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PRODUCT REFERENCE GUIDE ADVANCED WOUND CARE

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PRODUCT REFERENCE GUIDEADVANCED WOUND CARE

SYSTAGENIX This guide has been developed to provide a useful overview of the products available from Systagenix.

SECTION Let’s HeaL®

This section describes our passion and agility to drive innovation that has just one goal: to help heal wounds, fast. This is captured by our callto action: Let’s HeaL®, which represents our unique integrated wound healing portfolio, built of four categories:

SECTION Product Information GuidelinesThis section includes information on the Systagenix advanced wound care portfolio. It contains details on the technical aspects of the dressings, how the dressings work and the clinical benefits you can expect when using the dressings. You will also find the indications and the specific wound types that the dressings are suitable for. All in one simple, easy place for reference.

SECTION sizes Codes and Ordering InformationThis section contains everything needed to order your Systagenix products, including individual sizes and codes available.

SECTION 4 – 5 Let’s HeaL®

SECTION 6 – 7 Introduction to Diagnostics – WOUNDCHEK™ PrOTeASe STATUS

8 – 9 SILVERCEL® NON-ADhereNT Dressing 10 – 11 ACTISORB® Silver 220 Activated Charcoal Dressing with Silver12 – 13 INADINE® Povidone Iodine Non-Adherent Dressing14 – 15 SILVERCEL® hydro-Alginate with silver

16 – 17 PROMOGRAN® Matrix OrC/Collagen Dressing18 – 19 PrOMOGrAN PRISMA® OrC/Collagen with Silver/OrC Dressing

20 – 23 TIELLE® Family: hydropolymer Adhesive Dressings 24 – 25 ADAPTIC TOUCh® Non-Adhering Silicone Dressing26 – 27 ADAPTIC® Non-Adhering Dressing28 – 29 ADAPTIC® DIGIT Non-Adhering Digit Dressing30 – 31 BIOCLUSIVE® Transparent Dressing 32 – 33 NU-DERM® hydrocolloid Dressing 34 – 35 NU-GEL® hydrogel with Alginate 36 – 37 NU-GEL® Wound Dressing 38 – 39 N-A® and N-A® Ultra Dressing

SECTION 40 – 43 sizes Codes and Ordering Information

2 — Introduction Contents — 3

4 — Section Let’s Heal® Section — 5

WOUNDCHEK™ PrOTeASe STATUS

SILVERCEL® NON-ADhereNT with easyLIFt®

SILVERCEL® ACTISORB®

INADINE®

PROMOGRAN®

PrOMOGrAN PRISMA®

TIELLE® Family with LiquaLock®

ADAPTIC® FamilyBIOCLUSIVE®

NU-DERM® hydrocolloidNU-GEL® hydrogelNU-GEL® Wound DressingN-A® and N-A® Ultra

To finally provide wound care tools which aid a correct and timely diagnosis, just like other areas of medicine nowadays.

To protect from the symptoms of infection such as exudate, pain and odour whist resolving the bacterial burden.

To promote wound healing in ways that standard dressings may not be able to.

To provide a comfortable and effective healing environment for all types of wounds.

SILVERCEL®

NON-ADHERENT

TIELLE®

ADAPTIC TOUCH®

PROMOGRAN®

PROMOGRANPRISMA®

Let’s Protect®

Let’s Test®

Let’s Promote®

Let’s Comfort®

WELCOME TO 21ST CENTURY WOUND CARE

“The development of specific diagnostic tests for use in wounds has the potential to revolutionise their treatment, and help improve standards of wound care (while) aiding in the cost effective use of limited resources.”World Union of Wound Healing Societies. Principles of best practice: A consensus document: MEP Ltd. London, 2008.

research suggests that wounds that heal well have a lower overallProtease activity than those that heal poorly. As a result, a test that readily provides this information might be clinically useful in understanding how well a wound is healing, and whether an intervention that modulates Protease activity may be needed.

Section — 76 — Section Product Information

IMAGINE A WORLD WITHOUT WHEELS…

SOON YOU WON’T BE ABLE TO IMAGINE A WORLD WITHOUT

SILVERCEL® NON-ADHERENT DRESSINGWHAT IS IT?sILVeRCeL® NON-ADhereNT Dressing is the next generation of Silver Antimicrobial Dressing with the unique feature of a Non-Adherent layer to maximise protection of the wound bed, particularly at dressing change.The unique composition: a mixture of alginate, carboxymethylcellulose (CMC), and silver coated nylon fibres manages exudate effectively in infected or heavily colonised wounds. The unique easyLIFt® film layer keeps the dressing simple and convenient to use, minimising pain and trauma at dressing change for your patients.

HOW DOES IT WORK? sILVeRCeL® NON-ADhereNT is designed to absorb and retain high amounts of exudate, whilst allowing easy, intact and atraumatic pain free removal from the wound bed.1

The silver ions within the dressing protect the wound from bacterial contamination.1

SILVERCEL® NON-aDHeReNt – designed not to stick • Maintains a sustained release of silver ions for up to 7 days in vitro 1 • Stays strong for intact removal, even when wet 2 • Optimally spaced perforations allow ‘free flow’ of exudate into the

dressing, and also ensure the dressing stays intact • Conforms to the wound bed for complete coverage when moist, and

is designed not to stick to the wound bed at dressing change • sILVeRCeL® NON-ADhereNT has been proven to be 75% Less Adherent

than the market leading silver dressing 3

INDICATIONS: Suitable for use under medical supervision, in the management of infected wounds, or wounds which have an increased risk of infection. May help reduce infection in moderate to heavily exuding partial and full-thickness wounds including: • Pressure ulcers • Venous ulcers • Diabetic ulcers • Donor sites • Traumatic and surgical wounds

Please refer to package insert for full instructions.

