Clinical Review...2.3 Clinical Practice Foam dressings come in a variety of sizes, shapes, and formats. This enables their use: as primary, and secondary dressings; for differing wound

Clinical ReviewFoam Dressings

Published: October 2018

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Contents

1. Introduction .............................................................................................................. 4

2. Clinical Context ....................................................................................................... 5

2.1 Clinical Definition and Scope ....................................................................... 5

2.2 Intended Clinical Use..................................................................................... 5

2.3 Clinical Practice ............................................................................................. 6

2.4 Clinical Impact ................................................................................................ 6

2.5 Other Clinical Considerations ...................................................................... 6

3. Pathway Methods .................................................................................................... 6

3.1 Intelligence Gathering ................................................................................... 6

3.1.1. Literature search ........................................................................................ 7

3.1.2. National procurement provider specification ........................................ 7

3.1.3. National and international safety and quality standards...................... 8

3.1.4. Product suppliers and manufacturers .................................................... 8

3.1.5. Quality of evidence .................................................................................... 8

4. NHS Clinical Engagement ...................................................................................... 9

4.1 Clinical Conversations .................................................................................. 9

4.2 Clinical Criteria ............................................................................................. 10

4.2.1. Criteria explanation- Inclusion (Adhesive & Non-adhesive Foam Dressings) ........................................................................................................... 12

4.2.2. Criteria explanation- Exclusion (Adhesive & Non-adhesive Foam Dressings) ........................................................................................................... 14

4.3 Product Assessment Results- Laboratory ............................................... 14

4.4 Product Evaluation ...................................................................................... 15

5. Product Assessment Results .............................................................................. 17

6. Further Considerations and Recommendations ............................................... 19

6.1 Future recommendations............................................................................ 19

6.2 Barcodes ....................................................................................................... 21

7. Disclaimer ............................................................................................................... 21

8. Acknowledgements ............................................................................................... 22

9. Authors and NHS Clinical Evaluation Team Information ................................. 23

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Guidance for use

This clinical evaluation report is aimed primarily at the NHS and all those working to

support patient care.

Please note that the product assessment results should only be read and used in

conjunction with the full text of this clinical review.

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1. Introduction

The NHS Clinical Evaluation Team was established in April 2016. The team’s remit

is to add independent clinical review to ‘everyday healthcare consumables’ used by

the NHS.

Everyday healthcare consumables are products that are found in the majority of

wards, clinics, health centres, treatment rooms and district nurses’ bags across the

NHS. The purpose of this report is two-fold: firstly, to provide a clinical assessment of

the usability and requirements from the NHS for foam dressings that are available to

the NHS from the national procurement provider and secondly, to provide a clinical

statement of desired functions and properties that the clinicians in the NHS require of

foam dressings for use in future procurement activities.

It is clear from the evidence gathered that foam dressings, featured in this report, are

everyday healthcare consumables that are found in most clinics or ward settings and

would certainly be items included in any stock list to set up a new clinical service. On

that basis, the project was approved by the Clinical Reference Board, culminating in

the production of this report for their approval in October 2018.

Based on 2016 data supplied by NHS Supply Chain, in the NHS, Trusts are

purchasing over 10.5 million foam dressings annually, with an increase in nearly

1,000,000 from the previous year, continuing a trend of consistent increased usage

over the past few years. This leads to an annual spend of just under £25 million

through the national distributor.

We are aware that this route of purchase makes up only a percentage of total

products purchased (approximately 40%) although with wound care products, this

market share may be significantly lower. Community services are a major purchaser

of wound care products with direct purchase and FP10 (prescription) being a

predominant route for dressing procurement. Thus a truer figure for annual

expenditure on foam dressings may be nearer £63 million.

There are many different foam dressings on the market, with new products regularly

being launched to the UK market, however the scope of this evaluation is to include

only those products used for wound care listed on the national providers framework

at the time of the evaluation. This report covers the range of products available

through that route as of August 2017.

Intelligence on foam dressings was gathered from a variety of sources to provide

background information on the current evidence available to support the way in

which these devices are designed and clinically evaluated.

Following this, clinical engagement sessions were held with the aim of identifying

important clinical criteria for foam dressings from frontline NHS clinicians. This

information was used to develop clinical criteria for these dressings, against which all

brands available from the national procurement provider were reviewed.

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Findings from these clinical reviews are collated into a product assessment report to

allow users to identify products and see how they performed against the agreed

clinical criteria.

A more detailed description of the team and our pathway approach can be found in

the NHS Clinical Evaluation Team operating manual which can be found on our

website at: www.supplychain.nhs.uk/cet.

2. Clinical Context

2.1 Clinical Definition and Scope

Foam dressings are one of the most widely used dressings in healthcare, (based on

volume purchased). They have many functions in addition to those more specific to

wound care, including pressure reduction, protection and comfort. Within wound

management they are used for fluid management, over-granulation/hypergranulation

management, maturation, and protection, and the maintenance of a moist wound

environment.

• Foam dressings are an everyday clinical product, in the 12 months to April

2016; the national provider estimates it sold over 10.5 million products.

• Foam dressings can be located in most health centres / treatment rooms, ward

and clinic environments, as well as in theatres along with community services

and in patients own homes.

• Foam dressings have a clinical and patient impact; they are applied routinely

on patients by health care professionals but also by patients themselves and/or

relatives/carers for long term management. The volume of sales figures from the

national provider highlights this high use.

• The composition of the foam product: with/without border; with/without non-

adherent membrane; profile of foam and density of foam may vary amongst

differing products and product ranges; which may have impact upon the patient

experience and outcomes.

Antimicrobial foam dressings

For the purposes of this evaluation antimicrobial foam dressings have been

removed, as the mode of action and delivery of antimicrobial agents would be best

compared to other antimicrobials rather than against other foam dressings.

2.2 Intended Clinical Use

Foam dressings provide a plethora of functions in wound care. As previously

mentione: they manage fluid exudate; they reduce over-granulating

/hypergranulating tissue; they enhance the maintenance of a moist wound

environment, and provide a healthy environment for epithelial maturation.

http://www.supplychain.nhs.uk/cet

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Exudate management is often a key feature in the frequency of dressing changes.

Good management may increase dressing wear time and reduce frequency of

dressing changes resulting in less pain to patient, greater maintenance of wound

temperature and reduction in exposure to external environment.

Foam dressings are used as a primary wound dressing for over-granulating wounds

and epithelial maturation, to provide protection or as a secondary dressing to secure

primary dressings, and/or for exudate management.

This report has two main sections. The first will provide the product assessment

matrix showing all products and their scores against the defined clinical criteria,

designed to aid clinicians in selecting the product that will best meet their population

needs. The second section will focus around recommendations for future product

development and initiatives.

2.3 Clinical Practice

Foam dressings come in a variety of sizes, shapes, and formats. This enables their

use: as primary, and secondary dressings; for differing wound and patient size;

under devices such as compression hosiery; and on differing anatomical positions,

and hard to dress areas, such as joints.

2.4 Clinical Impact

Selection of suitable products for intended clinical purpose can result in: reduced risk

of infection from external environment; prolonged maintenance of a moist warm

clean wound environment to optimise wound healing; improved patient experience

from frequency of dressing changes; reduced frequency of pain on dressing

changes; and potentially reduced clinical workload on healthcare professionals.

2.5 Other Clinical Considerations

It must be recognised that the clinical understanding of wound care and knowledge

of product(s) will vary amongst healthcare professionals in any given clinical

environment.

3. Pathway Methods

3.1 Intelligence Gathering

In preparation of the criteria, account has been taken of academic and related

clinical evidence, known guidance and nationally recognised publications as further

described in this Section 3.

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3.1.1. Literature search

Initially an evidence search was performed across the NICE databases. This

provided a nationally published article highlighting the lack of robust clinical evidence

on the performance of complex/advanced wound care products in aiding wound

progression in comparison to basic products. The document concluded that the

expected performance of these advanced products was not the issue, but the lack of

robust evidence was a concern.

The search terms used (see figure 1, below) generated many returns, however data

gleaned supported the earlier opinion from the NICE paper. Many of these reports

provided case studies, posters, and examples of performance and delivery of

advanced wound care products, however many were open to bias, i.e. funded by

manufacturer, without a defined methodology, without a clear control, and often

included subjective opinion from clinicians using these products. This information

was of value, but difficult to quantify and qualify.

Search criteria Databases searched

• Foam dressings

• Adhesive foam dressings

• Non-adhesive foam dressings

• Fluid management

• Protease modulators-foams

• NICE website Evidence search https://www.evidence.nhs.uk/

• NICE website journals and databases https://www.nice.org.uk/about/what-we-do/evidence-services/journals-and-databases (using Healthcare databases advanced search tool – Ovid, Medline, CINAHL, databases searched)

Figure 1 Literature and other sources searches – Foam Dressings

Additionally, a literature search was carried out on clinical performance of foam

dressings, reviewing years 2010 to present year. This yielded a large volume of

articles; predominantly case studies and clinical reports, which were considered,

though it was noted that the variance, lack of clear methodology and potential

sponsorship of these articles reduced their reliability and validity from a quantitative

perspective, but were of value as qualitative information.

An independent report published in 2016 from the National Institute for Health and

Care Excellence (NICE) surmised that there was insufficient evidence on the

performance of advanced dressings.

