Sterility and Tapeless

STERILITY AND TAPELESS

Occasionally the question of sterility and the use of Tapeless dressing holders is asked.  Obviously the nature of the wound and any special circumstances under which the product is to be used is important, but even with this question, Tapeless demonstrates its versatility with no compromise in clinical efficacy.  Most wounds by definition are “infected” by their very nature and concerns about secondary wound dressings are in practicality, secondary.

First, Tapeless dressing holders are categorized as secondary wound dressings.  By FDA standards this means that the dressing is not to be directly in contact with non-intact skin (the wound).  The only real FDA requirement is that the product is manufactured under certain specifications for a class I product of this type, i.e., in a “clean environment”.  This sets certain air filtration and personnel requirements.

Tapeless becomes versatile in that it may be sterilized if the use merits.  Since Tapeless is a laminate incorporating a polypropylene plastic, anything with excessive heat should be avoided.  The product may be sterilized with ethylene oxide or radiation.  This is rarely indicated.  It is not however unusual for the user to want to “clean” the product, either for cosmetic purposes or to reduce the level of contamination.  If there are any concerns, discard the product since the product by this time has most likely already been cost effective by means of its re usability.  Tapeless has studies that prove that it may be washed and reused, surprisingly even unaffected by boiling water or a substance as harsh as pure bleach.  Studies have proven that there is 100% memory in the material with repeated washings as long as the product is air dried.


There are methods to minimize possible contamination, such as more frequent dressing changes, or using a thicker layer of the primary dressing until drainage decreases.  The issue of sterility and the use of Tapeless should be determined  case by case and should not be “painted with a broad brush”.

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PLASTIC SURGERY AND TAPELESS

PLASTIC SURGERY AND TAPELESS 

Perhaps no surgical subspecialty has the potential to use as many Tapeless products as plastic surgery.  The reason is simply that plastic surgeons do various procedures ranging from hand surgery to complicated reconstruction.  Often the plastic surgeon is called upon as the final solution to deal with chronic or complicated wounds.  Wound healing is their forte, and consequently the smallest of details may make a significant difference in a result.  For this reason, great attention is paid to even secondary wound dressings since they often affect the ability to heal a wound and reduce the unwanted complications of scarring and tissue loss.

The success of Tapeless is related to the design of the product and the material used.  The design imparts its influence through the ability to support the tissues, keeping the primary dressing exactly where it is placed and intended for use, and, as in the case of the breast dressing holder, can actually be used to help contour the surgically operated breast and define anatomic features such as the infra mammary fold and symmetry with the opposite breast.

The material is equally as important since compression, while helping to reduce swelling, will also reduce blood supply.  The key to a successfully healing wound is to maintain a good blood supply.  Tapeless is slightly compressive allowing for changes in swelling, up or down, that is accommodated for by the material without a need to reapply or adjust the degree of compression.  Because the material is “forgiving” in this manner, at the same time, the blood supply will not be compromised or significantly reduced.

These Tapeless qualities in of themselves make Tapeless the ideal secondary dressing for most plastic surgical procedures, and when added to the qualities not discussed, like cost effectiveness, increased patient compliance, no adhesives, latex free and no bulk, further enhance the clinical efficacy of Tapeless.

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CE MARKING AND TAPELESS

CE MARKING AND TAPELESS

Obtaining a “CE” mark means more than having the ability to sell or market one’s products within the European community.  These communities, 27 member states of the EU, Iceland, Norway, Lichtenstein, Turkey, Croatia, Macedonia, Albania, Serbia and Montenegro, require a conformity of one’s products whose purpose is to protect the safety, public health and consumer from non-conforming products.

This CE marking process is extensive and thorough.  Each manufacturer is required to compile a technical file that demonstrates approved safety and regulatory standards along with detailed manufacturing, packaging and quality control procedures.  The CE mark must be displayed on the package when used in that market, providing an assurance to the consumer that the product has met the combined conformity and standards of the member nations.

To highlight the depth to which a product must conform, an outline of the manufacturer’s responsibilities include:

1.      ensure compliance product design and manufacture

2.      caring out conformity assessments

3.      draw up the technical documents

4.      draw up the EU declaration of conformity (D of C).

