Welcome to NuMed! Our Commitment: Quality Products, Cost Savings, Exceptional Service

It s a New Day in Wound Care Welcome to NuMed! Our Commitment: Quality Products, Cost Savings, Exceptional Service NuMed Industries is a manufacturing company that specializes in Advanced Wound Care products. At NuMed, not only will you be impressed with our products and incredible prices, you will have a company that prides itself in customer service and satisfaction with a staff having over 50 years of experience in the medical field. Our approach to the Advanced Wound Care market is simple: Offer a high quality wound care product line, represented by Professional Independent Representatives, at very competitive pricing. By manufacturing our products we are able to keep our costs under control and pass the savings onto our customers, while maintaining a high standard of quality. In addition to our regular consumer-sized packaging, we offer many of our products in bulk packaging for those customers who require larger quantity orders. We appreciate your interest and look forward to earning your business and trust by offering quality products, exceptional service and competitive pricing. To learn more about NuMed Industries, LLC visit us at www.numedindustries.com Thank You

It s a New Day in Wound Care NuMed Advanced Wound Care Products Foam Dressings Hydrocolloid Dressings Hydrogel Dressings Composite Dressings Alginate Dressings Silver Alginate Dressings Collagen Dressings Pressure Ulcer Staging Guide NuMed Industries, LLC is not responsible for typographical errors in regard to sizes, descriptions and HCPCS codes. Product availability is subject to change without notice.

Ideal Wound Dressing No single dressing is suitable for all types of wounds. Often a number of different types of dressings will be used during the healing process of a single wound. Dressings should perform one or more of the following functions: Maintain a moist environment at the wound/dressing interface Absorb excess exudate without leakage to the surface of the dressing Provide thermal insulation and mechanical protection Provide bacterial protection Allow gaseous exchange Leave no foreign particles in wound Absorb wound odor Be non-adherent to the wound and easily removed without trauma Provide some debridement action (remove dead tissue and/ or foreign particles) Be non-toxic, non-allergenic and non-sensitizing (to both patient and medical staff) Be sterile

NuMed Foam Dressings Foam Dressings can be used for a wide range of wounds. Because of their absorptive ability, foam dressings are especially useful for wounds with moderate to heavy exudate production. This is important because wound exudate can impair healing and harbor bacteria that damage healthy granulating tissue. Therefore, the absorptive ability of a foam dressing must match the exudative property of the wound. A dressing labeled lite or thin won t absorb as much exudate as a product labeled extra or plus. Remember, the foam dressing must be able to effectively manage the exudative properties of the wound. Foam dressings may be used as a primary or secondary dressing. They are flexible in that they can be cut to fit irregular wounds or specific body parts, such as fingers, toes, or ears. They can also be used under compression bandages with venous ulcers and can be cut to fit into a wound cavity. When placing a foam dressing in a cavity wound, it s important to remember to allow for dressing expansion as exudate is absorbed. NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

It s a New Day in in Wound Care NuMed Ultra NuMed Foam Dressing NuMed Ultra Foam Dressing is made of a latex free hydrophillic polymer with a three-dimensional foam structure which is processed by the latest technological methods. It quickly absorbs high levels of wound exudates and retains them while maintaining a moist wound environment to accelerate the healing process. Features: Manages moderate to heavy exudate Maintains a moist wound healing environment Permits gaseous exchange Provides thermal insulation Protects from secondary infection Protects wound from contamination Allows for pain free removal at dressing changes From the Product Line of NuMed Industries, LLC.

