COMPRESSION URGOK4 FOUR LAYER COMPRESSION BANDAGE SYSTEM FOR THE TREATMENT OF VENOUS LEG ULCERS AND THE REDUCTION OF ASSOCIATED CHRONIC VENOUS OEDEMA (i.e. patients with an ABPI > 0.8) • Provides a pressure of 40 mmHg at the ankle • Helps manage recalcitrant “hard to heal” ulcers • Improves venous return UrgoK4/K-Four Supplied in kits containing bandages: Kit size less than 18 cm: 2 K-SOFT, 1 K-LITE, 1 K-PLUS, 1 KO-FLEX Kit size 18-25 cm : 1 K-SOFT, 1 K-LITE, 1 K-PLUS, 1 KO-FLEX Kit size 25-30 cm: 1 K-SOFT, 1 K-THREEC, 1 KO-FLEX Kit size >30 cm: 1 K-SOFT (long), 1 K-PLUS (long), 1 K-THREEC, 1 KO-FLEX (long) K-SOFT (10cm x 3.5m or 4.5m) / K-LITE (10cm x 4.5m) / K-PLUS (10cm x 8.7m or 10.25m) / KO-FLEX (10cm x 6m or 7m) / K-THREEC (10cm x 7.8m) LABORATOIRES URGO • 42, RUE DE LONGVIC • 21300 CHENÔVE • FRANCE Tel +33 3 80 54 50 00 • Fax +33 3 80 44 26 27 • www.urgomedical.com DESCRIPTION INDICATIONS • Gold-standard compression therapy: 4-layer compression bandage system. COMPOSITION: • Layer 1: K-SOFT (sub-compression wadding, viscose, polyester) - Allows for even distribution of pressure and helps to protect bony prominences. - Non-woven, with a good absorbency and fluid retention, extra resilience and cushioning. - Soft, conformable and comfortable. • Layer 2: K-LITE: light support bandage type 2 (viscose, polyester, elastane) - Base for compression – modern fibre construction offers exceptional comfort and conformability. - Knitted with 2-waty stretch for excellent conformability - Maintains original position with no slippage. • Layer 3: K-PLUS: light support bandage type 3a (viscose, elastane) - First compression layer, providing a sub-bandage pressure of up to 20 mmHg at the ankle. - May be used on its own over sub-bandage wadding or as the third layer in the UrgoK4 / K-Four multi-layer compression bandage system. - Washable and reusable. • Layer 4: KO-FLEX: cohesive long-stretch bandage (acrylic, cotton, elastane, cohesive material containing low levels of natural latex) - Provides 17 – 20mmHg pressure to obtain an average 40 mmHg at the ankle as the top layer of the UrgoK4 / K-Four compression system and maintains the bandage system in place. - Cohesive nature ensuring that the UrgoK4 / K-Four bandage system stays in place for up to 7 days. - Contains low levels of natural latex. - Washable, reusable and tearable, avoiding wastage. • Specific to the 25-30cm and 30cm+ UrgoK4 / K-Four kits: K-THREEC: type 3c high compression bandage: provides the extra pressure necessary in the 25-30cm and 30cm+ kits to ensure the correct application of 40mmHg for larger ankles (Ref: LaPLace’s Law) (viscose, elastane) • Urgo K4/K-Four is indicated for the treatment of venous leg ulcers and the reduction of associated chronic venous oedema (i.e. patients with an ABPI > 0.8). For health professionals: • Application of the correct pressure (circa 40 mmHg) at the ankle • Improved healing of venous leg ulcers • Pressure maintained for up to 7 days • High absorbency • Provides “Gold standard” compression therapy • Choice of ready-to-use kits for different ankle sizes • All kits for ankle > 25cm ankles contain longer length bandages For patients: • Improved healing of venous ulcers • Massage effect when walking (low resting pressure, higher pressure on walking), helping to improve venous return and oedema reduction • Comfortable to wear • All kits for ankle > 25cm ankles contain longer length bandages METHOD OF USE Before applying the bandages: • Examine the shape of the leg and identify any areas at risk of excessive pressure (i.e. bony prominences) • Protect and reshape leg with wadding (K-SOFT) if necessary. If a wound is present, apply an appropriate dressing before applying any bandages. • Measure the ankle circumference and choose the correct kit accordingly (ankle size 18-25cm, 25-32cm or >30cm+). • It is preferable to apply the compression system first thing in the morning or after the patient’s legs have been elevated for an hour to minimise any orthostatic oedema. • Apply K-SOFT in a spiral up the leg with 50% overlap from toe to knee. If necessary, K-SOFT can be torn and applied over the bony prominences to offer extra protection. • Apply K-LITE in a spiral up the leg with minimal stretch and a 50% overlap. K-Lite is not included in the 25-30cm kit • Apply K-PLUS in a “figure of eight” up the leg with 50% stretch and 50% overlap using the central blue line as a guide (not applicable for the 25-30cm kit). • Apply KO-FLEX in a spiral up the leg at 50% stretch and 50% overlap. • Press down gently to ensure full cohesion • If any component is found to be longer than required when the knee is reached, remove the extra length. Do not over-wrap the bandage below the knee as this will increase the donated pressure. • Bandages may be left in place for up to 7 days. PRECAUTIONS • Check that the ABPI > 0.8 using Doppler ultrasound before prescribing the bandage system. • In the event of diabetes, heart failure or advanced micro-vascular disease, the compression system may be used with close medical monitoring following appropriate treatment. • If peri-ulcer infectious dermatosis, treat infection before commencing treatment with the compression system. • If the ulcer is from rare aetiology (vasculitis, haemopathy, pyoderma gangrenosum etc.) the compression system should only be used following specialist referral. • The UrgoK4/ K-Four kit is designed for single use only. • Store away from light and heat. • K-SOFT and K-LITE are not washable. • K-PLUS and KO-FLEX may be washed up to 5 times at 40°C – air dry flat. CONTRA-INDICATIONS • UrgoK4/K-Four should not be used on patients who have marked ischaemia or impaired arterial blood supply (ABPI < 0.8). KO-FLEX contains low levels of natural latex. READ THE LEAFLET BEFORE USE Urgo Medical Lead_09/2014 PROPERTIES DIRECTIONS FOR USE
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