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wound care www.DeRoyal.com wound care WELCOME helping the body to heal itself Thank you for your interest in DeRoyal Wound Care products. An advanced, easy-to-use and affordable line of wound dressings that cover all phases and stages of wound care. Wound care specialists know that wounds must be kept clean, covered, and moist in order to heal. To assist modern caregivers in the superior management of acute, chronic, or burn wounds, DeRoyal offers a line of products that are uniquely constructed using the latest technology. There are no better products on the market today than the ones offered by DeRoyal. A proven line that fits the unique needs for wound care in the 21st century. Products that help the body to heal itself. DeRoyal is fully committed to providing you the services you need. Each DeRoyal Wound Care product is supported by its own detailed Product Brochure, Fact Sheet, and Procedure Sheet, each available on request. Also available are clinical studies, online tutorials, DVDs, and posters. DeRoyal’s staff of clinicians and sales representatives are available to conduct inservices and training programs that educate you on advanced wound management and DeRoyal product line utilization at your facility. Best Regards, Along with a full line of quality products, DeRoyal provides innovative programs to facilitate their efficient use. With a nationwide sales team to personally detail products and provide customer inservicing, EXPLANATION KEY Primary Dressing Secondary Dressing Not made with Rx Required Non-Staining Additional Sizes/ Burn Safe Natural Rubber Latex Customization Available DeRoyal is proud to provide a high-level overview of our product assortment via this catalog, however it represents only a sampling of our products and product information. For detailed product information, inclusive of contradictions, product care information and complete information for use guidelines, please refer to the packaging and labeling provided with each product. * Data on File 2 Sterile 800.251.9864 Antimicrobial Barrier TABLE OF CONTENTS: Wound Management 4 Exudate Management 5 Wound Filler 6 Contact Layer 7 Impregnated Gauze 8-10 Calcium Alginate 9 Dressings Foam Dressing 10 Hydrocolloid Dressing 13 Highly Absorbent Dressings 14 Island Dressing 16 Film Dressing 19 Self-Adapting Wound Dressings 19 Wound Care Essentials 20 Compression Systems 23 Negative Pressure Wound Therapy System 24 Wound Cleansing and Debridement 26 Wound Care Kits 26 Burn Dressings 28 Wound Prevention 31 Indexes32 www.DeRoyal.com 3 wound care WOUND MANAGEMENT Wound Type Debridement Arterial Ulcers Very selective due to high risk of Algidex Ag® infection and amputation (for infection & contamination) Caused by Peripheral Arterial Disease (PAD) Control Bioburden (Primary Dressing) Multidex® (to promote granulation) Venous Ulcerations Caused by venous insufficiency and venous Mechanical debridement Algidex Ag® (Jetox™-ND) (for infection & contamination) hypertension Multidex® (to promote granulation) (Consider multi-layer compression: DeWrap™) Diabetic Foot Ulcers Complication resulting from Diabetes Mechanical debridement Algidex Ag® (Jetox™-ND) (for infection & contamination) Multidex® (to promote granulation) Skin Tear Traumatic wound occuring as a result of Approximate skin flap if Multidex® Gel possible friction or shearing Surgical Wound/ Mechanical debridement Algidex Ag® Dehiscence and irrigation of tracts and undermining (for infection & contamination) Post surgical complication spaces. (Jetox™-ND) Multidex® (to promote granulation) TRADEMARK ATTRIBUTIONS ApexTM, DeWrapTM, KalginateTM, MultipadTM, PolydermTM, ProcolTM, and Stretch NetTM are trademarks of DeRoyal Industries, Inc. Algidex AG®, Aquasorb®, Covaderm®, Covaderm Plus®, Dermanet®, DeRoyal® and logo, Episeal®, Fluftex®, Improving Care. Improving Business.®, Multidex®, Sofsorb®, and Transeal® are registered trademarks of DeRoyal Industries, Inc. JetoxTM is a trademark of TavTech Limited. Prospera® is a registered trademark used under license by DeRoyal Industries, Inc. 4 800.251.9864 Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Kalginate® 10.2 ml Sorbsan™ 3.9ml Kaltostat® 4.3 ml EXUDATE MANAGEMENT Curasorb™ 4.3 ml wet wound Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Kalginate® 10.2 ml Sorbsan™ 3.9ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml moist wound Primary Dressing dry wound Kaltostat® 4.3 ml Curasorb™ 4.3 ml WET WOUND MOIST WOUND Sorbsan™ 3.9ml DRY WOUND Covaderm® Algidex Ag® Paste Multidex® Gel Kalginate® 10.2 ml Secondary Dressing wet wound moist wound Plus® dry wound Covaderm wet wound Primary Dressing Kalginate® 10.2 ml Secondary Dressing moist wound Dermanet® Ag+ dry wound Multidex® Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml ® Covaderm WET MOIST WOUND WOUND Kaltostat® 4.3 ml Curasorb™ 4.3 ml Primary Dressing Sorbsan™ 3.9ml wet wound Sorbsan™ 3.9ml DRY WOUND Algidex Ag® Foam moist wound (Gel or Powder) dry wound Multipad™ Kalginate™ wet wound moist wound Polyderm™ Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Sofsorb® Multidex® Powder Covaderm Plus® Sorbsan™ 3.9ml Secondary Dressing WET WOUND MOIST WOUND DRY WOUND dry wound Aquasorb® wet wound Algidex Ag® Paste Multipad™ Dermanet® Ag+ Algidex Ag® Thin Sheet Multipad™ Multidex® moist wound Algidex Ag® Foam Polyderm™ Multidex® Powder Sofsorb® (Gel or Powder) Multidex® Gel Kalginate® Algidex Ag® Paste Covaderm® Algidex Ag® Thin Sheet Covaderm® Algidex Ag® Foam Polyderm™ Multidex® Gel Covaderm Plus® Dermanet® Ag+ Covaderm Plus® Multidex® Powder Sofsorb® Procol® Multidex® Powder Aquasorb® Multidex® Powder Aquasorb® *Unlikely* Polyderm™ Multidex® Gel (consider infection) Multipad™ Covaderm Plus® Multidex® Powder Algidex Ag® Paste Multidex® Gel Covaderm® Algidex Ag® Thin Sheet Covaderm® Algidex Ag® Foam Polyderm™ Multidex® Gel Covaderm Plus® Algidex Ag® Packing Gauze Sofsorb® Dermanet® Ag+ www.DeRoyal.com Multidex® Powder 5 dry wound wound care Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Curasorb™ 4.3 ml Kaltostat® 4.3 ml Sorbsan™ 3.9ml Kalginate® 10.2 ml Sorbsan™ 3.9ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml wet wound Kalginate® 10.2 ml Curasorb™ 4.3 ml Kaltostat® 4.3 ml Sorbsan™ 3.9ml Sorbsan™ 3.9ml moist wound ® Kaltostat® wetKalginate wound 10.2 ml MULTIDEX® maltodextrin hydrogel wound dressing 4.3 ml WET moistWOUND wound dry wound Curasorb™ 4.3 ml MOIST WOUND • A hydrophilic Maltodextrin NF wound dressing clinically proven to maintain Sorbsan™ 3.9ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Sorbsan™ 3.9ml MULTIDEX® DRY WOUND maltodextrin powder wound dressing Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml wet wound Sorbsan™ 3.9ml •A hydrophilic Maltodextrin NF wound dressing clinically proven to maintain a moist a moist environment beneficial for granulation tissue growth and epithelial dry wound WET MOIST environment beneficialDRY for granulation tissue growth and epithelial proliferation moist wound WOUND WOUND WOUND •Q uickly fills wound site, rapidly mixing with exudate to form a protective coating proliferation • Quickly fills wound site, rapidly mixing with exudate wet to form a protective moist wound wound • For use on most wound types, including infected hard-to-heal wounds dehydration • Non-toxic and not systemically absorbed • For use on most wound types, including infected hard-to-heal wounds Kalginate® 10.2 ml maintains an ideal moisture balance to protect against dehydration drythat wound coating that maintains an ideal moisture balance to protect against • Non-toxic and not systemically absorbed Curasorb™ 4.3 ml dry wound WE WOU • Helps to control odor while decreasing purulent exudate • Penetrates all wound irregularities to fill tunneling and undermining moist wound dry wound wet wound • Helps to control odor while decreasing purulent exudate • Softens necrotic tissue to facilitate debridement • Penetrates all wound irregularities to fill tunneling and undermining • Softens necrotic tissue to facilitate debridement wet wound Product # Size Qty/Bx Qty/Cs HCPC Product # Size Qty/Bx Qty/Cs HCPC 46-711 ¼ fl. oz. 10 30 A6248 46-704 6 gram 10 60 A6262 46-710 ½ fl. oz. 10 30 A6248 46-703 12 gram 5 30 A6262 47-712 3 fl. oz. 6 36 A6248 46-70225 gram5 30A6262 46-701 36 indications: Venous stasis ulcers Dermal ulcers Partial and full thickness wounds Arterial ulcers Abdominal wounds Infected wounds Superficial wounds 6 45 gram 6 indications: Pressure ulcers Dermal injuries Second degree burns Donor sites Diabetic ulcers Venous stasis ulcers Dermal ulcers