Eclypse Range Product Brochure

www.advancis.co.uk

Absorbs fIuid... not your budget

Eclypse®

Super Absorbent Dressings

How do the layers of the Eclypse® dressings work?

The backing

Secondary layer

Moisture locking layer

Rapid wicking layer

Soft silicone contact layer

Backing

Rapid wicking layer

Moisture locking layer

Secondary layer

The water-resistant barrier backing on Eclypse® dressings are bacteria and viral proof and critically prevent strike-through.

The backing features a high moisture vapour transfer rate of 4293g/m2 when in contact with water vapour.

This layer sits underneath the backing and on top of the moisture locking layer.

The layer helps to retain the dressing’s shape, avoiding sagging and encourages the even distribution of exudate in the moisture locking layer.

The central layer of the Eclypse® dressing consists of a sheet of highly absorbent crystals and a mechanically bonded cellulose pad.

As exudate and associated bacteria are locked into the dressing and retained under pressure the risk of strike-through and cross-infection are prevented.

This layer draws up the exudate from the wound bed delivering the exudate into the moisture lock layer.

This layer wicks and distributes the fluid away from the wound bed preventing peri-wound maceration.

The wicking rate is optimised to ensure that fluid is moved away from the wound without excessively drying out the wound bed or causing pain.

The silicone contact layer gently adheres to skin but due to the hydrophobic nature of silicone it will not adhere to the wound bed.

The atraumatic silicone provides a seal around the wound edges preventing maceration and critically reduces pain and trauma upon dressing removal making the adherent dressings suitable for patients with friable or sensitive skin.

Product descriptionEclypse Adherent Sacral® is a super absorbent wound dressing featuring a soft silicone contact layer designed specifically for the sacral area.The sacral area is a notoriously difficult area to dress with the combined requirements for absorbency, security and comfort.

Eclypse Adherent Sacral® has been specifically designed to meet these needs and is a major advancement in the management of sacral pressure ulcers and pilonidal sinus.

Dressing features

Unique atraumatic wound contact layer combined with high absorbency

Anatomically designed shape

Low profile round dressing edges prevent dressing lift

Silicone adhesive enables single handed dressing application

Can be used as a primary contact layer

Available in two sizes

Doesn’t damage the skin upon removal

Eclypse®

Super absorbent secondary dressing

Product descriptionEclypse® is a highly absorbent, high capacity wound dressing designed to absorb and retain fluid, reduce potential leaks and minimise the risk of maceration.The dressing has a rapid wicking face combined with a highly absorbentmoisture locking system. The absorbent layer provides a large capacitywith rapid fluid uptake. The backing features a water resistant barrier filmto prevent strike-through with a high moisture vapour transfer rate to pro-long wear time.

Dressing features

Highly absorbent

Non-strike through, bacteria-proof backing

Can be used safely under compression without significantly affecting sub-bandage pressure

Absorbs excess MMP’s and factors that inhibit wound healing

Low cost super absorbent, attractive to budget holders and

purchasers

Excellent range of sizes including unique 60cm x 40cm

Eclypse Adherent®

Super absorbent dressing with soft silicone contact layer

Product descriptionEclypse Adherent® is a super absorbent dressing with a self adhesive soft silicone contact layer. The soft silicone layer provides gentle adherence and will facilitate atraumatic removal. Eclypse Adherent is the only super absorbent dressing that features trauma-free silicone technology.

The silicone contact layer does not damage the surrounding skin, peri-wound area or newly formed tissue and will not adhere to the wet wound bed. Eclypse Adherent® can be easily lifted for adjustment without losing its adherent properties.

Dressing features

Unique atraumatic wound contact layer combined with high absorbency

Silicone adhesive enables single handed dressing application

Can be used as a primary contact layer

Minimises trauma and pain upon dressing removal

Combination dressing 2 in 1

Market leading range of sizes

Eclypse Adherent Sacral®Super absorbent sacral dressing

Eclypse Border® and Eclypse Border Oval®

Super absorbent dressing with silicone contact layer and border

Product descriptionEclypse Border® is a super absorbent dressing with a self adhesive soft silicone contact layer and hypo-allergenic adhesive border. The soft silicone layer provides gentle adherence and will facilitate atraumatic removal and the hypo-allergenic border allows further adhesion.

The silicone contact layer does not damage the surrounding skin, peri-wound area or newly formed tissue and will not adhere to the wet wound bed. The hypo-allergenic border provides dressing security meaning a secondary dressing is not required and is ideal for hard to dress areas. The dressing features an enhanced wicking layer and increased absorption capacity.

