No Moving, No Problem

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3M Tegaderm Hydrocolloid Dressings Tegaderm Hydrocolloid Adhesive Dressings No Moving, No Rolling, No Problem Keeping an adhesive hydrocolloid dressing in place used to be a problem, but 3M Tegaderm Hydrocolloid Adhesive Dressings have an innovative design that provides a long wear time for partial- to full-thickness wounds with low- to moderate-exudate. The inner layer of hydrocolloid adhesive absorbs exudate providing higher absorbency than the leading hydrocolloid in the first 48 hours Water resistant film border adheres firmly Dressing adhesive adheres to skin in the presence of moisture Outer barrier film protects the wound and periwound skin from contaminants, body fluids, bacteria and viruses* *In vitro testing shows that the transparent film of Tegaderm, Tegaderm Advanced, Tegaderm HP and Tegaderm CHG dressings provides a viral barrier from viruses 27 nm in diameter or larger while the dressing remains intact without leakage.

3M Tegaderm Hydrocolloid Dressing Stays in Place for Long Wear Time and Potential Cost Savings Ideal for Low- to Moderate-Draining Wounds Proven up to 7 day wear time provides undisturbed moist wound environment which has been shown to enhance healing Smooth outer surface helps reduce the risk of shear and friction Adhesive dressings continue to adhere and protect the wound in the presence of incontinence Long wear time means less dressing changes and potentially lower costs Maximize Sacral Protection The sacral shape stays in place Provides non-tenting border application in the gluteal cleft to seal against incontinence Easy to wipe off after incontinent episodes Reduced need for unnecessary dressing changes Convenient one-handed application Variety of Shapes and Sizes Tegaderm Hydrocolloid Dressings are available in three convenient shapes oval, sacral and square. Oval and sacral shapes have a film border. The film border eliminates the need for tape and makes dressing application easier. Ovals and squares are also available in a thin dressing design. Comfort for Patients Tegaderm Hydrocolloid Dressings provide excellent patient comfort, dressing adherence and wound management. The flexible, conformable, low-profile dressings are comfortable because there is less bulk to catch on bed linens. With film dressing border, there is less likelihood of edge lift. Water resistance allows the patient to shower or to have a bed bath. Oval Thin Sacral 2

Product Benefits Clinically Effective: Hydrocolloid adhesive absorbs exudates without breaking down or leaving residue in the wound for easier dressing application Dressing ensures an optimal moist wound healing environment which has been shown to enhance healing Protection from Contaminants: Outer film barrier protects the wound and surrounding skin from contaminants, body fluids, bacteria and viruses* Provides a consistently high moisture vapor transmission to reduce the potential for periwound skin maceration Smooth outer surface helps protect skin from shearing caused by friction, may be used to help prevent damage to intact skin May be worn up to 7 days Clinically Proven Three separate lots (6 replicates for each lot) of 3M Tegaderm Hydrocolloid Dressing and DuoDERM CGF Dressing were tested for absorbency. Results were recorded as grams of solution absorbed per gram of dressing material. Absorbency was measured at 2, 4, 24 and 48 hours. The results from the absorbency testing indicate that Tegaderm Hydrocolloid Dressing had a statistically significant higher mean absorbency than DuoDERM CGF Dressing at every time point (p<0.0001). The following graph displays the mean absorbency across time. 4.0 Mean Absorbency By Sample 3.5 Mean Absorbency (g/g) 3.0 2.5 2.0 1.5 1.0 Significantly Higher Absorbency 0.5 0.0 Time 2 Hrs 4 Hrs 24 Hrs 48 Hrs 2 Hrs 4 Hrs 24 Hrs 48 Hrs DuoDERM CGF Dressing 3M Tegaderm Hydrocolloid Dressing *In vitro testing shows that the transparent film of Tegaderm, Tegaderm Advanced, Tegaderm HP and Tegaderm CHG dressings provides a viral barrier from viruses 27 nm in diameter or larger while the dressing remains intact without leakage. 3

