if possible, if not, apply to gauze or foam. Then apply gauze or foam to ulcer. Apply 1/4 inch thick layer of paste if wound is shallow, or completely fill depth if wound is deep.
Tips:
Paste is a little misleading as product is fairly thin and runny making application difficult sometimes.
When opening tube, save the pointed twist off part for recapping the product. |
Remove secondary dressing, gently irrigate wound with saline to loosen and remove Algidex Ag |
10 cc, A6261 |
| Antimicrobial Dressing |
Aquacel® Ag Extra™Hydrofiber Dressing
|
- 2 layers of hydrofiber stitched together.
- Nine times stronger and has 50% greater absorbency as compared to the Aquacel® Ag wound dressing.
- Gels on contact with wound fluid providing moist environment, highly absorptive, autolytic debrider, antimicrobial properties
|
- Moderate to highly exuding wounds
- Infected wounds
- Antimicrobial activity against MRSA, VRE, Pseudomonas, Acinetobacter, E. coli., C. difficile |
Sensitivity to silver or sodium
carboxymethylcellulose |
Up to 7 days |
Cleanse wound. May cut to overlap by 1cm (approximately 0.5 inches) onto the intact skin
surrounding the wound. The dressing will shrink as it absorbs wound fluid and gels
For exudative wounds, place on the wound, either side. For less exudative wounds, apply on bed side then moisten with sterile water or saline over the wound area only, cover with a moisture retentive dressing (e.g. foam or 4X4)
Aquacel Ag Ribbon may be used in smaller tunneling wounds, abscesses, sinus wounds and fistulas. |
Remove secondary and primary dressing. If residual dressing
is left in the wound, irrigate with a wound cleanser. If the dressing dries and is hard to remove, it should be moistened according to local policy (eg with sterile saline or sterile water) and allowed to soak until it lifts easily. |
2 x 2 in., 4 x 5 in, 6 x 6 in, 8 x 12 in |
| Antimicrobial Dressing |
Curity, Excilon, Kerlix, Telfa AMD (anti-microbial dressing) gauze, rolls, sponge
|
- Gauze products impregnated with Polyhexamethylene Biguanide, an antiseptic with antiviral and antibacterial properties
- May be used with enzymes
- Broad spectrum coverage |
- Partial and full thickness
- Light exudate
- Antimicrobial activity against: MRSA, VRE, Pseudomonas, Candida, G+ and G-.
|
Do not use with Dakins solution as it can inactivate the AMD antimicrobial agent
Do not use with collagenase as PHMB leads to a significant loss
of activity of the collagenase enzyme |
As if using gauze |
As if using gauze |
Gently remove the dressing. Soak in saline if adhered to wound bed. |
Varies according to brand (Curity, Excilon, Kerlix, Telfa) |
| Antimicrobial dressing |
Hydrofera Blue CLASSIC
|
- Foam dressing impregnated with Methylene Blue and Gentian Violet
- Broad spectrum antibacterial coverage.
- Hydration required
- Assists in autolytic debridement
-Odor control
- Maintains moist environment, highly absorptive
- Compatible with enzymatic debriders and fibroblast growth factors
- Available with or without moisture-retentive film
- Secondary dressing needed
|
- Partial and full thickness wounds
- Infected wounds
- Moderate to heavy exudate
- Antimicrobial activity against: yeast, MRSA, VRE, Staphylococcus, Pseudomonas, Proteus, Streptococcus, Bacillus subtilis, Y. entercolitica, S. marcescens, E. coli |
- 3rd degree burns
- Sensitivity |
Change first dressing in 24h. If dressing is still blue, new dressing can be left up to 3 days. If it turned white, change every 24h until blue color is retained |
Cleanse wound. Cut to size just larger than wound bed. Moisten with NS or Sterile Water. Wring out. Apply either side of dressing on wound. If rolled edges present, make sure it covers periwound area. Cover with secondary dressing.
