Versatile 1 Wound Vacuum System

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1 Versatile 1 Wound Vacuum System Finally A Choice Negative Pressure Wound Therapy (NPWT) with the Versatile 1 Cost-effective alternative for NPWT Lower pressures mean less pain and less risk of bleeding Antimicrobial gauze helps prevent infection 2 FDA Indications For Use The Versatile 1 Wound Vacuum System is indicated for patients who would benefit from a suction device particularly as the device may promote wound healing 3 1

2 Cost Effective NPWT Costs have been found to be 20-50% less than similar therapies on the market today. Campbell, Potential Benefits of Using the Versatile 1 Removes excess fluid-edema Assists in wound contraction Stimulates granulation tissue Protects from outside contaminants Increases vascular perfusion 5 Clinical Benefits CONT D Decreases wound bioburden Remodels connective tissue matrix Encourages maturation of epithelial cells Maintains a moist wound healing environment 6 2

3 Wound Types and Criteria Partial Thickness Pressure Ulcers Full Thickness Pressure Ulcers 7 Wound Types and Criteria CONT D Dehisced surgical incisions 8 Wound Types and Criteria CONT D Diabetic/Neuropathic Ulcers 9 3

4 Wound Types and Criteria CONT D Venous Insufficiency Ulcers (May be used in conjunction with compression therapy) Post Surgical Wounds 10 Wound Types and Criteria CONT D Fistula Drainage and Management Traumatic Wounds Pre-Op flap/graft Post-Op surgical flap/grafts 11 Contraindications Untreated osteomyelitis Malignancy (Except palliative care) Exposed organs, blood vessels or major structures Unexplored fistula 12 4

5 Precautions Exercise caution with patients who are: On anticoagulants Have difficult hemostasis Non-compliant / combative / unsuitable Untreated for malnutrition Carefully assess wounds that are: Necrotic w/eschar present 13 Chariker-Jeter Wound Sealing Kits FDA-cleared accessory kits are comprised of: Silicone Drain Gauze Transparent Dressing Tubing with Adapter Connector Tubing Clamp 14 Flat Drain Flat, perforated drain designed for wounds with moderate depth and drainage. Latex free, 100% silicone design. 15 5

6 Round, perforated drain designed for wounds with minimal depth and drainage. Round profile allows for use in undermining wounds. Round Drain 16 Irrigation / Aspiration Drain Round, perforated drain designed for wounds with heavy drainage. Dual lumen design allows for irrigation and medication without dressing changes. 17 Channel Drain Round, fluted drain designed for wounds with moderate depth and drainage. May be used for undermining wounds or tunnel/fistula tracts. 18 6

7 Antimicrobial Gauze Fills open space and helps retain moisture in the wound bed. Helps prevent infection and reduce cross-contamination. 19 Transparent Dressing Gas-permeable membrane designed to create a seal. Helps maintain a moist wound environment. 20 Non-Adherent Gauze (OPTIONAL) May protect granulation tissue from trauma upon dressing removal. Air/exudate permeable. 21 7

8 Miller Dermivex Full coverage drain designed for wounds with light to moderate drainage. Easy visualization of wound progress and easy to apply. 22 Important Note The medical professional is responsible for using his/her best medical judgment when using this kit. Prior to use, the medical professional(s) treating the wound must assess how to best use the kit for an individual wound. 23 Irrigate the wound bed thoroughly with approximately 30 ml of normal saline. Pat wound dry. Step

9 Step 2 Apply skin sealant to all skin that will be covered by the transparent dressing (minimum of 1 beyond wound margin) and allow to dry. 25 Step 3 As necessary, shorten the flat drain so the drain is confined to the wound bed to allow for contraction approximately 1 shorter than the wound bed length. When using a channel or round drain, the method above may be used or the drain may be curled to allow placement in the undermined area. 26 OPTION 1: Cut a single layer of non-adherent gauze to the approximate size and shape of the wound bed. Lay the non-adherent gauze across the wound bed. Step

10 Step 4 CONT D OPTION 2: If nonadherent gauze is not used, place the drain between salinemoistened gauze to create a layer of gauze between the wound bed and the drain. The drain is never placed directly on the wound bed. 28 Step 5 Fill the wound to skin level with salinemoistened fluffed gauze. 29 Step 6 Place the transparent dressing over the entire packed wound (minimum of 1 beyond wound margin) and seal. Crimp or pinch the edges of the transparent dressing around the drain tubing to secure a proper seal