3M Tegaderm Hydrocolloid Dressing - Oval & Square Indications for Use Tegaderm Hydrocolloid Dressing is indicated for partial- and full-thickness dermal ulcers, leg ulcers, superficial wounds, abrasions, superficial- and partial-thickness burns, and donor sites. 3M Tegaderm Hydrocolloid Thin Dressing - Oval & Square Indications for Use Tegaderm Hydrocolloid Thin Dressing is indicated for partial-thickness dermal ulcers, leg ulcers, superficial wounds, abrasions, superficial- and partial-thickness burns, and donor sites. It may also be used as a protective dressing on at-risk, undamaged skin or on skin beginning to show signs of damage from friction or shear. 3M Tegaderm Hydrocolloid Dressing - Sacral Shape Indications for Use Tegaderm Hydrocolloid Dressing for sacral applications is indicated for partial- and full-thickness dermal ulcers, superficial wounds, abrasions, superficial- and partial-thickness burns, and donor sites. It is very useful in body areas that are problems for dressing shape and conformance. Examples of such areas are heels, elbows, breasts, and the sacral area of the buttocks. 4

Optimal Performance Optimal performance for 3M Tegaderm Hydrocolloid Dressing depends on full understanding of, and confidence with, dressing application and removal techniques. Review of the following application and removal techniques will ensure appropriate use of Tegaderm Hydrocolloid Dressings and Tegaderm Thin Hydrocolloid Dressings. Application and Removal Instructions Dressing Selection Evaluate the wound and select the dressing size to allow 2.5 cm (1 inch) of the hydrocolloid adhesive to extend beyond the wound edge. Site Preparation Before Using the Dressing: 1. Clip excess hair for patient comfort. 2. Clean the skin and the wound thoroughly, according to your facility or agency protocol. 3. Allow the skin to dry before applying the dressing. 4. If the patient s skin is easily damaged or if drainage is expected to go beyond the wound edge, 3M Cavilon No Sting Barrier Film may be applied. Application Instructions for Oval Dressing Step 1 Step 2 Step 3 Remove dressing from paper liner by lifting and pulling one of the square end tabs marked 1 exposing the adhesive surface. Avoid touching the adhesive border. Center the dressing over wound and periwound area, then gently press the adhesive side of the dressing to the periwound area from the center outward. With pressure, smooth film edges down to ensure good adhesion. Step 4 Step 5 Remove the delivery film by lifting and pulling one of the center tabs marked 2 toward one end of the dressing while smoothing down the dressing edges. Remove the other center tab in the same manner. Gently tear off the square end tabs at perforations in a downward direction and discard. Avoid lifting the film edge while removing the tabs. Then reinforce the entire film edge with firm pressure. 5

Application Instructions for Square Dressing Step 1 Step 2 Step 3 Remove dressing from paper liner, avoiding contact with the hydrocolloid adhesive surface. Center the dressing over the wound and periwound area. Gently press the adhesive side of the dressing to the periwound area from the center outward. Care should be taken to avoid unnecessary stretching of the dressing, which can result in mechanical trauma to the wound and surrounding skin.* Note: If necessary, the dressing can be custom cut prior to liner removal and then applied as shown. Application Instructions for Specialty Dressing: Heel/Elbow Square Dressing Step 1 Step 2 Step 3 Slit all four corners of the dressing from edge toward center. Remove liner, grasping both slit sides of one corner. Secure to heel or elbow, by pressing from the center toward the two cut sides. Step 4 Overlap remaining sides on secured edges and press seams to prevent leakage. Step 5 Picture frame edges with tape.* * To promote longer wear time, picture frame the edges of the dressing with 3M Micropore or 3M Medipore Soft Cloth Surgical Tape. Remember to rub firmly over the tape to enhance adhesion. 6

Application Instructions for Sacral Design Dressing Step 1 Step 2 Step 3 Flex dressing to open edges of the four paper frame splits. This will allow easier removal once dressing has been placed over the wound. Before removing the printed liner, fold the dressing in half and crease it down the middle. This will greatly assist one handed application into the gluteal cleft. Hold the tabs together to prevent gloves from sticking to the dressing. Remove the printed liner on one side of the dressing until adhesive is exposed. Continue to remove the printed liner from the other side of the dressing in the same manner. Step 4 Step 5 Step 6 While still holding both tabs, position the dressing over the wound, tilting the dressing toward the anal area. Spread the buttocks to get better placement. Secure the dressing above the anus first. This will minimize the chances of wrinkling (tenting). After securing dressing in the cleft, gently press adhesive sides of the dressing down from the center outward. This helps to avoid wrinkling and provides a smooth neat application. Avoid stretching the dressing or the skin. Remove the dressing frame, starting at the top and working downward. Reinforce and smooth the film border from the center outward. Continue down one side ending at the notch. Repeat process from other side until all sections of the frame are removed. Application Tips for Sacral Design Dressing After cleaning and drying the wound, apply 3M Cavilon No Sting Barrier Film on the periwound area. This alcohol free barrier film forms a barrier that helps prevent skin damage from incontinence and adhesives, and protects damaged periwound skin from further injury. When properly applied, the dressing will lay smooth along the contours of the buttocks. Removal Instructions Step 1 Step 2 Step 3 Carefully lift the dressing edges (film border) while pressing down on the skin. Continue lifting the edges until all are free from the skin surface. If there is difficulty lifting the film border, apply tape to the edge of the dressing and use the tape to lift. Remove the dressing slowly, folding it over itself. Pull carefully in the direction of hair growth. 7

