APEX Domus 3 Clinical Cases · Clinical Cases November 2015. The Matia Foundation is a non-profit organisation with over 130 years’ experience in the care of the elderly, employing

APEX Domus 3 Clinical Cases

November 2015

The Matia Foundation is a non-profit organisation with over 130

years’ experience in the care of the elderly, employing about 1,000

highly-trained staff.

The Matia Foundation conducts research into the clinical needs of

older patients, this leads to their R&D facility being able to come up

with new innovations which can be disseminated into society to

benefit patient care.

The Matia Foundation

Clinical Partner

DeveloperApex Medical

Apex Medical's mission is to improve people’s quality of life by

supplying them high quality equipment. To achieve this aim, Apex

Medical plays an active role in institutions such as the Spanish

Federation of Orthotists and Prosthetists, FEDOP, or GNEAUPP (the

Spanish National Pressure Ulcer Group), and participates in many

national and international conferences.

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Apex Medical’s head office is in the Taipei and since 1990 Apex has

manufactured medical equipment in the following categories:

• Medical devices for the prevention of pressure ulcers.

• Respiratory therapy devices.

• Pain therapies.

Each bed was tested by 10 patients with the following profile :

Pressure ulcers or bedsores are wounds that occur over bony protuberances (for example heels, sacrum, head), as a result of pressure, friction and shear effect. The aim of this study is to evaluate the effectiveness of the Special Pressure-Management Surface (SEMP in Spanish) DOMUS 3, in the prevention and treatment of Pressure Ulcers.

Domus 3Domus is Apex’s pressure-alternating range of SEMP which is ideal for use in community care settings. The Domus 3 is an entry level system ideal for the prevention and cure of less severe pressure ulcers. It is a manually adjusting overlay system, designed to be used in conjunction with a foam mattress. The system has an alarm and static function which will accommodate patient weights of up to 180kg.

Methodology

The evolution of the PU’s in these patients was observed and recorded over 4 weeks, using the SEMP Domus 3 and applying protocols for the prevention and treatment of PU’s laid down by the Matia Foundation.

Objective

Domus 3

Mean Age

Sex

Patients with medium and high risk (Norton) but

without PU’s

With PU’s

71,7 YEARS

30% MEN 70% WOMEN

6

4

3

Cases of treatment of pressure ulcers

Background :91-year-old patient with arthritis and osteomyelitis in the knee and femur because of e-coliBMI : 21.5Hours spent in bed : 22 hours.Hours spent in a chair : 2 hours.Location of pressure ulcer : High risk (12 on the Norton scale)Grade I ulcers on the left heel (5x5 cm)

Treatment protocol :Use of Domus 3 surface.Application of hyperoxigenated fatty acids on the pressure points.Lying the patient on their side and change of position every 3 hours.Mepentol.Use of a heel support.

Results :After applying the protocol for 4 weeks, the ulcers on the heel had diminished to 3x3 cm.

Case 1 Treatment with Domus 3 of a convalescent patient with Grade I PU on their heel.

1st week

4th week

Case 2 Treatment with Domus 3 of a patient with Grade III PU on the buttock.

Background :75-year-old patient with dilated cardiomyopathy, type 2 diabetes,hypercholesterolemia, COPD and hyperuricemia.BMI : 31.9Hours spent in bed : 20 hours.Hours spent in a chair : 4 hours.Location of pressure ulcer : High risk (12 on the Norton scale)Grade III ulcers on the right buttock (4x1.5 cm)

Treatment protocol :Use of Domus 3 surface.Application of hyperoxigenated fatty acids on the pressure points.Lying the patient on their side and change of position every 3 hours.Mepentol.

Results :After applying the protocol for 4 weeks, the ulcer had gone from Grade III (4cmx1.5 cm) to Grade II (1cmx0.8 cm) and was no longer weeping.

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1st week

4th week

Case 4 Treatment with Domus 3 of a patient with Grade III PU on the sacrum.

Background :81-year-old patient with osteoarthritis and kidney failure.BMI : 33.6Hours spent in bed : 14 hours.Hours spent in a chair : 10 hours. Walks once in the evening with a walking frame.Location of pressure ulcer : High risk (12 on the Norton scale)Grade III ulcers on the sacrum (5x4 cm)

Treatment protocol :Use of Domus 3 surface.Metronizadol gel 2%, surgical debridement.

Results :After applying the protocol for 4 weeks, the ulcer had diminished to 4x4 cm.

Case 3 Treatment with Domus 3 of a patient with vascular insufficiency with Grade I PU on their heel.

Background :96-year-old patient with left hemiparesis and severe vascular insufficiency BMI : 40.7 Location of pressure ulcer : High risk (Norton scale)Grade I ulcers on the left heel (5x5 cm)

Treatment protocol :Use of Domus 3 surface.Application of hyperoxigenated fatty acids on the pressure points.Lying the patient on their side and change of position every 3 hours.Mepentol.Use of a heel support.

Results :After applying the protocol for 4 weeks, the ulcers on the heel had diminished to 5x4.5 cm.

5

1st week

4th week

1th week

4th week

Background :52-year-old patient with multiple sclerosis, paraplegia, dysphagia and double incontinence.BMI : 19Hours spent in bed : 18 hours.Hours spent in a chair : 3 hours in the morning and 3 in the afternoon.Location of pressure ulcer : None, patient at high risk (12 on the Norton scale)

Treatment protocol :Use of Domus 3 surface.Application of hyperoxigenated fatty acids on the pressure points.Lying the patient on their side and change of position every 3 hours.

