WoundCareCatalogue_ZJ01253_160217_Preview

Wound
Management

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

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.

2

Content

B. Braun has developed a comprehensive   4 Your Guide for Wound Care
range of wound care products which enables
optimal wound management by supporting   6 Wound Bed Preparation
and accelerating endogenous healing.   8 Prontosan® Wound Irrigation Solution
10 Prontosan® Wound Gel | Wound Gel X
B. Braun Wound Care products focus on 12 Prontosan® Wound Spray
every type of wound at each phase of wound 13 Braunovidon® Ointment | Ointment Gauze
healing. By providing innovative solutions
such as Prontosan® Wound Irrigation Solu- 14 Necrotic to Fibrinous Wounds
tion, bacterial biofilm can be efficiently 16 Askina® Gel
removed thereby clearing the way for appli- 18 Askina® Sorb
cation of advanced wound dressings from the 20 Askina® Absorb+
Askina® range, to assist in the complex task
of tissue repair. 22 Fibrinous to Granulating Wounds
24 Askina® Foam | Foam Cavity | Askina® Trachea
This guide will help you to find the optimal 26 Askina® Heel
treatment for your particular patient and
wound type by recommending treatment 28 Granulating to Epithelializing Wounds
management which is Right. From the start. 30 Askina® SilNet
32 Askina® DresSil
34 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® THIN
48 Askina® Calgitrol® Paste
50 Askina® Carbosorb
51 Askina® Pad I Pad S

Skin at risk
52 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

3

Your Guide for Wound Care

Wound description / Level of Therapeutic goal Procedure / actions
stage of wound healing exudate
Black necrotic wound Removal of dry necrotic Hydration of the wound with hydrogel
(non-ischemic) * Low tissue Mechanical or surgical debridement

Dry fibrinous wound Low Removal of fibrinous tissue, Mechanical or surgical debridement if
Prevention of infection needed, wound cleansing, hydration of the
Moist fibrinous Medium wound
wound to high Removal of fibrinous tissue,
Medium Exudate management Mechanical or surgical debridement if nee-
Fibrinous to to high ded, wound cleansing, enhancing moist envi-
granulating wound Medium Removal of fibrinous tissue, ronment to promote autolytic debridement
Exudate management,
Granulating wound Low Promotion of granulation Wound cleansing, enhancing moist
environment to promote autolytic
Granulating to epi- None Exudate management, debridement
thelializing wound Promotion of granulation
Wound cleansing, moist environment,
Epithelializing wound Absorption of remaining protection of newly formed tissue and
exudate, Promotion of of surrounding skin
Infected wound epithelialization
Wound cleansing, protection of newly
* in case of peripheral arterial disease, Promotion of formed tissue and of surrounding skin
do not hydrate the wound epithelialization
Protection of newly formed tissue
Skin at risk
Medium Reduction of bacterial load, Wound cleansing, prevent contamination
Skin at risk to high Exudate management, from external bacteria, enhance moist
Odour control wound environment
4
None Prevention of Stage I Topical application of Essential Fatty acids,
None pressure ulcers Diminish friction and shearing forces

Prevention of periwound Protect vulnerable or damaged areas
skin breakdown,
Protection from maceration

Wound cleansing & Primary wound dressing Secondary Frequency
wound dressing of change
wound bed preparation Deep Superficial
Askina® SilNet up to 3 days
Askina® Gel Askina® Gel Askina® Derm

Askina® Gel Askina® Gel Askina® SilNet 1 - 3 days
Askina® Derm

Prontosan® Wound Askina® Sorb Rope Askina® Sorb Askina® Pad daily
Irrigation Solution Askina® Foam Cavity Askina® Absorb+ Bandage, tape 1 - 3 days
Prontosan® Wound Gel Askina® Foam 1 - 3 days
Prontosan® Wound Gel X 3 - 5 days
Askina® Sorb Rope Askina® SilNet Askina® Pad up to 7 days
N/A Askina® Foam Cavity Askina® Absorb+ Bandage, tape daily
Prontosan® Askina® Foam

Askina® Foam Cavity Askina® SilNet Bandage, tape
Askina® DresSil
Askina® Transorbent®

Askina® Foam Cavity Askina® SilNet Bandage, tape
Askina® DresSil
Askina® Hydro

N/A Askina® Biofilm N/A

Transparent

Askina® Derm

Askina® Calgitrol® THIN Askina® Calgitrol® Ag Askina® Carbosorb
Askina® Calgitrol® Paste Askina® Calgitrol® Paste Askina® Pad
Bandage, tape

Water and soap Topical application Frequency of application
Linovera® twice daily

Water and soap Askina® Barrier Film 1 - 3 days
Askina® Barrier Cream

5

Prontosan® Wound Sterile solution
Irrigation Solution
··Prevents biofilm formation
Prontosan® Wound Gel ··Well-known substances with low allergenic potential
··Compatible with commonly used wound dressings
Prontosan® Wound Gel X ····Can be used up to 8 weeks after first opening

