Advancis Wound Care Catalogue

Page 1

Advanced veterinary wound care


An introduction to veterinary wound management Animal wounds are a common occurrence in veterinary practice and are most likely traumatic or resulting from surgical procedure. Clinical management aims to provide a rapid return to function while eliminating risks of delay. A moist environment encourages essential cellular activity, collagen formation and vital contraction processes. Wound dressings have subsequently developed to manage the wound environment more actively, by managing the factors associated with delayed healing.

Common causes of delayed healing in animal wounds:

The need for specific properties varies according to the wound and different wounds will require different dressings at different stages to get the best results. Advanced dressings are principally designed to actively re-hydrate or to absorb and retain excess wound fluid as well as protecting against further trauma. They may also be required to manage infection, contamination and inflammation.

Compromised blood flow

There are several key principles to adopt when using advanced dressings which will maximise the outcome and make for easy application and removal.

Early traumatic wounds (less than 4 hours old)

Dehydration of the wound environment Maceration of the wound environment Contamination or infection within the wound Foreign material, devitalised tissue and wound debris Physical interference, friction and movement Dehydration (Physiological) Poor nutrition Lack of immune response

Wound

General guide to preparation prior to dressing: Wounds that are treated within 4 hours of occurring have a good chance of uneventful

Preparing the wound to heal In all cases a full animal history should be attained to establish related or unrelated conditions that may affect healing, management or recovery. Prior to examination the area around the wound should be clipped with a generous margin so that the extent of injury is visible and to allow the dressing to overlap the wound by at least 2cm.

material. Anaesthesia may be required to do this effectively. Closure may be achieved by surgical means if the wound is sufficiently clean and enough viable tissue is available.

Long-standing traumatic wounds

Wounds that are over a day old may begin to show signs of deterioration in the form of contamination, infection and dead or devitalised tissue. The wound should be explored thoroughly and non-viable tissue removed. Anaesthesia is likely to be required to examine the extent of injury thoroughly. Thorough lavage with normal saline is recommended.

Surgical wounds

Surgical wounds, following closure should be simply cleansed with normal saline and patted dry with woven gauze prior to dressing.

Dressing selection guide Product

direct closure. The wound should be generously lavaged using saline and explored to establish the extent of trauma and any presence of foreign

Necrotic

Sloughy

Contaminated/ Infected

Granulating

Epithelialising

Exuding

secondary dressing

secondary dressing

secondary dressing

secondary dressing

secondary dressing

Eclypse can be used as a primary or secondary dressing on highly exuding wounds

secondary dressing

Advazorb can be used as a primary or secondary dressing on lowmedium exuding wounds

Delicate tissue/ grafts

Activon® Tube Algivon® Algivon® Plus* Actilite® Activon® Tulle Yes

Eclypse range ®

Yes

Advazorb® range

secondary dressing

SilÁex® *Algivon® Plus is also available as a ribbon

secondary dressing

secondary dressing

secondary dressing

Yes

Eclypse Adherent, Border & Border Oval have soft silicone wound contact layers

Yes Advazorb 6ilÀx & Border have soft silicone wound contact layers


Activon® Manuka Honey 100% pure Manuka honey Antimicrobial

3-4 14 ,2+ ® Tulle in an equine limb wound Applying Activon® Tulle or Algivon®

Effectively fights infection

j4 '- 42*-4/"-33+ 04' ,(4 12-"42*-4 % /4

Osmotic effect

has been cleansed and examined.

Draws fluid from the wound bed, promoting healing j4 '')!42*-4/"-33+ 04/+"-,2)!42 42*-4 % /4

Enhanced healing

allowing the dressing to overlap the wound edge by a minimum of 2cm.

Promote granulation and epithelialisation

Odour elimination Rapid reduction and elimination of wound odours

j4 "4) "0-4 % /34# "-42* 4 -4 dressing may be required to ensure the wound area is fully covered.