3.1.2. National procurement provider specification

The current national procurement provider’s (NHS Supply Chain) framework

specification was requested and reviewed to observe for sub-categorisation of

products, together with the details of any specifications for foam dressings.

https://www.evidence.nhs.uk/

https://www.nice.org.uk/about/what-we-do/evidence-services/journals-and-databases



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The specification, as used by the NHS national procurement provider (NHS Supply

Chain, 2016), provided limited detail relating to the clinical criteria relevant for foam

dressings, but were considered in the process for the development of such criteria.

3.1.3. National and international safety and quality standards

Account has also been taken of appropriate international and other standards as

they pertain to the devices (e.g. ISO, EN and/or BSI).

The Medicines & Healthcare products Regulatory Agency (MHRA) website

(https://www.gov.uk/drug-device-alerts) returned no product alerts relating to this

product category against the search terms previously described.

3.1.4. Product suppliers and manufacturers

Requests for information were sent to all suppliers listed on the national procurement

provider framework. The majority of suppliers provided a large amount of

information; from product brochure, to case studies, through to technical datasheets

and compliance with standards. Additionally many submitted laboratory testing and

clinical trials which they had commissioned.

3.1.5. Quality of evidence

Hierarchy of evidence

Levels of evidence sometimes referred to as hierarchy of evidence are assigned to

studies based on the methodological quality of their design, validity, and applicability

to patient care.

Hierarchy ranking

Description

Level 1 A systematic review of all relevant randomised controlled trials (RCT) or evidence-based clinical practice guidelines based on systematic reviews of RCT evidence

Level 2 Evidence from at least one well designed RCT

Level 3 Evidence from well-designed controlled trials; non-randomised, quasi experimental

Level 4 Well-designed case control & cohort studies

Level 5 Systematic reviews of descriptive and qualitative studies

Level 6 Evidence from a single, descriptive or qualitative study

Level 7 Evidence from the opinion of authorities and/or reports of expert committees

Figure 2 – Hierarchy ranking: Evidence based practice in nursing & healthcare: a guide to best practice” (B.M. Melnyk & E.

Fineout-Overholt; 2005; p10)

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4. NHS Clinical Engagement

In order to develop a shared vision of what foam dressings should offer several

methods of engagement were used. These engagement events were used to

formulate thoughts, ideas and needs from differing clinicians familiar with these

products; identifying their own expectation(s) of the product for their given patient

group, and intended patient outcome, being used in a variety of differing clinical

environments.

Mapping exercises were undertaken to determine personnel that should be involved

and/or consulted regarding these products. This stage of the report focused on

clinical staff that are:

a) recognised as subject experts, and/or

b) recognised regular users of the devices in their clinical practice

Various methods of engagement were undertaken to ensure these clinical opinions

were robust, and validated by peers from around the country, options of engagement

included:

• Regional and national face-to-face events with NHS clinical colleagues

• Focussed visits to NHS clinicians regional and national face-to-face events

• Website subscription

• Attendance at specialist network events

• Attendance at NHS Business Services Authority events

• Web-based surveys and e-engagement tools (e.g. email, WebEx, portal

based surveys)

4.1 Clinical Conversations

To build a broad caucus of attendees at our events letters were sent inviting Trusts

to nominate clinical colleagues to attend a series of regional group events. These

were hosted by NHS organisations throughout England to enable the widest possible

access for all invited. This ensured to set aside any pre-existing regional variance.

Details of the discussion outcomes were recorded from the open events, then used

together with the evidence gathered at the previous project stage to inform a list of

clinical criteria against which the product(s) are measured against.

Much of these national clinical conversations featured opinions by generalist health

care professionals, and allied health professionals. For the purpose of wound care

products, ratification and validation was sought of the proposed criteria by tissue

viability specialists. Engagement at regional tissue viability networks took place to

obtain this validation. Furthermore these events were used to gain consent from

these specialist clinicians to provide valuable feedback on the performance of

products being used in their own clinical environment against the proposed criteria.

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4.2 Clinical Criteria

The data received from all the NHS clinical conversation events, alongside the data

collected from individual experts, was assimilated into a series of clinical criteria.

A clinical criterion is defined for the purposes of this report as a principle or standard

by which products may be evaluated. It is a statement which describes the clinician’s

requirements for the product.

The proposed criteria were validated by workshop attendees and all other clinical

experts engaged in the development process. In addition, other clinical experts who

are likely to add further useful insight were also included, leading to the finalised

clinical criteria listed below.

Clinical Criteria – Adhesive Foam dressings

PACKAGING

The product category is visible on the box packaging (adhesive/bordered foam)

The product category is visible on the individual packaging (adhesive/bordered foam)

The size and shape of the dressing is displayed on the box packaging

The dressing size and shape is visible without opening the individual packaging

There are instructions and product information within/on the box packaging

There are instructions on dressings application on the individual packaging

OPENING & PREPERATION FOR USE

How would you rate the ease of opening individual packaging whilst maintaining product sterility

How easy are the instructions for application to follow

There is information to indicate that the dressing can be cut

CLINICAL USE

Conformability on application "flat area"- ease of application

Conformability on application "flat area"- adherence of border to peri area skin

Wear time- Manufacturers guidance

% wound contact layer that is foam

Ability to reposition dressing

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Fluid capacity management

Moisture vapour transmission rate

Ease of removal-Pain

Ease of removal-Peri wound skin condition

Ease of removal-trauma to wound bed

DISPOSAL

Is the packaging easily disposed of

Figure 3 – NHS Clinical Criteria adhesive foam dressings; June 2017

Clinical Criteria – Non-adhesive Foam dressings

PACKAGING

The product category is visible on the box packaging (foam)

The product category is visible on the individual packaging (foam)

The size and shape of the dressing is displayed on the box packaging

The dressing size and shape is visible without opening the individual packaging

There are instructions and product information within/on the box packaging

There are instructions on dressings application on the individual packaging

OPENING & PREPERATION FOR USE

How would you rate the ease of opening individual packaging whilst maintaining product sterility


There is information to indicate that the dressing can be cut

CLINICAL USE

Conformability on application "flat area"- ease of application

Wear time- Manufacturers guidance

% wound contact layer that is foam


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Fluid capacity under pressure

Moisture vapour transmission rate

Ease of removal-Pain

DISPOSAL

Is the packaging easily disposed of

Figure 4 – NHS Clinical Criteria non-adhesive foam dressings; June 2017

Clinical criteria are published online at www.supplychain.nhs.uk/CET

4.2.1. Criteria explanation- Inclusion (Adhesive & Non-adhesive Foam Dressings)

To enhance the readers understanding of this report, and to provide value to the results, an explanation for the defined clinical criteria is captured.

Packaging Criteria Explanation Type of foam A=Adhesive

N=Non-adhesive

The product category is visible on

the box packaging (Foam)

Displaying the product category clearly ensures health professionals know that the product being selected is a foam dressing

A/N

The product category is visible on the

individual packaging (Foam)

As in some working environments ( district nurses/ clinic rooms) products are removed from external box packaging, thus the individual packaging will be the only form of

product identification A/N

The size and shape of the dressing is

displayed on the box packaging

Wastage of clinical time- clear visibility of size reduces time taken for a health professional to select the correct product first time

A/N

The dressing size and shape is visible without opening the

individual packaging

As previous to reduce wastage of time and error of product size/shape- which can also lead to longer dressing time, greater risk of compromising sterile field, reduce patient

confidence in health professional and reduce concordance in dressing and health education (this may also reduce wastage of opening wrong size/shape product)

A/N

There are instructions and

product information within/on the box packaging

Information regarding product is important for health professionals to familiarise themselves with products prior to application

A/N

There are instructions on dressings application

on the individual packaging

As mentioned previously products are not always kept in original outer packaging, thus information may only be available on individual dressing packaging

A/N

Opening and Preparation

Criteria Explanation

Type of foam A=Adhesive

N=Non-adhesive

How would you rate the ease of opening individual

packaging whilst maintaining product sterility

Being able to open a product aseptically is fundamental, however the ease at which this can be achieved is also important for patient experience, health professional credibility,

and reducing wastage of both time and product

A/N


Ease of application may reduce product wastage from mis-application, it may also reduce frequency of dressing change, which may reduce; risk of infection;

temperature/moisture loss from wound bed, enhance patient experience, promote patient confidence and concordance in health professional knowledge and ability

A/N

http://www.supplychain.nhs.uk/CET

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There is information to indicate that the dressing be

cut

Providing health care professionals with clear remit of product function and application enhances clinical use, provides great consistency with dressing application amongst

health professionals and promotes patient confidence and concordance in health professional knowledge and ability

A/N

Clinical Use Criteria Explanation Type of foam A=Adhesive

N=Non-adhesive

Conformability on application

"flat area"- ease of

application

As with instructions, ease of application reduces time of dressing change, which may

reduce risk of colonisation, reduce temperature/moisture loss from wound bed, may reduce patient pain, and also promotes patient confidence and concordance in health

professional application of product

A/N

Conformability on application

"flat area"- adherence of

border to peri area skin

Good adherence of foam to peri-wound area reduces risk of bacterial colonisation, and enhances moist wound environment, and maintaining wound temperature