Section — 9

References: 1. Clark, r PhD; Stephens, S-A (BSc (hons); Del Bono, M; Abloye, O;

Bayliff, S BSc (hons); The evaluation of Absorbent Silver containing Dressings In Vitro; Systagenix Wound Management. Poster Presentation CAWC Quebec City October 2009

2. r.Clark, Michelle Del Bono, Sally-Anne Stephens, Omotayo Abioye, Simon Bayliff: Simulated in use tests to evaluate a Non-Adherent

Antimicrobial silver alginate dressing. Presentation Quebec City October 2009.

3. Clark,Stephens,Del Bono: From Lab to Leg The importance of correlating in-vitro and in-vivo test systems to clinical experience. Poster presented SAWC 2010.

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

5cm x 5cm 10 ELY 314 344-4635 CAD7050

11cm x 11cm 10 ELY 315 344-4668 CAD7011

10cm x 20cm 5 ELY 318 344-4650 CAD7020

2.5cm x 30.5cm (Rope) 5 ELY 317 344-4643 CAD7230

8 — Section Product Information

ACTISORB® ACTIVATED CHARCOAL DRESSING WITH SILVER WHAT IS IT?aCtIsORB® Dressing consists of activated charcoal impregnated with silver and encased in a nylon sleeve. aCtIsORB® Dressing is designed to trap wound malodour whilst protecting the wound from infection. By removing harmful elements from the wound, a more stable wound healing environment can be achieved.

HOW DOES IT WORK? Activated charcoal traps odour and bacterial toxins • Binds toxins which are known to impair healing 5,6

• reduces wound odour and improves patient’s quality of life 2

Silver Kills bacteria1

• reduces infection and exudates 3, 4

Effective wet or dry • Consistent adsorption of bacteria

INDICATIONS: aCtIsORB® Dressing may help to reduce infection in partial and full thickness wounds including: • Pressure Ulcers • Surgical wounds • Diabetic Ulcers • First and second degree burns • Venous Ulcers

Please refer to package insert for full instructions.

Section — 11

References: 1. russel AD et al. Antimicrobial activity and action of silver. Progress in

Medicinal Chemistry. 31, 351-370, elsevier Service 19942. Price Pe et al. J Wound Care; 9(2):93-953. Milward PA. Nursing Times 1991; 87(13):70-72.4. Leak, K. PeG site infections: a novel use for ACTISOrB* Silver 220.Br J

Community Nurs. 2002; 7 (6)5. Kramer A et al Antibacterial activity and endotoxin-binding

capacity of ACTISOrB* Silver 220. J hospital Infect. 2003; 53: 511-4.6. robson MC et al. Wound healing alterations caused by infection.

Clinics in Plastic Surgery 1990; 17: 485-492.

10 — Section Product Information

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

6.5cm x 9.5cm 10 ELV 004 272-8327 MAS065

10.5cm x 10.5cm 10 ELV 002 048-7264 MAS105

19cm x 10.5cm 10 ELV 003 255-1901 MAS190

INADINE® PVP-I NON-ADHERENT DRESSING WHAT IS IT?INaDINe® PVP-I Non-Adherent Dressing consists of a low adherent knitted viscose fabric impregnated with a polyethylene glycol (PeG) base containing 10% Povidone Iodine; equivalent to 1.0% available iodine.INaDINe® Dressings are designed to protect the wound, even if infected.

HOW DOES IT WORK? The Povidone molecule provides an effective release of iodine. The polyethyleneglycol provides a water-soluble environment, which allows the Iodine to reach the bacteria in the wound. INaDINe® Dressing has long been established for use in wound care, its features include: • Povidone Iodine controls bacteria by reducing bacterial load and

inhibits infection 1-3

• Povidone Iodine is a broad spectrum antimicrobial 1-3

• Safe for use on adults and children and in combination with systemic antibiotics 1-3

INDICATIONS: INaDINe® Dressing is designed to protect the wound, even if infected. INaDINe® Dressing is indicated for the management of ulcerative wounds and may also be used for the prevention of infection in minor burns and traumatic skin loss injuries.

Please refer to package insert for full instructions.

Section — 13

References: 1. Mclure A.r et al Journal of hospital Infection. 1992 Aug;21(4):291-9. 2. Goldenheim P.D Postgrad. Med.Jnl.,1993;69 (suppl.3):S97-S105.

3. Adams l. Wound healing altered with the use of povidone iodine. 1985.

12 — Section Product Information

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

5cm x 5cm 25 EKB 501 037-1195 P01481

9.5cm x 9.5cm 25 N/A 037-1229 P01512

9.5cm x 9.5cm 10 EKB 502 N/A P01491

SILVERCEL® ANTIMICROBIAL DRESSING WHAT IS IT?sILVeRCeL® is a sterile, non-woven pad composed of a high G (guluronic acid) alginate, carboxymethylcellulose (CMC) and silver coated nylon fibres. The unique composition of sILVeRCeL® is designed to manage exudate and help control infected or heavily colonised wounds.

HOW DOES IT WORK? sILVeRCeL® has a number of features that can help with controlling Infection: • sILVeRCeL® minimises the risk of maceration and leakage1, 2 and has

been proven to absorb and retain fluid even under compression • In vitro studies show that the level of silver released from

sILVeRCeL® is maintained beyond 7 days 3

• Designed not to break up in the wound 1,4

• sILVeRCeL® maintains its strength within a moist wound environment1,4

INDICATIONS: sILVeRCeL® is intended for use in the management of all moderate to heavily exuding partial and full thickness chronic wounds including: pressure ulcers, venous ulcers, diabetic ulcers, donor sites, traumatic and surgical wounds. As the product contains alginate it may assist in supporting the control of minor bleeding in superficial wounds. It is also suitable for use under medical supervision, in the management of infected wounds, or wounds in which there is an increased risk of infection.