5.      affix the conformity marking ( CE marking)

6.      keep the technical file and D of C

7.      ensure continued conformity by reviewing on a several year cycle

8.      take into account changes in the standards or technological specifications which are stated for their product’s compliance requirements

9.      secure the type/serial/batch numbers to the product

10.  take corrective actions or withdraw/recall the products from the market when there is a reason to assume non-conformity

11.  in such cases, inform the appropriate authorities

12.  indicate name and contact address of manufacturer on the product

13.  on request, provide information/documentation to authorities and cooperate with them

Each product must have achieved the same degree of conformity so not only has Tapeless achieved a high level of efficacy and usefulness clinically, it has achieved a high level of excellence not apparent by simply looking at the product.

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THE LARGE PATIENT AND TAPELESS

The reality that individuals are becoming larger and heavier is a real phenomenon.  Whether the individual undergoes a surgical procedure or has a different chronic wound, dressing the wound becomes more of a problem as the size of the patient increases.

These larger patients require more wound dressing materials to cover and secure their dressings, have greater difficulty in keeping the dressings in place as they tend to slip, rub and bind and are more likely to have complications in trying to apply their dressings.  The ineffectiveness of the traditional dressing holders like rolls of gauze, elastic netting and other wraps are magnified in this patient population.

The advantages of Tapeless are maximized in this group.  No longer is a single roll of gauze enough.  No longer do these materials remain where placed without tape or another supplemental aid.  The combination of a supplemental dressing aid and extra rolls of wrap quickly increase the cost of care without even adding in the costs of increased numbers of dressing changes.  When a problem occurs from the traditional dressing, the expense to treat these complications is also magnified.  These problems range from skin reactions to adhesives, blisters from excessive pressure or constriction and slippage of the wound dressing from the intended site to the need of additional help to apply the primary/secondary dressings.

Tapeless, with its ability to be manufactured in any size while maintaining its anatomic shape, offers immediate obvious advantages.  The larger dressing holders are still reusable, still resist slippage, are non-constrictive, easy to apply and because they are breathable and non-bulky, create a better environment for wound care for both the patient and the healthcare provider.  Cost is reduced, care is optimized and the patient is more compliant.

Tapeless currently has bariatric sizes for several products, but as the field of bariatric medicine becomes more prevalent, Tapeless encourages these specialty centers to work with us to develop size ranges and product models for the more commonly occurring needs.  In this manner, costs can be controlled, needs can be effectively addressed and patient comforts still achievable.

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CHILDREN AND TAPELESS

CHILDREN AND TAPELESS

Tapeless offers children in general, and pediatrics specifically, something that none of the traditional secondary dressings can, i.e., anatomic sized wound dressing holders.  No longer are secondary wound dressings non-specific rolls of material that may or may not accommodate the needs of the patient,  The market potential for such a product is enormous and with an already clinically proven product like Tapeless, an opportunity awaits sales forces entrenched in the pediatric market.

The need of the healthcare provider is different from the desire of the child patient.  The healthcare providers want something that is cost effective, clinically proven, safe (non-constrictive) and has advantages over traditional secondary dressings.  Tapeless provides these qualities.  Children want something that is pain-free, soft to the touch and does not have any adhesives or a need to be pulled over a body part.  Tapeless has these characteristics.

Tapeless has developed specific anatomic wound dressing holders for epidermolysis bullosa children that are available to 2 different sizes that cover large age and size differences among the involved children. It is the goal of Tapeless to find a pediatric institution that has healthcare providers who wish to  help in identifying the most commonly needed dressing holders and the most commonly needed sizes.  Special ordered sizes are always available with Tapeless, but the need for a large number of variations of a particular product should not be needed due to the ability of the material to accommodate most changes in size.

With the absence of adhesives, ease of application,  soft feel and even the blue color of the material, compliance by the child will be higher.    It is then not only possible to change the primary dressing as often as is best for the care of the wound, but maybe even to enlist the older child to change his/her own wound dressing.  Changing the dressing may no longer be a test of wills between the healthcare provider and the child.

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THE ELDERLY AND TAPELESS 


Tapeless has more value to the elderly than any other single age group because of the accumulation of issues that the elderly deal with.   Although Tapeless is effective with all age groups, the elderly present more clinical challenges than do other age groups.

1.         THIN SKIN      This irrefutable event affects everyone as they age.   Special care must be considered when applying any material to skin to reduce concerns of allergies, abrasiveness, adhesives and response to moisture and heat.  Tapeless material has been used for decades for diapers and female sanitary napkins.  It contains no latex, no adhesives, is hypoallergenic and breathes.