-May use: gauze for heavy drainage, vaseline gauze for moderate drainage, transparent film for dryer wounds |
-Do not allow to dry out. If it dries add few drops of NS/Sterile water then wait and remove.
|
Standard Dressings
2" x 2" (5 cm x 5 cm), A6209
4" x 4" (10 cm x 10 cm), A6209
6" x 6" (15 cm x 15 cm), A6210
9-mm Tunneling Dressing (1.2 g), A6215
Heavy Drainage Dressings
4" x 4" x .5" thick (10 cm x 10 cm x 1.2 cm), A6209
6" x 6" x .75" thick (15 cm x 15 cm x 1.9 cm), A6210
Dressings With Moisture-Retentive Film
4" x 4" (10 cm x 10 cm), A6209
2.25" x 8" (5.7 cm x 20 cm), A6210
4" x 4.75" (10 cm x 12 cm) Island Dressing pad size 2" x 2.75" (5 cm x 6.5 cm) A6212
2.5" (6 cm) Diameter Ostomy Dressing, A6209 |
| Antimicrobial dressing |
Hydrofera Blue READY
|
- Foam dressing impregnated with Methylene Blue and Gentian Violet
- Broad spectrum antibacterial coverage
- NO hydration required
- Waterproof backing: Provides a barrier to moisture and bacteria
- Assists in autolytic debridement
-Odor control
- Maintains moist environment, highly absorptive
- Compatible with enzymatic debriders and fibroblast growth factors
- May be used under compression or total contact cast
- Does not require secondary dressing |
- Partial and full thickness wounds
- Infected wounds
- Moderate to heavy exudate
- Antimicrobial activity against: yeast, MRSA, VRE, Staphylococcus, Pseudomonas, Proteus, Streptococcus, Bacillus subtilis, Y. entercolitica, S. marcescens, E. coli |
- 3rd degree burns
- Sensitivity |
Change first dressing in 24h. If dressing is still blue, new dressing can be left up to 7 days. If it turned white, change every 24h until blue color is retained |
Cleanse wound. Select dressing size to ensure the dressing will cover the
entire wound. Apply with the foam side towards the wound, and the shiny side with the thin film up. Secure with bandage or tape |
Gently pull dressing away from wound. Soak with saline if dry
|
2.5" x 2.5" (6.4 cm x 6.4 cm), A6209
4" x 5" (10.2 cm x 12.7 cm), A6210
8" x 8" (20.3 cm x 20.3 cm), A6211 |
| Antimicrobial Dressing |
Iodoflex 0.9% Cadexomer Iodine Pads
|
- Creates moist environment, absorptive, autolytic debrider, antimicrobial, odor control
- Broad spectrum activity
- May be used under compression |
- Partial and full thickness
- Wet wounds and ulcers
- Infected wounds
- Antimicrobial activity against: MRSA, E. coli, Psuedomonas, Staph aureus, Streptococcus, diptheroids, proteus, Klebsiella |
Do not use continuously for more than 3 months
Do not use on patients with iodine sensitivity, children, Graves Disease, Hashimoto's thyroiditis, non-toxic nodular goitre or in pregnancy or lactation.
This product will stain the periwound an iodine-like color. |
Change daily with increased exudate, then Q 2-3 days,
Discontinue when exudate free
Changes color from rust to grey to indicate when dressing change is needed and change prn drainage |
Cleanse wound. DO NOT DRY. Remove the gauze on each side of the Iodoflex (only the brown soft material goes into the wound). Entire wound bed should be covered with Iodoflex. Fill/cover with gauze or dressing of choice. |
-If dry, soak the dressing for a few minutes.
- Gently remove Iodoflex with sterile water or saline.
- When removing old product from the wound, it will most likely appear grey or light yellow in color and may have a thick, granular appearance which can make it difficult to assess the amount of drainage. |
Sterile pad: 5 g (1½” × 2⅜”), 10 g (2⅜” × 3”); A6262 |
| Antimicrobial dressing |
Iodosorb 0.9% Cadexomer Iodine Gel
|
Cadexomer Iodine in gel format. See Iodoflex |
See indications for Iodoflex |
See contraindications for Iodoflex |
See frequency for Iodoflex |
Cleanse wound. Leave wound surface slightly moist. Apply Iodosorb to gauze first, then apply to wound bed (gel facing wound). Iodosorb should be 4mm thick under dressing. Cover with non-adhering dressing. |
If adhering to wound, moist with saline. Gently remove any remaining Iodosorb ith a gentle stream of saline or sterile water if applicable. Gently blot away any excess fluid before re-applying |
10g, 40g, A6261 |
| Antimicrobial Dressing |
Medihoney® Calcium Alginate
|
- Leptospermum (Manuka) honey + alginate
- Provides moist environment
- May use under compression. |
Moderate to heavy drainage. Use in all stages of wound healing. |
Do not use if sensitivity to alginate or Manuka honey or on 3rd degree burns
May cause increased drainage. |
Up to 7 days |
Cleanse wound.
Choose size: for shallow wounds, overlap periwound by 1/2" (1cm). For deep or heavily exuding wounds, pack so that dressing does not overlap edges.
