management B. Braun Wound Care. right. From the start.€¦ · every type of wound at each phase of wound healing. By providing innovative solutions such as Prontosan® Wound irrigation

B. Braun Wound Care.right. From the start.

Wound management

2

millions of people around the world suffer from chronic wounds. such patients have to come to terms with months of pain and reduced quality of life and the need for long-term care and treatment. Chronic wound patients and their caregivers would like noth-ing more than fast, lasting healing.

successful treatment depends on the hygienic state of the wound, wound bed preparation, choice of wound dressings, the therapist‘s experience and last but not least, the patient‘s condition.

Wound coatings, bacterial biofilms, pus, necrotic tissue, detritus and in particular, the bacterial biofilm, delay or inhibit wound heal-ing. removing this detritus, otherwise known as ”detritolysis“, accelerates wound healing.

3

B. Braun has developed a comprehensive range of wound care products which enables optimal wound management by supporting and accelerating endogenous healing.

B. Braun Wound Care products focus on every type of wound at each phase of wound healing. By providing innovative solutions such as Prontosan® Wound irrigation solu-tion, bacterial biofilm can be efficiently removed thereby clearing the way for appli-cation of advanced wound dressings from the askina® range, to assist in the complex task of tissue repair.

this guide will help you to find the optimal treatment for your particular patient and wound type by recommending treatment management which is Right. From the start.

4 Your guide For Wound Care

6 Wound Bed PreParation 8 Prontosan® Wound irrigation solution10 Prontosan® Wound gel | Wound gel X 12 Prontosan® Wound spray13 Braunovidon® ointment | ointment gauze

14 neCrotiC to FiBrinous Wounds 16 askina® gel 18 askina® sorb 20 askina® absorb+

22 FiBrinous to granulating Wounds24 askina® Foam | Foam Cavity | askina® trachea 26 askina® heel

28 granulating to ePithelializing Wounds 30 askina® silnet 32 askina® dressil34 askina® dressil Border | sacrum 36 askina® dressil heel 38 askina® transorbent® 39 askina® transorbent® Border | sacrum

askina® touch 40 askina® thinsite 41 askina® hydro 42 askina® Biofilm® transparent 43 askina® derm

44 inFeCted Wounds 46 askina® Calgitrol® ag | askina® Calgitrol® thin48 askina® Calgitrol® Paste 50 askina® Carbosorb 51 askina® Pad i Pad s

skin at risk52 linovera® 53 askina® Barrier Film | Barrier Cream

askina® ClassiC range 54 askina® soft 55 askina® soft Clear 56 askina® soft i.V. 57 askina® soft Clear i.V.

59 ordering inFormation

Content

4

Wound desCriPtion / stage oF Wound healing

leVel oF eXudate theraPeutiC goal ProCedure / aCtions

Wound Cleansing &Wound Bed PreParation

PrimarY Wound dressingseCondarY Wound dressing

FrequenCY oF ChangedeeP suPerFiCial

Black necrotic wound (non-ischemic) *

low removal of dry necrotic tissue

hydration of the wound with hydrogelmechanical or surgical debridement

Prontosan® Wound irrigation solution

Prontosan® Wound gel

Prontosan® Wound gel X

askina® gel askina® gel askina® silnet askina® derm

up to 3 days

dry fibrinous wound

low removal of fibrinous tissue, Prevention of infection

mechanical or surgical debridement if needed, wound cleansing, hydration of the wound


1 - 3 days

moist fibrinous wound

medium to high

removal of fibrinous tissue, exudate management

mechanical or surgical debridement if nee-ded, wound cleansing, enhancing moist envi-ronment to promote autolytic debridement

askina® sorb ropeaskina® Foam Cavity

askina® sorbaskina® absorb+askina® Foam

askina® Pad Bandage, tape

daily

Fibrinous to granulating wound

medium to high

removal of fibrinous tissue, exudate management, Promotion of granulation

Wound cleansing, enhancing moist environment to promote autolytic debridement


askina® silnetaskina® absorb+askina® Foam


1 - 3 days

granulating wound

medium exudate management, Promotion of granulation

Wound cleansing, moist environment, protection of newly formed tissue and of surrounding skin

askina® Foam Cavity askina® silnetaskina® dressilaskina® transorbent®

Bandage, tape 1 - 3 days

granulating to epi-thelializing wound

low absorption of remaining exudate, Promotion of epithelialization

Wound cleansing, protection of newly formed tissue and of surrounding skin

askina® Foam Cavity askina® silnetaskina® dressilaskina® hydro


epithelializing wound

none Promotion of epithelialization

Protection of newly formed tissue n/a n/a askina® Biofilm transparent askina® derm

n/a up to 7 days

infected wound

medium to high

reduction of bacterial load, exudate management, odour control

Wound cleansing, prevent contamination from external bacteria, enhance moist wound environment

Prontosan® askina® Calgitrol® thinaskina® Calgitrol® Paste

askina® Calgitrol® agaskina® Calgitrol® Paste

askina® Carbosorbaskina® Pad Bandage, tape

daily

* in case of peripheral arterial disease, do not hydrate the wound toPiCal aPPliCation FrequenCY oF aPPliCation

skin at risk

none Prevention of stage i pressure ulcers

topical application of essential Fatty acids, diminish friction and shearing forces

Water and soap linovera® twice daily

skin at risk

none Prevention of periwound skin breakdown, Protection from maceration

Protect vulnerable or damaged areas Water and soap askina® Barrier Filmaskina® Barrier Cream

1 - 3 days

Your guide For Wound Care

5

Wound desCriPtion / stage oF Wound healing

leVel oF eXudate theraPeutiC goal ProCedure / aCtions

Wound Cleansing &Wound Bed PreParation

PrimarY Wound dressingseCondarY Wound dressing

FrequenCY oF ChangedeeP suPerFiCial

Black necrotic wound (non-ischemic) *

low removal of dry necrotic tissue

hydration of the wound with hydrogelmechanical or surgical debridement





up to 3 days

dry fibrinous wound

low removal of fibrinous tissue, Prevention of infection

mechanical or surgical debridement if needed, wound cleansing, hydration of the wound


1 - 3 days

moist fibrinous wound

medium to high

removal of fibrinous tissue, exudate management

mechanical or surgical debridement if nee-ded, wound cleansing, enhancing moist envi-ronment to promote autolytic debridement


askina® sorbaskina® absorb+askina® Foam


daily

Fibrinous to granulating wound

medium to high

removal of fibrinous tissue, exudate management, Promotion of granulation

Wound cleansing, enhancing moist environment to promote autolytic debridement


askina® silnetaskina® absorb+askina® Foam


1 - 3 days

granulating wound

medium exudate management, Promotion of granulation

Wound cleansing, moist environment, protection of newly formed tissue and of surrounding skin

askina® Foam Cavity askina® silnetaskina® dressilaskina® transorbent®


granulating to epi-thelializing wound

low absorption of remaining exudate, Promotion of epithelialization

Wound cleansing, protection of newly formed tissue and of surrounding skin

askina® Foam Cavity askina® silnetaskina® dressilaskina® hydro


epithelializing wound

none Promotion of epithelialization

Protection of newly formed tissue n/a n/a askina® Biofilm transparent askina® derm

n/a up to 7 days

infected wound

medium to high

reduction of bacterial load, exudate management, odour control

Wound cleansing, prevent contamination from external bacteria, enhance moist wound environment

Prontosan® askina® Calgitrol® thinaskina® Calgitrol® Paste

askina® Calgitrol® agaskina® Calgitrol® Paste

askina® Carbosorbaskina® Pad Bandage, tape

daily

* in case of peripheral arterial disease, do not hydrate the wound toPiCal aPPliCation FrequenCY oF aPPliCation

skin at risk

none Prevention of stage i pressure ulcers

topical application of essential Fatty acids, diminish friction and shearing forces

Water and soap linovera® twice daily

skin at risk

none Prevention of periwound skin breakdown, Protection from maceration

Protect vulnerable or damaged areas Water and soap askina® Barrier Filmaskina® Barrier Cream

1 - 3 days

6

Chro

nic

Wou

nds

acut

e W

ound

s

i. de

gree

bur

ns

ii. d

egre

e bu

rns

iii. d

egre

e br

uns

infe

cted

Wou

nds


· sterile solution

· Prevents biofilm formation

· Well-known substances with low allergenic potential

· Compatible with commonly used wound dressings

· Can be used up to 8 weeks after first opening

● ● ● ● ●


· sterile hydrogel





· Painless application

● ● ● ● ●


· sterile, highly viscous hydrogel






● ● ● ● ● ●

Braunovidon® ointment Braunovidon® ointment gauze

· Wound antiseptic

· spreads easily due to soft fluid consistency

· liquefies at body temperature

· available as cotton gauze already coated with ointment

● ● ● ● ● ●

suPerFiCial Wounds and Burns

Prontosan® Wound spray

· unsterile solution


· Prevents mdro contamination


· Can be used up to 12 months after first opening


● ● ●

7

Wound Bed PreParation

Clean. easY Wound healing. Wound Cleansing Wound Bed PreParation Wound antisePsis

the term ”Wound bed preparation“ was first described by Falanga et al (2000) and can be defined as the global wound management plan to acce-lerate endogenous healing and to enhance the effectiveness of advanced wound care products. the ultimate aim is to ensure formation of healthy granulation tissue resulting in complete wound closure.

