Wound management and compression with L&R Solutions from a single source. Wound management Debridement Compression www.lohmann-rauscher.com
Table of contents Introduction Systematic wound management and compression Knowledge is the best therapy 4 5 Wound healing a three-phased process 6 7 Step : Debridement Debridement The basis for successful wound healing 8 9 Debrisoft Monofilament fibre pad 0 Debrisoft Lolly The new dimension in debridement 2 3 Step 2: Wound management Wound management The right dressing for every wound 4 5 Lomatuell Pro Gel-forming contact net 6 7 Suprasorb A Calcium alginate dressing 8 9 Suprasorb A + Ag Antimicrobial calcium alginate dressing 20 2 Suprasorb C Collagen wound dressing 22 23 Suprasorb F Film wound dressing 24 25 Suprasorb G Gel dressing/amorphous gel 26 27 Suprasorb H Hydrocolloid dressing 28 29 Suprasorb Liquacel Hydroactive fibre dressing 30 3 2
Suprasorb P PU foam dressing 32 33 Suprasorb P + PHMB Antimicrobial foam dressing 34 35 Suprasorb P silicone Silicone foam dressing 36 37 Suprasorb X HydroBalance wound dressing 38 39 Suprasorb X + PHMB Antimicrobial HydroBalance wound dressing 40 4 Vliwasorb/Vliwasorb adhesive Superabsorbent dressing 42 43 Vliwasorb Pro Superabsorbent wound dressing 44 45 Vliwaktiv Absorbent activated charcoal dressing 46 47 Step 3: Compression Compression Because the right pressure matters 48 49 Rosidal K When strong compression is required 50 5 Rosidal sys Short stretch compression system 52 53 Rosidal TCS Two-component compression system 54 55 Annex Ordering information 56 59 3
Systematic wound management and compression. We have always been committed to the pursuit of innovation and the development of patient-oriented problem solutions. L&R sees itself not just as a manufacturer of medical devices, but also as a service partner and solution provider. In this capacity, L&R offers successful product combinations and helpful practical tips to meet the challenges posed by specific wound situations. Our products are tailored to the needs of those affected and their wound situation and enable practitioners to manage even chronic wounds. In a nutshell: Systematic wound management and compression from L&R. Knowledge is the best therapy. An in-depth dialogue with users and customers as well as our own research help us to develop and enhance patient- and user-oriented products and solutions. 4
The 3 steps in wound therapy: our recommendation for successful wound management 2 Wound management 3 Debridement Compression. Debridement Debridement is a core element of wound management. 2. Wound management The treatment of wound situations demands a sensitive and carefully coordinated procedure. 3. Compression Proper treatment of the underlying issue of venous ulcers. Achieve the necessary pressure for treatment with short stretch bandages. 5
Wound healing a three-phased process. Physiological wound healing is a dynamic process which comprises the same complex pattern for all wounds. A distinction is made between three phases which flow into each other and which are mutually dependent.. Exudation phase The exudation or cleansing phase commences immediately after the injury. From a clinical perspective, there is a local inflammation which is followed by considerable exudation. During this phase, blood coagulation and wound cleansing occur and the wound is defended from infections. As a result of phagocytosis, destroyed tissue and germs are engulfed. Moist wound management supports and aids endogenous wound cleansing to create cleaner wound conditions. If debris and necroses are present, these are moistened and removed. The dressing absorbs exudate, tissue debris and germs. The ideal dressing keeps the wound moist and protects it from infections the perfect prerequisites for rapid and effective healing. The frequency with which the moist dressing needs to be changed depends on the condition of the wound and the degree of exudate. It may be necessary to change the dressing several times a day. If necessary, necroses and debris are also removed. EXUDATION Days 0 2 3 4 5 6 7 6
2. Granulation phase New cells form during the granulation or proliferation phase. Granulation tissue forms to fill the wound area. More and more fibroblasts migrate to the wound and collagen synthesis begins. Capillaries sprout in the wound bed and, at the same time, exudation decreases. The clinical findings show red-coloured tissue with a good supply of blood. During the granulation phase, the moist dressing protects the wound from drying out and also effectively absorbs the excess exudate. It offers protection against infections and mechanical influences in order to protect the new tissue. In this phase, it is also the best possible wound management approach to ensure an ideal moist wound environment. The condition of the wound determines how frequently the dressing must be changed. Based on experience, the intervals at which the dressing is changed become longer over the course of time. A major benefit: The moist wound dressing guarantees atraumatic dressing changes; this means less pain for patients and improved wound healing. 3. Epithelialisation phase In the epithelialisation or regeneration phase there is continued further differentiation between the tissue and epithelialisation. The wound edges get closer and the epithelial tissue growing in from the edges gradually covers the wound. With wound contraction and scarring, wound healing is finally complete. In this phase, moist wound management promotes the final phases of healing and the formation of new epithelial tissue. The dressing ensures just the right level of moisture, protects against harmful influences and allows the wound to rest. The frequency with which the moist dressing needs to be changed depends on the condition of the wound. Since the severity of exudation decreases over time, the dressing can stay on the wound for up to seven days which is a major benefit for patients and users alike. 2 GRANULATION 3 EPITHELIALISATION 8 9 0 2 3 4 5 6 7 8 9 20 2 7