Dressing features

Increased absorbency capacity

Atraumatic and hypo-allergenic

Breathable, fluid-repellent backing

Provides moist wound healing environment

Additional wicking and moisture locking central core

Combination silicone and acrylic adhesive border

Also available in unique oval shape

Eclypse Foot®

Super absorbent foot wrap dressing

Product descriptionEclypse Foot® is a super absorbent dressing, designed to be applied securely around the foot area to manage wound exudate.

The dressing utilises the high fluid handling capabilities of the Eclypse® range in a preshaped dressing designed to fit comfortably and effectively around the foot. Its is easy and simple to apply and offers enhanced patient comfort.

Dressing features

Rapid absorption

High capacity

Fluid repellent backing

Strength and durability

Stay dry technology

Thin and conforming

Single dressing - no patchwork dressings

Background

An elderly lady, Mrs P, 86 years of age was transferred from a DGH to a Vascular Ward with extensive lower limb ulceration. Past medical history included AF, COPD, known peripheral vascular disease with a history of calf claudication. She had suffered with leg ulceration since Feb ’06. ABPI on the left were 0.47 and on the right 0.61.

Method

Mrs P’s main problem was pain, especially at dressing change. This, unfortunately, was required several times per day due to high levels of exudate. Oromorph was controlling her pain between but even with an extra dose prior to dressing change she was in some considerable discomfort. The aims of the dressings were not to heal her ulcers but to manage them. Her first dressing choice was Atrauman and surgipads with cotton wool and k-lite to secure. These became saturated quite quickly. This treatment continued for 4 days with at least a daily dressing change. On the 5th day a new Eclypse Adherent® highly absorbent dressing was applied. This particular dressing did not need to be secured with a retaining bandage and was very quick and simple to apply, Mrs P found this much more comfortable. This dressing remained in situ for 3 days before it required re-application.

When it was changed the intact skin was in good condition with no evidence of maceration. At dressing change Mrs P no longer required Oromorph. The second dressings once again were left intact for three days; at this point Mrs P was very ill but stable and was therefore transferred back to the DGH to be cared for closer to her family.

ConclusionIn conclusion Eclypse Adherent® proved to be a very effective dressing in three ways.• It managed large amounts of exudate with no evidence of maceration.• It was quick and easy to use without the need to secure in a patient who is immobile.• It did not adhere to the wound bed.

The combination of these things made Mrs P’s last weeks of life much more tolerable.

The use of Eclypse Adherent® on a chronically ill patient with extensive lower limb ulcerationHazelTrender,VascularSister,SheffieldVascularInstitute,NorthernGeneralHospital,Sheffield

Product descriptionThe Eclypse Boot® is a unique clinical solution to assist in the management of excess fluid often associated with lower leg oedema. Eclypse Boot® is a super absorbent dressing specifically designed to manage high levels of fluid around the feet and ankle.

The pre-shaped design overcomes the traditional time-wasting complexities of dressing ‘leaky legs’ with a patch-work quilt of square and rectangular dressings that are often bulky and restrict patient mobility.

Eclypse Boot®

Super absorbent leg wrap dressing

Dressing features

Anatomically designed to fit the lower limb and foot

12 Super absorbent individual compartments

Highly conformable

Significantly improves patient mobility

Easy to apply, single dressing design

Clinically proven to reduce dressing application time Available in two sizes

Introduction

Miss B is an elderly lady aged 82 whose quality of life had been increasingly debilitated over the past eighteen months by a chronic deteriorating grade four sacral pressure ulcer.

Miss B first developed a grade two pressure ulcer to her sacrum in 2009 following an episode of bed rest whilst recovering from a severe chest infection. Despite early intervention from the community healthcare team and family members in regards to;• Regular re-positioning• Air wave mattress• Seat cushion• A stable diabetes & high protein diet• Strict hygiene regime to maximize skin integrity

AssessmentMiss B was admitted to an acute elderly care ward. On initial assessment the wound bed appeared sloughy with a large central necrotic region and associated severe maceration around the wound margin radiating across both buttocks. The wound measured 8cm x 10cm x 5cm with a macerated 8cm peri skin border. The ulcerative region did not demonstrate any visible areas of underlying healthy granular tissue and a strong malodor was present. Microbiology results indicated that the wound bed was locally infected with the presence of Staphylococcus aureus, a common pathogen found in the infected chronic wound (White 2002).

The wound produced exudate of high viscosity and volume and the peri skin appeared fragile, macerated and inflamed. The patient’s average pain score on dressing change was 8/10 and 8/10 on a continuous basis, this despite regular analgesia being administered.

The pressure ulcer had traditionally been managed using an application of a silver-impregnated antimicrobial, hydrofibre dressing, Aquacel Ag, (Convatec) as the wound contact layer and a Tielle Plus (Systagenix), sacral dressing as the secondary dressing. Due to the associated problems of incontinence and secondary dressing creasing, Miss B required up to three dressing changes per day.