Please refer to package insert for full instructions.

Section — 15

References: 1. Teot L et al. The management of wounds using SILVerCeL™ hydro-

Alginate. Wounds UK Supplement. 2005.1(2)2. Addison D et al. An Antimicrobial Dressing for moderate to heavily

exuding infected and critically colonised wounds. Systagenix Wound Management Gargrave U.K. Poster presented at eWMA Pisa May 2003

3. rennison T et al. evaluations of a silver hydro-Alginate dressing to Determine suitability for use on chronic wounds. Systagenix Wound Management Gargrave U.K. Poster presented at eWMA Prague May 2006.

4. Clark r, PhD; Stephens S-A, BSc (hons); Del Bono, M; Abioye, O; Bayliff S, BSc (hons). Simulated in-use tests to evaluate a non-adherent antimicrobial silver alginate wound dressing. SAWC, Texas, Dallas 2009

14 — Section Product Information

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

5cm x 5cm 10 ELS 149 315-1156 CAD050

11cm x 11cm 10 ELS 150 315-1164 CAD011

10cm x 20cm 5 ELS 151 315-1172 CAD020

2.5cm x 30.5cm (Rope) 5 ELS 152 315-1180 CAD230

PROMOGRAN® PROTEASE MODULATING MATRIX WHAT IS IT?PROMOGRaN® matrix is sterile, freeze-dried composite of 55% collagen and 45% oxidised regenerated cellulose (OrC). PROMOGRaN® matrix is designed to promote an optimal healing environment. 1

With PROMOGRaN® matrix stalled wounds close: • Faster 1,2

• Cost effectively 1,3,4

In the presence of exudate the PROMOGRaN® matrix transforms into a soft and conformable, biodegradable gel: this allows contact with all areas of the wound.

HOW DOES IT WORK? PROMOGRaN® matrix has been proven to reduce levels of Proteases such as MMPs and elastase. This may restore the balance of the wound microenvironment, promoting granulation tissue and helping the wound close.5

By reducing both MMP and elastase activity the wound surface area has been shown to reduce. Collagen alone has been shown to be less effective at reducing protease activity than collagen/OrC.

INDICATIONS: PROMOGRaN® matrix is indicated for the management of all woundshealing by secondary intent which are clear of necrotic tissue, including: • Diabetic ulcers • Venous ulcers • Pressure ulcers • Ulcers caused by mixed vascular aetiologies • Traumatic and surgical wounds PROMOGRaN® matrix has demonstrated haemostatic properties.PROMOGRaN® matrix can be used under compression therapy.

Please refer to package insert for full instructions.

Section — 17

References: 1. Lazaro-Martinez et al. randomized comparative trial of a collagen/

oxidized regenerated cellulose dressing in the treatment of neuropathic diabetic foot ulcers. F.r. Circ. esp.2007, 82(1), 27-31

2. Veves A et al. A randomized, controlled trial of Collagen/OrC vs. standard treatments in the management of diabetic foot ulcers. Arch Surg 2002;137:822-827

3. Snyder. Sequential therapies and advanced wound care products as a standard practice in the home care setting. home health abstract

for SAWC, San Diego, April 2008 (presentation at the J&J satellite symposium)

4. Ghatenekar O. Willis. M. Persson U. health economics. ‘Cost effectiveness of treating deep diabetic foot ulcers with collagen/OrC in four european countries’. J Wound Care, Vol 11, No2. Feb 2002

5. Cullen B, Smith r, McCulloch e, Silcock D, Morrison L. Mechanism of action of Collagen/OrC, a protease modulating matrix for treatment of diabetic foot ulcers. Wound rep regen 2002;10:16-25.

16 — Section Product Information

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

28cm2 10 ELZ 001 282-4985 M772028

123cm2 10 ELZ 002 282-4993 M772123

PROMOGRAN PRISMA® MATRIX WOUND DRESSINGWHAT IS IT?PrOMOGrAN PRIsMa® matrix is a freeze-dried composite of collagen, oxidised regenerated cellulose (OrC) and silver. • Made from a matrix of 55% collagen, 44% OrC and 1% OrC/Silver

PrOMOGrAN PRIsMa® matrix is designed to ‘kick start’ the healing process while providing protection from infection.1-2

In the presence of exudate PrOMOGrAN PRIsMa® matrix transforms into a soft and conformable, biodegradable gel; this allows contact with all areas of the wound.With PrOMOGrAN PRIsMa® matrix see stalled wounds close: • Faster 3-5 • Cost effectively 3,6 • While providing protection from infection 7-8

HOW DOES IT WORK? PrOMOGrAN PRIsMa® matrix binds and inactivates proteases such as MMPs and elastase to help rebalance the wound microenvironment, while providing low level silver to help prevent infection.1-2

By reducing activity of both MMPs and elastase wound surface area can be reduced.

INDICATIONS: PrOMOGrAN PRIsMa® matrix is indicated for the management of all wounds healing by secondary intent which are clear of necrotic tissue including: • Diabetic ulcers • Venous ulcers • Pressure ulcers • Ulcers caused by mixed vascular aetiologies • Traumatic and surgical wounds PrOMOGrAN PRIsMa® matrix has known haemostatic properties.PrOMOGrAN PRIsMa® matrix can be used under compression therapy.

Please refer to package insert for full instructions.

