YOUR PARTNER IN WOUND CARE
www.triagemeditech.com
WOUND MANAGEMENT
Chronic and complex wound management requires a systematized and comprehensive approach and represents a
considerable COST BURDEN to the society on health services. It requires considerable manpower, frequent specialist
consultation and adjunct therapies.
India is known as the diabetes capital of the world and about 5% of India's total diabetic population develops foot ulcers resulting
in approximately 45,000 lower limb amputations annually
COMPOUND FRACTURE
TRAUMATIC ABRASSIONPRESSURE SORE`
VENUS LEG ULCER
DIABETIC FOOT ULCER
ABDOMINAL DEHISCENCE
TYPE OF WOUNDS
NPWT is used to treat almost all kinds of wounds with very few contraindications or complications.
NEGATIVE PRESSURE WOUND THERAPY
NPWT is wound therapy to manage effective wound treatment and has become a widely used option for treating variety of acute,
chronic and complex wounds.
Sterile healing environmentReduction of edemaIncreased wound perfusionIncreased granulation tissue formationDecreased bacterial loadingDecreased anaerobic activityFaster wound healing
This technique involves the use of open cell non-linear PU foam to seal the surface of wound with a transparent adhesive film followed by application of intermittent or constant pressure through a therapeutic NPWT device.
NPWT TECHNOLOGY
An advance wound healing technique that promotes VASCULAR PROFUSION, REDUCES EDEMA, enhances MICRO ANGIOGENESIS which aids in wound healing in acute as well as chronic scenario.
Wounds heal up to 61% faster With NPWT
BENEFITS OF NPWT
NPWT has revolutionized the management of wounds. It has many advantages over conventional methods of wound dressing
Non-invasive treatment Reduction of dressing changesReduced nursing timeReduced infection risks (patient & hospital)Concurrent rehabilitationBetter patient toleranceCost benefitsImproved patient quality life
Infection rates drop as much as 38%
Financial burdendecreases up To 83%
• Company: Triage Meditech Pvt Ltd• Brand : CCNPWT• One of the fastest growing domestic Medical
Technology companies• Manufacturer of complete NPWT products and
other advanced wound management products• Holds over 80% of the domestic market share• Pan India presence through direct and dealers
network• Currently exporting to more than 11 countries
ABOUT US
The first company to introduce NPWT technology in India and the first Indian company to export this technology to outside India. At
present, we are supporting to more than 11 countries
HEALTHCARE FOR ALL
Triage Meditech Pvt. Ltd. is dedicated to support the mission "healthcare for all". Our mission is to improve healthcare by utilizing technological advancement and developing best-in-class products.
The company's continuous R&D and evolution efforts towards manufacturing and promoting indigenous products at affordable
price. We intend to offer the best quality products which help healthcare professionals and caregivers to offer quality in their
practice and solutions to their patients. We are dedicated to continuous advancement in our offerings and we understand the
missing or discomfort factors that patients experience. We address these factors during the planning & development of our products.
Bangladesh Bulgaria IndiaMiddle East Nepal Sri Lanka Uzbekistan
OUR REACH
Complete Portfolio for NPWT Concept
WHY US?
The FIRST company to introduce this concept in IndiaA COMPLETE manufacturing Indian company for the entire concept
Maintaining international STANDARDS with COST EFFECTIVE solutionsPan India EFFICIENT sales and support network through direct as well as dealer
networkBest of standard STERILISATION Gama radiation
An ISO 13485:2003 certified and DCGI REGULATED companyBacked by QUALIFIED clinical staffs supervised by a panel of super speciality
physicians for QUALITY ASSURANCETRAINED engineer for tech SUPPORT
As no two wounds are alike so are NPWT systems. For effective treatment always choose right partner who can deliver
OUR VALUE
QUALITY CARE SAFETY
COST EFFECTIVE
EFFICIENT
SATISFACTION
Most Featured System | Complete Portfolio | Low Noise levelAcademic Upgradation Support
WHAT IS CLOSED CYCLIC NEGATIVE PRESSURE WOUND THERAPY (CCNPWT)?
NEGATIVE PRESSURE WOUND THERAPY also widely known as NPWT, WOUND VAC or TNP(Tropical Negative
Pressure) is a widely accepted wound management modality today, i.e.,
A specially designed foam dressing applied on a wound bed, sealed with a PU/PE drape further connected with a
drainage tubing to the Therapeutic Negative Pressure Device
HOW DOES CLOSED CYCLIC NEGATIVE PRESSURE WOUND THERAPY PROMOTE WOUND HEALING?
Removes excess fluid (infections and non-infectious), reduces edema, allowing tissue decompression
Stimulates granulation tissue formation by increasing vascular perfusion
Encourages mechanical stretching, approximates wound edges, enhances dermal perfusion, overall wound contraction
Protects wound from microbe imbalance Maintains a moist wound healing environment
OUR PRODUCT PORTFOLIO
VTG 2901The new
programmable CCNPWT system
delivers controlled negative pressure in the wound site
to accelerate healing process.