Debridement The basis for successful wound healing. Effective and atraumatic debridement is essential to successful wound healing. As such, debridement is an indispensable first step for targeted wound management. Moreover, a clean wound bed is a prerequisite for enabling many modern products to work effectively. Debridement is therefore a cornerstone of wound care. The products Debrisoft and Debrisoft Lolly ensure rapid, simple and virtually pain-free debridement. They create a clean wound bed whilst preserving intact tissue to result in optimal wound healing. In terms of subsequent treatment steps, in addition to debridement, wound anamnesis and diagnosis are also essential for choosing the right products. Here a distinction is made between non-infected wounds, infected wounds and wounds at risk of infection. For the fields of application given, wounds with light to moderate exudation and wounds with heavy exudation are also differentiated. The broad range from L&R offers the ideal solution for every indication for subsequent wound management. Debridement with Debrisoft + Debrisoft Lolly monofilament polyester fibres approx. 8 million fibres over an area of 0 x 0 cm specially shaped fibre tips release the debris and exudate from the wound as well as skin flakes and keratosis from the surrounding skin the thick fibre pile reliably absorbs debris, exudate and skin flakes Give the go-ahead for wound healing with debridement! 8
2 Debridement Wound management 3 Compression Debrisoft Debrisoft Lolly 9
Debrisoft Monofilament fibre pad. The starting point for wound healing Debrisoft is a quick, effective and virtually painless method of debridement producing rapidly visible results which speak for themselves. What makes Debrisoft so unique: angled fibre tips for highly effective results thicker, softer fibre composite with 8 million fibres for gentle application a sewed edge and reinforced rear make Debrisoft easy to use Debridement* Debridement is the first, essential step in successful wound management and results in a: reduction in the number of pathogens adhered to the wound freeing up of the wound from scabs and debris absorption of the excess exudate 0 With Debrisoft newly formed granulation tissue and already established epithelial cells are preserved. * The stated properties refer to the currently available in-vitro data.
Three good reasons for Debrisoft Rapidly visible results Debrisoft saves time and therefore costs 2 Debrisoft is simple and intuitive to use 3 Debrisoft is a virtually painless method which means improved compliance For which indications is Debrisoft suitable? Wound stage Degree of exudate Wound depth Independent of all degrees of exudate Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound
Debrisoft Lolly* NEW The new dimension in debridement. For those who want to reach further Debrisoft Lolly has been developed for the debridement of deeper wounds, including those due to a surgical invasion. The innovation from L&R offers a high level of user comfort as well as excellent debridement results even in hard-to-reach areas. Material made of monofilament fibres effective debridement thanks to Debrisoft s proven quality Precise seams in two different places secure retention of the head low risk to the patient that the head will suddenly pull off With X-ray detectable thread safety through traceability Break-resistant polypropylene handle high degree of safety very good flexibility for wound pockets and tunnels higher pressure can be used with this design easy access to deep wounds and hard-to-reach wound sites Visible markings visual orientation aid for wound depth easier to grip Debrisoft Lolly is used to absorb exudate, debris and skin keratoses during debridement. Ergonomic handle easy to handle safe to use very comfortable to use 2 * Currently not available on all markets/via all sales channels.
Three good reasons for Debrisoft Lolly Rapidly visible results Debrisoft Lolly saves time and therefore costs 2 Debrisoft Lolly is simple and intuitive to use 3 Debrisoft Lolly is a virtually painless method which means improved compliance For which indications is Debrisoft Lolly suitable? Wound stage Degree of exudate Wound depth Independent of all degrees of exudate + Deep wounds Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound 3
Wound management The right dressing for every wound. The treatment of acute and chronic wounds demands a sensitive approach which is carefully tailored to the different phases of wound healing using the relevant dressings. The L&R product range for wound management comprises wound packings and covers. This allows L&R to offer the right wound dressings with the necessary combination options for wound coverage. With both primary and secondary covers, a wide range of coordinated products are available. The right product can be selected depending on the microbial situation and the degree of exudation. As such, adequate care is guaranteed for every wound situation. Definitions for the following indications Wound stage necrotic wound sloughing wound granulating wound epithelialising wound Wound depth deep superficial Recommended for the following degree of exudate dry light moderate heavy very heavy The aim of wound management is to promote wound healing and prevent infection. 4
2 Debridement Wound management 3 Compression Lomatuell Pro Suprasorb A Suprasorb H Suprasorb X Suprasorb A + Ag Suprasorb Liquacel Suprasorb X + PHMB Suprasorb C Suprasorb P Vliwasorb/ Vliwasorb adhesive Suprasorb F Suprasorb P + PHMB Vliwasorb Pro Suprasorb G Suprasorb P silicone Vliwaktiv 5
Lomatuell Pro Gel-forming contact net. Wounds belong behind bars Lomatuell Pro is our simple solution to prevent sticking. What is Lomatuell Pro? gel-forming contact net polymer matrix with hydrocolloid and Vaseline suitable for dry to heavily exuding wounds, superficial, chronic, acute and surgically invasive wounds Open net structure for the effective removal of exudate Advantages Lomatuell Pro reduces the risk of the dressing sticking to the wound/edge of the wound. It also offers: moist wound management moistening of dry wound areas transfer of excess exudate to the secondary dressing* Improvement in life quality given the high wearing comfort which also boosts patient acceptance. 6 * Depends on the secondary dressing.