Section — 19

References: 1. Cullen B et al. OrC/Collagen Matrix Containing Silver Controls

Bacterial Bioburden while retaining Dermal Cell viability. Poster presented at eWMA Prague, May 2006

2. Gregory S et al. The Ability of OrC/Collagen containing silver to reduce Bioburden and retain dermail Cell Viability. Johnson & Johnson Wound Management, Gargrave, UK. Poster presented at eTrS Stuttgart, September 2005

3. Nisi G et al. Use of protease-modulating matrix in the treatment of pressure sores. Chir Ital 2005;57:465-8

4. Lazaro-Martinez et al. randomized comparative trial of a collagen/oxidized regenerated cellulose dressing in the treatment of neuropathic diabetic foot ulcers. F.r. Circ. esp.2007, 82(1), 27-31

5. Veves A et al. A randomized, controlled trial of PrOMOGrAN® (a collagen/oxidised regenerated cellulose dressing) vs. standard treatments in the management of diabetic foot ulcers. Arch Surg 2002;137:822-827

6. Cullen, B., Domnelly, T., rennison, T. Can excessive levels of silver be detrimental to healing? SAWC, San Diego, 2008

7. Gregory S et al. The Ability of OrC/Collagen containing silver to reduce Bioburden and retain dermail Cell Viability. Johnson & Johnson Wound Management, Gargrave, UK. Poster presented at eTrS Stuttgart, September 2005

8. Cullen, B., Nisbet, L., Gibson, M., Lanzara, S., Zamboni, P. A clinical study examining the effect of OrC/Collagen/Silver-OrC on healing and wound biochemistry. SAWC, Dallas, 2009

18 — Section Product Information

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

28cm2 10 ELZ 086 320-8105 PS2028

123cm2 10 ELZ 087 320-8121 PS2123

TIELLE® HYDROPOLYMER FOAM DRESSINGSWHAT IS IT?The tIeLLe® Family has a unique design compared to ordinary foams: • It contains LiquaLock® technology, which cleverly retains exudate

while also letting moisture vapour pass through the dressing, helping to provide an optimal moist wound healing environment

• Managing exudate better helps wounds heal faster and increases patient comfort. For instance, in a clinical evaluation of 6993 patients tIeLLe® dressings were proven to be clinically efficacious in all wound types studied, with 95% healing or improvement after 4 weeks of treatment, and to improve the patients’ quality of life1

• The tIeLLe® Family comes in a wide range of sizes, shapes and absorbencies, allowing you to find a dressing that suits your patients’ needs

HOW DOES IT WORK? Comfort for the woundThe tIeLLe® Family has a pretty unique way of dealing with wound exudate: • As exudate is absorbed by the dressing, it is designed to expand

and conform to the contours of the wound bed, which helps minimise exudate build-up and the chance of maceration

• Under normal use, the LiquaLock® technology locks fluid into the cell walls, which means reduced potential for it to be released back into the wound2-4

• The vapour-permeable backing allows moisture vapour to transfer through the back of the dressing, allowing for absorption of additional exudate

Comfort for youAll the tIeLLe® Family dressings are easy to use: • The adhesive dressings allow repositioning as needed on initial

application yet stay where placed • The non-adhesive dressings are cut-able and can be used for all levels

of exudate

Section — 21

Comfort for the patientThe tIeLLe® Family provides a comfortable solution to meet your patients’ needs: • tIeLLe® and tIeLLe® Plus control leakage and odour for better patient

quality of life1,5 – The adhesive variants require no secondary dressing or tape but

still allow for skin-friendly removal , due to the unique water-deactivated adhesive

– The polyurethane adhesive and backing provide a bacterial and contaminant barrier6

• tIeLLe® Lite’s non-adherent layer ensures less pain on dressing removal, even in bleeding wounds2

Comfort for the budget • Cost-effective wound care relies on reducing the time to healing, but

also on reducing the number of dressing changes needed • The superior fluid handling7 of tIeLLe® Plus and tIeLLe® Xtra means

fewer dressing changes • All tIeLLe® Family dressings provide a wear time of up to seven days

depending on wound condition and exudate level

20 — Section Product Information

Section — 23

INDICATIONS: The tIeLLe® range of dressings is indicated for the management of different types of wounds and exudate levels. tIeLLe® Xtra is also sold as tIeLLe® Max and tIeLLe® s.

Please refer to package insert for full instructions.

References: 1. evaluation of TIeLLe® hydropolymer dressings in the management

of chronic exudating wounds in primary care. Diehm C., Lawall, h. Int. Wound J. 2005, 2(1):26-35.

2. A non-comparative multicentre clinical evaluation of a new hydropolymer adhesive dressing. Taylor, A., Lane, C., Walsh, J., Whittaker, S., Ballard, K., Young, S.r. J Wound Care 1999, 8(10):489-492.

3. hydropolymer dressings in the management of wound exudate. Carter, K. Br. J. Comm. Nursing 2003, 8(9) Suppl: 10-16.

4. The evaluation of Fluid retention in Foam Dressings, Foster S. and Mistry, P., Wounds UK 2010.

5. Clinical evaluation of TIeLLe® Plus dressing in the management of exudating chronic wounds. Schulze, h.J. Br. J. Comm. Nursing 2003, 8(11):18-22.

6. Boothman S. et al, Bacterial Barrier characteristics of TIeLLe® to the proposed CeN Test Method, Poster 2002.

7. An evaluation of wound dressings to manage wound exudate and conform to the wound bed, Cullen B. et al, poster SAWC 2010.