NuMed Ultra Foam Dressing INDICATIONS NuMed Ultra Foam Dressing is indicated for the absorption and retention of moderate to heavy exudates on partial to full thickness wounds and can be placed on a wound for up to seven days. A secondary dressing will be required to secure the dressing in place. For use on moderate to heavily exudating wounds such as: Venous ulcers (leg ulcers) Stage II - IV Pressure Ulcers Diabetic ulcers Donor site wound Abrasion wound Surgical Incision and excision Burns (1 st and 2 nd degree) CONTRAINDICATIONS 1. Do not use on an infected wound. If redness or allergic symptoms appear, stop use. 2. NuMed Foam Dressings should not be used on dry wounds, necrotic tissue, or on wounds with exposed bone or muscle. 3. Please remove this dressing before applying radiation treatment, including Xray, ultrasonic therapy, thermotherapy or microwave therapy. NuMed Ultra Foam Dressing PRODUCT # W (cm) L (cm) W (in) L (in) PCS/ BOX HCPCS NM5050UF 5.0 5.0 2.0 2.0 25 A6209 NM1010UF 10.0 10.0 4.0 4.0 25 A6209 NM1515UF* 15.0 15.0 6.0 6.0 25 A6210 * Special order item please call for details. Bulk packaging available. NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

It s a New Day in Wound Care NuMed Bordered Foam Dressing NuMed Bordered Foam Dressing is made of a hydrophilic polymer with a three dimensional foam structure for a highly absorbent, soft and breathable open cell dressing with a gentle hypoallergenic adhesive border. The outermost polyurethane layer is highly breathable facilitating evaporation of wound exudates absorbed by the foam increasing total fluid uptake and fluid handling capacity of the dressing. Features: Manages moderate to heavy exudate Maintains a moist wound healing environment Permits gaseous exchange Provides thermal insulation Protects wound from secondary infection, contamination Waterproof From the Product Line of NuMed Industries, LLC.

NuMed Bordered Foam Dressing INDICATIONS NuMed Bordered Foam Dressing is indicated for the absorption and retention of moderate to heavy exudates on partial to full thickness wounds. NuMed Bordered Foam Dressing can be placed on a wound for up to seven days. For use on moderate to heavily exudating wounds such as: Venous ulcers (leg ulcers) Stage II - IV Pressure Ulcers Diabetic ulcers Donor site wound Abrasion wound Surgical Incision and excision Burns (1 st and 2 nd degree) CONTRAINDICATIONS 1. Do not use on an infected wound. If redness or allergic symptoms appear, stop use. 2. NuMed Foam Dressings should not be used on dry wounds, necrotic tissue, or on wounds with exposed bone or muscle. 3. Please remove this dressing before applying radiation treatment, including X-ray, ultrasonic therapy, thermotherapy or microwave therapy. Note: Sizes shown are for the inner foam pad. Allow 2" more for the adhesive border. NuMed Bordered Foam Dressing PRODUCT # W (cm) L (cm) W (in) L (in) PCS/ BOX HCPCS NM5050BF 5.0 5.0 2.0 2.0 25 A6212 NM1010BF 10.0 10.0 4.0 4.0 25 A6212 NM1515BF* 15.0 15.0 6.0 6.0 25 A6213 * Special order item please call for details. Bulk packaging available. NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

NuMed Hydrocolloid Dressings Hydrocolloid dressings provide a beneficial moist wound healing environment and stimulate the physiological healing process of the wound. When fluids from the wound come into contact with the hydrocolloid dressing, it interacts and forms a gel that covers the wound and keeps the wound hydrated. Hydrocolloid dressings are occlusive, adhesive, and absorbent. They provide several wound healing benefits. Apart from the beneficial moist wound healing environment these dressings form a protective barrier restraining environmental pollution from entering a wound. They also diminish bacterial growth by lowering the ph of a wound. Hydrocolloid dressings are suitable to use on chronic and acute, mild to moderate exuding wounds. They can also be used on dry wounds in which case they have shown to have a softening effect. NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

It s a New Day in Wound Care NuMed Hydrocolloid Bordered Dressing NuMed Hydrocolloid Bordered Dressing a latex free, pressure sensitive occlusive dressing comprised of hydrophilic granules laminated to a permeable, bacteria and water proof polyurethane film backing with the added benefit of an adhesive border. Will not stick to the wound and makes removal pain free. Features: Water and bacteria proof polyurethane backing protects wound from external moisture and bacteria Promotes healing by providing an ideal environment for the formation of granulation tissue Helps minimize associated allergic reactions and odor Manages light to moderate amounts of wound exudate Semi-transparent allows for non invasive wound inspection Assists in wound clean up (by Autolytic Debridement) Removal of dressing will not damage newly formed tissue Conformable for easy application and helps reduce pain at wound site From the Product Line of NuMed Industries, LLC.