Three good reasons for Lomatuell Pro Aids the success of treatment 2 Simple and safe to use 3 Atraumatic and virtually pain-free dressing changes For which indications is Lomatuell Pro suitable? Wound stage Degree of exudate Wound depth Dry to very heavily exuding wounds Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound 7
Suprasorb A Calcium alginate dressing. Cleanses the wound naturally Suprasorb A creates a clean wound environment for heavily exuding wounds. The high absorbency of calcium alginate, which is made from natural brown algae, is responsible for these properties. 2 excess exudate from the dressing is absorbed into the wound 2 gel formation from the exchange of ions Advantages high capacity to absorb exudate high level of comfort from the particularly soft structure and can be easily packed creates a moist wound climate Suprasorb A impresses with its high exudate absorbing capacity and quick gel formation from the exchange of ions. 8
Three good reasons for Suprasorb A Promotes wound healing with its good exudate absorbing properties 2 Moulds well to all wound beds 3 Binding of bacterial and cell debris in the gel For which indications is Suprasorb A suitable? Wound stage Degree of exudate Wound depth Heavily exuding wounds Deep wounds + Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound 9
Suprasorb A + Ag Antimicrobial calcium alginate dressing. Reduces the microbial burden in the wound bed Suprasorb A + Ag s combination of natural calcium alginate and antimicrobial silver absorbs high volumes of exudate and rapidly transforms into gel. At the same time Suprasorb A + Ag reduces the microbial burden in the wound bed trapping the microbes in the gel. Suprasorb A + Ag is the wound dressing for heavily exuding wounds which are infected or at risk of infection. Bacterium 2 Bacterium 3 Bacterium excess exudate from the wound is absorbed into the dressing 2 gel formation from the exchange of ions 3 reduces the microbial burden in the wound bed by released silver ions Advantages high capacity to absorb exudate moulds well to all wound beds reduction of microbial load on the wound bed and binding into the gel forms a gel which creates a moist wound climate Ideal for the management of heavily exuding infected wounds as well as wounds at risk of infection. 20
Three good reasons for Suprasorb A + Ag High exudate absorption capacity promotes wound healing 2 Reduction of microbial load on the wound bed 3 Broad antimicrobial efficacy, also against MSRA and VRE* For which indications is Suprasorb A + Ag suitable? Wound stage Degree of exudate Wound depth Heavily exuding wounds Deep wounds + Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound * Pathogen spectrum detected in vitro, see Instructions for Use. 2
Suprasorb C* Collagen wound dressing. Supports wound healing What makes Suprasorb C so unique The porous structure with highly pronounced capillary activity enables it to absorb fluid. This physical property with the continuous absorption of exudate results in the intake of cell debris (such as necrotic tissue and fibrinous coating) as well as inflammation inducing proteases and cytokines. Thereby the formation of granulation tissue is supported and accelerated. During the granulation stage and at the beginning of the epithelisation stage, the continuous supply of the defect with high grade collagen supports the new formation of the body s own collagen fibrils and fibres. The growth factors which support wound healing are protected. The repair of the wound bed supports the necessary proliferation and the migration of epidermal cells. This assists wound healing. quick absorption of exudate and gel formation; factors which inhibit wound healing are bound into the dressing 2 added collagen activates wound healing and protects growth factors 2 Product composition Suprasorb C consists of collagen of bovine origin. Suprasorb C is indicated in particular if, following treatment using other wound dressings, stagnating wound conditions are evident. 22 * Statements on performance are based for the most part on non-clinical studies.
