| Inspection and Care
of the Site |
|
During the early stages of development take note of the
following:
- Remove all dressings to inspect INTEGRA™ Meshed Bilayer Wound Matrix sites, seams, and edges for evidence
of hematomas, fluid accumulation, infection/purulence,
and areas of non-take.
- If used,
re-moisten antimicrobial dressings after INTEGRA™ Meshed Bilayer Wound Matrix inspection. Irrigation
tubing can be used to re-moisten or re-apply without
removing dressings.
- Re-moisten or re-apply antimicrobial
dressings as needed, typically every eight hours, or
more often for dry climates
- Replace or change antimicrobial dressings
at least every three days. Note: For heavily draining
wounds, more frequent dressing changes may be necessary.
When removing dressings to inspect INTEGRA™
Meshed Bilayer Wound Matrix sites, care should
be taken to avoid dislodgement. As you gain experience
with INTEGRA™ Meshed Bilayer
Wound Matrix, your frequency of inspection and
dressing changes is likely to change from this schedule.
When Used With Negative Pressure Therapy
- Utilize Negative Pressure Wound
Therapy Device according to manufaturer’s instructions
paying special attention to wound monitoring
- During dressing changes, carefully
remove the Negative Pressure Wound Therapy device
and secondary dressing, foam or film, using caution
to not disrupt the INTEGRA™ Meshed Bilayer Wound
Matrix
- Discontinue Negative Pressure Wound Therapy when
the collagen matrix has been integrated
and the silicone has separated from the INTEGRA™
Meshed Bilayer Wound Matrix (typically 14-28 days)
When using Negative Pressure Wound Therapy, the above
referenced time frame may be reduced.
Movement / Outpatient
Care
As shearing will result in the NON-TAKE of INTEGRA™
Meshed Bilayer Wound Matrix, the goal for the staff and
patient is to minimize these forces on the INTEGRA™
Meshed Bilayer Wound Matrix site. Bolsters, splints, casts
and Ace Wrap compression will help protect from friction
and will reduce the likelihood of the product shearing
from the excised bed.