Sterile hydrogel

··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
····Painless application

Sterile, highly viscous hydrogel

··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
····Painless application

Braunovidon® Ointment Wound antiseptic
Braunovidon® Ointment Gauze
··Spreads easily due to soft fluid consistency
··Liquefies at body temperature
····Available as cotton gauze already coated with ointment

Superficial wounds and burns Unsterile solution
Prontosan® Wound Spray
··Prevents biofilm formation
··Prevents MDRO contamination
··Well-known substances with low allergenic potential
··Can be used up to 12 months after first opening
····Painless application

6

Wound Bed Preparation

Chronic Wounds
Acute Wounds
I. degree burns
II. degree burns
III. degree bruns
Infected Wounds

●●●● ●

●●●● ●

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

7

Prontosan® Wound Irrigation Solution

The solution for acute, chronic and burn wounds

Advantages

··Removes & prevents biofilm
··Prevents infections
··Reduces healing time
··Gentle dressing change
··W ell-known substances with low allergenic potential
··Compatible with commonly used wound dressings
··C an be used up to 8 weeks after first opening

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 diso­ rganisation of the biological structure of
the bacteria.

Conventional Wound Irrigation Prontosan®

8

Wound Bed Preparation

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.

Indications Application
Prontosan® Wound Irrigation Solution can be Before Application
used for the prevention of an infection in acute To open the bottle remove distance ring and screw the cap clockwise
and chronic wounds including
Advantages
··Traumatic wounds
··Postoperative wounds ··Ready to use
··C hronic skin ulcers (e. g. venous, diabetic or ··Easy and simple to use
··pressure ulcers) ··Direct application from the practical squeeze bottle
··Well-known substances with low allergenic potential
Burns 1st and 2nd degree ··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 REF
Pod    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

9

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
··Well-known substances with low allergenic potential
··Compatible with commonly used wound dressings
··Can be used up to 8 weeks after first opening

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 Prontosan® Wound Gel X
250 g tube
30 ml Pod Highly viscous

··Fluid ··For large surface area wounds, e.g.
For smaller, deep and tunneling ··Ulcus cruris
wounds, as well as for difficult to ··Decubitus
··For all burn wounds,
·· access wounds
For burn wounds incl. III. degree
I. & II. degree
··When large quantities are required
··If little quantity is required ··Where Prontosan® Wound Gel is

too fluid

10

Wound Bed Preparation

Hints and Tips 1 2

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.

Indications Application
Cleansing, moistening and decontamination
of skin wounds and burns The choice between Prontosan® Wound Gel and Gel X allows an optimal

··Traumatic wounds application in large surface area as well as deep wounds.
··Postoperative wounds
··Chronic skin ulcers

(e.g. venous, diabetic or pressure ulcers) 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.
··Thermal wounds
··Chemical wounds
·· (acid- and alkali-induced)
2 For the application in deep or tunneling wounds, wound cavities
Radiation-induced wounds and difficult to access areas, apply a 3-5 mm layer of Prontosan®
Moistening of bandages and wound dressings Wound Gel and cover with a secondary dressing.

Prontosan® Size Pcs/Pack REF
Wound Gel 30 ml 1 400505
Wound Gel X 50 g 1 400517
Wound Gel X 1 400508
250 g

Composition: 0.1 % Polyaminopropyl Biguanide (Polihexanide), Betaine Surfactant,
Purified Water, Glycerol, Hydroxyethylcellulose

11

Prontosan® Wound Spray

Cleansing and moistening of superficial wounds and burns

HANDLING/APPLICATION TIP
Rinse off residues of soaps, ointments, oils, or other
wound cleansing substances thoroughly prior to the
use of Prontosan® Wound Spray.

The Prontosan® Wound Spray supports rapid wound healing by effective Advantages
cleansing and moistening of superficial wounds and burns.
··Prevents wound infection
Application ··Supports wound healing
Thoroughly spray Prontosan® Wound Spray onto the entire wound and the ··Prevents MDRO contamination
wound site. With this, the risk for infection is reduced and optimal healing ··Prevents biofilm formation
conditions are generated. Afterwards, cover the wound with a dressing. ··Reduces pain
Clotted or encrusted dressings can be moistened with Prontosan® Wound ··Painless application
Spray in order to be easily removed and to avoid pain during removal.
Indications

··For 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 burns
Supports removal of encrusted bandages.