Three good reasons for Suprasorb C Reduction of factors which inhibit wound healing 2 Promotion and acceleration of the formation of granulation tissue 3 Support for wound healing For which indications is Suprasorb C suitable? Wound stage Degree of exudate Wound depth + Exuding wounds (for all degrees of exudate) Deep wounds Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound 23
Suprasorb F Film wound dressing. Protects the wound and secures the dressing in place Suprasorb F provides transparent protection. The polyurethane film is breathable and flexible, creating a wound environment which promotes wound healing through gas and heat exchange. 2 2 H 2 O 3 Bacterium Water vapour transparent polyurethane film 2 bacteria-proof and waterproof 3 excess water vapour evaporates Advantages effective protection from external influences (bacteria- and waterproof) easy inspection of the wound due to transparency can be wiped clean with disinfectants containing alcohol, iodine and octenidine Suprasorb F is flexible, elastic and tear-resistant and very easy to use. 24
Three good reasons for Suprasorb F Promotes wound healing since it allows the wound to breathe 2 Simple application 3 Exceptional wearing comfort thanks to its secure hold and good wound inspection For which indications is Suprasorb F suitable? Wound stage Degree of exudate Wound depth Lightly exuding wounds Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound 25
Suprasorb G Gel dressing/amorphous gel. Simple application, impressive results* The proven Suprasorb G gel dressing from L&R is now available in an improved quality. Hydrogel high water content: Approx. 70% acrylic polymers: Approx. 30% Transparent polyethylene film base White polyethylene application aid Blue polyethylene grid base Advantages effective autolytic debridement simple and safe application the moist wound environment promotes granulation and epithelisation increased quality of life for patients** Just like the gel dressing, Suprasorb G amorphous gel impresses with its user-oriented consistency and is used specifically for deep wounds. The application syringe makes application easier for doctors and nursing staff. Suprasorb G gel dressing provides moisture to the wound site, relieves pain and is extremely comfortable when worn by patients. 26 * with autolytic debridement ** thanks to pain relief
Three good reasons for Suprasorb G Gently removes necrotic tissues and absorbs this in the gel 2 Keeps the wound moist and relieves pain 3 Convenient to use thanks to the application syringe (amorphous gel) For which indications is Suprasorb G suitable? Wound stage Degree of exudate Wound depth + amorphous gel dressing Dry to lightly exuding wounds Deep wounds Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound 27
Suprasorb H Hydrocolloid dressing. Thin and flexible for an ideal wound healing environment Suprasorb H creates a moist wound environment for lightly to moderately exuding wounds, reliably promoting wound healing. H 2 O 2 2 3 Bacterium Water vapour How does Suprasorb H work? An absorbent hydrocolloid layer, which is applied to a polyurethane film, swells on contact with the wound to form a gel which binds to the exudate and tissue debris. This gel formation enables the dressing to mould itself to the wound structure. upon absorbing exudate, the hydrocolloid swells and forms a gel which binds in the exudate and tissue debris 2 repels bacteria and fluids 3 excess water vapour evaporates Properties all the versions are extremely thin and flexible safe and simple to use thanks to its good adhesion properties since the dressing repels both bacteria and fluids, the patient can wash and shower as normal Suprasorb H promotes wound healing by maintaining a moist wound environment. 28
Three good reasons for Suprasorb H Very good wound healing due to good exudate management 2 Higher degree of comfort thanks to simple application 3 Bacteria- and fluid-repellent For which indications is Suprasorb H suitable? Wound stage Degree of exudate Wound depth standard border sacrum thin Lightly exuding wounds (Suprasorb H thin) Superficial wounds Moderately exuding wounds (Suprasorb H standard, border, sacrum) necrotic wound sloughing wound granulating wound epithelialising wound 29
Suprasorb Liquacel Hydroactive fibre dressing. Safe, effective and simple Upon contact with wound exudate Suprasorb Liquacel forms a cohesive gel which traps exudate, debris and bacteria and transfers them to a secondary dressing, e.g. Suprasorb P. This keeps the exudate away from the wound edge, reduces the risk of maceration and promotes wound healing. reduced risk of maceration due to vertical exudate absorption and transfer to a secondary dressing 2 forms a cohesive gel upon contact with exudate 3 traps exudate, debris and bacteria into the gel hydroactive fibre dressing made from 80% cellulose ethyl sulfonate fibres and 20% natural cellulose fibres primary dressing for every level of exudate can be cut and folded so can also be used as a wound filler Advantages primary dressing for exuding wounds effectively manages exudate by forming a gel and transferring this to a secondary dressing protects the wound edge can be removed in one piece Safety and protection for the wound and wound environment 30
Three good reasons for Suprasorb Liquacel Effectively manages exudate by forming a gel and transferal to the secondary bandage 2 Protects the wound edge 3 Can be removed quickly and easily in a single piece For which indications is Suprasorb Liquacel suitable? Wound stage Degree of exudate Wound depth + Exuding wounds (for all degrees of exudate) Deep wounds Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound 3
Suprasorb P PU foam dressing. The all-rounder for wound management Suprasorb P absorbs wound exudate quickly and effectively as the fine-pored PU foam structure creates an excellent capillary effect directly on the wound.. Soft and flexible and comfortable to wear 2. With a perforated wound contact layer for enhanced patient acceptance Advantages very good wound healing thanks to reliable exudate management extremely comfortable to wear given its soft and flexible structure wound exudate is easier to assess bacteria- and liquid-repellent PU membrane* maintains a moist wound environment to promote natural healing 3. Reliable exudate management, can be used with confidence for everyday wound care Suprasorb P is easy to apply and soft and comfortable to wear. 32 * Suprasorb P non-adhesive
Three good reasons for Suprasorb P Suprasorb P comfortable to wear and simple to use simple to mould to the skin, particularly in difficult anatomical situations minimised potential for dressing-induced pressure points 2 3 Suprasorb P impresses with a perforated wound contact layer minimisation of irritations on the skin surrounding the wound (e.g. macerations, haematomas, inflammations) high level of patient acceptance Suprasorb P guarantees reliable exudate management wounds can rest for longer periods since the dressing must not be changed so frequently lower costs due to reduced dressing change intervals For which indications is Suprasorb P suitable? Wound stage Degree of exudate Wound depth Moderately exuding wounds Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound 33
Suprasorb P + PHMB* NEW Antimicrobial foam dressing. For infected wounds and wounds at risk of infection What is Suprasorb P + PHMB? antimicrobial foam dressing with a perforated wound contact layer the active agent PHMB (polyhexamethylene biguanide) ensures rapid and long-lasting antimicrobial effectiveness suitable for moderate to heavily exuding wounds, superficial, chronic and post-surgical wounds Advantages good antimicrobial efficacy, also against multi-resistant germs rapid and long-lasting effect reliable exudate management promotes natural wound healing Water- and bacteria-proof polyurethane base layer Open-pore foam structure combined with PHMB Perforated wound contact layer Suprasorb P + PHMB is effective against MRSA and VRE. 34 * Currently not available in all markets.