tIeLLe® Family Exudate level Adhesive Cut-able

tIeLLe®

TM

TM

TM ✔ —

tIeLLe® Lite

TM

TM

TM ✔ —

tIeLLe® sacrum

TM

TM

TM ✔ —

tIeLLe® Packing

TM

TM

TM — tIeLLe® Plus

TM

TM

TM ✔ —

tIeLLe® Plus sacrum

TM

TM

TM ✔ —

tIeLLe® Plus Heel

TM

TM

TM ✔ —

tIeLLe® Xtra

TM

TM

TM —

22 — Section Product Information

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

tIeLLe®

7cm x 9cm 10 ELA 053 233-9232 MTL100EN

11cm x 11cm 10 ELA 215 221-0706 MTL101EN

15cm x 15cm 10 ELA 052 242-1162 MTL105

15cm x 20cm 5 ELA 217 221-0714 MTL102

18cm x 18cm 5 ELA 219 221-0722 MTL103

18cm x 18cm (Sacrum) 5 ELA 029 235-3324 MTL104

tIeLLe® LIte

7cm x 9cm 10 ELA 103 261-1978 MTL300EN

11cm x 11cm 10 ELA 104 261-1960 MTL301EN

8cm x 15cm 10 ELA 008 270-7743 MTL308

8cm x 20cm 10 ELA 007 270-7750 MTL309

tIeLLe® PaCKING

9.5cm x 9.5cm 10 ELA 135 249-0898 MT2450

tIeLLe® PLUs

11cm x 11cm 10 ELA 010 270-7081 MTP501

15cm x 15cm 10 ELA 023 270-7099 MTP505

15cm x 20cm 5 ELA 026 270-7107 MTP502

20cm x 26.5cm (Heel) 5 ELA 268 316-8838 MTP508

15cm x 15cm (Sacrum) 10 ELA 079 284-5550 MTP506

tIeLLe® XtRa

11cm x 11cm 10 ELA 367 333-7821 MTP301

15cm x 15cm 10 ELA 369 333-7805 MTP305

15cm x 20cm 5 ELA 368 333-7813 MTP302

ADAPTIC TOUCH® NON-ADHERING SILICONE DRESSINGWHAT IS IT?aDaPtIC TOUCh® Non-Adhering Silicone Dressing is everything you could wish for from a primary silicone wound contact layer and more…

aDaPtIC TOUCh® Non-Adhering Silicone Dressing is non-adherent and flexible with an open mesh comprised of cellulose acetate coated with a soft tack silicone. It is designed to stay in place and to be atraumatic during dressing change.1,2

HOW DOES IT WORK? • Soft tack silicone assists dressing application, conformability and

atraumatic removal 1,2

• Advanced mesh design means minimised risk of exudate pooling and secondary dressing adherence to the wound 1,2

• Ask us about overall cost saving compared to top silicone primary contact layer brands

INDICATIONS: aDaPtIC TOUCh® Non-Adhering Silicone Dressing is indicated for use in the management of dry to heavily exuding, partial and full-thickness chronic wounds including: • Venous ulcers • Decubitus (pressure) ulcers • Diabetic ulcers • Traumatic and surgical wounds • Donor sites • First and second degree burns

It is also suitable for use, under medical supervision, with negative pressure wound therapy (NPWT).1

Please refer to package insert for full instructions.

Section — 25

References: 1. Stephens S. et al., evaluation of a non-adhering silicone wound

contact dressing with optimised design for the management of dry to heavily exuding wounds (in vitro/vivo). Poster, Wounds UK 2010

2. Stephens S. et al., evaluation of the properties of a non-adhering silicone primary wound contact layer (in vitro). Poster, Wounds UK 2010

24 — Section Product Information

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

5cm x 7.6cm 10 ELY360 359-0411 TCH501

7.6cm x 11cm 10 ELY355 359-0429 TCH502

12.7cm x 15cm 10 ELY361 359-0437 TCH503

20cm x 32cm 5 ELY362 359-0445 TCH504

ADAPTIC® NON-ADHERING DRESSING(Available in IRELAND ONLY)WHAT IS IT?aDaPtIC® Non-Adhering Dressing is a primary dressing made of knitted cellulose acetate fabric and impregnated with a specially formulated petrolatum emulsion.It is designed to help protect the wound while preventing the dressing from adhering to the wound1 and to minimise pain and trauma upon removal.2,3

HOW DOES IT WORK? • aDaPtIC® Non-Adhering Dressing protects the fragile tissue in

wounds by its unique structure with small mesh size, preventing tissue adherence to either the aDaPtIC® dressing or the secondary dressing on top of it

• The mesh allows for exudate to easily pass through to the secondary dressing used, preventing maceration of the wound surface

• Knitted cellulose acetate fabric allows aDaPtIC® Non-Adhering Dressing to be cut to wound size without unravelling or shredding

• aDaPtIC® Non-Adhering Dressing removes cleanly from the wound, minimising trauma and pain 2,3

INDICATIONS: aDaPtIC® Non-Adhering Dressing is indicated for dry to highly exuding wounds where adherence of dressing and exudate is to be prevented, including: • First and second degree burns • Abrasions, grafts • Venous ulcers • Pressure ulcers • Nail extractions • eczema, staples • Surgical incisions • Lacerations • reconstructive procedures • Suture linesPlease refer to package insert for full instructions.

Section — 27

References: 1. hollinworth h and Collier M. Nurses’ view about pain and trauma at

dressing changes: results of a national survey. J Wound Care 2000 : 9 : 369-73

2. eWMA Position Document: Pain at wound dressing changes.

european Wound Management Association, 20023. Terrill PJ and Varughese G. A comparison of three primary non-

adherent dressings applied to hand surgery wounds. J Wound Care 2000 : 9 : 359-63

26 — Section Product Information

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

7.6cm x 7.6cm 50 N/A N/A 2012

7.6cm x 20.3cm 24 N/A N/A 2015

7.6cm x 40.6cm 36 N/A N/A 2014

12.7cm x 22.9cm 12 N/A N/A 2019

7.6cm x 152.4cm 10 N/A N/A 2018

ADAPTIC® DIGIT NON-ADHERING DIGIT DRESSINGWHAT IS IT? • aDaPtIC® DIGIT Non-Adhering Digit Dressing is made of a unique

tacky silicone coated open-knit cellulose fabric with a double-coiled tubular bandage that is specifically designed for dressing fingers and toes

• aDaPtIC® DIGIT is comfortable, convenient to apply and easy to remove for mild to severe digit injuries

HOW DOES IT WORK? No applicator or scissors are needed making it easy and simple to use: • aDaPtIC® DIGIT is conformable and non-bulky, therefore allowing

maximum digit flexibility • aDaPtIC® DIGIT removes cleanly from the wound, minimising

trauma and pain1

INDICATIONS: aDaPtIC® DIGIT Dressing is indicated to manage a range of mild to severe digit injuries.