NuMed Hydrocolloid Bordered Dressing INDICATIONS NuMed Hydrocolloid Bordered Dressing is indicated for use in treating clean granulating and epithelializing superficial wounds with low to moderate exudate. Some typical wounds are: Burns (1st and 2nd degree) Leg ulcers (venous, arterial, diabetic) Pressure ulcers Surgical incisions and excisions Donor sites Chronic slow healing wounds and abrasions Superficial blisters May also be used in the treatment of eczema CONTRAINDICATIONS 1. NuMed Hydrocolloid Bordered Dressing should not be used on third degree burns, exposed muscle, bone, tendon or infected wounds. 2. Do not use on full thickness or wounds with heavy exudates. NuMed Hydrocolloid Bordered Dressing PRODUCT # W (cm) L (cm) W (in) L (in) PCS/ BOX HCPCS NM5050HC 5.0 5.0 2.0 2.0 25 A6234 NM1010HC 10.0 10.0 4.0 4.0 10 A6234 NM1515HC* 15.0 15.0 6.0 6.0 5 A6235 * Special order item please call for details. Bulk packaging available. NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

NuMed Hydrogel Dressings Hydrogel dressings are a unique and versatile category of advanced wound care dressings. Hydrogel dressings are used for dry to moderately draining wounds. They are most often used in situations where moist wound healing is desired, and the control of drainage is of secondary concern. Hydrogels can absorb or donate moisture to the wound, depending on the relative state of hydration of the tissue and the dressing. Hydrogels are often used to facilitate Autolytic debridement in necrotic wounds, but are also used to help maintain a moist wound healing environment in clean, granulating wounds. Hydrogel dressings are seen as an essential component in many different types of wound care. This is because hydrogel dressings are designed to hold moisture at the surface of the wound, providing the ideal environment for both cleaning the wound, and allowing the body to rid itself of necrotic tissue. The moisture in the wound is also essential in pain management for the patient, and these dressings are very soothing and cooling. Therefore, it is perfect for use in a variety of different applications. With their high moisture content they also help to prevent bacteria and oxygen from reaching the wound, providing a barrier for infections. NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

It s a New Day in Wound Care NuMed Hydrogel Dressing Sheet NuMed Hydrogel Dressing Sheet is a latex free semitransparent flexible gel made from polyethylene oxide, polyvinyl alcohol and water. It can absorb excess wound exudates, maintain a moist healing environment, promote granulation and epithelialization, as well as, facilitate autolytic debridement. This dressing does not stick to wounds, can relieve pain and causes no secondary damage Features: Soothes and reduces pain Rehydrates the wound bed Facilitates autolytic debridement Provides minimal to moderate absorption Allows for pain free removal at dressing change Permits gaseous exchange From the Product Line of NuMed Industries, LLC.

NuMed Hydrogel Dressing Sheet Indications: NuMed Hydrogel Dressing Sheet is indicated for: Minor burns Skin tears Dry and necrotic wounds Superficial lacerations Partial thickness wounds from resurfacing procedures and skin graft donor sites Stage I - IV Pressure ulcers Diabetic ulcers Surgical wounds The dressing can be left on for up to seven days determined by amount of exudate. Contraindications: 1. Disposable product, do not reuse. Do not use if the packaging is damaged. 2. Doctor s instructions should be followed when using on seriously infected wounds. 3. Should not be used on heavily exudating wounds. NuMed Hydrogel Dressing Sheet PRODUCT # W (cm) L (cm) W (in) L (in) PCS/ BOX HCPCS NM5050HG 5.0 5.0 2.0 2.0 12 A6242 NM1010HG 10.0 10.0 4.0 4.0 12 A6242 NM1515HG* 15.0 15.0 6.0 6.0 12 A6243 * Special order item please call for details. Bulk packaging available. NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