Activon® Tube 100% Manuka honey tube, suitable for application into wounds.

j4 "43# ))-"4 % /342*-4/"-33+ 04# !4 be cut to size using sharp scissors or folded to fit.

Actilite® An inexpensive and highly effective broad spectrum antimicrobial dressing containing 99% Manuka honey and 1% Manuka oil for use on low to moderate exuding wounds.

Dressing Changes j4 -# -42*-4/"-33+ 04&!40- 2)!4)+12+ 041" #4 -4 142*-4, " -"35

The dressing is designed to protect a wound, promote healing and allow the passage of exudate. It is an ideal choice for epithelialising wounds that are perceived to be at risk of re-infection.

j4 *-4'" '-"2+-34 14* -!4 +))4)+(-)!4, %3-42*-4 % /42 4 ''- "4 moist and ‘gooey’. The beneficial osmotic action of the honey will have drawn exudate and debris from the wound and should be removed using saline.

Activon® Tulle

j4 342*-4 % /4"-/%,-34+ 43+M-4- %/ 2-4)- -)343* %)/4 decrease and the dressing can be left in place for longer between changes.

Activon® dressings are designed to retain Activon® Manuka Honey at a wound site, protect a wound, create a moist healing environment and form a barrier which effectively reduce or eliminate wound odour. ®

Activon Tulle is a triple layer primary wound dressing gauze and can be unfolded to wrap around a limb. Additional layers should be applied to maintain osmotic pressure.

Algivon®

j4 -!4/"-33+ 034 "-4% )+(-)!42 4 /*-"-42 42*-4 % /4/%-42 4 their osmotic properties. However, should this occur gently irrigate the dressing area with saline and consider applying a layer of Activon® Tube Honey to the wound prior to redressing. Secondary dressings:

An alginate, absorbent, sterile, non-adherent wound contact dressing impregnated with 100% Manuka honey, comprising calcium alginate (High M) fibres impregnated with Activon® Medical Grade Manuka honey. Algivon® dressing has absorbent properties ideal for use on wounds that are exuding, which is common with bacterial contamination or infection. Algivon® Plus version with strengthened alginate fibres, ideal for wetter wounds. Also available in a Algivon® Plus Ribbon version, which features the same strengthened alginate fibres but shaped for easy application within cavities and sinuses.

j4 3-4 4 &3 "&- 243-, / "!4/"-33+ 042 4 )) 41 "4 4+ ,"- 3-4 in initial exudate level. This is due to the osmotic effect of the Manuka honey and is beneficial in nature. Advazorb® plus or Eclypse® Adherent are suitable for use over the Activon honey range. j4 24+34"-, ##- /-/42* 24/"-33+ 034 "-4"- +- -/4 24 -42 4 two days initially to observe wound progression and ensure adequate exudate management. j4 342*-4 % /4&-0+ 342 4*- )42*-4/"-33+ 034# !4&-4)-124+ 4 place for up to five days. Appearance after cleansing and loose tissue debridement at 1st dressing change.

Ordering information Product

Size

No. per box

Stock code

Activon® Tube

25g

12

CR3830

Activon Tulle

5cm x 5cm

5

CR3761

Activon® Tulle

10cm x 10cm

5

CR3658

5cm x 5cm

5

CR3831

10cm x 10cm

5

CR3659

®

Algivon

®

Algivon® Actilite®

5cm x 5cm

10

CR4281

Actilite®

10cm x 10cm

10

CR3849

Actilite®

10cm x 20cm

10

CR3852

Algivon® Plus

5cm x 5cm

5

CR4230

Algivon® Plus

10cm x 10cm

5

CR4225

Algivon® Plus Ribbon

2.5cm x 20cm

5

CR4231

Wound at third dressing change (seven days). Wound is clean and contracting. Further debridement between dressing changes is not required. Appearance at first dressing change.

Acknowledgements: Professor Derek Knottenbelt OBE, BVM&S, DVMS, DipECEIM, MRCVS Philip - -"*%)#-4 3'+2 )B4 + -"3+2!4 of Liverpool.