Apply directly to base, cover with hydrocolloid, foam, or thin film depending on exudate level
|
If adhering to wound, moist with saline. Gently remove dressing. Cleanse wound bed prior to application of new dressing |
¾" x 12", A4649
2" x 2", A4649
4" x 5", A4649 |
| Antimicrobial Dressing |
Promogran Prisma
|
- Collagen + cellulose + silver
- This product is Promogran with silver added. Its packaging is nearly identical to Promogran.
- Absorptive, stimulates new tissue development & wound debridement, antimicrobial
- In the presence of exudate, it transforms into a soft, conformable, biodegradable gel, allowing contact with all areas of the wound.
- May use under compression |
- Minimal to heavy exudate
- Infected wounds.
- Antimicrobial activity against Pseudomonas, Staphylococcus, E.coli, S. pyogenes |
Do not use if sensitivity to cellulose, collagen or silver |
Change Q 2-3 days. |
Cleanse wound. Apply directly to wound base covering the entire wound bed, if light or no exudate, moisten with sterile water or saline. Dressing forms a gel upon contact with exudate or water/saline. Cover with secondary dressing, suited for exudate level
|
- Remove secondary dressing.
- No need to remove Promogran Prisma, as it will be naturally absorbed into body over time.
- Reapply Promogran Prisma and cover with new secondary dressing.
Tip: any product left sitting on intact skin will not absorb into ulcer and appear like tissue paper upon dressing change. If old product is difficult to remove, soak off with water or saline soaked gauze. |
4.34 sq. in., A6021
19.1 sq. in.; A 6022
|
| Antimicrobial Dressing |
SilvaSorb Gel
|
- Controlled-release antimicrobial gel containing silver
-Hydrates
-Fills in dead space
-Maintains moist environment so assists with autolytic debridement
- Non-adherent and no residue left in wounds
- Transparent. Will not stain wound or surrounding skin. |
- Partial and full thickness
- Light, no exudate
- Infected wounds
|
- Do not use with enzymatic debriders (inhibits enzyme activity)
-Do not use if 3rd Degree Burns, sensitivity to silver,
MRIs, Radiation and TENS unit therapy.
-Incompatible with Petroleum or Oil based products. |
Up to 3 days. Change at frequency to prevent drying of wound bed as well as over saturation. |
Cleanse wound. Apply gel evenly on wound. Apply secondary dressing, such as thin foam. |
Remove secondary dressing, remove any remaining product, and reapply |
0.25 oz, 1.5 oz, 3 oz, 8 oz, 16 oz; A6248 |
| Antimicrobial Dressing |
Silvercel |
- non-woven pad composed of alginate, carboxymethylcellulose (CMC) and silver.
- Absorptive
- Broad spectrum coverage
- May be used under compression |
- Moderate to heavy exudate
- Partial and full-thickness
- Infected wounds |
- Sensitivity to components
Not compatible with petrolatum products. |
Heavy exudate: cange Q 24 hrs. Light: change Q 2-3 days. |
Cleanse wound. Cut to size.
Heavy exudate: apply directly to base & do not moisten, change Q 24 hrs. Light: moisten with H2O, change Q 2-3 days.
If packing with rope, only pack 80% of wound.
|
If adhering to wound, moist with saline. Gently remove dressing. Irrigate wound bed prior to application of new dressing |
2″ × 2″; A6196 4 1/4″ × 4 1/4″; A6197
4” x 8”, A6197
Rope: 1” x 12”, A6199 |
| Antimicrobial Dressing (Foam) |
Mepilex AG
|
- Same as Mepilex, but with a Silver component.
- Soft silicone foam dressing with Safetac technology layer (adhesive layer that minimizes the risk of periwound maceration and damage, safer than most other adhesive products on thin skin), gray polyurethane foam pad (absorbs exudate) with silver and activated carbon (antimicrobial) and polyurethane vapor permeable backing film (bacteria and water proof)
- Inactivates wound related pathogens within 30 minutes
- Cuttable
- May be used with gels
- May reduce odors
- Low potential for skin irritation and allergy
- No adhesive border |
- See "foam"
- Moderate exudate
- Clinically infected (Any three NERDS (Nonhealing, q Exudate, Red and friable tissue, Debris, Smell)
- See "antimicrobials"
|
- Short term use only, do not use in wounds that are not clinically infected
- Do not use on patients with sensitivity to silver
- Do not use during radiation treatments or examinations
- Avoid contact with electrodes or conductive gels during electronic measuresments
- Do not use with oxidizing agents |
Up to 7 days |
- Cleanse with saline or other wound cleanser, dry peri-wound skin
- Cut for customization, if desired.