NuMed Composite Dressings Composite dressings are wound covers that combine physically distinct components into a single product to provide multiple functions, such as a bacterial barrier, absorption and adhesion. Usually, they are comprised of multiple layers and incorporate a semi- or non-adherent pad that covers the wound. They may also include an adhesive border of non-woven fabric tape or transparent film. They can function as either a primary or a secondary dressing on a wide variety of wounds and may be used with topical medications. Composite dressings are suitable for use in most health care settings Including treatments for acute wounds in emergency care (cuts, burns, and abrasions), surgery (surgical Incisions), and intensive care (I.V. catheter sites), as well as, chronic wounds (superficial and partial Thickness wounds) in long-term care. NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

It s a New Day in Wound Care NuMed Bordered Wound Dressing NuMed Bordered Wound Dressing combines a ventilated non woven fabric top that is coated with a hypoallergenic adhesive for a gentle fixative border with an absorbent non adherent pad. The soft absorbent island pad allows for the lateral spread of fluids to maximize absorbency and reduce risk of maceration. Moisture vapor permeability combined with nonsensitizing adhesive allows the wound and skin under the dressing to breath. The non adherent pad surface leaves the wound site undisturbed, reducing pain and wound trauma during dressing changes. Features: Latex free hypoallergenic composite wound dressing Semi-occlusive layer prevents external contamination Highly absorbent non adherent pad minimizes the number of dressing changes Drainage can be monitored without removing the dressing Moisture vapor permeability allows the wound and skin under dressing to breath Nonsensitizing adhesive border allows dressing to stay in place longer From the Product Line of NuMed Industries, LLC.

NuMed Bordered Wound Dressing INDICATIONS NuMed Bordered Wound Dressing is indicated for use as a primary dressing for: Pressure ulcers (stages I III) Surgical incisions and excisions Skin tears Lacerations Infected and non infected wounds Wounds with low to moderate drainage Donor sites May also be used as a secondary dressing over gels and alginates. CONTRAINDICATIONS 1. NuMed Bordered Wound Dressing is not indicated for heavily draining wounds 2. Should signs of irritation, maceration or sensitivity appear, discontinue use and consult a healthcare professional. NuMed Bordered Wound Dressing PRODUCT # W (cm) L (cm) W (in) L (in) PCS/ BOX HCPCS NM6070BWD 6.0 7.0 2.0 3.0 100 A6254 NM1010BWD 10.0 10.0 4.0 4.0 30 A6254 NM1015BWD 10.0 15.0 4.0 6.0 30 A6254 NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

NuMed Alginate Dressings Alginate dressings are absorbent wound dressings that may be used on multiple wound types, including but not limited to diabetic wounds, venous wounds, pressure ulcers, cavity wounds, and some bleeding wounds. They can be combined with other types of dressings to achieve different effects and they are available in several sizes, their unique properties allow them to be used on a variety of patients. Alginates should be used as a contact layer, meaning they come into contact with the wound bed itself, and they always require a secondary cover dressing to keep them in place. Traditionally, alginates are made from acids that are obtained from brown seaweed. The calcium salts of alginic, mannuronic, and gularonic acids are processed into nonwoven, biodegradable fibers. When these fibers come into contact with fluid rich in sodium, the calcium ions undergo a transaction that results in the formation of a soluble sodium gel. This gel formation can also promote Autolytic debridement of the wound. Alginates have the unique ability to absorb up to 20 times their weight in fluid. Some alginates contain a silver compound, which provides antimicrobial protection and may be considered for an infected wound. NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