Partial and full thickness wounds Arterial ulcers Abdominal wounds Infected wounds Superficial wounds 800.251.9864 Pressure ulcers Dermal injuries Second degree burns Donor sites Diabetic ulcers A6262 moist w Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Sorbsan™ 3.9ml wet wound moist wound Kalginate® 10.2 ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kaltostat® 4.3 ml Sorbsan™ 3.9ml wet wound Sorbsan™ 3.9ml DERMANET® AG+ DERMANET® wound contact layer dry wound WET MOIST DRY WOUND WOUND WOUND adhesive wound dressing moist wound Kalginat 10.2 m •P rovides immediate and sustained antimicrobial barrier against a broad spectrum • A non-adherent wound contact layer dressing • Place directly on wound to protect wound surface during healing of external wound pathogens including methicillin-resistant Staphylococcus aureus • Shields fragile granulation tissue from disturbance caused by secondary (MRSA), Staphylococcus aureus, Pseudomonas aeruginosa, E. Coli * dry wound W WO •A unique combination of silver, alginate, maltodextrin, and Dermanet dressings • May be used dry or coated with topical ointment wet wound • Ideal for lining deep wounds before the application of packing materials or moist wound woundpathogens • Ionic silver contactsdry wound •D oes NOT require activation or the use of sterile distilled water • Easy application and removal under gauze • Will not adhere to wound upon removal • Reduces trauma during wound dressing removal • Protects fragile granulation tissue Product # 46-145 46-143 46-142 46-141 46-140 46-144 Curasorb™ 4.3 ml Size Qty/Bx 3” x 3”25 5” x 4” 25 8” x 10” 25 20” x 15” 25 24” x 36” n/a 6” x 72” rolln/a Qty/Cs HCPC 50A6206 50 A6207 50 A6208 50 A6208 50 A6208 25 A6208 Product # 46-DN22 46-DN44 46-DN48 46-DN66 46-DN88 46-DN816 indications: indications: Burns Chronic wounds Pressure ulcers Venous ulcers Dermal ulcers Diabetic ulcers Dermal lesions Burn injuries www.DeRoyal.com Size 2” x 2” 4” x 4” 4” x 8” 6” x 6” 8” x 8” 8” x 16” wet wound Qty/Bx 5 5 5 5 5 5 Qty/Cs 50 50 50 25 25 25 HCPC A6206 A6206 A6207 A6207 A6208 A6208 1st and 2nd degree burns Donor sites Graft sites Abdominal wounds Superficial wounds Lacerations, cuts, and abrasions 7 moist w wound care Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Sorbsan™ 3.9ml wet wound wet wound moist wound Kalginate® 10.2 ml OIL EMULSION Kaltostat® 4.3 ml Curasorb™ 4.3 ml moist wound Sorbsan™ 3.9ml XEROFORM non-adhering wound dressing MOIST DRY petrolatum dressing WOUND wound WOUND WET WOUND dry wound • A sterile, knitted cellulose fabric dressing impregnated with oil emulsion blend dry wound W WO •A sterile, fine mesh gauze impregnated with a blend of 3% Bismuth • Non-adherent to wound site Tribromophenate (Xeroform) and USP Petrolatum • Non-occlusive, allowing flow of exudate away from wound site into • Non-adherent to wound site secondary dressing • Helps maintain a moist wound environment • Helps maintain a moist wound environment • 3wound % Bismuth Tribromophenate (Xeroform) provides deodorizing action moist dry wound wet wound wet wound • Can be cut to shape or size Product # Size Qty/Bx Bx/Cs Qty/Cs HCPC Product # Size Qty/Bx Bx/Cs Qty/Cs 46-620 3” x 3” 50 12 600 A6222 46-610 1” x 8” 50 4 200 A6222 46-621 3” x 8” 24 6 144 A6223 46-611 5” x 9” 50 4 200 A6223 46-622 3” x 16” 36 6 216 A6223 indications: indications: Surgical incisions Burns Skin grafts Donor sites Dermal ulcers Suture lines Lacerations Minimally draining wounds Surgical incisions Lacerations Donor sites Burns 8 Kalgina 10.2 m 800.251.9864 HCPC moist w Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml wet wound Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml moist wound Sorbsan™ 3.9ml Sorbsan™ 3.9ml KALGINATETM calcium alginate wound dressing wet wound ® 10.2alginate • Absorbs twice the exudate of other calcium dressings* Kalginate ml • Thick and effective, changing to a fibrous gel when in contact with moist wound Curasorb™ 4.3 ml Curasorb™ Sorbsan™ Kaltostat® autolytic • Facilitates debridement 4.3 ml 3.9ml 4.3 ml Kalginate® 10.2 ml • Specially woven gauze will not ravel, lint, or fray Curasorb™ 4.3 ml Kaltostat® 4.3 ml dry wound Sorbsan™ 3.9ml wet wound • H elps to MOIST decrease wound odor WET DRY WOUND •WOUND AbsorbsWOUND wound exudate Sorbsan™ 3.9ml Absorption of Saline 2”x 2” Dressing wet wound moist wound wet wound Kalginate® 10.2 ml Kaltostat® 4.3 ml Product # Size 46-800 2” x 2” Pad dry wound 46-801 46-802 WET 4”WOUND x 4” Pad Curasorb™ 4.3 ml moist wound dry wound Sorbsan™ 3.9ml Qty/Bx Qty/Cs HCPC Product # Size Qty/Cs HCPC 5 50 A6196 46-GZ22 2” x 2” 100 A6231 A6196 46-GZ44 4” x 4” 100 A6231 MOIST 5 WOUND 4” x 8” Pad 5 DRY 50 WOUND 25 indications: Moderate to heavy draining wounds Pressure ulcers moist wound wet wound Venous ulcers Diabetic ulcers Second degree burns Surgical wounds Infected wounds WE WOU • Ionic silver contacts wound pathogens Kaltostat® 4.3 ml • Bio-compatible, absorptive dressing Kalginate® 10.2 ml dry wound high powered autolytic debridement • A sterile, non-woven calcium alginate dressing of heavier denier fiber wound exudate ALGIDEX AG® HYDROGEL GAUZE Kalginate® 10.2 ml A6197 indications: dry wound Minor burns Skin grafts Skin donor sites Dermal ulcers Diabetic ulcers Abdominal wounds Superficial wounds Lacerations, cuts, and abrasions www.DeRoyal.com 9 moist w wound care Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Curasorb™ 4.3 ml Kaltostat® 4.3 ml Sorbsan™ 3.9ml Sorbsan™ 3.9ml ALGIDEX AG® PACKING GAUZE ALGIDEX AG® silver alginate wound dressing wet wound silver alginate packing gauze •U nique combination of silver, alginate, and maltodextrin designed to create the optimal moist wound environment important to healing • Provides immediate and sustained antimicrobial barrier against a broad ® Kaltostatimmediate ® Curasorb™ Sorbsan™ •Kalginate P rovides and sustained antimicrobial barrier against a broad moist wound spectrum of pathogens 10.2 ml 4.3 ml 4.3 ml 3.9ml spectrum of wound pathogens for up to seven days including methicillin-resistant • Ideal dressing for deep or tunneling wounds Staphylococcus aureus (MRSA), Staphylococcus aureus, Pseudomonas • Does NOT require activation or the use of sterile distilled water • Absorbs wound exudate aeruginosa and E. Coli* WET dry wound • Helps to decrease wound odor MOIST DRY •WOUND Helps to WOUND reduce the WOUND risk of peri-wound maceration • Ionic silver contacts wound pathogens • Specially woven gauze will not ravel, lint, or fray • Does NOT require activation or the use of sterile distilled water • Ionic silver contacts wound pathogens • Longer wear-time for fewer dressing changes, resulting in cost savings • Convenient reclosable bottle • Will not adhere to wound upon removal wet wound Product # Size Qty/Cs HCPC 46-PG12 ½” x 5 yds. 12 A6407 46-PG14 ¼” x 5 yds. 12 A6407 moist wound dry wound FOAM THIN SHEET indications: indications: Tunneling wounds Pressure ulcers Venous ulcers Diabetic ulcers Surgical wounds Venous ulcers Pressure ulcers Dermal injuries Second degree burns Donor sites Diabetic ulcers Superficial wounds Lacerations, cuts, and abrasions 10 800.251.9864 PASTE TRACH DRESSING ALGIDEX AG® silver alginate wound dressing detail Kalginate® 10.2 ml Kalginate® 10.2 ml Curasorb™ 4.3 ml Kaltostat® 4.3 ml Sorbsan™ 3.9ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Curasorb™ 4.3 ml Kaltostat® 4.3 ml Sorbsan™ 3.9ml wet wound Kalginate® 10.2 ml Sorbsan™ 3.9ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml wet wound Kalginate® 10.2 ml Curasorb™ 4.3 ml Kaltostat® 4.3 ml moist wound Sorbsan™ 3.9ml Kalginate® 10.2 ml Sorbsan™ 3.9ml wet wound Kalginate® Kaltostat® moist wound 10.2 ml 4.3 ml Product # Size 46-AG22 2” x 2” Foam Back 46-AG44 4” x 4” Foam Back 46-AG45 4” x 5” Foam Back 5 50 46-AG66 6” x 6” Foam Back 5 25 A6210 46-AG88 8” x 8” Foam Back 5 25 A6211 Curasorb™ 4.3 ml WE WOU dry wound Sorbsan™ 3.9ml Qty/Bx Qty/Cs HCPC Product # Size Qty/Bx Qty/Cs HCPC 5 50 A6209 46-TF22 2” x 2” Thin Sheet 5 50 A6196 4” Sorbsan™ x 4” Thin Sheet 5 50 A6196 4” x 8” Thin Sheet 5 50 A6197 46-TF66 6” x 6” Thin Sheet 5 25 A6197 wet wound 46-TF88 8” x 8” Thin Sheet 5 25 A6198 5 25 A6198 46-TF16 16 ”x 16” Thin Sheet 5 25 A6198 MOIST wound 50 moistWET A6209 5 wound dry WOUND WOUND A6210 dry wound moist wound wet wound DRY Kaltostat® 46-TF44 WOUND 4.3 ml Kalginate® 10.2 ml 46-TF48 Curasorb™ 4.3 ml 3.9ml WET MOIST DRY WOUND WOUND8” x WOUND 46-TF816 16” Thin Sheet moist w dry wound moist wound wet wound dry wound Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Sorbsan™ 3.9ml Kalginate® 10.2 ml wet wound moist wound dry wound Product # Size 46-P10 10 