Three good reasons for Suprasorb P + PHMB Suprasorb P + PHMB guarantees broad and first-rate antimicrobial efficacy highly effective against gram-negative and gram-positive bacteria reduces the risk of recolonisation 2 Suprasorb P + PHMB quicker, long-lasting antimicrobial efficacy effective in the dressing and in the wound 99.99% reduction within 6 hours can remain on the wound for up to 7 days 3 Suprasorb P + PHMB stands for reliable exudate management cost efficiency from extended dressing change intervals can also be used under compression For which indications is Suprasorb P + PHMB suitable? Wound stage Degree of exudate Wound depth Moderate to heavily exuding wounds Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound 35
Suprasorb P silicone Silicone foam dressing. The wound dressing for the sensitive skin surrounding the wound Suprasorb P silicone is a three-layered wound dressing made from a soft silicone wound contact coating, a polyurethane foam layer and a polyurethane base layer.. Simple to apply 2. Virtually pain-free to remove 3. Guarantees a moist wound environment Advantages simple to apply and virtually pain free to remove gentle on the wound bed and the sensitive skin surrounding the wound manages exudate reliably and ensures a moist wound environment for healing The soft and supple PU foam dressing aids the complex wound healing process. 36
Three good reasons for Suprasorb P silicone Suprasorb P silicone is simple to apply by just one person 2 Suprasorb P silicone is virtually pain-free to remove 3 Suprasorb P silicone creates a moist wound environment For which indications is Suprasorb P silicone suitable? Wound stage Degree of exudate Wound depth Light to moderately exuding wounds Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound 37
Suprasorb X HydroBalance wound dressing. Regulates moisture levels in the wound Suprasorb X for lightly to moderately exuding, non-infected wounds regulates the moisture levels in the wound through the unique structure of the biosynthetic HydroBalance fibres. 2 Advantages promotes wound healing extremely comfortable to wear pain reduction without a pharmacological supplement improved cosmetic results (scar formation) excess exudate from the wound is absorbed into the dressing 2 moisture from the dressing is released into wound areas with low level of exudation What makes Suprasorb X special is its ability to absorb moisture from and release it back into the wound depending on the wound situation and amount of exudate. 38
Three good reasons for Suprasorb X Excellent wound healing properties thanks to the HydroBalance effect (regulation of moisture) 2 High level of comfort from the extremely soft and smooth structure 3 Great cost efficiency due to prolonged dressing change intervals For which indications is Suprasorb X suitable? Wound stage Degree of exudate Wound depth + Light to moderately exuding wounds Deep wounds Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound 39
Suprasorb X + PHMB Antimicrobial HydroBalance wound dressing. Regulates moisture in wounds and reduces germs Suprasorb X + PHMB exhibits broad antimicrobial efficacy*. In vitro studies have demonstrated the very rapid and almost complete release of polyhexamethylene biguanide (PHMB) from the dressing after 24 hours. Advantages depending on the condition of the wound, either moisture is released or excess exudate absorbed creation of a moist wound environment atraumatic dressing changes easy adaptation to any shape or depth of wound particularly suited for difficult-to-treat parts of the body patients find the moist environment and cooling effect pleasant and soothing Bacterium excess exudate from the wound is absorbed in the dressing 2 moisture from the dressing is released to the lightly exuding wound 3 the released polyhexamethylene biguanide (PHMB) kills the microorganisms 3 2 The wound dressings exhibit broad antimicrobial efficacy. 40 * The pathogen spectrum was demonstrated in in-vitro tests, see instructions for use
Three good reasons for Suprasorb X + PHMB Antimicrobial efficacy against a broad spectrum of pathogens, e.g. MSRA and VRE 2 Can be simply moulded to the skin 3 Regarded by patients as soothing For which indications is Suprasorb X + PHMB suitable? Wound stage Degree of exudate Wound depth + Light to moderately exuding wounds Deep wounds Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound 4
