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AQUACEL® Ag+ Dressings
Aquacel® Ag, Aquacel® Ag Extra and Aquacel® Ag Ribbon have been discontinued and are no longer available on Drug Tariff. They have been replaced with Aquacel® Ag+ Extra and Aquacel® Ag+ Ribbon.
For more information and the equivalent codes click here.
AQUACEL® Ag+ dressings are antimicrobial primary dressings for use for wounds,which are at risk of infection or show signs of infection, or where biofilm is suspected to be present.
AQUACEL® Ag+ dressings combine Hydrofiber® Technology and MORE THAN SILVER™ Technology - a unique ionic silver-containing, antibiofilm formulation1
These are available as AQUACEL® Ag+ Extra™ and AQUACEL® Ag+ Ribbon dressings.
AQUACEL® Ag+ Extra™ dressing is comprised of 2 layers of Hydrofiber™ Technology stitch bonded together making it 9x stronger and 50% more absorbent than standard AQUACEL® Ag dressing.2*
AQUACEL® Ag+ Ribbon dressing is also strengthened with stitchbonding and can be used for cavity wounds.
The combination of Hydrofiber® Technology and MORE THAN SILVER™ Technology has been specifically designed to manage the barriers to healing: exudate, infection and biofilm.
AQUACEL® Ag+ Dressings are indicated for:
- Leg ulcers, including
- Venous stasis ulcers
- Arterial ulcers
- Leg ulcers of mixed aetiology
- Diabetic foot ulcers
- Pressure ulcers/injuries
- Surgical wounds
- Traumatic wounds
- Malignant wounds
- Partial thickness burns (AQUACEL® Ag+ Extra only)
DIRECTIONS FOR USE
- Before applying the dressing, cleanse the wound area with an appropriate wound cleanser.
- Aquacel™ Ag+ EXTRA™ Dressings should overlap at least 1 cm onto the skin surrounding the wound.
- When using Aquacel™ Ag+ EXTRA™ Dressings in deep wounds, only fill the wound up to 80%, as Aquacel™ Ag+ EXTRA™ Dressings will expand to fill the wound space on contact with wound fluid.
- A secondary dressing is required to hold Aquacel™ Ag+ EXTRA™ Dressings in place, such as:
- A moisture retentive cover dressing such as DuoDERM™ Extra Thin in lightly to moderately exuding wounds;
- A secondary cover dressing such as Aquacel™ Foam or ConvaMax™, in moderate to heavily exuding wounds;
- For dry wounds refer to section FOR DRY WOUNDS below.
- See individual cover dressing package inserts for complete instruction for use.
- All wounds should be inspected regularly. Remove the Aquacel™ Ag+ EXTRA™ Dressings when clinically indicated (i.e., leakage, excessive bleeding, increased pain) or after a maximum of seven days.
FOR PARTIAL THICKENSS (SECOND DEGREE) BURNS:
- Before applying the dressing, cleanse the wound area with an appropriate wound cleanser.
- Aquacel™ Ag+ EXTRA™ Dressings should overlap at least 5 cm onto the skin surrounding the burn or other adjacent Aquacel™ Ag+ EXTRA™ Dressings.
- Aquacel™ Ag+ EXTRA™ Dressings should be covered with a sterile absorbent pad and secured with medical tape or a retention bandage.
- Remove the cover dressing periodically and inspect the Aquacel™ Ag+ EXTRA™ Dressings while it remains in place on the burn.
- In this indication adherence to the wound bed of the Aquacel™ Ag+ EXTRA™ Dressings is a desired characteristic.
- As the burn wound re-epithelialises, the Aquacel™ Ag+ EXTRA™ Dressings will detach or be easily removed.
- For partial thickness burns (second degree burns), Aquacel™ Ag+ EXTRA™ Dressings may be left in place for up to 14 days or until clinically indicated. If the burn is infected, frequent inspection of the wound may be necessary.
FOR DRY WOUNDS
- Pre-moisten the Aquacel™ Ag+ EXTRA™ Dressings by wetting with sterile saline prior to dressing the wound. The gelling properties of Aquacel™ Ag+ EXTRA™ Dressings will help to maintain a moist wound and reduce the risk of maceration.
- Cover the dressing with a moisture retentive dressing such as DuoDERM™ Extra Thin to avoid drying out of the dressing and subsequent dressing adherence to the wound.
- If on removal the dressing is dry, hydrate with sterile saline prior to removal to reduce risk of trauma.
Store at room temperature (10°C - 25°C/50°F - 77°F). Keep dry.
https://ec.europa.eu/tools/eudamed. This is the Summary of Safety and Clinical Performance
(SSCP) location after the launch of European Database on Medical Devices/ EUDAMED.
If further information or guidance is needed, please contact ConvaTec Professional Services.
© 2022 ConvaTec Inc.
