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Cosmopor
®
Evaluation Results
Introducing New Cosmopor
®
ISSUE 15
Spring 13
Cosmopor
®
Introducing the new name in island wound dressings
Cosmopor
®and Cosmopor
®E: two great products, one distinct difference
Without
the E!
Cosmopor
®
E
NEW
Cosmopor
®
Cosmopor’s
®strong,
fluid-repellent
polyacrylate
adhesive ensures that the dressing remains firmly in place.
Its highly
absorbent
pad provides
cushioning
as
well as retaining fluid from the wound.
It is
soft
on the skin and its
hypoallergenic
fibres
prevent irritation.
New Cosmopor
®is
easy to apply
, conformable,
comfortable and
“performs brilliantly in the shower”.
1Cost-effective choice
for post-operative wound
treatment.
Sterile adhesive island wound dressing which consists
of a viscose core providing high
absorbency
and
cushioning.
Synthetic rubber adhesive ensures
secure fixation
,
whilst soft and
hypoallergenic
fibres prevent
irritation.
Not only ideal for the
post-operative
treatment of
wounds, but also for the
sterile treatment
of minor
injuries when providing
first aid
.
1 Cosmopor Evaluation Results September 2012 Report prepared by Peter Roberts and Dr Karen Ousey
School of Human and Health Sciences, University of Huddersfield
Hartmann Code Product Size Pack PIP Code
900 900 New Cosmopor® 7.2 x 5cm 50 pcs 374 0115 900 901 New Cosmopor® 10 x 8cm 25 pcs 374 0123 900 902 New Cosmopor® 15 x 8cm 25 pcs 374 0131 900 903 New Cosmopor® 20 x 10cm 25 pcs 374 0149 900 904 New Cosmopor® 25 x 10cm 25 pcs 374 0156 900 905 New Cosmopor® 35 x 10cm 25 pcs 374 0164
Welcome
to the Spring 2013 issue of WoundForum
T
his issue of WoundForum coincides with the start of a new era for the NHS. From the 1st April 2013 the NHS Commissioning Board (NHS CB) will take up its full statutory duties and responsibilities and this will bring with it new ways of working for all involved with NHS provision of care.A
ccording to the NHS CB, half of all the new GP-led groups will begin commissioning healthcare on behalf of their local communities on the 1st April, with a clean bill of health and no requirement of on-going support. Every community in England is now covered by one of 211 Clinical Commissioning Groups (CCG’s), which will be led by GP’s and will plan and commission hospital, community health and mental health services on behalf of their local areas - a new age of healthcare is upon us.W
hilst radical change is happening all around us, it is worth going back to basics and looking at where we can improve on the simple things that make a big difference and this is what we have aimed to do with the launch of our new Cosmopor® dressing. Tried and tested Cosmopor® E has been the market leadingdressing in the acute sector for the last 5 years(1) and is an important product within
the HARTMANN range. However, we wanted to take in to account feedback from you, so we have developed a new version to add to the Cosmopor® family. New
Cosmopor® has a polyacrylate adhesive (instead of the synthetic rubber adhesive
found on Cosmopor® E) and the backing material is fully coated with the adhesive,
which provides water repellency to the product. This means patients can take a shower with the dressing in place, improving their quality of life.
T
urn to page 4 to view the laboratory test data for the run off test. On page 6 you will find a 10 patient evaluation conducted by the School of Human and Health Sciences Podiatry department at the University of Huddersfield.A
s always we welcome your feedback on any of the features within WoundForum and if you have any ideas for future topics, please do not hesitate to get in touch.O
n behalf of the team here at HARTMANN I hope you enjoy this issue and look forward to seeing you again in the Autumn.Sally Nesta
(1) NHS Supply Chain Data on file
Hartmann Code Product Size Pack PIP Code
900 900 New Cosmopor® 7.2 x 5cm 50 pcs 374 0115 900 901 New Cosmopor® 10 x 8cm 25 pcs 374 0123 900 902 New Cosmopor® 15 x 8cm 25 pcs 374 0131 900 903 New Cosmopor® 20 x 10cm 25 pcs 374 0149 900 904 New Cosmopor® 25 x 10cm 25 pcs 374 0156 900 905 New Cosmopor® 35 x 10cm 25 pcs 374 0164
Here at HARTMANN we are continually striving to reduce our impact on the environment, if you would prefer to receive Wound Forum via email, please do not hesitate to contact me with your email address details.
