FAQs

FAQs

UrgoTul Ag/Silver

Product

What is UrgoTul Ag/Silver?

UrgoTul Ag/Silver is an antibacterial, flexible contact layer with TLC-Ag, comprised of a conformable polyester mesh impregnated with fatty substances, hydrocolloid and silver particles.

How does UrgoTul Ag work?

When in contact with wound exudate, the TLC-Ag of UrgoTul Ag/Silver gels and creates a moist environment promoting healing. When the silver salt is broken down in contact with the wound exudate, UrgoTul Ag/Sliver acts as a reservoir capable of continuously releasing a bactericidal concentration of silver ions while in contact with the wound.

Is silver released into the wound bed to kill bacteria or are bacteria killed in contact with the dressing?

TLC Ag contains silver sulphate, whose antibacterial effect is only activated when in contact with wound exudate, the TLC creates a gel and the silver sulphate is transformed into silver ions and SO42.
These Ag+ ions stay in the lipido-colloid gel and are not released in the wound bed.

What is the amount of silver required to kill pathogens?

It varies depending on the pathogen. However, the silver amount in the TLC gel is greater than what is needed to kill 99,99% of the pathogen.
(according to an in vitro study : 7 days-8 tested bacteria)

Does silver go into the blood stream?

TLC Ag contains silver sulphate, whose antibacterial effect is only activated when in contact with wound exudate, the TLC creates a gel and the silver sulphate is transformed into silver ions and SO42-.
These Ag+ ions stay in the lipido-colloid gel, their antibacterial activity remains on the wound surface, and is not released in the wound bed, even less so at a systemic level.

Do silver dressings remove biofilms?

Yes. TLC-Ag dressings have been proven to be effective on biofilms. It was demonstrated in an in vitro study carried out on the biofilms of Staphylococcus aureus and Pseudomonas aeruginosa. After a day in contact with a TLC-Ag dressing, 99.97% and 99.98% of the biofilms were removed respectively.

The amount of silver in TLC-Ag products is low, are they as effective as other silver dressings? Do I need to change those more often?

In TLC Ag dressings, the Ag+ ions have a bactericidal effect with an amount of silver that is enough to be effective on the most resistant pathogens, for up to 7 days (in vitro).

Other dressings may require more silver to be effective as their mechanism of action is different. They quickly release silver and need to have a higher silver amount to be effective over time. This may represent a risk of reduced effectiveness.

Against which pathogens are the TLC-Ag dressings effective?

Ag ions’ mode of action is effective against a wide range of different pathogens. Tests have even been carried out on resistant pathogens, proving the efficacy of TLC-Ag.

TLC-Ag has a demonstrated antibacterial activity for up to 7 days on:

  • Methicillin-Resistant Staphylococcus aureus (MRSA)
  • Vancomycin-Resistant Enterococcus faecalis
  • Staphylococcus aureus
  • Pseudomonas aeruginosa
  • Streptococcus pyogenes
  • Escherichia coli
  • Candida albicans

Indications

When should I use UrgoTul Ag/Silver?

UrgoTul Ag/Silver is indicated for the treatment of non to low exuding wounds with signs of local infection.

Can I use UrgoTul Ag/Silver during the desloughing stage?

Yes, however, UrgoClean is the recommended treatment option for desloughing.

Can I use UrgoTul Ag/Silver with a gel?

Yes, it can be combined with a hydrogel.

What are the contraindications of UrgoTul Ag/Silver?

UrgoTul Ag/Silver should not be used where there is a known sensitivity to silver.
Do not use on patients undergoing Magnetic Resonance Imaging (MRI) examination

Is there any adverse event related to Ag in the TLC-Ag products?

TLC Ag contains silver sulphate, whose antibacterial effect is only activated when in contact with wound exudate. These Ag+ ions stay in the lipido-colloïd geland are not released in the wound bed, preventing from argyrism or systemic toxicity.

Can I use TLC-Ag products in children?

No clinical studies have been carried out. However, TLC Ag has been widely used for the treatment of traumatic wounds and burns in children from the age of one.

Use

UrgoTul Ag/Silver can adhere to gloves. How should I avoid this?

It is recommended to moisten the gloves with normal saline and to use the protective wings to facilitate application.

Can I use UrgoTul Ag/Silver in combination with another dressing (such as UrgoClean)?

Yes.

Can I use UrgoTul Ag/Silver under compression?

Yes.

cutting-dressing-guide

Cutting Guide

Can I cut UrgoTul Ag/Silver?

Yes.

How can I secure UrgoTul Ag/Silver?

Cover UrgoTul Ag/Silver with a secondary dressing suitable for the location and level of wound exudate. Secure the dressing in place with a suitable bandage, adhesive tape, or apply a compression bandage when prescribed.

How long should I keep the dressing in place?

A maximum of four weeks use is recommended due to the good efficacy of TLC-Ag on most pathogens.
Dressing should be renewed every 1 to 3 days, depending on level of wound exudate.

Can I keep the contact layer in place and change only the secondary dressing?

The contact layer may remain in contact with the wound for 1 to 3 days. If necessary, the secondary dressing can be changed more frequently to manage exudate.

When should I stop using silver dressings and switch back to a neutral dressing?