Please refer to package insert for full instructions.

Section — 29

Reference: 1. Whittaker S. A dressing for the occasion? A comparative trial of two dressings for digit injuries. Professional Nurse Magazine, 1994 Aug. 729-732

28 — Section Product Information

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

Small 2cm Ø 10 EKJ 004 N/A MAD003

Medium 2.4cm Ø 10 EKJ 005 N/A MAD013

Large 2.8cm Ø 10 EKJ 006 N/A MAD023

Extra Large 3cm Ø 10 EKJ 007 N/A MAD042

Toe 2.8cm Ø 10 EKJ 008 N/A MAD062

BIOCLUSIVE® TRANSPARENT DRESSINGWHAT IS IT?BIOCLUsIVe® Transparent Dressings are made from thin, transparent polyurethane film and can be used on Wound Care and Access Devices.

BIOCLUsIVe® Dressings may also be used as secondary dressings with PrOMOGrAN®, PrOMOGrAN PrISMA®, NU-GeL® hydrogel with Alginate and NU-GeL® Wound Dressing for wounds with low levels of exudate.

HOW DOES IT WORK? • Allows oxygen vapour transfer and helps maintain a moist wound-

healing environment1 • Permits continuous observation • Works as a physical bacterial/viral barrier and protects site from

external contamination1 • helps secure catheters, reducing mechanical irritation • Minimises skin irritation1 and helps protect fragile tissue1 • Three-step application, forgiving adhesive for controlled and waste-

free application • BIOCLUsIVe® Select’s frame delivery system provides superior

application control

INDICATIONS: BIOCLUsIVe® and BIOCLUsIVe Select® Transparent Dressings should be used under health Care Professional direction for the following indications; low exuding wounds where observation and protection are desired e.g. General Wound Care, skin biopsies, donor sites, superficial partial thickness burns and surgical incisions. They are also indicated to aid securing of peripheral IVs and Central Venous Catheters.

Please refer to package insert for full instructions.

Section — 31

Reference: 1. Thomas S (1990) Semipermeable Film Dressings. In: Wound Management and Dressings. London. The Pharmaceutical Press. Pages 25-34

30 — Section Product Information

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

5.1cm x 7.6cm 4 x 100 ELW 042 N/A 2461

10.2cm x 12.7cm 100 N/A 032-0960 P03549

10.2cm x 12.7cm 4 x 50 ELW 043 N/A 2463

12.7cm x 17.8cm 5 x 20 ELW 119 N/A 2465

10.2cm x 25.4cm 6 x 20 ELW 115 N/A 2467

20.3cm x 25.4cm 8 x 10 ELW 117 N/A 2469

NU-DERM® HYDROCOLLOID DRESSINGWHAT IS IT?NU-DeRM® hydrocolloid Dressing is a sterile hydrocolloid wound dressing designed to maintain a moist wound environment. The NU-DeRM® hydrocolloid Wound Dressings consist of a wound contact layer of hydrocolloid and come in a variety of shapes and sizes. The top layer is either a semi-permeable polyurethane film (Border and Thin), or a film-coated polyurethane foam (Standard). • The Border product is conformable, has a top layer of low-friction film,

and has bevelled edges all around the product - the border itself is a continuation of the skin-friendly hydrocolloid adhesive material

• The Standard product has a top layer of foam, rounded corners, and is uniform in thickness

• The semi-transparent Thin product, which is conformable and has a top layer of low-friction film, allows close and easy monitoring of the wound bed without dressing removal

HOW DOES IT WORK? • helps maintain a moist wound healing environment and encouraging

autolytic debridement, thus enabling granulation to proceed under optimum conditions

• Designed to protect low risk wounds against bacterial contamination* • The dressing material interacts with wound exudate to form a soft gel

- due to the matrix formulation of the hydrocolloid material, most of the gel is removed together with the dressing, resulting in little or no damage to the newly formed tissue

• The dressings are waterproof and remain in place during showering

INDICATIONS: • NU-DeRM® Border and NU-DeRM® Standard are primarily indicated for

the management of lightly to moderately exuding pressure sores and leg ulcers

• NU-DeRM® Thin is primarily indicated for the management of superficial dry/lightly exuding wounds, post-operative wounds, and superficial wounds and abrasions; however it is also useful on small wounds towards the end of the healing phase

Please refer to package insert for full instructions.

Section — 33

* Consult a physician prior to using NU-DerM® hydrocolloid Dressings on lesions caused by tuberculosis, syphilis or deep fungal infections, cancer and wounds at high risk of infection

32 — Section Product Information

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

5cm x 5cm 5 x 20 ELM 113 314-1702 HCB102

10cm x 10cm 16 x 10 ELM 116 314-1728 HCB204

15cm x 15cm 4 x 5 ELM 117 314-1710 HCB106

20cm x 20cm 4 x 5 ELM 118 314-1736 HCB108

8cm x 12cm (Heel/Elbow) 6 x 10 ELM 119 314-1744 HCH207

15cm x 18cm (Sacral) 4 x 5 ELM 120 314-1751 HCS100

10cm x 10cm (Thin) 10 x 10 ELM 121 314-1769 HCT101

NU-GEL® HYDROGEL WITH ALGINATEWHAT IS IT?NU-GeL® hydrogel is a transparent hydro-active amorphous gel containing sodium alginate that gently and effectively rehydrates necrotic tissue and fibrinous slough, and is designed to create an ideal moist wound healing environment for granulating and epithelising wounds.1

HOW DOES IT WORK? • NU-GeL® hydrogel gently and effectively provides rehydration of

the wound for autolytic debridement, significantly decreasing the amount of necrotic tissue and slough2

• The alginate increases the absorptive capacity of NU-GeL® hydrogel and improves the ability to control wound exudate1 for longer wear time1

• NU-GeL® hydrogel can be applied to the wound with a simple one-handed technique

INDICATIONS: NU-GeL® hydrogel is indicated for debridement and desloughing of wounds together with the management of chronic wounds throughout all stages of the healing process.