Introducing Cosmopor
®Cosmopor
®Sample Average run-off Grams 10 runs Average run-off (10 runs) Number of runs prior to penetration 10 runs total
1 24.52 98 No penetration 2 24.67 99 No penetration 3 24.88 100 No penetration 4 24.77 99 No penetration 5 24.7 98 No penetration Average of
5 samples 25 99 Run number 1 2 3 4 5 6 7 8 9 10
Test Report: Surgical Dressing with Non-woven
Backing Run Off Performance Study
Introduction
Paul HARTMANN Germany (AG) manufactures
and markets world-wide a range of products and
services to help in the treatment of incontinence
hygiene and wound management, including post
operative dressings.
Medical Engineering Technologies Limited (MET
Ltd) were commissioned by Paul HARTMANN AG
to evaluate and report the run off characteristics
of two HARTMANN products, NEW Cosmopor
®and Cosmopor
®E, as well as one market leading
competitor.
Method
Each dressing was mounted on a transparent plate
(non-woven backing uppermost) on an absorbent
material which was inclined at 25˚. The dressing was
placed so that it extended beyond both the inclined
plate and the absorbent backing. This ensured that fluid
flow into the receiver tray was not impeded. The fluid
flow was over 255mm of the dressing material into a
receiver tray of known mass.
The dispensing head was positioned 25mm above the
test dressing in the middle of the upper reference line.
Simulated urine (25ml) was dispensed in a steady
stream onto the non-woven backing over 4 seconds.
Ten repeat tests were carried out on five samples of each
type of dressing. The run-off weight was recorded after
each test and the absorbent material (underneath the
dressing) was checked for simulated urine penetration.
The absorbent material (underneath the dressing) was
replaced when penetration had occurred.
TEST
REPORT Surgical Dressing with Non-woven Backing Run Off Performance Studywww.hartmann.co.uk
Cosmopor
®E
Sample Average run-off Grams 10 runs Average run-off (10 runs) Number of runs prior to penetration 10 runs total
1 21.83 87 3rd run onwards
• • • • • • • •
2 20.61 80 4th run onwards• • • • • • •
3 18.72 75 2nd run onwards• • • • • • • • •
4 20.2 81 2nd run onwards• • • • • • • • •
5 23.61 94 8th run onwards• • •
Average of5 samples 25 99 Run number 1 2 3 4 5 6 7 8 9 10
Competitor
Sample Average run-off Grams 10 runs Average run-off (10 runs) Number of runs prior to penetration 10 runs total
1 24.81 99 No penetration
2 24.61 98 7th run onwards
• • • •
3 24.38 98 4th run onwards• • • • • • •
4 23.74 95 4th run onwards• • • • • • •
5 24.81 99 9th run onwards (slight penetration on run 5)•
• •
Average of
5 samples 25 98 Run number 1 2 3 4 5 6 7 8 9 10
Conclusion
The non-woven backing for the Cosmopor
®E
samples appeared less dense that the other
two samples.
No penetration of the non-woven backing was
observed for the Cosmopor
®samples after the
complete test series of ten repeats.
One sample of the competitor products tested was
not penetrated after the test series of ten repeats.
The remaining four samples underwent at least
three repeat tests before penetration occurred.
www.hartmann.co.uk
www.hartmann.co.uk
Cosmopor
®
Evaluation Results
Background
Cosmopor® is a water repellent, absorbent, adhesive
island dressing. Podiatrists were asked to evaluate the dressing on non-infected lower limb wounds in a University podiatry clinic. The clinic is a private provider of podiatric care with a patient case load of approximately 5,000. In addition to delivering podiatric care, the clinic is the central focus for undergraduate training of podiatry students where they develop and apply their skills in a real setting.