A maximum of four weeks use is recommended due to the good efficacy of TLC-Ag on most pathogens.
If the wound evolves well before the end of the 4 weeks treatment, you can switch to a neutral dressing.

Evidence

What evidence do you have on TLC-Ag?

UrgoTul Ag/Silver is the only silver dressing which has been shown to be effective on wounds with signs of critical colonisation. The clinical study demonstrated that the use of UrgoTul Ag/Silver over 4 weeks followed by a neutral dressing (UrgoTul), reduced the size of the wound area faster than using a neutral dressing alone.

Why did you compare your silver dressing with a neutral one, rather than a silver dressing?

TLC-Ag was compared to the neutral TLC, in order to show the real effectiveness of silver.

UrgoTul s.Ag/SSD

Product

What is UrgoTul s.Ag/SSD?

UrgoTul s.Ag/SSD is an antibacterial, flexible contact layer with TLC-s.Ag, comprised of a conformable polyester mesh impregnated with fatty substances, hydrocolloid, and silver sulphadiazine.

How does UrgoTul s.Ag/SSD work?

When in contact with wound exudate, the TLC-s.Ag of UrgoTul s.Ag/SSD gels and creates a moist environment, promoting healing. This ensures non-adherence and pain-free dressing changes. UrgoTul s.Ag/SSD acts as a reservoir capable of continuously releasing two anti-microbial agents, silver ions and sulphadiazine, which have a purely topical action.

Is silver released into the wound bed to kill bacteria or are bacteria killed in contact with the dressing?

TLC-s.Ag contains silver sulphadiazine, whose antibacterial effect is only activated when in contact with wound exudate.

Ag+ ions and sulphadiazine stay in the lipido-colloid gel and are not released in the wound bed.

Does silver go into the blood stream?

TLC-s.Ag contains silver sulphadiazine, whose antibacterial effect is only activated when in contact with wound exudate.

Ag+ ions and sulphadiazine stay in the lipido-colloid gel, their antibacterial activity remains on the wound surface, and is not released in the wound bed, even less so at a systemic level.

The amount of silver in TLC-s.Ag products is low, are they as effective as other silver dressings?
Do I need to change those more often?

In TLC-s.Ag dressings, the Ag+ ions and sulphadiazine have a bactericidal effect with an amount of silver that is enough to be effective on the most resistant pathogens, for up to 7 days (in vitro).

Other dressings may require more silver to be effective as their mechanism of action is different. They quickly release silver and need to have a higher silver amount to be effective over time. This may represent a risk of reduced effectiveness.

Against which pathogens are the TLC-s.Ag dressings effective?

Ag ions and sulphadiazine are effective against a wide range of different pathogens. Tests have even been carried out on resistant pathogens: MRSA, Escherichia coli, proving the efficacy of TLC-s.Ag.
TLC-s.Ag has also demonstrated its antibacterial activity in vitro on 117 hospital strains.

Indications

When should I use UrgoTul s.Ag/SSD?

UrgoTul s.Ag/SSD is indicated for non to low exuding wounds with signs of local infection.

Can I use UrgoTul s.Ag/SSD during the desloughing stage?

Yes, however, UrgoClean is the recommended treatment option for desloughing.

Can I use UrgoTul s.Ag/SSD with a gel?

Yes, it can be combined with a hydrogel.

What are the contraindications of UrgoTul s.Ag/SSD?

UrgoTul s.Ag/SSD should not be used where there is a known sensitivity to sulphonamides and other ingredients.
Do not use on patients undergoing Magnetic Resonance Imaging (MRI) examination.
Use in patients with renal or hepatic impairment, pregnant or breast-feeding women, newborn and premature babies is contraindicated in the absence of any specific clinical data.

Is there any adverse event related to the TLC-s.Ag products?

The silver sulphadiazine can give rise to:

  • Erythema, contact eczema and rare cases of argyria
  • Photosensitivity
  • Leucopenia which are sometimes severe and which usually arise during the first days of treatment.

Passage of sulphadiazine into the systemic blood stream exposes patients to a risk of systemic sulphonamide complications: haematological, renal, intestinal and skin.

However, TLC-s.Ag contains silver sulphadiazine, whose antibacterial effect is only activated when in contact with wound exudate.
Ag+ ions and sulphadiazine stay in the lipido-colloid gel and are not released in the wound bed.

Can I use TLC-s.Ag products in children?

No clinical studies have been carried out. However, TLC-s.Ag has been widely used for the treatment of traumatic wounds and burns in children from the age of one.

Use

UrgoTul s.Ag/SSD can adhere to gloves. How should I avoid this?

It is recommended to moisten the gloves with normal saline and to use the protective wings to facilitate application.

Can I use UrgoTul s.Ag/SSD in combination with another dressing (such as UrgoClean)?

Yes.

Can I use UrgoTul s.Ag/SSD under compression?

Yes.

cutting-dressing-guide

Cutting Guide

Can I cut UrgoTul s.Ag/SSD?

Yes.

How can I secure UrgoTul s.Ag/SSD?

Cover UrgoTul s.Ag/SSD with a secondary dressing suitable for the location and level of wound exudate. Secure the dressing in place with a suitable bandage, adhesive tape, or apply a compression bandage when prescribed.