Proper wound bed preparation in chronic wounds is achieved by:

· reduction of bacterial bioburden in the wound bed

· removal of necrotic tissue and slough

· Control of exudate

· management of cellular dysfunction and biochemical imbalance

Chro

nic

Wou

nds

acut

e W

ound

s

i. de

gree

bur

ns

ii. d

egre

e bu

rns

iii. d

egre

e br

uns

infe

cted

Wou

nds


· sterile solution





● ● ● ● ●


· sterile hydrogel






● ● ● ● ●


· sterile, highly viscous hydrogel






● ● ● ● ● ●

Braunovidon® ointment Braunovidon® ointment gauze

· Wound antiseptic



· available as cotton gauze already coated with ointment

● ● ● ● ● ●

suPerFiCial Wounds and Burns

Prontosan® Wound spray

· unsterile solution




· Can be used up to 12 months after first opening


● ● ●

8

Prontosan® Wound irrigation solution the solution For aCute, ChroniC and Burn Wounds

adVantages

· removes & prevents biofilm

· Prevents infections

· reduces healing time

· gentle dressing change




Prontosan® contains betaine and polihexanide Betaine reduces the environmental surface tension of the biofilm which results in a maceration of the biofilm and finally allows a better penetration into it. the mechanism of action can basically be compared with a dishwa-shing detergent. Polihexanide is an antimicrobial agent with broad specturm biocidal activity. the mode of action can be described as a non-specific electrostatic inter-action with the bacterial cell wall. the attachment of polihexanide to the bacterial cell wall results in a dis organisation of the biological structure of the bacteria.

Conventional Wound irrigation Prontosan®

9


use oF Prontosan® in nPWt

the negative pressure wound therapy (nPWt) irriga-ting systems provide an even more effective means for delivering solutions such as Prontosan® Wound irrigation solution to complicated wounds with the opportunity for:

· Preventing infection

· decreasing healing time

· reducing the risk of amputation

Caution: use on hyaline cartilage and in aseptic joint operations is contraindicated.

indiCationsProntosan® Wound irrigation solution can be used for the prevention of an infection in acute and chronic wounds including

· traumatic wounds

· Postoperative wounds

· Chronic skin ulcers (e. g. venous, diabetic or pressure ulcers)

· Burns 1st and 2nd degree

aPPliCationBefore Applicationto open the bottle remove distance ring and screw the cap clockwise

Advantages

· ready to use

· easy and simple to use

· direct application from the practical squeeze bottle


· Can be warmed up to body temperature

· Can be used on sensitive or irritated skin

· no risk of further contamination of wounds

· Can be used in combination with standard and advanced wound dressings

Prontosan® Size Pcs/Pack REFPod 40 ml 24 400484

Bottle 350 ml 1 400403

Bottle 1,000 ml 1 400446

Composition: 0.1 % Polyaminopropyl Biguanide (Polihexanide), Betaine surfactant, Purified Water

10

Prontosan® Wound gel | Prontosan® Wound gel X Cleansing and moistening oF skin Wounds and Burns. For the PreVention oF BioFilm.

adVantages

· removes & prevents biofilm

· Prevents infections

· reduces healing time

· gentle dressing change




While necrotic tissue and slough can be optimally removed by Prontosan® Wound irrigation solution, it is necessary to first remove heavy encrusta-tions by keeping the wound moist for a longer period of time. For this task, Prontosan® Wound gel and gel X provide the optimal solution.

When to use WhiCh gel

Prontosan® Wound Gel Prontosan® Wound Gel X

30 ml Pod 250 g tube

Fluid highly viscous

· For smaller, deep and tunneling wounds, as well as for difficult to access wounds

· For burn wounds i. & ii. degree

· For large surface area wounds, e.g.

· ulcus cruris

· decubitus

· For all burn wounds, incl. iii. degree

· if little quantity is required · When large quantities are required

· Where Prontosan® Wound gel is too fluid


11


hints and tiPs

all wounds should in priciple first be rinsed and cleansed with Prontosan® Wound irrigation solution, Prontosan® gel and gel X remain on the wound until the next dressing change. it therefore has a long acting effect.

indiCationsCleansing, moistening and decontamination of skin wounds and burns

· traumatic wounds

· Postoperative wounds

· Chronic skin ulcers (e.g. venous, diabetic or pressure ulcers)

· thermal wounds

· Chemical wounds (acid- and alkali-induced)

· radiation-induced woundsmoistening of bandages and wound dressings

aPPliCationthe choice between Prontosan® Wound gel and gel X allows an optimal application in large surface area as well as deep wounds. 1 For large surface area wounds apply a 3-4 mm thick layer of the

Prontosan® Wound Gel X and cover with a secondary dressing. 2 For the application in deep or tunneling wounds, wound cavities

and difficult to access areas, apply a 3-5 mm layer of Prontosan® Wound Gel and cover with a secondary dressing.

Prontosan® Size Pcs/Pack REFWound gel 30 ml 1 400505

Wound gel X 50 g 1 400517

Wound gel X 250 g 1 400508

Composition: 0.1 % Polyaminopropyl Biguanide (Polihexanide), Betaine surfactant, Purified Water, glycerol, hydroxyethylcellulose

1 2

12

Prontosan® Wound spray Cleansing and moistening oF suPerFiCial Wounds and Burns

Prontosan® Wound Spray Size Pcs/Pack REFspray bottle 75 ml 20 400565

Composition: Purified Water, Betaine surfactant, 0.1 % Polyaminopropyl Biguanide (Polihexanide)

handling/aPPliCation tiP rinse off residues of soaps, ointments, oils, or other wound cleansing substances thoroughly prior to the use of Prontosan® Wound spray.

adVantages

· Prevents wound infection

· supports wound healing



· reduces pain


indiCationsFor cleansing, irrigation and moistening of

· superficial acute and chronic wounds (e.g. skin lesions, bites, lacerations, abrasions, crush wounds, decubitus ulcers, ulcus cruris, diabetic ulcers)

· superficial burnssupports removal of encrusted bandages.

the Prontosan® Wound spray supports rapid wound healing by effective cleansing and moistening of superficial wounds and burns.

aPPliCation thoroughly spray Prontosan® Wound spray onto the entire wound and the wound site. With this, the risk for infection is reduced and optimal healing conditions are generated. afterwards, cover the wound with a dressing. Clotted or encrusted dressings can be moistened with Prontosan® Wound spray in order to be easily removed and to avoid pain during removal.

13


Braunovidon® ointment | ointment gauze antisePtiC skin and Wound treatment

Braunovidon® Size Pcs/PackOintmenttube 20 g 1tube 100 g 1tube 250 g 1Pot 250 g 1Ointment Gauzeindividually sealed 7.5 cm x 10 cm 1individually sealed 20 cm x 10 cm 1ingredients ointment: 10.0 g povidone-iodine (1.0 g available iodine, active ingredient) per 100 g;macrogol 400, macrogol 4000, purified water, sodium hydrogen carbonateingredients gauze: cotton fabric, white soft paraffin1 piece of ointment gauze 7.5 x 10 cm contains: 10.5 g ointment1 piece of ointment gauze 10 x 20 cm contains: 28.0 g ointment

easY & Fast aPPliCation Braunovidon® ointment gauze combines the advantages of the therapeutically established antiseptic Braunovidon® ointment with the practical and easy application of therapeutically correct amount of active ingredient onto the wound.

ProPerties



· the greaseless Braunovidon® ointment formulation is compatible with most wound dressings except for silver-containing dressings with standard and advanced wound dressings

indiCations

· antiseptic treatment of damaged skin (e.g. pressure sores, diabetic ulcers)

· antiseptic treatment of surface wounds and burns

· antiseptic treatment of infected dermatosis

· active against bacteria, fungi and mrsa

* the descriptions of the Braunovidon® products have been produced on the basis of their german authorisations as medicinal products. Both the product names and the authorised indications can vary from one country to another. For exact information, the country-specific summary of product characteristics should always be consulted.

Braunovidon® ointment

14

dry

necr

otic

wou

nds

mod

erat

ely

exud

ing

necr

otic

wou

nds

slou

ghy

necr

otic

wou

nds

askina® gel · special cannula to reach deeper wounds and sinuses

· outstanding hydration properties

· Crystal clear for accurate wound assessment

· exceptional stability; remains in place after application

● ●

askina® sorb

· optimal conformability, absorbency and gel formation

· Vertical absorption

· no maceration of wound edges

· Comes off in one piece

· atraumatic, pain-free dressing removal

● ●

askina® absorb+

· high, long lasting absorption capacity

· high retention (no sponge effect)

· Can be used with compression therapy

· no maceration of the wound edges

· soft and flexible even when saturated

● ●

low exuding wound

moderately exuding wound

heavily exuding wound

15

Necrotic to FibriNous WouNds

neCrosis and slough remoVal.easY, eFFeCtiVe, Painless. neCrotiC to FiBrinous Wounds

dry

necr

otic

wou

nds

mod

erat

ely

exud

ing

necr

otic

wou

nds

slou

ghy

necr

otic

wou

nds

askina® gel · special cannula to reach deeper wounds and sinuses

· outstanding hydration properties

· Crystal clear for accurate wound assessment

· exceptional stability; remains in place after application

● ●

askina® sorb

· optimal conformability, absorbency and gel formation

· Vertical absorption


· Comes off in one piece

· atraumatic, pain-free dressing removal

● ●

askina® absorb+


· high retention (no sponge effect)



· soft and flexible even when saturated

● ●

16

askina® gel hYdrogel For autolYtiC deBridement

adVantages

· easy to apply, in any position, with one hand

· remains in place after application

· a special cannula allows to reach deeper wounds, sinuses, fistulas …

· more hydration: donates 40% of its water to the wound

· Crystal clear, provides a more accurate wound assessment

askina® gel is a clear, viscous, sterile hydrogel dependant on wound conditions, askina® gel rehydrates dry necrotic tissue, to promote debridement in dry wounds, or absorbs wound slough and exudate where a small amount of exudate is present. askina® gel maintains a moist wound healing environment conducive to natural healing.

hoW the hYdrogel Works?