A/N

Wear time- Manufacturers

guidance

As above good and clear licensed wear time optimises wound environment, and manages expectations of both patient and other health professional on dressing

duration

A/N

% wound contact layer that is

foam

It is not known what, or if, the % of wound contact layer being foam directly in contact with wound has an impact on the wound, this may affect treatment of over-granulation, it may also provide clinicians with information into the variance (if any) amongst those

foams containing silicone non-adherent wound contact layer

A/N


As foams are not transparent/translucent dressings, no visibility of the wound bed is possible without removal, an ability to lift part of the dressing to observe wound bed and reattach dressing avoids the whole dressing being removed and wound disturbed

A/N


Foams are widely used for fluid management and over granulation, clarity over the volume of fluid managed is useful, especially as no universal scale on fluid management

is used across ranges of foams on the market

A/N

Fluid capacity under pressure

Fluid handling under pressure such as compression therapy may be of value, as performance may influence product choice in certain clinical environments- such as leg

ulcer clubs N

Moisture vapour transmission

rate

Directly linked to fluid capacity management A/N

Ease of removal-Pain Trauma on dressing removal can directly impact patient experience and concordance

with wound care advice A

Ease of removal-Peri wound skin condition

Clinicians aim to minimise any damage to peri- area which can lead to reduce patient concordance and expansion of wound (if peri- area sufficiently damaged)

A

Ease of removal-trauma to

wound bed

Trauma to wound bed delays wound healing, can reduce granulating tissue and delay epithelisation- as well as reduce patient experience and concordance

A/N

Criteria Explanation

Type of foam A=Adhesive

N=Non-adhesive

Disposal of packaging

Like the outer packaging the used products disposal is determined by the local area products are being used- not by the supplier. However bulkiness of packaging and

difficulty in flattening can have impact on waste volume in home and clinical settings

A/N

Figure 5 – NHS Clinical Criteria included explanation foam dressings; June 2017

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4.2.2. Criteria explanation- Exclusion (Adhesive & Non-adhesive Foam Dressings)

To capture true representation of clinical opinion, this report also aims to capture criteria that were raised, but not included as final criteria when the evaluation of these dressings took place.

Proposed Criteria Type of foam Explanation for exclusion

Fluid capacity under pressure Adhesive foam

Whilst fluid capacity under pressure is valuable, in clinical situations

where foams are being used for exudate management under

compression, the need for an adhesive foam is not required as the

secondary product which is generating the pressure will secure the

product, reducing the need for adhesive on the patients skin

Ease of removal pain Non-adhesive foam

Pain is a subjective experience, with many variables, especially if

considering pain on removal of a dressing as the wound may play a

significant part of any associated pain i.e. tissue type, infection, critical

colonisation. For the purposes of this evaluation pain was scored

specifically addressing the effect of adhesive on the peri-wound area,

as such only adhesive dressings were evaluated against this criterion

Ease of removal peri-wound

skin Non-adhesive foam

The peri wound skin condition will be a result of how well the dressing

has managed exudate, and the impact of the adhesive on the skin. For

the non-adhesive foams the exudate management is being measured,

as there is no adhesive border with the non-adhesive this criteria is not

relevant

Figure 6 – NHS Clinical Criteria not included explanation foam dressings; June 2017

4.3 Product Assessment Results- Laboratory

Laboratory results provide numerical results against the defined criteria; for the

Foam dressings these include:

• Percentage wound contact layer that is foam provides quantitative results on

the area of wound contact layer in contact with the wound that is exposed

foam, captured as a percentage of wound contact layer (%wcl)

• Fluid handling capacity testing is performed in accordance with BS EN 13726-1

and assess the ability of the foam dressing to handle exudate though a

combination of absorption and moisture vapour transmission (MVT), where

dressings are typically used for 24h or more, and when absorption of exudate

and management of the micro-environment are important. Results are

reported in grams per 10 centimetre square (g/10cm2).

• Absorbency under pressure testing provided quantitative results on the ability

of the dressing to absorb exudate whilst under 40mmHg pressure, which is a

typical pressure applied to treat lower limb ulceration. Results are reported in

grams (g) and grams per centimetre square (g/cm2).

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4.4 Product Evaluation

Evaluation methodologies are defined for each and every clinical criterion. They

reflect a simulated clinical environment; actual clinical environment, or a laboratory

test environment.

Wherever possible, products were supplied in a ‘ward ready’ unit of issue as would

be found by clinical staff on accessing a store area in their clinical environment.

Where this has not been possible it was acknowledged as part of the product

assessment results matrix.

The tests were formulated to move through the key aspects of product use using the

NHS Clinical Evaluation Team product cycle:

Figure 7 – NHS Clinical Evaluation Team Product Cycle

The evaluation product was ordered and picked from the NHS distribution centres.

Products evaluated have been stored post evaluation for a period of three months

after publication of this review.

Practicing NHS clinical staff were invited to review the products in accordance with

the developed criteria. It was not possible to ‘blind’ the evaluations; in the sense that

the evaluators were aware of the product brand; however, the product to be

evaluated was independently picked in accordance with the product selection criteria

in Section 2 and prepared for evaluation by colleagues who were not otherwise

involved in the process.

Each clinical evaluator entered data independently and without inter-rater

comparison into their own workbook. These were then collated, reviewed and

summarised by the clinical specialist lead for the project.

As part of the evaluation preparation, each evaluator was given a more detailed and product specific definition for each of the scores

Packaging Opening

Disposal Clinical Use

Product Cycle

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The defined criteria either prompted a ‘yes/no’ answer, represented with a √/ X, or a score was given between 0 and 2, or 0 and 3 as follows:

Score Meaning

0 This does not meet the criteria

1 This partially meets the criteria

2 This meets the criteria

3 This exceeds the criteria

Figure 8 – NHS Clinical Evaluation Team scoring methods

These numerical scores across all evaluators were totalled and a mean value

determined. This mean value has then been converted into a star rating (see matrix

below).

The mean values convert to a star rating in accordance with the following table:

Point scored Star value

0 to 0.99 0 stars

1 to 1.24 1 Star

1.25 to 1.74 1.5 Stars

1.75 to 2.24 2 Stars

2.25 to 2.74 2.5 Stars

2.75 to 3 3 Stars Figure 9 – conversion of mean scores to star rating

The above scoring mechanisms will not be followed where the criterion identified by

the CET cannot reasonably exceed expectations. For example, if the clinical criterion

was whether the removal of an adhesive dressing was atraumatic and with the

individual patient reporting no pain or skin damage, then it cannot reasonably be

expected that a product could exceed that criteria. Therefore, in such circumstances,

the relevant criteria will be based on the scoring regime of:

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a. If the criterion is a Yes/No response, the responses will be converted into

aggregate percentages and then star ratings as follows:

Percentages (Yes) Star value

0% to 24.99% 0 star

25% to 49.99% 1 star

50% to 74.99% 1.5 stars

75% to 100% 2 stars Figure 10 – Percentage scores to star rating

b. For other subjective criteria, the responses will be converted into mean scores

and then star ratings as follows:

Point scored Star value

0 to 0.49 0 star

0.5 to 0.99 1 star

1 to 1.49 1.5 stars

1.5 to 2 2 stars Figure 11 – Points scores to star rating

On the basis that clinical evaluators will be providing scores as follows:

• 0 stars – Does not meet the criteria

• 1 star – Partially meets the criteria

• 2 stars – Meets the criteria

All supplemental products used in the evaluation are in use in the NHS and available

through the national catalogue (e.g. clinical waste containers, gloves, drug labels

and syringes).

Evaluators were also encouraged to record comments where they felt it necessary to

provide rationale for their scoring and answers.

The results obtained have been validated by the NHS Clinical Evaluation Team

moderation committee for consistency of scoring and interpretation. These results

are presented in the product assessment reports herein.

5. Product Assessment Results

The following product assessment results pages show the tested clinical criteria

listed horizontally on the left-hand side of the page with the tested device found

vertically across the top of the matrix. The accompanying photographs were taken

during evaluation. These photographs are of sample products provided for

evaluation. Lot numbers were recorded and samples have been retained in storage

following the completion of evaluation.

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The products represented are the range of suppliers and brands available through

the NHS national procurement provider’s framework as of August 2016.

Results can be seen within the product matrix. Each clinical product has been given

a star rating and the evaluator’s collated comments are included in the matrix.

The product assessment results have been divided into eight sub-categories;

adhesive foam, adhesive foam lite, non-adhesive foam, non-adhesive foam lite,

silicone adhesive foam, silicone adhesive foam lite, silicone non-adhesive foam, and

silicone non-adhesive foam lite.