- Remove the larger release film. Mepilex® should overlap the wound bed by at least 2 cm onto the surrounding skin.
-Apply the adherent side to the wound (adhesive does not harm ulcer base). Remove the shorter release film and mold the dressing in place. Do not stretch.
- Self-adherent but may secure as needed. Hold Mepilex® securely in place with a light bandage or other dressing retention method (e.g., Tubigrip®, Tubifast®, etc.)
Does NOT need activation with moistening, etc. |
lift one edge of the dressing and slowly peel back until completely removed from the wound |
4″ × 4″; A6209
4 x 5, 4″ × 8″, 6″ × 6″; A6210
8″ × 8″, 8″ × 20″; A6211 |
| Collagen |
Fibracol ™ Plus Collagen Wound Dressing with Alginate
|
- Soft, absorbent, and conformable wound dressing, composed of 90% collagen and 10% calcium alginate.
- Maintains moist wound environment
- Assists in granulation
- Absorbent
- Gels in contact with exudate
- May use under compression |
- See "collagen"
|
-3rd degree burns
-active vasculitis
-sensitivity to collagen or alginates |
As indicated by wound status and wound drainage.
Change daily if needed, then Q 2-4 |
Cleanse wound. Cut to size. Apply Promogran to wound. For no or minimal exudate, hydrate with saline, so that it gels. Gel is biodegradable and absorbed into body over time. To maintain moist environment, dressing needs secondary dressing (semi-occlusive or non-occlusive
|
Gently remove secondary dressing. Lift any Fibracol that has not formed a gel and discard. Using saline, gently irrigate the wound with saline and remove any residual gel
|
Sheet:
2 " X 2 "
4" X 4 3/8"
4" X 8 3/4"
Rope:
3/8" x 3/8" X 15 3/4" |
| Collagen |
Promogran Matrix Wound Dressing
|
- Comprised of a sterile, freeze dried composite of 45% oxidized regenerated cellulose (ORC) and 55% collagen
- Gels in contact with exudate
- Biodegradable gel absorbed into body over time
- May use under compression |
- See "collagen"
|
-3rd degree burns
-active vasculitis
-sensitivity to collagen or ORC |
change daily for heavy exudate, then Q 2-3 days. |
Cleanse wound. Apply Promogran to wound. For no or minimal exudate, hydrate with saline, so that it gels. Gel is biodegradable and absorbed into body over time. To maintain moist environment, dressing needs secondary dressing (semi-occlusive or non-occlusive |
Reapply Promogran every 72h depending on exudate. No need to remove remaining gel |
Sheet:
- 4.34 sq.in Hexagon
- 19.1 sq.in Hexagon |
| Contact Layer |
Adaptic Touch
|
- Non-Adhering Silicone Dressing impregnated with petrolatum emulsion
- Cuttable, may be used with negative pressure wound therapy |
- See "contact layer"
|
-Sensitivity
-3rd degree burns |
Up to 7 days |
Cleanse as ordered. Apply Adaptic to wound.
Apply secondary dressing |
- See "contact layer"
|
2″ × 3″, 3″ × 4 ¼″; A6206
5″ × 6″; A6207
8″ × 12 ¾″; A6208 |
| Contact Layer |
Mepitel |
- Soft silicone wound contact layer with two layers of Safetac technology
- Non-adherent.
- Non-absorbant.
- Prevents exudate to leak onto the surrounding skin, minimizes the risk of maceration. |
- See "contact layer"
|
- When Mepitel is used on burns treated with meshed grafts, avoid placing unnecessary pressure upon the dressing or imprints on skin may occur
- When Mepitel is used after facial resurfacing, avoid
placing pressure upon the dressing, lift and reposition the dressing at
least every second day.
- When Mepitel is used for the fixation of skin grafts and protection of blisters it is recommended that the dressing should not be changed before the fifth day post application |
May be left in place up to 14 days but outer dressing should be changed as needed. |
- See "contact layer"
- When applied on skin grafts or skin substitutes, may be held in place with steristrips
|
- See "contact layer"
|
2″ × 3″, 3″ × 4″; A6206
4″ × 7″; A6207
8″ × 12″; A6208 |
| Contact Layer |
Mepitel® One
|
- One sided version of Mepitel (May be easier to apply). Soft silicone wound contact layer with one layer of Safetac technology on one side and a perforated polyurethane film on the other.
- Non-adherent.
- Non-absorbant.