PrecautionNU-GeL® hydrogel contains propylene glycol which might cause irritation or sensitisation in a small number of patients.If such reactions are noted, use of NU-GeL® hydrogel should be discontinued.If wound infection is present, appropriate antimicrobial therapy should be initiated - the use of NU-GeL® hydrogel may be continued under medical supervision.

Please refer to package insert for full instructions.

Section — 35

References: 1. A study of two hydrogels used in the management of pressure

sores, T. Young et al. Published in the Proceedings of the 6th european Conference on Advances in Wound Management. Conference held in Amsterdam, 1-4th October 1996

2. Autolytic debridement of chronic wounds using a hydrogel (NU-GeL®). Vanscheidt V, hasse G & Wunsch N. Vasomed: 9, Jan. 1997; 26-34

34 — Section Product Information

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

15g (Concertina Pack) 10 ELG 005 234-3754 MNG415

NU-GEL® WOUND DRESSING(Available in IRELAND ONLY)WHAT IS IT?NU-GeL® Wound Dressing is a hydrogel dressing consisting of polyvinyl pyrrolidone in water.The gel is supported by a fusible fibre scrim and protected on both sides by polyethylene film.

HOW DOES IT WORK? • helps maintain moist wound environment which encourages

autolytic debridement • Designed to protect against dehydration and provide a physical

barrier against bacterial contamination • Naturally cooling & soothing to help reduce patient pain and

discomfort • Absorbs exudate which helps reduce pooling of fluid • remains intact; does not break down • Translucent - allows monitoring of wound without disturbing the

dressing • Versatile - can be cut to size of the wound INDICATIONS: NU-GeL® Wound Dressing is indicated for first and second degree burns, partial thickness wounds, decubitus ulcers, donor sites, severe sunburn, superficial injuries or secreting dermal lesions, superficial lacerations, cuts and abrasions, incisions, skin reactions to oncology procedures, dermabrasions and other dermatologic procedures such as facelifts and other plastic surgery procedures.

Please refer to package insert for full instructions.

Section — 37

Reference: 1. Multicentre evaluation of NU-GeL® dressing in full-thickness chronic wounds of the lower extremities Morton I. Altman and Gerit TI. Mulder,

California College of Podiatric Medicine, San Francisco, California, USA; and Wound healing Institute, Aurora, Colorado, USA

36 — Section Product Information

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

9.5cm x 9.5cm 5 N/A N/A 2497

15.2cm x 20.3cm 5 N/A N/A 2498

N-A® AND N-A® ULTRA DRESSINGS WHAT IS IT?N-a® Dressing is a primary wound contact layer consisting of a knitted viscose rayon sheet.N-a® ULtRa Dressing is a primary wound contact layer consisting of a knitted viscose rayon sheet with a silicone coating.

HOW DOES IT WORK? N-a® and N-a® ULtRa Dressings allow free passage of exudate from the wound surface through to any secondary absorbent layer and simple atraumatic removal.1

INDICATIONS: N-a® and N-a® ULtRa Dressings are wound contact layers for use on leg ulcers, pressure sores, burns and other granulating wounds.

Please refer to package insert for full instructions.

Section — 39

Reference: 1. Burton, F. An evaluation of non-adherent wound-contact layers for acute traumatic and surgical wounds, J. of Wound Care, No 9, Oct. 2004

N-A® & N-A® ULTRA

38 — Section Product Information

sIZe DRessINGs PeR BOX

NHs CODe DRUG taRIFF PIP

sYstaGeNIX CODe

N-a®

9.5cm x 9.5cm 40 EKG 011 N/A P51070

9.5cm x 9.5cm 40 N/A 006-8288 P51079

9.5cm x 19cm 25 EKG 013 259-1006 P51072

N-a® Ultra

9.5cm x 9.5cm 40 EKG 031 230-4095 MNA095

9.5cm x 19cm 25 EKG 033 259-0990 MNA190

19cm x 19cm 5 EKG 035 N/A MNA011

40 — Section Sizes Codes and Ordering Information Section — 41

SILVERCEL® NON-ADHERENT DRESSING sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODe5cm x 5cm 10 ELY 314 344-4635 CAD7050

11cm x 11cm 10 ELY 315 344-4668 CAD7011

10cm x 20cm 5 ELY 318 344-4650 CAD7020

2.5cm x 30.5cm (Rope) 5 ELY 317 344-4643 CAD7230

ACTISORB® ANTIMICROBIAL DRESSINGS sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODe6.5cm x 9.5cm 10 ELV 004 272-8327 MAS065

10.5cm x 10.5cm 10 ELV 002 048-7264 MAS105

19cm x 10.5cm 10 ELV 003 255-1901 MAS190

INADINE® PVP-I NON-ADHERENT DRESSING sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODe5cm x 5cm 25 EKB 501 037-1195 P01481

9.5cm x 9.5cm 25 N/A 037-1229 P01512

9.5cm x 9.5cm 10 EKB 502 N/A P01491

SILVERCEL® ANTIMICROBIAL DRESSING sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODe5cm x 5cm 10 ELS 149 315-1156 CAD050

11cm x 11cm 10 ELS 150 315-1164 CAD011

10cm x 20cm 5 ELS 151 315-1172 CAD020

2.5cm x 30.5cm (Rope) 5 ELS 152 315-1180 CAD230

PROMOGRAN® PROTEASE MODULATING MATRIX sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODe28cm2 10 ELZ 001 282-4985 M772028

123cm2 10 ELZ 002 282-4993 M772123

PROMOGRAN PRISMA® MATRIX WOUND DRESSING sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODe28cm2 10 ELZ 086 320-8105 PS2028

123cm2 10 ELZ 087 320-8121 PS2123

42 — Section Sizes Codes and Ordering Information Section — 43

ADAPTIC TOUCH® NON-ADHERING SILICONE DRESSING sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODe5cm x 7.6cm 10 ELY360 359-0411 TCH501

7.6cm x 11cm 10 ELY355 359-0429 TCH502

12.7cm x 15cm 10 ELY361 359-0437 TCH503

20cm x 32cm 5 ELY362 359-0445 TCH504

TIELLE® HYDROPOLYMER DRESSINGS sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODe

tIeLLe®

7cm x 9cm 10 ELA 053 233-9232 MTL100EN

11cm x 11cm 10 ELA 215 221-0706 MTL101EN

15cm x 15cm 10 ELA 052 242-1162 MTL105

15cm x 20cm 5 ELA 217 221-0714 MTL102

18cm x 18cm 5 ELA 219 221-0722 MTL103

18cm x 18cm (Sacrum) 5 ELA 029 235-3324 MTL104

tIeLLe® LIte

7cm x 9cm 10 ELA 103 261-1978 MTL300EN

11cm x 11cm 10 ELA 104 261-1960 MTL301EN

8cm x 15cm 10 ELA 008 270-7743 MTL308

8cm x 20cm 10 ELA 007 270-7750 MTL309

tIeLLe® PaCKING

9.5cm x 9.5cm 10 ELA 135 249-0898 MT2450

tIeLLe® PLUs

11cm x 11cm 10 ELA 010 270-7081 MTP501

15cm x 15cm 10 ELA 023 270-7099 MTP505

15cm x 20cm 5 ELA 026 270-7107 MTP502

20cm x 26.5cm (Heel) 5 ELA 268 316-8838 MTP508

15cm x 15cm (Sacrum) 10 ELA 079 284-5550 MTP506

tIeLLe® XtRa

11cm x 11cm 10 ELA 367 333-7821 MTP301

15cm x 15cm 10 ELA 369 333-7805 MTP305

15cm x 20cm 5 ELA 368 333-7813 MTP302

ADAPTIC® NON-ADHERING DRESSING sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODe7.6cm x 7.6cm 50 N/A N/A 2012

7.6cm x 20.3cm 24 N/A N/A 2015

7.6cm x 40.6cm 36 N/A N/A 2014

12.7cm x 22.9cm 12 N/A N/A 2019

7.6cm x 152.4cm 10 N/A N/A 2018

ADAPTIC® DIGIT NON-ADHERING DIGIT DRESSING sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODeSmall 2cm Ø 10 EKJ 004 N/A MAD003

Medium 2.4cm Ø 10 EKJ 005 N/A MAD013

Large 2.8cm Ø 10 EKJ 006 N/A MAD023

Extra Large 3cm Ø 10 EKJ 007 N/A MAD042

Toe 2.8cm Ø 10 EKJ 008 N/A MAD062

BIOCLUSIVE® TRANSPARENT DRESSING sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODe5.1cm x 7.6cm 4 x 100 ELW 042 N/A 2461

10.2cm x 12.7cm 100 N/A 032-0960 P03549

10.2cm x 12.7cm 4 x 50 ELW 043 N/A 2463

12.7cm x 17.8cm 5 x 20 ELW 119 N/A 2465

10.2cm x 25.4cm 6 x 20 ELW 115 N/A 2467

20.3cm x 25.4cm 8 x 10 ELW 117 N/A 2469

N-A® AND N-A® ULTRA DRESSINGS sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODe

N-a®

9.5cm x 9.5cm 40 EKG 011 N/A P51070

9.5cm x 9.5cm 40 N/A 006-8288 P51079

9.5cm x 19cm 25 EKG 013 259-1006 P51072

N-a® Ultra

9.5cm x 9.5cm 40 EKG 031 230-4095 MNA095

9.5cm x 19cm 25 EKG 033 259-0990 MNA190

19cm x 19cm 5 EKG 035 N/A MNA011

NU-DERM® HYDROCOLLOID DRESSING sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODe5cm x 5cm 5 x 20 ELM 113 314-1702 HCB102

10cm x 10cm 16 x 10 ELM 116 314-1728 HCB204

15cm x 15cm 4 x 5 ELM 117 314-1710 HCB106

20cm x 20cm 4 x 5 ELM 118 314-1736 HCB108

8cm x 12cm (Heel/Elbow) 6 x 10 ELM 119 314-1744 HCH207

15cm x 18cm (Sacral) 4 x 5 ELM 120 314-1751 HCS100

10cm x 10cm (Thin) 10 x 10 ELM 121 314-1769 HCT101

NU-GEL® HYDROGEL WITH ALGINATE sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODe

15g (Concertina Pack) 10 ELG 005 234-3754 MNG415

NU-GEL® WOUND DRESSING sIZe DRessINGs

PeR BOXNHs CODe DRUG taRIFF

PIPsYstaGeNIX

CODe

9.5cm x 9.5cm 5 N/A N/A 2497

15.2cm x 20.3cm 5 N/A N/A 2498

SYS/GBI/489

/0411

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