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

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

12

Wound Bed Preparation

Braunovidon® Ointment | Ointment Gauze

Antiseptic skin and wound treatment

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

··Spreads easily due to soft fluid consistency
··Liquefies at body temperature
··The greaseless Braunovidon® Ointment formulation is compatible

with most wound dressings except for silver-containing dressings
with standard and advanced wound dressings

Indications Braunovidon® Ointment

··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® Size Pcs/Pack
Ointment
Tube   20 g 1
Tube 100 g 1
Tube 250 g 1
Pot 250 g 1
Ointment Gauze
Individually sealed 7.5 cm x 10 cm 1
Individually sealed 20 cm x 10 cm 1

Ingredients Ointment:
10.0 g povidone-iodine (1.0 g available iodine, active ingredient) per 100 g;
macrogol 400, macrogol 4000, purified water, sodium hydrogen carbonate

Ingredients Gauze: cotton fabric, white soft paraffin
1 piece of ointment gauze 7.5 x 10 cm contains: 10.5 g ointment
1 piece of ointment gauze 10 x 20 cm contains: 28.0 g ointment

13

low exuding wound Special cannula to reach deeper wounds and sinuses
moderately exuding wound
heavily exuding wound ··Outstanding hydration properties
··Crystal clear for accurate wound assessment
Askina® Gel ····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

14

Dry necrotic wounds Necrotic to Fibrinous Wounds
Moderately exuding necrotic wounds
Sloughy necrotic wounds●●
●●

Necrosis and
Slough Removal.
Easy, Effective,
● ● Painless.

Necrotic to Fibrinous Wounds

15

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 Exceptional stability of Askina® Gel:
During 18 h, Askina® Gel does not move, at 90° angle of inclination.
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? n Askina® Gel n Gel B Data on file A
4 18 h G
Distance travelled in cm
Hydrates Absorbs the Hydrogels have a special ability to adapt to their 3
the necrotic exudates and environment and can either hydrate the wound or absorb 2
fragments of fibrin exudate. They facilitate the debridement and removal 1
tissue of necrotic and fibrinous tissue and other devitalised 0
material.
30 min
60 min 90 min

16

Necrotic to Fibrinous Wounds

TIPS FOR APPLICATION 1 2
3 4
··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

Indications Application
Low exuding, sloughy or dry necrotic wounds 1 The amputation wound: fibrin and necrotic tissue are present.
Mechanical debridement using scalpel is extremely painful despite the
··Venous and arterial leg ulcers use of major analgesics.
··Pressure ulcers 2 Askina® Gel is applied in a thick layer, the application is easy and
··Diabetic foot ulcers painless.
··Traumatic wounds 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

17

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,
··no maceration of wound edges
··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.

g/100 cm2 (30 min) 30 28,08 g Strong, fast acting absorption
25 Comparison of absorption capacity of
20 19,22 g Askina® Sorb and the absorption capacity
15 of the leading CMC dressing*
10
5 * Surgical Material Testing Laboratory.
0 Report #97/825/1, January 1997

Askina ® Sorb CMC dressing

18

Necrotic to Fibrinous Wounds

TIP FOR FIXATION 1 2
4
··Cover with secondary dressing, like Askina® Pad,
·· or Askina® Foam if the wound is heavily exuding

Secure with surgical tape or bandage

3

Indications Application
Moderately to heavily exuding wounds such as
1 2 Example of use of Askina® Sorb Flat Rope
··Pressure ulcers Highly exuding deep wound. The dressing is inserted directly into the
··Venous and arterial leg ulcers cavity. Wound should not be packed too tightly.
··Diabetic foot ulcers
··Donor sites 3 Dressing is removed in one piece, without leaving residues in the
··Traumatic wounds wound.
··Abrasions
··2nd degree burns 4 The structure of alginate/CMC fibres.
··Post-operative wounds

Askina® Sorb Size Pcs/Pack REF
Dressing    6 cm x   6 cm  3 2109S
   6 cm x   6 cm 10 2115S
Flat Rope    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
2.7 cm x 34 cm  3 2106S
2.7 cm x 34 cm 10 2105S

19

Askina® Absorb+

Superabsorbent non-adherent wound dressing

Askina® Absorb+ is a highly absorbing dressing which can retain and lock Advantages
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 ··High, long lasting absorption capacity
outer pouch. In contact with wound exudate the liquid is converted and ··High retention (no sponge effect):
retained as a soft and flexible gel, which helps to clean the wound and ··Can be used with compression therapy
maintain a moist environment. ··No maceration of the wound edges
··Gradual absorption without “Gel Lock”
How it works ··Remains soft and flexible even when saturated
··Low adherent wound contact surface
The inner pad consists of fibres composed of 3 components dried as one material. ··No “dry spill” of superabsorbent material

1. Cellulosic fibre for dispersion & lateral wicking
2. Super absorbent fibre for high absorption capacity
3. Bicomponent fibre for binding and strength

Absorption

Absorption process is gradual and uniform allowing to absorb and store large quantities of exudate. Absorbency w/w, g [B. Braun Data on file]
No “Gel Lock” effect: As there is no powder content, there is no gel formation around particles 32 Askina® Absorb+
which blocks further absorption leaving the inside of the particle dry.
30
Weight of liquid absorbed after
1h per gram of dressing 28

26

24

22

Saturated Askina® Absorb+ Saturated competitor superabsorbent dressing 20
n Low profile n High profile
n Soft and flexible n Hard, no flexibility Competitor
superabsorbent dressing

20

Necrotic to Fibrinous Wounds

TIP 1 2
3 4
··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

Indications Clinical application: Venous leg ulcer
Moderately to heavily exuding wounds, such as:
1 Highly exuding wound with oedema and redness of the surrounding
··Pressure ulcers tissue
··Venous and arterial leg ulcers
··Diabetic foot ulcers 2 Askina® Absorb+ was used under compression therapy: It efficiently
··1st and 2nd degree burns absorbed and removed a large quantity of exudate and wound debris
··Traumatic wounds
··Oncology wounds 3 Vertical absorption, no maceration at the wound edges
4 After 12 days, wound surface and periwound oedema are significantly
reduced, epithelialisation tissue is progressing.