Dist

ance

trav

elle

d in

cm

30 min

4

3

2

1

060 min 90 min 18 h

Askina® GelGel B

Exceptional stability of Askina® Gel:

during 18 h, askina® gel does not move, at 90° angle of inclination.

n askina® gel n gel B data on file

hydrogels have a special ability to adapt to their environment and can either hydrate the wound or absorb exudate. they facilitate the debridement and removal of necrotic and fibrinous tissue and other devitalised material.

absorbs the exudates and fragments of fibrin

hydrates the necrotic

tissue

17


tiPs For aPPliCation

· askina® gel should be applied to a depth of at least 5 mm

· use a transparent polyurethane film, askina® derm, to cover askina® gel

· askina® gel may be left in place for up to 3 days

indiCationslow exuding, sloughy or dry necrotic wounds

· Venous and arterial leg ulcers

· Pressure ulcers

· diabetic foot ulcers

· traumatic wounds

aPPliCation1 the amputation wound: fibrin and necrotic tissue are present.

mechanical debridement using scalpel is extremely painful despite the use of major analgesics.2 askina® gel is applied in a thick layer, the application is easy and

painless.3 the gel is then covered by a transparent polyurethane film, askina® derm.4 after one week of treatment, including 3 applications of askina gel, the black necrotic areas could be taken out and the fibrin removed easily. granulation tissue starts to appear.

Case performed by dr. lazareth, Vascular medicine department, st. Joseph hospital, Paris, France

Askina® Gel Size Pcs/Pack REF 15 g 5 001419 s

15 g 10 001419 n

100 g 1 0014291

Composition: Purified Water, glycerol, gelling agent, acrylic Polymer

1 2

3 4

18

askina® sorb highlY aBsorBing alginate dressing

adVantages

· Conformable and easy to apply

· high absorption capacity

· Forms soft gel which can be removed in one piece, without residues

· Vertical absorption process:

· no lateral strike through,


· atraumatic dressing removal

askina® sorb is a sterile primary wound dressing made of fibers containing 85 % of calcium alginate and 15 % of carboxymethylcellulose (CmC). When in contact with wound exudate, the alginate-CmC fibers are fast gelling, resulting from an ionic exchange between calcium ions from the dressing and sodium ions from the exudate, so as to form a soft moist gel conducive to natural healing.

0

5

10

15

20

25

30

g/10

0 cm

2 (30

min

)

Askina ® Sorb CMC dressing

28,08 g

19,22 g

Strong, fast acting absorptionComparison of absorption capacity of askina® sorb and the absorption capacity of the leading CmC dressing*

* surgical material testing laboratory. report #97/825/1, January 1997

19


tiP For FiXation

· Cover with secondary dressing, like askina® Pad, or askina® Foam if the wound is heavily exuding

· secure with surgical tape or bandage

indiCationsmoderately to heavily exuding wounds such as

· Pressure ulcers



· donor sites

· traumatic wounds

· abrasions

· 2nd degree burns

· Post-operative wounds

aPPliCation1 2 example of use of askina® sorb Flat rope

highly exuding deep wound. the dressing is inserted directly into the cavity. Wound should not be packed too tightly.

3 dressing is removed in one piece, without leaving residues in the wound.

4 the structure of alginate/CmC fibres.

1 2

3 4

Askina® Sorb Size Pcs/Pack REFdressing 6 cm x 6 cm 3 2109s

6 cm x 6 cm 10 2115s

6 cm x 6 cm 15 2100s

10 cm x 10 cm 3 2107s

10 cm x 10 cm 10 2116s

10 cm x 10 cm 15 2101s

15 cm x 15 cm 3 2108s

15 cm x 15 cm 10 2102s

Flat rope 2.7 cm x 34 cm 3 2106s2.7 cm x 34 cm 10 2105s

20

askina® absorb+ suPeraBsorBent non-adherent Wound dressing

adVantages


· high retention (no sponge effect):



· gradual absorption without “gel lock”

· remains soft and flexible even when saturated

· low adherent wound contact surface

· no “dry spill” of superabsorbent material

askina® absorb+ is a highly absorbing dressing which can retain and lock large amounts of wound exudate and bacteria. it consists of an inner pad made of strong water-retaining polymeric fibers encased in a non-woven outer pouch. in contact with wound exudate the liquid is converted and retained as a soft and flexible gel, which helps to clean the wound and maintain a moist environment.

hoW it Works

32

30

28

26

24

22

20

Absorbency w/w, g

Competitor superabsorbent dressing

askina® absorb+

Wei

ght o

f liq

uid

abso

rbed

aft

er

1h p

er g

ram

of d

ress

ing

[B. Braun data on file]

the inner pad consists of fibres composed of 3 components dried as one material.

1. Cellulosic fibre for dispersion & lateral wicking 2. super absorbent fibre for high absorption capacity3. Bicomponent fibre for binding and strength

absorption process is gradual and uniform allowing to absorb and store large quantities of exudate.No “Gel Lock” effect: as there is no powder content, there is no gel formation around particles which blocks further absorption leaving the inside of the particle dry.

absorption

saturated askina® absorb+nlow profilensoft and flexible

saturated competitor superabsorbent dressingnhigh profilenhard, no flexibility

21


tiP

· askina® absorb+ can be used as a primary dressing, or applied over other dressings where very high absorption is needed

· if necessary, several dressings can be slightly over-lapped to cover very large wound areas

· in case of deep wounds, do not pack the wound tightly as the product slightly expands with absorption

indiCationsmoderately to heavily exuding wounds, such as:

· Pressure ulcers



· 1st and 2nd degree burns

· traumatic wounds

· oncology wounds

CliniCal aPPliCation: Venous leg ulCer1 highly exuding wound with oedema and redness of the surrounding

tissue 2 askina® absorb+ was used under compression therapy: it efficiently

absorbed and removed a large quantity of exudate and wound debris3 Vertical absorption, no maceration at the wound edges4 after 12 days, wound surface and periwound oedema are significantly reduced, epithelialisation tissue is progressing.

1 2

3 4

Askina® Absorb+ Size Pcs/Pack REF10 cm x 10 cm 10 3331010

10 cm x 20 cm 10 3331210

20 cm x 20 cm 5 3332005

22

Pres

sure

ulc

ers

arte

rial a

nd v

enou

s le

g ul

cers

diab

etic

foot

ulc

ers

surg

ical

wou

nds

trau

mat

ic w

ound

s

ii. d

egre

e bu

rns

trac

heos

tom

ies

| dra

inag

e si

tes

suPerFiCial Wounds

askina® Foam

· excellent fluid handling characteristics

· Cost efficient: no need for frequent dressing changes

· soft and conformable

· sealed edges: low risk of leaving pressure marks

· no adherence to the wound

· atraumatic, painless dressing changes

· Visual control of exudate absorption

● ● ● ● ● ●

askina® heel · ready to use, no fixation device needed

· innovative anatomical design covering the malleolus

· Pressure relieving foam: helps prevent stage i pressure ulcers

· good protection against friction and shear stress

● ● ● ● ●

askina® trachea · Pre-cut opening to fit neatly around tracheostomies and drainage sites

· Can be used around any cannula or stoma ●

CaVitY Wounds

askina® Foam Cavity · shaped to fit many types of cavity wounds

· superior absorption

· atraumatic removal● ● ●

low exuding wound



23

Fibrinous to GranulatinG Wounds

managing eXudate eFFeCtiVelY. FiBrinous to granulating Wounds

Pres

sure

ulc

ers

arte

rial a

nd v

enou

s le

g ul

cers

diab

etic

foot

ulc

ers

surg

ical

wou

nds

trau

mat

ic w

ound

s

ii. d

egre

e bu

rns

trac

heos

tom

ies

| dra

inag

e si

tes

suPerFiCial Wounds

askina® Foam




· sealed edges: low risk of leaving pressure marks

· no adherence to the wound

· atraumatic, painless dressing changes


● ● ● ● ● ●

askina® heel · ready to use, no fixation device needed


· Pressure relieving foam: helps prevent stage i pressure ulcers

· good protection against friction and shear stress

● ● ● ● ●

askina® trachea · Pre-cut opening to fit neatly around tracheostomies and drainage sites

· Can be used around any cannula or stoma ●

CaVitY Wounds

askina® Foam Cavity · shaped to fit many types of cavity wounds

· superior absorption

· atraumatic removal● ● ●

24

askina® Foam | Foam Cavity | trachea hYdroPhiliC Foam dressings

adVantages



· enhances a moist wound environment

· no adherence to the wound; atraumatic dressing changes


· does not leave pressure marks when used under compression therapy

· askina® Foam Cavity is highly resistant: easy to remove, without leaving particles

askina® Foam is a two layered non-adherent foam dressing consisting of

· a soft hydrophilic polyurethane foam layer which is breathable and has a high fluid handling capacity (199 g/100 cm2)

· a thin, transparent and protective polyurethane film, which is water impermeable and bacteria resistant

askina® Foam Cavity is made of the same foam material as askina® Foam, without the polyurethane backing. the specific shape, high absorption capa-city and resistance makes it ideal for dressing deep, highly exuding wounds.

25


tiP

· askina® Foam can be fixed with tapes or bandages, or with compression bandages

· askina® Foam can also be used as a secondary dressing for highy exuding wounds, in combination with askina® sorb, or as a secondary dressing for deep wounds, filled with askina® sorb rope, or askina® Foam Cavity

indiCations askina® Foammoderately to heavily exuding wounds:

· stage i–iV pressure ulcers




· traumatic wounds

indiCations askina® Foam CaVitY

· deep cavity wounds with high exudate levels

askina® Foam: eXamPle oF use1 askina® Foam used on a heavily exuding flat wound:

visual control of exudate absorption.2 large quantity of exudate is absorbed:

vertical absorption, without maceration of the wound edges. 3 4 Combined use of askina® Foam Cavity, used to fill a deep

highly exuding wound, and askina® Foam, used as an additional absorption dressing.

1 2

3 4

Askina® Foam Size Pcs/Pack REFaskina® Foam 5 cm x 7 cm 10 7240710

10 cm x 10 cm 10 7241010

10 cm x 20 cm 10 7241210

20 cm x 20 cm 5 7242005

askina® Foam Cavity 2.5 cm x 40 cm 10 7244010

askina® trachea 9.5 cm x 8.5 cm 10 7248510

26

askina® heel anatomiCallY shaPed hYdroCellular heel dressing

adVantages

· ready to use concept, no fixation device needed


· Pressure relieving foam, helps prevent stage i ulcers

· good protection against friction and shear stresses

askina® heel is an anatomically shaped, two layered, non adherent foam dressing, which includes a securement foam strap and two self adhesive hooks that allow dressing to remain in place even during movement.

