ISSUE 15 Spring 13 Introducing New Cosmopor the latest product offering from HARTMANN FREE inside: Mobile Phone Screen Cleaner Cosmopor Evaluation Results
Cosmopor Without the E! Introducing the new name in island wound dressings Cosmopor and Cosmopor E: two great products, one distinct difference Cosmopor E NEW Cosmopor Cost-effective choice for post-operative wound treatment. Sterile adhesive island wound dressing which consists of a viscose core providing high absorbency and cushioning. Synthetic rubber adhesive ensures secure fixation, whilst soft and hypoallergenic fibres prevent irritation. Not only ideal for the post-operative treatment of wounds, but also for the sterile treatment of minor injuries when providing first aid. Cosmopor s strong, fluid-repellent polyacrylate adhesive ensures that the dressing remains firmly in place. Its highly absorbent pad provides cushioning as well as retaining fluid from the wound. It is soft on the skin and its hypoallergenic fibres prevent irritation. New Cosmopor is easy to apply, conformable, comfortable and performs brilliantly in the shower. 1 1 Cosmopor Evaluation Results September 2012 Report prepared by Peter Roberts and Dr Karen Ousey School of Human and Health Sciences, University of Huddersfield Hartmann Code Product Size Pack PIP Code 900 900 New Cosmopor 7.2 x 5cm 50 pcs 374 0115 900 901 New Cosmopor 10 x 8cm 25 pcs 374 0123 900 902 New Cosmopor 15 x 8cm 25 pcs 374 0131 900 903 New Cosmopor 20 x 10cm 25 pcs 374 0149 900 904 New Cosmopor 25 x 10cm 25 pcs 374 0156 900 905 New Cosmopor 35 x 10cm 25 pcs 374 0164 To find out more about Cosmopor and Cosmopor E island wound dressings or to arrange a trial please call us now on 01706 363200 or visit www.hartmann.co.uk
Welcome to the Spring 2013 issue of WoundForum This issue of WoundForum coincides with the start of a new era for the NHS. From the 1st April 2013 the NHS Commissioning Board (NHS CB) will take up its full statutory duties and responsibilities and this will bring with it new ways of working for all involved with NHS provision of care. According to the NHS CB, half of all the new GP-led groups will begin commissioning healthcare on behalf of their local communities on the 1st April, with a clean bill of health and no requirement of on-going support. Every community in England is now covered by one of 211 Clinical Commissioning Groups (CCG s), which will be led by GP s and will plan and commission hospital, community health and mental health services on behalf of their local areas - a new age of healthcare is upon us. Whilst radical change is happening all around us, it is worth going back to basics and looking at where we can improve on the simple things that make a big difference and this is what we have aimed to do with the launch of our new Cosmopor dressing. Tried and tested Cosmopor E has been the market leading dressing in the acute sector for the last 5 years (1) and is an important product within the HARTMANN range. However, we wanted to take in to account feedback from you, so we have developed a new version to add to the Cosmopor family. New Cosmopor has a polyacrylate adhesive (instead of the synthetic rubber adhesive found on Cosmopor E) and the backing material is fully coated with the adhesive, which provides water repellency to the product. This means patients can take a shower with the dressing in place, improving their quality of life. Turn to page 4 to view the laboratory test data for the run off test. On page 6 you will find a 10 patient evaluation conducted by the School of Human and Health Sciences Podiatry department at the University of Huddersfield. As always we welcome your feedback on any of the features within WoundForum and if you have any ideas for future topics, please do not hesitate to get in touch. On behalf of the team here at HARTMANN I hope you enjoy this issue and look forward to seeing you again in the Autumn. Sally Nesta sally.nesta@uk.hartmann.info (1) NHS Supply Chain Data on file Here at HARTMANN we are continually striving to reduce our impact on the environment, if you would prefer to receive Wound Forum via email, please do not hesitate to contact me with your email address details. 3
Introducing Cosmopor Test Report: Surgical Dressing with Non-woven Backing Run Off Performance Study Introduction Paul HARTMANN Germany (AG) manufactures and markets world-wide a range of products and services to help in the treatment of incontinence hygiene and wound management, including post operative dressings. Medical Engineering Technologies Limited (MET Ltd) were commissioned by Paul HARTMANN AG to evaluate and report the run off characteristics of two HARTMANN products, NEW Cosmopor and Cosmopor E, as well as one market leading competitor. Method Each dressing was mounted on a transparent plate (non-woven backing uppermost) on an absorbent material which was inclined at 25. The dressing was placed so that it extended beyond both the inclined plate and the absorbent backing. This ensured that fluid flow into the receiver tray was not impeded. The fluid flow was over 255mm of the dressing material into a receiver tray of known mass. The dispensing head was positioned 25mm above the test dressing in the middle of the upper reference line. Simulated urine (25ml) was dispensed in a steady stream onto the non-woven backing over 4 seconds. Ten repeat tests were carried out on five samples of each type of dressing. The run-off weight was recorded after each test and the absorbent material (underneath the dressing) was checked for simulated urine penetration. The absorbent material (underneath the dressing) was replaced when penetration had occurred. Results summary Cosmopor Sample Average run-off Grams 10 runs Average run-off (10 runs) Number of runs prior to penetration 10 runs total 1 24.52 98 No penetration 2 24.67 99 No penetration 3 24.88 100 No penetration 4 24.77 99 No penetration 5 24.7 98 No penetration Average of 5 samples 25 99 Run number 1 2 3 4 5 6 7 8 9 10 4