Askina® Absorb+ Size Pcs/Pack REF
10 cm x 10 cm 10 3331010
10 cm x 20 cm 10 3331210
20 cm x 20 cm  5 3332005

21

low exuding wound
moderately exuding wound
heavily exuding wound

Superficial wounds

Askina® Foam Excellent fluid handling characteristics

Askina® Heel ··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

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

22

Fibrinous to Granulating WoundsPressure ulcers
Arterial and venous leg ulcers
●●●●●● Diabetic foot ulcers
● ●●●● Surgical wounds
Traumatic wounds
● II. degree burns
Tracheostomies | Drainage sites
Managing
Exudate
● ● ● Effectively.

Fibrinous to Granulating Wounds

23

Askina® Foam | Foam Cavity | Trachea

Hydrophilic foam dressings

Advantages

··Excellent fluid handling characteristics
··Cost efficient: no need for frequent dressing

changes

··Enhances a moist wound environment
··No adherence to the wound;

atraumatic dressing changes

··Visual control of exudate absorption
··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.

24

Fibrinous to Granulating Wounds

TIP 1 2
3 4
··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® Foam Askina® Foam: example of use
Moderately to heavily exuding wounds:
1 Askina® Foam used on a heavily exuding flat wound:
··Stage I–IV pressure ulcers visual control of exudate absorption.
··Venous and arterial leg ulcers
··Diabetic foot ulcers 2 Large quantity of exudate is absorbed:
··1st and 2nd degree burns vertical absorption, without maceration of the wound edges.
··Traumatic wounds
3 4 Combined use of Askina® Foam Cavity, used to fill a deep
··Indications Askina® Foam Cavity highly exuding wound, and Askina® Foam, used as an additional
Deep cavity wounds with high exudate levels
absorption dressing.

Askina® Foam Size Pcs/Pack REF
Askina® Foam    5 cm x   7  cm 10 7240710
 10 cm x 10  cm 10 7241010
Askina® Foam Cavity  10 cm x 20  cm 10 7241210
Askina® Trachea  20 cm x 20  cm  5 7242005
2.5 cm x 40  cm 10 7244010
9.5 cm x 8.5 cm 10 7248510

25

Askina® Heel

Anatomically shaped hydrocellular heel dressing

Advantages

··Ready to use concept, no fixation device needed
··Innovative anatomical design covering the malleolus
··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.

26

Fibrinous to Granulating Wounds

TIP 1 2
3 4
··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

Indications How to apply Askina® Heel
Management of moderately to heavily exuding,
partial to full thickness wounds on the heel 1 Apply self adhesive labels on each side of Askina® Heel
2 Apply gently the dressing on the heel area and fix with the strap
··Stage I-IV pressure ulcers 3 Correctly positioned Askina® Heel: the ankle is covered
··Diabetic foot ulcers 4 The dressing can be also fixed with a compression stocking
··Surgical incisions
··1st and 2nd degree burns

Askina® Heel Size Pcs/Pack REF
surface = 225 cm2 3 7240103
surface = 225 cm2 5 7240105

27

low exuding wound Non-adherent: protects fragile granulation tissue
moderately exuding wound
heavily exuding wound ··Atraumatic removal
··Allows vertical passage of exudate through dressing
Askina® SilNet ··Soft and conformable
··Compatible with topical treatments/vacuum therapy
Askina® DresSil ··Rapid wicking properties
··Excellent fluid management
Askina® DresSil Border ··Safe adhesion to surrounding skin
Askina® DresSil Sacrum ··Atraumatic, painless removal
Askina® DresSil Heel ··Soft and conformable
··Easy to apply - no secondary fixation needed
Askina® Transorbent® ··Safe fixation due to adhesive border
··Adaptable to body contours
Askina® Touch ····Stays in place during showering
Askina® Transorbent® Border
Anatomic shape adapted to sacrum area

··Good protection against pressure ulcers and maceration
····Stays in place during showering
······Anatomically shaped foam dressing

Easy to apply
Large border for safe fixation

Superior absorption capacity

··Does not stick to the wound surface
··Cushioning effect due to the polyurethane foam
··No maceration or residue
····Can be cut

Easy to handle

··Non adhesive: does not stick to the periwound area
····Easy, painless and atraumatic dressing removal