2.         COST EFFECTIVENESS         The ability to wash and re-use the Tapless products makes them very cost effective to everyone, especially the elderly.

3.         BLOOD SUPPLY         With the aging process, arterial insufficiency and venous varicosities develop which translate into ulcers and decreased wound healing.  It is important to make sure that any wound dressing holder is not compressive or further compromises an already diminished blood supply.

4.         OTHER MEDICAL PROBLEMS          With the aging process, other medical problems become manifest and may affect healing.  Diabetes is one common example.  With treatment various medications such as steroids or chemotherapy agents may necessitate the avoidance of adhesives, constrictive materials or rough textures.  TapelessÔ may be used safely.

5.         DECREASED SENSATION     Some diseases and aging may diminish the patient’s ability to sense if a dressing is too tight, leading to significant complications.  The use of Tapeless can easily accommodate any increase in swelling and does not constrict as does COBAN.

6.         EASE OF USE              Certain medical problems develop with age, like arthritis and stiff joints, that impair the ability to reach certain body parts or perform the wrapping motion that is required by several competitors.  Tapeless is applied like a clam-shell and is not slipped over any painful or stiff joint.   Tapeless attaches simply with velcro, not needing to be wrapped or applied by a second person.

Tapeless simply works because it works simply.

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NEW PRODUCT IDEAS AND TAPELESS

NEW PRODUCT IDEAS AND TAPELESS

 

As a company that prides itself as a “problem solver”, the question, “ how do you come up with your new product ideas?”, often arises.  By far, the majority of new product ideas come from what the market dictates.  As requests for a solution to a particular problem increase from healthcare providers and patients, either at shows or by email, Tapeless looks at the market potential and then creates the product for that problem.

Not all products are seen under the Tapeless trademark.  Tapeless receives requests from other wound care companies to develop a product that will augment the efficacy or marketability of their product.  This is especially the case in the “fixative” market, wherein other products have difficulty in staying where they are placed or meant to function.  This often takes the form of a joint venture.

Another place that Tapeless uses its problem solving creativity is in special need markets, which are not significant from a monetary standpoint, but require our technology to help a specific patient population.  Such a case is the EB, or epidermolysis bullosa children and adults.  Tapeless significantly reduces pain, decreases dressing change time and is easier to apply and remove.

At times, Tapeless receives requests from healthcare providers or patients for a “one of a kind” wound dressing holder for a unique problem that otherwise has no solution.  One such case was a request by a mother whose child had leukemia and required a solution for the combination of a feeding tube, a central catheter and tape ulcers.  Tapeless was able to design and manufacture a single dressing holder that dealt with all 3 problems.

With all of these sources of ideas and needs, Tapeless is excited about its role in the fixative market and its contributions to wound dressing.

www.tapelessmedical.com

RE-USABILITY AND TAPELESS

RE-USABILITY AND TAPELESS

A key feature of Tapeless is the ability to reuse the dressing holder numerous times.  The question arises as to the number of times that the product may be reused, but as should be obvious, it depends on a number of factors.

First, is the end point at which the user no longer feels comfortable with that particular product.  Tapeless has a testimonial that asserts 100 applications but it is reasonable to say that not everyone would use it for 100 times.  

Factors that influence product usefulness include:

            Location – wound dressing holders situated at points of friction or movement are subject to more wear and tear than static areas, but still have significant numbers of applications.

            Type of wound- wounds with heavy drainage may influence longevity if the user is concerned about staining and discoloration, even though the dressing holder is still functional and may be washed “clean”.  The number of dressing changes per day may also influence product durability but remember that as use increases, so does cost effectiveness .

             Care - holders are washable and reusable and since the material contains a polypropylene plastic, drying restrictions must carefully be observed.  The holder should only be air-dried.  Surprisingly, the temperature of the water or the nature of the cleanser does not affect washing.  Washing should be by hand or in a lingerie bag.

            Material integrity - as usage is increased, the material may pill from repeated applications and removals of the Velcro, but function is unaffected.  If the dressing is not properly sized, closure may be tighter than dictated by the anatomic design and the material may fray, or in extreme situations, may tear. 

Although it is best to avoid applying a specific number to uses, most often, taking into account the above mentioned factors, dressing holders should be effective for a minimum of a dozen applications.