Vliwasorb Vliwasorb adhesive Superabsorbent dressing. Saves time and money thanks to its excellent absorption properties Vliwasorb, the superabsorbent wound dressing, ensures improved performance and greater cost efficiency since the dressing change intervals are prolonged. The white, elastic wound contact layer prevents adhesion to the wound The blue nonwoven clothing protection layer protects clothing and bed linen from soiling The superabsorbent core evenly binds high volumes of wound exudate to form solid superabsorbent particles A distribution layer distributes the absorbed exudate evenly and rapidly transports it to the superabsorbent core Advantages excellent absorption properties and capacity to bind exudate, bacteria and cell debris cost and time savings as the dressing change intervals are prolonged protects against wound maceration comfortable to wear: Thin, flexible, cushioned reduces the risk of adhesion to the wound reduces the concentration of MMP and neutrophil elastase and promotes wound healing suitable for use under compression clothing and dressings Vliwasorb and Vliwasorb adhesive are cost-effective and beneficial to the treatment process. 42
Three good reasons for Vliwasorb and Vliwasorb adhesive The excellent absorption properties save time and money 2 Cost-effective and beneficial to the treatment process 3 Can also be used under compression dressings For which indications are Vliwasorb and Vliwasorb adhesive suitable? Wound stage Degree of exudate Wound depth Heavily exuding wounds Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound 43
Vliwasorb Pro NEW Superabsorbent wound dressing. Effective exudate management, flexibility and protection Vliwasorb Pro is a superabsorbent dressing for moderate to very heavily exuding wounds. Side facing away from the wound Rounded corners and an ergonomic shape allow it to be moulded to the skin Wide edges for increased wearing comfort Blue clothing protective layer protects clothing and bed linen Side facing towards the wound Absorbent core with distribution nonwoven layer (superabsorbent) for effective exudate management White, soft wound contact layer made of polyethylene for atraumatic dressing changes Advantages excellent absorption and retention capacity pro-active cleansing effect with anti-inflammatory properties blue clothing protection layer and soft and smooth wound contact layer the ergonomic and flexible design allows it to be moulded ideally to the skin The superabsorbent Vliwasorb Pro boasts very good exudate absorption and binding properties. 44
Three good reasons for Vliwasorb Pro PRO effective exudate management 2 PRO-active in the cleansing phase 3 PRO flexibility and safety for users and patients For which indications is Vliwasorb Pro suitable? Wound stage Degree of exudate Wound depth Moderate to very heavily exuding wounds Superficial wounds necrotic wound sloughing wound granulating wound epithelialising wound 45
Vliwaktiv Absorbent activated charcoal dressing. Effective against bacteria and odours The ideal combination of a non-adhesive absorbent dressing and an odour- and bacteria-absorbing wound dressing; for treating infected, ulcerous wounds with unpleasant odours, e.g. ulcus cruris, decubitus ulcers and anal fistulae. Surrounding nonwoven layer made of polyethylene Clothing protection layer made of polypropylene Cellulose layer Activated charcoal/ viscose fabric Advantages absorbs odours and bacteria breathable the clothing protection layer prevents wound exudate from leaking through Vliwaktiv is particularly well suited for moderate to heavily exuding wounds with unpleasant odours. 46
Three good reasons for Vliwaktiv The surrounding nonwoven layer promotes the transfer of the exudate to the absorbent core 2 Bacteria and odours are bound in 3 Skin-friendly For which indications is Vliwaktiv suitable? Wound stage Degree of exudate Wound depth Moderate to heavily exuding wounds Superficial wounds* necrotic wound sloughing wound granulating wound epithelialising wound * as a secondary dressing in combination with dressings for moist wound management 47
Compression Because the right pressure matters. Compression therapy is part of everyday life in medicine and nursing and forms the basis for the successful treatment of venous leg disorders, in particular venous leg ulcers. The principle is simple: Compression applies pressure to the blood vessels and surrounding tissue. This encourages the venous blood flow and drainage of lymphatic fluids. The compression dressing constricts the dilated veins to improve the functionality of the venous valves and, in part, enable them to close again. Venous stasis is eliminated and new stasis is prevented. Overall, the compression therapy relieves pain and other complaints in the leg. The right application technique and selection of the most suitable material are key factors behind the success of treatment. The Rosidal K short stretch bandages are ideal for combining a low resting pressure and a high working pressure. In addition, the dressings have a massaging effect when the muscles are active which further aids the success of treatment. With the short stretch compression system Rosidal sys and the two-component compression system Rosidal TCS, L&R offers two, harmonised and ready-to-use systems which make compression treatments efficient and simple for users and patients alike. Compression therapy generally makes use of compression bandages, ready-for-use dressings or stockings. In general, these systems are distinguished by the different levels of resting and working pressure exerted by the varying elasticity of the source materials. As a specialist in compression therapy, L&R has a wide range of compression therapy products offering combinable components for every application. L&R offers reliable treatment solutions to satisfy all the demands of compression therapy with short stretch bandages. 48