····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
Askina® Hydro Ultra absorbent
Askina® Biofilm Transparent Balanced adhesive formula: easy application
Askina® Derm
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
··Efficient absorption of residual exudate
··Thin design that fits any body contours
··Transparent, allow visual control of the wound
··Easy to apply
··Stays in place during showering
··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

28

Silicone Technology Granulating to Epithelializing Wounds
Pressure ulcers
Arterial and venous leg ulcers
Diabetic foot ulcers
Surgical wounds
Traumatic wounds
II. degree bruns
Superficial acute wounds
Skin grafts

●●●●●●●●●

●●●●●●●●

●●●●●●●●

●● ●●●

●● ●●●●

●●●●●●

●●●●●●● Simple,
●●●●●● Safe and Gentle.
● ●●●
●●●●●● Granulating to Epithelializing Wounds

●● ●●●

●● ●●●

●●●●●●

29

Askina® SilNet

Soft silicone wound contact layer

Askina® SilNet is made of a conformable non-woven material, coated on Advantages
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. ··Non-adherent: protects fragile granulation tissue
The wound site is protected from mechanical disruption during dressing ··Atraumatic dressing change
changes. The use of Askina® SilNet thus minimizes the trauma associated ··Soft and conformable
with dressing change. ··Compatible with topical treatments
··Allows passage of exudate through the dressing
··Either side can face the wound
··Hypoallergenic

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

30

Granulating to Epithelializing Wounds

TIP FOR APPLICATION 1 2
3 4
Askina® SilNet can be used in combination with
secondary dressings

··Askina® Foam
··Askina® Heel
··Askina® Pad

Indications How to use Askina® SilNet

··Cuts and abrasions 1 Remove the transparent liner.
··Skin tears 2 Apply Askina® SilNet on the wound surface and gently remove the
··Traumatic wounds second transparent liner.
··1st and 2nd degree burns
··Fixation of skin grafts 3 Apply suitable absorbing secondary dressing, like Askina® Foam.
··Donor sites 4 Mode of action of Askina® SilNet: its porous structure allows vertical
··Surgical wounds passage of exudate into the secondary absorbing dressing, with no risk
··Lacerations
of maceration.

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

31

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 1. Protective polyurethane film
2  Highly breathable
3  Bacteria and waterproof barrier
32
2. Hydrophilic foam layer
 Soft and conformable
 Excellent absorption capacity

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

Granulating to Epithelializing Wounds

TIP 1 2
3 4
··Askina® DresSil can be used under compression
·· bandages

Askina® DresSil may also be used as an aid for the
prevention of skin breakdown

Indications example of use

··Pressure ulcers 1 Wound in epithelializing phase
··Venous leg ulcers objective: protection of newly formed tissue and atraumatic dressing
··Arterial leg ulcers
··Diabetic foot ulcers removal
··Traumatic wounds
··Surgical wounds 2 Optimal exudate management
··1st and 2nd degree burns 3 Within 2 days, the wound is completely epithelialized
··Donor sites 4 Healed wound with very satisfying cosmetic result
··Skin tears

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

33

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.

34

Granulating to Epithelializing Wounds

TIP

··Askina® DresSil Border allows the patient to take
·· a shower

Ideal for use with Askina® Calgitrol Paste
on infected diabetic foot ulcers



Indications New! Novel shape Askina® DresSil Border
Specifically designed for diabetic foot ulcers, the large silicone adhesive
··Pressure ulcers border with circular shaped island of foam is perfectly suited for small
··Venous leg ulcers difficult wounds. Suitable for covering deep sinuses or cavity wounds.
··Arterial leg ulcers
··Diabetic foot ulcers
··Traumatic wounds
··Surgical wounds
··1st and 2nd degree burns
··Donor sites
··Skin tears

Askina® Size  overall dressing | Pcs/Pack REF
DresSil foam island
Border 10 5396610
6 x 6 cm | 3 cm Ø   3 | 10 5397503 | 5397510
Sacrum 7.5 x 7.5 cm | 4.5 x 4.5 cm   3 | 10 5391003 | 5391010
10 x 10 cm | 7 x   7 cm 10 5391210
10 x 20 cm | 7 x 17 cm   3 | 10 5391503 | 5391510
15 x 15 cm | 12 x 12 cm   3 | 10 5395203 | 5395210
15 x 20 cm | 12 x 17 cm  5 5392005
20 x 20 cm | 17 x 17 cm  5 5491605
16 x 17.5 cm | 13 x 14.5 cm   5 | 10 5492105 | 5492110
21 x 22 cm | 18 x 19 cm

35

Askina® DresSil Heel

Anatomically shaped foam dressing with silicone adhesive

Specifically designed for wounds on the heel, Askina® DresSil Heel is a Advantages
new foam dressing with silicone adhesive. It is easy to position and is Soft silicone adhesive layer
self-adherent, so there is no need for secondary fixation.
··Atraumatic dressing removal
The foam layer provides excellent absorption capacity and retention ··Repositionable, allowing wound inspection
properties. Soft and conformable it has a cushioning effect which gives ··Coated all over the foam to allow intimate contact
more protection and helps to relieve pressure.
Foam layer