How long should I keep the dressing in place?

A maximum of four weeks use is recommended due to the good efficacy of TLC-s.Ag on most pathogens.
Dressing should be renewed every 24 to 48 hours, depending on the wound being treated and its progress.

Can I keep the contact layer in place and change only the secondary dressing?

The contact layer may remain in contact with the wound for 24 to 48 hours. If necessary, the secondary dressing can be changed more frequently to manage exudate.

When should I stop using silver sulphadiazine dressings and switch back to a neutral dressing?

A maximum of four weeks use is recommended due to the good efficacy of TLC-s.Ag on most pathogens.
If the wound evolves well before the end of the 4 weeks treatment, you can switch to a neutral dressing.

Evidence

What evidence do you have on TLC-s.Ag?

In vitro data and clinical cases have been carried out; as well as a clinical study on the efficacy and tolerance of Urgotul S.Ag/SSD in the treatment of second degree burns

UrgoCell Ag/Silver

Product

What is UrgoCell Ag/Silver?

UrgoCell Ag/Silver is an antibacterial foam dressing with TLC-Ag, comprised of:

  • A polyester mesh impregnated with petroleum jelly, hydrocolloid and silver particles
  • A polyurethane absorbent foam pad,
  • A non-woven semi-permeable polyurethane backing.

How does UrgoCell Ag/Silver work?

When in contact with wound exudate, the TLC-Ag of UrgoCell Ag/Silver gels and creates a moist environment promoting healing. When the silver salt is broken down in contact with the wound exudate, UrgoCell Ag/Silver acts as a reservoir capable of continuously releasing a bactericidal concentration of silver ions while in contact with the wound.

Is silver released into the wound bed to kill bacteria or are bacteria killed in contact with the dressing?

TLC Ag contains silver sulphate, whose antibacterial effect is only activated when in contact with wound exudate, the TLC creates a gel and the silver sulphate is transformed into silver ions and SO42-.
These Ag+ ions stay in the lipido-colloid gel and are not released in the wound bed.

What is the amount of silver required to kill pathogens?

It varies depending on the pathogen. However, the silver amount in the TLC gel is greater than what is needed to kill 99,99% of the pathogen.
(according to an in vitro study : 7 days-8 tested bacteria)

Does silver go into the blood stream?

TLC Ag contains silver sulphate, whose antibacterial effect is only activated when in contact with wound exudate, the TLC creates a gel and the silver sulphate is transformed into silver ions and SO42-.
These Ag+ ions stay in the lipido-colloid gel, their antibacterial activity remains on the wound surface, and is not released in the wound bed, even less so at a systemic level.

Do silver dressings remove biofilms?

Yes. TLC-Ag dressings have been proven to be effective on biofilms. It was demonstrated in an in vitro study carried out on the biofilms of Staphylococcus aureus and Pseudomonas aeruginosa. After a day in contact with a TLC-Ag dressing, 99.97% and 99.98% of the biofilms were removed respectively.

The amount of silver in TLC-Ag products is low, are they as effective as other silver dressings? Do I need to change those more often?

In TLC Ag dressings, the Ag+ ions have a bactericidal effect with an amount of silver that is enough to be effective on the most resistant pathogens, for up to 7 days (in vitro).
Other dressings may require more silver to be effective as their mechanism of action is different. They quickly release silver and need to have a higher silver amount to be effective over time. This may represent a risk of reduced effectiveness.

Against which pathogens are the TLC-Ag dressings effective?

Ag ions’ mode of action is effective against a wide range of different pathogens. Tests have even been carried out on resistant pathogens, proving the efficacy of TLC-Ag.

TLC-Ag has a demonstrated antibacterial activity for up to 7 days on:

  • Methicillin-Resistant Staphylococcus aureus (MRSA)
  • Vancomycin-Resistant Enterococcus faecalis
  • Staphylococcus aureus
  • Pseudomonas aeruginosa
  • Streptococcus pyogenes
  • Escherichia coli
  • Candida albicans

Indications

When should I use UrgoCell Ag/Silver?

UrgoCell Ag/Silver is indicated for the treatment of moderately to heavily exuding wounds with signs of local infection.

Can I use UrgoCell Ag/Silver during the desloughing stage?

Yes, however, UrgoClean is the recommended treatment option for desloughing.

Can I use UrgoCell Ag/Silver with a gel?

Yes, it can be combined with a hydrogel.

What are the contraindications of UrgoCell Ag/Silver?

UrgoCell Ag/Silver should not be used where there is a known sensitivity to silver.
Do not use on patients undergoing Magnetic Resonance Imaging (MRI) examination.

Is there any adverse event related to Ag in the TLC-Ag products?

TLC Ag contains silver sulphate, whose antibacterial effect is only activated when in contact with wound exudate. These Ag+ ions stay in the lipido-colloïd geland are not released in the wound bed, preventing from argyrism or systemic toxicity

Can I use TLC-Ag products in children?

No clinical studies have been carried out. However, TLC Ag has been widely used for the treatment of traumatic wounds and burns in children from the age of one.

Use

UrgoCell Ag/Silver can adhere to gloves. How should I avoid this?

It is recommended to moisten the gloves with normal saline and to use the protective wings to facilitate application.

