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Learn More About Wound Care
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Keywords: DEBRIDEMENT INFECTION / INFLAMMATION MOISTURE CONTROL EDGE ENVIRONMENT SilvaSorb •
Puracol Plus •
Optifoam •
Derma-Gel •
Skintegrity •
Arglaes
Exuderm OdorShield • Suresite • Stratasorb • Maxorb Extra • FourFlex
Skintegrity Wound Cleanser • ThreeFlex • Sureprep No-Sting • Medigrip
Medfix • Bordered Gauze • TenderWet Active • Optifoam Ag • Maxorb Extra Ag
SilvaSorb • Puracol Plus • Optifoam • Derma-Gel • MatriStem • Gentac
TODAY’S
WOUND CARE TREATMENTS
FROM MEDLINE
Wound Bed Preparation Paradigm
Person with Chronic Wounds
Treat Cause:
(e.g. vascular supply,
edema, pressure, shear)
Local Wound Care Patient-Centered
Concerns: Pain
Treat Cause:
(e.g. vascular supply, edema,
pressure, shear)
including pain
Debridement of
Devitalized Tissue
pressure redistribution
Infection
(superficial/deep)
Inflammation
Moisture Balance
Edge – Non-healing Wound
Biological agents, Growth factors, Skin substitutes,
Adjunctive therapies
Support with Products, Services and Education
To provide today’s wound care treatments
Today’s Wound Care Treatments from Medline®
2
The assessment and treatment of chronic wounds is a daily challenge. Clinicians need guidance on their
wound care journey as they move between care settings with financial constraints, finite resources and the
need to optimize wound care.1
With this in mind, Medline has adopted the DIMES© system of wound bed preparation and treatment
options providing a simple guide to assist you in selecting the right product, at the right time, for your
patient’s wounds.
Figure 1
DIMES serves as an easy framework for planning and implementing an effective treatment plan for chronic
wounds while saving money and using valuable resources wisely.
We all realize that preparation is the key to care. This is also true in preparing wounds for healing. The
Wound Bed Preparation (WBP) Paradigm was created as a practical guide for the treatment of chronic
wounds (see Figure 1).1,2,3,4
What do DIMES have to do with chronic wound care?
© Sibbald, Woo
and Ayello
Today’s Wound Care Treatments from Medline
3
The removal of nonviable tissue
Addressing bioburden and inflammation within the wound
Achieving and maintaining moisture balance in and around the wound
Debridement
Infection/Inflammation
Moisture Balance
D
I
M
DIMES an organized and consistent
approach toWound Care
Evidence Based References
1. Woo KY, Ayello EA, Sibbald RG. Using DIMES to your advantage: Treating chronic wounds.
Healthy Skin. 2008:5(1):22-27. 2. Sibbald RG, Williamson D, Orsted HL et al. Preparing the wound
bed: debridement, bacterial balance and moisture balance. Ostomy Wound Management.
2000;46(11): 14-22, 24-8, 30-5; quiz 36-7. 3. Sibbald RG, Orsted H, Schultz GS, Coutts P, Keast D.
International Wound Bed Preparation Advisory Board. Canadian Chronic Wound Advisory Board.
Preparing the wound bed 2003: focus on infection and inflammation. Ostomy Wound Management.
2003; 49(11): 23-51. 4. Sibbald RG, Orsted HL, Coutts PM, Keast DL. Best practice
recommendations for preparing the wound bed: update 2006. Advances in Skin & Wound Care.
2007;20:390-405. 5. Woo K, Ayello EA, Sibbald RG. The edge effect: Current therapeutic options to
advance the wound edge. Advances in Skin & Wound Care. 2007; 20(2): 99-117.
The initial components of local care are1:
Edge/Environment
Supportive Products,
Services and Education
Treating stalled wounds where epithelium fails to migrate
Appropriate support promotes optimal outcomes
E
S
As always, the patient comes first. Start by addressing
patient-centered concerns, then treat the cause of the
wound before optimizing local wound care.1
DIM before DIMES4:
Is there anything else that can be done to promote faster
wound edge migration after local wound care has been
optimized? What else is needed to support healing? This
might include selecting products for stalled chronic wounds
combined with patient education to strengthen partnerships
and promote adherence to treatment.1
D I M E S
4
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
It is important to understand that DIMES is not just an acronym
but a roadmap for practice.1
Debridement For wounds with the ability to heal, adequate and
repeated debridement is an important first step in
removing necrotic tissue. Debridement may also help
healing by removing both senescent cells that are no
longer capable of normal cellular activities and biofilms
that shield the bacterial colonies.1
Infection/Inflammation All chronic wounds contain bacteria.The level of bacterial
damage may include contamination (organisms present),
colonization (organisms present and may cause surface
damage if critically colonized) or infection (deep and
surrounding skin damage).There are many antimicrobial
products available, and no one product is going to be right
for all patients. Clinicians need to match appropriate product
characteristics with the clinical features of the wound bed.1
Moisture Balance Achieving moisture balance is a delicate act. Cells and
the various cellular signals all need the right amount of
moisture to move across the wound bed. Too much
moisture can damage the surrounding skin, leading to
periwound maceration and skin breakdown. Conversely,
too little moisture in the wound environment can impede
cellular activities and promote eschar formation, resulting
in poor wound healing.1
Edge/Environment If the wound edge is not migrating after appropriate wound
bed preparation (debridement, infection/inflammation,
moisture balance) and healing is stalled, then advanced
therapies should be considered.1
There are other products that complement DIMES but do
not fit into one of these immediate categories. Therefore,
always consider the “other” supportive products to
complete the treatment.
Additionally, supportive services (i.e. nutritional therapy)
and education are paramount to achieving the best
possible outcome.1
Supportive Products,
Services and Education
Today’s Wound Care Treatments from Medline
5
Connecting the right product to the right application is critical. Today’s Wound Care Treatments from Medline
is organized in this catalog using the first letter of each component of care, D-I-M-E-S. To make it even easier
we’ve provided a chart to guide you through each component of the DIMES system and solutions that
Medline provides. Note each section is color coded by letter.
DIMES Components Products Page No.
D Debridement • TenderWet®Active 6
I Infection/Inflammation • Arglaes® 8
• Maxorb® Extra Ag 10
• Optifoam® Ag 12
• SilvaSorb® 14
M Moisture Balance • Derma-Gel® 16
• Exuderm OdorShield™ 18
• Maxorb® Extra 20
• Optifoam® 22
• Skintegrity® 24
• Suresite® 26
E Edge/Environment • Puracol® Plus 30
• Puracol® Plus Ag 32
• MatriStem™ 34
S Supportive Products
Services and Education
• Bordered Gauze 42
• FourFlex 36
• Gentac™ 40
• Medfix 41
• Medigrip 38
• Skintegrity®Wound Cleanser 44
• Stratasorb® 42
• Sureprep® 46
• Sureprep® No Sting 46
• ThreeFlex 36
• Classification of Tissue Destruction 49
• Compass 51
• Educare Hotline 53
• Educare Seminars 52
• Educational Packaging 50
• Medline University 52
• Product Selection Guide 48
• Wound and Skin Care Product Specialists 53
• www.medline.com/woundcare 53
Evidence Based References
1. Woo KY, Ayello EA, Sibbald RG. Using DIMES to your advantage: Treating chronic wounds. Healthy Skin. 2008:5(1):22-27.
D I M E S
Table of Contents
About TenderWet Active
• Helps debride necrotic wounds1,2
• Absorbs and retains microorganisms
(biofilm) in pad3
• Uses Ringer’s physiologically-compatible
solution4
• More effective than wet gauze therapy5
• Will not stick to wound bed, which helps
ease the pain of dressing changes6
• Cost-effective5,7
• Helps create an ideal moist healing
environment
• High fluid retention
• Easy application and removal
TenderWet Active
Polyacrylate Debriding Wound Dressing
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
Indications
Pressure ulcers
Partial and full-thickness wounds
Leg ulcers
Diabetic ulcers
Surgical wounds
Lacerations and abrasions
Skin tears
Dry, light and moderately draining wounds
First and second-degree burns
Contraindications
None
Change Frequency
TenderWet may be left in place for up to 24 hours
Dressing change frequency will depend on the
amount of drainage
Recommended Secondary Dressings
Medfix Tape
Bordered Gauze
Stratasorb Composite
Evidence Based References
1. Konig M, VanscheidtW, Augustin M, Kapp H. Enzymatic versus autolytic debridement of
chronic leg ulcers: a prospective randomized trial. Journal ofWound Care. 2005;14(7):320-
323. 2. Paustian C, Stegman MR. Preparing the wound for healing: the effect of activated
polyacrylate dressing on debridement.Ostomy/Wound Management. 2003;49(9):34-42.
3. Bruggisser R. Bacterial and fungal absorption properties of a hydrogel dressing with a
superabsorbent polymer core. Journal ofWound Care. 2005;14(9):1-5. 4. Biocompatibility
data on file. 5. Coyne N. Eliminating wet-to-dry treatments.Remington Report. 2003:8-11.
6. Mueller V, Doucette M, Jasper J, VandenBeld K.Reduction of Pain Through the Utilization
of Polyacrylate Activated Dressings. Presented at SAWC.Orlando, FL. 2004. 7. Edwards J.
Wound Care is NotWhat it Used to Be: Finding the Most Efficient Debridement Method for
ChronicWounds. Presented at SAWC.Orlando, FL. 2004.8. Flemister B. The use of a
superabsorbent wound dressing pad for interactive moist wound healing. Presented at
the 13th Annual Symposium on Advanced Wound Care. Dallas TX, April 1-4, 2000.
®
6
TenderWet Debridement Rate2
POLYMER GEL PAD
RecommendedWound Conditions
Shallow No/minimal drainage Primary dressing
Deep Moderate/Heavy drainage Secondary dressing
Today’s Wound Care Treatments from Medline
TenderWet Active Ideal for all wounds
Debridement
Ordering Information
Debrides necrotic wounds while providing an ideal wound healing environment.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
Item Number Description HCPCS Packaging
MSC8301 1.6”, (4.06 cm) round A6242 7/bx, 6 bx/cs
MSC8302 2.2”, (5.59 cm) round A6242 7/bx, 6 bx/cs
MSC8303 3” x 3”, (7.62 cm x 7.62 cm) square A6242 7/bx, 6 bx/cs
MSC8305 4” x 5”, (10.16 cm x 12.7 cm) rectangle A6243 7/bx, 6 bx/cs
TenderWet Active Cavity Ideal for all wounds
Item Number Description HCPCS Packaging
MSC8401 1.6”, (4.06 cm) round A6242 7/bx, 6 bx/cs
MSC8402 2.2”, (5.59 cm) round A6242 7/bx, 6 bx/cs
MSC8403 3” x 3”, (7.62 cm x 7.62 cm) square A6242 7/bx, 6 bx/cs
MSC8405 4” x 5”, (10.16 cm x 12.7 cm) rectangle A6243 7/bx, 6 bx/cs
MSC8438 3” x 8”, (7.62 cm x 20.32 cm) rectangle A6243 7/bx, 6 bx/cs
7
®
D I M E S
D = Debridement
TenderWet Active Debrides NecroticWounds8
Day 1
Day 16
To order by the box, add a “Z” to the end of the item number.