- Prevents exudate to leak onto the surrounding skin, minimizes the risk of maceration. |
- See "contact layer"
|
- Mepitel One has a stronger level than Mepitel
- If used on mesh grafts avoid placing unnecessary pressure on dressing
- If using on bleeding wounds, mepitel should be covered with moist absorbent dressing pad |
May be left in place up to 14 days but outer dressing should be changed as needed. |
- See "contact layer"
- When applied on skin grafts or skin substitutes, may be held in place with steristrips
|
- See "contact layer""
|
2˝ x 3˝ (5 x 7.5 cm)
3˝ x 4˝ (7.5 x 10 cm)
4˝ x 7˝ (10 x 18 cm)
6.8” x 10” (17 x 25 cm)
10.8” x 20” (27.5 x 50 cm) |
| Foam |
Allevyn* Adhesive Dressing
|
-Unique triple layer formation made of nonadherent perforated polyurethane wound contact layer, a soft and highly absorbent central hydrocellular layer and an outer film layer that is bacteria and water proof (occlusive)
- Adhesive border
- Cuttable |
- See "foam"
|
- See "foam"
- Not for use with oxidizing agents such as hypochlorite solutions (e.g., Dakin’s) or hydrogen peroxide, as these can break down the absorbent hydrocellular component of the dressing.
|
Up to 7 days
(Foams need to be changed when 75% saturated) |
- Cleanse with saline or other wound cleanser, dry peri-wound skin
- Choose appropriate size, ensure dressing overlap by at least 2 cm onto the periwound skin. May cut dressing to cover wound
- Apply directly to wound base. Remove one side of the protector film and anchor adhesive side of the dressing to skin
- Remove remaining protective film, smooth it in place to obtain a good seal
- If the dressing has been cut, ensure any exposed foam areas are covered with an appropriate film dressing taking care not to cover the entire dressing |
Lift one edge of the dressing and slowly peel back until completely removed from the wound |
3’’ x 3’’/7.5cm x 7.5cm A6212
5’’ x 5’’/12.5cm x 12.5cm A6212
7’’ x 7’’/17.5cm x 17.5cm A6213
9’’ x 9’’/22.5cm x 22.5cm A6214 |
| Foam |
Lyofoam Max
|
- Consists of a polyurethane foam and a moisture proof backing film with high permeability to allow for effective exudate management of moderate to highly exuding wounds.
- No adhesive border |
- See "foam"
|
- See "foam"
- Not for use with oxidizing agents such as hypochlorite solutions (e.g., Dakin’s) or hydrogen peroxide, as these can break down the absorbent hydrocellular component of the dressing.
|
Change as necessary, can be left up to several days |
- Cleanse with saline or other wound cleanser, dry peri-wound skin
- Choose appropriate size, ensure overlap by at least 2 cm onto the periwound skin
- Apply directly to wound base, with the shiny side of the dressing facing up
- Secure Lyofoam® Max with an appropriate bandage such as Tubifast®, Tubigrip® or a fixation tape such as Mefix®
|
Lift one edge of the dressing and slowly peel back until completely removed from the wound |
3˝ x 3.4˝ (7.5 x 8.5 cm) A6209
4˝ x 4˝ (10 x 10 cm) A6209
4˝ x 8˝ (10 x 20 cm) A6210
6˝ x 6˝ (15 x 15 cm) A6210
6˝ x 8˝ (15 x 15 cm) A6210
8˝ x 8˝ (20 x 20 cm) A6211 |
| Foam |
Mepilex
|
- Soft silicone foam dressing with Safetac technology layer (adhesive layer that minimizes the risk of periwound maceration and damage, safer than most other adhesive products on thin skin), polyurethane foam pad (absorbs exudate) and polyurethane vapor permeable backing film (bacteria and water proof)
- Cuttable
- Conformable, suitable for difficult-to-dress areas
- May be used with gels
- No adhesive border |
- See "foam"
- Low to moderate exudate
|
- See "foam"
- Not for use with oxidizing agents such as hypochlorite solutions (e.g., Dakin’s) or hydrogen peroxide, as these can break down the absorbent hydrocellular component of the dressing.
|
Up to 7 days
|
- Cleanse with saline or other wound cleanser, dry peri-wound skin
- Cut for customization, if desired.
- Remove the larger release film. Mepilex® should overlap the wound bed by at least 2 cm onto the surrounding skin.
-Apply the adherent side to the wound (adhesive does not harm ulcer base). Remove the shorter release film and mold the dressing in place. Do not stretch.