Can I use UrgoCell Ag/Silver under compression?

Yes.

cutting-dressing-guide

Cutting Guide

Can I cut UrgoCell Ag/Silver?

Yes.

How can I secure UrgoCell Ag/Silver?

Secure the dressing in place with a suitable bandage, adhesive tape, or apply a compression bandage when prescribed.

How long should I keep the dressing in place?

A maximum of four weeks use is recommended due to the good efficacy of TLC-Ag on most pathogens.
Dressing should be renewed every 1 to 3 days, depending on exudate level.

When should I stop using silver dressings and switch back to a neutral dressing?

A maximum of four weeks use is recommended due to the good efficacy of TLC-Ag on most pathogens.
If the wound evolves well before the end of the 4 weeks treatment, you can switch to a neutral dressing.

Evidence

What evidence do you have on TLC-Ag?

UrgoTul Ag/Silver is the only silver dressing which has been shown to be effective on wounds with signs of critical colonisation. The clinical study demonstrated that the use of UrgoTul Ag/Silver over 4 weeks followed by a neutral dressing (UrgoTul), reduced the size of the wound area faster than using a neutral dressing alone.

Why did you compare your silver dressing with a neutral one, rather than a silver dressing?

TLC-Ag was compared to the neutral TLC, in order to show the real effectiveness of silver.

UrgoClean

Product

What is UrgoClean?

UrgoClean Pad is a new-generation of hydro-desloughing fibre dressing with a high absorption and desloughing capacity, and a soft-adherent lipido-colloid (TLC) layer.

How does UrgoClean work?

When in contact with exudate, the hydro-desloughing polyacrylate fibres gel, swell and bind to the sloughy residue, absorbing and draining it to aid elimination (autolytic debridement). The creation of this gel maintains a moist environment in contact with the wound which promotes the healing of the desloughed areas and also prevents lateral diffusion by trapping exudate. TLC also promotes fibroblast proliferation in desloughed areas.

What is the absorption capacity of UrgoClean compared to other dressings?

UrgoClean absorbs 1700 g/m², similar to hydrofibre dressings (Aquacel pad).

Why is UrgoClean efficient at desloughing wounds?

The hydro-desloughing fibres of UrgoClean have a high absorption capacity and ability to trap sloughy residues.

How do you explain the removal in one piece?

The hydro-desloughing fibres of UrgoClean have an ultra-resistant acrylic core, ensuring strong integrity on removal, even after gelling in contact with the wound.

What is the difference between hydro-desloughing fibres and hydrofibres?

Hydrofibres are hydrocolloid fibres which gel and maintain a moist environment and absorb exudate.
Hydro-desloughing fibres offer similar functions but allow removal in one piece (strength of the fibres) and also promote desloughing (slough removal, haemostatic properties).

What is the role of the soft-adherence?

The soft-adherence makes UrgoClean very conformable and flexible, ensuring close contact with the wound bed to promote healing and maintaining the position of UrgoClean when applied, aiding dressing change.

Indications

When should I use UrgoClean?

UrgoClean Pad is indicated for exuding sloughy wounds (leg ulcers, pressure ulcers, diabetic foot ulcers, burns, dermabrasions, traumatic wounds, postoperative wounds, oncological wounds…)

Can I use UrgoClean during the granulation stage?

Yes.
However, if the wound is chronic, UrgoStart is the perfect treatment following UrgoClean to accelerate wound healing.

Can I use UrgoClean on dry wounds?

In the case of black necrosis (escar), the wound must be debrided before using UrgoClean. If the wound is dry, it should be moistened with normal saline before applying UrgoClean.

Can I use UrgoClean on infected wounds?

Due to the non-occlusive nature of this dressing, UrgoClean can be used on colonised wounds under close medical supervision. However, in the case of an infected wound, an antibacterial dressing should be used.

UrgoClean traps bacteria, does that mean it is antibacterial?

No. UrgoClean has no added silver and is not an antibacterial dressing but due to its strong absorption, UrgoClean is able to trap bacteria from colonised wounds. However, in the case of an infected wound, an antibacterial dressing should be used.

Can I use UrgoClean with a gel?

Yes, it can be combined with a hydrogel.

What are the contraindications of UrgoClean?

Organic mercury (Mercryl Lauryl®, Dermachrome®, Merfene®) or hexamidine (Hexomédine®) antiseptics and hydrogen peroxide (Oxygenated water).

Use

UrgoClean can adhere to gloves. How should I avoid this?

It is recommended to use the protective wings to facilitate application.

Which side of UrgoClean should I apply to the wound?

Apply the soft-adherent side to the wound.

cutting-dressing-guide

Cutting Guide

Can I cut UrgoClean?

Yes.

How can I secure UrgoClean?

UrgoClean Pad may be covered with a secondary dressing suitable for the location and level of wound exudate. Secure the dressing in place with a suitable bandage, adhesive tape or apply compression bandage when prescribed.

Can I use UrgoClean under compression?

Yes. UrgoClean has a strong ability to retain exudate even under compression.

When should I change UrgoClean?

UrgoClean should be changed every 1 to 2 days during the desloughing phase, then as often as required (up to 7 days) depending on the level of exudate and the clinical condition of the wound.