··Excellent absorption capacity
··Soft and conformable
··Adaptable shape

Large Border

··Security for improved patient comfort
··Showerproof

36

Granulating to Epithelializing Wounds

TIP 1 2
3 4
··Askina® DresSil Heel can also be used for

prevention of pressure ulcers

··Protects the heel and the malleolus
··No need for additional fixation

Indications How to position Askina® DresSil Heel
Moderately exuding chronic and acute wounds
located on the heel: 1 Remove the transparent top liner that is protecting the two „ears“.
2 Position the foot on the dressing.
··Pressure ulcer 3 Cover the ankles with the „ears“ of the dressing.
··Diabetic foot ulcer Remove the transparent lower liner.
··Traumatic wounds
··Post operative wounds 4 Wrap and cover the heel with the lower part of the dressing.
··Skin tears

Askina® Size  overall dressing | Pcs/Pack REF
DresSil foam island 5 5592205

Heel 22 cm x 21.6 cm | 18.9 x 18.5 cm

37

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.

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® Example of use of Askina® Transorbent®
2nd degree pressure ulcer on the vertebra of a cachectic patient.
1 1. Thin polyurethane layer
Impermeable to liquids and bacteria but vapour permeable. Advantages

2. Foam layer ··Superior absorption capacity
Provides a means for the escape of moisture vapour giving ··Does not stick to the wound surface
2 the dressing its comfortable smoothness and conformability. ··Cushioning effect due to the polyurethane foam
··No maceration or residue
3. Dry hydrogel layer ··Can be cut to individually adapted sizes and shapes
Absorbs wound exudate and preserves a moist healing envi-
ronment. Excess exudate is evaporated through the foam and Indications
3 upper layers.
4 4. Adhesive layer ··Pressure ulcers
Sticks to the intact and dry surrounding skin but not to the ··Venous leg ulcers, arterial leg ulcers
wound surface. ··Diabetic foot ulcers
··Traumatic wounds
Askina® Transorbent® Size Pcs/Pack REF ··Surgical wounds
  5 cm x   7 cm 10 0072786 R ··1st and 2nd degree burns
10 cm x 10 cm  5 0072789 U ··Aid in the prevention of skin breakdown
15 cm x 15 cm  5 0072790 V
20 cm x 20 cm  5 0072791 W

38 * 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

Granulating to Epithelializing Wounds

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 Askina® Transorbent® Sacrum
advantages as Askina® Transorbent®. The adhesive polyurethane border
reinforces the adhesivity for more security during wear time. n Safe adhesion of the border ensures protection of the skin against
bodily fluids
Askina® Transorbent® Border
Particularly adapted for difficult-to-dress areas. n Cushioning effect of the foam layer helps to prevent pressure ulcers
Askina Transorbent® Sacrum
Triangular shape adapted for the use on sacral area.
Askina® Touch
While having the same structure as Askina® Transorbent®,
Askina® Touch is non adhesive. It is particularly adapted for wounds
with a fragile periwound area.

Askina® Size  overall dressing | Pcs/Pack REF
Transorbent® foam island
Border  5 0072705B
  9 cm x 14 cm |   5 cm x 10 cm 10 0072706B
Sacrum   9 cm x 14 cm |   5 cm x 10 cm  5 0072710C
14 cm x 14 cm | 10 cm x 10 cm  5 0072715D
Askina® Touch 17 cm x 17 cm | 13 cm x 13 cm  5 0072720E
24 cm x 24 cm | 20 cm x 20 cm  3 0072795Z
16 cm x 18 cm | 12 cm x 14 cm  5 0072792X
18 cm x 20 cm | 15 cm x 16.5 cm 10 0072799X
18 cm x 20 cm | 15 cm x 16.5 cm 10 7261002
10 cm x 10 cm  5 7261501
10 cm x 15 cm  5 7262252
15 cm x 15 cm 10 7262253
15 cm x 15 cm  5 7264001
20 cm x 20 cm

39

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

Askina® THINSite® is an ultra thin and highly conformable wound dressing, ··Advantages
offering all the absorptive powers of thick dressings into one patient-pre- Conforms and compensates for difficult anatomical
ferred, flexible design. The advanced dry hydrogel formula offers controlled
absorption and provides superior fluid management for a longer period of ·· contours
time. Reduces friction during patient movement;
helps prevent bunching or rolling
Superior absorption capacity
··Allows visual inspection of absorbed exudate
Absorption (ml) Askina® THINSite® In a side-by-side comparison over a ··Stays firmly in place, yet removes easily from
Hydrocolloid A five-day period, Askina® THINSite®
Hydrocolloid B thin hydrocolloid dressings absorbed significantly more delicate skin without damaging tissue or leaving
20 fluid than the leading thick and thin behind adhesive residue
hydrocolloids. The key to this perfor-
15 mance is the hydrogel’s unique ability Indications
to manage exudate over hours of wear
10 time. ··Pressure ulcers
··Venous leg ulcers
5 Data on file ··Arterial leg ulcers
··Post surgical wounds
0 ··Minor abrasions and lacerations
2h day1 day2 day3 day4