27


tiP

· the strap can be opened and closed many times to ensure that the dressing is securely and comfortably held in place

· Wound can be easily inspected, without patient discomfort

indiCationsmanagement of moderately to heavily exuding, partial to full thickness wounds on the heel

· stage i-iV pressure ulcers


· surgical incisions


hoW to aPPlY askina® heel1 apply self adhesive labels on each side of askina® heel2 apply gently the dressing on the heel area and fix with the strap3 Correctly positioned askina® heel: the ankle is covered4 the dressing can be also fixed with a compression stocking

1 2

3 4

Askina® Heel Size Pcs/Pack REFsurface = 225 cm2 3 7240103

surface = 225 cm2 5 7240105

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askina® silnet

· non-adherent: protects fragile granulation tissue

· atraumatic removal

· allows vertical passage of exudate through dressing


· Compatible with topical treatments/vacuum therapy

● ● ● ● ● ● ● ● ●

askina® dressil

· rapid wicking properties

· excellent fluid management

· safe adhesion to surrounding skin

· atraumatic, painless removal


● ● ● ● ● ● ● ●

askina® dressil Border · easy to apply - no secondary fixation needed

· safe fixation due to adhesive border

· adaptable to body contours

· stays in place during showering

● ● ● ● ● ● ● ●

askina® dressil sacrum · anatomic shape adapted to sacrum area

· good protection against pressure ulcers and maceration

· stays in place during showering● ● ● ● ●

askina® dressil heel · anatomically shaped foam dressing

· easy to apply

· large border for safe fixation● ● ● ● ● ●

askina® transorbent®

· superior absorption capacity

· does not stick to the wound surface

· Cushioning effect due to the polyurethane foam

· no maceration or residue

· Can be cut

● ● ● ● ● ●

askina® touch · easy to handle

· non adhesive: does not stick to the periwound area

· easy, painless and atraumatic dressing removal● ● ● ● ● ● ●

askina® transorbent® Border · secure fixation due to adhesive border

· suitable for difficult-to-dress areas ● ● ● ● ● ●

askina® transorbent® sacrum · triangular shape well suited for sacral areas ● ● ● ●

askina® thinsite · ultra thin (1 mm): superior flexibility, ideal for difficult anatomical contours

· ultra absorbent

· Balanced adhesive formula: easy application● ● ● ● ● ●

askina® hydro

· strong and long lasting absorption capacity

· high cohesive strength of the gel

· less dressing residues in the wound bed

· low risk of dressing ”meltdown“ and leakage

· reduces odours

● ● ● ● ●

askina® Biofilm transparent

· efficient absorption of residual exudate

· thin design that fits any body contours

· transparent, allow visual control of the wound

· easy to apply


● ● ● ● ●

askina® derm

· innovative application system: easy to apply

· high mVtr

· low tack adhesive: non aggressive removal

· impermeable to liquids and bacteria

· transparent: allows visual inspection of the wound

● ● ● ● ● ●

low exuding wound



29

GranulatinG to EpithElializinG Wounds

simPle, saFe and gentle. granulating to ePithelializing Wounds

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askina® silnet



· allows vertical passage of exudate through dressing


· Compatible with topical treatments/vacuum therapy

● ● ● ● ● ● ● ● ●

askina® dressil

· rapid wicking properties

· excellent fluid management

· safe adhesion to surrounding skin

· atraumatic, painless removal


● ● ● ● ● ● ● ●

askina® dressil Border · easy to apply - no secondary fixation needed

· safe fixation due to adhesive border

· adaptable to body contours


● ● ● ● ● ● ● ●

askina® dressil sacrum · anatomic shape adapted to sacrum area

· good protection against pressure ulcers and maceration

· stays in place during showering● ● ● ● ●

askina® dressil heel · anatomically shaped foam dressing

· easy to apply

· large border for safe fixation● ● ● ● ● ●

askina® transorbent®





· Can be cut

● ● ● ● ● ●

askina® touch · easy to handle

· non adhesive: does not stick to the periwound area

· easy, painless and atraumatic dressing removal● ● ● ● ● ● ●

askina® transorbent® Border · secure fixation due to adhesive border

· suitable for difficult-to-dress areas ● ● ● ● ● ●

askina® transorbent® sacrum · triangular shape well suited for sacral areas ● ● ● ●

askina® thinsite · ultra thin (1 mm): superior flexibility, ideal for difficult anatomical contours

· ultra absorbent

· Balanced adhesive formula: easy application● ● ● ● ● ●

askina® hydro

· strong and long lasting absorption capacity

· high cohesive strength of the gel

· less dressing residues in the wound bed

· low risk of dressing ”meltdown“ and leakage

· reduces odours

● ● ● ● ●

askina® Biofilm transparent

· efficient absorption of residual exudate


· transparent, allow visual control of the wound

· easy to apply


● ● ● ● ●

askina® derm

· innovative application system: easy to apply

· high mVtr




● ● ● ● ● ●

30

askina® silnet soFt siliCone Wound ContaCt laYer

adVantages


· atraumatic dressing change


· Compatible with topical treatments

· allows passage of exudate through the dressing

· either side can face the wound

· hypoallergenicaskina® silnet is made of a conformable non-woven material, coated on both sides with soft silicone. it is used as a wound contact layer, it conforms to the wound surface and adheres safely to the surrounding skin. the wound site is protected from mechanical disruption during dressing changes. the use of askina® silnet thus minimizes the trauma associated with dressing change.

soFt siliCone adhesiVe

askina® silnet is made of soft silicone, which provides safe and secure fixation, without stripping of epidermal cells during removal, unlike traditional acrylic adhesive.

traditional adhesive soft silicone adhesive

31


tiP For aPPliCation

askina® silnet can be used in combination with secondary dressings

· askina® Foam

· askina® heel

· askina® Pad

indiCations

· Cuts and abrasions

· skin tears

· traumatic wounds


· Fixation of skin grafts

· donor sites

· surgical wounds

· lacerations

hoW to use askina® silnet1 remove the transparent liner.2 apply askina® silnet on the wound surface and gently remove the

second transparent liner.3 apply suitable absorbing secondary dressing, like askina® Foam.4 mode of action of askina® silnet: its porous structure allows vertical passage of exudate into the secondary absorbing dressing, with no risk of maceration.

1 2

3 4

Askina® SilNet Size Pcs/Pack REF 5 cm x 7.5 cm 10 5195710

5 cm x 7.5 cm 3 5195703

10 cm x 7.5 cm 10 5197510

10 cm x 7.5 cm 3 5197503

10 cm x 18 cm 10 5191810

10 cm x 18 cm 3 5191803

20 cm x 30 cm 5 5192305

32

askina® dressil Foam dressings With siliCone adhesiVe

adVantages

· gentle and secure adherence

· minimized trauma during dressing changes

· significant absorption capacity

· easy to use

· good conformability on difficult-to-dress areas and skin contours

· repositionable, can be cut to shape

· improves patient comfort

· hypoallergenic

askina® dressil is a self adherent foam dressing with soft silicone adhesive on one side and a vapour permeable waterproof film on the other. it combines the absorption capacity of the foam with the soft adhesion of the silicone contact layer.

struCture oF askina® dressil

1. Protective polyurethane film nhighly breathable nBacteria and waterproof barrier

2. Hydrophilic foam layer nsoft and conformable nexcellent absorption capacity

3. Silicone adhesive layer nsafe adhesion to the surrounding skin with atraumatic removal nsilicone layer is perforated to allow exudate to pass through to the foam layer

1

2

3

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tiP

· askina® dressil can be used under compression bandages

· askina® dressil may also be used as an aid for the prevention of skin breakdown

indiCations

· Pressure ulcers

· Venous leg ulcers

· arterial leg ulcers


· traumatic wounds

· surgical wounds


· donor sites

· skin tears

eXamPle oF use1 Wound in epithelializing phase

objective: protection of newly formed tissue and atraumatic dressing removal2 optimal exudate management 3 Within 2 days, the wound is completely epithelialized4 healed wound with very satisfying cosmetic result

1 2

3 4

Askina® DresSil Size Pcs/Pack REF 5 cm x 7 cm 3 | 10 5295703 | 5295710

10 cm x 10 cm 3 | 10 5291003 | 5291010

15 cm x 15 cm 3 | 10 5291503 | 5291510

10 cm x 20 cm 3 | 10 5291203 | 5291210

20 cm x 20 cm 5 5292005

34

askina® dressil Border | dressil sacrum Foam dressings With siliCone adhesiVe

adVantages

· gentle and secure adherence

· minimized trauma during dressing changes

· significant absorption capacity

· easy to use

· good conformability on difficult-to-dress areas and skin contours

· repositionable, can be cut to shape

· improves patient comfort

· hypoallergenic

askina® dressil Border has the same structure as askina® dressil, with an additional 1.5 cm large adhesive border, for more security during wear.it is specially adapted for difficult-to-dress or moving areas (knees, elbows, skin folds).

eXamPles oF aPPliCation

askina® dressil Border is also available in a shape specifically designed for the sacral area, askina® dressil sacrum.

35


tiP

· askina® dressil Border allows the patient to take a shower

· ideal for use with askina® Calgitrol Paste on infected diabetic foot ulcers

indiCations

· Pressure ulcers




· traumatic wounds

· surgical wounds


· donor sites

· skin tears

neW! noVel shaPe askina® dressil Borderspecifically designed for diabetic foot ulcers, the large silicone adhesive border with circular shaped island of foam is perfectly suited for small difficult wounds. suitable for covering deep sinuses or cavity wounds.