Why can the wound enlarge after treatment with UrgoClean?

The wound can seem larger following treatment with UrgoClean. This is due to the desloughing process and the removal of debris in the wound.

UrgoClean Rope

Product

What is UrgoClean Rope?

UrgoClean Rope is a new-generation of hydro-desloughing fibre dressing with a high absorption and desloughing capacity.

How does UrgoClean Rope work?

When in contact with exudate, the hydro-desloughing polyacrylate fibres gel, swell and bind to the sloughy residue, absorbing and draining it to aid elimination (autolytic debridement). The creation of this gel maintains a moist environment in contact with the wound which promotes the healing of the desloughed areas and also prevents lateral diffusion by trapping exudate.

What is the absorption capacity of UrgoClean Rope compared to other dressings?

UrgoClean Rope absorbs 20g/dressing, greater than hydrofibre rope (Aquacel rope: 15g/dressing).

Why is UrgoClean Rope efficient at desloughing wounds?

The hydro-desloughing fibres of UrgoClean Rope have a high absorption capacity.

How do you explain the removal in one piece?

The hydro-desloughing fibres of UrgoClean Rope have an ultra-resistant acrylic core, ensuring strong integrity on removal, even after gelling in contact with the wound.

What is the difference between hydro-desloughing fibres and hydrofibres?

Hydrofibres are hydrocolloid fibres which gel and maintain a moist environment and absorb exudate.
Hydro-desloughing fibres offer similar functions but allow removal in one piece and also promote desloughing.

Why does UrgoClean Rope not have any soft-adherent TLC?

The rope was developed without soft-adherent TLC to facilitate application in cavity wounds.

Are the fibers resorbable and biodegradable?

No.

Indications

When should I use UrgoClean Rope?

UrgoClean® Rope is indicated for the desloughing phase of exuding cavity and sinus wounds, chronic wounds (leg ulcers, pressure ulcers, diabetic foot ulcers), acute (traumatic), post-operative and oncological wounds.

Can I use UrgoClean Rope during the granulation stage?

Yes.

Can I use UrgoClean Rope on dry wounds?

In the case of black necrosis (escar), the wound must be debrided before using UrgoClean Rope. If the wound is dry, it should be moistened with normal saline before applying UrgoClean Rope.

Can I use UrgoClean Rope on infected wounds?

Due to the non-occlusive nature of this dressing, UrgoClean Rope can be used on colonised wounds under close medical supervision. However, in the case of an infected wound, an antibacterial dressing should be used.

UrgoClean Rope traps bacteria, does that mean it is antibacterial?

No. UrgoClean Rope has no added silver and is not an antibacterial dressing but due to its strong absorption, UrgoClean Rope is able to trap bacteria from colonised wounds. However, in the case of an infected wound, an antibacterial dressing should be used.

Can I use UrgoClean Rope with a gel?

Yes, it can be combined with a hydrogel.

What are the contraindications of UrgoClean Rope?

  • Organic mercury (Mercryl Lauryl®, Dermachrome®, Merfene®) or hexamidine (Hexomédine®) antiseptics and hydrogen peroxide (Oxygenated water).
  • Do not use in fistula wounds with a diameter less than that of the probe.
  • Do not use on dry wounds
  • Do not use as surgical packing (non-resorbable rope).
  • Do not use in endo-nasal area in rhino-sinusitis surgery.

Use

Can I cut UrgoClean Rope?

Yes.

When should I change UrgoClean Rope?

UrgoClean Rope should be changed every 1 to 2 days during the desloughing phase, then as often as required depending on the level of exudate and the clinical condition of the wound.

Why can the wound enlarge after treatment with UrgoClean Rope?

The wound can seem larger following treatment with UrgoClean Rope. This is due to the desloughing process and the removal of debris in the wound.

What is the purpose of the probe?

The probe is used to help applying the rope inside a cavity wound.
It is also used to evaluate the depth of the cavity wound due to its graduation in cm.

How should I use the probe?

Apply UrgoClean Rope directly into the cavity wound. Use the probe to facilitate insertion of the rope in the cavity. It is possible to evaluate the depth of the wound thanks to its graduation in cm.

Can I use this rope in combination with pads?

UrgoClean Rope should be covered with a secondary dressing suitable such as pads for the location and exuding nature of the wound.

Can I superimpose several ropes inside a wound?

If the wound depth or size is significant, several ropes can be inserted into a wound. Make sure that the ropes are still visible and accessible to ensure easy removal and make sure no rope is left within the cavity.

UrgoStart

Product

What is UrgoStart?

UrgoStart is a soft-adherent foam dressing with, comprising a TLC-NOSF layer with an absorbent polyurethane foam pad and a vapour permeable outer film.

How does UrgoStart work?

When in contact with wound exudate, NOSF neutralises excess proteases present in chronic wounds, which rebalances wound equilibrium and promotes faster healing. TLC healing matrix creates a moist environment, stimulates fibroblast proliferation and ensures non-adherence and painfree dressing change.

What is the role of the soft-adherence?

The soft-adherence makes UrgoStart very conformable and flexible, ensuring close contact with the wound bed to promote healing.  Due to the soft-adherence, UrgoStart stays in place when applied, aiding dressing changes.