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MEDICARE HCPCS CODES AND TAPELESS

MEDICARE HCPCS CODES AND TAPELESS

HCPCS Codes are numbers assigned to every task and service a medical practitioner may provide to a Medicare patient, including medical, surgical and diagnostic services.   Under the Level II code set is a code set for medical services such as durable medical equipment, prosthetics, orthotics and supplies.  These codes are alpha-numeric in that they begin with a single letter, followed by 4 numbers.  The Tapeless dressing system products have been approved for a Medicare billing designation: the 2 codes are A4463 (SURGICAL DRESSING HOLDER, REUSABLE) and A4221 (SUPPLIES FOR MAINTENANCE OF DRUG INFUSION CATHETER, PER WEEK).  HCPCS Codes are used by public and private health plans for patients recovering in a home health program, after hospitalization or from treatment at outpatient clinics.

Health plans using the HCPCS codes are:

            A  group health plan, health insurance issuer or HMO

            Part A or B of the Medicare program

            The Medicaid program

            An issuer if a Medicare supplemental policy

An issuer of a long-term care policy, excluding a nursing home fixed-indemnity policy

An employee welfare benefit plan or any other arrangement that is established or maintained for the purpose of offering or providing health benefits to the employees of two or more employers

            The health care program for active military personnel

            The veterans health care program

The Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); the Indian Health service program

            The Federal Employees Health Benefits Program

            An approved state child health plan

            The Medicare Plus Choice program

Any other individual or group plan or combination of individual or group plans that provides or pays for the cost of medical care: and a high risk pool that is a mechanism established under a state law to provide health insurance coverage or comparable coverage to eligible individuals.     

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HEAVILY DRAINING WOUNDS AND TAPELESS

HEAVILY DRAINING WOUNDS AND TAPELESSÔ

A frequently asked question relates to heavily draining wounds. Tapeless functions with virtually any primary wound dressing, so this article will focus on how a secondary wound dressing, Tapeless, benefits the treatment of this troublesome occurrence irrespective of the primary dressing.

A heavily draining wound is often the result of a superficial infection.  Oral antibiotics offer little since a good blood supply is needed to deliver the antibiotic to the wound and a poor blood supply is often the cause for the wound.  The approach should be topical.  The primary wound dressing is the caregiver’s choice, but a favorite is a dilute iodine solution.  The role of the secondary wound dressing is important, since not only must it keep the medicated primary in contact with the wound surface, but it should be cost effective enough that it will allow dressing changes as frequently as desired.  Tapeless not only is initially inexpensive, but also permits dressings changes as often as needed without adding additional cost to each dressing change.  Changes are simple and painless thereby improving patient compliance.    This hastens the wound healing process.

Tapeless also provides a unique material that has an innate stretch but not enough that it is prone to slip or dislodge.  This relates to the matter of heavy wound drainage by permitting the user to place several layers of absorbent material on the wound which removes the drainage quickly and thoroughly.  The Tapeless material, breathable, stretchable and non-constrictive, and anatomic in shape, will accommodate the extra underlying layers without loss of shape or ability to remain in place functionally over the wound. 

Finally, another quality of the Tapeless dressing holder is that it may be washed and reused if desired, removing any drainage since as a secondary wound dressing, it needs to be clean, not necessarily sterile as does the primary dressing.

These features of Tapeless are but a few of the many that support the use of these products with wounds that are heavily draining.

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TAPELESS™ VS. THE TRADITIONAL ~ PART 3.

TAPELESS™ VS. THE TRADITIONAL
PART 3.

Once the consumer has read and understood the issues raised in Parts 1 & 2, he/she should
be able to evaluate the benefits or shortcomings of the traditional secondary wound
dressing and Tapeless™. (It should be noted that the criteria presented in Part 2 were the
product of another author writing on secondary wound dressings.)

Tape
* Limited to certain anatomical areas because of hair and moisture
* Loosens by friction or motion
* Causes skin problems due to allergic reactions to adhesive or loss of protective layer
on removal
* Requires dexterity or assistance to hold primary dressing in place while taping
* Causes discomfort when removing
* Lacks ability to be reused or reapplied: not cost effective with… (see below)
* No reimbursement
* May tear gloves of care provider, increasing contamination to both

Rolls Of Gauze
* Need to cut off excess or uses more than
necessary: not reusable or washable: not cost effective
* Must be secured by tape or something else
* Will quickly stretch, move and slip with loss of shape; not anatomic
* Bulk may limit mobility, range of motion, with loss of function
* Circular motion needed to wrap difficult for individuals with limited
flexibility
* Increases biohazardous waste and cost of removal
* Time consuming to change