11 Crimping Technique: Lift the drain slightly and pinch the dressing underneath the drain to create a seal. Reinforce with sealant paste or tape as necessary. Step 6 CONT D 31 Step 7 Connect the drain to the canister using the supplied connecting tube and adapter. 32 Step 8 Be sure the overflow filter is mounted to the pump. Always use canisters with mechanical overflow protection. Be sure the pump-canister connector attaches the bacterial overflow filter to the vacuum port on the canister to ensure proper overflow protection

12 Step 9 Turn the pump to constant suction, adjust to mm Hg, and observe the site. The dressing should contract noticeably. If it does not, there is not a closed system and you will need to find and patch the leak. You may patch with a piece of transparent dressing or waterproof tape. 34 Finished Dressing 35 Addressing Multiple Wounds Use a Y-connector to connect multiple wounds to a single unit. Abdominal Wound AND Hip Wound 36 12

13 Dressing Changes Frequency and extent depend on the status of the patient, i.e. infection, excessive drainage, etc. Change initial dressing at 48hrs. If no leak is present and the patient is comfortable, change dressing 2-3X/wk 37 Troubleshooting For inadequate suction at the wound site, check all tubing connections: Is elbow connector to filter properly seated? Is canister lid properly seated? Is canister fluid elimination port properly closed? Have all tubing clamps been released? Is the dressing sealed? 38 Troubleshooting CONT D For hard to seal areas, (i.e. around drain tubing), adhesive paste, hydrocolloid, pink tape or additional transparent dressing may be used. If still not effective a pulling drainage then may need to address type of drain/catheter. Different drain types and sizes are available to suit all wound sizes and drainage amounts. Contact your BlueSky Medical Distributor for availability or more information

14 Reducing Canister Volume If canister size does not match estimated drainage, fill canister with sterile water. Canister Volume Estimated Drainage = Volume of Sterile Water to Add 40 Suggested Vacuum Settings Pressure Ulcers Dehisced Surgical Incisions Diabetic/Neuropathic Ulcers Venous Insufficiency Ulcers Post-surgical Wounds mm Hg (constant setting) 41 Suggested Vacuum Settings CONT D Fistula Drainage and Management Traumatic Wounds Pre-Op Flap/Grafts Post-Op Surgical Flap/Grafts May require less than mm Hg (constant setting) 42 14

15 Continuous vs. Periodic Continuous Therapy = 24/7 treatment (recommended) Periodic Therapy = Application of therapy for a period of time, e.g. 6-8 hours/day, with moist dressing coverage between therapy periods. 43 Continuous vs. Periodic CONT D Unlike any other NPWT system, both therapies can be performed using the Versatile 1. Continuous therapy is recommended for the first hrs and may be changed to Periodic therapy at the discretion of the clinician. 44 Tips for Successful Outcomes Monitor patients regularly: Check for proper vacuum settings Document canister contents for type/color, odor and amount of exudate. Check peri-wound skin for maceration or irritation 45 15

16 Tips for Successful Outcomes - CONT D Check dressing integrity for air leaks Use clamp to occlude tubing. If the dressing relaxes when clamp is applied and contracts when clamp is released, then a leak is present and needs to be sealed. In the home care setting, teach the caregiver how to check dressing integrity 46 Risk Management Therapy Pressure: According to the type of wound sealing kit being used and the wound being treated. Cross Contamination: Follow facility protocol Alarms: Dual safety shutoffs Body Fluid Collection: Follow facility protocol Canister Disposal: Follow facility protocol 47 When to Assess Treatment Options After completion of successful course of treatment (may not mean wound closure) If wound site is painful If wound bed is dry If patient has greater mobility needs If patient is noncompliant 48 16

17 Treatment Duration Treatment can continue as long as progress is being made! 49 Measures of Progress Decreased Wound Size: (length, width, depth, undermining, tunneling) Increased Granulation Tissue Increased Epithelialization Decreased Necrosis Decreased Infection/Purulent Exudate Decreased Odor Decreased Pain 50 Question and Answer Session 51 17

18 BlueSky Medical Group, Inc Balfour Ct., Suite 102 Carlsbad, CA USA BLUESKY LBL AA Finally A Choice 18

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