2 Debridement Wound management 3 Compression Rosidal K Short stretch bandage Rosidal sys Short stretch compression system Rosidal TCS Two-component compression system 49
Rosidal K When strong compression is required. A strong hold you can rely on Rosidal K is the solution from L&R for phlebologic treatment for strong compression. The outstanding product quality from Rosidal K has been in use for the last 55 years. Advantages strong compression lengthwise elastic (approx. 90%) comfortable to wear thanks to the breathable material particularly kind to the skin with 00% natural cotton the non-slip structured texture means the turns of the bandage adhere firmly to each other textile elastic due to twined warp threads The short stretch Rosidal K offers users the necessary support for successful compression treatment and that for the past 55 years. 50
Three good reasons for Rosidal K 55 years of experience and expertise in compression therapy are reflected in the outstanding product quality of Rosidal K 2 Rosidal K stands for systematic compression through the ideal addition of combinable components such as tg grip, Rosidal soft and Rosidal SC 3 Can be washed up to 50 times at 95 C as such Rosidal K offers exceptional efficiency and durability 5
Rosidal sys Short stretch compression system. Systematic compression Assembling individual components is time-consuming and reduces efficiency. This is why the Rosidal sys compression system with its durable, high-quality components designed to work together effectively makes good sense. The handy system, packaged as a set, contains all the medical components needed for good compression therapy. Advantages effective and cost-effective since the padding and compression bandages can be reused (Rosidal soft and Rosidal K) ready-to-use and packaged in a handy set particularly skin-friendly components in the acute phase, the compression bandage can remain on the leg for up to seven days (depending on the state of the wound) Rosidal sys enables effective treatment of venous leg ulcers. 52
Three good reasons for Rosidal sys Particularly effective and cost-effective for long-term treatments 2 Systematic solution for treatment safety 3 Rapid drainage of the affected limb given the low flexibility (stiffness) of the bandage 53
Rosidal TCS Two-component compression system. Two components, simple to use This two-component compression system has been specifically designed to treat venous leg ulcers and its comorbidities as well as chronic oedema. It combines two components into something special: The innovative padded compression bandage Rosidal SC with integrated textile skin protection together with the cohesive short stretch compression bandage Rosidal CC forms a safe and reliable system. Advantages of Rosidal TCS Safe-Loc system: Incredibly simple without pressure indicators safe application at full stretch padded compression bandage Rosidal SC with integrated skin protection for enhanced wearing comfort cohesive compression bandage Rosidal CC adheres to itself and reduces the risk of slipping because of its high degree of static stiffness thin and supple fits easily into shoes now also in a large pack* The low resting pressure is a clear advantage for ensuring compliance, particularly at night time. 54 * Currently not available for all markets/via all sales channels.
Three good reasons for Rosidal TCS The Safe-Loc system allows both components to be applied at full stretch 2 Rosidal TCS is free from natural rubber latex and is therefore a great alternative for people who are hypersensitive to latex 3 Ready-to-use in a handy set, for single-use only 55
Ordering information Step : Debridement Debrisoft Monofilament fibre pad sterile, individually sealed Debrisoft Lolly sterile, individually sealed Size (cm) REF SU (pcs) 0 x 0 3 222 5/50 REF SU (pcs) 33 224 5/50 Step 2: Wound management Lomatuell Pro Gel-forming contact net sterile, individually sealed Size (cm) REF SU (pcs) 5 x 5 30 870 0/360 0 x 0 30 87 0/20 0 x 20 30 872 0/20 0 x 30 30 873 0/80 0 x 0 30 874 50/450 Suprasorb A Calcium alginate dressing sterile, individually sealed Size (cm) REF SU (pcs) dressing rope 5 x 5 20 440 0/00 0 x 0 20 44 0/00 0 x 20 20 442 0/00 30 cm, 2 g 20 445 5/50 Suprasorb A + Ag Antimicrobial calcium alginate dressing sterile, individually sealed Size (cm) REF SU (pcs) dressing rope 5 x 5 20 570 0/00 0 x 0 20 57 0/50 0 x 20 20 572 5/20 30 cm, 2 g 20 573 5/20 Suprasorb C Collagen wound dressing sterile, individually sealed Size (cm) REF SU (pcs) 4 x 6 x 0.8 20 48 5/225 6 x 8 x 0.8 20 482 5/80 8 x 2 x 0.8 20 483 5/90 Suprasorb F Film wound dressing sterile, individually sealed Size (cm) REF SU (pcs) 5 x 7 20 460 0/380 5 x 7 20 46 00/000 0 x 2 20 462 0/00 0 x 2 20 463 50/200 0 x 25 20 464 0/40 5 x 20 20 465 0/400 20 x 30 20 466 0/80 56