Elastic Netting
* Must be slipped over body part which can be
difficult or painful.
* Often rolls up creating a constrictive band and loss of holding
power: not anatomic, need to cut and create a fit
* Requires more than one individual to apply or change dressings
* Frequently needs a secondary dressing like tape to stay put
* No way to keep primary from slipping beneath netting
* Time consuming to change

Elastic Wraps
* Tapeless™ is Not COBAN®! Not washable or reusable
* Must re-roll wrap before reapplication
* Not anatomic so non-conforming in many locations
* Allows dressings to shift during application or while worn
* May be wrapped dangerously tight
* May lose shape from frequent stretching or applications
* Time consuming to change
* The longer it’s on - the tighter it gets

Tapeless™ Offers
* Latex Free
* Washable, Reusable
* Cost effective
* Non-Adhesive
* Breathable
* Clinically Proven
* Easy, Painless, Rapid
* Non Constrictive removal & application
* Anatomically designed
* Minimal bulk
* Works with Any Wound Dressing

Note that Tapeless™ satisfies all characteristics listed by the author of the IDEAL
WOUND DRESSING.(refer to PART 2)

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SECONDARY WOUND DRESSINGS

SECONDARY WOUND DRESSINGS
PART 2

With Part 1, and now Part 2, Tapeless Medical provides the consumer with a means to maneuver through the slick marketing campaigns that flood the literature.  The consumer now can understand what is needed for a good outcome and has the tools to make the choice.  In Part 3, the last installment of this topic, Tapeless will present its case as to why it is superior to traditional secondary wound dressings by standing up against these standards.

CHARACTERISTICS OF THE IDEAL SECONDARY WOUND DRESSING:

1.  Does not created a detrimental environment to rapid and effective healing (breathable).
2.  May be sterilizable if necessary.
3.  Provides good absorption of fluids thus providing an effective wick to remove these detrimental fluids away from the wound.
4.  Minimizes the opportunity for secondary infections.
5.  Does not damage the surrounding healthy tissue by virtue of its attachment to tissue or hair (adhesives), thus making the situation potentially worse.
6.  Is comfortable in its application or removal.
7.  Does not stick to surrounding tissue, hair or underlying primary wound dressing.
8.  Allows for a quick and easy assessment of the underlying wound or status of the primary wound dressing.
9.  Provides sufficient mechanical protection to the wound.
10.  Does not shed loose material into the wound or interfere with the function of the primary dressing.
11.  Conforms to the anatomical contours of the wound site.
12.  Resists tearing.
13.  Is non-flammable.
14.  Properties remain constant when we, dry or with temperature changes.
15.  Has a long shelf life.
16.  Has minimal bulk and storage space.
17.  Is cost effective.  Able to be washed and reused.
18.  Reduces bio-hazardous waste materials and the associated cost of their removal.
19.  Allows unimpaired motion and range of motion.
20.  Does not impair blood supply by being constrictive.
21.  May be used with any primary wound dressings.

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WHAT ARE SECONDARY WOUND DRESSINGS?

WHAT ARE SECONDARY WOUND DRESSINGS?

PART 1

 Tapeless wound dressing holders are secondary wound dressings.  What does this mean and what makes Tapeless superior to traditional secondary wound dressings?

Wound dressings are of two types; primary and secondary. Primary wound dressings are applied directly to a wound and may contain some medication.  Secondary wound dressings secure the primary wound dressing in place.  They are not secondary in importance, for if the primary wound dressing cannot be kept or applied where intended, then no matter what is placed on the wound might not work. 

Secondary wound dressings provide several important functions other than just securing the primary:

1.         Hold the primary dressing in the intended location.     This is mentioned above, but is worth repeating again: if the primary wound dressing moves or looses contact with the underlying wound, then the benefits may be lost.

2.         Supports the wound site.   If an implant, catheter, drain or graft has been inserted, movement must be avoided.   A secondary wound dressing may be required to protect and support the wound and device.  A cast or heavy wrap is an example of this type of wound dressing.

3.         Protects the wound site.   In this case, the wound dressing keeps the wound from further trauma, either from mechanical sources such as friction, motion or environmental factors like moisture or temperature. 

4.         Provides an environment for optimal healing.  This is a situation where the wound requires a closed environment for the primary dressing to function.

