AQUACEL® Ag EXTRA™ Hydrofiber® Wound Dressing with Ionic Silver is composed of two layers of Hydrofiber® Technology. Cleared for the same indications as AQUACEL® Ag dressing. Specifically suitable for moderate to highly exuding wounds.
• Reduces wound pain while the dressing is in situ
• Helps reduce pain and trauma upon dressing removal
• Absorbs and retains exudate and harmful components, such as bacteria contained within exudate, directly into its fibers
• Vertical wicking locks exudate in the dressing, which may reduce the risk of maceration of periwound skin
• Conforms to the wound surface, thereby reducing dead space
• Provides on-demand and sustained antimicrobial activity
• Does not damage tender, granulating wound tissue or healthy tissue surrounding exudating wounds during dressing changes
• Absorbs wound fluid and creates a soft gel, which maintains a moist wound environment that aids autolytic debridement and supports the body's healing process
• Nine times stronger and 50% more absorbent than the orginal AQUACEL® Ag dressing
AQUACEL® Ag EXTRA™ Hydrofiber® Wound Dressing with Ionic Silver may be used as stated in the DIRECTIONS FOR USE for the management of: wounds as a barrier to bacterial penetration of the dressing, as this may help reduce infection; wounds where there is an infection or an increased risk of infection; diabetic foot ulcers, leg ulcers, (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology) and pressure ulcers/injuries (partial- and full-thickness); surgical wounds; traumatic wounds; wounds that are prone to bleeding, such as wounds that have been mechanically or surgically debrided; oncology wounds with exudate, such as fungoides-cutaneous tumors, fungating carcinoma, cutaneous metastasis, Kaposi's sarcoma, and angiosarcoma; wounds where bacteria are a suspected cause of (or a factor in) chronicity/non-progression.
AQUACEL® Ag EXTRA™ Hydrofiber® Wound Dressing with Ionic Silver should not be used on individuals who are sensitive to or who have had an allergic reaction to silver, sodiumcarboxymethylcellulose,
ethylenediaminetetra-acetic acid di-sodium salt (EDTA) or benzethonium chloride (BeCl).
Caution: Sterility is guaranteed unless pouch is damaged or opened prior to use. If the immediate product packaging is damaged, do not use.
This device is for single-use only and should not be re-used. Re-use may lead to increased risk of infection or cross contamination. Physical properties of the device may no longer be optimal for intended use.
Due to the sterilization process there may be a slight odor on opening the primary packaging.
When dressing sinus, tracking or undermining wounds use AQUACEL® Ag EXTRA™ Hydrofiber® Wound Dressing with Ionic Silver.
During the body’s normal healing process, non-viable tissue is removed from the wound (autolytic debridement), which could initially make the wound appear larger.
This dressing can be cut in any direction.
If you have difficulty removing the dressing, it should be soaked with water or sterile saline until it removes easily.
Because AQUACEL® Ag EXTRA™ Hydrofiber® Wound Dressing with Ionic Silver provides a moist environment that supports the growth of new blood vessels, the delicate newly formed blood vessels may occasionally produce bloodstained wound fluid.
This dressing is not compatible with oil-based products, such as petrolatum.
For choice of secondary dressings refer to the DIRECTIONS FOR USE.
Appropriate supportive measures should be taken where indicated (e.g., use of graduated compression in the management of venous leg ulcers or pressure relief measures in the management of pressure ulcers, systemic antibiotics and frequent monitoring in the treatment of wound infection, offloading and control of blood glucose for diabetic ulcers, etc.).
This dressing is not intended for use as a surgical sponge.
Clinicians/health care professionals should be aware that there are very limited data on prolonged and repeated use of silver containing products, particularly in children and neonates.
|Absorptive dressing format||●|
|Alginate dressing format|
|Antimicrobial effects up to 48 hours|
|Antimicrobial effects up to 3 days|
|Antimicrobial effects up to 7 days||●|
|Collagen dressing format|
|Composite dressing format|
|Contact layer dressing format|
|Foam dressing format|
|Gauze or non-woven dressing format|
|Gelling fiber dressing format|
|Hydrogel (amorphous) dressing format|
|Hydrogel (impregnated) dressing format|
|Hydrogel (sheet) dressing format|
|Impermeable to outside contaminants|
|Impregnated dressing format|
|Moisture vapor permeable||●|
|Secondary dressing required||●|
|Super absorbent polymers|
|Sustained release formula|
|Transparent film dressing format|
|Wound filler dressing format|
|Educational Material Available||●|
|Free Samples/Trials Available||●|
|Published Clinical Article Available|
Moderate/Highly Exudating Wounds
Non/Minimally Exudating Wounds
Before applying the dressing, cleanse the wound area with an appropriate wound cleanser.
AQUACEL® Ag EXTRA™ Hydrofiber® Wound Dressing with Ionic Silver should overlap at least 1cm onto the skin surrounding the wound.
When using this dressing in deep wounds, only fill the wound up to 80%, as this dressing will expand to fill the wound space on contact with wound fluid.
This dressing is recommended to be used with:
- a moisture retentive cover dressing such as AQUACEL™ Foam, Versiva™ XC™, DuoDERM™ Extra Thin or CarboFlex™ in lightly to moderately exuding wounds;
- a non adhesive cover dressing such as AQUACEL™ Foam NA , Versiva™ XC™ NA or CarboFlex™ or a gauze pad, in heavily exuding wounds;
- for dry wounds refer to section FOR DRY WOUNDS below.
See individual cover dressing package inserts for complete instruction for use.
All wounds should be inspected regularly. Remove this dressing when clinically indicated (i.e., leakage, excessive bleeding, increased pain) or after a maximum of seven days.
For Dry Wounds:
Place the AQUACEL® Ag EXTRA™ Hydrofiber® Wound Dressing with Ionic Silver on the wound and wet with sterile saline over the wound area only. The vertical absorption properties of this dressing will help to maintain the moist area over the wound only and reduce the risk of maceration. Cover the dressing with a moisture retentive dressing such as DuoDERM™ Extra Thin to avoid drying out of the dressing and subsequent dressing adherence to the wound.
While the dressing may have to be changed as often as every two to three days in the beginning, it can be left on the wound for up to seven days (14 days for partial-thickness burns) when the wound is almost closed.