Why do you say that UrgoStart is cost-effective?

Due to improved healing rates, UrgoStart reduces overall treatment time, and therefore the number of nurse visits and the associated costs.

Indications

When should I use UrgoStart?

UrgoStart is indicated for exuding chronic wounds (leg ulcers, pressure ulcers, diabetic foot ulcers, longstanding acute wounds…).

Can I use UrgoStart during the epithelialisation stage?

Yes.

Can I use UrgoStart in desloughing stage?

For desloughing, UrgoClean is recommended as the best option.

Can I use UrgoStart on infected wounds?

In the case of an infected wound, an antibacterial dressing should be used before using UrgoStart.

What are the contraindications of UrgoStart?

In order not to delay any optimal treatment, UrgoStart is contraindicated in wounds such as cancerous wounds or fistula wounds which may reveal a deep abscess.

Use

UrgoStart can adhere to gloves. How should I avoid this?

It is recommended to use the protective wings to facilitate application.

Which side of UrgoStart should I apply to the wound?

The soft-adherent side of UrgoStart should be applied to the wound.

cutting-dressing-guide

Cutting Guide

Can I cut UrgoStart?

Yes.

How can I secure UrgoStart?

If required, cover UrgoStart with a secondary dressing suitable for the location and level of wound exudate.  Secure the dressing in place with a suitable bandage, adhesive tape, or apply a compression bandage when prescribed.

Can I use UrgoStart under compression?

Yes. UrgoStart has an excellent ability to retain exudate even under compression.

When should I change UrgoStart?

UrgoStart should be changed every 2 to 4 days (up to 7 days) depending on the level of exudate and the clinical condition of the wound.

The wound seems larger after treatment with UrgoStart. Is this to be expected?

It has been demonstrated that the wound may initially appear larger after treatment with UrgoStart, before reducing in size. Continuing treatment with UrgoStart is essential to promote faster healing.

My patient complains with pain/stinging, is this to be expected?

In some cases, this has been noted during the initial stages. However, if the patient is able to tolerate it, continued treatment with UrgoStart is essential to promote faster healing.

Evidence

What evidence do you have?

The efficacy of TLC-NOSF has been clinically proven in:

  • Challenge Study, a Double blind Randomised Controlled Trial demonstrating that it heals twice as fast as a neutral foam dressing (with the foam version – UrgoStart)
  • A randomized Controlled Trial (with the contact layer version – UrgoStart Contact)
  • Observational studies
  • Several clinical studies on leg ulcers, pressure ulcers and diabetic foot ulcers

What is a double blind Randomised Controlled Trial?

A double blind Randomised Controlled Trial is the most superior level of evidence required by Heath Authorities.

“Randomised” means that patients are chosen at random to be included in either of the two groups.

“Controlled” means that the treatment is tested against another treatment that has proven its efficacy.

“Double blind” means that both tested treatments are similar in aspect, and neither the clinician/nursing staff, nor the patient knows which treatment is being used, avoiding any risk of bias.

UrgoStart Contact

Product

What is UrgoStart Contact?

UrgoStart Contact is an ultra-flexible contact layer with TLC-NOSF.

How does UrgoStart Contact work?

When in contact with wound exudate, NOSF neutralises excess proteases present in chronic wounds, which rebalances wound equilibrium and promotes faster healing. TLC healing matrix creates a moist environment, stimulates fibroblast proliferation and ensures non-adherence and painfree dressing change.

Why do you say that UrgoStart Contact is cost-effective?

Due to improved healing rates, UrgoStart Contact reduces overall treatment time, and therefore the number of nurse visits and the associated costs.

Indications

When should I use UrgoStart Contact?

UrgoStart Contact is indicated for non to low exuding chronic wounds (leg ulcers, pressure ulcers, diabetic foot ulcers, longstanding acute wounds).
Flexible and very comformable, UrgoStart Contact is especially suitable for lining cavity or awkwardly placed wounds and for wicking deep wounds.

Can I use UrgoStart Contact during the epithelialisation stage?

Yes.

Can I use UrgoStart Contact in desloughing stage?

For desloughing, UrgoClean is recommended as the best option.

Can I use UrgoStart Contact on infected wounds?

In the case of an infected wound, an antibacterial dressing should be used before using UrgoStart Contact.

What are the contraindications of UrgoStart Contact?

In order not to delay any optimal treatment, UrgoStart Contact is contraindicated in wounds such as cancerous wounds or fistula wounds which may reveal a deep abscess.

Use

UrgoStart Contact can adhere to gloves. How should I avoid this?

It is recommended to moisten the gloves with normal saline and to use the protective wings to facilitate application.

cutting-dressing-guide

Cutting Guide

Can I cut UrgoStart Contact?

Yes.

How can I secure UrgoStart Contact?

Cover UrgoStart Contact with a secondary dressing suitable for the location and level of wound exudate. Secure the dressing in place with a suitable bandage, adhesive tape, or apply a compression bandage when prescribed.

Can I use UrgoStart Contact under compression?

Yes.

When should I change UrgoStart Contact?

UrgoStart Contact should be changed every 2 to 4 days (up to 7 days) depending on the level of exudate and the clinical condition of the wound.