5.         Camouflages the wound.   An unsightly wound is not socially acceptable.

6.         Provides treatment to the wound.   This situation is a working synergistic relationship between the primary and secondary dressings, either of which alone will not work; a wet-to-dry wound debridement, in which the primary dressing needs to allow the underlying primary dressing to dry so that on removal of the primary, debridement occurs.

In Part 2, Tapeless will build its case for being a superior secondary wound dressing.

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OUR SKIN AND TAPELESS

OUR SKIN AND TAPELESS

Few know that skin is an organ, one of our most important organs.  Some organs can be transplanted and replaced when they fail, but as of today, it is impractical to transplant another’s skin and have it function.

Skin’s functions are important.  Our skin first serves first as a protective barrier to trauma and outside bacterial contamination.  Skin also provides essential functions such as temperature regulation, sensory detection and protection from solar radiation.

With these few examples one should appreciate why some contact materials are not healthy for the skin and should be chosen carefully.  Tapeless utilizes a patented material that was chosen because of its positive qualities which coupled with patented designs, offers the first truly new secondary wound dressings since World War II.  

Tapeless is a “sandwich” of a paper-like material with a layer of polypropylene plastic between. This makes Tapeless comfortable to the skin and remains so over long periods of time. Tapeless is free of latex and like sportswear that is made of polypropylene,  breaths and wicks away moisture.  This is important to avoid maceration, or the whitening and wrinkling of the skin such as happens beneath the standard band-aid.  Macerated skin is not able to heal well.  Being latex free removes one major source of allergies to both the patient and healthcare provider.  The material is so “safe” that it has been used for decades in diapers and feminine sanitary products.

Tapeless is adhesive free.  Adhesives, no matter how “minimally aggressive”, stick to the top layer of the skin and on removal, peel off this protective layer, making the underlying tissue susceptible to further trauma and damage.  Adhesives are to be strictly avoided with diabetes.

A very important aspect of Tapeless is that its material does not get tighter the longer it is on, as with COBANÒ.  This consequence further compromises the blood supply to the wound site, drainage of swelling and contributes to the tendency to roll its edges, forming a dangerous constrictive band.  Add to the beneficial features the anatomic designs, the cost effectiveness and the lack of bulk, and TapelessÔ provides a secondary dressing that is truly unique and clinically proven to be safe and preferable.

www.tapelessmedical.com

EPIDERMOLYSIS BULLOSA AND TAPELESS

Epidermolysis bullosa, or ”EB”, is a group of disorders involving degrees of severity of blister formation with resultant scarring, deformities, secondary infections, skin cancers, eating abnormalities and even death.  The complications depend on the success of treatment, prevention of episodes of occurrence and the type of EB involved. With E.B., secondary wound dressings have as much impact as with any wound disorder.  It can make a positive or negative impact on the comfort of the patient, cost management, prevention of complications and ease of wound management.

The goal of treatment is to prevent the formation of blisters and any subsequent complications.  The use of adhesives is forbidden and the use of clothing and secondary wound dressings that are simple to get on and off are encouraged.  Tapeless products are very beneficial in the management of this disorder and Tapeless has begun to work with EB patients through a relationship with the DebRA Foundation, a remarkable organization dedicated to this inherited disorder. (www.debra.org.)  Since this disorder generally begins at birth or soon thereafter, Tapeless, with the ability to manufacture its products in any size, has produced smaller versions of those products that have the most applicability to the patient needs with this disorder.  Early feedback from the parents of these trial cases is very positive, with dressing changes less painful, better tolerated by the child, quicker and easier to apply/remove and more cost effective.  The more frequent and tolerable the dressing changes, the better the wound management.  Features, such as no adhesives, anatomic shape, breathability, washability/reusability, no constriction, absence of bulk and Medicare Part B reimbursement, allow these products to provide an ideal clinical dressing alternative with the ability to minimize complication occurrence and improve the quality of life for patient and family

As Tapeless continues to work with organizations like The DebRA Foundation and pediatric hospitals demonstrating an interest in treating this disorder, we look forward to contributing further in the overall management of EB. 

www.tapelessmedical.com

IV/PICC LINES AND TAPELESS

IV/PICC LINES AND TAPELESS

IVs and PICC (peripheral inserted central catheters) lines are utilized for lengthy large vein administration of otherwise irritating medications, nutritional fluids, long-term antibiotics and chemotherapy agents.  With the growth in home healthcare and the ability to manage PICC lines at home, improvements in their care and use deserve more attention.