VTG 3000Newly introduced portable system in CCNPWT portfolio caters the future
of advanced wound care where
you need and when you need.
PPT 1000Peace of Mind for You. Convenient and affordable
system designed to deliver effective
therapy for venous
insufficiency.
DRESSINGSsuperior quality dressings and
accessories offer quality wound
care. Our products are being tested on predefined
parameters for the optimum results.
CCNPWT ABDOMINAL DRESSINGA MESH LESS ABDOMINAL DEHISCENCE TREATMENT
Is a transparent polyurethane non adherent sandwiched dressing, with a layer for encapsulating exposed or open bowel protection layer. The non adherent protection layer having uniform perforation drains out fickle materials from abdominal cavity provides an infection free environment for early closure of abdominal wall.
CCNPWT THERAPY DRESSING BENEFITS
Flexible foam dressing adapts to the contours of deep & irregular surface of the wound bed
Specially designed hydrophobic, non-linear networked foam dressing removes bacteria colonised wound exudate
The CCNPWT foam dressing aggressively promotes uniform healthy granulation tissue formation throughout the wound bed
CCNPWT provides a closed sterile & moist wound healing environmentPromotes granulation tissue formation, recent studies suggest mechanical stretching may result in increased mitosis (Cell Replication) Controlled Negative Pressure Therapy decreases wound volume approximating wound edges, helps uniformly draw wounds closedPromotes continuous wound debridement by removing wound debris & bacteria colonized wound output/interstitial fluid allowing tissue decompression
WHAT FACTORS MAY ENHANCE HEALING
BIO-MECHANISM.
Reduces oedema Reduces bacterial loadStimulates cell proliferationEnhances dermal perfusionPromotes micro angiogenesisProtects wound from re-infection, cross infection or spreading further infectionPromotes Skin Graft/Flap uptake (The flexible foam dressing gently presses the skin graft or flap ensuring full contact with the wound bed
Increased PerfusionMorykwas Michael J, Argenta Louis C, Shelton-Brown Erica I, McGuirt Wyman: NPWT: A New Method for Wound
Control and Treatment: Animal Studies and Basic Foundation. Annals of Plastic Surgery, 1997
Peak blood flow recorded at 125 mmHg Study helped establish original pressure
protocol with Foam Dressing (400-600 micron pore-size)
Hypothesized that reduction in oedema decompresses small blood vessels and increases flow
Frank Ischaemia and Wound Hypoxia
Positive effect on perfusion with 100-125 mmHg
Reduction of Inhibitory FactorsMorykwas Michael J, Argenta Louis C, Shelton-Brown Erica I, McGuirt Wyman: NPWT: A New Method for Wound
Control and Treatment: Animal Studies and Basic Foundation. Annals of Plastic Surgery, 1997
Reduction of oedema has positive effect in wound healing
Reduction of inhibitory factors contained in
interstitial fluid (chemical)
Decompression of small blood vessels, which
restores flow (mechanical)
Negative Pressure Wound Therapy increases perfusion and oxygenation, therapy likely enhances resistance to infection
What types of wound benefit from CLOSED CYCLIC NEGATIVE PRESSURE WOUND THERAPY?
Broadly Catagorised as:ACUTE WOUNDSSUB-ACUTE WOUNDSCHRONIC WOUNDSFull thickness and partial thickness burnsDiabetic / Neuropathic ulcersVenous Insufficiency ulcersPost-operative and dehisced surgicalTraumatic WoundsSkin Flaps and GraftsExplored fistulas
SAVE A
SURGICAL OUTCOME
FROM INFECTIONSAVE LIFE/LIMB
WHAT CONDITIONS INDICATE CAUTION? Active bleeding or patient on anticoagulant
therapy Proximity of blood vessels, organs, muscle, and
fascia requiring protection Irradiated vessels and tissue Bony fragments Untreated malnutrition Non-compliant or combative behaviour
Fixation of skin graft (mesh-grafts) or flap until the graft has taken (4-6 days). In these special cases,
Topical Negative Pressure Therapy is used for the secure fixation
of a split skin graft to the woundThe soft foam helps gently press the graft/flap onto the wound
bed and thus ensures full contact between the graft and the underlying wound bed, irrespective of the wound contours and
the formation of pockets, also continuously drains out the wound output, ensures infection free graft uptake
CCNPWT helps in Flaps & Graft uptake
Wound Healing with Proven Cost EffectivenessCLOSED CYCLIC NEGATIVE PRESSURE WOUND THERAPY has been used on more than a million wounds worldwide.
Clinical studies have shown that CCNPWT Therapy has the potential to help R E D U C E . . . . . .. .