Podiatrists within the clinic normally use a range of dry dressings, including Melolin, Melolite and Release secured with Mefix cut by the practitioner. The indications for use of this type of dressing are for superficial non-infected ulcerations, post nail surgery wounds and dressing of iatrogenic haemorrhages incurred during scalpel debridement of callus.
None of the podiatrists involved in the evaluation had used Cosmopor® previously.
Ethical Approval
Ethical approval for the evaluation was sought and granted from the School Research and Ethics Panel, University of Huddersfield. Podiatrists participating in the evaluation were given written information and requested to give informed consent before using the dressing.
Data Collection
A questionnaire designed by HARTMANN was the sole data collection tool. Podiatrists were asked to use the dressing and to evaluate its results through completion of the evaluation form. Practitioners were asked to rate their response to each question as excellent; good; acceptable or poor. There were no patient comments collected and patients were not consented for images to be taken of their wounds.
All completed forms were returned anonymously to the lead podiatrist for the evaluation. Data was collected between July and September 2012. Ten (10) patients had the dressing applied to their wound.
Wound Types Used for the Evaluation
of Cosmopor
®Cosmopor was used on the following wound types during this evaluation:
• Post-operative nail surgery wounds for either total or partial nail avulsions.
• Latrogenic haemorrhages caused during scalpel debridement of callus.
Report prepared by Peter Roberts and Dr Karen Ousey
School of Human and Health Sciences, University of Huddersfield September 2012
www.hartmann.co.uk
REPORT
Cosmopor® Evaluation ResultsComments from practitioners
The evaluation forms provided space for practitioner’s comments relating to the dressing as compared to their current dressing choice. Comments included:
“It was bigger than normal” – this was to be expected as podiatrists evaluated the dressing and generally use smaller dressings due to the nature of the wounds seen in a podiatry clinic. Interestingly, comments included that this was the only adhesive dressing that the practitioner had used while others stated that it was stickier than other island dressings, with one practitioner reporting that it was very painful to remove due to the stickiness. There were also comments that stated
Cosmopor® came off in the shower, however others stated
Cosmopor® was “brilliant in the shower”. One practitioner
reported Cosmopor® was not significantly different to other
dressings and the remaining respondents did not comment.
Conclusions
Cosmopor® was evaluated on ten (10) podiatric patients who
had presented to podiatry clinic with lower limb wounds. Overall the dressing evaluated extremely well and nine (9) of the ten practitioners would use the dressing again.
We recommend that smaller dressing sizes are incorporated in the dressing range to allow a cost effective usage of the product on smaller wounds.
Results of the Evaluation
Table 1: Observations
Table 2: Pain
Table3: Was the wound kept dry?
Table 4: Wear time
Table 5: Would you purchase Cosmopor
®?
Question Excellent Good Acceptable Poor
Ease of
Application 4 6 Conformability 4 6
Ease of removal 4 4 1 Patient comfort
during wear time 7 3
Question YES NO
Did the patient experience pain during
removal? 1 9
If yes was pain attributable to Cosmopor®? 1
Question YES NO
Did Cosmopor®
keep wound dry? 9 1
Question YES NO Would you purchase Cosmopor®? 9 1 Question 24hrs 36hrs 48hrs
How long did the dressing stay in
www.hartmann.co.uk
www.hartmann.co.uk
Think about your
patient’s skin
…
we did
Skin is amazing. Just think what it has to cover
…digits, extremities, curves, bumps, joints, folds & bends.
Its flexible, hairy & full of pores. Its wrinkly, dry, sweaty &
gets knocked. Yet it protects, absorbs, resists, stores, controls.
The newly improved
Cosmopor
®island wound dressing
from
HARTMANN
has been developed to help the body heal
and protect the wound site, whilst being flexible enough to
be used in all those awkward places and strong enough to
remain in place no matter what life throws at it.
www.hartmann.co.uk
REPORT
Repetitive Epicutaneous testRepetitive
Epicutaneous test
Number of Unequivocal Reactions
Subjects without Erythema reactions Subjects with new Erythema reactions Number of previous Erythma reactions
Results:
To avoid irritant reactions against the patch system, a template of tape with central holes of diameter 20mm was used to protect
skin adjacent to the test area during the whole test period. The template was placed directly onto the back of the subjects.