The option of utilising an advanced super absorbent sacral product (Eclypse Adherent Sacral® -Advancis Medical) in conjunction with a Manuka embedded calcium alginate (Algivon® - Advancis Medical) was discussed with both the patient and immediate family and consent was obtained.

The treatment of a grade 4 pressure ulcer with Algivon® & Eclypse Adherent Sacral®SharonDawnBateman,RGNDip,BScHons,Ma-ClinicalMatron-JamesCookUniversityHospital,Middlesbrough

MethodAlgivon® was applied and covered with an Eclypse Adherent Sacral® secondary dressing twice a week for nine weeks. The application of both products was simple, requiring nothing more than the Algivon® being deployed at the wound bed and the Eclypse Adherent Sacral® being placed over the wound and pressed into position.

Results

At each weekly assessment and twice weekly dressing change the wound bed demonstrated a significant reduction in both circumference and depth. The necrosis and heavy malodour had resolved by week two, by week three there was a gradual reduction in slough and exudate production from heavy to medium, which resulted in a healthy granulating wound bed being made visible. The microbiology swab at week two demonstrated a clean wound with no evidence of increased bacterial bio burden and key to wound care management the patient pain score had reduced significantly to 2/10 on the numerical scale at the dressing change care intervention.

Weeks two and three highlighted a noticeable reduction in exudate production with the patient’s wound being changed every third day in comparison to the thrice daily changes before the products being deployed and the forty eight hour dressing changes at week one. By the forth week the dressing regime was reduced to every five days.

Throughout the dressing regime utilising the Algivon® and Eclypse Adherent Sacral® therapies there was a noticeable reduction in overall wound size and depth, this had not been achieved within the previous eighteen months. At the end of the nine week period Miss B passed away peacefully with her family at her side.

ConclusionThe use of a product regime which incorporates both a medically impregnated calcium alginate, Algivon®, in conjunction with Eclypse Adherent Sacral® as a secondary dressing in the management of a chronic, deteriorating grade four sacral pressure ulcer has demonstrated a significant overall reduction in wound size and depth not previously achieved with various wound care regimes.

ReferencesBennettG,DealeyC,PosnettJ(2004)ThecostsofpressureulcersintheUK,AgeandAgeing33:230-35ButcherM(2001)NICEClinicalGuidelines:PressureUlcerriskassessmentsandprevention–areview,WorldWideWounds,1-3DOH(1993)PressureSores:Akeyqualityindicator,LondonDHGrayD,WhiteR,CooperP,KingsleyA(2004)TheWoundHealingContinuum,Anaidtoclinicaldecisionmakingandclinicalaudit,WoundsUKmanagementsupplement9-12LondonKirbyP,KhanN,DhillonNetal(2009)Dohoney–impregnateddressingsaffectglycaemiccontrol?,TheDiabeticFootJournalVol12No4117-180McCaffreyM(1983)Nursingthepatientinpain.HarperandRowLondonMullaiV&MenonT(2007)BactericidalactivityofdifferenttypesofhoneyagainstclinicalandenvironmentalisolatesofPseudomonasaeruginosa,JournalofAlternativeComplementaryMedicine,13:4,439-441OryanA&ZakerSR(1998)Effectsoftopicalapplicationofhoneyoncutaneouswoundhealinginrabbits,ZentralbfurVeterinarmedicineA45,3,181-8WhiteR,(2002)TrendsinWoundCare,BritishJournalofNursingMonographQuaybooksBath

A case study demonstrating the effectiveness of the Eclypse® super absorbent dressingsHazelTrender,VascularSister,SheffieldVascularInstitute,NorthernGeneralHospital,Sheffield

Mr VB is an 84 year old, diabetic gentleman with long standing history of bilateral lower limb ulceration. Following a recent hospital admission, the ulcerated areas to both legs and feet deteriorated and Mr VB was re-referred back to the Wound Healing Centre for further treatment.

Fig.1

Fig.4 Fig.5 Fig.6

Fig.2 Fig.3The ulcer to the right lateral malleolus was very macerated with proteolytic enzyme damage to the surrounding tissue. The wound bed had a light covering of devitalised tissue. There was some malodour emanating from the wound (fig: 1). The wound was dressed with Iodasorb and an Eclypse® dressing to address both the bio-burden and the exudate.