The wound seems larger after treatment with UrgoStart Contact. Is this to be expected?

It has been demonstrated that the wound may initially appear larger after treatment with UrgoStart Contact, before reducing in size. Continuing treatment with UrgoStart Contact is essential to promote faster healing.

My patient complains with pain/stinging, is this to be expected?

In some cases, this has been noted during the initial stages. However, if the patient is able to tolerate it, continued treatment with UrgoStart Contact is essential to promote faster healing.

Evidence

What evidence do you have?

The efficacy of TLC-NOSF has been clinically proven in:

  • A Double blind Randomised Controlled Trial demonstrating that it heals twice as fast as a neutral foam dressing (with the foam version – UrgoStart) (1)
  • A randomized Controlled Trial (with the contact layer version – UrgoStart Contact) (2)
  • Observational studies
  • Several clinical studies on leg ulcers, pressure ulcers and diabetic foot ulcers

What is a Randomised Controlled Trial?

A Randomised Controlled Trial is the most superior level of evidence required by Heath Authorities.

“Randomised” means that patients are chosen at random to be included in either of the two groups.

“Controlled” means that the treatment is tested against another treatment that has proven its efficacy.

(1) Meaume S, et al.A randomized, controlled, double-blind prospective trial with a Lipido-Colloid Technology-Nano-OligoSaccharide Factor wound dressing in the local management of venous leg ulcers. Wound Repair and Regeneration 2012 (July/August);Vol 20:500-511.
(2) Schmutz J-L, Meaume S, Fays S, Ourabah Z, Guillot B, Thirion V, Collier M, Barrett S, Smith J,
Bohbot S, Dompmartin A, et al. Evaluation of the nano-oligosaccharide factor lipido-colloid matrix in the local management of venous leg ulcers: results of a randomised, controlled trial. Int Wound J 2008;5:172–182.

UrgoTul

Product

What is UrgoTul?

UrgoTul is a flexible contact layer with TLC, comprised of a conformable polyester mesh impregnated with polymers and CarboxyMethyl Cellulose (hydrocolloid).

How does UrgoTul work?

When in contact with wound exudate, UrgoTul gels and creates a moist environment, promoting healing. UrgoTul stimulates fibroblast proliferation and ensures non-adherence and pain-free dressing changes.

What is the role of fibroblasts?

During wound healing, fibroblasts migrate within the wound area, proliferate and synthesize the extracellular matrix to form granulation tissue (newly formed tissue).
Fibroblasts are then differentiated in situ into myofibroblasts which bring the edges of the wound together due to their contractile properties.
TLC stimulates fibroblast proliferation which supports the healing process.

Indications

When should I use UrgoTul?

UrgoTul is indicated for the treatment of non to low exuding wounds during the epithelialisation stage.

Can I use UrgoTul on infected wounds?

If clinical signs of local infection are noted, treatment can be changed to an antibacterial dressing of the Urgo range (such as UrgoTul S.Ag/SSD/UrgoTul Ag/Silver), dependent on clinical judgment.

Can I use UrgoTul during the desloughing stage?

Yes, however, UrgoClean is the recommended treatment option for desloughing.

Can I use UrgoTul with a gel?

Yes, it can be combined with a hydrogel.

What are the contraindications of UrgoTul?

There are no contraindications to date.

Use

UrgoTul can adhere to gloves. How should I avoid this?

It is recommended to moisten the gloves with normal saline and to use the protective wings to facilitate application.

cutting-dressing-guide

Cutting Guide

Can I cut UrgoTul?

Yes.

How can I secure UrgoTul?

Cover UrgoTul with a secondary dressing suitable for the location and level of wound exudate. Secure the dressing in place with a suitable bandage, adhesive tape, or an elasticated tubular bandage. Apply a compression bandage when prescribed.

Can I use UrgoTul under compression?

Yes.

When should I change UrgoTul?

UrgoTul should be changed every 2 to 4 days (up to 7 days*) depending on the level of exudate and the clinical condition of the wound.

*dependent on wound condition and protocol (when prescribed with a compression bandage system for venous leg ulcers)

Can I leave UrgoTul in place and only change the secondary dressing?

Yes, UrgoTul can be left in place for several days, in order to reduce healing disturbance.

UrgoTul Absorb

Product

What is UrgoTul Absorb?

UrgoTul Absorb is a soft-adherent foam dressing with TLC, comprised of:

  • A soft-adherent TLC layer combined with an absorbent polyurethane foam pad
  • A protective non-woven polyurethane backing.

How does UrgoTul Absorb work?

When in contact with wound exudate, UrgoTul Absorb gels and creates a moist environment, promoting healing. UrgoTul Absorb stimulates fibroblast proliferation and ensures non-adherence and pain-free dressing changes. The absorbent polyurethane foam pad ensures drainage of exudate, protecting the peri-wound skin against maceration.

What is the role of fibroblasts?

During wound healing, fibroblasts migrate within the wound area, proliferate and synthesize the extracellular matrix to form granulation tissue (newly formed tissue).
Fibroblasts are then differentiated in situ into myofibroblasts which bring the edges of the wound together due to their contractile properties.
TLC stimulates fibroblast proliferation which supports the healing process.

Indications

When should I use UrgoTul Absorb?