Askina® THINSite® Size Pcs/Pack REF
10 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

40

Askina® Hydro Granulating to Epithelializing Wounds

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 Indications
strong, long terAmskainbas®oHrypdtrioon caSptaancdiatryd ahnyddroocuotllsotidanding cohesive strength, Management of moderately to highly exuding
with less risk of leaving residues in the wound bed. It contains Psyllium Husk
particles which reinforce the absorption capacity, bind wound bacteria and ··Pressure ulcers
reduces malodour. ··Venous leg ulcers
··Arterial leg ulcers
Strong and long acting absorption ··Donor sites
··Abrasions
9000 ··1st and 2nd degree burns

8000

7000

Absorption g/m2 6000

5000

4000

3000

2000

1000

0 1 3 7 24 48 72 96 120 144 168 192 216 240 264 288 312 hours
Data on file

Askina® Hydro Size Pcs/Pack REF
10 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

41

Askina® Biofilm® Transparent

Transparent hydrocolloid dressing

··TIP
Askina® Biofilm® Transparent can be worn for up
to 7 days

Askina® Biofilm® Transparent is a thin sterile transparent hydrocolloid Advantages
dressing for moist wound treatment with the capacity to absorb residual
exudate. ··Thin design that fits any body contours
··Transparent, allows visual control of the wound
Composition ··Easy to apply
··Stays in place during showering
··Sodium-carboxymethylcellulose
··Polyisobutylen Indications
··Polyurethane film
··Management 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 Size Pcs/Pack REF
10 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

42

Askina® Derm Granulating to Epithelializing Wounds

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. Advantages
It is semipermeable and suitable for the protection of the newly formed
skin. ··Maintains a moist environment
··Prevents scab formation
Innovative application system ··Easy to apply
··High MVTR film
··Low tack adhesive: non aggressive removal
··Impermeable to liquids and bacteria
··Transparent: allows visual inspection of the wound

1. Remove the printed 2. Place the dressing 3. Slowly peel away 4. Remove the plastic Indications
release paper from the over the wound site the tabs and gently carrier by peeling the Protection of non exuding wounds such as
adhesive side of the with the tabs on the apply the remainder tabs in the direction of
dressing. adhesive side facing of the dressing to the the arrows. ··Stage I pressure ulcers
toward the wound. surrounding dry skin. ··Donor sites
Gently apply pressure ··Minor abrasions
to the dressing as it ··1st degree burns
attaches to the wound. ··Surgical wounds
··Lacerations

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

43

low exuding wound Immediate and sustained release of silver
moderately exuding wound
heavily exuding wound ··No activation needed, ionic silver readily available
··Active for 7 days
Askina® Calgitrol® Ag ··Non staining
····Excellent exudate management

Askina® Calgitrol® THIN Immediate and sustained release of silver

··No activation needed, ionic silver readily available
··Active for 7 days
··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

44

Pressure ulcers Infected Wounds
Arterial and venous leg ulcers
Diabetic foot ulcers●●●●●●
II. degree burns●●●●●●
Donor sites
Skin grafts● ● ● ● ● ● Rapid and
Long Lasting
Antimicrobial

● ● ● ● ● ● Action.

Infected Wounds

45

Askina® Calgitrol® Ag | Askina® Calgitrol® THIN

Silver alginate dressings

Askina® Calgitrol® patented matrix formulation combines calcium alginate Advantages
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. ··Highly efficient
··No activation needed: ready to use
Askina® Calgitrol® Ag is a technologically advanced wound dressing that ··Immediately active – significant reduction of
incorporates the barrier effectiveness of ionic silver with the absorption ·· bacterial load within first 30 minutes
capabilities of calcium alginate and polyurethane foam.
Active against broad spectrum of microorganisms,

·· including MRSA
Sustainable antimicrobial effectiveness
for up to 7 days

··Atraumatic removal
··Non-staining

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.

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

90

80

70

Silver (ppm) 60

50 30-40 ppm of silver ions is needed in the wound bed
for efficient antibacterial activity
40
30

20

10

0
12 24 36 48 60 72 84 96 108 120 132 144 156

Times (hours) Data on file Mode of action of Askina® Calgitrol® Ag dressings

46

Infected Wounds

Tip for application 1 2
3 4
··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

Indications Examples of use
Infected or critically colonized, moderately to
heavily exuding wounds: 1 Use of Askina® Calgitrol® Ag on flat wound
2 Askina Calgitrol® THIN used for a flat wound with irregular surface with
··Stage I–IV pressure ulcers Askina® Foam as a secondary dressing
··Venous and arterial leg ulcers
··Diabetic foot ulcers 3 Use of Askina Calgitrol® THIN on the heel wound, in combination with
··2nd degree burns Askina® Heel
··Traumatic wounds
··Donor sites 4 Askina Calgitrol® THIN is also suitable for cavity wounds