™ indicates a trademark of ConvaTec Inc
|Code||PIP Code||NHS Code||Description||Size||Quantity|
|413566||386-2703||ELY514||AQUACEL® Ag+ Extra™||5X5cm||10 per box|
|413567||386-2695||ELY515||AQUACEL® Ag+ Extra™||10X10cm||10 per box|
|413568||386-2711||ELY516||AQUACEL® Ag+ Extra™||15X15cm||5 per box|
|413569||386-2679||ELY517||AQUACEL® Ag+ Extra™||20X30cm||5 per box|
|413581||386-0350||ELY520||AQUACEL® Ag+ Extra™||4х10 см||10 per box|
|413598||386-0368||ELY521||AQUACEL® Ag+ Extra™||4х20 см||10 per box|
|413599||386-2687||ELY522||AQUACEL® Ag+ Extra™||4х30 см||10 per box|
|413570||386-2729||ELY518||AQUACEL® Ag+ Ribbon||1x45cm||5 per box|
|413571||386-2737||ELY519||AQUACEL® Ag+ Ribbon||2X45cm||5 per box|
AQUACEL® Ag+ dressings were specifically designed to combat the challenge of biofilm with its MORE THAN SILVER™ Technology, combined with Hydrofiber® Technology.
MORE THAN SILVER™ technology
- Disrupts and beaks down biofilm slime ro expose bateria3-5
- Kills a broad spectrum of bacteria, including antibiotic resistant superbugs, with its reservoir of silver *4,5,6
- prevents biofilm formation*4,5
Helps create an ideal environment for healing – and for the MORE THAN SILVER™ Technology to work.
- Locks in excess exudate, bacteria and biofilm to help minimise cross infection and prevent maceration*7-12
- Micro contours to the wound bed, maintaining optimal moisture balance and eliminating dead spaces where bacteria and biofilm can grow*13-15
- responds to wound conditions by forming a cohesive gel, while helping to minimise pain associated with dressing changes*16-18
*As demonstrated in vitro
Composition comprising antimicrobial metal ions and a quaternary cationic surfactant. Scientific Background Report. WO 2012136968 A1, 2012, Data on file, ConvaTec Inc.
Assessment of the in vitro Physical Properties of AQUACEL® EXTRA™, AQUACEL®Ag EXTRA™ and AQUACEL® Ag+ EXTRA™ dressings. Scientific background report. WHRIA3817 TA297, 2013, Data on File, ConvaTec Inc.
Physical Disruption of Biofilm by AQUACEL® Ag+ Wound Dressing. Scientific Background Report. WHRI3850 MA232, 2013, Data on file, ConvaTec Inc.
Antimicrobial activity and prevention of biofilm reformation by AQUACEL® Ag+ EXTRA™ dressing. Scientific Background Report. WHRI3857 MA236, 2013, Data on file, ConvaTec Inc.
Antimicrobial activity against CA-MRSA and prevention of biofilm reformation by AQUACEL® Ag+ EXTRA™ dressing. Scientific Background Report. WHRI3875 MA239, 2013, Data on file, ConvaTec Inc.
Bowler PG, Welsby S, Towers V, Booth V, Hogarth A, Rowlands V, Joseph A, et al, 2012. Multidrug-resistant organisms, wounds and topical antimicrobial protection. Int Wound J. 9: 387-396.
Newman GR, Walker M, Hobot JA, Bowler PG, 2006. Visualisation of bacterial sequestration and bacterial activity within hydrating Hydrober™ wound dressings. Biomaterials; 27:1129-1139.
Walker M, Hobot JA, Newman GR, Bowler PG, 2003. Scanning electron microscopic examination of bacterial immobilization in a carboxymethyl cellulose (AQUACEL®) and alginate dressing. Biomaterials; 24: 883-890.
Bowler PG, Jones SA, Davies BJ, Coyle E, 1999. Infection control properties of some wound dressings. J. Wound Care; 8: 499-502.
Walker M, Bowler PG, Cochrane CA, 2007. In vitro studies to show sequestration of matrix metalloproteinases by silver-containing wound care products. Ostomy/Wound Management. 2007; 53: 18-25.
Walker M and Parsons D, 2010. Hydrofiber Technology: its role in exudate management. Wounds UK; 6: 31-38.
Parsons D, Bowler PG, Myles V, Jones SA, 2005. Silver antimicrobial dressings in wound management: A comparison of antibacterial, physical and chemical characteristics. WOUNDS;17: 222-232.
Jones SA, Bowler PG, Walker M, 2005. Antimicrobial activity of silver-containing dressings is influenced by dressing conformability with a wound surface. WOUNDS; 17: 263-270.
Bowler P, Jones S, Towers V, Booth R, Parsons D, Walker M, 2010. Dressing conformability and silver-containing wound dressings. Wounds UK; 6: 14-20.
Walker M, Jones S, Parsons D, Booth R, Cochrane C, Bowler P, 2011. Evaluation of low-adherent antimicrobial dressings. Wounds UK; 7: 32-45.
Barnea Y, Armir A, Leshem D, Zaretski A, Weiss J, Shafir R, et al, 2004. Clinical comparative study of Aquacel and paraffin gauze dressing for split-skin donor site treatment. Ann Plast Surg; 53: 132-136.
Kogan L, Moldavsky M, Szvalb S, Govrin-Yehudain J, 2004. Comparative study of Aquacel and Silverol treatment in burns. Ann Burns Fire Disasters; 17: 201-207.
Brunner U, Eberlein T, 2000. Experiences with hydrofibres in the moist treatment of chronic wounds, in particular of diabetic foot. VASA; 29: 253-257.
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