Arglaes
Antimicrobial Silver Wound Dressing
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
RecommendedWound Conditions
Shallow No/Minimal drainage** Primary dressing
Deep* Moderate/Heavy drainage* Secondary dressing
* Powder only
** Film Only
Indications
Pressure ulcers
Diabetic foot ulcers2
Partial and full-thickness wounds
Leg ulcers3,4,5
Central lines, CVPs and PICC lines
(Arglaes Film only)6
Surgical wounds7,8
Negative pressure wound therapy
(Arglaes Powder only)9
Grafted wounds (Arglaes Powder only)
Donor sites
Lacerations and abrasions
First and second-degree burns
Contraindications
Third-degree burns
Patients with a known sensitivity to silver
As a surgical implant (Arglaes Powder)
Do not use topical antibiotics in conjunction
with Arglaes Powder
Change Frequency
Arglaes Film may be left in place for up to 7 days
Arglaes Island and Arglaes Powder may be left in
place for up to 5 days
Dressing change frequency will depend upon the
amount of drainage
Recommended Secondary Dressings
Stratasorb Composite
Bordered Gauze
About Arglaes
• Manages bacterial burden1
• Continuous antimicrobial protection1
• Non-cytotoxic1
• Extended wear time1
• Non-staining
• Can convert any other dressing to
an antimicrobial (Arglaes Powder)
®
8
Sustained-Release10
0
10
100
1,000
10,000
100,000
1,000,000
10,000,000
8 48 72 96 288
nil Time
(hours)
Numbers of
viable bacteria
0
10
100
1,000
10,000
100,000
1,000,000
10,000,000
8 48 72 96 288
nil Time
(hours)
Numbers of
viable bacteria
0
10
100
1,000
10,000
100,000
1,000,000
10,000,000
8 48 72 96 288
nil Time
(hours)
Numbers of
viable bacteria
Greater than 90% reduction in viable
bacterial numbers after 48 hours.
Greater than 90% reduction in viable
bacterial numbers after 48 hours.
Greater than 90% reduction in viable
bacterial numbers after 48 hours.
VERSATILE SILVER
Today’s Wound Care Treatments from Medline
Powerful antimicrobial activity-up to 6 logs of
reduction (in vitro studies)
Arglaes Film Ideal for post-op incisions and line sites
Item Number Description Packaging
MSC9023 2?” x 3?” (6.03 cm x 7.94 cm) 10/bx, 10 bx/cs
MSC9045 4” x 4¾” (10.16 cm x 12.07 cm) 10/bx, 10 bx/cs
MSC9069 4¾” x 10” (12.07 cm x 25.4 cm) 10/bx, 5 bx/cs
MSC9314 3¼” x 14”, Post-Op Style (8.26 cm x 25.4 cm) 10/bx, 5 bx/cs
Arglaes Island Manages fluid and bioburden
Arglaes Powder Ideal for difficult to dress wounds. Single patient use, multi dose vial
Item Number Description HCPCS Packaging
MSC9205 5 gm bottle A6262 5/bx, 4 bx/cs
MSC9210 10 gm bottle A6262 5/bx, 4 bx/cs
Infection/ Inflammation
Ordering Information
Controlled-release, ionic silver for targeted antimicrobial protection.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
9
Evidence Based References
1. Internal report on file. 2. LaJoie J. Improving diabetic foot ulcer outcomes with hyperbaric oxygen
and ionic silver powder. Presented at SAWC. San Diego, CA. 2005. 3. Rogers RS, Patel M, Alvarez
OM. Effect of a silver ion containing wound dressing on the bacterial burden of chronic venous ulcers.
Presented at SAWC. Dallas, TX. 2000. 4. Sparks-Evans K. Charcot-Marie-Tooth Foot Deformities,
Osteomyelitis with Open Wounds on a Child. Presented at Clinical Symposium on Advances in Skin
and Wound Care. Phoenix, AZ. 2004. 5. Strilko BL, Barna A. The versatile use of a silver alginate
powder in the treatment of a variety of wounds. Presented at WOCN. Salt Lake City, Utah. 2007.
6. Brooks KL, Dauenhauer SA, Evans JT. Decreased incidence of central line-related bloodstream
infections associated with use of silver impregnated dressings at central venous catheter sites.
Presented at Decennial International Conference on Nosocomial and Healthcare Associated
Infections. Atlanta, GA. 2000. 7. Pittman J, Tape J, Tanner D, Peliccia J. Comparative study of the use
of antimicrobial barrier film dressing in post-operative care. Presented at WOCN. Las Vegas, NV.
2005. 8. Gonzalez VR, Segal CG, Tillman C, Houston S, Pruitt V. Changing clinical practice to reduce
sternal surgical site infections (S-SSI) in open bypass surgery. Presented at Association for
Professionals in Infection Control and Epidemiology, Inc. Seattle, WA. 2001.
9. Curran M, Paz-Altschul OJ. The use of silver antimicrobial powder with negative pressure wound
therapy. Presented at Clinical Symposium on Advances in Skin and Wound Care. Dallas, TX. 2002.
10. Independent study preformed by Wickham Laboratories Limited, Hampshire, England.
®
Item Number Description Packaging
MSC9123 2?” x 3?”, 1” x 2” pad 10/bx, 10 bx/cs
(6.03 x 7.94 cm), (2.54 x 5.08 cm)
MSC9145 4” x 4¾”, 2” x 2” pad 10/bx, 10 bx/cs
(10.16 x 12.07 cm), (5.08 x 5.08 cm)
MSC9169 4¾” x 10”, 2¾” x 8” pad 10/bx, 5 bx/cs
(12.07 x 25.4 cm), (6.99 x 20.32 cm)
D I M E S
I = Infection/ Inflammation
To order by the box, add a “Z” to the end of the item number.
Maxorb Extra Ag
Antimicrobial Silver Wound Dressing
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
Indications
Pressure ulcers6,7
Leg ulcers6,7
First and second-degree burns8
Moderate to heavily draining partial
and full-thickness wounds
Diabetic foot ulcers
Surgical wounds
Graft and donor sites
Trauma wounds
Contraindications
Third-degree burns
Dry or lightly draining wounds
Patients with a known sensitivity to alginates
or silver
To control heavy bleeding
As a surgical implant
Change Frequency
Maxorb Extra Ag may be left in place for up to 21 days
Dressing change frequency will depend on amount
of drainage
Initially it may be necessary to change the dressing
every 24 hours
Recommended Secondary Dressings
Stratasorb Composite
Bordered Gauze
About Maxorb Extra Ag
• Helps manage bacterial burden1,2
• Continuous antimicrobial protection1,3
• Cost-effective4
• Easy dressing changes
• Highly absorbent5
• Superior gelling and fluid handling5
• Reduces odor6
• Fluid will not wick laterally
®
10
Modified ASEPSIS Index9
Absorbency Comparisons6,7
0
5
10
15
20
25
30
Maxorb Extra Ag Aquacel Ag Acticoat™Absorbent
26
17.5 18
Absorbency (g/100cm2)
®
0.0
Pre-treatment Week 1 Week 2 Week 3 Week 4
Average Score
Maxorb® Extra Ag
Kaltostat®
2.0
4.0
6.0
8.0
10.0
RecommendedWound Conditions
Shallow No/minimal drainage Primary dressing
Deep Moderate/Heavy drainage Secondary dressing
ALGINATE WITH SILVER
Today’s Wound Care Treatments from Medline
Asepsis index is a measure of 10 wound healing parameters.
A lower score is preferable.
Maxorb Extra Ag For moderate to heavily draining, partial and full-thickness wounds
Item Number Description HCPCS Packaging
MSC9422EP 2” x 2” (5.08 cm x 5.08 cm) A6196 10/bx, 10 bx/cs
MSC9445EP 4” x 4¾” (10.16 cm x 12.07 cm) A6197 10/bx, 5 bx/cs
MSC9448EP 4” x 8” (10.16 cm x 20.32 cm) A6197 5/bx, 10 bx/cs
*MSC94812 8” x 12” (20.32 cm x 30.48 cm) Pending 5/bx, 10 bx/cs
Maxorb Extra Ag Rope For moderate to heavily draining, partial and full-thickness wounds
Item Number Description HCPCS Packaging
MSC9412EP 1” x 12” (2.54 cm x 30.48 cm), rope A6199 5/bx, 4 bx/cs
Infection/ Inflammation
Ordering Information
Ionic silver for targeted antimicrobial protection and fluid management.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
11
Evidence Based References
1. Chakravarthy D, Falconio-West M.A comparison of the antimicrobial efficacy of two silver
ion containing absorptive fiber dressings. Presented at SAWC. Las Vegas, NV. 2006.
2. Chakravarthy D, Fleck C, Falconio-West M.An evaluation of two polysaccharide-silver
based high absorbency wound dressings. Presented at SAWC. Las Vegas, NV. 2006.
3. Freeman R, Bradford C. 21 day in vitro study of sustained antimicrobial activity of a new
silver alginate dressing. Presented atWounds UK.Harrogate. 2006. 4. DeLeon J, Nagel M,
Hill D, Fudge M, Lucius A, Garcia B.Cost comparison of silver impregnated Hydrofiber® and
alginate dressings. Presented at SAWC. Las Vegas, NV. 2006. 5. Data on file. 6.
Chakravarthy D, Freeman R, Beele H, Meuleneire F, Nahuys M.Detailed clinical report:
prospective randomized open label pilot study to evaluate a new silver alginate antimicrobial
wound dressing on critically colonized chronic wounds. Internal report on file. 7. Freeman R,
Beele H, Meuleneire F, Nahuys M.Results of a multicentre randomized prospective open
label pilot study to evaluate a new silver alginate antimicrobial wound dressing on critically
colonized chronic wounds. Presented atWounds UK Conference.Harrogate. 2006.
8. Serena T, Chakravarthy D.Maxorb® AG in the treatment of burn wounds. Symposium
on AdvancedWound Care.Tampa, FL. 2007. 9. Data on file.
®
D I M E S
I = Infection/ Inflammation
To order by the box, add a “Z” to the end of the item number.