Askina® Calgitrol® Size Pcs/Pack REF
Ag 10 cm x 10 cm   3 | 10 6211003 | 6211010
15 cm x 15 cm   3 | 10 6211503 | 6211510
THIN 20 cm x 20 cm 10 6212010
  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 6203003
40 cm x 40 cm  3 6204003

47

Askina® Calgitrol® Paste

Silver alginate wound paste

Askina® Calgitrol® Paste is a highly conformable paste composed of the ··Advantages
same ionic silver alginate matrix used in the Askina® Calgitrol® Ag flat Highly conformable paste for intimate contact
dressings. The high conformability allows more intimate contact between
the active ionic silver alginate matrix and the wound bed, which is particu- ·· with the wound bed
larly valuable in difficult to manage wounds such as tunnels and sinuses, 100 % ionic silver, active against a broad spectrum
seen in patients with 2nd degree burns and diabetic foot ulcers. of microorganisms, including MRSA

2. Swelling of the silver alginate ··No activation needed
matrix and bond dissociation ··Sustained controlled delivery for long lasting

antibacterial protection

··Maintains a moist wound environment
··Easy to remove by simple rinsing
··Can be stored and used within 7 days if the
·· lid/cap is replaced after use

Non staining

Ag Ca Ag Ca Ag Ca Ag Ag Ca Ag Ag Ca Ag
Ag Ag Ca Alg Ca Ca Alg Ca Ca Alg Ca
Ag Ag
Alg Alg Ag+ Ag+
Ca Ca Ca Ag Ag Ca Ag Ag
Ag Ca Ag Ca Alg Ca Ca Alg Ca Ca

Ag+ Ag+

Ag Ca Ag Ca Ag Ca Ag
Ag Ag Ca Alg Ca

Alg Alg Ag+
Ca Ca Ca Ca Ag+
Na+ Bacteria Kill curves
Ag+
Na+ 1. Absorption of 3. Controlled and Ag+ Ag+ Log (CFU) Reduction
exudate into sustained delivery 12
Na+ the matrix of ionic silver Ag+ 10

Na + Ag+ 8
Ag+ 6
Ag+ 4
2
Ag+ 0 //
Na + Na + Na + Na + Ag+
Na + Ag+ 0,5 1 1,5 2 2,5 3 3,5 4 4,5 5 5,5 6 24

Na+ Na+ NNaa +
Na+

Skin Wound bed Paste Time
Intimate contact (hours)

Absorption of moisture by the matrix leads to softening and swelling of the alginate structure, Escherichia coli NCIMB 12416; 8,6 Log reduction in 3 hours
which facilitates controlled and steady state release of ionic silver into the wound. Pseudomonas aeruginosa NCIMB 8626; 10,2 Log reduction in 3 hours
Methicillin Resistant Staphylococcus aureus (MRSA, ATCC BAA-44);
48 6,4 Log reduction in 3 hours

CFU: colony-forming units

B. Braun, Reports HOSP283A and HOSP303, 2009

Infected Wounds

Tip 1 2
3 4
··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

Indications How to apply Askina® Calgitrol® Paste
Management of exuding partial to full thickness
wounds: 1 Fill the wound with Askina® Calgitrol® Paste
(diabetic patient with irregular shaped wound on the left foot)
··Stage I – IV pressure ulcers
··Venous and arterial ulcers 2 Completely cover the wound surface. Askina® Calgitrol® Paste is
··Neuropathic ulcers easy to apply and remains in the wound.
··2nd degree burns
3 Cover with an appropriate secondary dressing
May be used on infected wounds under medical 4 Fix with bandages
supervision.

Askina® Calgitrol® Paste Size Pcs/Pack REF
Tube   15 g  5 6241505
Tube   15 g 10 6241510
Tube 100 g  1 6241001
Jar 250 g  1 6242501
Jar 500 g  1 6245001

49

Askina® Carbosorb

Charcoal dressing

Tip for application
The dressing can be fixed with contention stockings
for the wounds on legs or with bandages or tapes

Askina® Carbosorb is a conformable, sterile wound dressing with a thick, Indications
absorbent layer of non woven viscose-rayon, and an activated charcoal Askina® Carbosorb may be used for the management
cloth layer for bacteria and malodorous absorption. of low to heavily exuding, partial to full thickness
chronic wounds, in particular when infection and/or
Askina® Carbosorb has limited absorption capacity: it can be used alone offensive odour is present.
on low exuding malodorous wound, or in combination with other absorbing
dressings for moderately to heavily exuding malodorous wounds. ··Venous leg ulcers
··Arterial leg ulcers
··Pressure ulcers
··Fungating wounds
··Infected and/or malodorous surgical or

traumatological wounds

Askina® Carbosorb Size Pcs/Pack REF
10 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

50