As an important tool in modern medicine, the care and reliability of this device is foremost.  Discussions about the use and care focus on infection, blockage, and leakage of medications.  These are essential, but so is attention to accidental dislodgement of the catheter; inadequately conveyed on an Internet site as “avoid sharp objects and do not allow pets or young children to play with the PICC line”.   The Tapeless IV/PICC line holder not only provides for additional securement and visualization of the catheter insertion site but also is designed specifically for this problem.

The components of this unique product provide a number of functions.  These include (1.) securement around the arm to increase PICC line stability, (2.) a large “window” to permit visualization of the insertion site and surrounding tissues, thereby assisting in inspection for infection and fluid infiltration into local issues, (3.) a strap to secure the disconnected tubing and small monitors when not in use and  (4.) a flap that folds down to cover and protect the PICC line and tubing from entangling situations.  Medications can even be administered with the flap in place.

This novel device is being used by cancer centers, hospices and in home care settings across the country.  They are Medicare Part B reimbursable, increasing their cost effectiveness and practability.

http://www.tapelessmedical.com/iv_picc.htm

BREAST PROBLEMS AND TAPELESS

BREAST PROBLEMS AND TAPELESS

There are a myriad of surgical and non-surgical situations where wound dressing management affects comfort, recovery time, patient activity, cost, wound healing , complications and ultimate cosmetic results.   The choice of the wound dressing holder is important.   Variables such as the number of wounds, their location and the specific treatment prescribed dictate what is required of the breast dressing device.  Notice that traditional devices are mostly designed with a single intended purpose: support the breast or dress the wound.  Rarely does a single dressing device adequately deal with both needs.  It is also possible, by understanding the complexity of care and the number of variables, to encounter treatment changes during the course of care, so that a variety of wound dressings may be required before final resolution of the problem. It would be advantageous if a single dressing system were able to accommodate any or all of the variables and primary wound dressings and not only provide breast support, but also provide simple, comfortable, quick, cost effective, reimbursable and effective wound management.

Tapeless breast dressing holders, through a combination of design and material, address these specific needs and variables: location of wounds, number of wounds, different primary wound dressings, shape of the breast, size of the breast and even the presence of drains or tubes.  Tapeless is sized for comfort with material that is washable/reusable and non-allergenic.  Each breast is able to be independently managed.  As with all Tapeless products, the breast dressing holders are Medicare Part B reimbursable.

http://www.tapelessmedical.com/breast.htm

THE FOOT ULCER AND TAPELESS

THE FOOT ULCER AND TAPELESS

Ulcers of the toe, ankle, sole of the foot and heel are treated by internists, podiatrists, vascular surgeons, general surgeon and plastic surgeons.  Why would such a variety of specialists treat the same problem?  The answer is the variety of causes, the complexity of the underlying medical problems that require management and the slow to respond, chronic nature of these wounds.  Whether they are due to diabetes or other medical diseases or blood flow abnormalities, there is a need for prevention and specialized treatment.  Cure is a difficult goal.

This is a recipe for great expense and the need for diligent and constant attention.  The importance of the primary wound dressing is obvious, but the importance of the secondary wound dressing should not be overlooked.  If the secondary wound dressing minimizes costs, enhances patient compliance and takes into account the limitations in application due to age or restrictive medical problems like arthritis, then the final outcome may be easier.  Compliance can be the difference between an amputation and a healed wound. Furthermore, the secondary wound dressing should not predispose the patient to other problems that occur as a result of the choice of that dressing.   Examples would be a stiff ankle that occurs from a secondary dressing that is too bulky to allow a normal range of motion, or a secondary dressing that is too tight, further restricting blood flow or a secondary dressing that contains latex or an adhesive that subjects the skin to loss of its natural protective layers.

The combination of a clinically proven anatomic design, such as with the Tapeless Universal Foot dressing holder, extending from the ankle to the base of the toes, and a unique material, (washable, reusable, breathable, non-constrictive, non-adhesive, non-allergenic and latex free), is an example of how Tapeless dressing holders address these vital issues.