Advazorb®

Silflex®

Moist wound management

Soft silicone wound contact layer

Product description

Product description

Advazorb® is a comprehensive range of patient friendly, absorbent foam dressings presented in non-adhesive and atraumatic silicone adhesive format. The range is designed to overcome the complex challenges of managing exudate whilst protecting ‘at risk’ fragile skin, a combination of excellent fluid handling capabilities of Advazorb® with a layer of atraumatic soft silicone adhesive.

A wound contact non-adherent dressing made from polyester mesh coated with Silfix® soft silicone.

Advazorb®, Advazorb® Silfix and Advazorb® Border are available in both a regular thickness for moderate to high exudate and ‘Lite’ versions for low to moderately exuding wounds.

Silflex® is designed to gently adhere to the skin surrounding a wound and not to the wound bed. This is an atraumatic dressing which means it is designed to minimise the pain and trauma associated with dressing change. The dressing allows the passage of exudate.

Indications

Benefits

Surgical wounds Second degree burns Skin Grafts Any delicate tissue

Reduces excess fluid at the wound site Helps maintain a moist environment Gentle and conformable Protects wound Advazorb® Border

Benefits

The silicone wound contact layer has large pores which enable the passage of exudate into the absorbent foam whilst protecting the fragile wound bed.

Advazorb® Silfix Combination of the excellent fluid handling capabilities of Advazorb® with a layer of atraumatic soft silicone adhesive.

Adheres only to dry skin not to a moist wound Atraumatic soft silicone, reduced pain on dressing change Allows passage of exudate Hydrophobic Silfix® soft silicone coating Soft and conformable Ordering information

Ordering information Product

®

Advazorb

Advazorb® Silfix

Advazorb® Border

Product

Size

Stock code

No. per box

Silflex®

5cm x 7cm

CR3922

10

8cm x 10cm

CR3923

10

12cm x 15cm

CR3924

10

20cm x 30cm

CR3925

10

35cm x 60cm

CR4006

5

Size

No. per box

Stock code

5cm x 5cm

10

CR4221

®

Silflex

7.5cm x 7.5cm

10

CR4165

Silflex®

10cm x 10cm

10

CR4166

®

Silflex

Silflex®

12.5cm x 12.5cm

10

CR4167

15cm x 15cm

10

CR4168

10cm x 20cm

10

CR4169

20cm x 20cm

10

CR4170

7.5cm x 7.5cm

10

CR4177

10cm x 10cm

10

CR4178

12.5cm x 12.5cm

10

CR4179

15cm x 15cm

10

CR4180

10cm x 20cm

10

CR4181

20cm x 20cm

10

CR4182

7.5cm x 7.5cm

10

CR4190

10cm x 10cm

10

CR4191

12.5cm x 12.5cm

10

CR4192

15cm x 15cm

10

CR4193

10cm x 20cm

10

CR4194

20cm x 20cm

10

CR4195

10cm x 30cm

10

CR4196

What is special about Silfix® soft silicone? Many traditional dressings and adhesive products contribute to increased pain and trauma on dressing change. As dressing technology advances the issue of painful dressing changes that were once associated with wounds can now be largely alleviated with proper dressing selection. Soft silicone is hydrophobic and does not stick to a moist wound only to the surrounding dry area. Silfix® helps to maintain a moist wound healing environment and makes it ideal technology for non-adherent wound contact dressings. Silfix® dressings will not damage newly formed granulating tissue or epithelial cells. Silfix® dressings will not lose their adhesion after initial application. This can help achieve optimum dressing positioning without wastage.


Eclypse® High exudate management Product description

Ordering information

®

Eclypse is a highly absorbent, high capacity wound exudate management product designed to help reduce potential fluid leaks and reduce risk of maceration. The dressing has a rapid wicking action combined with a secondary highly absorbent layer. The dressing provides a large capacity with an ability to take on fluid quickly. The backing is a fluid repellent film designed to prevent strikethrough and resist abrasion.

