DeWrap™ is a three-layer compression system designed to deliver sustained, graduated compression for management of lower extremity edema and ulcerations associated with venous insufficiency.
• Delivers sustained, graduated compression for lower extremities
• Provides recommended level of compression to improve calf pump function
• Reduces venous hypertension
• Aids in healing venous ulcerations
• Can be worn for seven days
• Can be used with other primary or secondary dressings
DeWrap™ Dual Action Compression System is intended for treatment of venous insufficiency, lower extremity edema and venous leg ulcers.
Instruct patients/nurses to remove DeWrap™ Dual Action Compression System immediately if the foot or toes become pale or discolored, painful, numb/tingling or cool to the touch.
These signs may suggest that arterial blood flow is compromised by the compression device. DeWrap™ Dual Action Compression System should always be applied and monitored by a trained health care provider. Incorrect application of DeWrap™ Dual Action Compression System may result in inappropriate levels of compression. Low levels of compression will not provide adequate compression to manage lower extremity edema. High levels of compression may restrict arterial blood flow to the distal extremity.
Lower Extremity Edema
Wash lower extremity intact skin with mild, non-perfumed soap and thoroughly pat dry. Rinse open wounds with physiological solution such as sterile normal saline. Apply lotion to intact skin, if desired. Treat wound with a dressing such as Multidex® Gel for dry wounds and Multidex® Powder for draining wounds. Cover wound with appropriate non-adherent absorptive secondary dressing to help prevent maceration of periwound skin. Measure ankle circumference. 18cm circumference is necessary for DeWrap™ Dual Action Compression System to deliver recommended graduated compression. If ankle circumference is <18cm, pad the ankle with additional layers of Layer 1. Flex foot to 90° angle and maintain position throughout application of all three layers. Apply absorptive layer (Layer 1) by using spiral technique with 50% overlap. No tension is required for this layer. Cut any excess bandage to avoid overlap at the knee. Apply additional Absorptive Layer 1 around the ankle for ankle circumference less than 18cm or place over wound area for additional absorption. Apply the elastic compression layer (Layer 2) with 50% stretch/tension using figure 8 wrapping technique. Cut any excess bandage to avoid overlap at the knee. Secure with tape. Apply the cohesive layer (Layer 3) by stretching 50% and wrap using the spiral technique with 50% overlap. Discuss "warnings and risks" with the patient and caregiver.
Maximum wear time is seven days. Remove dressing using blunt bandage scissors. Dispose of soiled dressing per institution's policy. DeWrap™ Dual Action Compression System package may be used to discard soiled dressings.
Absorptive layer, elastic layer, cohesive layer
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