Application Instructions - KCI NPWT Sicherheitshinweise, Anwendungsanweisungen

KCI® NPWT Gauze Dressing
Featuring SensaT.R.A.C.™ Technology
For small and medium wounds
COMPONENT IDENTIFICATION
Kerlix™ AMD™
Antimicrobial Super
V.A.C.® Drape (2)
Sponge
SensaT.R.A.C.™ Pad
Disposable components of the KCI® NPWT
Gauze Dressing are packaged sterile and are
latex free. V.A.C.® Therapy Unit canisters are
packaged sterile or uid path sterile and are
latex-free. All disposable components of the
KCI® NPWT Gauze Dressing are for single use
only. To help provide safe and e ective use,
the KCI® NPWT Gauze Dressing is to be used
only with the following KCI Therapy Units:
ActiV.A.C.®, InfoV.A.C.®, V.A.C. Simplicity™, V.A.C.
Freedom®, V.A.C. ATS® and V.A.C.Ulta™ Therapy
Systems.
The decision to use clean versus sterile /
aseptic technique is dependent upon wound
pathophysiology, physician / clinician
preference and institutional protocol.
IMPORTANT: Prior to use, always consult a
physician and review and follow KCI® NPWT
Gauze Dressing Safety Information and the
V.A.C.® Therapy Unit user manual.
Not for use with Instillation Therapy: The KCI®
NPWT Gauze Dressing was not designed for
this purpose. Instillation into the wound while
using the KCI® NPWT Gauze Dressing may result
in pooling of uid and / or oversaturation of
gauze which may result in maceration.
DRESSING CHANGES
Wounds being treated with NPWT should be
monitored on a regular basis. In a monitored,
non-infected wound, the KCI® NPWT Gauze
Dressing should be changed every 48 to 72
hours but no less than two to three times
per week, with frequency adjusted by the
clinician as appropriate. Infected wounds
must be monitored often and very closely.
V.A.C.® Ruler
For these wounds, dressings may need to be
changed more often than 48 - 72 hours; the
dressing change intervals should be based on a
continuing evaluation of wound condition and
the patient's clinical presentation, rather than a
xed schedule.
WOUND PREPARATION
WARNING: Review all KCI® NPWT
Gauze Dressing Safety Information
before beginning Wound Preparation.
Remove and discard previous dressing per
institution protocol. Thoroughly inspect wound
to ensure all pieces / fragments of dressing
components have been removed.
KCI® NPWT GAUZE DRESSING
REMOVAL
1. Gently remove the existing KCI® NPWT
Gauze Dressing according to the following
procedure:
a. Raise the tubing connectors above the
level of the therapy unit.
b. Close clamp on the dressing tubing.
c. Disconnect canister tubing from dressing
tubing.
d. Allow the therapy unit to pull the exudate
in the canister tube into the canister, then
close the clamp on the canister tubing.
e. Press THERAPY ON / OFF to deactivate the
V.A.C.® Therapy Unit. Wait 15 - 30 seconds
to allow gauze to decompress.
f. To remove the drape from the skin, gently
stretch the drape horizontally to release
adhesive from the skin. Do not peel
vertically.
g. Gently remove gauze from the wound.
APPLICATION
INSTRUCTIONS
WARNING: Upon dressing changes,
ensure that all pieces of gauze and
any other components are removed
from the wound. Count the number
of pieces removed and compare to
previous dressing application count.
Refer to Gauze Removal section under
Warnings.
h. Discard disposables according to
institutional or state regulations.
NOTE: If gauze adheres to wound, consider
introducing sterile water or normal saline into
the gauze, waiting 15 - 30 minutes, then gently
removing the gauze from the wound. Consider
placing a single layer of non-adherent
material prior to placement of the KCI® NPWT
Gauze Dressing to potentially reduce future
adherence, or consider more frequent dressing
changes.
If the patient complains of discomfort
during the dressing change, consider
premedication, the use of a non-adherent
interposed layer before gauze placement, or
managing the discomfort as prescribed by the
treating physician.
2. Debride all necrotic, non-viable tissue,
including bone, eschar or hardened slough,
as prescribed by physician.
3. Perform thorough wound and periwound
area cleaning per physician order or
institution protocol prior to each dressing
application.
4. Ensure adequate hemostasis has been
achieved (refer to Warnings, Bleeding
section, Hemostasis, Anticoagulants and
Platelet Aggregation Inhibitors).
5. Prior to gauze placement, protect vessels and
organs (refer to Warnings, Bleeding section,
Protect Vessels and Organs).
6. Sharp edges or bone fragments must be
eliminated from wound area or covered
(refer to Warnings, Bleeding section, Sharp
Edges).
7. Consider use of a skin preparation product to
protect periwound skin. Do not allow gauze
to overlap onto intact skin. Protect fragile /
friable periwound skin with additional V.A.C.®
Drape, hydrocolloid, or other transparent lm.
8. Reapply KCI® NPWT Gauze Dressing per
physician order and institutional protocol.
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