Product

Size

No. per box

®

10cm x 10cm

20

CR3818

Eclypse®

15cm x 15cm

20

CR3769

Eclypse®

20cm x 30cm

20

CR3743

Eclypse®

60cm x 40cm

10

CR3808

Eclypse® Adherent

10cm x 10cm

10

CR3881

Eclypse® Adherent

10cm x 20cm

10

CR3883

Eclypse® Adherent

15cm x 15cm

10

CR3863

Eclypse® Adherent

20cm x 30cm

10

CR3864

Eclypse® Border

15cm x 15cm

10

CR4296

Eclypse® Border

22cm x 23cm

10

CR4297

Eclypse Border Oval

10cm x 20cm

10

CR4300

Eclypse® Border Oval

15cm x 20cm

10

CR4299

20cm x 30cm

10

CR4298

Eclypse

®

Eclypse® Adherent The soft silicone layer provides convenient gentle adherence and will not stick to a wound or damage the surrounding skin or hair. Particularly suited to equine limb wounds, Eclypse® and Eclypse® Adherent are designed to absorb and retain fluid from medium to highly exuding wounds. Eclypse® Adherent gently but effectively adheres to clipped fur preventing slippage and movement after bandaging. Eclypse® can be used for highly exuding wounds in small and large animals.

®

Eclypse Border Oval

Stock code

Additional Products

Siltape® Soft silicone perforated tape

Benefits Rapid absorption High capacity Fluid repellent backing Strength and durability Thin and conforming Eclypse® Border and Eclypse® Border Oval The soft silicone layer provides gentle adherence that will facilitate atraumatic removal. The hypo-allergenic, dual adhesive border, provides additional dressing security.

Benefits 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

Product description Siltape® is made from soft silicone which is gentle on the skin, this is particularly useful in patients with very thin, friable skin which is vulnerable to damage. Silicone does not cell strip in the same way that other adhesives may damage tissue.

Dressing features Atraumatic soft silicone, reduced pain on change, adjustment or removal Soft and conformable Adheres only to dry skin, not to a moist wound Easily adjustable with no loss of adherence Ordering information Product

Size

No. per box

Stock Code

Siltape®

2cm x 3m

1

CR3938

4cm x 1.5m

1

CR3939

®

Siltape


3-4 14 ,2+ ®, Eclypse® & Advazorb® on canine bite wounds

3-4 14 ,2+ ® & Algivon® following a canine RTA

Presentation

Presentation

The patient (12 year old female Lurcher) presented with a four day

The male patient (Crossbreed) presented with a wound to its left

old bite wound that the owner had previously been treating themselves at home.

fore following an RTA (Fig 1) Management

Management

Initially the wound was debrided and cleaned with the patient under general anaesthetic and then dressed with Activon®

The initial clip and clean revealed 2 bite wounds, the larger measuring 2.5cm x 1cm and 0.5cm deep. The smaller more

Medical Grade Manuka Honey. (Fig 2)

superficial wound measured 1cm x 1cm. Both wounds were inflamed with necrotic areas and debris present. (Fig 1)

After 2 days the wound was looking clean and healthy. (Fig 3) The

with warm Hartmanns. The wound was then dressed with Activon

digit was then filleted out and the remainder of the wound closed with a pad flap. (Fig 4) 5 days after surgery the flap was holding

Medical Grade Manuka Honey and covered with a layer of sterile

well, although after a further 2 days a small area of the wound

swab. An Eclypse Adherent was used as a secondary dressing to absorb exudate and to hold the whole dressing in place. (Fig 2) Elastoplast was used to provide additional security. The dressing remained in place for 36 hours but had come off prior to its planned removal. The wound was again lavaged and it was then showing signs of granulation and contraction. (Fig 3)

had begun to break down. (Fig 5) The dog was again examined under general anaesthetic, the wound edges were freshened up and extra sutures placed on the flap. The wound was then dressed with Algivon®, Activon® impregnated alginate dressing to support the healing environment.