The assessments were performed according to the following Global Irritation Scale.
If a score is above 1 no further product will be applied.
Cosmopor
®showed very good skin tolerability.
Test materials were applied repeatedly by the
occlusive epicutaneous patch test system for 24 hours
(1st application), and for 21 hours each (2nd, 3rd
and 4th application)
The application was repeated up to 4 times or up to the
first clearly defined skin irritation (score greater than
or equal to 1). 3 hours after each removal of the patch
system a visual scoring took place.
Nineteen subjects were tested in accordance to the proDERM standard protocol – V03 (06-REP).
Day 1 2 3 4 5
Application of Test Materials
•
•
•
•
Patch removal (24h after the application of test materials on day 1and 21h after patch removal on days 2, 3 and 4)
•
•
•
•
Visual Evaluation (By trained evaluator, 3h after the last patch removal)
•
•
•
•
0
No evidence of erythema.
0.5
Minimal to doubtful erythema.
1
Slight but clearly defined erythema over more
than two thirds of the test area and/or slight
scabbing (up to one quarter of the test area).
The scabbing is superficial and can be described
as a surface defect.
2
Moderate uniform erythema that can protrude
over the test area and/or scabbing over more
the one quarter of the test area. The scabbing
is superficial and can be described as a surface
defect often accompanied by edema and skin
defects (haemorrhage, erosions).
3
Strong, uniform erythema, often protruding over
the test area and/or deep scabbing over more
than half of the test are, possibly with bleedings,
usually accompanied by edema and deep skin
defects (haemorrhage, opened vesicles).
Think about your
patient’s skin
…
we did
20
15
10
5
0
Day 2
Day 3
Day 4
Day 5
www.hartmann.co.uk
HARTMANN news
Cosmopor
®
showcase at TVS 2013
GRAND DESIGNS
HARTMANN are attending the Tissue Viability Society conference
in Kettering. We will be showcasing our new product, Cosmopor
®.
Come and see us at stand 62 for more information.
The 32nd Annual Conference of the TVS will take place at Kettering
Conference Centre on 17-18 April 2013. During the two days you will hear
from a variety of speakers who will address topical and practical aspects
of relevance to all healthcare professionals involved in tissue viability and
wound management.
The HARTMANN offices have had a
much needed overhaul!
We have renovated our “buffet room” into
a stylish Heritage Café and the reception
area has had a full refurbishment. If you
would like to use our facilities to hold a
meeting do not hesitate to contact your
local HARTMANN representative.
www.hartmann.co.uk
What has your
body been through
in the last
48
hours?
48
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It has been hot, cold, damp, wet, pushed and
pulled about, sweaty, dry, knocked, bumped,
washed, rubbed, brushed, scratched, twisted…
Hydrofilm
®high MVTR
1transparent film dressing has been developed
to help the body heal in the critical, post-operative 48 hours and to
protect the wound site from
whatever life throws at it.
Keep it clean, keep it simple,
keep it
HARTMANN
Hydrofilm® Hydrofilm® Plus
1 internal lab tests: Paddington test upright 1300g/sqm/24h, data on file.
Your FREE HARTMANN
H
e
LP is at hand
HARTMANN eLearning Programme Skin Module
www.hartmann.co.uk
HARTMANN eLearning Programme Skin Module
gives an introduction to the skin
and advises how to diagnose, treat and prevent skin injuries that are prevalent
in vulnerable skin. The Skin Module is ideal for care home staff, students and
healthcare professionals who want a greater understanding of how to maintain
healthy skin in vulnerable patients.
The topics covered are:
•
The anatomy and physiology of the skin
•
Functions of the skin
•
Skin assessment
•
Primary and secondary lesions
•
Pressure ulcers
•
Moisture lesions
•
Differences between moisture lesions & pressure ulcers
•
Skin tears
NEW!