Askina® DresSil

Size overall dressing | foam island

Pcs/Pack REF

Border 6 x 6 cm | 3 cm Ø 10 5396610

7.5 x 7.5 cm | 4.5 x 4.5 cm 3 | 10 5397503 | 5397510

10 x 10 cm | 7 x 7 cm 3 | 10 5391003 | 5391010

10 x 20 cm | 7 x 17 cm 10 5391210

15 x 15 cm | 12 x 12 cm 3 | 10 5391503 | 5391510

15 x 20 cm | 12 x 17 cm 3 | 10 5395203 | 5395210

20 x 20 cm | 17 x 17 cm 5 5392005

sacrum 16 x 17.5 cm | 13 x 14.5 cm 5 549160521 x 22 cm | 18 x 19 cm 5 | 10 5492105 | 5492110

36

askina® dressil heel anatomiCallY shaPed Foam dressing With siliCone adhesiVe

adVantagessoft silicone adhesive layer

· atraumatic dressing removal

· repositionable, allowing wound inspection

· Coated all over the foam to allow intimate contactFoam layer

· excellent absorption capacity


· adaptable shapelarge Border

· security for improved patient comfort

· showerproof

specifically designed for wounds on the heel, askina® dressil heel is a new foam dressing with silicone adhesive. it is easy to position and is self-adherent, so there is no need for secondary fixation.

the foam layer provides excellent absorption capacity and retention properties. soft and conformable it has a cushioning effect which gives more protection and helps to relieve pressure.

37


tiP

· askina® dressil heel can also be used for prevention of pressure ulcers

· Protects the heel and the malleolus

· no need for additional fixation

indiCationsmoderately exuding chronic and acute wounds located on the heel:

· Pressure ulcer

· diabetic foot ulcer

· traumatic wounds

· Post operative wounds

· skin tears

hoW to Position askina® dressil heel1 remove the transparent top liner that is protecting the two „ears“.2 Position the foot on the dressing.3 Cover the ankles with the „ears“ of the dressing.

remove the transparent lower liner.4 Wrap and cover the heel with the lower part of the dressing.

1 2

3 4

Askina® DresSil


Pcs/Pack REF

heel 22 cm x 21.6 cm | 18.9 x 18.5 cm 5 5592205

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askina® transorbent® Foam dressing With drY hYdrogel laYer

in a randomised comparative study*, with 120 patients with pressure ulcers included, askina® transorbent® showed 57 % greater mean reduction of the wound surface compared to a hydrocolloid dressing, without leaving residues in the wound.

example of use of askina® transorbent®

2nd degree pressure ulcer on the vertebra of a cachectic patient.

adVantages





· Can be cut to individually adapted sizes and shapes

indiCations

· Pressure ulcers

· Venous leg ulcers, arterial leg ulcers


· traumatic wounds

· surgical wounds


· aid in the prevention of skin breakdown

the transorbent® dry hydrogel technology features a patented design that provides a unique absorption process. it is able to transfer fluid away from the wound, capture it, and eliminate the excess moisture.

struCture oF askina® transorBent®

Askina® Transorbent® Size Pcs/Pack REF 5 cm x 7 cm 10 0072786 r

10 cm x 10 cm 5 0072789 u

15 cm x 15 cm 5 0072790 V

20 cm x 20 cm 5 0072791 W

* Comparison and evaluation of the performance characteristics, usability and effectivness on wound healing of askina® transorbent® vs a hydrocolloid with foam backing; marie Brown-etris et al; results presented at the 5th european Conference in Wound management harrogate, 21 – 24 november 1995

1. Thin polyurethane layerimpermeable to liquids and bacteria but vapour permeable.

2. Foam layerProvides a means for the escape of moisture vapour giving the dressing its comfortable smoothness and conformability.

3. Dry hydrogel layerabsorbs wound exudate and preserves a moist healing envi-ronment. excess exudate is evaporated through the foam and upper layers.

4. Adhesive layersticks to the intact and dry surrounding skin but not to the wound surface.

1

2

34

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askina® transorbent® Border | sacrum | touch Foam dressings With drY hYdrogel laYer and adhesiVe or non-adhesiVe Border

tiP askina® transorbent® Border is shower proof

the transorbent® Border and sacrum have the same dressing layers and advantages as askina® transorbent®. the adhesive polyurethane border reinforces the adhesivity for more security during wear time.

Askina® Transorbent® BorderParticularly adapted for difficult-to-dress areas.Askina Transorbent® Sacrumtriangular shape adapted for the use on sacral area.Askina® TouchWhile having the same structure as askina® transorbent®, askina® touch is non adhesive. it is particularly adapted for wounds with a fragile periwound area.

askina® transorbent® sacrumnsafe adhesion of the border ensures protection of the skin against bodily fluidsnCushioning effect of the foam layer helps to prevent pressure ulcers

Askina® Transorbent®


Pcs/Pack REF

Border 9 cm x 14 cm | 5 cm x 10 cm 5 0072705B

9 cm x 14 cm | 5 cm x 10 cm 10 0072706B

14 cm x 14 cm | 10 cm x 10 cm 5 0072710C

17 cm x 17 cm | 13 cm x 13 cm 5 0072715d

24 cm x 24 cm | 20 cm x 20 cm 5 0072720e

sacrum 16 cm x 18 cm | 12 cm x 14 cm 3 0072795z

18 cm x 20 cm | 15 cm x 16.5 cm 5 0072792X

18 cm x 20 cm | 15 cm x 16.5 cm 10 0072799X

askina® touch 10 cm x 10 cm 10 7261002

10 cm x 15 cm 5 7261501

15 cm x 15 cm 5 7262252

15 cm x 15 cm 10 726225320 cm x 20 cm 5 7264001

40

askina® thinsite® thin aBsorBing dressing With drY hYdrogel teChnologY

tiP

· askina® thinsite® dressings are applied with a non-touch delivery system

· the dressing can be cut to any size and shape

· it can also be used for the care of peristomial skin

adVantages

· Conforms and compensates for difficult anatomical contours

· reduces friction during patient movement; helps prevent bunching or rolling

· allows visual inspection of absorbed exudate

· stays firmly in place, yet removes easily from delicate skin without damaging tissue or leaving behind adhesive residue

indiCations

· Pressure ulcers



· Post surgical wounds

· minor abrasions and lacerations

askina® thinsite® is an ultra thin and highly conformable wound dressing, offering all the absorptive powers of thick dressings into one patient-pre-ferred, flexible design. the advanced dry hydrogel formula offers controlled absorption and provides superior fluid management for a longer period of time.

suPerior aBsorPtion CaPaCitY

Askina® THINSite® Size Pcs/Pack REF10 cm x 10 cm 5 0072889u

10 cm x 10 cm 10 0072888t

10 cm x 10 cm 16 0072885P

15 cm x 15 cm 5 0072890V

15 cm x 15 cm 10 0072894V

20 cm x 20 cm 5 0072891W

in a side-by-side comparison over a five-day period, askina® thinsite® dressings absorbed significantly more fluid than the leading thick and thin hydrocolloids. the key to this performance is the hydrogel’s unique ability to manage exudate over hours of wear time.

data on file

20

15

10

5

0

Abso

rptio

n (m

l)

2h day1 day2 day3 day4

Askina® THINSite®

Hydrocolloid A

Hydrocolloid B thin hydrocolloid

41


indiCationsmanagement of moderately to highly exuding

· Pressure ulcers



· donor sites

· abrasions


askina® hydro hYdroColloid dressing

tiP

· askina® hydro can be worn for 5 to 7 days

· significantly reduces odour

askina® hydro is a new generation hydrocolloid dressing, with a particularly strong, long term absorption capacity and outstanding cohesive strength, with less risk of leaving residues in the wound bed. it contains Psyllium husk particles which reinforce the absorption capacity, bind wound bacteria and reduces malodour.

strong and long aCting aBsorPtion

Askina® Hydro Size Pcs/Pack REF10 cm x 10 cm 5 F72048

10 cm x 10 cm 10 F72041

15 cm x 15 cm 5 F72044

15 cm x 15 cm 10 F72045

20 cm x 20 cm 5 F72046

20 cm x 20 cm 10 F72047

1 3 7 24 48 72 96 120 144 168 192 216 240 264 288 312 hours

Askina® Hydro Standard hydrocolloid

9000

8000

7000

6000

5000

4000

3000

2000

1000

0

Abso

rptio

n g/

m2

data on file

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askina® Biofilm® transparent transParent hYdroColloid dressing

tiP

· askina® Biofilm® transparent can be worn for up to 7 days

adVantages


· transparent, allows visual control of the wound

· easy to apply


indiCationsmanagement of low exuding

· superficial chronic wounds: pressure ulcers, leg ulcers

· superficial acute wounds: 1st and 2nd degree burns, abrasions

· Post operative wounds

askina® Biofilm® transparent is a thin sterile transparent hydrocolloid dressing for moist wound treatment with the capacity to absorb residual exudate.

Composition

· sodium-carboxymethylcellulose

· Polyisobutylen

· Polyurethane film

Askina® Biofilm® Transparent Size Pcs/Pack REF10 cm x 10 cm 10 F72090

15 cm x 15 cm 5 F72091

15 cm x 15 cm 10 F72097

5 cm x 20 cm 10 F72095

20 cm x 20 cm 5 F72092

20 cm x 20 cm 10 F72098

43


adVantages

· maintains a moist environment

· Prevents scab formation

· easy to apply

· high mVtr film




indiCationsProtection of non exuding wounds such as

· stage i pressure ulcers

· donor sites

· minor abrasions

· 1st degree burns

· surgical wounds

· lacerations

askina® derm PolYurethane Film dressing

tiP

· Can be used as a prevention against skin breakdown due to friction or continuous exposure to moisture

· Can be used for the fixation of iV catheters or as a secondary dressing

askina® derm is a sterile transparent polyurethane film dressing. it is semipermeable and suitable for the protection of the newly formed skin. innoVatiVe aPPliCation sYstem

Askina® Derm Size Pcs/Pack REF 6 cm x 7 cm 5 F72031

6 cm x 7 cm 10 F72032

6 cm x 7 cm 100 F72033

10 cm x 12 cm 5 F72034

10 cm x 12 cm 10 F72035

10 cm x 12 cm 50 F72036

10 cm x 20 cm 10 F72037

15 cm x 20 cm 10 F72038

30 cm x 20 cm 10 F72039

1. remove the printed release paper from the adhesive side of the dressing.

