Keneric Healthcare RTD Wound Care Dressing

RTD Silver Foam Wound Dressing Features

• Maintains a moist woundbed while keeping the surrounding skin dry and intact
• Healthcare Foam Wound Dressing is antibacterial, antifungal and analgesic
• Universal quick-closing, moist, advanced oxygenation capillary-suction-therapy and biofilm reducing dressing with bio-burden sequestration
• Effective in regulating wound bed moisture and improves healing without maceration
• Strong tensile strength of the fibers allows for easy removal of the dressing without residual fibers being left behind
• Sterile and latex-free
• Can be used in dry or wet-to-dry applications
• Foam is dry, soft, pliable and surface conforming
• Pad will not adhere to incisions or sutures
• Keeps wound site clean

Singlet Oxygen Green Technology:

• A high energy form of oxygen which is highly reactive with bacteria  
• Co-combine into O2 which locally encourages healing 
• No known antimicrobial resistance to singlet oxygen  
• Natural antimicrobial defense 
• Derived from methylene blue 
• Green technology

Benefits of RTD Silver Foam Wound Dressing

Active ingredients: Silver, Methylene Blue and Gentian Violet

• Draws protein rich exudate away from wound; creates a favorable wound healing environment
• Effective antimicrobial and antifungal properties; reduces bacterial load
• Early and sustained antimicrobial protection; helps prevent biofilm
• Analgesic; significant pain reduction reported
• Non-cytotoxic; use throughout the continuum of care
• Reduces healing time; use up to 3 days

Proprietary technology: Active ingredients are integrated into foam matrix

• Open cell structure; wicks exudate vertically
• Holds 15 x its weight in exudate. A 4 x 4 x ¼ dressing holds 115 ml2
• Interactive ingredients are tightly bound to the foam
• Regulates wound bed moisture; little to no maceration

Polyurethane foam: Soft, pliable and surface conforming

• Easy to use. Ready to apply
• Does not require hydration prior to use
• Can be easily cut
• Versatile; can be used for multiple wound types

What is the RTD Mechanism of Action

Methylene Blue

• Strong affinity for dead cells not viable cells
• Strong Cation: draws negatively charged bacteria
• Pulls the protein rich exudate (bacteria and dead tissue) into the dressing

Gentian Violet

• Attacks gram(-) and gram(+) bacteria 
• Antibacterial and Antifungal
• Analgesic

Silver Ion

• Silver ions (Ag+) are released in the presence of exudate 
• The amount of Silver ions released is proportionate to the amount of exudate
• Silver ion (Ag+) binds to bacterial cells 
• Penetrates and kills gram (-) and gram (+) bacteria 

Medical-grade Polyurethane foam

• Capillary suction therapy (CST): pulls liquefied biofilm and bacteria from wound bed 
• Bio-burden sequestration: strips toxins and debris and sequesters into foam matrix for disposal, preventing antimicrobial resistance
• Autolytic debridement

What to buy with RTD Wound Dressing

• Calmoseptine Moisture Barrier Ointment
• Medline Skintegrity Wound Cleanser
• Medline Caring Paper Adhesive Tape Rolls

When to use RTD Wound Dressing?

Indicated for the treatment of partial to full thickness wounds with moderate to heavy exudate, including:

• Pressure ulcers
• Venous stasis and arterial ulcers
• Diabetic foot ulcers, graft wounds, and donor sites
• Surgical/post-operative wounds
• 1st and 2nd degree burns
• Lacerations abrasions and
• Any other wound inflicted by trauma

Considerations for RTD Foam Wound Dressing

The dressing should be in direct contact with the wound for best results. Fit to edges of the wound. For moderate to heavy exudate wounds and initial dressing applications, the 1/4" thickness is recommended.

The 1/8" thickness is recommended for low exudate wounds. If the dressing becomes saturated before the desired dressing change, a second dressing may be placed on top for continued absorption and vertical wicking.

Considerations for Tunneling Wounds: Cut the dressing (1/4" thickness) into strips or cut and roll to the appropriate size. Leave a "tail" at the end of the dressing to assist with easy removal. Insert into wound tunnel. Do not allow the dressing to become fully saturated.

Considerations for Ostomy Dressing:

• Trim the outer diameter of the RTD Dressing (1/8" thickness) to fit just inside the adhesive rim of the pouch. Trim the inner diameter of the dressing to fit the stoma. 
• If a peristomal wound is present, cut the 1/8 inch thickness RTDWound Dressing to the wound size and place it on the wound. Secure the pouch wafer using the preferred tube paste around the precut opening for the stoma. 

Considerations for Skin Graft and Donor sites:

• To apply the RTD Wound Dressing after graft placement. Start with meshed non-adherence dressing such as a petroleum impregnated, or a silicone-based wound contact layer. Cut the non-adherent so that it extends one centimeter beyond the edge of the skin graft. 
• Cut the RTD Wound Dressing the same size and place it over the non-adherent. Secure dressing per standard protocol. Leave in place per doctor’s orders (usually 4 to 7 days). 

Considerations for around G-Tubes, Chest Tubes, Tracheostomy Tubes, Pic Line,s or Central Venous Lines:

• Cleanse the area per facility protocol. Cut the 1/8" RTD Wound Dressing with a slit and slight cut out to allow it to fit securely around the tubing and lie flat against the adjacent skin.
• For the tracheostomy tube, allow the dressing to fit the foam underneath the flange as much as possible. Secure with a non-occlusive adhesive or medical-grade tape. Leave in place for up to three days.

Considerations for use Under Negative Pressure Therapy (NPWT) Device:

• Cut the RTD Wound Dressing to size. Fenestrate the foam. Place the RTD Dressing in contact with the wound bed.
• Place the NPWT foam on top of the RTD Dressing and seal the wound per the NPWT Device protocol.

Compression Wrapping:

• RTD can be used under compression wrap or occlusive adhesive with medical supervision or trained caregivers.

How to use RTD Dressing?

• Measure and cut RTD to the size of the wound.
• Apply RTD dressing directly to the wound.
• Secure with appropriate secondary dressing.
• RTD can be rolled and packed into the wound.
• For best results, ensure RTD is in direct contact with the wound.
• Suggested RTD dressing change interval is every 3 days, or as needed.

Contraindications:

• RTD Wound Care Dressings are not indicated for third-degree burns.

Precautions:

• Do not use RTD Wound Care Dressing on patients with known sensitivity to silver.
• In the event of clinical infection, RTD Wound Care Dressing is not intended to replace systemic therapy or appropriate treatment protocol for infection.
• Latex free - Not made with natural rubber latex.

Caution:

• Rx only.
• Federal Laws restrict this device to sale by or on the order of a licensed physician.

Clinical Recommendations:
Wound Preparation:

• Clean the wound with normal saline or other wound cleanser per facility protocol.
• Standard precautions should be used to prevent the spread of infectious agents when dressing wounds.
• Securing RTD Wound Dressing in Place: Use gauze, Kerlix, Omnifix, Mefix, other non-occlusive adhesives, or medical-grade tape.

Dressing Removal:

• RTD Wound Dressing may be left on for a maximum of three days. Remove the dressing sooner if the foam becomes saturated.
• If RTD is difficult to remove, soak it with saline or sterile water.
• A meshed non-adherent layer is recommended to prevent sticking or ingrowth at the later stages of wound healing.