cc Tube Paste 46-G10 ½ oz. Gel Qty/Bx Qty/Cs HCPC 10 30 A6261 2/pk 15 A6248 wet wound Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml wet wound Kalginate® 10.2 ml Kaltostat® 4.3 ml WET WOUND Curasorb™ 4.3 ml MOIST WOUND Sorbsan™ 3.9ml moist wound DRY WOUND Product # Size Qty/Cs HCPC 46-TD22 2” x 2” Pre-Cut Trach Dressing 5 50 A6209 46-TD44 4” x 4” Pre-Cut Trach Dressing 5 50dry wound A6209 moist wound www.DeRoyal.com Qty/Bx Kalginate® 10.2 ml WET WOUND dry wound 11 wet wound moist wou wound care Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Sorbsan™ 3.9ml POLYDERM™ POLYDERM™ PLUS hydrophilic foam wound dressing wet wound • Made of non-adherent, highly absorbent, lint-free polyurethane foam • Thick, soft construction that is extremely comformable and comfortable • Ideal for painful wounds requiring protection and cushioning moist wound • Protects granulating tissue for effective healing • Available in various styles: – Radial slit for tube sites – Polyderm with non-bordered foam dry wound – Polyderm Border with stretchable fabric tape border for sensitive skin; also available with a 2” radial slit as a secure tube site dressing – Polyderm Barrier with a transparent film adhesive border wet wound Product # Foam POLYDERM 46-905 2¼” x 2¼” 46-906 3¾” x 3¾” 46-907 6” x 6” POLYDERM BORDER 46-915 2¼” x 2¼” 46-916 3¾” x 3¾” 46-908 2½” Diameter w/2” Radial Slit POLYDERM BARRIER 46-935 2¼” x 2¼” 46-936 3¾” x 3¾” Border Qty/Bx Qty/Cs HCPC n/a n/a n/a 10 10 10 50 50 50 A6209 A6209 A6209 4” x 4” 6” x 6” 4” Diameter 10 10 10 50 50 50 A6212 A6212 A6212 3¾” x 3¾” 6¾” x 6” 10 10 50 50 indications: Dermal ulcers Pressure ulcers Leg ulcers Secreting ulcers 12 hydrophilic foam wound dressing wet wound • P olyderm Plus with border and breathable barrier film for extra moisture vapor transmission and protection from external contaminants moist wound • Made of®non-adherent, Curasorb™ Sorbsan™ highly absorbent, lint-free polyurethane foam Kaltostat Kalginate® 10.2 ml 4.3 ml 4.3 ml 3.9ml • Thick, soft construction that is extremely comformable and comfortable • Ideal for painful wounds requiring protection and cushioning •P rotects granulating tissue for effective healing WET WOUND MOIST WOUND moist wound Product # DRY WOUND dry wound dry wound Foam wet wound Border Qty/Bx Qty/Cs HCPC Polyderm Plus 46-925 2¼” x 2¼” 4” x 4” 10 50 A6212 46-926 3¾” x 3¾” 6” x 6” 10 50 A6212 A6212 A6212 indications: Second degree burns Acute wounds Lacerations and abrasions Tube sites Kalginate® 10.2 ml Dermal ulcers Pressure ulcers Leg ulcers Secreting ulcers 800.251.9864 Second degree burns Acute wounds Lacerations and abrasions Tube sites WET WOUN moist wo Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Sorbsan™ 3.9ml wet wound moist wound PROCOL™ wet wound Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml moist wound Sorbsan™ 3.9ml PROCOL™ X-THIN hydrocolloid wound dressing dry wound • A round-edged, self-adhesive, sterile hydrocolloid wound dressing with a WET MOIST DRY WOUND WOUND WOUND hydrocolloid wound dressing dry wound Kalginat 10.2 m W WO •E xtra-thin configuration with a low profile for the management of dry or lightly semi-occlusive breathable polyurethane film exudating wounds • Hydrocolloid interacts with wound exudate to form a soft gel that creates a •A round-edged, self-adhesive, sterile hydrocolloid wound dressing with a moist environment conducive to wound healing semi-occlusive breathable polyurethane film wet wound • Matrix formulation promotes vertical wicking and reduces residue in wound as it protects newly formed tissue from maceration moist dry wound wet •H wound ydrocolloid interacts with wound exudate to form a soft gel that creates a wound moist environment conducive to wound healing • Tapered edges prevent dressing from rolling •M atrix formulation promotes vertical wicking and reduces residue in wound as it • Easily conforms to hard-to-dress areas and irregular wound sites protects newly formed tissue from maceration •T apered edges prevent dressing from rolling • Easily conforms to hard-to-dress areas and irregular wound sites Product # Size Qty/Bx Qty/Cs HCPC Product # Size Qty/Bx Qty/Cs HCPC 46-650 2” x 2” 20 100 A6237 46-660 2” x 2” 20 100 A6237 46-651 4” x 4” 10 50 A6237 46-661 4” x 4” 10 50 A6237 46-652 6” x 6” 5 20 A6238 46-662 6” x 6” 5 20 A6238 indications: indications: Dermal ulcers Surgical wounds Superficial wounds Lacerations and abrasions First and second degree burns Donor sites Surgical wounds Dermal ulcers Surgical wounds Superficial wounds Lacerations and abrasions First and second degree burns Donor sites Surgical wounds www.DeRoyal.com 13 moist w wound care Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Curasorb™ 4.3 ml Kaltostat® 4.3 ml Sorbsan™ 3.9ml Sorbsan™ 3.9ml SOFSORB® absorbent wound dressing wet wound • A highly absorbent, multi-layered one-piece dressing • Five layer construction: 1 – Non-adherent wound contact layer moist wound 2 –Stay-Dry Liner that permits passage of wound drainage to keep periwound skin dry and prevent maceration at wound site Kalginate® Kaltostat® Standard 10.2 ml 4.3 ml Product # 3 – Center layer that absorbs wound drainage dry wound 4 – Cellulose layer that wicks drainage horizontally along pad to increase dressing Curasorb™ 4.3 ml Sorbsan™ 3.9ml Tapered Limb Size Qty/Bx SOFSORB STANDARD DRESSINGS WET MOIST DRY WOUND 46-101 WOUND 4”WOUND x 6” Sheets Qty/Cs HCPC 30 120 A6252 46-102 6” x 9” 20 80 A6253 5 – Air-permeable backing for strength and durability 46-103 9” x 15” n/a 30 A6253 • May be soaked with saline or topical agents prior to use 46-104 15” x 18” n/a 20 A6253 • Rounded edges and tapered limb configurations conform to curved and 46-105 15” x 24” n/a 15 A6253 46-106 4” x 9” 25 100 A6252 3” x 3” 30 60 A6251 absorption capacity hard-to-dress areas without unnecessary bulk • Ideal for protecting wound sites from further trauma wet wound moist wound 46-109 • Soft pliability allows for range of motion exercises during recovery 14 800.251.9864 dry wound SOFSORB® continued Product # Size Qty/Cs HCPC SOFSORB CUSTOM DRESSINGS Kalginate® 10.2 ml 46-121 Full Arm Dressing 20 46-122 Full Leg Dressing 20 46-123 Large Chest Dressing 20 46-124 Pediatric Boot/Foot Dressing 20 46-125 Medium Boot/Foot Dressing 20 46-126 Large Boot/Foot Dressing 20 46-127 Elbow Dressing 20 46-128 Scalp Dressing 20 46-129 Face Dressing 20 46-130 Large Buttocks Dressing 15 46-131 Medium Hand Dressing 20 46-132 Drainage/Tube Dressing 100 46-133 Small Chest Dressing 20 46-134 Medium Chest Dressing 20 46-137 Medium Buttocks Dressing 20 46-138 Small Buttocks Dressing 20 46-151 Large Burn Jacket 10 Product # Size Kaltostat® 4.3 ml Curasorb™ 4.3 ml SOFSORB® AG antimicrobial absorbent wound dressing wet wound • A highly absorbent, multi-layered one-piece dressing • Five layer construction: moist wound 1 – Antimicrobial barrier, non-adherent wound contact layer 2–S tay-Dry Liner that permits passage of wound drainage to keep dry wound 4–C ellulose layer that wicks drainage horizontally along pad to increase dressing absorption capacity • Rounded edges and tapered limb configurations conform to curved and hard-to-dress areas without unnecessary bulk wet wound Qty/Cs HCPC Product # Size Qty/Bx Qty/Cs HCPC SOFSORB AG STANDARD DRESSINGS XS (15”) 20 A6253 46-181AG 4” x 6” 30 120 A6252 46-112 S (18”) 20 A6253 46-183AG 6” x 9” 20 80 A6253 46-113 M (21”) 20 A6253 46-184AG 9” x 15” n/a 30 A6253 46-114 ML (23”) 15 A6253 46-185AG 15” x 18” n/a 20 A6253 46-115 L (26”) 15 A6253 46-186AG 15” x 24” n/a 15 A6253 46-116 XL (29”) 15 A6253 46-182AG 4” x 9” 25 100 A6252 46-180AG 3” x 3” 30 60 A6251 Qty/Cs HCPC 20 20 20 15 15 15 A6253 A6253 A6253 A6253 A6253 A6252 Size Qty/Cs HCPC SOFSORB PADS AND SHEETS 46-107 Permeable Pad 24”x 36” 20 46-108 Permeable Pad 33”x 36” 15 46-135 Permeable Sheet 36”x 76” 15 46-110 Non-Permeable Pad 33”x 36” 15 46-136 Non-Permeable Sheet 36”x 76” 15 indications: Burns Post-operative incision sites Heavily draining skin ulcers W WO 5 – Air-permeable backing for strength and durability 46-111 Description Kalginat 10.2 m periwound skin dry and prevent maceration at wound site 3 – Center layer that absorbs wound drainage SOFSORB TAPERED LIMB DRESSINGS Product # Sorbsan™ 3.9ml Product # Size SOFSORB AG TAPERED LIMB DRESSINGS 46-187AG XS (15”) 46-188AG S (18”) 46-189AG M (21”) 46-190AG ML (23”) 46-191AG L (26”) 46-192AG XL (29”) indications: Heavily draining pressure sores Lacerations and abrasions Burns Post-operative incision sites Heavily draining skin ulcers www.DeRoyal.com Heavily draining pressure sores Lacerations and abrasions 15 moist w wound care Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Sorbsan™ 3.9ml wet wound Kalginate® 10.2 ml moist wound Kalginate® 10.2 ml COVADERM PLUS® V.A.D. Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml wet wound COVADERM® vascular access dressing MOIST DRY WOUND WOUNDdressing adhesive wound WET WOUND dry wound • Patented* multi-layer barrier dressing • Non-adherent, general purpose sterile dressing • Addresses problems associated with covering vascular access sites • Protective, highly absorbent sterile pad • Special “v-cut” tape secures catheter extension tubing and prevents lifting of dressing edge • Non-irritating adhesive tape • Absorbs excess moisture at the site moist wound dry wound • Comfortable rounded edges and stretchable fabric tape Kalgina 10.2 m W WO moist wound • Split release linerdry for wound easy one-step application wet wound • Provides a barrier to external contaminants to help prevent infection • Conforms securely to body contours • Allows moisture vapor transmission away from site • Conforms easily to body contours • Gentle to delicate skin to prevent blistering reactions wet wound Product # Size Pad V-Tape Qty/Bx 46-405 4” x 4” 2” x 2” 1” x 4” 25 Qty/Cs HCPC 200 46-406 6” x 6” 4” x 4” 1” x 6” 5 50 Product # Overall Pad Qty/BxBx/CsQty/CsHCPC 46-001 4” x 4” 2½” x 2½” 25 8 200 A6254 46-002 4” x 6” 2½” x 4” 25 8 200 A6254 46-003 4” x 8” 2” x 5½” 25 4 100 A6254 46-004 4” x 10” 2” x 7½” 25 4 100 A6254 46-005 4” x 14” 2” x 11” 25 4 100 A6255 indications: indications: Central venous catheter sites Subclavian, jugular, femoral and anticubital Peripheral I.V. sites Implanted ports Midline catheters Open and minimally invasive surgical incision sites Arthroscopic incisions Superficial lacerations Abrasions Chronic wounds *U.S. Patent No. 5,344,415 16 800.251.9864 moist w Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Curasorb™ 4.3 ml Kaltostat® 4.3 ml Sorbsan™ 3.9ml Kalginate® 10.2 ml Curasorb™ 4.3 ml Kaltostat® 4.3 ml Sorbsan™ 3.9ml Sorbsan™ 3.9ml wet wound COVADERM® THIN wet wound COVADERM PLUS® adhesive wound dressing moist wound • Replace gauze, tape, and scissors with an easier solution • Conforms easily to wound • Non-adherent, general purpose absorbent sterile dressing • Comfortable rounded edges and stretchable fabric tape border • Split release liner for easy one-step application • Conforms securely to body contours adhesive wound dressing Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml moist wound Sorbsan™ 3.9ml Kalginate® 10.2 ml • Multi-layered composite wound dressing •H elps to maintain moist environment with protection from outside dry wound WET MOIST contaminants WOUND WOUND DRY WOUND dry wound • Four layer construction: – Protective non-adherent contact layer – Soft pad for drainage absorption – Breathable, semi-occlusive polyurethane barrier film – Conformable adhesive-coated fabric tape WET WOUND • Helps to prevent drainage strike-through wet wound moist wound dry wound wet wound • Helps to prevent wound trauma • Ideal for many wound types • Available with radial slit for tube sites Product # Overall Pad Qty/Cs HCPC 15-201 4” x 4” 15-202 4” x 6” 2½” x 2½” 100 A6219 2½” x 4” 100 A6219 15-203 15-204 4” x 8” 2½” x 5½” 50 A6219 4” x 10” 2½” x 7½” 50 A6219 15-205 4” x 14” 2½” x 11” 50 A6220 Product # Tape Pad Qty/Bx Qty/Cs 46-400 2” x 2” 1” x 1” 25 100 HCPC A6203 46-411 2½” x 2½” 1½” x 1½” 10 50 A6203 46-401 4” x 4” 2½” x 2½” 10 50 A6203 46-402 6” x 6” 4” x 4” 10 50 A6203 46-403 6” x 8” 4” x 6” 10 50 A6204 46-414 4” x 10” 2” x 7½” N/A 100 A6203 46-415 4” x 14” 2” x11” N/A 100 A6204 46-408 4” Diameterw/2” Radial Slit 2½” Diameter 25 200 A6203 indications: indications: Pressure ulcers Leg ulcers Chronic secreting lesions I.V. sites Laparotomy sites Arthroscopic incisions Tube sites Diabetic ulcers Surgical incisions Pressure ulcers Leg ulcers Chronic secreting lesions I.V. sites Laparotomy sites Arthroscopic incisions Tube sites Diabetic ulcers Surgical incisions www.DeRoyal.com 17 moist wou wound care Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Curasorb™ 4.3 ml Kaltostat® 4.3 ml Sorbsan™ 3.9ml Sorbsan™ 3.9ml wet wound clear Kalginate® 10.2 ml Curasorb™ 4.3 ml Kaltostat® 4.3 ml Sorbsan™ 3.9ml absorbent moist wound wet wound ® Kaltostat® Kalginate 10.2 ml DERMANET® AG+ BORDER CLEAR & ABSORBENT antimicrobial surgical site dressing Curasorb™ 4.3 ml moistWET wound MOIST WOUND WOUND dry wound • Provides immediate and sustained antimicrobial barrier against a broad spectrum 4.3 ml Sorbsan™ 3.9ml D WO Kalgin 10.2 • Barrier to external contaminants of wound pathogens including methicillin-resistant Staphylococcus aureus (MRSA), • Can be worn in shower or bath Staphylococcus aureus, Pseudomonas aeruginosa, E. Coli* • Will not adhere to wound upon removal. dry wound • A unique combination of silver, alginate, maltodextrin, Dermanet®, and Transeal® • Will not adhere to sutures or staples • Ionic silver contacts wound pathogens • Helps protect fragile granulation tissue • Does NOT require activation or the use of sterile distilled water • Ideal dressing for surgical incisions and lacerations moist wound wet wound W WO dry w • Antimicrobial barrier for up to five days* wet wound Qty/Bx Qty/Cs HCPC Product # Overall Size ABSORBENT DRESSING Size 2” x 2½” 25 100 A6258 46-A44 4” x 4” 2” x 4” 25 100 A6258 46-A46 4” x 6” 4” x 8” 2” x 5½” 25 100 A6258 46-A48 46-DB410 4” x 10” 2” x 7½” 25 100 A6258 46-DB414 4” x 14” 2” x 11” 25 100 A6258 Product # Overall Size CLEAR DRESSING Size 46-DB44 4” x 4” 46-DB46 4” x 6” 46-DB48 Qty/Bx Qty/Cs HCPC 2” x 2½” 25 100 A6203 2” x 4” 25 100 A6203 4” x 8” 2” x 5½” 25 100 A6203 46-A410 4” x 10” 2” x 7½” 25 100 A6203 46-A414 4” x 14” 2” x 11” 25 100 A6203 indications: indications: Lacerations Surgical incisions Vascular access sites Lacerations Surgical incisions Vascular access sites 18 800.251.9864 moist Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Curasorb™ 4.3 ml Kaltostat® 4.3 ml Sorbsan™ 3.9ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Sorbsan™ 3.9ml wet wound wet wound moist wound TRANSEAL® Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml moist wound Sorbsan™ 3.9ml AQUASORB® transparent film wound dressing dry wound MOIST DRY hydrogel WOUNDwound WOUND dressing WET WOUND dry wound • Transparent semi-occlusive, breathable polyurethane wound dressing. •O ffers the consistency of a hydrocolloid with the sensitivity of a hydrogel • Maintains a proven high moisture vapor transmission rate (MVTR) •B reathable film enables moisture vapor transmission from gel after drainage is • Impermeable to water and bacteria • Polyurethane film protects from entry of pathogens into wound site • Easy, two-step delivery with see-through carrier wet wound • No messy residue moist wound dry wound wet wound • Easily conforms to hard-to-dress areas and irregular wound sites * Size 1¾” x 1¾” 2½” x 2¾” 4” x 4¾” 4” x 10” 6” x 8” 8” x 12” W WOU absorbed to help prevent maceration • Pressure-sensitive adhesive gently acts as a second skin Product # 46-301 46-302 46-303 46-304 46-305 46-306 Kalginate 10.2 m Qty/Bx 100 100 50 20 10 10 Qty/Cs 200 400 200 80 80 80 HCPC A6257 A6257 A6258 A6258 A6258 A6259 Product # Size AQUASORB BORDER W/FILM 46-511 2½” x 2½”w/ 5⁄8” border 46-512 3¾” x 4¼” w/1½” border Qty/Bx Qty/Cs HCPC 5 5 25 25 A6245 A6246 Product # Size AQUASORB BORDER W/COVADERM TAPE 46-515 2½” x 2½” w/ 5⁄8” border 46-516 3¾” x 4¼” w/11⁄8” border Qty/Bx Qty/Cs HCPC 5 5 50 25 A6245 A6246 Product # AQUASORB 46-501 46-502 46-503 46-504 46-505 Qty/Bx Qty/Cs HCPC 5 5 5 5 5 50 50 25 25 50 A6242 A6242 A6243 A6244 A6243 Size 2½” x 2½” 3¾” x 3¾” 3¾” x 6” 7½” x 7½” 3¾” x 4½” indications: indications: Vascular access sites (I.V. and C.V.C) First and second degree burns Dermal sites Superficial wounds Surgical incisions Lacerations and abrasions Donor sites First and second degree burns Dermal ulcers (partial and full thickness) Superficial wounds Donor sites Skin tears Radiation reactions Tube sites Lacerations and abrasions Bioclusive™ is a trademark of Johnson and Johnson Medical, Inc. OpSite® and OpSite® 3000 are registered trademarks of T. J. Smith and Nephew Ltd. Tegaderm™ and Tegaderm™ HP are trademarks of 3M HealthCare. www.DeRoyal.com 19 moist w wound care ALGIDEX AG® I.V. PATCH silver alginate catheter dressing • Absorbs moisture around the catheter insertion site • Sterile patch of polyurethane foam coated with an ionic silver alginate and maltodextrin matrix • Ionic silver contacts wound pathogens • Does NOT require activation or the use of sterile distilled water • Up to five days wear time • Approved for use on children under 16 Product # 46-IV20 46-IV22 46-IV25 46-IV32 46-IV375 Size Qty/Bx ¾” Disc w/2 mm opening 5 1” Disc w/4 mm opening 5 1” Disc w/7 mm opening 5 1” Disc w/4 mm opening (w/insert)5 1½” Disc w/7 mm opening 5 Qty/Cs 50 50 50 50 50 HCPC A6209 A6209 A6209 A6209 A6209 indications: Dialysis catheters Central venous lines Arterial catheters External fixator pins Epidural catheters Peripheral IV catheters Gastrostomy feeding tubes Non-vascular percutaneous devices 20 800.251.9864 ALGIDEX AG® I.V. PATCH (continued) METHODS An in-vitro laboratory study using the Kirby-Bauer Susceptibility Test to determine antimicrobial properties by measuring the zone of inhibition. ALGIDEX AG I.V. PATCH RESULTS*: Staphylococcus aureus Staphylococcus aureus Pseudomonas aeruginosa Time Interval ATCC #6538 ATCC #33591 ATCC #9027 24 hours 6 mm 6 mm 5 mm 48 hours 5 mm 5 mm 7 mm 72 hours 6 mm 5 mm 12 mm 96 hours 5 mm 5 mm 10 mm 1 Inches Centimeters 1 2 3 4 Zone of Inhibition MRSA 600 500 400 300 200 100 0 CFU/ml x 106 CFU/ml x 106 SURVIVAL CURVES* 0 1.5 3.5 5.5 3500 3000 2500 2000 1500 1000 500 0 -500 PS. AERUGINOSA 0 40 35 30 25 20 15 10 5 0 EXPOSURE TIME (HOURS) S. AURUES CFU/ml x 106 CFU/ml x 106 EXPOSURE TIME (HOURS) 0 0.5 1.5 2.5 3.5 4.5 5.5 0.5 1.5 2.5 3.5 4.5 5.5 450 400 350 300 250 200 150 100 50 0 EXPOSURE TIME (HOURS) E. COLI 0 0.5 1.5 2.5 3.5 4.5 5.5 EXPOSURE TIME (HOURS) www.DeRoyal.com 21 wound care Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Sorbsan™ 3.9ml wet wound Kalginate® 10.2 ml moist wound Kalginate® 10.2 ml EPISEAL® Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml wet wound Sorbsan™ 3.9ml MULTIPAD™ wound closure strips WET MOIST DRY WOUND WOUND WOUND non-adherent wound dressing dry wound moist wound • A wound closure strip with superior non-irritating adhesive coating • A multi-layered, highly absorbent wound dressing • Provides secure attachment without the need for benzoin • Gentle, non-woven rayon pad between two non-adhering polypropylene contact layers • Rounded edges, stays securely in place • Helps protect fragile granulation tissue or wound trauma • Permits high breathability dry wound Kalginate® 10.2 ml WET WOUND • Non-linting • Unequaled tensile strength, flexibility and conformability • Use in place of gauze and tape when more absorbency is needed moist wound dry wound wet wound • Can be cut for odd shaped wounds wet wound Product # 46-211 46-212 46-213 46-214 46-215 46-216 Size 1 ⁄8” x 3” ¼” x 3” ¼” x 4” ½” x 4” ¼” x 1½” 1” x 5” Strips/Pouch 5 3 10 6 6 4 Pchs/Bx 50 50 50 50 50 25 Bx/Cs 4 4 4 4 4 4 HCPC A4452 A4452 A4452 A4452 A4452 A4452 Product # Size Qty/Bx Qty/Cs HCPC 46-011 2” x 2” 25 200 A6251 46-012 4” x 4” 25 200 A6251 46-013 4” x 8” 2 100 A6252 46-014 7½” x 7½” 10 50 A6253 indications: indications: Surgical wounds Cuts and lacerations Tube site fixation Dermal ulcers Abdominal wounds Infected wounds Superficial wounds Lacerations, cuts and abrasions Donor sites Burns Diabetic ulcers 22 800.251.9864 moist wou DEWRAP™ UNNA BOOT three-layer compression system zinc impregnated gauze • Three-layer compression system that delivers sustained, graduated compression • Non-raveling gauze impregnated with non-hardening zinc oxide paste • Standard sizes available for lower extremities • Provides recommended level of compression • Easily removed with blunt bandage scissors • Reduces venous hypertension and aids in healing venous ulcerations • Available in a convenience pack • Three latex safe layers: – Absorptive layer • Conformable, breathable, pads bony prominences and absorbent – Elastic layer • Comfortable and conformable, easy to apply; provides breathability and graduated pressure – Cohesive layer • Self adhering to secure bandage system, providing graduated compression for seven-day wear time Product # Description 46-333 3 layer system Qty/Cs Product # Description Qty/Cs HCPC Layer 1: A6441 46-334 3” x 10 yds 12 A6456 Layer 2:A6452 46-335 4” x 10 yds 12 A6456 Layer 3:A6443 46-336 3” x 10 yds Unna Boot 12 4” x 6½ yds Cohesive Wrap 8 HCPC 46-337 4” x 10 yds Unna Boot 4” x 6½ yds Cohesive Wrap indications: indications: Venous insufficiency Lower extremity edema Venous leg ulcers Venous insufficiency Lower extremity edema Venous leg ulcers Lymphedema Minor fractures, sprains and strains Skin grafts www.DeRoyal.com 12 23 wound care NEGATIVE PRESSURE WOUND THERAPY • Variable Pressure Technology and lower Continuous Pressure options enhance • Large, easy-to-read, color-coded display screens patient comfort and outcomes • Multiple alarm and safety features that protect the patient • Dressing protocol utilizes moist, antimicrobial gauze that will not adhere to the • Multi-language capability wound substantially decreasing patient pain • 24 to 48 hour battery run times • Proprietary internal and external filter system for an extra layer of safety • Cost-effective outcomes • Variety of dressing options available (Foam and Gauze) • Virtually silent operation Product # NP-2000 Size Pro-II Unit Qty/Cs 1 HCPC E2402 Product # NP-3000 Size Pro-III Unit Qty/Cs 1 HCPC E2402 indications: precautions: The PRO Series Negative Pressure Wound Therapy Systems are indicated for patients who would benefit from a suction device, particularly as the device may promote wound healing, by removal of wound exudates, debris and infectious material. DeRoyal NPWT Systems should only be operated with DeRoyal NPWT Kits. Precautions should be taken in the presence of: • Anticoagulation or active bleeding • Difficult wound hemostasis •Close proximity of blood vessels, organs, muscle, and fascia requiring adequate protection • Irradiated vessels and tissue • Bony fragments • Untreated malnutrition •Non-compliance contraindications: When used for wound healing, the PRO Series is contraindicated in the presence of: • Necrotic tissue • Unexplored or non-enteric fistulas • Untreated osteomyelitis • Wounds containing malignant tissue • Exposed arteries, veins, or organs FOR A COMPLETE NPWT OFFERING, CONTACT YOUR DEROYAL REPRESENTATIVE. 24 800.251.9864 NEGATIVE PRESSURE WOUND THERAPY (continued) negative pressure in mmHg variable pressure therapy (VPT) BLACK FOAM DOME KITS Available in Small, Medium, Large, and X-Large PROSPERA® RECOMMENDED VPT® PRESSURE RANGE time in minutes WHITE FOAM DRAIN & DOME KITS Available in Medium and Large —Intermittent pressure levels of other brands =-125 to 0 mmHg (spike) —VPT pressure ranges of Prospera® = -80 to -40 mmHg (gradual) In Variable Pressure Therapy, two different negative pressures are used, but negative pressure is always maintained, never dropping to 0 mmHg. VPT offers the advantages of intermittent NPWT, while avoiding potential for displacement of the dressing and loss of an airtight seal associated with pressure drops to 0mmHg. ACCESSORIES Miscellaneous accessories available benefits of variable pressure: • • • • • • More effective blood flow to wound site Controls the zone of hypo-perfusion surrounding the wound edge eliminating concern for ischemia “Jump starts” chronic wounds Increases proliferation of new granulation tissue Undetected pressure cycling (in gradual 5 mmHg increments) Lower than traditional pressures provides gentle tissue massage resulting in less pain and better outcomes Scan QR Code to view video links: Product # Description NP-0500 Small Foam Kit with Suction Dome and Triple Release Drape NP-0501 Medium Foam Kit with Suction Dome and Triple Release Drape NP-0502 Large Foam Kit with Suction Dome and Triple Release Drape NP-0103 Medium White Foam Kit with Suction Dome NP-0104 Large White Foam Kit with Suction Dome NP-0013 Small Gauze Kit with Suction Dome NP-0014 Medium Gauze Kit with Suction Dome NP-0015 Large Gauze Kit with Suction Dome www.DeRoyal.com Qty/Cs HCPC 10 A6550 10 A6550 10 A6550 10 A6550 10 A6550 10 A6550 10 A6550 10 A6550 25 wound care JETOX™-ND WOUND CARE KITS jet lavage wound cleansing & debridement system laceration trays, suture removal, i.v. start & dressing kits • Initiates thorough cleansing using compressed air/oxygen combined with a •N ine Laceration Trays, with components for local anesthesia and quality minimal amount (1.5ml/min) of standard sterile solution instruments for suturing • Quickly and efficiently cleans and debrides wounds • Suture Removal Kits in four configurations • Administers a cool, gentle jet stream that creates a desensitizing effect • Three types of I.V. Start Kits • The treatment of choice for patients sensitive to other forms of debridement •S ix all-inclusive Dressing Kits for wound care, TNP/CVC, dressing • Uses standard connectors for portable and wall gas outlets and saline dispensers, changes, sharp debridement, blood