*MSC94812 will be available in January 2009
About Optifoam Ag
• Ionic silver provides antimicrobial barrier1
• Continuous antimicrobial protection1
• Highly absorbent1
• Non-cytotoxic1
• Conformable1
• Can manage repeated bacteria introduction
• Non-staining
Optifoam Ag
Antimicrobial Silver Wound Dressing
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
Indications
Pressure ulcers
Partial and full-thickness wounds
Surgical wounds
Wounds with colonization
Leg ulcers
Diabetic foot ulcers
Donor sites
Lacerations and abrasions
Skin tears
First and second-degree burns
Under compression bandages
Contraindications
Third-degree burns
Lesions with active vasculitis
Change Frequency
Optifoam Ag may be left in place for up to 7 days
Dressing change frequency will depend on amount
of drainage
Recommended Secondary Dressings
Medfix Tape
Elastic Net
Medigrip Tubular Bandage
Evidence Based References
1. Data on file.
®
12
RecommendedWound Conditions
Shallow No/minimal drainage Primary dressing
Deep Moderate/Heavy drainage Secondary dressing
FOAM WITH SILVER
Today’s Wound Care Treatments from Medline
0
5
10
15
20
25
30
Fluid Handling Comparative Study1
g/10cm2/72hrs
Optifoam Ag
Adhesive
Contreet® Ag
Foam
Allevyn™
Non-Adhesive
Allevyn™
Adhesive
DuoDERM® CGF
Hydrocolloid
Polymem®
Non-Adhesive
Powerful ability to manage (absorb + transpire)
wound fluids.
Optifoam Ag
Non-Adhesive
Moisture Vapor Loss
Absorption
Optifoam Ag Adhesive For wounds with intact periwound skin
Item Number Description HCPCS Packaging
MSC9604EP 4” x 4” (10.16 cm x 10.16 cm), A6212 10/bx, 10 bx/cs
2½” x 2½” (6.35 cm x 6.35 cm) pad
Optifoam Ag Non-Adhesive For wounds with fragile periwound skin
Item Number Description HCPCS Packaging
MSC9614EP 4” x 4” (10.16 cm x 10.16 cm) A6209 10/bx, 10 bx/cs
Infection/ Inflammation
Ordering Information
Ionic silver foam dressing for targeted antimicrobial protection and fluid management.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
13
®
0
50
100
150
200
250
Number of Surviving Colony Forming Units
Optifoam Ag
Non-adhesive
Contreet® Acticoat™
Moisture Control
D I M E S
I = Infection/Inflammation
Comparative Antimicrobial Effect Study1
Optifoam Ag has the least number of surviving
colony forming units at 4 hours.
To order by the box, add a “Z” to the end of the item number.
MRSA
P.aeruginosa
4 hrs. at 37° C exposure to 4 sq cm of each dressing
106 -107 Colony Forming Units (CFUs) initial population
SilvaSorb
Antimicrobial Silver Wound Dressing
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
Indications
Pressure ulcers
Partial and full-thickness wounds
Leg ulcers
Diabetic foot ulcers
Graft wounds and donor sites
Skin tears
Surgical wounds
Lacerations and abrasions
First and second-degree burns
Contraindications
Patients with a known sensitivity to silver
Change Frequency
Sheets may be left in place for up to 7 days
Amorphous gel may be left in place for up to 3 days
Dressing change frequency will depend on amount
of drainage
Recommended Secondary Dressings
Stratasorb Composite
Bordered Gauze
Evidence Based References
1. Data on file 2. Castellano JJ, Shafil SM, Ko F, Donate G,Wright TE, Mannari RJ, Payne
WG, Smith DJ, Robson MC. Comparative evaluation of silver containing antimicrobial
dressings and drugs. IntWound Journal. 4: 114-122. 3. Nametka M. Silver antimicrobial
hydrophilic dressing benefits management of recurrent non-healing wounds. Symposium on
AdvancedWound Care. Baltimore. 2002. 4. Copty T, Kiran R, Glat P. Assessing the risk of
skin irritation with the use of a silver based site* dressing on pediatric patients. Symposium
on Advanced Skin andWound Care. Orlando, FL. 2007. 5. Nametka M.Antimicrobial silver
polymer contact layer for treatment of venous leg ulcers. Symposium on AdvancedWound
Care. Las Vegas. 2001. 6. Nametka M.A hydrophilic silver antimicrobial wound dressing for
site preparation and maintenance of human skin equivalent grafts to venous leg ulcers:
Technical and clinical considerations. Clinical Symposium on Advances in Skin &Wound
Care, Nashville. 2000. 7. Nametka M. Silver antimicrobial absorbent wound dressing can
contribute to cost control in home care. Annual Clinical Symposium on Advances in Skin
andWound Care. Dallas. 2002. 8. US Patent 6,605,751.
About SilvaSorb
• Helps manage bacterial burden1,2
• Continuous antimicrobial protection1,3
• Gentle for the patient4,5
• Advanced fluid management1
• Extended wear time3,6,7
• Non-staining1
Survival Curve with SilvaSorb1
®
14
RecommendedWound Conditions
Shallow No/minimal drainage Primary dressing
Deep Moderate/Heavy drainage Secondary dressing
8
7
6
5
4
3
2
1
0
1 2 3 4 5 6
E. coli
MRSA
VRE
Time (hours)
Log10 Viable Bacteria
HYDROGEL WITH SILVER
Today’s Wound Care Treatments from Medline
SilvaSorb has powerful antimicrobial activity
(invitro), 6-8 log reduction within four hours.
SilvaSorb Sheets For flat wounds with no to moderate drainage
Item Number Description HCPCS Packaging
MSC9322EP 2” x 2” (5.08 cm x 5.08 cm) A6242 5/bx, 5 bx/cs
MSC9344EP 4¼” x 4¼” (10.8 cm x 10.8 cm) A6243 5/bx, 5 bx/cs
MSC9348EP 4” x 8” (10.16 cm x 20.32 cm) A6243 5/bx, 5 bx/cs
SilvaSorb Perforated Sheets For flat wounds with moderate to heavy drainage
Item Number Description HCPCS Packaging
MSC9340EP 4¼” x 4¼” (10.8 cm x 10.8 cm) A6243 5/bx, 5 bx/cs
MSC93410EP 4” x 10” (10.16 cm x 25.4 cm) A6243 5/bx, 5 bx/cs
SilvaSorb Cavity For cavity wounds with all drainage levels
Item Number Description HCPCS Packaging
MSC9360EP 6 gram None 5/bx, 5 bx/cs
SilvaSorb Site For IV catheters, central venous and arterial lines, dialysis catheters and orthopedic pin sites
Item Number Description HCPCS Packaging
MSC9310EP 1” (2.54 cm) circular with slit A6242 30/cs
MSC9320EP 1¾” (4.45 cm) circular with slit A6242 30/cs
SilvaSorb Gel For dry wounds
Infection/ Inflammation
Ordering Information
Controlled-release8, ionic silver for targeted antimicrobial protection.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
Item Number Description HCPCS Packaging
MSC93025EP .25 oz tube A6248 25/bx
MSC9301EP 1.5 oz tube A6248 12/cs
MSC9303 3 oz tube 12/cs
MSC9308 8 oz tube A6248 6/cs
MSC9316 16 oz net wt. jar A6248 8/cs
15
®
D I M E S
I = Infection/ Inflammation
To order by the box, add a “Z” to the end of the item number.
Derma-Gel
Hydrogel Sheet Wound Dressing
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
RecommendedWound Conditions
Shallow No/Minimal drainage Primary dressing
Deep Moderate/Heavy drainage Secondary dressing
Indications
Pressure ulcers
Partial and full-thickness wounds4,5
Leg ulcers
Surgical wounds
Lacerations and abrasions
First and second-degree burns
Contraindications
Patients with known hypersensitivity to components
of the gel
Change Frequency
Derma-Gel may be left in place for up to 5 days
Dressing change frequency will depend on amount
of drainage
Recommended Secondary Dressings
Medfix Tape
Suresite® Film (for waterproofing)
Elastic Net
Medigrip Tubular Bandage
Evidence Based References
1. Oliveria-Gardia M, Davis SC, Mertz PM.Can occlusion dressing composition influence
proliferation of bacterial wound pathogens?WOUNDS. 1998;10(1):4-11. 2. Independent
study performed by NAMSA, Northwood, Ohio. 3. Morse, K. Elasto-Gel:A Product with
Unique Properties Especially Suited for the Treatment of Infants and Children with Special
Needs. Presented at SAWC.Reno, NV. 1996. 4. Kollenberg, LO.A Clinical Comparison of a
Glycerine Hydrogel Sheet or a Thin Hydrocolloid to the Standard of Care on Heel Blisters.
Presented at Clinical Symposium on Advances in Skin andWound Care.Denver, CO. 1999.
5. Harris AH.When Underlying Problems Make Total Healing an Unobtainable Goal.GM
Associates, Inc. 1994:1(3). 6. Independent study performed by NAmSA, Northwood, Ohio
About Derma-Gel
• Manages bacterial burden1
• Highly absorbent2
• Cushions and protects wound3
• Helps create moist wound environment
• Easy to apply and remove
®
16
HYDROGEL SHEET
Absorption Comparison2
140
160
180
80
100
120
20
40
60
0 KALTOSTAT ® DUODERM POLYMEM VIGILON CLEARSITE DERMA-GEL
.5 HR
1 HR
96 HR
48 HR
3 HR
6 HR
12 HR
24 HR
® ® ® ®
Today’s Wound Care Treatments from Medline
Derma-Gel has a very high absoption capacity.
Derma-Gel
Item Number Description HCPCS Packaging
NON8000 4” x 4” (10.16 cm x 10.16 cm) A6242 25/bx, 4 bx/cs
Moisture Balance
Ordering Information
Soft and flexible, Derma-Gel promotes a moist environment and can absorb up to five times its weight.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
17
®
D I M E S
M = Moisture Balance
To order by the box, add a “Z” to the end of the item number.
Exuderm OdorShield
Hydrocolloid Wound Dressing
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
RecommendedWound Conditions
Shallow No/Minimal drainage Primary dressing
Deep Moderate/Heavy drainage Secondary dressing
Indications
Pressure ulcers
Partial and full-thickness wounds
Leg ulcers
Donor sites
Wounds with light to moderate drainage
Lacerations and abrasions
First and second-degree burns
Contraindications
Third-degree burns
Change Frequency
Exuderm OdorShield can be left in place for
up to 7 days
Dressing change frequency will depend on
amount of drainage
Recommended Secondary Dressings
N/A
Evidence Based References
1. Lipman RDA, Van Bavel D.Odor absorbing hydrocolloid dressings for direct wound
contact.Wounds. 2007;19(5):138-146. 2. Lipman R, Van Bavel D, Chakravarthy D.Odor
absorbing hydrocolloid dressings that are not inactivated by serum protein. Presented at
Symposium on AdvancedWound Care.Tampa, FL. 2007. 3. Absorption properties of some
commercial hydrocolloid dressings, compared to Exuderm OdorShield. Internal report.May
5, 2006. 4. Data on file.