TESTREPORT Surgical Dressing with Non-woven Backing Run Off Performance Study www.hartmann.co.uk Cosmopor E Sample Average of 5 samples Average run-off Grams 10 runs Average run-off (10 runs) Number of runs prior to penetration 10 runs total 1 21.83 87 3rd run onwards 2 20.61 80 4th run onwards 3 18.72 75 2nd run onwards 4 20.2 81 2nd run onwards 5 23.61 94 8th run onwards 25 99 Run number 1 2 3 4 5 6 7 8 9 10 Competitor Sample Average run-off Grams 10 runs Average run-off (10 runs) Number of runs prior to penetration 10 runs total Average of 5 samples 1 24.81 99 No penetration 2 24.61 98 7th run onwards 3 24.38 98 4th run onwards 4 23.74 95 4th run onwards 5 24.81 99 9th run onwards (slight penetration on run 5) 25 98 Run number 1 2 3 4 5 6 7 8 9 10 Conclusion The non-woven backing for the Cosmopor E samples appeared less dense that the other two samples. No penetration of the non-woven backing was observed for the Cosmopor samples after the complete test series of ten repeats. One sample of the competitor products tested was not penetrated after the test series of ten repeats. The remaining four samples underwent at least three repeat tests before penetration occurred. 5
www.hartmann.co.uk Cosmopor Evaluation Results Report prepared by Peter Roberts and Dr Karen Ousey School of Human and Health Sciences, University of Huddersfield September 2012 Background Cosmopor is a water repellent, absorbent, adhesive island dressing. Podiatrists were asked to evaluate the dressing on non-infected lower limb wounds in a University podiatry clinic. The clinic is a private provider of podiatric care with a patient case load of approximately 5,000. In addition to delivering podiatric care, the clinic is the central focus for undergraduate training of podiatry students where they develop and apply their skills in a real setting. Podiatrists within the clinic normally use a range of dry dressings, including Melolin, Melolite and Release secured with Mefix cut by the practitioner. The indications for use of this type of dressing are for superficial non-infected ulcerations, post nail surgery wounds and dressing of iatrogenic haemorrhages incurred during scalpel debridement of callus. None of the podiatrists involved in the evaluation had used Cosmopor previously. Ethical Approval Ethical approval for the evaluation was sought and granted from the School Research and Ethics Panel, University of Huddersfield. Podiatrists participating in the evaluation were given written information and requested to give informed consent before using the dressing. Data Collection A questionnaire designed by HARTMANN was the sole data collection tool. Podiatrists were asked to use the dressing and to evaluate its results through completion of the evaluation form. Practitioners were asked to rate their response to each question as excellent; good; acceptable or poor. There were no patient comments collected and patients were not consented for images to be taken of their wounds. All completed forms were returned anonymously to the lead podiatrist for the evaluation. Data was collected between July and September 2012. Ten (10) patients had the dressing applied to their wound. Wound Types Used for the Evaluation of Cosmopor Cosmopor was used on the following wound types during this evaluation: Post-operative nail surgery wounds for either total or partial nail avulsions. Latrogenic haemorrhages caused during scalpel debridement of callus. 6
REPORT Cosmopor Evaluation Results www.hartmann.co.uk Results of the Evaluation Table 1: Observations Question Excellent Good Acceptable Poor Table3: Was the wound kept dry? Question YES NO Ease of Application 4 6 Conformability 4 6 Ease of removal 4 4 1 Did Cosmopor keep wound dry? Table 4: Wear time 9 1 Patient comfort during wear time Table 2: Pain 7 3 Question 24hrs 36hrs 48hrs How long did the dressing stay in place for? 8 1 1 Question YES NO Did the patient experience pain during removal? 1 9 Table 5: Would you purchase Cosmopor? Question YES NO If yes was pain attributable to Cosmopor? 1 Would you purchase Cosmopor? 9 1 Comments from practitioners The evaluation forms provided space for practitioner s comments relating to the dressing as compared to their current dressing choice. Comments included: It was bigger than normal this was to be expected as podiatrists evaluated the dressing and generally use smaller dressings due to the nature of the wounds seen in a podiatry clinic. Interestingly, comments included that this was the only adhesive dressing that the practitioner had used while others stated that it was stickier than other island dressings, with one practitioner reporting that it was very painful to remove due to the stickiness. There were also comments that stated Cosmopor came off in the shower, however others stated Cosmopor was brilliant in the shower. One practitioner reported Cosmopor was not significantly different to other dressings and the remaining respondents did not comment. Conclusions Cosmopor was evaluated on ten (10) podiatric patients who had presented to podiatry clinic with lower limb wounds. Overall the dressing evaluated extremely well and nine (9) of the ten practitioners would use the dressing again. We recommend that smaller dressing sizes are incorporated in the dressing range to allow a cost effective usage of the product on smaller wounds. 7