draws, and dialysis does not require a vacuum system, generator or gun • Ideal for bedside application in hospital, clinic or home settings • Completely disposable, with virtually no cleanup of the work environment • Easy set-up, lightweight and portable • Easily controlled PSI • Microdrops between 5-200 microns accelerated up to 200 meters per second PSI CHART Open the oxygen source to appropriate setting for desired PSI. 9 L/Min = 4 PSI 11 L/Min = 6 PSI 13 L/Min = 9 PSI 15 L/Min = 12 PSI Product # 48-500 48-501 48-444 48-555 48-601 Description Qty/Cs HCPC Jetox-ND Wand 25 Jetox-ND Tubing Set 25 Jetox-ND Mini-Pack w/5 Wands, 5 Fit All Tubing Sets 5 Jetox-ND Mini-Packw/5 Wands, 5 Tubing Sets 5 Jetox-ND Fit All Tubing Sets 25 indications: Diabetic ulcers Pressure ulcers Venous stasis ulcers Burns Abrasions Trauma injuries 26 Product # Description Kits/Cs LACERATION TRAYS (Peel Pouch Pkg) 50-1515 Laceration Tray 30 50-1516 Laceration Tray 30 50-1517 Laceration Tray 30 50-1518 Laceration Tray 30 50-1519 Laceration Tray 30 50-1520 Laceration Tray 30 50-10890 Laceration Tray 30 50-501 Laceration Tray 20 50-502 Laceration Tray 20 800.251.9864 HCPC WOUND CARE KITS (continued) Whatever your department, specialty or facility, make your job easier as you reach for convenience- the kind found in DeRoyal’s complete line of WOUND CARE KITS. Designed for efficiency as well as cost effectiveness, DeRoyal’s WOUND CARE KITS arrive pre-assembled, sterile and ready to use. We have Laceration Trays, Suture Removal Kits and I.V. Start Kits. Plus, DeRoyal is glad to customize any of these standard kits to contain only the items you specify. With so many choices, patient care just got easier. Product # Description Kits/Cs HCPC SUTURE REMOVAL KITS (Form, Fill & Seal Tray Pkg) 47-511 Suture Removal Kit 50 47-513 Suture Removal Kit 50 47-514 Suture Removal Kit 50 47-515 Suture Removal Kit 50 Product # Description Kits/Cs HCPC DRESSING KITS (Semi Rigid Tray Pkg) Product # Description Kits/Cs I.V. START KITS (Peel Pouch Pkg) 47-001 I.V. Start Kit 50 47-002 I.V. Start Kit 50 47-502 I.V. Start Kit 100 HCPC 47-003 TPN/CVC Kit w/Covaderm Plus V.A.D. 50 47-004 TPN/CVC Kit w/Transeal 50 47-006 Dressing Change Kit 50 47-007 Sharp Debridement Kit 30 47-500 Blood Draw Accessory Kit 100 47-501 Dialysis Kit 50 indications: Vascular access sites (I.V. and C.V.C.) First and second degree burns Dermal ulcers Superficial wounds Surgical incisions Lacerations and abrasions Donor sites www.DeRoyal.com 27 wound care Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Sorbsan™ 3.9ml wet wound Kalginate® 10.2 ml moist wound Kalginate® 10.2 ml STRETCH NET™ Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml wet wound BURN GAUZE tubular elastic bandage WET MOIST DRY gauze pads, rolls & sheets WOUND WOUND WOUND dry wound moist wound • Tubular elastic retention bandage that holds dressings in place without tape •A n extensive gauze line of several hundred products that includes pads, rolls, • Allows easy wound inspection and quick application for wounds with frequent dressing changes dry wound • One of the largest selections available of wide mesh and fine mesh gauze • Provides maximum aeration to wound • Customized sizes, shapes and packaging available on request Kalginate 10.2 m sheets and bias stockinette • Available in 13 sizes in 10-yard and 25-yard lengths to accommodate all body wet wound parts and patient sizes W WOU •P wound rimary or secondary dressing moist dry wound • Natural & Synthetic Material • Ideal for patients with fragile skin or who are allergic to tape • Available in latex free • Use as dressing retention wet wound LATEX FREE 10 Yards 25 Yards 10 Yards 25 Yards Approximate Suggested Product # Product # Product # Product # Size Circumference Application HCPC 10-7401 10-7421 10-7101 10-7125 1 3” to 8” Fingers, Toes A6457 10-7402 10-7422 10-7102 10-7126 2 8” to 11” Fingers, Wrist, A6457 Small Hand 10-7403 10-7423 10-7103 10-7127 3 11” to 16” Hand, Elbow, Foot A6457 10-7404 10-7424 10-7104 10-7128 4 16” to 22” Hand, Elbow, A6457 Foot, Knee 10-7405 10-7425 10-7105 10-7129 Calf, Thigh, Head A6457 10-7406 10-7426 10-7106 10-7130 5½ 26” to 35” Small Chest, Axilla A6457 10-7407 10-7427 10-7107 10-7131 Abdomen, Thigh, A6457 5 6 22” to 26” 35” to 42” Shoulder 10-7408 10-7428 10-7108 10-7132 7 42” to 52” Chest, Axilla, Abdomen A6457 10-7409 10-7429 10-7109 10-7133 8 52” to 58” Chest, Axilla, Abdomen A6457 10-7410 10-7430 10-7110 10-7134 9 58” to 64” Chest, Axilla, Abdomen A6457 10-7411 10-7431 10-7111 10-7135 10 64” to 72” Chest, Axilla, Abdomen A6457 10-7412 10-7432 10-7112 10-7136 11 72” to 80” Extra Large Torso A6457 10-7413 10-7433 10-7113 10-7137 12 80” to 86” Extra Large Torso A6457 10-7414 10-7434 10-7114 10-7138 13 86” to 92” Extra Large Torso A6457 28 indications: Burns Large surface area wounds Surgical wounds Chronic wounds 800.251.9864 moist w BURN GAUZE (continued) WIDE MESH GAUZE DRESSINGS Finished and unfinished edges, with or without contact layer. Wide mesh gauze are used for absorption, padding, and debridement. SPECIAL SHAPED GAUZE DRESSINGS Vests, arm, leg, face and buttocks dressings, Available in a wide variety of sizes and thicknesses including Brook dressings Available in a wide variety of sizes and thicknesses FINE MESH GAUZE DRESSINGS In pads, sheets and rolls. Fine mesh gauze is less adherent to the wound surface making it an ideal dressing to cover donor sites and skin grafts. SAMSON SHEETS Impervious and permeable Available in a wide variety of sizes and thicknesses Available in a wide variety of sizes and thicknesses ONE-PLUS GAUZE DRESSINGS Various lengths and thickness. One Plus is one layer of fine mesh to several layers of wide mesh. If debridement is desired, use wide mesh side to wound. If not then use fine mesh side to wound. This dressing eliminates the excessive time required to GAUZE FLUFFS Available in both 1-Ply and 2-Ply, sterile and non-sterile options pre-cut and layer gauze. Available in a wide variety of sizes and thicknesses Ranging from 15”, 18” and 36” wide to 12”, 15”, 18”, 24”, 36” long CELLULOSE BURN PADS Available with impervious Samson Sheet backing, COTTON DRESSINGS Available as pads, ½ or 1-lb rolls or as combination dressings Dermanet contact layer, or poly backing Ranging from 3”, 4”, 6” and 8” wide to 3”, 4”, 6”, 8”, 12”, 24”, 30”, 4 yds, 5 yds, 10 yds, 8 ft, 13 ft, 11 ft 6-Ply, 7-Ply, 15-Ply, 21-Ply, 33-Ply FOR A COMPLETE BURN CARE CATALOG, CONTACT YOUR DEROYAL REPRESENTATIVE. www.DeRoyal.com 29 wound care Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Kalginate® 10.2 ml Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml Kalginate® 10.2 ml Sorbsan™ 3.9ml wet wound Kaltostat® 4.3 ml Curasorb™ 4.3 ml Sorbsan™ 3.9ml wet wound APEX™ FLUFTEX® conforming bandage gauze rolls & sponges moist wound Kalginate® 10.2 ml • Low linting, one-ply, rayon/polyester blend Kaltostat® 4.3 ml Curasorb™ 4.3 ml moist wound Sorbsan™ 3.9ml Kalginat 10.2 m •P re-washed, fluff-dried gauze with superior absorption and softness for packing, • Clings to itself prepping, cleansing and bandaging WET dry wound • Conforms easily to body contours MOIST DRY dry wound •WOUND Crinkled WOUND to give it loft that is ideal for the management of all draining wounds WOUND • Maintains conformability when wet • Extra bulk that gives added protection to sensitive wound sites • Highly absorbent • Minimal linting, with finished or folded edges to prevent thread separation • Soft and gentle to the skin • Wide variety of sizes • No excess bulk •A vailable with radiopaque element W WO • Use as dressing retention moist wound wet wound dry wound Product # Size wet wound Qty/Bx Qty/Cs HCPC FLUFTEX SPONGES Stretched, Diagonal Measure Product # Size Qty/Cs HCPC STERILE 11-6991 1” x 60” 144 A6445 11-6992 2” x 65” 6 A6445 11-6993 3” x 75” 72 A6446 11-6994 4” x 75” 72 A6446 11-6996 6” x 85” 48 A6447 Product # Size Qty/Cs HCPC NON-STERILE 11-001 11-003 11-004 6” x 6.75”, Medium Sterile 2’s in Soft Pouch40 480A6403 6” x 6.75”, Medium Sterile 5’s in Soft Pouch 50 600 A6403 6” x 6.75”, Medium Sterile 10’s in Plastic Tray 10 480 A6403 11-002 7.75” x 8.75”, Large Sterile 2’s in Soft Pouch40 400 A6403 Product # Size FLUFTEX ROLLS Stretched, 6-Ply 11-007 4.5” x 4.1 yds, Sterile in Soft Pouch 11-008 3.4” x 3.6 yds, Sterile in Soft Pouch 11-009 2.25” x 3 yds, Sterile in Soft Pouch 11-010 4.5” x 4.1 yds, Sterile in Plastic Tray 11-011 4.5” x 4.1 yds, Non-sterile, Bulk 11-012 3.4” x 3.6 yds, Non-sterile, Bulk Qty/Bx HCPC 100 96 96 60 100 96 A6446 A6446 A6446 A6446 A6443 A6443 Product # Qty/Cs HCPC Size STERILE W/RADIOPAQUE