UrgoTul Absorb is indicated for the treatment of moderately to heavily exuding wounds during the epithelialisation stage.

Can I use UrgoTul Absorb on infected wounds?

If clinical signs of local infection are noted, treatment can be changed to an antibacterial dressing of the Urgo range (such as Urgocell Ag/Silver), dependent on clinical judgment.

Can I use UrgoTul Absorb during the desloughing stage?

Yes, however, UrgoClean is the recommended treatment option for desloughing.

What are the contraindications of UrgoTul Absorb?

There are no contraindications to date.

Use

UrgoTul Absorb can adhere to gloves. How should I avoid this?

It is recommended to use the protective wings to facilitate application.

cutting-dressing-guide
Cutting Guide

Can I cut UrgoTul Absorb?

Yes.

How can I secure UrgoTul Absorb?

Secure the dressing in place with a suitable bandage. Apply a compression bandage when prescribed.

Can I use UrgoTul Absorb under compression?

Yes.

When should I change UrgoTul Absorb?

UrgoTul Absorb should be changed every 2 to 4 days (up to 7 days*) depending on the level of exudate and the clinical condition of the wound.

*dependent on wound condition and protocol (when prescribed with a compression bandage system for venous leg ulcers)

UrgoTul Absorb Border

Product

What is UrgoTul Absorb Border?

UrgoTul Absorb Border is an adhesive foam dressing with soft-adherent TLC, comprised of:

  • A soft-adherent TLC layer combined with an absorbent polyurethane foam pad and an highly absorbent layer
  • A vapour permeable waterproof outer film with silicone adhesive on the edges

How does UrgoTul Absorb Border work?

When in contact with wound exudate, UrgoTul Absorb Border gels and creates a moist environment, promoting healing. UrgoTul Absorb Border stimulates fibroblast proliferation and ensures non-adherence and pain-free dressing changes. The absorbent polyurethane foam pad ensures drainage of exudate, protecting the peri-wound skin against maceration.

What is the role of fibroblasts?

During wound healing, fibroblasts migrate within the wound area, proliferate and synthesize the extracellular matrix to form granulation tissue (newly formed tissue).
Fibroblasts are then differentiated in situ into myofibroblasts which bring the edges of the wound together due to their contractile properties.
TLC stimulates fibroblast proliferation which supports the healing process.

Indications

When should I use UrgoTul Absorb Border?

UrgoTul Absorb Border is indicated for the treatment of moderately to heavily exuding wounds during the epithelialisation stage.

Can I use UrgoTul Absorb Border on infected wounds?

If clinical signs of local infection are noted, treatment can be changed to an antibacterial dressing of Urgo range (such as Urgocell Ag Border), dependent on clinical judgment.

Can I use UrgoTul Absorb Border during the desloughing stage?

Yes, however, UrgoClean is the recommended treatment option for desloughing.

What are the contraindications of UrgoTul Absorb Border?

There are no contraindications to date.

Use

Can I cut UrgoTul Absorb Border?

No. However, the adhesive edges can be cut if necessary to fit the dressing to different wound shapes.

Can I use UrgoTul Absorb Border under compression?

Yes.

When should I change UrgoTul Absorb Border?

UrgoTul Absorb Border should be changed every 2 to 4 days depending on the level of exudate and the clinical condition of the wound. The transparent outer film allows better monitoring fluid strikethrough and only changing the dressing when needed.

Sanyrène

Product

Why are the fatty acids in Sanyrene hyperoxygenated?

The oxygenation of fatty acids, particularly linoleic acid, leads to the formation of specific elements with anti-inflammatory properties (precursor of prostaglandins PGE1 and PGE2).
These substrates also play a role in the regulation of cell division and epidermal differentiation.

What is the purpose of vitamin E?

Vitamin E is an antioxidant.
It traps the free radicals released following the peroxidation of fatty acids.

Why is Sanyrene different?

Sanyrène is the only product which has demonstrated its clinical efficacy in the prevention of pressure ulcers, reported in the GIPPS Study.
The GIPPS study also demonstrated the ineffectiveness of using emollients and protective agents, which had identical results to the control group who had nothing applied to the skin.

Creams and emulsion may require an application supported by kneading or massage, actions currently prohibited by the Consensus Conference, as they can have a traumatic effect on the skin.

A daily effleurage with fingertips done with fingertips has become the most widely used technique.
The use of a solution with hyperoxygenated fatty acids such as Sanyrène promotes therapeutic effleurage with fingertips and has demonstrated its value when used for the prevention of pressure ulcers.

Is the aniseed perfume in Sanyrene allergenic?

Sanyrene is hypoallergenic.
There have been no reported cases of any allergic reaction following 20 years of hospital use.

Indications

When should I use Sanyrene?

Sanyrene is specifically indicated for patients at risk of developing a pressure ulcer.
Sanyrene is also indicated for redness (erythema) which disappears with finger pressure.

Use

How can I use Sanyrene?

Apply 1 spray of Sanyrène onto areas at risk of pressure ulcer development (heel, sacrum…)
Apply gently using the fingertips for one minute.
Repeat application 2 to 3 times a day, on each area at risk, every time the patient is repositioned.

Last update : June 9, 2015