- Self-adherent but may secure as needed. Hold Mepilex® securely in place with a light bandage or other dressing retention method (e.g., Tubigrip®, Tubifast®, etc.) |
Lift one edge of the dressing and slowly peel back until completely removed from the wound |
4˝ x 4˝ (10 x 10 cm)
4˝ x 5˝ (10 x 12 cm)
4˝ x 8˝ (10 x 20 cm)
6˝ x 6˝ (15 x 15 cm)
8˝ x 8˝ (20 x 20 cm)
8˝ x 20˝ (20 x 50 cm) |
| Foam |
Mepilex Transfer
|
- Thin foam designed to transfer drainage away from the ulcer into secondary dressing
- Soft silicone foam dressing with Safetac technology layer (adhesive layer that minimizes the risk of periwound maceration and damage, safer than most other adhesive products on thin skin), and thin polyurethane foam (transfers exudate away from wound into secondary dressing)
- Mepilex Transfer is thinner and does not have the waterproof backing on it like the other Mepilex foams do.
- Need secondary dressing to hold exudate
- Cuttable
|
- See "foam"
- Moderate to high exudate
- As a protective layer on non-exuding wounds and/or large areas with fragile skin
- To provide less painful dressing changes
|
- See "foam"
|
Up to 7 days
Change daily with infection, otherwise change as necessary. |
- Cleanse with saline or other wound cleanser, dry peri-wound skin
- Cut for customization, if desired.
- Remove the larger release film. Mepilex® should overlap the wound bed by at least 2 cm onto the surrounding skin.
-Apply the adherent side to the wound (adhesive does not harm ulcer base). Remove the shorter release film and mold the dressing in place. Do not stretch.
- Self-adherent but may secure as needed. Hold Mepilex® securely in place with a light bandage or other dressing retention method (e.g., Tubigrip®, Tubifast®, etc.) |
Lift one edge of the dressing and slowly peel back until completely removed from the wound |
6″ × 8″; A6210
8″ × 20″; A6211 |
| Foam |
Polymem non-adhesive |
- Pink hydrophylic polyurethane membrane foam with a semipermeable polyurethane film backing.
- Formulartion contains: soluble mild, non-toxic cleansing agent; soluble moisturizer (glycerol or glycerin); and absorbing agents
- No adhesive border |
- See "foam"
|
- See "foam"
- Patients with sensitivity to dressing
- Not compatible with hypochlorite solutions (bleach)
- Do not use with topical treatments
|
Up to 7 days
(Foams need to be changed when 75% saturated) |
- FIRST Polymem Application: Cleanse the wound as appropriate.
- ALL SUBSEQUENT Polymem Applications: Do not cleanse or irrigate wound unless infected or contaminated.
- Cut dressing ¼ to ½” larger than wound. Apply writing facing out away from wound.
- Secure with light bandage or other dressing retention method
- A dramatic increase in wound exudate may be seen during first days |
- Gently remove dressing.
- Don't clean the wound or flush with saline or water unless wound is infected or has debris. Polymem dressings have a mild wound cleanser and leave no residue. Additional cleaning may injure regenerating tissues |
1.8" x 1.8", 3″ × 3″, 4″ × 4″ A6209
5″ × 5″ A6210
6.5″ × 7.5″, 4″ × 12.5″ , 4″ × 24″ , 8″ × 24″ A6211
|
| Foam |
XTRASORB Foam
|
- Two to four times more absorption than standard foam dressings
- Two layers: wound contact layer is a standard polyurethane hydrophilic foam. The second layer, a patented super-absorbent polymer sheet. When fluid enters the dressing via the foam wound contact layer, it is quickly absorbed up into the super-absorbent layer, which converts fluid into gel.
- Nonadhesive border and adhesive border available
|
- See "foam"
- For heavy and very heavy exudate
|
- See "foam"
|
Up to 7 days
(Foams need to be changed when 75% saturated) |
No border, non-adhesive dressing:
- Cleanse with saline or other wound cleanser, dry peri-wound skin
- Choose a size so that dressing center absorbent core overlaps wound edges by 2 cm. May cut to fit wound size, however product delamination may occur on exuding wounds
- Apply white, non-adherent side of dressing directly to wound base.
- Secure dressing with secondary dressing or conforming bandage. For highly exuding wounds, secure fixative film over alll the edges of the dressing
Bordered, adherent dressing:
- Cleanse with saline or other wound cleanser, dry peri-wound skin
- Choose a size so that dressing center absorbent core overlaps wound edges by 2 cm. Do not cut to fit.
- Remove part of the white plastic liner to expose the adhesive portion of the dressing
- Apply dressing to wound base, smooth into place, remove second half of the white plastic liner.