FOAM DRESSINGS– Adhesive

Adhesive Foam

3M UNITED KINGDOM PLC ADVANCED MEDICAL SOLUTIONS (PLYMOUTH)LTD B BRAUN MEDICAL LTD

TYPE Foam dressingsAdhesive Foam

Foam dressingsAdhesive Foam


NHS SUPPLY CHAIN (NHSSC) BRAND NAME Tegaderm Foam Adhesive ActivHeal Adhesive Askina Transorbent Border

CLINICAL CRITERIA SCORE SCORE SCORE

The product category is visible on the box packaging (Adhesive/Bordered Foam) ✓ ✓ ✗

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✓ ✗ ✗

The size and shape of the dressing is displayed on the box packaging ✓ ✗ - only Size ✓

The actual dressing size and shape is visible without opening the individual packaging ✓ ✓ ✓

There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ (box) ✓ (leaflet)

There are instructions on dressing application on the individual packaging ✓ ✗ ✗

How easy would you rate opening of individual packaging whilst maintaining product sterility (1.70) (1.29) (2.00)

How easy are the instructions for application to follow (2.71) (2.17) (1.29)

There is information to indicate that the dressing be cut ✗ ✗ ✗

Conformability on application "flat area"- ease of application (2.22) (1.53) (2.04)

Conformability on application "flat area"- adherence of border to peri area skin (2.60) (1.53) (2.01)

Wear time- Manufacturers guidance (in days) 7 7 2-3 days

% wound contact layer that is foam 100% 19% 0%

Ability to reposition dressing (1.71) (1.14) (0.71)

Fluid capacity management g/10cm2 15.86 (SD 1.5) 10.09 (SD 0.4) 1.46 (SD 0.4)

Absorbency g/10cm2 6.34 (SD 0.8) 4.00 (SD 0.1) 1.03 (SD 0.3)

Moisture vapour transmission rate g/10cm2 9.52 (SD 1.0) 6.09 (SD 0.4) 0.43 (SD 0.1)

Ease of removal-Pain (1.82) (1.30) (1.50)

Ease of removal-Peri wound condition (Max 2 stars) (2.00) (1.40) (1.50)

Ease of removal- presence of low adherence membrane to wound contact layer ✗ ✓ ✗

Ease of disposal (2.14) (2.14) (2.00)


Adhesive Foam

COLOPLAST LIMITED COVALON TECHNOLOGIES (EUROPE) LTD IMS EURO LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME Biatain Adhesive CovaWound foam with Adhesive border RenoFoam F


The product category is visible on the box packaging (Adhesive/Bordered Foam) ✓ ✓ ✓

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✓ ✓ ✓

The size and shape of the dressing is displayed on the box packaging ✓ ✓ ✗ - only size

The actual dressing size and shape is visible without opening the individual packaging ✓ ✓ ✗

There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ (leaflet) ✓ (leaflet)

There are instructions on dressing application on the individual packaging ✗ ✗ ✗






Wear time- Manufacturers guidance (in days) 7 7 7








Ease of removal- presence of low adherence membrane to wound contact layer ✗ ✗ ✗

Ease of disposal (2.14) (2.00) (2.00)


Adhesive Foam

KCI MEDICAL LTD MEDICARE COLGATE LTD (STERIFEED)




NHS SUPPLY CHAIN (NHSSC) BRAND NAME Tielle Plus Adhesive Tielle Adhesive Farmactive


The product category is visible on the box packaging (Adhesive/Bordered Foam) ✗ (Hydropolymer Adhesive Dressing) ✗ (Hydropolymer Adhesive Dressing) ✓

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✗ (Hydropolymer Adhesive Dressing) ✗ (Hydropolymer Adhesive Dressing) ✓

The size and shape of the dressing is displayed on the box packaging ✗ - only Size ✗ - only Size ✗ - only Size

The actual dressing size and shape is visible without opening the individual packaging ✗ ✗ ✗





There is information to indicate that the dressing be cut ✗ ✗ ✓








Moisture vapour transmission rate g/10cm2 3.21 (SD 0.1) 3.48 (0.1) 1.03 (SD 0.1)




Ease of disposal (2.00) (2.14) (2.00)


Adhesive Foam

PAUL HARTMANN LTD T.J. SMITH AND NEPHEW LTD



NHS SUPPLY CHAIN (NHSSC) BRAND NAME PermaFoam Comfort Allevyn Adhesive

CLINICAL CRITERIA SCORE SCORE

The product category is visible on the box packaging (Adhesive/Bordered Foam) ✓ ✗ (Allevyn Adhesive only)

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✓ ✗ (Allevyn Adhesive only)

The size and shape of the dressing is displayed on the box packaging ✓ ✓

The actual dressing size and shape is visible without opening the individual packaging ✓ ✓

There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ (Box and Leaflet)

There are instructions on dressing application on the individual packaging ✓ ✗

How easy would you rate opening of individual packaging whilst maintaining product sterility (2.00) (2.00)

How easy are the instructions for application to follow (2.29) (2.00)

There is information to indicate that the dressing be cut ✓ ✓

Conformability on application "flat area"- ease of application (2.28) (2.31)

Conformability on application "flat area"- adherence of border to peri area skin (2.36) (2.21)

Wear time- Manufacturers guidance (in days) Several 7

% wound contact layer that is foam 100% 13%

Ability to reposition dressing (1.57) (1.71)

Fluid capacity management g/10cm2 6.81 (SD 0.6) 14.75 (SD 3.4)

Absorbency g/10cm2 5.02 (SD 0.5) 4.28 (SD 0.5)

Moisture vapour transmission rate g/10cm2 1.78 (SD 0.1) 10.46 (SD 3.0)

Ease of removal-Pain (2.00) (1.78)

Ease of removal-Peri wound condition (Max 2 stars) (1.88) (1.60)

Ease of removal- presence of low adherence membrane to wound contact layer ✗ ✗

Ease of disposal (2.14) (2.14)


Adhesive Lite

KCI MEDICAL LTD

TYPE Foam dressingsAdhesive Lite

NHS SUPPLY CHAIN (NHSSC) BRAND NAME Tielle Lite

CLINICAL CRITERIA SCORE

The product category is visible on the box packaging (Adhesive/Bordered Foam) ✗

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✗ (hydropolymer adhesive dressing)

The size and shape of the dressing is displayed on the box packaging ✗ - Size only

The actual dressing size and shape is visible without opening the individual packaging ✓

There are instructions and product information within/on the box packaging ✓

There are instructions on dressing application on the individual packaging ✗

How easy would you rate opening of individual packaging whilst maintaining product sterility (2.00)

How easy are the instructions for application to follow (2.14)

There is information to indicate that the dressing be cut ✗

Conformability on application "flat area"- ease of application (2.46)

Conformability on application "flat area"- adherence of border to peri area skin (2.61)

Wear time- Manufacturers guidance (in days) 7

% wound contact layer that is foam 100%

Ability to reposition dressing (1.86)

Fluid capacity management g/10cm2 7.14 (SD 2.8)

Absorbency g/10cm2 5.20 (SD 2.2)

Moisture vapour transmission rate g/10cm2 1.94 (SD 0.8)

Ease of removal-Pain (2.00)

Ease of removal-Peri wound condition (Max 2 stars) (2.00)

Ease of removal- presence of low adherence membrane to wound contact layer ✓

Ease of disposal (2.14)


Silicone Adhesive Lite

ADVANCIS MEDICAL COLOPLAST LIMITED CONVATEC LTD

TYPE Foam dressingsSilicone Adhesive Lite

Foam dressingsSilicone Adhesive Lite


NHS SUPPLY CHAIN (NHSSC) BRAND NAME Advazorb border lite Biatain Silicone Lite Foamlite



The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✓ ✓ ✗

The size and shape of the dressing is displayed on the box packaging ✗ -size only ✓ ✓


There are instructions and product information within/on the box packaging ✓ ✓ ✓

There are instructions on dressing application on the individual packaging ✗ ✗ ✓














Ease of removal- presence of low adherence membrane to wound contact layer ✓ ✓ ✓

Ease of disposal (2.14) (2.14) (2.14)



COVALON TECHNOLOGIES (EUROPE) LTD H&R HEALTHCARE LTD MOLNLYCKE HEALTH CARE LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME CovaWound Silicone with Border Lite Kliniderm foam silicone lite border Mepilex Border Lite



The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✓ ✓ ✗

The size and shape of the dressing is displayed on the box packaging ✓ ✓ ✓


















Ease of disposal (2.14) (2.14) (2.14)



T.J. SMITH AND NEPHEW LTD


NHS SUPPLY CHAIN (NHSSC) BRAND NAME Allevyn Gentle Border Lite


The product category is visible on the box packaging (Adhesive/Bordered Foam) ✓

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✗

The size and shape of the dressing is displayed on the box packaging ✓






There is information to indicate that the dressing be cut ✓


Conformability on application "flat area"- adherence of border to peri area skin (2.50)



Ability to reposition dressing (2.86)




Ease of removal-Pain (2.56)

Ease of removal-Peri wound condition (Max 2 stars) (2.00)




Silicone Adhesive Foam

365 HEALTHCARE ADVANCED MEDICAL SOLUTIONS (PLYMOUTH)LTD ADVANCIS MEDICAL

TYPE Foam dressingsSilicone Adhesive Foam

Foam dressingsSilicone Adhesive Foam


NHS SUPPLY CHAIN (NHSSC) BRAND NAME 365 Silicone Foam ActivHeal Foam Contact Advazorb border




The size and shape of the dressing is displayed on the box packaging ✗ - Size only ✗ - Size only ✗ - Size only


There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ ✓ (leaflet)
















Ease of disposal (2.14) (2.00) (2.14)



ASPEN MEDICAL EUROPE LTD (EX UNO MEDICAL) B BRAUN MEDICAL LTD BSN MEDICAL LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME GentilFoam Border Askina Dresil Border Cutimed Siltec B



The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✓ ✗ ✓

The size and shape of the dressing is displayed on the box packaging ✗ - Size only ✓ ✓


There are instructions and product information within/on the box packaging ✗ - Some information about product ✓ (leaflet) ✓ (leaflet)




There is information to indicate that the dressing be cut ✗ ✗ ✓



Wear time- Manufacturers guidance (in days) ✗ Info 2--3 7









Ease of disposal (2.14) (2.14) (2.50)