HOME HEATLH CARE AND TAPELESS

HOME HEALTH CARE AND TAPELESS

Previously, hospitals worked to fill beds completely.  As payment structures changed, the goal moved to get the patient out of the hospital as quickly as safely possible and continue care at home.  For this reason, home care became the largest, fastest growing aspect of medical care.   The pressure of economic responsibility shifted to home health care agencies as they were compensated based on diagnosis and not necessarily on care given.   It became cost effective for these visiting nurses to provide fewer and shorter visits with a patient.

Tapeless secondary wound dressings are the perfect products for this cost sensitive industry.

1.      Tapeless, being anatomically designed, easily is applied to the desired location.  Not only does this allow the patient to apply and change his own dressings, thereby reducing the number of nursing visits, but with a low risk of too tight an application or improper positioning.  Family members can assist without concern of difficulty or complexity of dressing changes.

2.      Tapeless is washable and reusable thus reducing cost for supplies.  Tapeless is Medicare Part B reimbursable that many other secondary dressings are not.

3.      Tapeless permits the nurse to not only require fewer visits, but studies have documented a significant time-savings, which is also a cost benefit.

4.      Tapeless, by allowing for safe, effective wound care without the need of a nurse, can be done more frequently thus possibly improving healing time.

5.      Tapeless, by virtue of the material used and the anatomic design, is applied by securing around the body part, not needing to be slipped over or wrapped around the body part.  This permits individuals that have difficulty with these motions to still effectively use Tapeless.

Diabetes, Blood Flow and TAPEless

One-third of diabetics greater than age 50 suffer from peripheral artery disease (PAD), a disorder obstructing blood flow.  If not treated, consequences can be significant.  Diabetes is the most common cause of non-traumatic leg amputation, over 56,000 per year, while of these 50% are preventable with proper care.

How does a disease seemingly of just high blood sugars, result in devastating events and even yet, how does the use of TAPEless enter into this question?  Chronically elevated levels of blood sugar cause cells that line blood vessels to thicken.  This narrowing, through a reduction in blood flow, may then cause skin ulcers with infection and, in serious cases, lead to tissue loss and gangrene.  These ulcers, often chronic in nature, need careful management: management that may determine the healing or worsening of the wound.  Adhesives are forbidden with diabetics since they cause breaks in the skin's protective mechanisms and thus, may lead to additional wounds.  Furthermore, in the presence of a reduced blood flow, dressing methods that constrict blood flow, (elastic rolls and elastic wraps), are to be avoided.  Moreover, they are dangerous to apply if unable to discern if it is too tight as in the presence of diabetic peripheral neuropathy (abnormal or decreased sensation).

Thus securing of the wound dressing in place plays a significant role in wound healing.  TAPEless dressing holders lack adhesives, are non-constrictive and additionally, are latex free, hypo-allergenic, washable, reusable and breathable.

When faced with the need to care for diabetic ulcers, since care may affect the outcome, remember TAPEless dressing holders as a unique solution.

LEG, ANKLE AND FOOT ULCERS AND TAPELSS

Lower extremity ulcers are a common consequence of arterial insufficiency, venous problems and diabetes.  Although the causes may be different, the end result may be a chronically infected, slow healing ulcer that is time consuming, expensive and may lead to surgery and amputation.  The final common pathway is an impairment of the blood supply to that area.

Treatment is critical to prevent serious complication.  The ease, the expense, the discomfort and the complexity of care all enter into the result and compliance of the patient.

If the dressing securement cannot adequately maintain the wound dressing as intended without additional damage, significant expense or difficulty in use, then there might as well be no wound dressing holder.

Tapeless significantly minimizes concerns because:

1.  Anatomical design keeps dressing exactly where placed.
2.  Contains no adhesive or latex.
3.  Simplifies dressing changes by fitting around the extremity like a "clam shell" rather than
     needing to slip over toes or foot which may be difficult or painful.  Does not require 
     wrapping or unwrapping motions.
4.  Breaths (prevents damage to underlying tissues).
5.  Do not impair circulation when applied properly.  If compression is required, apply over
     the Tapeless holder, thereby not disturbing the wound dressing.
6.  Reusability and ability to wash the product makes it extremely cost effective, permitting
     dressing changes as often as required without increasing cost.
7.  Anatomic design and material minimize bulk, permitting use of shoes, socks, etc.,
     without restricting normal motion.
8.  Medicare Part B reimbursement is available for every Tapeless product.  Most secondary
     wound dressing holders do not provide for reimbursement.

Tapeless offers a new concept and alternative method to traditional wound dressings.