Need for emergency care or re-admission Wound septicemia
No of dressing change Length of hospital stay Hospital Infection rate
Risk of Medicinal overdose Cost of care
Need for hospitalization Need for outpatient visits
Overall medical costs Hospital staff time
Bed Soiling Patient & Patient Family Suffering
Wound complications involving large subcutaneous vessels can cause significant challenges for surgeons. Negative pressure wound therapy (NPWT) has been increasingly used for treating complex wounds in vascular surgery, including groin infections, either as a bridge to surgical closure or as a primary wound treatment modality. A multidisciplinary advisory panel reviewed the literature relevant to wounds related to vascular surgical procedures and complications, focusing on large subcutaneous or infected vascular conduits. The results supported by the literature and the clinical practice of the consensus panel suggested that NPWT can be a useful adjunct to the management of vascular groin infections and dehiscence but must be used with caution & under close supervision.
PMID: 18845099 [PubMed - indexed for MEDLINE]
IT IS A COMBINATION OF VARIABLE POSITIVE & NEGATIVE PRESSURE THERAPY.
SYSTEM ENHANCES VASCULARITY BY PROMOTING MICRO ANGIOGENESIS, OPTIMIZES
THE HEALING ENVIRONMENT & WORKS AS A CATALYST IN THE WHOLE PROCESS OF HEALING. RESULTS MAY VARY PATIENT TO PATIENT BASED
ON VARIOUS FACTORS… like Nutrition Level, Blood Glucose Level, Severity
of PAOD etc..
WHAT INTERVENTIONS WILL MAXIMIZE HEALING?
Debride wound prior to Negative Pressure Therapy Off load pressure ulcers consistently Minimize time off NPWT to < 4 hours in a day Manage co-morbid condition Increased blood flow Reduction of oedema Minimize infection rate Control blood glucose level
WHAT ARE THE EXPECTED OUTCOMES? May observe increased exudate and wound size during the
first 48-72 hours due to the decompression of interstitial space and removal of extra-cellular fluid and debris.
Gradual reduction of fluid and surface area should be observed with each assessment.
Colour of wound bed should become a deeper red as perfusion to the site increases.
Measurements should decrease weekly. If healing is not observed in a week, treatment should be re-
evaluated. The average treatment with NPWT is 1-4 weeks. Length of
treatment is determined by goals of therapy.
HOW DO YOU MANAGE WOUND WITH CCNPWT?
Change dressing two/three times per week.Monitor frequentlyObserve wound and peri-wound area for signs and symptoms of infectionRemove dressings carefully to protect new tissue growth.Bright gush flow red blood in canister requires immediate evaluation.Measure and document per facility protocolNote : To initiate it is recommended to follow CCNPWT protocol, to ensure optimal results, as these are tried and tested protocol designed by various CCNPWT expert wound managers
WOUND ASSESMENT
CHART
WOUND ASSESMENT
CHART
WOUND TREATMENT PLAN CHART
STEP 1 : DEBRIDE & CLEAN THE WOUND WITH ISOTONIC SOLUTION
STEP 2 : CUT THE FOAM DRESSING IN THE SHAPE OF WOUND AND PLACE IT ON WOUND BED
STEP 4 : STICK THE MAPC TUBING DISTAL END KEEPING SYMMETRY WITH HOLE IN CENTRE & CONNECT WITH THE NEGATIVE PRESSURE SOURCE
STEP 3: SEAL THE WOUND WITH SEMI-PERMEABLE DRAPE & MAKE A SMALL HOLE IN THE CENTRE
DRESSING APPLICATION TECHNIQUE
INDICATED FOR TRAUMA WOUNDS
Granulation after 3 days of application
INDICATED FOR DIABETIC FOOT ULCERS
INDICATED FOR all Grade II, III & IVPRESSURE ULCERS
INDICATED FOR VENUS/ARTERIAL
LEG ULCERS
Infected Laprotomy
**Please seek advice for special Dressing selection
INDICATED FOR ABDOMINAL
COMPARTMENT SYNDROME
VENUS LEG ULCER with complications of sickle cell anaemia
CCNPWT application for 10 days
20 days post follow-up
ROAD ACCIDENT LACERATION
Road Accident case : with no vessels for primary closure
(results of 13 days NPWT Dressing Application)
INFECTED COMPOUND FRACTURE
AFTER 1st DRESSING CHANGE
AFTER 2nd DRESSING CHANGE
FOLLOW-UPPOST FLAP
Crushed InjuryAmputation
CCNPWT applied for
4 days
ROAD ACCIDENTLACERATION
Patient : HBsAg Positive
CCNPWT Applied for 7 days
DIABETIC FOOT ULCERS
Day 8 after Therapy Initiation
PRESSURE ULCER (GRADE IV)
Result of 8 days /2 dressing change
NPWTI S MORE THAN A MACH INE
R E M E M B E R
THANK YOU