2. Place the dressing over the wound site with the tabs on the adhesive side facing toward the wound. gently apply pressure to the dressing as it attaches to the wound.

3. slowly peel away the tabs and gently apply the remainder of the dressing to the surrounding dry skin.

4. remove the plastic carrier by peeling the tabs in the direction of the arrows.

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askina® Calgitrol® ag

· immediate and sustained release of silver

· no activation needed, ionic silver readily available

· active for 7 days

· non staining

· excellent exudate management

● ● ● ● ● ●

askina® Calgitrol® thin




· non staining

· Well adapted for deep and difficult-to-dress wounds

● ● ● ● ● ●

askina® Calgitrol® Paste

· highly conformable paste for intimate contact with the wound bed

· 100 % ionic silver, active against a broad spectrum of microorganisms, including mrsa

· no activation needed

· maintains a moist wound environment

· easy to remove by simple rinsing

· non staining

● ● ● ● ● ●

askina® Carbosorb · absorbs wound bacteria and malodourous substances

· For all types of malodorous wounds

· to be used as a secondary dressing● ● ● ● ● ●

low exuding wound



45

Infected Wounds

raPid and long lasting antimiCroBial aCtion. inFeCted Wounds

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askina® Calgitrol® ag




· non staining

· excellent exudate management

● ● ● ● ● ●

askina® Calgitrol® thin




· non staining

· Well adapted for deep and difficult-to-dress wounds

● ● ● ● ● ●

askina® Calgitrol® Paste






· non staining

● ● ● ● ● ●

askina® Carbosorb · absorbs wound bacteria and malodourous substances

· For all types of malodorous wounds

· to be used as a secondary dressing● ● ● ● ● ●

46

askina® Calgitrol® ag | askina® Calgitrol® thin silVer alginate dressings

adVantages

· highly efficient

· no activation needed: ready to use

· immediately active – significant reduction of bacterial load within first 30 minutes

· active against broad spectrum of microorganisms, including mrsa

· sustainable antimicrobial effectiveness for up to 7 days


· non-staining

Askina® Calgitrol® patented matrix formulation combines calcium alginate and silver alginate with 10 % of bonded water. in contact with exudate, the alginate matrix forms a soft gel allowing the liberation of silver ions.

Askina® Calgitrol® Ag is a technologically advanced wound dressing that incorporates the barrier effectiveness of ionic silver with the absorption capabilities of calcium alginate and polyurethane foam.

Askina® Calgitrol® THIN is a thin layer of silver alginate matrix. soft and conformable, it is well adapted for deep and difficult-to-dress wounds. it should be used with absorptive secondary dressing, like askina® Foam.

Silv

er (p

pm)

Times (hours)

90

80

70

60

50

40

30

20

10

02412 36 6048 72 9684 108 132120 144 156

Silver ions released from Askina® Calgitrol® Ag (ppm)

30-40 ppm of silver ions is needed in the wound bed for efficient antibacterial activity

data on file mode of action of askina® Calgitrol® ag dressings

47

Infected Wounds

tiP For aPPliCation

· apply the dressing with silver matrix (dark grey surface) touching the wound

· secure in place with an appropriate fixation dressing

· after dressing removal, thoroughly cleanse the wound to remove any residue left from askina® Calgitrol® ag/askina® Calgitrol® thin

indiCationsinfected or critically colonized, moderately to heavily exuding wounds:

· stage i–iV pressure ulcers



· 2nd degree burns

· traumatic wounds

· donor sites

eXamPles oF use1 use of askina® Calgitrol® ag on flat wound2 askina Calgitrol® thin used for a flat wound with irregular surface with

askina® Foam as a secondary dressing3 use of askina Calgitrol® thin on the heel wound, in combination with

askina® heel4 askina Calgitrol® thin is also suitable for cavity wounds

1 2

3 4

Askina® Calgitrol® Size Pcs/Pack REFag 10 cm x 10 cm 3 | 10 6211003 | 6211010

15 cm x 15 cm 3 | 10 6211503 | 6211510

20 cm x 20 cm 10 6212010

thin 5 cm x 5 cm 10 6205510

10 cm x 10 cm 10 6201010

10 cm x 20 cm 10 6202110

20 cm x 20 cm 10 6202010

20 cm x 40 cm 3 6202403

30 cm x 30 cm 3 620300340 cm x 40 cm 3 6204003

48

askina® Calgitrol® Paste silVer alginate Wound Paste

adVantages




· sustained controlled delivery for long lasting antibacterial protection



· Can be stored and used within 7 days if the lid/cap is replaced after use

· non staining

askina® Calgitrol® Paste is a highly conformable paste composed of the same ionic silver alginate matrix used in the askina® Calgitrol® ag flat dressings. the high conformability allows more intimate contact between the active ionic silver alginate matrix and the wound bed, which is particu-larly valuable in difficult to manage wounds such as tunnels and sinuses, seen in patients with 2nd degree burns and diabetic foot ulcers.

Absorption of moisture by the matrix leads to softening and swelling of the alginate structure, which facilitates controlled and steady state release of ionic silver into the wound.

Paste

Intimate contact

Skin Wound bed

2. Swelling of the silver alginate matrix and bond dissociation

3. Controlled and sustained delivery of ionic silver

1. Absorption of exudate into the matrix

Ag+

Ag+

Ag+

Ag+

Ag+

Ag+

Ag+

Ag+

Ag+

Ag+

c sillvver

g+g+

AAg

Ag+

Ag+

Ag+

Na +

Na +

Na +Na +Na +

Na +Na +

Na +

Na +

Na +

Na +

NaNa + Na +

Ag Ag

Ca Ca

Ca

Ag

CaAg Ag

Ca Ca

Ca

Ag

CaAg Ag

Ca Ca

Ca

Ag

CaAg Ag

Ca Ca

CaCa

Ag Ag

Ca Ca

Ca

Ca

Ag Ag

Ca Ca

CaAg Ag

Ca Ca

CaAg Ag

Ca Ca

CaAg Ag

Ca Ca

Ca

Ag Ag

Ca Ca

Ca

AgCa

CaAgAg Ag

AgAgAgAgCCaCa CCaCCaCa

Ag Ag

AAgAgCCaCaCa CCaCa

Ag Ag

AAgAgAgAgAgAgCaCa CCaaa

Ag Ag

CCCaCa CaCa

AAgAA

CaCaCaCaa

CCCaaAAgAgAggg Ag

CCCCCaCaCaC CCaCaCaCaCa

CaCaCaCCCCCAAgAgAggg AgAgAgA

CCCCaCaCaC Ca

CaCaaAg Ag

Ca CCaCaCC

CaAgAgAgAgAg Ag

CaCaCaC CaC

Ca

AgA

AgCCa

Algg AlglgAAlgAlgAlgAlAl AAlAlgAlgAlgAlggg AlAlgAlgAlg AAlAlgAlgAlgAlggg

AAAAAlllgg AAAllgggggg AAAAlAlAlgAlgAlg AAlgAlgAlgAlgAlgAlgAlgg AlgAlgAlgAlgAlgAlgAlgAlg

Ag+Ag+ Ag+ Ag+

Bacteria Kill curves

Time (hours)

12

10

8

6

4

2

010,5 1,5 2,52 3 43,5 4,5 5,55 6 24

//

Escherichia coli nCimB 12416; 8,6 Log reduction in 3 hoursPseudomonas aeruginosa nCimB 8626; 10,2 Log reduction in 3 hoursmethicillin resistant Staphylococcus aureus (mrsa, atCC Baa-44); 6,4 Log reduction in 3 hours

Log (CFU) Reduction

CFu: colony-forming units

B. Braun, reports hosP283a and hosP303, 2009

49

Infected Wounds

tiP

· shake the tube prior to use

· apply a thick layer of the paste to the entire surface

· the canula allows easy application to wound tunnels and small sinuses

· on large surfaces, the paste can be easily spread with gloved hands

· Painless and easy removal with simple rinsing

indiCationsmanagement of exuding partial to full thickness wounds:

· stage i – iV pressure ulcers

· Venous and arterial ulcers

· neuropathic ulcers

· 2nd degree burnsmay be used on infected wounds under medical supervision.

hoW to aPPlY askina® Calgitrol® Paste1 Fill the wound with askina® Calgitrol® Paste

(diabetic patient with irregular shaped wound on the left foot)2 Completely cover the wound surface. askina® Calgitrol® Paste is

easy to apply and remains in the wound.3 Cover with an appropriate secondary dressing4 Fix with bandages

1 2

3 4

Askina® Calgitrol® Paste Size Pcs/Pack REFtube 15 g 5 6241505

tube 15 g 10 6241510

tube 100 g 1 6241001

Jar 250 g 1 6242501

Jar 500 g 1 6245001

50

askina® Carbosorb CharCoal dressing

tiP For aPPliCationthe dressing can be fixed with contention stockings for the wounds on legs or with bandages or tapes

indiCationsaskina® Carbosorb may be used for the management of low to heavily exuding, partial to full thickness chronic wounds, in particular when infection and/or offensive odour is present.



· Pressure ulcers

· Fungating wounds

· infected and/or malodorous surgical or traumatological wounds

askina® Carbosorb is a conformable, sterile wound dressing with a thick, absorbent layer of non woven viscose-rayon, and an activated charcoal cloth layer for bacteria and malodorous absorption.

askina® Carbosorb has limited absorption capacity: it can be used alone on low exuding malodorous wound, or in combination with other absorbing dressings for moderately to heavily exuding malodorous wounds.