3M Tegaderm Hydrocolloid Dressings Ordering Information: Catalog No. NDC No. Gel Pad Size Dressing Size Dressings/Box Boxes/Case HCPCS Code*** 3M Tegaderm Hydrocolloid Dressings 90001 (Ovals) 8333-9000-10 2 ¾ in x 3 ½ in 7 cm x 9 cm 90003 (Ovals) 8333-9000-30 4 in x 4 ¾ in 10 cm x 12 cm 90004 (Ovals) 8333-9000-40 5 ½ in x 6 ¾ in 14 cm x 17 cm 90002 (Squares) 8333-9000-20 4 in x 4 in 10 cm x 10 cm 90005 (Squares) 8333-9000-50 6 in x 6 in 15 cm x 15 cm 3M Tegaderm Hydrocolloid Sacral Dressings 90007 8333-9000-70 3M Tegaderm Hydrocolloid Thin Dressings 90021 (Ovals) 8333-9002-10 90023 (Ovals) 8333-9002-30 90024 (Ovals) 8333-9002-40 90022 (Squares) 8333-9002-20 2 ¾ in x 3 ½ in 7 cm x 9 cm 4 in x 4 ¾ in 10 cm x 12 cm 5 ½ in x 6 ¾ in 14 cm x 17 cm 4 in x 4 in 10 cm x 10 cm 4 in x 4 ¾ in 10 cm x 12 cm* 5 ¼ in x 6 in 13 cm x 15 cm* 6 ¾ in x 7 ¾ in 17 cm x 20 cm* 5 20 A6237 5 12 A6238 3 20 A6238 5 20 A6234 3 20 A6235 6 ¾ in x 6 3 /8 in 17,1 cm x 16,1 cm** 4 in x 4 ¾ in 10 cm x 12 cm* 5 ¼ in x 6 in 13 cm x 15 cm* 6 ¾ in x 7 ¾ in 17 cm x 20 cm* 6 4 A6238 10 10 A6237 10 6 A6238 6 10 A6238 5 20 A6234 *Dimensions of entire dressing, including hydrocolloid and film backing. **Dimensions of entire dressing, including hydrocolloid and border. *** HCPCS codes as referenced in the Local Coverage Determination Surgical Dressing Policy. Disclaimer: HCPCS codes have been provided to assist you in the preparation of Medicare Part B claims. Please note, however, that the reimbursement information provided by 3M Health Care and its representatives is intended to provide general information relevant to coverage and coding for 3M products. Insurers' reimbursement policies can vary and the use of the codes discussed here does not guarantee that an insurer will cover or pay at any particular level. Health care providers should exercise independent clinical judgment in choosing the codes which most accurately describe the products provided. For more information visit our website at www.3m.com/tegaderm, contact your 3M Skin & Wound Care representative, or call the 3M Health Care Customer Helpline at 1-800-228-3957. These products can be ordered from your local distributor. Outside the United States contact the local 3M subsidiary. Skin & Wound Care Division 3M Health Care 3M Center, Building 275-4W-02 St. Paul, MN 55144-1000 USA 1-800-228-3957 www.3m.com/healthcare 3M Canada P.O. Box 5757 London, Ontario N6A 4T1 Canada 1-800-364-3577 www.3m.com/ca/healthcare DuoDERM CGF is a registered trademark of Convatec. 3M, Cavilon, Medipore, Micropore and Tegaderm are trademarks of 3M. Please recycle. Printed in U.S.A. 3M 2010. All rights reserved. 70-2010-8053-1 (Bolger)