It s a New Day in Wound Care NuMed Calcium Alginate Dressing NuMed Calcium Alginate Dressing & Rope are made of soft, natural calcium alginate fibers derived from brown seaweed. They are absorbent and conform to the shape of the wound. When packed, an alginate interacts with the wound exudates or blood to form a soft gel that maintains a moist healing environment. The release of calcium ions can activate prothrombin and improve hemostasis. The gel like surface prevents the dressing from adhering to the wound, providing painless removal and can be left on for up to 7 days. Features: Designed to adapt to the shape of wound cavity Quickly absorbs wound exudates and forms a gel like covering over the wound Fill in dead space They create an ideal wound healing environment Can absorb up to 20 times its weight Facilitate Autolytic debridement Easy to apply and remove Removal of dressing will not damage newly formed tissue From the Product Line of NuMed Industries, LLC.

NuMed Calcium Alginate Dressign INDICATIONS NuMed Calcium Alginate Dressing is indicated for use in treating: Moderate to heavily draining wounds, tunneling wounds Infected and non infected wounds Leg ulcers Diabetic ulcers Venous ulcers Pressure ulcers Surgical incisions Oncology wounds with exudates 2nd degree partial thickness burns Surface trauma and local hemostasis CONTRAINDICATIONS 1. NuMed Calcium Alginate Dressing is not recommended for use on third degree burns. 2. Not recommended for use on light exudate and dry eschar. 3. Not indicated for use on wounds that require surgical measures to achieve hemostasis. NuMed Calcium Alginate Dressing PRODUCT # W (cm) L (cm) W (in) L (in) PCS/ BOX HCPCS NM5050CAD 5.0 5.0 2.0 2.0 10 A6196 NM1012CAD 10.0 12.5 4.0 5.0 10 A6197 NM1515CAD* 15.0 15.0 6.0 6.0 10 A6197 NM3530CAD 1.0 30.0.35 12.0 5 A6199 * Special order item please call for details. Bulk packaging available. NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

It s a New Day in Wound Care NuMed Silver Alginate Dressing NuMed Silver Alginate Dressing & Rope are soft, conformable wound dressings with a high mannuronic acid content. The silver impregnated alginate fibers, 1.4% w/w silver as silver calcium alginate per dressing, forms a gel when in contact with wound exudate or blood, which creates a moist wound healing environment. The silver in the alginate wound dressing has an antibacterial effect on various types of bacteria including; Staphylococcus aureus and E coli. The sustained release of silver ions protects the dressing from a broad spectrum of bacterial contamination over a period of up to 3 days. Features: Antibacterial effect on numerous strains of bacteria Protects wounds from bacterial contamination Designed to adapt to the shape of wound cavity Quickly absorbs wound fluids and forms a gel like covering over the wound Creates an ideal moist wound healing environment Can absorb up to 20 times its weight Easy to apply From the Product Line of NuMed Industries, LLC.

NuMed Silver Alginate Dressing INDICATIONS NuMed Silver Alginate Dressing is indicated for use in treating: Moderate to heavily draining wounds, tunneling wounds May help reduce infection in partial and full thickness wounds Leg ulcers Diabetic ulcers Venous ulcers Pressure ulcers Surgical and traumatic wounds Oncology wounds with exudates 1st and 2nd degree burns CONTRAINDICATIONS 1. NuMed Silver Alginate Dressing is not recommended for use on third degree burns. 2. Not recommended for use on light exudate and dry eschar. 3. Not indicated for use on wounds that require surgical measures to achieve hemostasis. 4. Contraindicated in patients with known sensitivity to silver. NuMed Silver Alginate Dressing PRODUCT # W (cm) L (cm) W (in) L (in) PCS/ BOX HCPCS NM5050SAD 5.0 5.0 2.0 2.0 10 A6196 NM1012SAD 10.0 12.5 4.0 5.0 10 A6197 NM1515SAD* 15.0 15.0 6.0 6.0 10 A6197 NM8030SAD 1.0 30.0.35 12.0 5 A6199 * Special order item please call for details. Bulk packaging available. NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