Askina® Carbosorb Size Pcs/Pack REF10 cm x 10 cm 10 9025006

10 cm x 10 cm 12 9025070

10 cm x 20 cm 10 9025014

10 cm x 20 cm 12 9025078

51

Infected Wounds

indiCations askina® Pad

· absorptive dressing for traumatologic, dermatologic or surgical wounds

· secondary dressing for wide range of other dressings, including infected wounds

indiCations askina® Pad s

· absorptive dressing for drainage sites, around catheters, feeding tubes, suprapubic catheters, etc.

askina® Pad | askina® Pad s aBsorBing non-WoVen ComPresses

tiPaskina® Pad can be used as a secondary dressing for other askina® dressings:askina® gel, askina® sorb, askina® Calgitrol® ag, askina® Calgitrol thin, …

askina® Pad is a sterile, non adherent, highly absorptive compress to cover all types of exuding wounds.

askina® Pad s is a sterile, non adherent, highly absorptive slit compress for the dressing of draining and feeding tubes. it has a central hole suitable for the use with the tube with the diameters up to 11 mm and a slit, to wrap around tubing.

three-laYer sYstem

Askina® Pad Size Pcs/Pack REFPad 5 cm x 5 cm 25 9024000

5 cm x 5 cm 100 9024018

10 cm x 10 cm 10 9024026

10 cm x 10 cm 100 9024034

20 cm x 10 cm 100 9024042

Pad s 5 cm x 5 cm 30 9024050

7.5 cm x 7.5 cm 30 9024069

diameter of the central hole: 4.1 – 11 mm for Ch. 9 – 30

1. Water repellant backing material

2. Fleece with a high absorption capacity

3. non adherent wound contact layer (polyester net)

1 2 3

52

linovera® solution oF hYPeroXYgenated FattY aCids

tiP For aPPliCation

· spray linovera® 2 - 3 times a day on the affected area and rub in softly to evenly distribute the product until it is fully absorbed

· use in combination with askina® heel for optimal protection of the heel area against pressure ulcers

indiCations

· Prevention and treatment of stage i pressure ulcers

ComPosition

· hyperoxygenated essential fatty acids (linoleic acid)

· tocopherols

· aloe Vera

· Centella asiatica

· Perfume

linovera® is a solution of hyperoxygenated fatty acids used in the prevention and treatment of stage i pressure ulcers. due to the high percentage of linoleic acid, its repairing action is increased. the vegetable extracts – aloe vera and centella asiatica – have a major protecting and healing effect on the skin:

· Protects against external agents

· improves skin resistance

· repairs the upper epidermis

· restores capillary circulation

· stimulates the synthesis of collagen

· has a hydrating and healing effect

Linovera® Size Pcs/Pack REFgB | es | Pt | it 30 ml 1 467933

de | Cz | Pl | sk 468156

Fr | nl | ru | dk 468157

Fr | de | nl | it 468155

53

Skin at riSk

indiCations askina® Barrier Film

· Prevention against skin breakdown caused by friction or moisture

· Protection of the skin at risk from maceration and excoriation

· Protection of newly formed skin against secondary breakdown

·indiCations askina® Barrier Creamaskina® Barrier Cream is indicated for use on intact skin. askina® Barrier Cream acts as a protectant and moisture barrier:

· against maceration caused by incontinence or body fluids

· to protect sensitive, fragile and severely dry skin, including periwound areas

askina® Barrier Film | askina® Barrier Cream BreathaBle skin Barrier | ProteCtant and moisture Barrier

tiP For aPPliCation askina® Barrier Film

· holding the spray nozzle 10 – 15 cm from the skin, press the spray nozzle and apply a smooth coating of film over the necessary area

· allow the film to dry for 30 seconds

tiP For aPPliCation askina® Barrier Cream

· dry the skin thoroughly before application

· spread askina® Barrier Cream thinly to cover the affected area

· on frequently cleansed skin, daily reapplication may be required

askina® Barrier Film is a rapid drying, transparent, breathable skin barrier used for the protection of intact or damaged skin from urine, faeces, tape trauma and friction. it is completely sting free.

· rapid drying < 30s

· transparent: allows visual control

· Cost effective: offers 3 days protection

· easy to remove

· improves the adhesiveness of dressings and fixation tapes

· does not reduce the effectiveness of incontinent pads

· does not interfere with the adhesiveness of stoma appliances

askina® Barrier Cream acts as a lasting protective barrier on skin of incontinent patients, exposed to the irritating effect of urine and stools. it efficiently moisturizes very dry skin and can also be used for skin protection whenever there is a risk of skin breakdown due to prolonged contact with body fluids.

· effective prevention of skin breakdown associated with incontinence

· highly concentrated: small amounts will cover a large surface

· does not reduce the absorbency of incontinent pads

· does not reduce the adherence of fixation tapes and dressings

· temporarily resists wash–off; no need for frequent application

Askina® Barrier Size Pcs/Pack REFaskina® Barrier Film

spray Bottle 28 ml 1 4002801

28 ml 12 4002812

askina® Barrier Cream

tube 92 g 1 4119201

54

askina® soft sterile Post-oPeratiVe Wound dressing

indiCationsmanagement of post-operative wounds, and all sorts of acute wounds such as cuts, lacerations, sutures, abrasions, ...

askina® soft is a sterile post-operative dressing combining a breathable fleece material and a non-adherent absorptive pad.

· elastic wound dressing

· Breathable fleece material

· skin friendly adhesive

· non-adherent wound contact layer

· easy to apply, even on difficult locations

Askina® Soft Size Pcs/Pack REF7.5 cm x 5 cm 50 9086480

9 cm x 5 cm 50 9086501

9 cm x 10 cm 50 9086510

9 cm x 15 cm 40 9086528

9 cm x 20 cm 30 9086536

9 cm x 25 cm 30 9086544 9 cm x 30 cm 30 9086552

55

ASKINA® clASSIc RANGE

indiCationsmanagement of post-operative wounds, and all sorts of acute wounds requiring a waterproof barrier and a visual control

askina® soft Clear sterile Post-oPeratiVe Wound dressing

askina® soft Clear is a sterile post-operative dressing combining a semi-permeable transparent film and a non-adherent absorptive pad.

· easy to apply, even on difficult locations

· skin friendly acrylic adhesive

· allows the patient to shower with the dressing in situ

· Bacteria proof barrier

· allows visual control

Askina® Soft Clear Size Pcs/Pack REF7.5 cm x 5 cm 50 9086803

9 cm x 5 cm 50 9086812

9 cm x 10 cm 50 9086821

9 cm x 15 cm 40 9086830

9 cm x 20 cm 30 9086839

9 cm x 25 cm 30 9086848 9 cm x 30 cm 30 9086857

56

askina® soft i.V. i.V. Cannula FiXation dressing

indiCations

· i.V. cannula fixationsterile i.V. cannula fixation dressing, with an integrated non-adherent absorptive pad. made of soft conformable non-woven material.

· skin friendly adhesive

· slit to wrap around tubing

· extra pad for cushioning

· non-adherent absorptive pad

· the puncture site stays dry

· Prevents puncture site adherence

· ideal for fixation of Vasofix® safety

Askina® Soft I.V. Size Pcs/Pack REF8 cm x 6 cm 50 9086919

57

ASKINA® clASSIc RANGE

indiCations

· i.V. cannula fixation

askina® soft Clear i.V. i.V. Cannula FiXation dressing

sterile transparent version of askina® soft i.V., for an alternative use.

· Bacteria proof barrier

· Visual inspection of the puncture area

· Breathable material

Askina® Soft Clear I.V. Size Pcs/Pack REF8 cm x 6 cm 50 9086893

58

mandatorY inFormation For adVertising aCCording to the authorised ProduCt inFormation in germanY

Softasept® N /Softasept® N coloured

composition100 g solution contain:active substances: 74.1 g ethanol and 10.0 g iso-propyl alcohol. other ingredients: Purified water, (softasept® n coloured also contains povidone, citric acid monohydrate, dyes C.i. 15985 [e 110] and C.i. 14720 [e 122]).

Therapeutic indicationsskin disinfection before surgical procedures, punctures and injections.

contraindicationshypersensitivity (allergy) to ethanol, isopropyl alcohol or (only softasept® n coloured) any of the other ingredients.not suited for antiseptic treatment of mucous membranes or use in the immediate vicinity of the eyes.

Undesirable Effectsskin irritation such as redness and burning can occur, especially with frequent use. Contact aller-gies are also possible.

Warningshighly flammable.keep container tightly closed.keep away from sources of ignition – no smoking!do not spray in open flame!avoid contact with eyes. do not use on damaged skin or mucous membranes. For external use only. Flash point 14 °C per din 51755.

Marketing Authorisation HolderB. Braun melsungen ag34209 melsungengermany(03 / 2011)

Braunoderm® /Braunoderm® coloured

composition100 g solution contain:active ingredients: 50.0 g isopropyl alcohol and 1.0 g povidone iodine with a content of 10 % available iodine. other ingredients: Purified water, potassium iodide (0.4 g, stabiliser), sodium dihydrogen phosphate dihydrate, (Braunoderm® coloured also contains dyes C.i. 15985 [e 110], C.i. 16255 [e 124] and C.i. 28440[e 151]).

Therapeutic indicationsskin disinfection before surgical procedures, injections, punctures, catheterisations, taking of blood samples, vaccinations.

contraindications- hyperthyroidism or other present thyroid

diseases- skin disease dermatitis herpetiformis- Planned or administered radioiodine therapy

(until the end of treatment)- hypersensitivity (allergy) to iodine, isopropyl

alcohol or any of the other ingredients

Undesirable Effects- Very rare: Cutaneous reactions due to hypersen-

sitivity (allergy), e.g. contact allergy reactions of the late type in the form of itching, redness, blisters etc.

- Very rare: acute reactions of the immune system (anaphylactic reactions) with the in-volvement of other organs (e.g. skin, respiratory tract, circulatory system).

- uncommon: local alcohol-induced dryness and irritation symptoms of the skin (e.g. redness, tension, itching).