ELEMENT Stretched, 6-Ply 11-6981 1” x 60” 96 A6445 11-020 4.5” x 4.1 yds, Sterile in Soft Pouch 100 A6446 11-6982 2” x 65” 96 A6445 11-021 3.4” x 3.6 yds, Sterile in Soft Pouch 100 A6446 11-6983 3” x 75” 96 A6446 11-022 2.25” x 3 yds, Sterile in Soft Pouch 96 A6446 11-6984 4” x 75” 96 A6446 11-6986 6” x 85” 48 A6447 30 800.251.9864 moist w PRUventor™ HEEL OFF-LOADING DEVICE DEROYAL® HEEL SUSPENSION BOOT pressure ulcer prevention pressure ulcer prevention • Soft, fluid and stain resistant material can be cleaned and disinfected if soiled •P ressure-absorbing filling creates fluid-like interior and absorbs pressure • Smooth, breathable foam construction • Sloped wedge is precisely placed inside boot to completely suspend the heel • Ventilation holes help promote air circulation and dissipate heat • Soft straps with D-ring/hook closures • Posterior panel helps reduce friction against bed surface •E xtra foam block with adhesive can be attached to side of boot to help away from bony prominences •S oft, elastic straps with hook tabs for easy and secure placement (Long boot comes with additional strap for added security around lower leg) • Anti-rotation wedge easily attaches to either side of the boot •C ompatible with sequential and intermittent compression devices (SCD/ICD) prevent foot rotation with easy exits for SCD/ICD tubing (Long boot has additional exits on either side of the boot) Product # Size Qty/Bx M70-100S 9" 1 Universal Short Description M70-100L 13" 1 Universal Long HCPC Product # Qty/Bx Description M60-300 6/case Smooth, w/Attached Wedge indications: indications: Heel decubitus ulcer prevention Foot drop Foot rotation Heel decubitus ulcer prevention Foot drop Foot rotation www.DeRoyal.com HCPC 31 wound care WOUND CARE PRODUCT LISTING hcpcs codes Product Name Product# HCPCS Product Name Product# Algidex Ag Foam 46-AG22 A6209 Covaderm Plus 46-400 HCPCS Page 11 46-AG44A6209 Page 1746-401 A6203 46-AG45A6210 46-402A6203 46-AG66A6210 46-403A6204 46-AG88A6211 46-414A6203 ________________________________________________________________________ 46-415A6204 Algidex Ag Packing Gauze 46-PG12 A6407 46-408A6203 Page 10 46-PG14A6407 46-411A6203 A6203 ________________________________________________________________________ ________________________________________________________________________ Algidex Ag Thin Sheet 46-TF22 Dermanet 46-145A6206 Page 11 46-TF44A6196 Page 7 46-143A6207 46-TF48A6197 46-141A6208 46-TF66A6197 46-142A6208 46-TF88A6198 46-140A6208 46-TF816A6198 ________________________________________________________________________ 46-TF16A6198 Dermanet Absorbent 46-A44 46-P10A6261 Page 18 46-A46A6203 A6196 A6203 ________________________________________________________________________ 46-A48A6203 Algidex Ag Gel 46-A410A6203 Page 11 46-A414A6203 ________________________________________________________________________ ________________________________________________________________________ Algidex Ag Hydrogel Gauze 46-GZ44 Dermanet Ag 46-DN22 Page 9 46-GZ22A6231 Page 7 46-DN44A6206 ________________________________________________________________________ 46-DN48A6207 Apex 11-6991A6445 46-DN66A6207 Page 30 11-6992A6445 46-DN88A6208 11-6993A6446 46-DN816A6208 11-6994A6446 ________________________________________________________________________ 11-6996A6447 Dermanet Ag Border 46-DB44 11-6981A6445 Page 18 46-DB46A6258 11-6982A6445 46-DB48A6258 11-6983A6446 46-DB410A6258 11-6984A6446 46-DB414A6258 11-6986A6447 ________________________________________________________________________ 46-G10 A6248 A6231 ________________________________________________________________________ DeWrap A6206 A6258 46-333 (Layer 1) A6441 Aquasorb46-501 A6242 Page 23 46-333 (Layer 2) A6452 Page 1946-502 A6242 46-333 (Layer 3) A6443 46-503A6243 ________________________________________________________________________ 46-504A6244 Episeal 46-505A6243 Page 22 All Products A4452 ________________________________________________________________________ ________________________________________________________________________ Aquasorb Border w/Film Fluftex 46-511 A6245 11-001A6403 Page 1946-512 A6246 Page 3011-002 A6403 ________________________________________________________________________ 11-003A6403 Aquasorb Border w/Tape 11-004A6403 Page 1946-516 A6246 11-005A6217 ________________________________________________________________________ 11-006A6217 Covaderm 11-007A6446 Page 1646-002 A6254 11-008A6446 46-003A6254 11-009A6446 46-004A6254 11-010A6446 46-005A6255 11-011A6443 11-012A6443 11-022A6446 32 46-515 A6245 46-001A6254 800.251.9864 Product Name Product# HCPCS Product Name Sofsorb Product# HCPCS 46-109A6251 Kalginate 46-800A6196 Page 9 46-801A6196 Page 1446-101 A6252 46-802A6197 46-132A6252 ________________________________________________________________________ 46-106A6252 Multidex Gel 46-710 A6248 46-102A6253 Page 6 46-711A6248 46-103A6253 46-712A6248 46-104A6253 ________________________________________________________________________ 46-105A6253 Multidex Powder 46-701 46-111A6253 Page 6 46-702A6262 46-112A6253 46-703A6262 46-113A6253 46-704A6262 46-114A6253 ________________________________________________________________________ 46-115A6253 Multipad 46-011A6251 46-116A6253 Page 22 46-012A6251 ________________________________________________________________________ 46-013A6252 Sofsorb Ag 46-181AG 46-014A6253 Page 15 46-184AGA6253 ________________________________________________________________________ 46-185AGA6253 NPWT Canisters 46-186AGA6253 Page 25 46-182AGA6252 ________________________________________________________________________ 46-180AGA6251 NPWT Dressing Kits 46-187AGA6253 Page 25 46-188AGA6253 ________________________________________________________________________ 46-189AGA6253 NPWT Therapy Units 46-190AGA6253 Page 24 46-191AGA6253 ________________________________________________________________________ 46-192AGA6252 Oil Emulsion 46-620 ________________________________________________________________________ Page 8 46-621A6223 Stretch Net 46-622A6223 Page 28 All Products All Products All Products A6262 A7000 A6550 E2402 A6222 A6252 All Products A6457 ________________________________________________________________________ ________________________________________________________________________ Polyderm Transeal 46-908A6212 46-301A6257 Page 1246-915 A6212 Page 1946-302 A6257 46-916A6212 46-303A6258 46-905A6209 46-304A6258 46-906A6209 46-305A6258 46-925A6212 46-306A6259 46-926A6212 ________________________________________________________________________ ________________________________________________________________________ Unna Boot 46-334 A6456 Procol 46-650A6237 Page 23 Page 13 46-651A6237 ________________________________________________________________________ 46-652A6238 Xeroform 46-610A6222 Page 8 46-611A6223 ________________________________________________________________________ Procol X-Thin 46-660 Page 13 46-661A6237 46-662A6238 46-335A6456 A6237 The HCPCS information is for information purposes only. It represents no statement, promise, or guarantee by DeRoyal concerning level of reimbursement, payment, or charge. It does not and is not intended to increase or maximize reimbursement, nor does it promise or guarantee that the codes listed will be appropriate or that reimbursement will be made. Please consult your payor organization to obtain the most current information about your local Medicare Part B coverage and reimbursement policies. www.DeRoyal.com 33 wound care WOUND CARE HCPCs Wound and surgical dressings must be tailored to the specific needs of an individual patient. When dressings are provided in kits, only those components of the kit that meet the definition, that are ordered by the physician, and that are medically necessary are covered. The following are some specific coverage guidelines for individual products when the products themselves are necessary in the individual patient. The medical necessity for more frequent change of dressings must be documented in the patient’s medical record and submitted with the claim. HCPCs Long Description A4450 A4452 A4461 A4463 A4490 A4495 A4500 A4510 A4649 A6010 A6011 A6021 A6022 A6023 A6024 A6025 A6154 A6196 A6197 A6198 A6199 A6203 A6204 A6205 A6206 A6207 A6208 A6209 A6210 A6211 A6212 A6213 Tape, non-waterproof, per 18 square inches Tape, waterproof, per 18 square inches Surgical dressing holder, non-reusable, each Surgical dressing holder, reusable, each Surgical stockings above knee length, each Surgical stockings thigh length, each Surgical stockings below knee length, each Surgical stockings full length, each Surgical supply; miscellaneous