COLOPLAST LIMITED CONVATEC LTD COVALON TECHNOLOGIES(EUROPE) LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME Biatain Silicone Aquacel Foam CovaWound Silicone with Border







There are instructions on dressing application on the individual packaging ✗ ✓ ✗



There is information to indicate that the dressing be cut ✗ ✓ ✗











Ease of removal- presence of low adherence membrane to wound contact layer ✓ ✗ ✓

Ease of disposal (2.14) (2.14) (2.14)



CRAWFORD PHARMACEUTICALS H&R HEALTHCARE LTD KCI MEDICAL LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME KerraFoam Gentle Border Kliniderm Foam silicone border Tielle Silicone Border


The product category is visible on the box packaging (Adhesive/Bordered Foam) ✓ ✓ ✗ - Hydropolymer dressing with silicone

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✓ ✓ ✗ - Hydropolymer dressing with silicone










Wear time- Manufacturers guidance (in days) Several days 7 7









Ease of disposal (2.14) (2.14) (2.14)



MEDICARE COLGATE LTD (STERIFEED) MOLNLYCKE HEALTH CARE LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME Farmactive Mepilex Border Post Op Mepilex Border


The product category is visible on the box packaging (Adhesive/Bordered Foam) ✓✗ - Self adherent soft silicone surgical

dressing ✓

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✓ ✗ ✗

The size and shape of the dressing is displayed on the box packaging ✗ - Size only ✓ ✓



There are instructions on dressing application on the individual packaging ✓ ✓ ✓



There is information to indicate that the dressing be cut ✓ ✗ ✗



Wear time- Manufacturers guidance (in days) 7 Several Several









Ease of disposal (2.14) (2.14) (2.14)



PAUL HARTMANN LTD RICHARDSON HEALTHCARE LTD



NHS SUPPLY CHAIN (NHSSC) BRAND NAME HydroTac Comfort C-Foam Silicone Border

CLINICAL CRITERIA SCORE SCORE

The product category is visible on the box packaging (Adhesive/Bordered Foam) ✗ (Foam & Adhesive impregnated with Gel) ✓

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✗ (Foam & Adhesive impregnated with Gel) ✓

The size and shape of the dressing is displayed on the box packaging ✓ ✓

The actual dressing size and shape is visible without opening the individual packaging ✗ - Picture & Size on pack ✓

There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ ( leaflet)

There are instructions on dressing application on the individual packaging ✓ ✗

How easy would you rate opening of individual packaging whilst maintaining product sterility (2.00) (2.00)

How easy are the instructions for application to follow (2.00) (2.71)

There is information to indicate that the dressing be cut ✗ ✓

Conformability on application "flat area"- ease of application (2.04) (2.22)

Conformability on application "flat area"- adherence of border to peri area skin (2.12) (2.10)

Wear time- Manufacturers guidance (in days) ✗ t stated 7

% wound contact layer that is foam 47% 10%

Ability to reposition dressing (0.57) (2.57)

Fluid capacity management g/10cm2 6.77 (SD 0.3) 8.75 (SD 0.7)

Absorbency g/10cm2 3.87 (SD 0.1) 7.01 (SD 0.7)

Moisture vapour transmission rate g/10cm2 2.90 (SD 0.3) 1.74 (SD 0.1)

Ease of removal-Pain (2.00) (2.00)

Ease of removal-Peri wound condition (Max 2 stars) (2.00) (1.75)

Ease of removal- presence of low adherence membrane to wound contact layer ✗ ✓

Ease of disposal (2.14) (2.14)



T.J. SMITH AND NEPHEW LTD URGO LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME Allevyn Life Allevyn Gentle Border Urgotul Absorb Border



The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✗ (Silicone Adhesive) ✗ (Silicone Adhesive) ✓


The actual dressing size and shape is visible without opening the individual packaging ✓ (picture & size) ✓ (picture & size) ✓

There are instructions and product information within/on the box packaging ✓ (leaflet & picture on box) ✓ (leaflet) ✓ (leaflet)
















Ease of disposal (2.14) (2.14) (2.14)

FOAM DRESSINGS– Non-adhesive

Non-Adhesive Foam

365 HEALTHCARE 3M UNITED KINGDOM PLC ADVANCED MEDICAL SOLUTIONS (PLYMOUTH) LTD

TYPE Foam dressingsNon-Adhesive foam

Foam dressingsNon-Adhesive foam


NHS SUPPLY CHAIN (NHSSC) BRAND NAME 365 Foam Tegaderm Foam ActivHeal Non-Adhesive


The product category is visible on the box packaging (Foam) ✓ ✓ ✓

The product category is visible on the individual packaging (Foam) ✓ ✓ ✓

The size and shape of the dressing is displayed on the box packaging ✗ - size only ✓ ✗ - size only


There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ (Box & Leaflet) ✓ (Box)




There is information to indicate that the dressing be cut ✓ ✓ ✓



Absorbency under compression g/cm2/40mmHg 0.2 (SD 0.00) 0.28 (SD 0.0) 0.28 (SD 0.0)






Ease of disposal (2.14) (2.14) (2.14)


Non-Adhesive Foam

ADVANCIS MEDICAL B BRAUN MEDICAL LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME Advazorb Askina Foam Askina Transorbent


The product category is visible on the box packaging (Foam) ✓ ✓ ✗ (multilayer hydrocellular dressing)

The product category is visible on the individual packaging (Foam) ✓ ✓ ✗

The size and shape of the dressing is displayed on the box packaging ✗ - size only ✓ ✓


There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ (leaflet) ✓






Wear time- Manufacturers guidance (in days) 7 7 2-3

Absorbency under compression g/cm2/40mmHg 0.28 (SD 0.0) 0.44 (SD 0.0) No sample

% wound contact layer that is foam 100% 100% No sample

Fluid capacity management g/10cm2 18.01 (SD 1.3) 18.89 (SD 1.2) No sample

Absorbency g/10cm2 6.54 (SD 0.2) 7.80 (SD 0.2) No sample

Moisture vapour transmission rate g/10cm2 11.47 (SD 1.1) 11.09 (SD 1.1) No sample


Ease of disposal (2.14) (2.14) (2.14)


Non-Adhesive Foam

COLOPLAST LIMITED CONVATEC LTD COVALON TECHNOLOGIES (EUROPE) LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME Biatain Non Adhesive Aquacel Foam CovaWound Foam






There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ ✓ (leaflet)













Ease of disposal (2.14) (2.14) (2.14)


Non-Adhesive Foam

CRAWFORD PHARMACEUTICALS H&R HEALTHCARE LTD IMS EURO LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME Kerraheel Kendall Renofoam




The size and shape of the dressing is displayed on the box packaging ✓ ✗ - size only ✗ - size only


There are instructions and product information within/on the box packaging ✓ (Box) ✓ (leaflet) ✓ (leaflet)





Conformability on application "flat area"- ease of application N/a (2.14) (1.67)




Fluid capacity management g/10cm2 15.53 (SD 1.5) Unable to obtain results 5.47 (SD 0.1)

Absorbency g/10cm2 6.74 (SD 0.6) Unable to obtain results 4.51 (SD 0.1)

Moisture vapour transmission rate g/10cm2 8.79 (SD 1.0) Unable to obtain results 0.96 (SD 0.1)


Ease of disposal (2.14) (2.14) (2.14)


Non-Adhesive Foam

KCI MEDICAL LTD MEDICARE COLGATE LTD (STERIFEED)




NHS SUPPLY CHAIN (NHSSC) BRAND NAME Tielle Non Adhesive Tielle Xtra Non-Adhesive Farmactive


The product category is visible on the box packaging (Foam) ✗ (Non adhesive hydropolymer dressing) ✗ (Non adhesive hydropolymer dressing) ✓

The product category is visible on the individual packaging (Foam) ✗ (Non adhesive hydropolymer dressing) ✗ (Non adhesive hydropolymer dressing) ✓

The size and shape of the dressing is displayed on the box packaging ✗ - size only ✗ - size only ✗ - size only















Ease of disposal (2.14) (2.14) (2.14)


Non-Adhesive Foam

MOLNLYCKE HEALTH CARE LTD PAUL HARTMANN LTD T.J. SMITH AND NEPHEW LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME Lyofoam Max PermaFoam Allevyn Non Adhesive



The product category is visible on the individual packaging (Foam) ✗ (Lyofoam max) ✓ ✓



There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ (leaflet) ✓ (Box & Leaflet)

There are instructions on dressing application on the individual packaging ✓ ✓ ✗





Wear time- Manufacturers guidance (in days) Several Several 7



Fluid capacity management g/10cm2 19.58 (SD 0.6) Unable to obtain results 25.22 (SD 2.8)

Absorbency g/10cm2 7.03 (SD 0.4) Unable to obtain results 6.80 (SD 0.1)

Moisture vapour transmission rate g/10cm2 12.55 (SD 0.5) Unable to obtain results 18.42 (SD 2.7)


Ease of disposal (2.14) (2.14) (2.29)


Non-Adhesive Lite

ADVANCIS MEDICAL

TYPE Foam dressingsNon-Adhesive LITE

NHS SUPPLY CHAIN (NHSSC) BRAND NAME Advazorb Lite


The product category is visible on the box packaging (Foam) ✓

The product category is visible on the individual packaging (Foam) ✓

The size and shape of the dressing is displayed on the box packaging ✗ - size only


There are instructions and product information within/on the box packaging ✓ (leaflet)