WarningsFlammable.keep container tightly closed.keep away from sources of ignition – no smoking!avoid contact with eyes. do not use on damaged skin or mucous membranes. For external use only. Flash point 21 – 22 °C per din 51755.


Braunovidon® ointment /Braunovidon® ointment gauze

active ingredient: Povidone-iodine

compositionBraunovidon ointment:100 g ointment contain 10 g povidone iodine with a content of 10 % available iodine. other ingredients: macrogol 400, macrogol 4000, purified water, sodium hydrogen carbonate (Braunovidon ointment gauze also contains cotton fabric, white soft paraffin). Braunovidon ointment gauze: a piece of 7.5 x 10 cm impregnated dressing contains 10.5 g ointment (corresp. to 1.05 g povidone iodine), a piece of 10 x 20 cm impreg-nated dressing contains 28.0 g ointment (corresp. to 2.8 g povidone iodine).

Therapeutic Indicationsantiseptic for repeated application over a limited period of time on damaged skin, e. g. decubitus (pressure sores), ulcus cruris (sores on lower leg), surface wounds and burns, infected dermatoses.

contraindicationshypersensitivity to povidone iodine or any of

the other ingredients - hyperthyroidism or other present thyroid

diseases - skin disease dermatitis herpetiformis - Planned or administered radioiodine therapy

(until the end of treatment)- newborns and infants up to the age of six

months.

Undesirable Effects- Prolonged treatment can affect the wound

healing process and transient pain, burning and feeling hot can occur.

- Very rare: Cutaneous reactions due to hypersensitivity (allergy).

- Very rare: acute reactions of the immune system (anaphylactic reactions) with the involvement of other organs (e.g. skin, respiratory tract, circulatory system).

- after long-term use of povidone iodine or with treatment of large-scale burns, very rarely disturbance in electrolyte- and serum osmolar-ity and metabolic acidosis were reported. in this cases renal failure can also occur.

- Patients with thyroid disease should be monitored regularly for thyroid function if Braunovidon is used on a large scale or often, particularly on damaged skin.


59

ordering inFormationProduct Size Pcs/Pack REF QuantityProntosan® Wound irrigation solutionPod 40 ml 24 400484Bottle 350 ml 1 400403Bottle 1,000 ml 1 400446Prontosan® Wound gel 30 ml 1 400505Prontosan® Wound gel X 50 g 1 400517

250 g 1 400508Prontosan® Wound spray 75 ml 20 400565Braunovidon® ointment tube 20 g 1

Product with drug status, individual article number by country

tube 100 g 1tube 250 g 1

Pot 250 g 1Braunovidon® ointment gauze

7.5 cm x 10 cm 120 cm x 10 cm 1

askina® gel 15 g 5 001419 s15 g 10 001419 n

100 g 1 0014291askina® sorb dressing 6 cm x 6 cm 3 2109s

6 cm x 6 cm 10 2115s6 cm x 6 cm 15 2100s

10 cm x 10 cm 3 2107s10 cm x 10 cm 10 2116s10 cm x 10 cm 15 2101s 15 cm x 15 cm 3 2108s15 cm x 15 cm 10 2102s

askina® sorb Flat rope 2.7 cm x 34 cm 3 2106s2.7 cm x 34 cm 10 2105s

askina® absorb+ 10 x 10 cm 10 333101010 x 20 cm 10 333121020 x 20 cm 5 3332005

askina® Foam 5 cm x 7 cm 10 724071010 cm x 10 cm 10 724101010 cm x 20 cm 10 724121020 cm x 20 cm 5 7242005

askina® Foam Cavity 2.5 cm x 40 cm 10 7244010askina® trachea 9.5 cm x 8.5 cm 10 7248510askina® heel surface = 225 cm2 3 | 5 7240103 | 7240105askina® silnet 5 cm x 7.5 cm 3 | 10 5195703 | 5195710

10 cm x 7.5 cm 3 | 10 5197503 | 519751010 cm x 18 cm 3 | 10 5191803 | 519181020 cm x 30 cm 5 5192305

askina® dressil 5 cm x 7 cm 3 | 10 5295703 | 529571010 cm x 10 cm 3 | 10 5291003 | 529101015 cm x 15 cm 3 | 10 5291503 | 529151010 cm x 20 cm 3 | 10 5291203 | 529121020 cm x 20 cm 5 5292005

askina® dressil Border 6 x 6 cm | 3 cm Ø 10 5396610 7.5 cm x 7.5 cm* 3 | 10 5397503 | 5397510

10 cm x 10 cm* 3 | 10 5391003 | 539101010 cm x 20 cm* 10 539121015 cm x 15 cm* 3 | 10 5391503 | 539151015 cm x 20 cm* 3 | 10 5395203 | 539521020 cm x 20 cm* 5 5392005

askina® dressil sacrum 16 cm x 17.5 cm* 5 549160521 cm x 22 cm* 5 | 10 5492105 | 5492110

askina® dressil heel 22 cm x 21.6 cm* 5 5592205 askina® transorbent® 5 cm x 7 cm 10 0072786 r

10 cm x 10 cm 5 0072789 u15 cm x 15 cm 5 0072790 V20 cm x 20 cm 5 0072791 W

askina® transorbent® Border

9 cm x 14 cm* 5 0072705 B 9 cm x 14 cm* 10 0072706 B14 cm x 14 cm* 5 0072710 C17 cm x 17 cm* 5 0072715 d24 cm x 24 cm* 5 0072720 e

askina® transorbent® sacrum

16 cm x 18 cm* 3 0072795z 18 cm x 20 cm* 5 0072792 X18 cm x 20 cm* 10 0072799X

askina® touch 10 cm x 10 cm 10 726100210 cm x 15 cm 5 7261501 15 cm x 15 cm 5 | 10 7262252 | 726225320 cm x 20 cm 5 7264001

askina® thinsite® 10 cm x 10 cm 5 0072889u10 cm x 10 cm 10 0072888t10 cm x 10 cm 16 0072885P15 cm x 15 cm 5 0072890V15 cm x 15 cm 10 0072894V20 cm x 20 cm 5 0072891W

Product Size Pcs/Pack REF Quantityaskina® hydro 10 cm x 10 cm 5 | 10 F72048 | F72041

15 cm x 15 cm 5 | 10 F72044 | F7204520 cm x 20 cm 5 | 10 F72046 | F72047

askina® Biofilm® transparent

10 cm x 10 cm 10 F7209015 cm x 15 cm 5 | 10 F72091 | F72097 5 cm x 20 cm 10 F7209520 cm x 20 cm 5 | 10 F72092 | F72098

askina® derm 6 cm x 7 cm 5 F72031 6 cm x 7 cm 10 F72032 6 cm x 7 cm 100 F72033 10 cm x 12 cm 5 F72034 10 cm x 12 cm 10 F72035 10 cm x 12 cm 50 F72036 10 cm x 20 cm 10 F72037 15 cm x 20 cm 10 F72038 30 cm x 20 cm 10 F72039

askina® Calgitrol® ag 10 cm x 10 cm 3 | 10 6211003 | 621101015 cm x 15 cm 3 | 10 6211503 | 621151020 cm x 20 cm 10 6212010

askina® Calgitrol® thin 5 cm x 5 cm 10 620551010 cm x 10 cm 10 620101010 cm x 20 cm 10 620211020 cm x 20 cm 10 620201020 cm x 40 cm 3 620240330 cm x 30 cm 3 620300340 cm x 40 cm 3 6204003

askina® Calgitrol® Paste 15 g 5 624150515 g 10 6241510

100 g 1 6241001250 g 1 6242501500 g 1 6245001

askina® Carbosorb 10 cm x 10 cm 10 | 12 9025006 | 902507010 cm x 20 cm 10 | 12 9025014 | 9025078

askina® Pad 5 cm x 5 cm 25 9024000 5 cm x 5 cm 100 9024018 10 cm x 10 cm 10 9024026 10 cm x 10 cm 100 9024034 20 cm x 10 cm 100 9024042

askina® Pad s 5 cm x 5 cm 30 90240507.5 cm x 7.5 cm 30 9024069

linovera® 30 ml gB | es | Pt | it 1 467933de | Cz | Pl | sk 1 468156Fr | nl | ru | dk 1 468157Fr | de | nl | it 1 468155

askina® Barrier Film 28 ml 1 400280128 ml 12 4002812

askina® Barrier Cream 92 g 1 4119201askina® soft 7.5 cm x 5 cm 50 9086480

9 cm x 5 cm 50 9086501 9 cm x 10 cm 50 9086510 9 cm x 15 cm 40 9086528 9 cm x 20 cm 30 9086536 9 cm x 25 cm 30 9086544 9 cm x 30 cm 30 9086552

askina® soft Clear 7.5 cm x 5 cm 50 9086803 9 cm x 5 cm 50 9086812 9 cm x 10 cm 50 9086821 9 cm x 15 cm 40 9086830 9 cm x 20 cm 30 9086839 9 cm x 25 cm 30 9086848 9 cm x 30 cm 30 9086857

askina® soft i.V. 8 cm x 6 cm 50 9086919askina® soft Clear i.V. 8 cm x 6 cm 50 9086893

Manufacturers:Prontosan®, Braunovidon®: B. Braun medical ag, infection Control, seesatz, 6204 sempach, switzerlandaskina® products: B. Braun hospicare ltd., Collooney, Co. sligo, irelandlinovera®: B. Braun medical sa, Carretera de terrassa, 121, 08191 rubi (Barcelona), spain

Sender

* size overall dressing

zJ01253 - V6 edition: 02/2016

B. Braun hospicare ltd. | Collooney | Co. sligo | ireland

B. Braun medical ag | infection Control | seesatz 17 | 6204 sempach | switzerland

www.bbraun.com | www.woundcare-bbraun.com

Documents

management B. Braun Wound Care. right. From the start.€¦ · every type of wound at each phase of wound healing. By providing innovative solutions such as Prontosan® Wound irrigation