On review, 2 days later, there was a significant improvement to the surrounding tissue as a result of exudate management using the Eclypse® dressing (fig: 2). On the left leg there was a large ulcerated area to the mid-gaiter region which on rereferral back to the Wound Healing Centre was sloughy and wet (fig: 3). Fig: 4 shows the Eclypse® dressing that was removed after a 2 day period. This was dressed with Aquacel and Eclypse® in order to try and debride some of the sloughy tissue whilst still managing the exudate (fig: 5). After a period of 2 days the wound was reviewed and again, the Eclypse® had aided in reducing the maceration to the surrounding tissue (fig: 6).

Fig.1Gradetwo pressure ulcer

Fig.2Agrade4pressure ulcer

Product sizes & codesProduct Size Stock code Dressings per box PIP code NHS code

Eclypse® 10cm x 10cm CR3818 20 372-1057 EJE029




Eclypse Adherent® 10cm x 10cm CR3881 10 325-2293 EKH034




Eclypse Adherent Sacral® 17cm x 19cm CR3985 10 348-2213 EME043

Eclypse Adherent Sacral® 22cm x 23cm CR3986 10 348-2239 EME044

Eclypse Border® 15cm x 15cm CR4296 10 383-6897 EKH061

Eclypse Border® 20cm x 30cm CR4297 10 383-6905 EKH062

Eclypse Border Oval® 10cm x 20cm CR4300 10 383-5881 EKH063



Eclypse Boot® 55cm x 47cm CR4237 5 380-4630 EJE085

Eclypse Boot® 60cm x 70cm CR4014 5 347-6207 EME042

Eclypse Foot® 33cm x 48cm CR4219 5 376-5468 EJE086

Advancis Medical is a trading name of Brightwake LtdLowmoor Business Park, Kirkby-in-AshfieldNottingham, NG17 7JZ, EnglandTel: +44 (0)1623 751500 | Fax: +44 (0)871 264 8238 | Email: [email protected]

MAR203/r5

How long can you leave Eclypse® on for?Wear time will depend on the level of exudate, daily changes may be required, but Eclypse® can be left in place for up to 7 days.

Can Eclypse® be used as both a primary, and secondary wound contact layer?Eclypse Adherent®, Eclypse Border® and Eclypse Border Oval® can be used on all wound types as either a primary or secondary dressing due to its unique soft silicone contact layer, which prevents adherence to the wound bed.

On wounds with broken tissue it may be necessary to use an additional primary contact layer with Eclypse® for example Silflex®. Eclypse® can be used as a primary contact layer where the skin is intact.

How should I choose between the regular Eclypse®, the adherent one and the bordered one?Eclypse Adherent® is the dressing of choice, when skin is fragile or when any adherence would lead to trauma or pain. When increased absorbency is required due to high levels of exudate, Eclypse Border®/ Eclypse Border Oval® are the dressings of choice.

What should I use to secure Eclypse®?Eclypse® should be secured with the appropriate bandage system, i.e tubular or compression. The Eclypse Adherent® and Eclypse Border®/Eclypse Border Oval® dressings are self adherent due to the soft silicone contact layer and the adhesive on the bordered dressings, although additional securing can be used as mentioned above.

Can Eclypse® be used under compression?Yes Eclypse® can be used under compression. In respect of use under compression, Eclypse® in its dry state is a very flat dressing and will not adversely affect compression values.

How much fluid does Eclypse® absorb?The Eclypse® dressings will rapidly absorb fluid with a capacity for 80g/100cm2/24hr. It has the ability to hold 17 times its weight in fluid. The Eclypse Border®/ Eclypse Border Oval® dressings have the ability to absorb 50% more than the rest of the range.

Can Eclypse® be cut?All Eclypse® dressings cannot be cut, the edges are sealed, cutting would lead to shedding of the internal fibres, which could lead to potential foreign body reactions in the wound.

Does Eclypse® cause maceration?The dressing has a rapid wicking face combined with the highly absorbent moisture locking system. The absorbent layer provides a large capacity with rapid fluid uptake ensuring the exudate is drawn away from the wound bed and surrounding tissue, preventing maceration.

Do you get strike-through with Eclypse®?The backing features a water-resistant barrier film which prevents strike-through.

How do we know when to change Eclypse®?Eclypse® can be left in place for up to 7 days but will need to be changed more frequently depending on the level of exudate. Once saturated the dressing may become heavy and sag which is a sign that the dressing needs to be changed.

Are there any contra-indications for Eclypse® dressings?We do not advise use of Eclypse® super absorbent dressings on arterial bleeds or heavily bleeding wounds. The wicking action and absorption of the dressing will absorb the blood making it difficult to assess the amount of blood loss. Do not use Eclypse Adherent® or Eclypse Border®/ Eclypse Border Oval® if allergic to silicone. Do not use Eclypse Border®/ Eclypse Border Oval® if allergic to acrylic.

Frequently asked questions...

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Eclypse Range Product Brochure