www.hartmann.co.uk Think about your patient s skin we did Skin is amazing. Just think what it has to cover digits, extremities, curves, bumps, joints, folds & bends. Its flexible, hairy & full of pores. Its wrinkly, dry, sweaty & gets knocked. Yet it protects, absorbs, resists, stores, controls. The newly improved Cosmopor island wound dressing from HARTMANN has been developed to help the body heal and protect the wound site, whilst being flexible enough to be used in all those awkward places and strong enough to remain in place no matter what life throws at it. 8 Keep it clean, keep it simple, keep it HARTMANN
REPORT Repetitive Epicutaneous test www.hartmann.co.uk Repetitive Epicutaneous test Test materials were applied repeatedly by the occlusive epicutaneous patch test system for 24 hours (1st application), and for 21 hours each (2nd, 3rd and 4th application) Nineteen subjects were tested in accordance to the proderm standard protocol V03 (06-REP). The application was repeated up to 4 times or up to the first clearly defined skin irritation (score greater than or equal to 1). 3 hours after each removal of the patch system a visual scoring took place. Day 1 2 3 4 5 Application of Test Materials Patch removal (24h after the application of test materials on day 1 and 21h after patch removal on days 2, 3 and 4) Visual Evaluation (By trained evaluator, 3h after the last patch removal) To avoid irritant reactions against the patch system, a template of tape with central holes of diameter 20mm was used to protect skin adjacent to the test area during the whole test period. The template was placed directly onto the back of the subjects. The assessments were performed according to the following Global Irritation Scale. If a score is above 1 no further product will be applied. 0 No evidence of erythema. 0.5 Minimal to doubtful erythema. 1 Slight but clearly defined erythema over more than two thirds of the test area and/or slight scabbing (up to one quarter of the test area). The scabbing is superficial and can be described as a surface defect. 2 Moderate uniform erythema that can protrude over the test area and/or scabbing over more the one quarter of the test area. The scabbing is superficial and can be described as a surface defect often accompanied by edema and skin defects (haemorrhage, erosions). 3 Strong, uniform erythema, often protruding over the test area and/or deep scabbing over more than half of the test are, possibly with bleedings, usually accompanied by edema and deep skin defects (haemorrhage, opened vesicles). Results: Cumulative count 20 15 10 5 0 Number of Unequivocal Reactions Day 2 Day 3 Day 4 Day 5 Subjects without Erythema reactions Subjects with new Erythema reactions Number of previous Erythma reactions Cosmopor showed very good skin tolerability. 9
HARTMANN news www.hartmann.co.uk Cosmopor showcase at TVS 2013 HARTMANN are attending the Tissue Viability Society conference in Kettering. We will be showcasing our new product, Cosmopor. Come and see us at stand 62 for more information. The 32nd Annual Conference of the TVS will take place at Kettering Conference Centre on 17-18 April 2013. During the two days you will hear from a variety of speakers who will address topical and practical aspects of relevance to all healthcare professionals involved in tissue viability and wound management. GRAND DESIGNS The HARTMANN offices have had a much needed overhaul! We have renovated our buffet room into a stylish Heritage Café and the reception area has had a full refurbishment. If you would like to use our facilities to hold a meeting do not hesitate to contact your local HARTMANN representative. 10
42 41 40 39 38 37 36 35 34 33 32 31 30 43 44 48 1 2 What has your body been through in the last 48 hours? 29 28 45 27 46 47 26 25 24 23 22 3 21 4 20 5 19 6 18 7 8 9 10 11 12 13 14 15 16 17 www.hartmann.co.uk It has been hot, cold, damp, wet, pushed and pulled about, sweaty, dry, knocked, bumped, washed, rubbed, brushed, scratched, twisted Hydrofilm high MVTR 1 transparent film dressing has been developed to help the body heal in the critical, post-operative 48 hours and to protect the wound site from whatever life throws at it. 1 internal lab tests: Paddington test upright 1300g/sqm/24h, data on file. Hydrofilm Hydrofilm Plus Your FREE HARTMANN mobile phone/tablet screen cleaner Keep it clean, keep it simple, keep it HARTMANN
SCAN HERE To create an account HeLP is at hand HARTMANN elearning Programme Skin Module HARTMANN elearning Programme Skin Module gives an introduction to the skin and advises how to diagnose, treat and prevent skin injuries that are prevalent in vulnerable skin. The Skin Module is ideal for care home staff, students and healthcare professionals who want a greater understanding of how to maintain healthy skin in vulnerable patients. The topics covered are: The anatomy and physiology of the skin Functions of the skin Skin assessment Primary and secondary lesions Pressure ulcers Moisture lesions Differences between moisture lesions & pressure ulcers Skin tears NEW! www.hartmann.co.uk Create your own training account for free at www.hartmanntraining.co.uk