NuMed Collagen Dressing Type I Collagen is the most abundant type of collagen in the human body. As the main component of connective tissue, it is the most abundant protein in mammals, making up from 25% to 35% of the whole-body protein content. Collagen, in the form of elongated fibrils, is mostly found in fibrous tissues such as tendons, bones, ligaments and skin. The fibroblast is the most common cell which creates collagen. During wound healing, collagen encourages the deposition and organization of newly formed collagen fibers and granulation tissue in the wound bed. It also stimulates new tissue development and wound debridement, creating an environment conducive to healing. NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

It s a New Day in Wound Care NuMed Collagen Dressing NuMed Collagen Dressings are made of a porous type 1, 100% bovine collagen membrane. They consist of a fibrous collagen network similar to the dermis, creating an environment conducive to healing. Features: Absorbent Maintains a moist, wound healing environment Primary dressing for infected and noninfected wounds May be used in combination with topical agents Conform well to wound surfaces Non-adherent Easy to apply and remove From the Product Line of NuMed Industries, LLC.

NuMed Collagen Dressing INDICATIONS NuMed Collagen Dressing is indicated to manage: Chronic wounds such as partial or full thickness Pressure ulcers Venous ulcers Arterial ulcers Diabetic ulcers Acute wounds such as Surgical wounds (including donor sites and grafts) Surgical wound dehiscence Traumatic wounds (including abrasions, lacerations, partial thickness burns and skin tears) CONTRAINDICATIONS 1. Not to be used on patients who are sensitive to products of bovine origin 2. NuMed Collagen Dressing is not recommended for third degree burns NuMed Collagen Dressing PRODUCT # W (cm) L (cm) W (in) L (in) PCS/BOX HCPCS NM5050COL 50.0 50.0 2.0 2.0 5 A6021 NM1012COL 10.0 12.0 4.0 5.25 5 A6022 Bulk packaging available. NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

It s a New Day in Wound Care NuMed Collagen Particles NuMed Collagen Particles are spherically designed particles that consist of type 1, 100% bovine collagen that s similar in molecular structure to the collagen found in the skin. The particles lay down a collagen matrix in the wound bed, attracting the cellular components necessary to stimulate the healing process. Features: Each gram of NuMed Collagen Particle absorbs 40-60 times its weight in fluid Covers any size surface area Maintains a moist wound healing environment Primary dressing for infected and noninfected wounds may be used in combination with topical agents Conforms well to all wound surfaces Non-adherent Easy to apply and remove From the Product Line of NuMed Industries, LLC.

NuMed Collagen Particles INDICATIONS NuMed Collagen Particles are indicated to manage: Pressure ulcers (stages 2, 3, and 4) Partial and full thickness wounds Podiatric surgical wounds Tunneling and undermining wounds Infected and noninfected wounds with drainage Scattered areas of slough or necrosis CONTRAINDICATIONS 1. Not to be used on patients who are sensitive to products of bovine origin 2. NuMed Collagen Particles are not recommended for third degree burns NuMed Collagen Particles PRODUCT # Tube Tubes/box HCPCS NM10COL 1 gram 5 A6010 NuMed Industries, LLC 1141 Holland Drive #30 Boca Raton, Florida 33487 1-800-684-9805 www.numedindustries.com

Pressure Ulcer Staging Guide Stage I: 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. Stage II: 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. 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. Stage III: 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. The depth of stage III pressure ulcer varies by anatomical location. Bone/ tendon is not visible or directly palpable.

Stage IV: 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. The depth of stage IV pressure ulcer varies by anatomical location. 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. Un-Stageable 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. Until enough slough and/or eschar is removed to expose the base of the wound, the true depth, and therefore stage, cannot be dertermined. 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. Deep Tissue Injury Purple or maroon localized area of discolored intact skin or blood-filled 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.

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It s a New Day in Wound Care 1141Holland Drive #30 Boca Raton, FL 33487 Fax: 1-561-241-5244 Phone: 1-800-684-9805 www.numedindustries.com Customer service email: service@numedindustries,com Representative: Phone: Email: