Traige CCNPWT - Negative Pressure Wound Therapy

YOUR PARTNER IN WOUND CARE

www.triagemeditech.com

WOUND MANAGEMENT

Chronic and complex wound management requires a systematized and comprehensive approach and represents a

considerable COST BURDEN to the society on health services. It requires considerable manpower, frequent specialist

consultation and adjunct therapies.

India is known as the diabetes capital of the world and about 5% of India's total diabetic population develops foot ulcers resulting

in approximately 45,000 lower limb amputations annually

COMPOUND FRACTURE

TRAUMATIC ABRASSIONPRESSURE SORE`

VENUS LEG ULCER

DIABETIC FOOT ULCER

ABDOMINAL DEHISCENCE

TYPE OF WOUNDS

NPWT is used to treat almost all kinds of wounds with very few contraindications or complications.

NEGATIVE PRESSURE WOUND THERAPY

NPWT is wound therapy to manage effective wound treatment and has become a widely used option for treating variety of acute,

chronic and complex wounds.

Sterile healing environmentReduction of edemaIncreased wound perfusionIncreased granulation tissue formationDecreased bacterial loadingDecreased anaerobic activityFaster wound healing

This technique involves the use of open cell non-linear PU foam to seal the surface of wound with a transparent adhesive film followed by application of intermittent or constant pressure through a therapeutic NPWT device.

NPWT TECHNOLOGY

An advance wound healing technique that promotes VASCULAR PROFUSION, REDUCES EDEMA, enhances MICRO ANGIOGENESIS which aids in wound healing in acute as well as chronic scenario.

Wounds heal up to 61% faster With NPWT

BENEFITS OF NPWT

NPWT has revolutionized the management of wounds. It has many advantages over conventional methods of wound dressing

Non-invasive treatment Reduction of dressing changesReduced nursing timeReduced infection risks (patient & hospital)Concurrent rehabilitationBetter patient toleranceCost benefitsImproved patient quality life

Infection rates drop as much as 38%

Financial burdendecreases up To 83%

• Company: Triage Meditech Pvt Ltd• Brand : CCNPWT• One of the fastest growing domestic Medical

Technology companies• Manufacturer of complete NPWT products and

other advanced wound management products• Holds over 80% of the domestic market share• Pan India presence through direct and dealers

network• Currently exporting to more than 11 countries

ABOUT US

The first company to introduce NPWT technology in India and the first Indian company to export this technology to outside India. At

present, we are supporting to more than 11 countries

HEALTHCARE FOR ALL

Triage Meditech Pvt. Ltd. is dedicated to support the mission "healthcare for all". Our mission is to improve healthcare by utilizing technological advancement and developing best-in-class products.

The company's continuous R&D and evolution efforts towards manufacturing and promoting indigenous products at affordable

price. We intend to offer the best quality products which help healthcare professionals and caregivers to offer quality in their

practice and solutions to their patients. We are dedicated to continuous advancement in our offerings and we understand the

missing or discomfort factors that patients experience. We address these factors during the planning & development of our products.

Bangladesh Bulgaria IndiaMiddle East Nepal Sri Lanka Uzbekistan

OUR REACH

Complete Portfolio for NPWT Concept

WHY US?

The FIRST company to introduce this concept in IndiaA COMPLETE manufacturing Indian company for the entire concept

Maintaining international STANDARDS with COST EFFECTIVE solutionsPan India EFFICIENT sales and support network through direct as well as dealer

networkBest of standard STERILISATION Gama radiation

An ISO 13485:2003 certified and DCGI REGULATED companyBacked by QUALIFIED clinical staffs supervised by a panel of super speciality

physicians for QUALITY ASSURANCETRAINED engineer for tech SUPPORT

As no two wounds are alike so are NPWT systems. For effective treatment always choose right partner who can deliver

OUR VALUE

QUALITY CARE SAFETY

COST EFFECTIVE

EFFICIENT

SATISFACTION

Most Featured System | Complete Portfolio | Low Noise levelAcademic Upgradation Support

WHAT IS CLOSED CYCLIC NEGATIVE PRESSURE WOUND THERAPY (CCNPWT)?

NEGATIVE PRESSURE WOUND THERAPY also widely known as NPWT, WOUND VAC or TNP(Tropical Negative

Pressure) is a widely accepted wound management modality today, i.e.,

A specially designed foam dressing applied on a wound bed, sealed with a PU/PE drape further connected with a

drainage tubing to the Therapeutic Negative Pressure Device

HOW DOES CLOSED CYCLIC NEGATIVE PRESSURE WOUND THERAPY PROMOTE WOUND HEALING?

Removes excess fluid (infections and non-infectious), reduces edema, allowing tissue decompression

Stimulates granulation tissue formation by increasing vascular perfusion

Encourages mechanical stretching, approximates wound edges, enhances dermal perfusion, overall wound contraction

Protects wound from microbe imbalance Maintains a moist wound healing environment

OUR PRODUCT PORTFOLIO

VTG 2901The new

programmable CCNPWT system

delivers controlled negative pressure in the wound site

to accelerate healing process.

VTG 3000Newly introduced portable system in CCNPWT portfolio caters the future

of advanced wound care where

you need and when you need.

PPT 1000Peace of Mind for You. Convenient and affordable

system designed to deliver effective

therapy for venous

insufficiency.

DRESSINGSsuperior quality dressings and

accessories offer quality wound

care. Our products are being tested on predefined

parameters for the optimum results.

CCNPWT ABDOMINAL DRESSINGA MESH LESS ABDOMINAL DEHISCENCE TREATMENT

Is a transparent polyurethane non adherent sandwiched dressing, with a layer for encapsulating exposed or open bowel protection layer. The non adherent protection layer having uniform perforation drains out fickle materials from abdominal cavity provides an infection free environment for early closure of abdominal wall.

CCNPWT THERAPY DRESSING BENEFITS

Flexible foam dressing adapts to the contours of deep & irregular surface of the wound bed

Specially designed hydrophobic, non-linear networked foam dressing removes bacteria colonised wound exudate

The CCNPWT foam dressing aggressively promotes uniform healthy granulation tissue formation throughout the wound bed

CCNPWT provides a closed sterile & moist wound healing environmentPromotes granulation tissue formation, recent studies suggest mechanical stretching may result in increased mitosis (Cell Replication) Controlled Negative Pressure Therapy decreases wound volume approximating wound edges, helps uniformly draw wounds closedPromotes continuous wound debridement by removing wound debris & bacteria colonized wound output/interstitial fluid allowing tissue decompression

WHAT FACTORS MAY ENHANCE HEALING

BIO-MECHANISM.

Reduces oedema Reduces bacterial loadStimulates cell proliferationEnhances dermal perfusionPromotes micro angiogenesisProtects wound from re-infection, cross infection or spreading further infectionPromotes Skin Graft/Flap uptake (The flexible foam dressing gently presses the skin graft or flap ensuring full contact with the wound bed

Increased PerfusionMorykwas Michael J, Argenta Louis C, Shelton-Brown Erica I, McGuirt Wyman: NPWT: A New Method for Wound

Control and Treatment: Animal Studies and Basic Foundation. Annals of Plastic Surgery, 1997

Peak blood flow recorded at 125 mmHg Study helped establish original pressure

protocol with Foam Dressing (400-600 micron pore-size)

Hypothesized that reduction in oedema decompresses small blood vessels and increases flow

Frank Ischaemia and Wound Hypoxia

Positive effect on perfusion with 100-125 mmHg

Reduction of Inhibitory FactorsMorykwas Michael J, Argenta Louis C, Shelton-Brown Erica I, McGuirt Wyman: NPWT: A New Method for Wound

Control and Treatment: Animal Studies and Basic Foundation. Annals of Plastic Surgery, 1997

Reduction of oedema has positive effect in wound healing

Reduction of inhibitory factors contained in

interstitial fluid (chemical)

Decompression of small blood vessels, which

restores flow (mechanical)

Negative Pressure Wound Therapy increases perfusion and oxygenation, therapy likely enhances resistance to infection

What types of wound benefit from CLOSED CYCLIC NEGATIVE PRESSURE WOUND THERAPY?

Broadly Catagorised as:ACUTE WOUNDSSUB-ACUTE WOUNDSCHRONIC WOUNDSFull thickness and partial thickness burnsDiabetic / Neuropathic ulcersVenous Insufficiency ulcersPost-operative and dehisced surgicalTraumatic WoundsSkin Flaps and GraftsExplored fistulas

SAVE A

SURGICAL OUTCOME

FROM INFECTIONSAVE LIFE/LIMB

WHAT CONDITIONS INDICATE CAUTION? Active bleeding or patient on anticoagulant

therapy Proximity of blood vessels, organs, muscle, and

fascia requiring protection Irradiated vessels and tissue Bony fragments Untreated malnutrition Non-compliant or combative behaviour

Fixation of skin graft (mesh-grafts) or flap until the graft has taken (4-6 days). In these special cases,

Topical Negative Pressure Therapy is used for the secure fixation

of a split skin graft to the woundThe soft foam helps gently press the graft/flap onto the wound

bed and thus ensures full contact between the graft and the underlying wound bed, irrespective of the wound contours and

the formation of pockets, also continuously drains out the wound output, ensures infection free graft uptake

CCNPWT helps in Flaps & Graft uptake

Wound Healing with Proven Cost EffectivenessCLOSED CYCLIC NEGATIVE PRESSURE WOUND THERAPY has been used on more than a million wounds worldwide.

Clinical studies have shown that CCNPWT Therapy has the potential to help R E D U C E . . . . . .. .

