Patient Guide for AQUACEL Ag and AQUACEL …

1 Patient Guide for AQUACEL Ag and AQUACEL Dressings n Theunique gelling action reduces wound pain while the dressing is in situ and helps reduce the pain and trauma upon dressing removal1-4. n Indicated for use up to 7 days; up to 14 days for burns*. n AQUACEL Ag with ionic silver provides rapid and sustained antimicrobial *. It is normal for the dressing Initial look of the dressing As the dressing absorbs to take on the color of the before it is put on the wound. wound fluid, it gels. wound fluid. Tips For Use*. n Always wash your hands before and after each dressing change, and follow the Call your doctor or healthcare provider instructions provided by your doctor or if you notice any of the following as healthcare provider they may be signs of infection ,6: n Cleansewith a proper wound cleanser, like S F-Clens AF dermal wound cleanser or n Drainage excess, change in Shur-Clens wound cleanser, and dry the color/consistency surrounding skin thoroughly n Redness n Warmth around the wound n Poor granulation tissue n Pain or tenderness n Unusual odor n Sudden high glucose in Patient with diabetes As demonstrated in vitro *Please see package insert for complete Directions for Use.

2 The dressing may be used on infected wounds under the care of your doctor or healthcare provider. AQUACEL Ag and AQUACEL Application Techniques*. Before applying the dressing, cleanse the wound area with a proper wound cleanser such as SAF-Clens AF dermal wound cleanser or Shur-Clens wound cleanser, and dry the skin around the wound thoroughly. For Wounds That Are Not Deep The dressing should overlap 1 cm (1/2 inch) onto the intact skin surrounding the wound. The dressing will shrink as it absorbs wound fluid and gels. For Deep Wounds and Abscesses When using the dressing ribbon in deep wounds, leave at least cm (1 inch). outside the wound for easy removal. Only fill the dressing into deep wounds up to 80% (almost to the top), as the dressing will swell as it absorbs the fluid.

3 Apply a Cover Dressing on Top Place the dressing on the wound and cover with a cover dressing that keeps the wound moist ( Versiva XC dressing or DuoDERM dressing). See individual package inserts for instructions regarding usage and cover dressing removal. If covering with gauze, change when wound fluid strikes through the outer layer. Remove While the dressing may have to be changed every 2 to 3 days in the beginning, it can be left on the wound for up to 7 days when the wound is almost closed. The dressing should be changed when it is saturated with wound fluid or if the cover dressing's edges are bunching, rolling up, or leaking. All wounds should be inspected frequently. Remove the dressing when medically indicated (wound fluid comes out of the dressing, there is too much bleeding, or you have increased pain).

4 If residual dressing is left in the wound, irrigate with wound cleanser. If the dressing dries and is hard to remove, moisten with sterile saline or sterile water until it lifts easily. It may take several minutes for it to gel. AQUACEL Ag Dressing (bactericidal) Ordering Information AQUACEL Dressing Ordering Information Order Code Size Units HCPCS Code Order Code Size Units HCPCS Code 403706 2 X 2 10/Box A6196. 177901 2 X 2 10/Box A6196. 403765 4 X 10/Box A6197. 177902 4 X 4 10/Box A6196. 403710 6 X 6 5/Box A6197. 177903 6 X 6 5/Box A6197. 403711 8 X 12 5/Box A6198. 403770 .75 X 18 5/Box A6199. 403771 .75 X 18 5/Box A6199 (Ribbon with Strengthening Fiber). (Ribbon with Strengthening Fiber). Clinician Notes: *Please see package insert for complete Directions for Use.

5 The reimbursement information provided by ConvaTec is intended to provide general information relevant to coding and reimbursement of ConvaTec products only. Coverage and payment policies for the same insurer can vary from one region to another and may change from time to time because of ongoing changes in government and insurance industry rules and regulations. Therefore, please confirm HCPCS codes with your local DME-MAC, private insurer, or Medicaid agency before processing claims. ConvaTec does not guarantee coverage or payment of its products listed herein. References: 1. Armstrong SH, Brown DA, Hill E, Ruckley CV. A randomized trial of a new Hydrofiber dressing, AQUACEL , and an alginate in the treatment of exuding leg ulcers.

6 Presented at: 5th European Conference on Advances in Wound Management; Harrogate, UK: November 1995. 2. Barnea Y, Amir A, Leshem D, et al. Clinical comparative study of AQUACEL and paraf- fin gauze dressing for split-skin donor site treatment. Ann Plast Surg. 2004;53(2):132-136. 3. Caruso DM, Foster KN, Blome-Eberwein SA, et al. Randomized clinical study of Hydrofiber dressing with silver or silver sulfadiazine in the management of partial-thickness burns. J Burn Care Res. 2006;27(3):298-309. 4. Kogan L. Moldavsky M. Szvalb S. Govrin-Yehudain J. Comparitive study of AQUACEL immobilisation in a carboxymethyl cellulose ( AQUACEL ) and alginate dressings. Biomaterials 2003;24:883-890. 5. Bowler PG, Jones SA, Walker M, Parsons D.

7 Microbicidal properties of a silver-containing Hydrofiber dressing against a variety of burn wound pathogens. J Burn Care Rehabil. 2004;25(2):192-196 6. Stotts NA. Wound infection: diagnosis and management. In: Bryant RA, ed. Acute & Chronic Wounds. 2nd ed. St. Louis, Mo: Mosby; 2000:179-188. AQUACEL , DuoDERM, Hydrofiber, SAF-Clens, Shur-Clens, Versiva and Versiva XC are registered trademarks of ConvaTec Inc. Email: The Hydrofiber logo and Realize the possibilities are trademarks of ConvaTec Inc. 2010 ConvaTec Inc. AP-009055-US.