- Peel away backing material from the slit in the center of the top of the dressing |
Borderless, non-adhesive:
- gently lift corners of dressing away from the wound
Bordered, adherent dressing:
- loosen the adhesive film border before lifting the dressing away from the wound
If difficult removal, fully soak in saline or water |
Non-adhesive Dressing: 2″ × 2″; A6209 4″ × 4.75″; A6210 8″ × 8″; A6211
Adhesive Dressing: 3.2″ × 3.2″; A6212 4.5″ × 4.5″; A6212 6″ × 6″; A6213 |
| Gauze (impregnated,non-impregnated) |
Mesalt
|
- Hypertonic saline dressing (20%) made of an absorbent, viscose/polyester non woven impregnated with sodium chloride.
- Absorbs exudate bacteria and necrotic material
(slough)
- Effectively stimulates the cleansing of wounds
- Cuttable
- No adhesive borders
- May be used under compression |
- Infected wounds
- Wounds with heavy or very heavy exudate
- Deep cavity wounds such as pressure injuries and surgical wounds.
|
Do not use on healthy granulation tissue.
Do not use on exposed bone or tendon
Do not use on low exuding wounds. |
Daily or per MD or WOCN |
- Cleanse with saline or other wound cleanser, debride of any excessive nectrotic tissue or eschar. Dry peri-wound skin but not surface of the wound
- Where clinically indicated, a water-resistant cream or ointment can be used on the surrounding skin.
- Choose a size to cover a non cavity wound or loosely pack a deep wound.
- Apply Mesalt directly on wound bed. Do not moisten it. Do not allow the Mesalt® to overlap the edges of the wound.
- Cover with an appropriate secondary dressing, according to exudate levels
|
Gently lift corners of dressing away from the wound.
If dressing has dried out and removal is difficult, fully soak in saline or water |
4˝ x 4˝ (2˝ x 2˝ folded)
6˝ x 6˝ (3˝ x 3˝ folded)
8˝ x 8˝ (4˝ x 4˝ folded)
¾˝ x 39˝ Ribbon
|
| Gauze (impregnated,non-impregnated) |
Xeroform
|
- Petrolatum Gauze. 3% Bismuth Tribromophenate in a special petrolatum blend on fine mesh gauze
- Bacteriostatic action
- Non-adherent
- Helps deodorize wound |
- Wounds with minimal exudate
- Open wounds, cancer resections, burns, donor sites
and surgical incisions. |
- Sensitivity to components of this dressing
- Do not use on heavily draining wound |
Change at frequency needed to prevent drying of wound bed |
Cleanse or irrigate, apply or pack, cover, secure |
Gently lift corners of dressing away from the wound. |
1" x 8"
2" x 2"
4" x 4"
5" x 9" |
| Gauze (Non-impregnated, Impregnated) |
Covidien Telfa™ Non-Adherent Dressings
|
- An absorbent cotton pad bonded on both sides with perforated non-adherent film that can be cut into any shape without separating. |
- Primary dressing for wounds with low exudate (surgical sites, skin tears or lightly draining wounds) |
- Telfa™ dressings are designed for lightly exudating wounds. If the product is sticking to the wound, a more absorbent dressing may be indicated. |
Change as necessary. |
|
|
Many sizes |
| Gauze (Non-impregnated, Impregnated) |
Kerlix
|
- Wrapping gauze, provides bulk & cushioning |
|
|
Change as necessary. |
|
|
|
| Gauze (Non-impregnated,Impregnated) |
Vaseline Gauze |
Absorbent, fine mesh gauze impregnated with petrolatum |
Occlusive, clings & conforms, comfortable, soothing |
|
|
|
|
|
| Hydrocolloid |
DuoDERM® Extra Thin Dressing
|
- Occlusive hydrocolloid dressing with vapor-permeable outer film for wounds with light exudate
- Translucent backing enhances dressing placement and initial monitoring of the wound.
- Cuttable
- No adhesive borders |
- Primary dressing for wounds with no or light exudate
- Secondary dressing to secure a hydrogel or alginate dressing
- Stage I and stage II pressure ulcers.
- May use to provide/extend the border of a difficult to seal VAC ulcer or to smooth surface on a highly contoured area of the body. |
- See "Hydrocolloid"
|
Q 2-3, may leave up to 7 days |
- See "Hydrocolloid"
|
- See "Hydrocolloid"
|
Rectangle, 5x20cm (2" x 8")
Square 15x15cm (6" x 6")
Oval 10x15cm (4" x 6")
spot 4.4x3.8cm (1¾" x 1½") |
| Hydrogel |
Kendall™ Amorphous Hydrogel Wound Dressing
|
• Clear wound gel dressing helps provide the optimal environment for natural wound healing.