Collagen based wound filler, dry form, sterile, per gram of collagen Collagen based wound filler, gel/paste, per gram of collagen Collagen dressing, sterile, size 16 sq. in. or less, each Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each Collagen dressing, sterile, size more than 48 sq. in., each Collagen dressing wound filler, sterile, per 6 inches Gel Sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each Wound pouch, each Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Alginate or other gelling dressing, wound cover, sterile, pad size more than 48 sq in, each dressing Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Composite dressing, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing Contact layer, sterile, 16 sq in or less, each dressing Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Contact layer, sterile, 48 sq in or more each dressing Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Foam dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing Foam dressing, wound filler, sterile, per gram Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Gauze, non-impregnated, non sterile, pad size more than 48 sq in, without adhesive border, each dressing Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Gauze, non-impregnated, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Gauze, impregnated with water or normal saline, sterile, pad size 16 sq in or less, without adhesive border, each dressing Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Gauze, impregnated with water or normal saline, sterile, pad size more than 48 sq in, without adhesive border, each dressing Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing Hydrocolloid dressing, wound filler, paste, sterile, per ounce Hydrocolloid dressing, wound filler, dry form, sterile, per gram Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing Hydrogel dressing, wound filler, gel, per fluid ounce Skin sealants, protectants, moisturizers, ointments, any type, any size A6214 A6215 A6216 A6217 A6218 A6219 A6220 A6221 A6222 A6223 A6224 A6228 A6229 A6230 A6231 A6232 A6233 A6234 A6235 A6236 A6237 A6238 A6239 A6240 A6241 A6242 A6243 A6244 A6245 A6246 A6247 A6248 A6250 34 Frequency of Change DMEPOS NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP 3 times /week Once daily Once daily Once daily 12 inches per day 3 times /week 3 times /week 3 times /week Once/week Once/week Once/week 3 times /week 3 times /week 3 times /week 3 times /week 3 times /week YES YES YES YES NO NO NO NO NO YES YES YES YES YES YES NO YES YES YES NO YES YES YES NO NO YES NO YES YES YES YES NO 3 times /week Once/week 3/day 3/day 3/day Once daily Once daily YES NO YES YES NO YES YES Once daily Once daily NO YES Once daily YES Once daily YES NSP NSP NO YES Minimum Exudate Minimum Exudate NSP Once daily Once daily NO YES YES Minimum Exudate Light - Moderate Exudation Light - Moderate Exudation Once daily 3 times /week 3 times /week YES YES YES Light - Moderate Exudation Light - Moderate Exudation Light - Moderate Exudation 3 times /week 3 times /week 3 times /week YES YES YES Light - Moderate Exudation Light - Moderate Exudation Light - Moderate Exudation Minimum Exudate Minimum Exudate 3 times /week 3 times /week 3 times /week Once daily Once daily NO YES YES YES YES Minimum Exudate Minimum Exudate Minimum Exudate Once daily 3 times /week 3 times /week YES YES YES Minimum Exudate Minimum Exudate 3 times /week 3 oz. /month NSP YES YES NO Exudate 800.251.9864 Heavy exudation Moderate-Heavy Exudation Moderate-Heavy Exudation Moderate-Heavy Exudation Moderate-Heavy Exudation Moderate-Heavy Exudation Moderate-Heavy Exudation Moderate-Heavy Exudation Moderate-Heavy Exudation Moderate-Heavy Exudation Moderate-Heavy Exudation Moderate-Heavy Exudation HCPCs A6251 A6252 A6253 A6254 A6255 A6256 A6257 A6258 A6259 A6260 A6261 A6262 A6266 A6402 A6403 A6404 A6407 A6410 A6411 A6412 A6413 A6441 A6442 A6443 A6444 A6445 A6446 A6447 A6448 A6449 A6450 A6451 A6452 A6453 A6454 A6455 A6456 A6457 A6501 A6502 A6503 A6504 A6505 A6506 A6507 A6508 A6509 A6510 A6511 A6512 A6513 A6530 A6531 A6532 A6533 A6534 A6535 A6536 A6537 A6538 A6539 A6540 A6541 A6544 A6545 A9720 Long Description Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing Specialty absorptive dressing, wound cover, sterile, more than 48 sq in, with any size adhesive border, each dressing Transparent film, sterile, 16 sq. in. or less, each dressing Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing Transparent film, sterile, more than 48 sq. in., each dressing Wound cleanser, any type, any size Wound filler, gel/paste, per liquid ounce, not otherwise classified Wound filler, gel/paste, per gram, not otherwise classified Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing Gauze, non-impregnated, sterile, pad size more than 48 sq in,without adhesive border, each dressing Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard Eye pad, sterile, each Eye pad, non-sterile, each Eye patch, occlusive, each Adhesive bandage, first-aid type, any size each Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard Light compression bandage, elastic, knitted/woven, width less than three inches, per yard Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Tubular dressing with or without elastic, any width, per linear yard Compression burn garment, bodysuit (head to foot), custom fabricated Compression burn garment, chin strap, custom fabricated Compression burn garment, facial hood, custom fabricated Compression burn garment, glove to wrist, custom fabricated Compression burn garment, glove to elbow, custom fabricated Compression burn garment, glove to axilla, custom fabricated Compression burn garment, foot to knee length, custom fabricated Compression burn garment, foot to thigh length, custom fabricated Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated Compression burn garment, lower trunk including leg openings (panty), custom fabricated Compression burn garment, not otherwise classified Compression burn mask, face and/or neck, plastic or equal, custom fabricated Gradient compression stocking, below open venous ulcer knee,18-30 mm HG, each Gradient compression stocking, below knee, 30-40 mmhg, each Gradient compression stocking, below knee, 40-50 mmhg, each Gradient compression stocking, thigh open venous ulcerlength,18-30 mm HG, each Gradient compression stocking, thigh open venous ulcer length, 30-40 mm HG, each Gradient compression stocking, thigh open venous ulcer length, 40-50 mm HG, each Gradient compression stocking, full open venous ulcer length/chap style,18-30 mm HG, each Gradient compression stocking, full open venous ulcer length/chap style, 30-40 mm HG, each Gradient compression stocking, full open venous ulcer length/chap style, 40-50 mm HG, each Gradient compression stocking, waist open venous ulcerlength,18-30 mm HG, each Gradient compression stocking, waist open venous ulcer length, 30-40 mm HG, each Gradient compression stocking, waist open venous ulcer length, 40-50 mm HG, each Gradient compression stocking, garter belt Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each Non-covered item or service Frequency of Change DMEPOS Once daily Once daily YES YES Moderate-Heavy Exudation Moderate-Heavy Exudation Moderate-Heavy Exudation Once daily Every 48 hours Every 48 hours YES YES YES Moderate-Heavy Exudation Minimum Exudate Minimum Exudate Minimum Exudate Every 48 hours 3 times /week 3 times /week 3 times /week NSP Once daily Once daily Once daily 3 times/day 3 times/day 3 times/day 3 times/day NSP NSP NSP NSP Frequency varies Frequency varies Frequency varies Frequency varies Frequency varies Frequency varies Frequency varies Once /week Once /week Once /week Once /week NO YES YES YES NO NO NO YES YES YES NO YES YES YES NO NO YES YES YES YES YES YES YES YES YES YES YES Exudate Moderate-Heavy Exudation Moderate-Heavy Exudation Once /week YES Once /week Once /week Once /week Once /week NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP NSP YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES NO YES NO YES YES NO NO NO NO NO NO NO NO NO NO YES NO NSP = No standard provided by Medicare, refer to Medicare utilization guidelines Frequency Varies = frequency and approval of medical necessity will vary based on medical condition, primary or secondary dressing choices and wound exudation documentation DMEPOS = If code is on 2014 DMEPOS, it means Medicare has pre-determined the reimbursement price for this item www.DeRoyal.com 35 DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849 USA 888.938.7828 or 865.938.7828 Customer Service: 800.251.9864 www.DeRoyal.com