There is information to indicate that the dressing be cut ✗



Absorbency under compression g/cm2/40mmHg 0.15 (SD 0.0)





Ease of removal- presence of low adherence membrane to wound contact layer ✗



Silicone Non-Adhesive Lite

ADVANCIS MEDICAL COVALON TECHNOLOGIES (EUROPE) LTD H&R HEALTHCARE LTD

TYPE Foam dressingsSilicone Non Adhesive Lite

Foam dressingsSilicone Non Adhesive Lite


NHS SUPPLY CHAIN (NHSSC) BRAND NAME Advazorb Silflex Lite CovaWound Kliniderm foam silicone lite




The size and shape of the dressing is displayed on the box packaging ✗ - size only ✓ ✓


There are instructions and product information within/on the box packaging ✓ leaflet ✓ leaflet ✓ leaflet













Ease of disposal (2.14) (2.14) (2.14)


Silicone Non-Adhesive Lite

MOLNLYCKE HEALTH CARE LTD

TYPE Foam dressingsSilicone Non Adhesive Lite

NHS SUPPLY CHAIN (NHSSC) BRAND NAME Mepilex Lite


The product category is visible on the box packaging (Foam) ✗

The product category is visible on the individual packaging (Foam) ✗

The size and shape of the dressing is displayed on the box packaging ✗ - size only


There are instructions and product information within/on the box packaging ✓ leaflet

There are instructions on dressing application on the individual packaging ✓





Wear time- Manufacturers guidance (in days) Several






Ease of removal- presence of low adherence membrane to wound contact layer ✗


FOAM DRESSINGS– Non adhesive

Silicone Non adhesive Foam

ADVANCED MEDICAL SOLUTIONS (PLYMOUTH) LTD ADVANCIS MEDICAL ASPEN MEDICAL EUROPE LTD

(EX UNO MEDICAL)

TYPE Foam dressingsSilicone Non Adhesive Foam

Foam dressingsSilicone Non Adhesive Foam


NHS SUPPLY CHAIN (NHSSC) BRAND NAME ActivHeal Advazorb Silfix Gentilfoam




The size and shape of the dressing is displayed on the box packaging ✗ -size only ✗ -size only ✗ -size only








Wear time- Manufacturers guidance (in days) 7 7 Not stated







Ease of disposal (2.14) (2.14) (2.14)



B BRAUN MEDICAL LTD BSN MEDICAL LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME Askina Dresil Cutimed Siltec Cutimed Siltec L



The product category is visible on the individual packaging (Foam) ✗ ✓ ✓

The size and shape of the dressing is displayed on the box packaging ✗ -size only ✓ ✓






There is information to indicate that the dressing be cut ✗ ✓ ✓


Wear time- Manufacturers guidance (in days) 2-3 7 7

Absorbency under compression g/cm2/40mmHg No sample 0.27 (SD 0.0) 0.17 (SD 0.0)

% wound contact layer that is foam No sample 60% 61%

Fluid capacity management g/10cm2 No sample 23.80 (SD 2.1) 21.48 (SD 2.8)

Absorbency g/10cm2 No sample 6.79 (SD 0.7) 5.19 (SD 0.3)

Moisture vapour transmission rate g/10cm2 No sample 17.02 (SD 1.6) 16.28 (SD 2.7)


Ease of disposal (2.14) (2.17) (2.17)



BSN MEDICAL LTD COLOPLAST LIMITED COVALON TECHNOLOGIES (EUROPE) LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME Cutimed Siltec Plus Biatain Soft-Hold CovaWound Silicone














% wound contact layer that is foam 9% <50% 16%




Ease of removal- presence of low adherence membrane to wound contact layer ✓ ✗ ✓

Ease of disposal (2.17) (2.14) (2.14)



H&R HEALTHCARE LTD MOLNLYCKE HEALTH CARE LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME Kliniderm foam silicone Mepilex XT Mepilex



The product category is visible on the individual packaging (Foam) ✓ ✗ ✗







There is information to indicate that the dressing be cut ✗ ✓ ✓


Wear time- Manufacturers guidance (in days) 7 Several Several






Ease of removal- presence of low adherence membrane to wound contact layer ✓ ✓ ✗

Ease of disposal (2.14) (2.14) (2.14)



PAUL HARTMANN LTD RICHARDSON HEALTHCARE LTD T.J. SMITH AND NEPHEW LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME HydroTac C-Foam Silicone Allevyn Gentle



The product category is visible on the individual packaging (Foam) ✗ ✓ ✗


The actual dressing size and shape is visible without opening the individual packaging ✗ (Foam dressing impregnated with gel) ✓ ✓







Wear time- Manufacturers guidance (in days) Not Stated 7 7







Ease of disposal (2.14) (2.14) (2.14)



URGO LTD


NHS SUPPLY CHAIN (NHSSC) BRAND NAME Urgotul Absorb


The product category is visible on the box packaging (Foam) ✓

The product category is visible on the individual packaging (Foam) ✗

The size and shape of the dressing is displayed on the box packaging ✓
















FOAM DRESSINGS– Adhesive Foam

Supplier Pages

365 HEALTHCARE 3M UNITED KINGDOM PLC ADVANCED MEDICAL SOLUTIONS (PLYMOUTH)LTD





NHS SUPPLY CHAIN (NHSSC) BRAND NAME 365 Silicone Foam Tegaderm Foam Adhesive ActivHeal Adhesive ActivHeal Foam Contact

CLINICAL CRITERIA SCORE SCORE SCORE SCORE

The product category is visible on the box packaging (Adhesive/Bordered Foam) ✓ ✓ ✓ ✓

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✓ ✓ ✗ ✓

The size and shape of the dressing is displayed on the box packaging ✗ - Size only ✓ ✗ - only Size ✗ - Size only

The actual dressing size and shape is visible without opening the individual packaging ✓ ✓ ✓ ✓

There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ (leaflet) ✓ (box) ✓

There are instructions on dressing application on the individual packaging ✗ ✓ ✗ ✗

How easy would you rate opening of individual packaging whilst maintaining product sterility (2.00) (1.70) (1.29) (1.86)

How easy are the instructions for application to follow (2.29) (2.71) (2.17) (2.14)

There is information to indicate that the dressing be cut ✗ ✗ ✗ ✗

Conformability on application "flat area"- ease of application (2.20) (2.22) (1.53) (2.33)

Conformability on application "flat area"- adherence of border to peri area skin (2.43) (2.60) (1.53) (2.23)

Wear time- Manufacturers guidance (in days) 7 7 7 7

% wound contact layer that is foam 16% 100% 19% 11%

Ability to reposition dressing (2.86) (1.71) (1.14) (2.71)

Fluid capacity management g/10cm2 7.81 (SD 0.4) 15.86 (SD 1.5) 10.09 (SD 0.4) 12.66 (SD 0.6)

Absorbency g/10cm2 5.05 (SD 0.3) 6.34 (SD 0.8) 4.00 (SD 0.1) 4.43 (SD 0.1)

Moisture vapour transmission rate g/10cm2 2.76 (SD 0.2) 9.52 (SD 1.0) 6.09 (SD 0.4) 8.23 (SD 0.5)

Ease of removal-Pain (2.63) (1.82) (1.30) (2.22)

Ease of removal-Peri wound condition (Max 2 stars) (2.00) (2.00) (1.40) (1.88)

Ease of removal- presence of low adherence membrane to wound contact layer ✓ ✗ ✓ ✓

Ease of disposal (2.14) (2.14) (2.14) (2.00)


Supplier Pages

ADVANCIS MEDICAL ASPEN MEDICAL EUROPE LTD (EX UNO MEDICAL) BSN MEDICAL LTD





NHS SUPPLY CHAIN (NHSSC) BRAND NAME Advazorb border lite Advazorb border GentilFoam Border Cutimed Siltec B



The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✓ ✓ ✓ ✓

The size and shape of the dressing is displayed on the box packaging ✗ -size only ✗ - Size only ✗ - Size only ✓

The actual dressing size and shape is visible without opening the individual packaging ✓ ✗ ✓ ✓

There are instructions and product information within/on the box packaging ✓ ✓ (leaflet) ✗ - Some information about product ✓ (leaflet)

There are instructions on dressing application on the individual packaging ✗ ✗ ✗ ✓



There is information to indicate that the dressing be cut ✗ ✗ ✗ ✓



Wear time- Manufacturers guidance (in days) 7 7 ✗ Info 7








Ease of removal- presence of low adherence membrane to wound contact layer ✓ ✓ ✓ ✓

Ease of disposal (2.14) (2.14) (2.14) (2.50)


Supplier Pages

B BRAUN MEDICAL LTD CONVATEC LTD





NHS SUPPLY CHAIN (NHSSC) BRAND NAME Askina Dresil Border Askina Transorbent Border Foamlite Aquacel Foam


The product category is visible on the box packaging (Adhesive/Bordered Foam) ✓ ✗ ✓ ✓

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✗ ✗ ✗ ✗

The size and shape of the dressing is displayed on the box packaging ✓ ✓ ✓ ✓


There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ (leaflet) ✓ ✓ (leaflet)

There are instructions on dressing application on the individual packaging ✗ ✗ ✓ ✓






Wear time- Manufacturers guidance (in days) 2--3 2-3 days 7 7








Ease of removal- presence of low adherence membrane to wound contact layer ✓ ✗ ✓ ✗

Ease of disposal (2.14) (2.00) (2.14) (2.14)


Supplier Pages

COLOPLAST LIMITED CRAWFORD PHARMACEUTICALS





NHS SUPPLY CHAIN (NHSSC) BRAND NAME Biatain Adhesive Biatain Silicone Lite Biatain Silicone KerraFoam Gentle Border






There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ ✓ (leaflet) ✓ (leaflet)

There are instructions on dressing application on the individual packaging ✗ ✗ ✗ ✗






Wear time- Manufacturers guidance (in days) 7 7 7 Several days








Ease of removal- presence of low adherence membrane to wound contact layer ✗ ✓ ✓ ✓

Ease of disposal (2.14) (2.14) (2.14) (2.14)


Supplier Pages

COVALON TECHNOLOGIES (EUROPE) LTD IMS EURO LTD





NHS SUPPLY CHAIN (NHSSC) BRAND NAME CovaWound foam with Adhesive border CovaWound Silicone with Border CovaWound Silicone

with Border Lite RenoFoam F




The size and shape of the dressing is displayed on the box packaging ✓ ✓ ✓ ✗ - only size

The actual dressing size and shape is visible without opening the individual packaging ✓ ✓ ✓ ✗
















Ease of removal- presence of low adherence membrane to wound contact layer ✗ ✓ ✓ ✗

Ease of disposal (2.00) (2.14) (2.14) (2.00)


Supplier Pages

MOLNLYCKE HEALTH CARE LTD RICHARDSON HEALTHCARE LTD





NHS SUPPLY CHAIN (NHSSC) BRAND NAME Mepilex Border Lite Mepilex Border Post Op Mepilex Border C-Foam Silicone Border


The product category is visible on the box packaging (Adhesive/Bordered Foam) ✓✗ - Self adherent soft silicone surgical

dressing ✓ ✓

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✗ ✗ ✗ ✓



There are instructions and product information within/on the box packaging ✓ ✓ (leaflet) ✓ (leaflet) ✓ ( leaflet)

There are instructions on dressing application on the individual packaging ✓ ✓ ✓ ✗






Wear time- Manufacturers guidance (in days) 7 Several Several 7








Ease of removal- presence of low adherence membrane to wound contact layer ✓ ✓ ✓ ✓

Ease of disposal (2.14) (2.14) (2.14) (2.14)


Supplier Pages

H&R HEALTHCARE LTD MEDICARE COLGATE LTD (STERIFEED)





NHS SUPPLY CHAIN (NHSSC) BRAND NAME Kliniderm foam silicone lite border Kliniderm Foam silicone border Farmactive Farmactive




The size and shape of the dressing is displayed on the box packaging ✓ ✓ ✗ - only Size ✗ - Size only

The actual dressing size and shape is visible without opening the individual packaging ✓ ✓ ✗ ✓

There are instructions and product information within/on the box packaging ✓ ✓ (leaflet) ✓ (leaflet) ✓ (leaflet)




There is information to indicate that the dressing be cut ✗ ✗ ✓ ✓











Ease of removal- presence of low adherence membrane to wound contact layer ✓ ✓ ✗ ✓

Ease of disposal (2.14) (2.14) (2.00) (2.14)


Supplier Pages

KCI MEDICAL LTD



Foam dressingsAdhesive Lite


NHS SUPPLY CHAIN (NHSSC) BRAND NAME Tielle Plus Adhesive Tielle Adhesive Tielle Lite Tielle Silicone Border


The product category is visible on the box packaging (Adhesive/Bordered Foam) ✗ (Hydropolymer Adhesive Dressing) ✗ (Hydropolymer Adhesive Dressing) ✗ ✗ - Hydropolymer dressing with silicone

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✗ (Hydropolymer Adhesive Dressing) ✗ (Hydropolymer Adhesive Dressing) ✗ (hydropolymer adhesive dressing) ✗ - Hydropolymer dressing with silicone

The size and shape of the dressing is displayed on the box packaging ✗ - only Size ✗ - only Size ✗ - Size only ✓

The actual dressing size and shape is visible without opening the individual packaging ✗ ✗ ✓ ✓













Moisture vapour transmission rate g/10cm2 3.21 (SD 0.1) 3.48 (0.1) 1.94 (SD 0.8) 5.26 (SD 1.4)



Ease of removal- presence of low adherence membrane to wound contact layer ✗ ✗ ✓ ✓

Ease of disposal (2.00) (2.14) (2.14) (2.14)


Supplier Pages

T.J. SMITH AND NEPHEW LTD





NHS SUPPLY CHAIN (NHSSC) BRAND NAME Allevyn Adhesive Allevyn Gentle Border Lite Allevyn Life Allevyn Gentle Border


The product category is visible on the box packaging (Adhesive/Bordered Foam) ✗ (Allevyn Adhesive only) ✓ ✓ ✓

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✗ (Allevyn Adhesive only) ✗ ✗ (Silicone Adhesive) ✗ (Silicone Adhesive)


The actual dressing size and shape is visible without opening the individual packaging ✓ ✓ ✓ (picture & size) ✓ (picture & size)

There are instructions and product information within/on the box packaging ✓ (Box and Leaflet) ✓ ✓ (leaflet & picture on box) ✓ (leaflet)

There are instructions on dressing application on the individual packaging ✗ ✗ ✓ ✗



There is information to indicate that the dressing be cut ✓ ✓ ✗ ✗











Ease of removal- presence of low adherence membrane to wound contact layer ✗ ✓ ✓ ✓

Ease of disposal (2.14) (2.14) (2.14) (2.14)


Supplier Pages

PAUL HARTMANN LTD URGO LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME PermaFoam Comfort HydroTac Comfort Urgotul Absorb Border


The product category is visible on the box packaging (Adhesive/Bordered Foam) ✓✗ (Foam & Adhesive impregnated with

Gel) ✓

The product category is visible on the individual packaging (Adhesive/Bordered Foam) ✓✗ (Foam & Adhesive impregnated with

Gel) ✓


The actual dressing size and shape is visible without opening the individual packaging ✓ ✗ - Picture & Size on pack ✓


There are instructions on dressing application on the individual packaging ✓ ✓ ✗






Wear time- Manufacturers guidance (in days) Several ✗ t stated 7








Ease of removal- presence of low adherence membrane to wound contact layer ✗ ✗ ✓

Ease of disposal (2.14) (2.14) (2.14)

FOAM DRESSINGS– Non-Adhesive Foam

Supplier Pages

365 HEALTHCARE 3M UNITED KINGDOM PLC ADVANCED MEDICAL SOLUTIONS (PLYMOUTH) LTD





NHS SUPPLY CHAIN (NHSSC) BRAND NAME 365 Foam Tegaderm Foam ActivHeal Non-Adhesive ActivHeal


The product category is visible on the box packaging (Foam) ✓ ✓ ✓ ✓

The product category is visible on the individual packaging (Foam) ✓ ✓ ✓ ✓

The size and shape of the dressing is displayed on the box packaging ✗ - size only ✓ ✗ - size only ✗ -size only


There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ (Box & Leaflet) ✓ (Box) ✓

There are instructions on dressing application on the individual packaging ✗ ✓ ✗ ✗



There is information to indicate that the dressing be cut ✓ ✓ ✓ ✓



Absorbency under compression g/cm2/40mmHg 0.2 (SD 0.00) 0.28 (SD 0.0) 0.28 (SD 0.0) 0.24 (SD 0.0)





Ease of removal- presence of low adherence membrane to wound contact layer ✗ ✗ ✗ ✓

Ease of disposal (2.14) (2.14) (2.14) (2.14)


Supplier Pages

ADVANCIS MEDICAL


Foam dressingsNon-Adhesive LITE



NHS SUPPLY CHAIN (NHSSC) BRAND NAME Advazorb Advazorb Lite Advazorb Silfix Advazorb Silflex Lite




The size and shape of the dressing is displayed on the box packaging ✗ - size only ✗ - size only ✗ -size only ✗ - size only


There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ (leaflet) ✓ ✓ leaflet













Ease of disposal (2.14) (2.14) (2.14) (2.14)


Supplier Pages

ASPEN MEDICAL EUROPE LTD (EX UNO MEDICAL) B BRAUN MEDICAL LTD





NHS SUPPLY CHAIN (NHSSC) BRAND NAME Gentilfoam Askina Foam Askina Transorbent Askina Dresil


The product category is visible on the box packaging (Foam) ✓ ✓ ✗ (multilayer hydrocellular dressing) ✓

The product category is visible on the individual packaging (Foam) ✓ ✓ ✗ ✗

The size and shape of the dressing is displayed on the box packaging ✗ -size only ✓ ✓ ✗ -size only


There are instructions and product information within/on the box packaging ✓ ✓ (leaflet) ✓ ✓






Wear time- Manufacturers guidance (in days) Not stated 7 2-3 2-3

Absorbency under compression g/cm2/40mmHg 0.21 (SD 0.0) 0.44 (SD 0.0) No sample No sample

% wound contact layer that is foam 12% 100% No sample No sample

Fluid capacity management g/10cm2 20.54 (SD 1.0) 18.89 (SD 1.2) No sample No sample

Absorbency g/10cm2 5.90 (SD 0.3) 7.80 (SD 0.2) No sample No sample

Moisture vapour transmission rate g/10cm2 14.64 (SD 0.9) 11.09 (SD 1.1) No sample No sample

Ease of removal- presence of low adherence membrane to wound contact layer ✓ ✗ ✗ ✓