About Exuderm OdorShield
• Absorbs odor with
cyclodextrin technology1,2
• Not inactivated by wound protein2
• Manages drainage3
• Longer wear time
• Low residue formula4
• Protective, occlusive barrier
• Satin finish backing
TM
18
Fluid Absorption4
Time (h)
Absorption of water (g/m2)
ACTISORB™ Silver
Carboflex®
Carbonet®
Exuderm OdorShield™
DuoDERM®Extra Thin
DuoDERM®CGF
0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
500
1000
1500
2000
2500
3000
HYDROCOLLOID WITH ODOR CONTROL
Today’s Wound Care Treatments from Medline
Though much thinner, Exuderm OdorShield (0.6 mm)
absorbs as much as the much thicker DuoDERM CGF.
Exuderm OdorShield Ideal for shallow wounds with odor
Moisture Balance
Ordering Information
Odor absorbing technology combined with excellent fluid management.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
Item Number Description HCPCS Packaging
MSC5522 2” x 2” (5.08 cm x 5.08 cm) A6234 10/bx
MSC5544 4” x 4” (10.16 cm x 10.16 cm) A6234 10/bx
MSC5566 6” x 6” (15.24 cm x 15.24 cm) A6235 5/bx
MSC5588 8” x 8” (20.32 cm x 20.32 cm) A6236 5/bx
Exuderm OdorShield Sacral Ideal for sacral wounds with odor
Item Number Description HCPCS Packaging
MSC5570 4” x 3.6” (10.16 cm x 9.14 cm) A6234 10/bx
MSC5575 6.4” x 6.5” (16.26 cm x 16.51 cm A6235 5/bx
19
®
Psychosensory Test Results4
0
1
2
3
4
5
Valeric acid
Rating:
0 No odor in vial
1 Very slight odor
2 Moderate odor
3 High odor
4 Comparable to reference odor
Butyric acid Putrescine Cadaverine
Exuderm OdorShield™
DuoDERM®
Reference odor
D I M E S
M = Moisture Balance
The human nose can detect the odor absorbing capacity
of Exuderm OdorShield compared to DuoDERM.
Maxorb Extra
Alginate Wound Dressing
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
RecommendedWound Conditions
Shallow No/Minimal drainage Primary dressing
Deep Moderate/Heavy drainage Secondary dressing
Indications
Pressure ulcers
Partial and full-thickness wounds
Leg ulcers
Diabetic ulcers
Surgical wounds
Donor sites
Lacerations and abrasions
First and second-degree burns
Contraindications
Third-degree burns
For use as a surgical sponge
Dry wounds
Patients with a known sensitivity to alginates
Change Frequency
Maxorb Extra may be left in place for up to 5 days
Dressing change frequency will depend on amount
of drainage
Recommended Secondary Dressings
Stratasorb Composite
Bordered Gauze
Evidence Based References
1. Data on file.
About Maxorb Extra
• Highly absorbent
• Superior gelling and fluid handling
• Fluid will not wick laterally
• Easy dressing changes
®
20
ALGINATE
Maxorb Extra
Absorbency Comparison1
0
5
10
15
20
25
Maxorb Extra Aquacel® Kaltostat Algisite® M
Today’s Wound Care Treatments from Medline
Maxorb Extra absorbs better than many other
competitive dressings.
Maxorb Extra For moderate to heavily draining, partial and full-thickness wounds
Moisture Balance
Ordering Information
Fast-acting absorption without lateral wicking.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
Item Number Description HCPCS Packaging
MSC7022EP 2” x 2” (5.08 cm x 5.08 cm) A6196 10/bx, 10 bx/cs
MSC7044EP 4” x 4” (10.16 cm x 10.16 cm) A6196 10/bx, 5 bx/cs
MSC7048EP 4” x 8” (10.16 cm x 20.32 cm) A6197 5/bx, 10 bx/cs
Maxorb Extra Rope For moderate to heavily draining, partial and full-thickness wounds
Item Number Description HCPCS Packaging
MSC7012EP 1” x 12” (2.54 cm x 30.48 cm), rope A6199 5/bx, 4 bx/cs
Maxorb Extra Post-Op Rope For moderate to heavily draining, partial and full-thickness wounds
Item Number Description HCPCS Packaging
MSC7112EP 1” x 12” (2.54 cm x 30.48 cm), A6196 5/bx, 4 bx/cs
post-op, flat
21
®
D I M E S
M = Moisture Balance
To order by the box, add a “Z” to the end of the item number.
Optifoam
Foam Wound Dressing
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
RecommendedWound Conditions
Shallow No/Minimal drainage Primary dressing
Deep Moderate/Heavy drainage Secondary dressing
Indications
Pressure ulcers
Partial and full-thickness wounds
Leg ulcers
Donor sites
Lacerations and abrasions
Skin tears
First and second-degree burns
Contraindications
Third-degree burns
Lesions with active vasculitis
Change Frequency
Optifoam may be left in place for up to 7 days
Dressing change frequency will depend on amount
of drainage
Recommended Secondary Dressings
Medfix Tape (for Optifoam Non-Adhesive)
Elastic Net (for Optifoam Non-Adhesive)
Optifoam Thin and Optifoam can be used as a
secondary dressing
Evidence Based References
1. Data on file.
About Optifoam
• Moisture vapor transmission rate (MVTR)
adjusts to fluid level
• Will not curl at edges (adhesive)
• Highly absorbent
• Helps create ideal healing environment
• Waterproof outer layer protects wound
and keeps bacteria out
®
22
FOAM
Fluid Handling Comparative Study1
15
12
9
6
3
0
Optifoam
Adhesive
Optifoam
Non-Adhesive
Allevyn®
Adhesive
g/10cm2/72hrs
Allevyn®
Non-Adhesive
Polymem®
DuoDerm®
Today’s Wound Care Treatments from Medline
Powerful ability to manage (absorb + transpire)
wound fluids due to MVTR.
Absorbency
MVT
Optifoam Non-Adhesive Superb fluid handling with a variety of applications
Item Number Description HCPCS Packaging
MSC1244EP 4” x 4” (10.16 x 10.16 cm) A6209 10/bx, 10 bx/cs
MSC1266EP 6” x 6” (15.24 x 15.24 cm) A6210 10/bx, 10 bx/cs
OptifoamThin Extremely conformable, protective dressing
Item Number Description HCPCS Packaging
MSC1523 2” x 3” (5.08 x 7.62 cm) Pending 10/bx, 20 bx/cs
MSC1544 4” x 4” (10.16 x 10.16 cm) Pending 10/bx, 10 bx/cs
Optifoam Basic For general wounds or tube site care
Optifoam Site Designed specifically for tube sites with radial slit and starburst opening
Item Number Description HCPCS Packaging
MSC1104 4” (10.16 cm) round, 2” (5.08 cm) pad A6212 30/bag, 4 bags/cs
Optifoam Adhesive An all-in-one dressing for fluid handling
Moisture Balance
Ordering Information
Soft, conformable foam dressing.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
Item Number Description HCPCS Packaging
MSC1044EP 4” x 4” (10.16 x 10.16 cm), A6212 10/bx, 10 bx/cs
2.5” x 2.5” (6.35 x 6.35 cm) pad
MSC1066EP 6” x 6” (15.24 x 15.24 cm), A6213 10/bx, 10 bx/cs
4.5” x 4.5” (11.43 x 11.43 cm) pad
MSC1065EP 6.1” x 5.6” (15.49 x 14.22 cm), sacral Pending 10/bx, 10 bx/cs
23
Item Number Description HCPCS Packaging
MSC1133 3” x 3” (7.62 x 7.62 cm) A6209 10/bx, 10 bx/cs
MSC1133F 3” x 3” (7.62 x 7.62 cm) A6209 10/bx, 10 bx/cs
with fenestration
MSC1145 4” x 5” (10.16 x 12.7 cm) A6210 10/bx, 10 bx/cs
®
D I M E S
M = Moisture Balance
To order by the box, add a “Z” to the end of the item number.
Skintegrity
Hydrogel Wound Dressing
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
RecommendedWound Conditions
Shallow No/Minimal drainage Primary dressing
Deep Moderate/Heavy drainage Secondary dressing
Indications
Pressure ulcers
Partial and full-thickness wounds
Leg ulcers
Surgical wounds
Lacerations, abrasions and skin tears
First and second-degree burns
Contraindications
Patients with a known sensitivity to components of
the gel
Heavily draining wounds
Change Frequency
Skintegrity may be left in place for up to 3 days
Dressing change frequency will depend on amount
of drainage
Recommended Secondary Dressings
Stratasorb Composite
Bordered Gauze
Suresite Film
Evidence Based References
1. Independent cytotoxicity study performed by Thomas J. Stephens & Associates, Inc. Study
Number 93-0070 (AOL).
About Skintegrity
• Helps create a moist wound environment
• Balanced formulation
• Easy irrigation
®
24
HYDROGEL
Cytotoxicity Test For
Skintegrity Hydrogel1
Using Murine L929 Embryo Fibroblasts Agar Overlay Neutral Red Assay
Test Material lDRCC #278 Negative Control Positive Control
(Wound Gel)
Concentration % 100% N/A 100%
Exposure (Time) 21 Hours 21 Hours 21 Hours
Zone of
Inhibition (mm) 0 0 0
Comments/
Observations 0 / None 0 / None Entire disk
(Grade and Reactivity) was clear/
cells dead
Today’s Wound Care Treatments from Medline
Skintegrity Hydrogel is not harmful to tissue.
Skintegrity Hydrogel Ideal for dry-to-moist clean wounds
Item Number Description HCPCS Packaging
MSC6102 Bellows Bottle, 1 oz. (29.5 ml) A6248 30/cs
MSC6104 Tube, 4 oz. (118 ml) A6248 12/cs
Skintegrity Hydrogel Impregnated Gauze For convenience to fill deeper wounds
Item Number Description HCPCS Packaging
MSC6022 2” x 2” (5.08 x 5.08 cm), 12-ply A6231 1/pk, 50 pk/cs
MSC6044 4” x 4” (10.16 x 10.16 cm), 12-ply A6231 1/pk, 30 pk/cs
MSC6144 4” x 4” (10.16 x 10.16 cm), 12-ply A6231 2/pk, 30 pk/cs
Skintegrity Hydrogel Sheet For shallow wounds, painful wounds, burns and tumors
Item Number Description HCPCS Packaging
MSC6268 6” x 8” (15.24 x 20.32 cm) Pending 5/bx, 20 bx/cs
Moisture Balance
Ordering Information
Clear, colorless gel for providing a moist wound environment.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
25
®
D I M E S
M = Moisture Balance
To order by the box, add a “Z” to the end of the item number.