Results :By applying the prevention protocol for 4 weeks, the appearance of pressure ulcers was prevented.

Case 5 Prevention using Domus 3 in patient with multiple sclerosis. High risk.

Background :56-year-old patient with multiple sclerosis, tetraplegia, dysphagia and double incontinence.BMI : 31Hours spent in bed : 18 hours.Hours spent in a chair : 3 hours in the morning and 3 in the afternoon.Location of pressure ulcer: None, patient at high risk (12 on the Norton scale).

Treatment protocol : Use of Domus 3 surface.Application of hyperoxigenated fatty acids on the pressure points.Lying the patient on their side and change of position every 3 hours.



Cases of prevention of pressure ulcers

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Background :93-year-old patient with intestinal infection because of clostridium and intestinovesical fistulae.BMI : 23.4Hours spent in bed : 24 hours.Location of pressure ulcer’s : High risk (10 on the Norton scale).Multiple moisture lesions in the sacrum-buttocks area.

Treatment protocol : Use of Domus 3 surface.Application of hyperoxigenated fatty acids on the pressure points.Lying the patient on their side and change of position every 3 hours.

Results :By applying the prevention protocol for 4 weeks, the appearance of pressure ulcers was prevented.Total cure of the moisture lesion.


Background :58-year-old patient with multiple sclerosis, neurogenic bladder and mild dysphagia.BMI : 26.7Hours spent in bed : 16 hours.Hours spent in a chair : 4 hours in the morning and 4 in the afternoon.Location of the pressure ulcer : None, patient at medium risk (13 on the Norton scale)



Case 8 Prevention using Domus 3 in patient with multiple sclerosis. Medium risk.

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Background :52-year-old patient with pneumococcal meningitis, tetraplegia and double incontinence.BMI : 18.5Hours spent in bed : 18 hours.Hours spent in a chair : 3 hours in the morning and 3 in the afternoon.Location of pressure ulcer : None, patient at medium risk (13 on the Norton scale)



Background :63-year-old patient with myelopathy, spastic paraplegia and double incontinence. Feeding by gastrostomy tube.BMI : 19Hours spent in bed : 17 hours.Hours spent in a chair : 3 hours in the morning and 4 in the afternoon.Location of pressure ulcers : None, patient at medium risk (13 on the Norton scale)



Case 10 Prevention using Domus 3 in patient with myelopathy. Medium risk.

Case 9 Prevention using Domus 3 in patient with pneumococcal meningitis. Medium risk.

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Conclusions

Of the 10 patients who used the SEMP DOMUS 3, it was concluded that:

1. None of the patients who were at risk of developing a Pressure Ulcer (3 high risk and 3 medium risk) developed Pressure Ulcers.

All the patients with PU’s have seen a positive improvment in their ulcers, with an especially significant improvement in cases with ulcers on the sacrum and buttocks (2 cases).

In 6 cases, quality of sleep improved, because of the comfort of the bed.

The moisture lesion improved markedly in the patient affected by this problem

2.

3.

4.

Study developer : Iñigo Salazar Blanco Apex MedicalElcano 9, 6ª Planta 48008 Bilbao TEL. 94 470 64 08 [email protected]

Technical Coordination :

Isabel Arana Zabalegui / Mª Dolores Oyarbide Martínez

The Matia Fundation

Pino bidea, 35

20018 San Sebastián

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www.apexmedicalcorp.com© Apex Medical Corp. 2015

HEADQUARTERSApex Medical Corp.No. 9, Min Sheng St., Tu-Cheng,New Taipei City, 23679, TaiwanT: +886 2 2268 3100F: +886 2 2268 [email protected]

EUROPEApex Medical S.L.Elcano 9, 6a planta 48008Bilbao. Vizcaya. SpainT: +34 94 4706408F: +34 94 [email protected]

UKApex Medical LimitedUnit 21, Optima Park, Thames Road,Crayford, Kent DA1 4QXT: +44-1322-520-575F: +44-1322-554-182enquiry@apexmedicalcorp.co.ukwww.apexmedicalcorp.co.uk

MIDDLE EAST • AFRICA29, Misr Liltameer Building, Stree#10, AREA#8,Sheraton Building, Heliopolis Cairo, Egypt.T: +202 2 2671303F: +202 2 [email protected]

CHINAApex Medical (Kunshan) Corp.No. 1368, ZiZhu Road, Kunshan,Jiang Su Province, ChinaT: +86 512 8617 1660 Ext1150F: +86 512 8617 [email protected]

USAApex Medical USA Corp.615 N. Berry St. Suite D, Brea, CA 92821, USAT: +1 714 671 3818F: +1 714 671 [email protected]

INDIAApex Medicalcorp India Pvt. Ltd.303, Third Floor Block 4A DLFCorporate Park Phase - ill,Gurgaon, HaryanaT: +91 11 6654 4138F: +91 11 6654 [email protected]

FRANCEApex Medical France SAS8 Blvd. de l’Epervière, 49000 Écouflant, FranceT: +33 272 792 713 / +33 285 730 767 [email protected]

Documents

APEX Domus 3 Clinical Cases · Clinical Cases November 2015. The Matia Foundation is a non-profit organisation with over 130 years’ experience in the care of the elderly, employing