The necrotic tissue was debrided and the wound thoroughly lavaged ®

®

Outcome It was then redressed with Activon® and this time Advazorb® hydrophilic foam dressing was used as a secondary layer due to the lower levels of exudate that were present. Dressing change was planned for 4-5 days and the owner was advised to bathe the wounds in warm water and dress with Activon® should the dressings come off. The second dressing remained in place for 2 days, unfortunately the dog returned from the garden without it on the second day. The owners followed the advice to lavage and apply Activon® twice daily and the wounds continued to improve. After 6 days of further Activon® treatment the smaller wound was completely reepithelialised and the larger wound was partially healed. (Fig 4) Outcome The wound went onto fully heal despite having spent a considerable time without a dressing in place. The wound was at significant risk of infection but the Activon® Medical Grade Manuka Honey helped to prevent infection developing. Dressing summary The Activon® Medical Grade Manuka Honey was used to help manage the local infection risk within the wound due to its antibacterial properties transferred from the nectar of the Manuka Bush. Autolytic debridement was also aided by the Activon® as the high sugar level of 80% has an osmotic action of drawing fluid from the wound and softening and lifting necrotic tissue. The Eclypse® Adherent dressing absorbed and helped to lock away the exudate initially and the Advazorb® foam dressings helped to protect the wound later on. Alison King RVN, Animal Medical Centre www.vetwoundlibrary.co.uk Dog #60

Following dressing with the alginate dressing 100% of the pad flap survived (Fig 6). Within 16 days from the initial date of injury the dressings had been removed and the dog was sent home with a buster collar. The wound healed with good cosmetic and functional results. Dressing summary The Activon® Medical Grade Manuka Honey was used to help manage the local infection risk within the wound due to its antibacterial properties transferred from the nectar of the Manuka Bush. Autolytic debridement was also aided by the Activon® as the high sugar level of 80% has an osmotic action of drawing fluid from the wound and softening and lifting necrotic tissue. www.vetwoundlibrary.com - Dog #43


Advanced wound care solutions With an established international reputation in the advanced wound care field, the Advancis brand is able to bring quality dressings into the Veterinary market. 24 %"432 2-E 1E2*-E "24# %1 ,2%"+ 041 ,+)+2!4+ 42*-4 B4 Advancis Veterinary is constantly investing in the research and development of advanced wound care products. This allows not only innovation, but ensures the production of high quality products at a relatively inexpensive cost. Advancis are pleased to work with a wide range of veterinary professionals to design and manufacture innovative products, that will help budgets and improve animal health while receiving treatment. At Advancis we pride ourselves on our reputation for customer service and commitment to ensuring a first class service42 4 ))4 14 %"4,%32 #-"3B4+ 42*-4 4 /4 -"3- 35 A60

M1 Teversal

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Kirkby in Ashfield

Pinxton

61 1

A60

Ve t e rin ary

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South Normanton

Sutton Rd

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Alfreton R

M1 Somercotes

Annesley

Selston

27

1

Notts Golf Club

Newstead Village

Rd

17

am

Hilcote

gh

ttin

No

Sutton in Ashfield Huthwaite

M1 Blackwell

Mansfield

Stanton Skegby Hill

Tibshelf


Advancis Veterinary has provided this brochure for general information only. It is intended for a health care professional and not for public use. Please note that: 1. Not all products are available in all regions or from all wholesalers. 2. Indications for use and contra-indications may vary from time to time depending on current clinical information. Always read the package insert prior to use. 3. Advancis Medical makes no representations, or warranties regarding the accuracy or completeness of this brochure. 4. Customer Service is available to help with product information or questions during normal office hours. Copyright Brightwake Ltd (Trading as Advancis Veterinary) 2016

DLC Australia Pty Ltd 17-19 Horne Street, Hoppers Crossing, VIC, 3029 Phone: (03) 9360 9700 | Fax: (03) 9360 9994 Toll Free: 1300 785 405 | Email: sales@dlc.com.au

V e t e ri n a r y www.advancisveterinary.com

MAR505


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