UrgoStart Border - Adhesive Foam Dressing with Soft-Adherent TLC-NOSF

UrgoStart Border offers all the benefits of TLCWOSF and silicone adhesive borders (moist environment, faster wound healing, pain-free and atraumatic removal).

TLONOSF
TLC (Technology Lipido-Colloid] combined with NOSF (Nano-Oligo Saccharide Factor] is a patented innovative technology which in contact with wound exudate forms a gel and creates a moist environment enabling the key cells involved in the repair process (fibroblasts, keratinocytes, macrophages] to exert their action.

TLC-NOSF interacts with the micro-environment of the wound by preventing the detrimental effect of Matrix MetalloProteases (MMPs), which in excess in chronic wounds creates a continuous degradation of the extracellular matrix and delayed wound healing.

TLONOSF restores balance in the wound bed so granulation of chronic wounds can occur. UrgoStart Border thereby promotes faster wound healing.

The efficacy of TLC-NOSF has been demonstrated in several clinical studies including Randomised Controlled Trials (Challenge study*].

The absorbent polyurethane foam pad and superabsorbent layer of UrgoStart Border ensure high fluid management, preventing maceration. It is suitable for use under compression bandaging when prescribed.

The waterproof backing of UrgoStart Border is soft, very conformable and non-occlusive which helps ensure a good fit of the dressing to different wound shapes, and prevents fluid and bacterial strikethrough. Its high vapour permeability prevents maceration, removing excess exudate. It also stretches to move with the body, ensuring patient comfort. The silicone adhesive ensures the dressing adheres well, is easy to reposition whilst being well tolerated by the skin. The adhesive border prevents the need for secondary retention. Due to its transparency, it is possible to monitor fluid strikethrough enabling you to change the dressing only when needed.

The properties of UrgoStart Border are numerous:

• accelerates wound healing
• absorption of exudate and drainage preventing any risk of maceration
• maintains a moist environment favorable to the wound healing process
• atraumatic and painless removal for patients
• waterproof silicone adhesive border
• very conformable and easy to reposition

UrgoStart Border is indicated for exuding chronic wounds (leg ulcers, pressure ulcers, diabetic foot ulcers] and long standing acute wounds.

The sacrum version is recommended for exuding chronic wounds located in the sacral area (sacral pressure ulcers...].

Preparation of the wound:

• Clean the wound as per local protocol,
• If an antiseptic is first used, carefully rinse the wound with normal sterile saline before applying UrgoStart Border.
• Dry the surrounding skin carefully.

Application of the dressing:

• Remove the protective wings.
• Apply the soft-adherent side of UrgoStart Border to the wound (the adhesive silicone border should be at least 1 cm away from the wound).
• Smooth the dressing over the wound.
• Apply compression bandaging over the dressing when prescribed.

Application of the sacrum version:

• Place the dressing with the tip facing the sacral area.

Removal of the dressing:

• Press down on the healthy skin, lift on the comer of the dressing and remove it carefully.

Dressing changes:

• UrgoStart Border dressing may be changed every 2 to 4 days, and left in place up to seven days depending on the level of exudate and the condition of the wound. The recommended treatment duration is a minimum of 4 to 5 weeks.

• As it includes a super-absorbent layer, the central pad should not be cut. However, the adhesive edges can be cut if necessary using sterile scissors to fit the dressing to different wound shapes.
• If signs of critical colonisation are present, suitable treatment is recommended prior to the use of UrgoStart Border.
• In case of an atypical ulcer presenting induration or overgranulation, UrgoStart Border should only be used after checking the absence of wound-related malignancy in order not to delay the diagnosis.
• The products action on the healing process may possibly cause stinging or painful sensations on commencement of treatment with UrgoStart Border. This rarely warrants suspension of treatment.
• In the absence of clinical data as a first line treatment in acute wounds, and in the treatment of Epidermolysis bullosa (even for longstanding lesions), it is not recommended to use UrgoStart Border.
• Any excess hair should be cut close to the skin to ensure good contact with the wound.
• In case of concomitant use with a cream, an ointment, an emulsion, let the skin dry before the dressing application.
• Single use sterile individual packaging: re-using a single use dressing may lead to risks of infection.
• [*] Check that the sterile protector is intact before use. Do not use if package is damaged. -Do not re-sterilise the dressing.

• In order not to delay any optimal treatment UrgoStart Border is contra-indicated in cancerous wounds and fistula wounds which may reveal a deep abscess.
• Do not use if there is a known sensitivity to UrgoStart Border.