Need for emergency care or re-admission Wound septicemia

No of dressing change Length of hospital stay Hospital Infection rate

Risk of Medicinal overdose Cost of care

Need for hospitalization Need for outpatient visits

Overall medical costs Hospital staff time

Bed Soiling Patient & Patient Family Suffering

Wound complications involving large subcutaneous vessels can cause significant challenges for surgeons. Negative pressure wound therapy (NPWT) has been increasingly used for treating complex wounds in vascular surgery, including groin infections, either as a bridge to surgical closure or as a primary wound treatment modality. A multidisciplinary advisory panel reviewed the literature relevant to wounds related to vascular surgical procedures and complications, focusing on large subcutaneous or infected vascular conduits. The results supported by the literature and the clinical practice of the consensus panel suggested that NPWT can be a useful adjunct to the management of vascular groin infections and dehiscence but must be used with caution & under close supervision.

PMID: 18845099 [PubMed - indexed for MEDLINE]

IT IS A COMBINATION OF VARIABLE POSITIVE & NEGATIVE PRESSURE THERAPY.

SYSTEM ENHANCES VASCULARITY BY PROMOTING MICRO ANGIOGENESIS, OPTIMIZES

THE HEALING ENVIRONMENT & WORKS AS A CATALYST IN THE WHOLE PROCESS OF HEALING. RESULTS MAY VARY PATIENT TO PATIENT BASED

ON VARIOUS FACTORS… like Nutrition Level, Blood Glucose Level, Severity

of PAOD etc..

WHAT INTERVENTIONS WILL MAXIMIZE HEALING?

Debride wound prior to Negative Pressure Therapy Off load pressure ulcers consistently Minimize time off NPWT to < 4 hours in a day Manage co-morbid condition Increased blood flow Reduction of oedema Minimize infection rate Control blood glucose level

WHAT ARE THE EXPECTED OUTCOMES? May observe increased exudate and wound size during the

first 48-72 hours due to the decompression of interstitial space and removal of extra-cellular fluid and debris.

Gradual reduction of fluid and surface area should be observed with each assessment.

Colour of wound bed should become a deeper red as perfusion to the site increases.

Measurements should decrease weekly. If healing is not observed in a week, treatment should be re-

evaluated. The average treatment with NPWT is 1-4 weeks. Length of

treatment is determined by goals of therapy.

HOW DO YOU MANAGE WOUND WITH CCNPWT?

Change dressing two/three times per week.Monitor frequentlyObserve wound and peri-wound area for signs and symptoms of infectionRemove dressings carefully to protect new tissue growth.Bright gush flow red blood in canister requires immediate evaluation.Measure and document per facility protocolNote : To initiate it is recommended to follow CCNPWT protocol, to ensure optimal results, as these are tried and tested protocol designed by various CCNPWT expert wound managers

WOUND ASSESMENT

CHART

WOUND ASSESMENT

CHART

WOUND TREATMENT PLAN CHART

STEP 1 : DEBRIDE & CLEAN THE WOUND WITH ISOTONIC SOLUTION

STEP 2 : CUT THE FOAM DRESSING IN THE SHAPE OF WOUND AND PLACE IT ON WOUND BED

STEP 4 : STICK THE MAPC TUBING DISTAL END KEEPING SYMMETRY WITH HOLE IN CENTRE & CONNECT WITH THE NEGATIVE PRESSURE SOURCE

STEP 3: SEAL THE WOUND WITH SEMI-PERMEABLE DRAPE & MAKE A SMALL HOLE IN THE CENTRE

DRESSING APPLICATION TECHNIQUE

INDICATED FOR TRAUMA WOUNDS

Granulation after 3 days of application

INDICATED FOR DIABETIC FOOT ULCERS

INDICATED FOR all Grade II, III & IVPRESSURE ULCERS

INDICATED FOR VENUS/ARTERIAL

LEG ULCERS

Infected Laprotomy

**Please seek advice for special Dressing selection

INDICATED FOR ABDOMINAL

COMPARTMENT SYNDROME

VENUS LEG ULCER with complications of sickle cell anaemia

CCNPWT application for 10 days

20 days post follow-up

ROAD ACCIDENT LACERATION

Road Accident case : with no vessels for primary closure

(results of 13 days NPWT Dressing Application)

INFECTED COMPOUND FRACTURE

AFTER 1st DRESSING CHANGE

AFTER 2nd DRESSING CHANGE

FOLLOW-UPPOST FLAP

Crushed InjuryAmputation

CCNPWT applied for

4 days

ROAD ACCIDENTLACERATION

Patient : HBsAg Positive

CCNPWT Applied for 7 days

DIABETIC FOOT ULCERS

Day 8 after Therapy Initiation

PRESSURE ULCER (GRADE IV)

Result of 8 days /2 dressing change

NPWTI S MORE THAN A MACH INE

R E M E M B E R

THANK YOU