Suresite
Transparent Film Wound Dressing
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
RecommendedWound Conditions
Shallow No/Minimal drainage Primary dressing
Deep Moderate/Heavy drainage Secondary dressing
Indications
Partial-thickness wounds
Full-thickness wounds (secondary dressing)
Peripheral and central I.V. lines
Skin tears
Lacerations and abrasions
To help prevent skin breakdown caused by
friction to epidermis
Contraindications
Contraindicated as a primary dressing on
moderately-to-heavily draining wounds
Change Frequency
Suresite may be left in place for up to 7 days
Dressing change frequency will depend on amount
of drainage
Recommended Secondary Dressings
N/A
Evidence Based References
1. “Inverted Juice Cup” test method ASTM 1249 Independent study performed by
Mylan Technologies, Inc.
About Suresite
• Traditional moisture vapor
transmission rate (MVTR)
• Conformable
• Has memory – won’t stick to itself
• Microporous technology
• Permits continuous observation
• Variety of delivery systems
®
26
TRANSPARENT FILM
MVTR Data for Suresite1
Transparent Film MVTR
Suresite 1,209 g/M sq/24
Today’s Wound Care Treatments from Medline
Suresite has the ability to transpire wound fluid to
support moist wound healing.
Suresite 123 Easy to apply transparent film with thumbprint design
SuresiteWindow An easy-to-use window frame delivery
Ordering Information
Ideal dressing for a variety of wound situations.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
Item Number Description HCPCS Packaging
MSC2302 2?” x 2¾” (6.03 x 6.99 cm) A6257 100/bx
MSC2304 4” x 4½” (10.16 x 11.43 cm) A6257 50/bx
27
Suresite 123+Pad Easy delivery of an all-in-one cover dressing with minimal absorbtion
Item Number Description HCPCS Packaging
MSC2603 2.4” x 2.8” (6.1 x 7.11 cm), A6203 100/bx, 4 bx/cs
1.3” x 1.6” (3.3 x 4.06 cm) pad
MSC2605 4” x 4.8” (10.16 x 12.19 cm), A6203 50/bx, 4 bx/cs
2.4” x 3.2” (6.1 x 8.13 cm) pad
MSC2610 3.5” x 10” (8.89 x 25.4 cm), Pending 25/bx, 4 bx/cs
1.5” x 8” (3.81 x 20.32 cm) pad
MSC2613 3.5” x 13.75” (8.89 x 34.93 cm), Pending 25/bx, 4 bx/cs
2” x 12” (5.08 x 30.48 cm) pad
MSC2636 3.5” x 6” (8.89 x 15.24 cm), Pending 25/bx, 4 bx/cs
1.5” x 4” (3.81 x 10.16 cm) pad
MSC2638 3.5” x 8” (8.89 x 20.32 cm), Pending 25/bx, 4 bx/cs
1.5” x 5.5” (3.81 x 13.97 cm) pad
MSC2666 6” x 6” (15.24 x 15.24 cm), Pending 25/bx, 4 bx/cs
4” x 4” (10.16 x 10.16 cm) pad
Item Number Description HCPCS Packaging
MSC2701 1.52” x 1.52” (3.86 x 3.86 cm) A6257 100/bx, 4 bx/cs
MSC2703 2.4” x 2.8” (6.1x 7.11 cm) A6257 100/bx, 4 bx/cs
MSC2705 4” x 4.8” (10.16 x 12.19 cm) A6257 50/bx, 4 bx/cs
MSC2706 6” x 8” (15.24 x 20.32 cm) A6258 25/bx, 4 bx/cs
MSC2710 4” x 10” (10.16 x 25.4 cm) A6258 25/bx, 4 bx/cs
MSC2712 8” x 12” (20.32 x 30.48 cm) A6259 25/bx, 4 bx/cs
Moisture Balance
®
D I M E S
M = Moisture Balance
To order by the box, add a “Z” to the end of the item number.
Suresite I.V. Convenient, sized for I.V. sites
Suresite Roll Allows for customization of size and shape of transparent film
Item Number Description HCPCS Packaging
MSC2402 2” x 11yd. (5.08 x 10.06 m) Pending 1 roll/bx, 12 bx/cs
MSC2404 4” x 11yd. (10.16 x 10.06 m) Pending 1 roll/bx, 12 bx/cs
MSC2406 6” x 11yd. (15.24 x 10.06 m) Pending 1 roll/bx, 12 bx/cs
Item Number Description HCPCS Packaging
MSC2002 2” x 3” (5.08 x 7.62 cm) A6257 100/bx
Sureview Film Fabric Frame Easy to apply I.V. cover dressing
Item Number Description HCPCS Packaging
MSC2502 2?” x 2¾” (6.03 x 6.99 cm) Pending 50/bx
MSC2504 4” x 4½” (10.16 x 11.43 cm) Pending 25/bx
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
28
Suresite continued
Transparent Film Wound Dressing
®
Ordering Information continued
Ideal dressing for a variety of wound situations.
TRANSPARENT FILM
Today’s Wound Care Treatments from Medline
Suresite 2 Handle Traditional delivery system
Item Number Description HCPCS Packaging
MSC2104 4” x 5” (10.16 x 12.7 cm) A6258 50/bx
For more information, visit www.medline.com/woundcare or contact your sales specialist.
29
Moisture Balance
®
D I M E S
M = Moisture Balance
Item Number Description HCPCS Packaging
MSC2204 4” x 4½” (10.16 x 11.43 cm) 50/bx
MSC2206 6” x 8” (15.24 x 20.32 cm) A6258 10/bx, 10 bx/cs
Suresite Matrix Top layer allows you to trace wound margins
Puracol Plus
Collagen Microscaffold™ Wound Dressing
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
RecommendedWound Conditions
Shallow No/minimal drainage Primary dressing
Deep Moderate/Heavy drainage Secondary dressing
Indications
Pressure ulcers
Partial and full-thickness wounds
Venous ulcers
Ulcers caused by mixed vascular etiologies
Diabetic ulcers
Burns
Donor sites and other bleeding surface wounds
Abrasions
Traumatic wounds healing by secondary intention
Dehisced surgical wounds
Contraindications
Active vasculitis or patients with known sensitivity
to collagen
Change Frequency
Puracol Plus may be left in place for up to 7 days
Dressing change frequency will depend on amount
of drainage
Recommended Secondary Dressings
Stratasorb Composite
Bordered Gauze
Evidence Based References
1. Data on file. 2. Picrosirius Assay to Determine Relative Nativity of Two Collagenous
Dressings, internal report. 3. Comparative Physical Properties of Two Collagenous
Dressings, Promogran and Puracol Plus, data on file. 4. Driver V, French M, Cain J, Hagen
H, Hijazin M, Patel M.The Use of Native Collagen Dressings on Chronic Lower Extremity
Wounds: Case Studies. Presented at SAWC.Tampa, FL. 2007. 5. A Clinical Safety and
Efficacy Evaluation on Seriously ChronicWounds with a Native Collagen Dressing, data on
file. 6. Rogers LC, Armstrong DG.The promise of stem cells. Podiatry Management.
June/July 2007:65-70.
About Puracol Plus
• 100% collagen with a high degree
of nativity1,2
• High gel integrity3
• Helps promote epithelialization4,5
• Jump-starts stalled wounds4,5,6
• Biodegradable
®
30
Measure of Collagen Nativity2
Microscopic View1
optical microscope.
The intact super-structure provides strong evidence that the
nativity of the collagen triple helix is preserved.
Puracol Plus Microscaffold1
The open porous structure increases the internal surface area
for maximal interaction with wound fluids and wound fibroblasts.
0.0
0.3
0.6
0.9
1.2
1.5
Puracol Plus Promogran*
OD 540 nm*
Nativity
*Proportional to the extent of nativity, higher nativity is desirable.
COLLAGEN
Today’s Wound Care Treatments from Medline
Puracol Plus Ideal for wounds that are chronic or stalled
Item Number Description HCPCS Packaging
MSC8622EP 2” x 2.25” (5.08 x 5.72 cm) A6021 10/bx, 5 bx/cs
MSC8644EP 4.25” x 4.5” (10.8 x 11.43 cm) A6022 10/bx, 5 bx/cs
Edge /Environment
Ordering Information
Advanced, native collagen with a unique three dimensional structure that helps promote cell growth.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
31
®
D I M E S
E = Edge/Environment
To order by the box, add a “Z” to the end of the item number.
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
32
Medline Advanced Wound Care Products
Puracol Plus Ag+
Silver Collagen Microscaffold™ Wound Dressing
RecommendedWound Conditions
Shallow No/minimal drainage Primary dressing
Deep Moderate/Heavy drainage Secondary dressing
Indications
Pressure ulcers
Partial and full-thickness wounds
Venous ulcers
Ulcers caused by mixed vascular etiologies
Diabetic ulcers
Burns
Donor sites and other bleeding surface wounds
Abrasions
Traumatic wounds healing by secondary intention
Dehisced surgical wounds
Contraindications
Active vasculitis or patients with known sensitivity
to collagen
Change Frequency
Puracol Plus Ag+ may be left in place for up to 7 days
Dressing change frequency will depend on amount
of drainage
Recommended Secondary Dressings
Stratasorb Composite
Bordered Gauze
Evidence Based References
1. Data on file. 2. Picrosirius Assay to Determine Relative Nativity of Two Collagenous
Dressings, internal report. 3. Comparative Physical Properties of Two Collagenous
Dressings, Promogran and Puracol Plus, data on file. 4. Driver V, French M, Cain J,
Hagen H, Hijazin M, Patel M. The Use of Native Collagen Dressings on Chronic Lower
Extremity Wounds: Case Studies. Presented at SAWC. Tampa, FL. 2007. 5. A Clinical
Safety and Efficacy Evaluation on Seriously Chronic Wounds with a Native Collagen
Dressing, data on file. 6. Rogers LC, Armstrong DG. The promise of stem cells.
Podiatry Management. June/July 2007:65-70. 7. Fliegel S et al. Collagen Degradation
in Aged/Photodamaged Skin In Vivo and After Exposure to Matrix Metalloproteinase-1
In Vitro. J Invest Dermatol 12: 842-848, 2003. 8. Sibbald RG et al, Increased bacterial
burden and infection, the story of NERDS and STONES, Advances in Skin and Wound
Care 19: 447-61, 2006. 9. The antimicrobial benefits of silver and the relevance of
Microlattice® technology. Ostomy/Wound Management. 49 (2A), 4-7, 2003.
About Puracol Plus Ag+
• Noncytotoxic1
• 100% collagen with a high degree
of nativity1,2
• High gel integrity3
• Helps promote epithelialization4,5
• Jump-starts stalled wounds4,5,6
• Ionic silver provodes antimicrobial barrier8,9
• Non-staining
• Biodegradable
®
Measure of Collagen Nativity
COLLAGEN WITH SILVER
The open porous structure increases the internal surface area
for maximal interaction with wound fluids and wound fibroblasts.
0
500
1,000
1,500
2,000
* Proportional to the extent of nativity, higher nativity is desirable.2,7
Denatured Collagen Alginate-Silver
Collagen/ORC-Silver
Puracol® Plus Ag+
Absorbance mOD 540*
Puracol Plus Microscaffold1
Edge /Environment
33
E = Edge/Environment
Puracol Plus Ag+ Ideal for wounds that are chronic or stalled
Item Number Description HCPCS Packaging
MSC8722EP 2” x 2.25” (5.08 cm x 5.72 cm) A6021 10/bx, 5 bx/cs
MSC8744EP 4.25” x 4.5” (10.8 cm x 11.43 cm) A6022 10/bx, 5 bx/cs
Ordering Information
Advanced, native collagen with antimicrobial ionic silver8,9 and a unique three dimensional structure
that helps promote cell growth.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
®
To order by the box, add a “Z” to the end of the item number.
D I M E S
Test Organism Log Reduction with Puracol Plus Ag+
Staphylococcus aureus (MRSA) 5.20
Enterobacter cloacae 5.08
Pseudomonas aeruginosa 5.18
Enterococcus faecalis (VRE) 5.11
Escherichia coli 5.20
Staphylococcus epidermidis (coagulase negative) 5.08
*In vitro test data on file
This table shows the log reduction in bacteria levels (in vitro) observed in testing of selected microorganisms,
including MRSA, when large populations of these microbes are allowed to come into contact with the Puracol
Plus Ag+. (Method: AATCC-100)
MatriStem™
Extracellular Matrix (ECM) Wound Sheet
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
RecommendedWound Conditions
Shallow No/minimal drainage Primary dressing
Deep Moderate/Heavy drainage Secondary dressing
Indications
Partial and full thickness wounds
Pressure ulcers
Venous ulcers
Diabetic ulcers
Donor sites and graft sites
Dehisced surgical wounds
Abrasions
Burns
Contraindications
Patients with a known sensitivity or allergy to
porcine materials
Third degree burns
Change Frequency
MatriStem may be left in place for 2-7 days
Recommended Secondary Dressings
For wet wounds: a non adherent dressing followed
by an absorptive dressing
Non-adherent dressings: Medline’s oil emulsion
dressing, Non Adherent Pad, Xeroform or any other
non adherent dressing
Absorptive dressings:Maxorb Extra calcium alginate,
Optifoam foam or any other absorptive dressing
For dry wounds: a non adherent dressing (as listed
above) followed by a hydrogel dressing such as
Skintegrity hydrogel to keep the wound moist.
About MatriStem
• An ECM derived from porcine
• Maintains and supports a healing
environment for wound management1
• Jump-starts stalled wounds
• Biodegradable
• Basementmembrane unique toMatriStem
contains a number of proteins2,3,4
• Facilitates to replenish epithelial cells
34
Medline Advanced Wound Care Products
Clinical Study1
Evidence Based References
1. Human use of ACell® wound matrix: Use of UBM in leg ulcers.
Internal Report, 2005.
2. Brown B, Lindberg K, Reing J, Stolz DB, Badylak SF. The basement
membrane component of biologic scaffolds derived from extracellular
matrix. Tissue Eng. 2006 Mar;12(3):519-26.
3. US Pat. No. 6,576,265.
4. US Pat. No. 6,849,273.
• MatriStem is supported by a clinical
study on patients with chronic wounds
• Average area of closure per day:
• MatriStem - 0.08 sq.cm.
• Control - 0.04 sq.cm.
Standard
Care
MatriStem
300
Days
59
Days
Average Rate of Closure
MatriStem Wound sheet can help the body restart the natural healing process
Edge /Environment
Ordering Information
A natural extracellular matrix that maintains and supports a healing environment for wound management
For more information, see www.medline.com/woundcare or contact your sales specialist.
Item Number Description HCPCS Packaging
MSC1811EP 3 cm x 3.5 cm (1.2” x 1.4”) Pending 5 ea/bx
MSC1813EP 3 cm x 7 cm (1.2” x 2.7”) Pending 5 ea/bx
E = Edge/Environment
35
®
D I M E S
To order by the each, add a “H” to the end of the item number.
FourFlex and ThreeFlex
Multi-Layer Bandage System
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
Indications
Treatment of chronic venous insufficiency
Contraindications
Patients with an Ankle Brachial Pressure Index (ABI)
of less than 0.8. An ABI of less than 0.8 may mean
that the patient has arterial insufficiency or the leg
ulcer is of mixed etiology.
Change Frequency
Multi-layer compression bandages may be left in
place for up to 7 days
Dressing change frequency will depend on amount
of drainage
Recommended Secondary Dressings
Usually no secondary dressing is required
About FourFlex and ThreeFlex
• Effective appropriate compression
• Extended wear time
• Absorbs drainage
• Efficient packaging
36
RecommendedWound Conditions
Venous leg ulcers
COMPRESSION BANDAGE
ABI Chart
To determine the Ankle Brachial Index (ABI),
divide the ankle systolic pressure by the
brachial systolic pressure, through doppler.
Ankle Pressure
Brachial Pressure
= ABI
Interpretation of the Ankle Brachial Index
Greater than 1.3 Abnormally high range
(more studies are needed)
0.95 to 1.3 Normal Range
0.80 to 0.95 Compression is considered
safe at this level
0.50 to 0.80 Indicates mild to moderate
arterial disease, compression
should only be used under
direct medical supervision
Below 0.5 Severe arterial insufficiency,
compression is contraindicated
Today’s Wound Care Treatments from Medline
Support
Ordering Information
Effective compression treatment for venous insufficiency (or venous stasis disease).
For more information, visit www.medline.com/woundcare or contact your sales specialist.
37
®
FourFlex For the treatment of Chronic Venous Insufficiency (includes 3 pieces of tape)
Item Number Description HCPCS Packaging
MSC4400 FourFlex Kit 8 kits/cs
Components Include:
1) Padding 4” x 3.8 yd. (10.16 cm x 3.47 m), A6441
un-stretched
2) Light Conforming 4½” x 3 yd. (11.43 cm x 2.74 m), A6449
un-stretched
3) Compression 4” x 10 yd. (10.16 cm x 9.14 m), A6452
stretched
4) Cohesive 4” x 6.5 yd. (10.16 cm x 5.94 m), A6454
stretched
5) Steri Strips
ThreeFlex For lighter compression or for mixed etiology (includes 3 pieces of tape)
Item Number Description HCPCS Packaging
MSC4300 ThreeFlex Kit 8 kits/cs
Components Include:
1) Padding 4” x 3.8 yd. (10.16 cm x 3.47 m), A6441
un-stretched
2) Light Conforming 4½” x 3 yd. (11.43 cm x 2.74 m), A6449
un-stretched
3) Cohesive 4” x 6.5 yd. (10.16 cm x 5.94 m), A6454
stretched
4) Steri Strips
D I M E S
S = Supportive Products
1
2
3
4
5
1
2
3
4
Medigrip
Elastic Tubular Bandage
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
Indications
Edema
Treatment of chronic venous insufficiency
Dislocations
Sprains
Hypertrophic scarring
Contraindications
None
Change Frequency
Medigrip may be left in place for up to 7 days
Dressing change frequency will depend on amount
of drainage
Recommended Secondary Dressings
N/A
About Medigrip
• Provides excellent support for joints
• Easy to apply and reapply
• Wide range of applications
• Good for securing dressings
• Can be used as mild compression
when doubled
38
ELASTIC BANDAGE
Today’s Wound Care Treatments from Medline
RecommendedWound Conditions
Secondary dressing
Compression Testing of Bandages
Based on principles contained in BS 66121
TestMaterial Test Limb Circumference (cm) Pressure (mm/Hg)
Medigrip 1 17.2 7.2
Tubigrip 1 17.2 5.8
Medigrip 2 18.7 7.0
Tubigrip 2 18.7 6.1
Independent study performed by SMTL, Bridgend,Wales
1 British Standards Institution, "Graduated Compression Hosiery", BS6612, (1985, 1993)
Summary:
Although the statistical analysis indicated that the pressures produced by
the two products are different, this difference is unlikely to prove
significant in the clinical situation.
Medigrip Each roll is 11 yards (10 meters) in length
Support
Ordering Information
Provides even support and pressure to reduce edema and assist in venous return.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
Item Number Size Width Application HCPCS Packaging
MSC9500 A 1¾” wide (4.5 cm) Infant feet and arms A6457 1 roll/bx
MSC9501 B 2½” wide (6.25 cm) Small hands and limbs A6457 1 roll/bx
MSC9502 C 2?” wide (6.75 cm) Adult hands, arms or legs A6457 1 roll/bx
MSC9503 D 3” wide (7.5 cm) Large arms or legs A6457 1 roll/bx
MSC9504 E 3½” wide (8.75 cm) Legs or small thighs A6457 1 roll/bx
MSC9505 F 4” wide (10 cm) Large knees or thighs A6457 1 roll/bx
MSC9506 G 4¾” wide (12 cm) Large thighs A6457 1 roll/bx
39
D I M E S
S = Supportive Products
Support Infection/ Inflammation Debridement
40
Today’s Wound Care Treatments from Medline
Gentac Silicone tape offers customized sizing
Ordering Information
Gentle fixation tape.
Item Number Description HCPCS Packaging
MSC1583 .8” x 3.3 yd. (2 cm x 3 m) 12 rolls/bx
MSC1585 2” x 5 yd. (5.08 cm x 12.7 m) 6 rolls/bx
Gentac™
Silicone Fixation Tape
Indications
To secure primary or secondary dressings
To secure gastrostomy tubes and other feeding tubes
Contraindications
Contraindicated as a primary dressing
Change Frequency
Gentac may be left in place for up to 7 days
Dressing change frequency will depend on amount
of drainage
Recommended Secondary Dressings
N/A
About Gentac
• Silicone adhesive
• Gentle for patient
• Cut to size needed
• Easy to apply with extended
release liner
• Water proof
DRESSING RETENTION TAPE
RecommendedWound Conditions
Secondary dressing
®
To order by the each, add a “H” to the end of the item number.
Edge /Environment Moisture Balance
Medfix EZ Linerless with 2” perforations
Item Number Description HCPCS Packaging
MSC4102 2” x 11 yd. (5.08 cm x 10.06 m) A4452 12 rolls/bx
MSC4104 4” x 11 yd. (10.16 cm x 10.06 m) A4452 12 rolls/bx
MSC4106 6” x 11 yd. (15.24 cm x 10.06 m) A4452 12 rolls/bx
MSC4122 2” x 2 yd. (5.08 cm x 1.83 m) A4452 12 rolls/bx
MSC4124 4” x 2 yd. (10.16 cm x 1.83 m) A4452 12 rolls/bx
MSC4126 6” x 2 yd. (15.24 cm x 1.83 m) A4452 12 rolls/bx
Medfix Printed-release liner allows flexibility and customized sizing
Support
Ordering Information
Flexible, skin-friendly tape.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
Item Number Description HCPCS Packaging
MSC4002 2” x 11 yd. (5.08 cm x 10.06 m) A4452 1 roll/bx
MSC4004 4” x 11 yd. (10.16 cm x 10.06 m) A4452 1 roll/bx
MSC4006 6” x 11 yd. (15.24 cm x 10.06 m) A4452 1 roll/bx
41
Medfix
Low Sensitivity Adhesive
Indications
To secure primary dressings
To secure gastrostomy tubes and other feeding tubes
Contraindications
Contraindicated as a primary dressing
Change Frequency
Medfix may be left in place for up to 7 days
Dressing change frequency will depend on amount
of drainage
Recommended Secondary Dressings
N/A
About Medfix
• Low sensitivity adhesive, gentle for
the patient
• Medfix has a printed s-curve
release liner
• Medfix EZ is linerless and perforated
• Water resistant
®
DRESSING RETENTION TAPE
D I M E S
S = Supportive Products
RecommendedWound Conditions
Secondary dressing
Secondary Dressings
Adhesive Island Wound Dressings
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
RecommendedWound Conditions
Shallow No/Minimal drainage Primary dressing
Deep Moderate/Heavy drainage Secondary dressing
Indications
Pressure ulcers
Partial and full-thickness wounds
Contraindications
Third-degree burns
Patients with a known sensitivity to components
of the dressing
Change Frequency
Change the dressing as indicated by the amount
of drainage or as frequently as the primary
dressing indicates
Recommended Secondary Dressings
N/A
About Secondary Dressings
• Deluxe soaker pad
• Non-woven adhesive border
• Waterproof backing (Stratasorb)
• Water resistant backing
(Bordered Gauze)
• Ideal for incision sites
42
SECONDARY DRESSINGS
Today’s Wound Care Treatments from Medline
Stratasorb Composite Waterproof, convenient secondary dressing
Item Number Description HCPCS Packaging
MSC3044 4” x 4”, (10.16 x 10.16 cm), A6203 10/bx, 10 bx/cs
2½” x 2”, (6.35 x 5.08 cm) pad
MSC3066 6” x 6”, (15.24 x 15.24 cm), A6203 10/bx, 10 bx/cs
4” x 4”, (10.16 x 10.16 cm) pad
MSC3068 6” x 7½”, (15.24 x 19.05 cm), A6204 10/bx, 10 bx/cs
4” x 6”, (10.16 x 15.24 cm) pad
MSC30410 4” x 10”, (10.16 x 25.4 cm), A6203 10/bx, 10 bx/cs
2” x 8”, (5.08 x 20.32 cm) pad
MSC30414 4” x 14”, (10.16 x 35.56 cm), A6204 10/bx, 10 bx/cs
2” x 12”, (5.08 x 30.48 cm) pad
Bordered Gauze Water resistant, easy-to-use secondary dressing
Ordering Information
Island dressings protect, absorb and help maintain proper wound moisture.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
Item Number Description HCPCS Packaging
MSC3222 2” x 2”, (5.08 x 5.08 cm), A6219 15/bx, 10 bx/cs
1” x 1”, (2.54 x 2.54 cm) pad
MSC3244 4” x 4”, (10.16 x 10.16 cm), A6219 15/bx, 10 bx/cs
2½” x 2½”, (6.35 x 6.35 cm) pad
MSC3245 4” x 5”, (10.16 x 12.7 cm), A6219 15/bx, 10 bx/cs
2½” x 2½”, (6.35 x 6.35 cm) pad
MSC3248 4” x 8”, (10.16 x 20.32 cm), A6219 15/bx, 10 bx/cs
2” x 6”, (5.08 x 15.24 cm) pad
MSC3266 6” x 6”, (15.24 x 15.24 cm), A6220 15/bx, 10 bx/cs
4” x 4”, (10.16 x 10.16 cm) pad
MSC32410 4” x 10”, (10.16 x 25.4 cm), A6219 15/bx, 10 bx/cs
2” x 8”, (5.08 x 20.32 cm) pad
MSC32414 4” x 14”, (10.16 x 35.56 cm), A6220 15/bx, 10 bx/cs
2” x 12”, (5.08 x 30.48 cm) pad
43
Support
S = Supportive Products
D I M E S
®
To order by the box, add a “Z” to the end of the item number.
Skintegrity
Wound Cleanser
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
Indications
To clean a wide variety of wounds including:
Pressure ulcers
Partial and full-thickness wounds
Infected and non-infected wounds
Contraindications
Patients with a known sensitivity to ingredients in
Skintegrity Wound Cleanser
Change Frequency
With every dressing change
Recommended Secondary Dressings
N/A
About SkintegrityWound Cleanser
• Easy cleansing
• Non-cytotoxic
• Adjustable trigger, PSI of 8.6 at 3”
• Within AHCPR guidelines
®
44
Evidence Based References
1. Independent cytotoxicity study performed by Thomas J. Stephens & Associates, Inc. Study
Number 93-0070 (AOL).
WOUND CLEANSER
Today’s Wound Care Treatments from Medline
SkintegrityWound Cleanser
Item Number Description HCPCS Packaging
MSC6008 8 oz. (236 ml) Spray Bottle N/A 6/cs
MSC6016 16 oz. (472 ml) Spray Bottle N/A 6/cs
Support
Ordering Information
Delivers gentle yet thorough cleansing.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
45
® S = Supportive Products
D I M E S
Sureprep and Sureprep No-Sting
Sureprep
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
Indications
Periwound skin
Peristomal skin
Damaged skin (Sureprep No-Sting)
Contraindications
Direct application to wound bed
Denuded or macerated skin (Sureprep)
Change Frequency
With every dressing change
Recommended Secondary Dressings
Stratasorb Composite
Bordered Gauze
About Sureprep and
Sureprep No Sting
• Protects from adhesive stripping1,2
• Safe for delicate skin3
• Fast drying4
• Vapor permeable film
• Creates a waterproof barrier on
periwound skin
• Protection from friction and body fluids
• Non-cytotoxic
• Transparent yet visible
® ®
46
Evidence Based References
1. Chakravarthy D, Falconio-West M.A Randomized, Controlled Trial of Two Sting Free
Polymeric Skin Barrier Products, OneWater Based, the Other Solvent Based. Presented at
Clinical Symposium on Advances in Skin andWound Care.Nashville, TN. 2007. 2. Grove
GL, Zerweck C.CyberDERM Inc.Research Report #506-71, data on file. 3. 510(k)
K051082,WOVE, 2005. 4. Data on file.
SKIN PROTECTIVE WIPES
Today’s Wound Care Treatments from Medline
Sureprep No Sting Ideal for damaged or delicate skin, does not contain alcohol
Item Number Description HCPCS Packaging
MSC1505 No-Sting Protective Wipes A5120 50/bx, 10 bx/cs
Sureprep Ideal for routine periwound skin protection, contains alcohol
Item Number Description HCPCS Packaging
MSC1500 Skin Protective Wipes 50/bx, 20 bx/cs
Support
Ordering Information
Helps create a barrier on periwound skin to prevent maceration, and for preventing adhesive stripping.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
S = Supportive Products
47
®
D I M E S
To order by the box, add a “Z” to the end of the item number.
Use to ease removal of adhesive tape and adhesive residue. Saturated
with perchlorethylene, aliphatic naphtas and isopropyl stearate.
Textured, 11/4" x 11/2", folded.
Adhesive Tape Remover Pads
Adhesive Tape Remover
Ordering Information
Item No. Description Packaging
MDS090855 Adhesive Remover Pad 100/bx, 1000/cs
Sureprep No-StingWand Ideal delivery for damaged or delicate skin, does not contain alcohol
Item Number Description HCPCS Packaging
MSC1510 No-Sting Protective Wand Applicator Pending 25/bx, 5 bx/cs
OPTIFOAM THIN
AMORPHOUS AND GAUZE
AS A SECONDARY DRESSING
AS A SECONDARY DRESSING
AS A SECONDARY DRESSING
SILVASORB SHEET AND PERFORATED
SILVASORB CAVITY
SILVASORB GEL
ARGLAES FILM
ARGLAES ISLAND
ARGLAES POWDER
TENDERWET ACTIVE
DRESSING
- DRAINAGE -
Dry/No Drainage Moist/Minimal Moderate Heavy
M
M
M
M
M
M
I
I
I
I
D
M
E
Suresite Transparent Film
Exuderm Odorshield
Hydrocolloid
Skintegrity Hydrogel
Skintegrity
Hydrogel Sheet
Derma-Gel
Hydrogel Sheet
Puracol Plus
Stratasorb Composite
Bordered Gauze
Arglaes Antimicrobial
Silver Dressing
SilvaSorb Antimicrobial
Silver Dressing
Tenderwet Active
Polyacrylate Gel Pad
Maxorb Extra Alginate
Optifoam Foam
Maxorb Extra Ag Alginate
Optifoam Ag Foam
Puracol Plus Ag+ Collagen
S
S
E MatriStem
48
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
Product Selection Guide
Based on Fluid Handling and DIMES©
Today’s Wound Care Treatments from Medline
Intact skin with non-blanchable
redness of a localized area
usually over a bony
prominence. Darkly pigmented
skin may not have visible
blanching; its color may differ
from the surrounding area.
Further description:
The area may be painful, firm,
soft, warmer or cooler as
compared to adjacent tissue. Stage I may be difficult to detect in
individuals with dark skin tones. May indicate “at risk” persons (a
heralding sign of risk).
Full-thickness tissue loss.
Subcutaneous fat may be
visible but bone, tendon or
muscle are not exposed. Slough
may be present but does not
obscure the depth of tissue
loss. May include undermining
and tunneling.
Further description:
The depth of a stage III
pressure ulcer varies by anatomical location. The bridge of the
nose, ear, occiput and malleolus do not have subcutaneous
tissue and stage III ulcers can be shallow. In contrast, areas of
significant adiposity can develop extremely deep stage III
pressure ulcers. Bone/tendon is not visible or directly palpable.
Full-thickness tissue loss with
exposed bone, tendon or
muscle. Slough or eschar may
be present on some parts of
the wound bed. Often include
undermining and tunneling.
Further description:
The depth of a stage IV
pressure ulcer varies by
anatomical location. The bridge
of the nose, ear, occiput and malleolus do not have
subcutaneous tissue and these ulcers can be shallow. Stage
IV ulcers can extend into muscle and/or supporting structures
(e.g., fascia, tendon or joint capsule) making osteomyelitis
possible. Exposed bone/tendon is visible or directly palpable.
Partial-thickness loss of dermis
presenting as a shallow open
ulcer with a red pink wound bed,
without slough. May also present
as an intact or open/ruptured
serum-filled blister.
Further description:
Presents as a shiny or dry
shallow ulcer without slough or
bruising.* This stage should not
be used to describe skin tears, tape burns, perineal
dermatitis, maceration or excoriation. *Bruising indicates
suspected deep tissue injury.
For more information, visit www.medline.com/woundcare or contact your sales specialist.
49
Classification of Tissue Destruction
Support
Wounds not caused by pressure such as skin tears, donor sites, vascular ulcers, surgical wounds and burns
are described as partial or full-thickness to indicate the depth of tissue destruction.
• Partial-Thickness (like Stage II) • Full-Thickness (like Stage III or IV)
Ulcers caused by pressure are staged. This is a method of classifying pressure ulcers, describing the degree
of tissue damage observed. According to the NPUAP, pressure ulcer is a localized injury to the skin and/or
underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with
shear and/or friction. A number of contributing or confounding factors are also associated with pressure ulcers;
the significance of these factors is yet to be elucidated. NPUAP, 2007
STAGE I
STAGE III STAGE IV
STAGE II
Purple or maroon localized area
of discolored intact skin or bloodfilled
blister due to damage of
underlying soft tissue from
pressure and/or shear. The area
may be preceded by tissue that
is painful, firm, mushy, boggy,
warmer or cooler as compared
to adjacent tissue.
Further description:
Deep tissue injury may be difficult to detect in individuals with
dark skin tones. Evolution may include a thin blister over a dark
wound bed. The wound may further evolve and become covered
by thin eschar. Evolution may be rapid exposing additional
layers of tissue even with optimal treatment.
Full-thickness tissue loss in
which the base of the ulcer is
covered by slough (yellow, tan,
gray, green or brown) and/or
eschar (tan, brown or black) in
the wound bed.
Further description: Until
enough slough and/or eschar is
removed to expose the base of
the wound, the true depth, and
therefore stage, cannot be determined. Stable (dry, adherent,
intact without erythema or fluctuance) eschar on the heels
serves as “the body’s natural (biological) cover” and should not
be removed.
SUSPECTED Deep Tissue Injury (DTI) UNSTAGEABLE
D I M E S
S = Supportive Services and Education
Photo from NPUAP 2007
50
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
Many nurses find themselves in situations on a daily
basis where valuable time is wasted searching for the
right dressing. Often the wrong dressing is used or the
dressing is not used properly. By listening to you, we
found a way to improve this process and ensure
that nurses have the information they need. It
is called EP… Educational Packaging.
Products available in EP will now have
an “EP” at the end of the item number.
The package focuses on patient safety
and correct product application. Each
package serves as a 2-Minute Course
on Wound Care™.
Many times the outer box is thrown away and the
product is distributed to the end user by the inner
package. For that reason Medline provides an
educational show-and-tell booklet of all the pertinent
information needed to provide bedside support to the
nurse, the patient, and the family.
Education is not just for clinicians so they know and
use the latest evidence base in their practice, but it is
essential for their patients and their families. Making
sure the patients and their family are taught the
expected outcomes and the plan to achieve them is
vital for successful wound treatment
Educational Packaging
Medline Advanced Wound Care Products
For more information, visit www.medline.com/woundcare or contact your sales specialist.
51
Our Compass Wound Care Prevention and
Treatment program contains education at every
level from the wound care champion at your facility
to the bedside nurse to the patient/resident and their
family. The program contains The Wound Care
Handbook, wound care pocket guides, patient
education brochures, and a CD containing 225
images organized by wound categories.
Survey Readiness for
Long-Term Care Tags F309/314
CompassWound Care Programs
1. D.O.N. instructional manual (teacher’s guide)
2. Survey readiness resource books
3. Self study education programs (CE credit)
4. Wound measuring rulers
5. Wound care application videos
6. Continuous pressure ulcer prevention booklets
Wound Care Handbook
Pocket Guide
Patient /Family Education
Wound Image CD
(to create your
own education)
Support
S = Supportive Products
D I M E S
52
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
Medline University
Medline University offers continuing education
programs and accredited continuing nursing
education opportunities.We offer a wide array of
educational opportunities on topics that are current
and relevant to your staff. The courses are presented
in an online format so you can take them at your
convenience. All you need is a connection to the
internet! The course content, test and CE certificate
are online. Visit our Web site
www.medlineuniversity.com for more information.
Educare® Seminars
Medline offers Educare seminars in cities across
the United States. These in-depth programs
provide wound and skin care education for all
levels of clinical staff. Educare programs are
approved for continuing education hours and
are taught by board-certified wound care nurses.
Medline also has a number of other educational
programs available to meet the needs of your
patients, facility and caregivers.
Education
Medline Advanced Wound Care Products
For more information, visit www.medline.com/woundcare or contact your sales specialist.
53
Educare® Hotline Managed by
Wound Care Nurse Specialists
An important number to remember is 1-888-701-SKIN
(7546) because it provides access to our Educare
Hotline. It is managed by board-certified Wound Care
Nurses and supported by a network of advanced
wound care product specialists. The nurses are
available to answer questions and concerns on
product usage such as application and appropriateness
of the dressing for the wound condition.
The Educare Hotline is staffedMonday through
Friday from8 a.m. to 5 p.m.Central StandardTime.
Product Support at www.medline.com/woundcare
Medline’s Web site is another way to get up-todate
product information.You will find the latest
brochures as well as application videos online at
www.medline.com/woundcare. The interactive
product selector can also help you choose the best
product based upon the wound conditions.
More Than 50Wound and Skin
Care Product Specialists
Receiving help from one of Medline’s 50+ wound
care product specialists has never been easier. In
addition to our 800 person sales force, the wound
care product specialists are devoted to supplying you
with appropriate wound care products, services and
educational support. This team is highly trained and
available to deliver on-site, face-to-face in-servicing
for your staff.
2-Minute Course on Wound Care™ is a trademark of Medline Industries, Inc.
Acticoat™ is a trademark of T.J. Smith & Nephew Limited Corporation
Actisorb™ is a trademark of Johnson & Johnson Corporation
Algisite® is a registered trademark of T.J. Smith & Nephew Limited Corporation
Allevyn® is a registered trademark of T.J. Smith & Nephew, Limited Corporation
Arglaes® is a registered trademark of Giltech Limited Corporation
Aquacel® is a registered trademark of E.R. Squibb & Sons, LLC LTD Liab Co
Carboflex® is a registered trademark of E.R. Squibb & Sons, LLC LTD Liab Co
Carbonet® is a registered trademark of T.J. Smith & Nephew Limited Corporation
Clearsite® is a registered trademark of NDM, Inc.
Contreet® is a registered trademark of Coloplast A/S Corporation
Derma-Gel® is a registered trademark of Medline Industries, Inc.
DuoDerm® is a registered trademark of E.R. Squibb & Sons, Inc.
Educare® is a registered trademark of Medline Industries, Inc.
EP™ is a trademark of Medline Industries, Inc.
Exuderm OdorShield™ is a trademark of Medline Industries, Inc.
Febreze® is a registered trademark of The Procter & Gamble Company
Gentac™ is a trademark of Medline Industries, Inc.
Hydrofiber® is a registered trademark of E.R. Squibb & Sons, L.L.C.
Hydrogel® is a registered trademark of Dow Pharmaceutical Sciences, Inc.
Kaltostat® is a registered trademark of E.R. Squibb & Sons, Inc.
MatriStem™ is a trademark of Acell, Inc.
Maxorb® is a registered trademark of Medline Industries, Inc.
Medline® is a registered trademark of Medline Industries, Inc.
Microscaffold™ is a trademark of Medline Industries, Inc.
Optifoam® is a registered trademark of Medline Industries, Inc.
Polymem® is a registered trademark of Ferris Pharmaceuticals Inc.
Promogran® is a registered trademark of Johnson & Johnson Corporation
Puracol® Plus is a trademark of Medline Industries, Inc.
Restore® is a registered trademark of Hollister Wound Care LLC LTD Liab Co
SilvaSorb® is a registered trademark of Acrymed, Inc.
Skintegrity® is a registered trademark of Medline Industries, Inc.
Stratasorb® is a registered trademark of Medline Industries, Inc.
Sureprep® is a registered trademark of Medline Industries, Inc.
Suresite® is a registered trademark of Medline Industries, Inc.
TenderWet® is a registered trademark of IVF Hartman AG Corporation
Vigilon® is a registered trademark of C.R. Bard, Inc.
Summary
In summary, the concept of wound bed
preparation includes the treatment of the whole
patient before the hole in the patient (treat the
cause and the patient-centered concerns). Local
wound bed preparation includes DIM
(debridement, infection/inflammation and
moisture balance) plus advanced edge effect
therapies (for wounds with the ability to heal) and
support in the way of “other products,” services
and nutrition. Finally, always remember that
education is the scaffold for practice.Without it,
clinicians cannot advance practice and improve
patient wound healing outcomes.
Support
S = Supportive Products
D I M E S
54
Support Edge /Environment Moisture Balance Infection/ Inflammation Debridement
Medline Advanced Wound Care Products
For more information, see www.medline.com/woundcare or contact your sales specialist.
55
Support
D I M E S
MKT209069/LIT049/25M/4CLC
1-800-MEDLINE (633-5463) www.medline.com
Medline Industries, Inc. | One Medline Place, Mundelein, IL 60060 USA
Medline Canada 1-800-396-6996
www.medline.ca | [email protected]
Not all products are currently available for sale in Canada.
Please contact your Account Representative for additional information.
Medline México S. De R.L De C.V. 01-800-831-0898
[email protected]
Not all products are currently available for sale in Mexico.
Please contact your Account Representative for additional information.
©2009 Medline Industries, Inc. Medline is a registered trademark of Medline Industries, Inc.
We reserve the right to correct any errors that may occur within this brochure.
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