Suprasorb F Film wound dressing rolled, non-sterile Size (cm x m) REF SU (pcs) Suprasorb G Amorphous gel in application syringe, sterile 0 x 20 467 /6 0 x 0 20 468 /6 5 x 0 20 469 /0 Suprasorb G Gel dressing sterile, individually sealed Size (g, syringe) REF SU (pcs) 6 20 478 0/500 20 20 479 0/240 Size (cm) REF SU (pcs) 5 x 6.5 33 630 5/400 0 x 0 33 63 5/50 20 x 20 33 632 3/60 Suprasorb H Hydrocolloid dressing sterile, individually sealed Size (cm) REF SU (pcs) standard thin sacrum border 0 x 0 20 403 0/660 5 x 5 20 40 5/50 20 x 20 20 402 5/50 5 x 5 20 424 0/650 5 x 0 20 40 0/480 5 x 20 20 4 0/250 0 x 0 20 42 0/720 5 x 5 20 43 5/50 20 x 20 20 44 5/50 4 x 6 20 430 5/200 4 x 4 20 420 5/200 Suprasorb Liquacel Hydroactive fibre dressing sterile, individually sealed Size (cm) REF SU (pcs) dressing rope 5 x 5 33 435 0/00 0 x 0 33 436 0/00 5 x 5 33 437 5/50 2 x 45 33 438 5/50 Suprasorb P PU foam dressing sterile, individually sealed Size (cm) Wound pad (cm) REF SU (pcs) self-adhesive 7.5 x 7.5 4 x 4 20 46 0/00 0 x 0 6 x 6 20 47 0/00 5 x 5 0 x 0 20 48 5/50 5 x 20 0 x 5 20 49 5/50 non-adhesive 5 x 5 20 405 0/00 7.5 x 7.5 20 406 0/00 0 x 0 20 407 0/00 5 x 5 20 408 5/50 5 x 20 20 409 5/50 sacrum, self-adhesive 8 x 20.5 2 x 4.3 (heart shaped) 20 45 5/50 57
Suprasorb P + PHMB Antimicrobial foam dressing sterile, individually sealed Size (cm) REF SU (pcs) non-adhesive 5 x 5 34 540 0/00 7.5 x 7.5 34 54 0/00 0 x 0 34 542 0/00 0 x 20 34 543 5/50 5 x 5 34 544 5/50 20 x 20 34 545 5/50 Suprasorb P silicone Silicone foam dressing sterile, individually sealed Size (cm) Wound pad (cm) REF SU (pcs) border (with adhesive edge) 7.5 x 7.5 4.5 x 4.5 32 445 0/00 0 x 0 7 x 7 32 446 0/00 5 x 5 2 x 2 32 447 5/50 5 x 20 2 x 7 32 448 5/50 non-border (no adhesive edge) 5 x 5 32 440 0/00 7.5 x 7.5 32 44 0/00 0 x 0 32 442 0/00 5 x 5 32 443 5/50 5 x 20 32 444 5/50 Suprasorb X HydroBalance wound dressing sterile, individually sealed Size (cm) REF SU (pcs) dressing rope 5 x 5 20 534 5/90 9 x 9 20 53 5/80 4 x 20 20 532 5/65 2 x 2 20 533 5/30 Suprasorb X + PHMB Antimicrobial HydroBalance wound dressing sterile, individually sealed Size (cm) REF SU (pcs) dressing rope 5 x 5 20 540 5/90 9 x 9 20 54 5/80 4 x 20 20 542 5/65 2 x 2 20 543 5/30 Vliwasorb sterile, individually sealed Size (cm) Wound pad (cm) REF SU (pcs) 7.5 x 7.5 6 x 6 34 500 0/360 0 x 0 8.5 x 8.5 24 50 0/360 0 x 20 8.5 x 8.5 24 502 0/340 20 x 20 8 x 8 24 503 0/300 20 x 30 8 x 28 26 904 0/80 Vliwasorb adhesive self-adhesive, sterile, individually sealed Size (cm) Wound pad (cm) REF SU (pcs) 2 x 2 8. x 8.2 30 99 0/260 5 x 5 0.5 x 0.5 30 992 0/330 5 x 25 0.5 x 20.5 30 993 0/0 58
Vliwasorb Pro Superabsorbent wound dressing sterile, individually sealed Size (cm) Wound pad (cm) REF SU (pcs) 0 x 0 6 x 6 32 640 0/300 2.5 x 2.5 8.5 x 8.5 32 64 0/300 2.5 x 22.5 8.5 x 8.5 32 642 0/350 22 x 22 8 x 8 32 643 0/260 22 x 32 8 x 28 32 644 0/90 Vliwaktiv Absorbent activated charcoal dressing sterile, individually sealed Size (cm) REF SU (pcs) 0 x 0 20 254 20/400 0 x 20 20 255 20/200 Step 3: Compression Rosidal K Short stretch bandage Width (cm) REF SU (pcs) 5 m (stretched length), with bandage clips (except for 4 cm), individually packed in a cardboard box 4 22 99 /25 6 22 200 /08 8 22 20 /08 0 22 202 /90 2 22 203 /54 0 m (stretched length), without bandage clips, individually packed in a cardboard box 2 22 205 /40 0 22 206 /60 5 m (stretched length), with bandage clips, bulk in a cardboard box 8 22 250 0/40 0 22 25 0/40 0 93 403 50 2 22 252 0/20 sterile, 5 m (stretched length), with bandage clips, individually sealed 6 20 650 0/90 8 20 65 0/90 0 20 652 0/00 2 20 653 0/00 Elko Rosidal Short stretch bandage Width (cm) REF SU (pcs) 5 m (stretched length), with bandage clips, packed in a cardboard box in pairs 5 x 0 22 225 /30 Rosidal sys Short stretch compression system REF SU (pcs) 6 984 /4 Rosidal TCS Two-component compression system Contents Size (cm x m) REF SU (pcs) system components Component : Rosidal SC 0 x 3.5 Component 2: Rosidal CC 0 x 6 26 484 /4 individual components Rosidal SC compression bandage, soft 0 x 3.5 33 503 /24 Rosidal CC Cohesive compression bandage 0 x 6 33 499 /24 59
References The relevant confirmations and study data are available from L&R upon request. Lohmann & Rauscher GmbH & Co. KG Westerwaldstrase 4 56579 Rengsdorf, Germany Lohmann & Rauscher GmbH Johann-Schorsch-Gasse 4 4 Vienna, Austria 9506522 06 e