• Formulated for the management of Stage II-IV pressure ulcers, stasis ulcers, first and second
degree burns, cuts, abrasions and minor irritations of the skin.
• Glycerin-based hydrogel will not dry out. |
See Hydrogel
|
See Hydrogel
|
Daily or at frequency to prevent drying of wound bed. |
See Hydrogel
|
See Hydrogel
|
1/2 Ounces
1 Ounces
3 Ounces |
| Hydrogel |
Kendall™ Hydrogel Impregnated Gauze
|
• Clear hydrogel impregnated in a gauze sponge.
• Provides optimal healing environment for moist wound healing.
• Extends dressing wear times |
See Hydrogel
|
See Hydrogel
|
Daily or at frequency to prevent drying of wound bed. |
See Hydrogel, impregnated gauze |
See Hydrogel, impregnated gauze |
2"" x 2"", Pad (.25 oz. gel) A6231
4"" x 4"", Pad (1.0 oz. gel) A6231
4"" x 8"", Pad (2.0 oz. gel) :A6232
1"" x 36"", Packing Strip A6232" |
| Hydrogel |
Kendall™ Hydrogel Wound Dressings
|
• Unique disc shape maximizes wound coverage and helps fill shallow cavities.
• Protects wounds as it provides a moist environment.
• Translucent gel allows wound visualization.
• Cooling sensation helps reduce pain upon dressing change.
• Non-traumatic removal when changing the dressings |
See Hydrogel
|
See Hydrogel
|
Daily or at frequency to prevent drying of wound bed. |
See Hydrogel
|
See Hydrogel
|
3" Disc (7.6 cm)
4.75" Disc (12.1 cm) |
| Hydrogel |
Solosite
|
- clear amorphous hydrogel
-It can donate moisture to rehydrate non-viable tissue. It absorbs exudate while retaining its structure in the wound.
|
See Hydrogel
|
See Hydrogel
|
See Hydrogel Products |
See Hydrogell
|
See Hydrogel
|
- 3 oz. flip top tube |
| Light Compression Bandage |
Conform Stretch Bandages |
- CONFORM Stretch Bandages provide softness, low lint, and high absorbency with moderate stretch for maximum clinical flexibility. Made from a cotton/polyester crocheted blend.
-Conforms to difficult body contour & itself, wrapping |
- Secondary or retention dressing |
- Apply enough pressure to secure primary dressing without obstructing blood flow |
Change as necessary. |
- Apply over primary dressing, may be wrapped in layers |
- May cut through layers with blunted tip scissors |
1-6" x 75" |
| Specialty absorptive |
Exu-Dry
|
- Specialty absorptive dressing with 4 layers made of polyethylene and rayon/cellulose blend
- EXU DRY replaces non-adherent dressings, gauze and abdominal pads.
- Permeable and non-occlusive
- Different sizes and shapes, with medium or full absorbency |
- See Specialty Absorptive
|
Discontinue use of irritation, maceration or sensitivity |
Daily unless otherwise per MD or WOCN |
Cleanse wound as ordered. Use dressing slightly larger than wound. Do not cut dressing. Dressing has label indicating which side goes to wound bed.
Good wound contact is needed to ensure max absorption
When using an EXU-DRY* dressing, select a size slightly larger than the wound area.
For use as a dry dressing: Before application, topical agents may be applied directly to the wound or onto the dressing.
For use as a wet dressing: Submerge the dressing in liquid topical agent and gently squeeze out (do not ring out) the excess.
For use as a secondary dressing: This product may be used in combination with other products (calcium alginates, gels, foams, etc.) that have been used to pack a wound.
After the dressing is in place (the back side is marked "Use other side against wound"), secure the dressing with tape, netting or gauze. |
Gently remove dressing away from wound. Fully soak with saline if removal is difficult |
|
| Hydrogel |
XCell
|
- Composed of cellulose, water, and 0.085% chlorhexidine gluconate (device preservative).
- Primary dressing to absorb, protect, support autolytic debridement, reduce pain
- May be used under compression |
Partial and full thickness wounds. |
-Sensitivity
-Do not use if product was frozen |
Based on condition of wound. May not be used for more than 7 days. |
Cleanse wound as ordered. Periwound skin must be clean and dry. Dressing should be 1 cm larger than wound. May cut to fit. Remove protect films and apply to wound bed. Apply cover dressing that extends 1 cm beyond X-cell dressing and secure. Remove dressing by lifting one edge and gently peeling from wound site. |
Expect portion of XCell that was on intact skin to be dry and parchment-like. |
3.5"X3.5" |