Ease of disposal (2.14) (2.14) (2.14) (2.14)


Supplier Pages

BSN MEDICAL LTD CONVATEC LTD





NHS SUPPLY CHAIN (NHSSC) BRAND NAME Cutimed Siltec Cutimed Siltec L Cutimed Siltec Plus Aquacel Foam






There are instructions and product information within/on the box packaging ✓ ✓ ✓ ✓












Ease of removal- presence of low adherence membrane to wound contact layer ✓ ✓ ✓ ✗

Ease of disposal (2.17) (2.17) (2.17) (2.14)


Supplier Pages

COLOPLAST LIMITED KCI MEDICAL LTD





NHS SUPPLY CHAIN (NHSSC) BRAND NAME Biatain Non Adhesive Biatain Soft-Hold Tielle Non Adhesive Tielle Xtra Non-Adhesive


The product category is visible on the box packaging (Foam) ✓ ✓ ✗ (Non adhesive hydropolymer dressing) ✗ (Non adhesive hydropolymer dressing)

The product category is visible on the individual packaging (Foam) ✓ ✓ ✗ (Non adhesive hydropolymer dressing) ✗ (Non adhesive hydropolymer dressing)

The size and shape of the dressing is displayed on the box packaging ✓ ✓ ✗ - size only ✗ - size only


There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ ✓ (leaflet) ✓ (leaflet)




There is information to indicate that the dressing be cut ✗ ✗ ✓ ✓




% wound contact layer that is foam 100% <50% 100% 100%




Ease of removal- presence of low adherence membrane to wound contact layer ✗ ✗ ✗ ✗

Ease of disposal (2.14) (2.14) (2.14) (2.14)


Supplier Pages

COVALON TECHNOLOGIES (EUROPE) LTD CRAWFORD PHARMACEUTICALS





NHS SUPPLY CHAIN (NHSSC) BRAND NAME CovaWound Foam CovaWound Silicone CovaWound Silicone Lite Kerraheel






There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ ✓ leaflet ✓ (Box)





Conformability on application "flat area"- ease of application (2.14) (2.43) (2.57) N/a








Ease of disposal (2.14) (2.14) (2.14) (2.14)


Supplier Pages

H&R HEALTHCARE LTD IMS EURO LTD





NHS SUPPLY CHAIN (NHSSC) BRAND NAME Kendall Kliniderm foam silicone Kliniderm foam silicone lite Renofoam




The size and shape of the dressing is displayed on the box packaging ✗ - size only ✓ ✓ ✗ - size only

The actual dressing size and shape is visible without opening the individual packaging ✓ ✓ ✓ ✗

There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ ✓ leaflet ✓ (leaflet)




There is information to indicate that the dressing be cut ✓ ✗ ✗ ✗





Fluid capacity management g/10cm2 Unable to obtain results 19.49 (SD 1.5) 11.40 (SD 2.4) 5.47 (SD 0.1)

Absorbency g/10cm2 Unable to obtain results 5.81 (SD 0.8) 2.48 (SD 0.1) 4.51 (SD 0.1)

Moisture vapour transmission rate g/10cm2 Unable to obtain results 13.69 (SD 0.9) 8.92 (SD 2.4) 0.96 (SD 0.1)


Ease of disposal (2.14) (2.14) (2.14) (2.14)


Supplier Pages

MEDICARE COLGATE LTD (STERIFEED) PAUL HARTMANN LTD RICHARDSON HEALTHCARE LTD





NHS SUPPLY CHAIN (NHSSC) BRAND NAME Farmactive PermaFoam HydroTac C-Foam Silicone



The product category is visible on the individual packaging (Foam) ✓ ✓ ✗ ✓

The size and shape of the dressing is displayed on the box packaging ✗ - size only ✓ ✓ ✓

The actual dressing size and shape is visible without opening the individual packaging ✗ ✓ ✗ (Foam dressing impregnated with gel) ✓

There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ (leaflet) ✓ ✓

There are instructions on dressing application on the individual packaging ✗ ✓ ✓ ✗





Wear time- Manufacturers guidance (in days) 7 Several Not Stated 7



Fluid capacity management g/10cm2 7.81 (SD 1.5) Unable to obtain results 6.45 (SD 0.2) 26.28 (SD 1.3)

Absorbency g/10cm2 5.48 (SD 0.8) Unable to obtain results 4.07 (SD 0.1) 4.82 (SD 0.2)

Moisture vapour transmission rate g/10cm2 2.33 (SD 0.8) Unable to obtain results 2.39 (SD 0.1) 21.46 (SD 1.1)


Ease of disposal (2.14) (2.14) (2.14) (2.14)


Supplier Pages

MOLNLYCKE HEALTH CARE LTD





NHS SUPPLY CHAIN (NHSSC) BRAND NAME Lyofoam Max Mepilex XT Mepilex Mepilex Lite


The product category is visible on the box packaging (Foam) ✓ ✓ ✓ ✗

The product category is visible on the individual packaging (Foam) ✗ (Lyofoam max) ✗ ✗ ✗

The size and shape of the dressing is displayed on the box packaging ✓ ✓ ✓ ✗ - size only


There are instructions and product information within/on the box packaging ✓ (leaflet) ✓ ✓ ✓ leaflet

There are instructions on dressing application on the individual packaging ✓ ✓ ✗ ✓





Wear time- Manufacturers guidance (in days) Several Several Several Several






Ease of removal- presence of low adherence membrane to wound contact layer ✗ ✓ ✗ ✗

Ease of disposal (2.14) (2.14) (2.14) (2.14)


Supplier Pages

T.J. SMITH AND NEPHEW LTD URGO LTD




NHS SUPPLY CHAIN (NHSSC) BRAND NAME Allevyn Non Adhesive Allevyn Gentle Urgotul Absorb



The product category is visible on the individual packaging (Foam) ✓ ✗ ✗



There are instructions and product information within/on the box packaging ✓ (Box & Leaflet) ✓ ✓












Ease of removal- presence of low adherence membrane to wound contact layer ✗ ✓ ✓

Ease of disposal (2.29) (2.14) (2.14)

19

6. Using the Product Assessment Results Matrix

The clinical criteria displayed are designed to capture key clinical elements that

health professionals may wish to consider when reviewing/selecting products for

their own clinical practice. The report is intended as a guidance tool to aid product

selection and is not intended to be a universal determination of the clinical

effectiveness of any particular product. Each clinical practitioner should therefore

make their own assessments taking into account all relevant considerations for their

particular situation.

Not all clinical criteria cited in the report will be relevant or important in all

environments,

i.e. Wear time in an acute environment where dressings are removed routinely for medical review

Likewise not all clinical criteria will be relevant or important for all patient groups;

i.e. Fluid management under pressure, if being used on patients who are not having any form of compression therapy, or having the foam dressing applied in a location exposed to external pressure

Clinicians may identify the criteria that most represent their clinical environment and patient demographic, and may choose to build their own hierarchy of importance to aid product(s) selection for patient outcome goals using the matrix presented in this report, their own clinical knowledge, as well as any other resources (including publications) to provide informed choice and transparency of their decision for product(s) being used.

7. Further Considerations and Recommendations

7.1 Future recommendations

There is an expanding range of foam dressings to the market, and expanding portfolio currently available via the national provider (NHSSC).

This report recognises that no one product will suit all individuals, nor does one

product suit all differing clinical applications and requirements, this will not only be

dependent on the individual, but on the clinical environment these products are being

used in.

Whilst it is not reasonable or sensible to provide an extensive range of foam

dressings within any given health care setting, consideration should be given to the

primary use of these products for the majority of the patient group within a

Trust/Health organisation, with recognition and identification to some of the other

options of foam dressing for particular individuals/circumstances.

20

Having clearer knowledge of clinical attributes of the product(s) allows the clinician

better insight into which product(s) may best meet their needs.

There is a large range of foam dressings on the market, and an expanding portfolio

currently available via the national provider (NHSSC). The current sub-

categorisation/grouping of foam products in the NHS Catalogue is not clear or

standardised, which from clinical feedback makes identifying comparable products

difficult (e.g. terms such as self-adherent can be confused with adhesive).

Interestingly discussing foam dressings with generalist health care professionals the

title of bordered foam for some did not directly indicate that the product was

adhesive, this was made more confusing with other products being described as

non-adhesive foam with border. Clearer identification/standardisation of main sub-

classification of foam products would aid clinician use, and ultimately optimise

product performance.

This report for future product development recommends and advocates that a

products performance threshold is inherently linked to the knowledge of the clinician

using it. To potentially optimise this, the Clinical Evaluation Team would recommend

suppliers consider a standardisation for colour coding products by

group/classification. Consideration again must be given to the primary

function/wound contact layer of the dressing to best represent its group.

Product Group Colour Coding

Hydrogels

Hydrocolloids

Gelling Fibres

Films

Non-adherent wound contact layers

Foams

Antimicrobials

Absorbents

Super absorbents

Figure 12 -Clinical Evaluation Team colour coding of dressing groups

21

Additional recommendations would be:

• Clearly display maximum wear time of product,

• Capture/standardise a tool to demonstrate fluid capacity as this is a key

feature of foam dressings with many suppliers using a fluid droplet or

variance to display fluid capacity. However, without any recognised key or

identification as to what numerically this fluid droplet relates to it can be seen

as confusing for the Clinician. It is therefore felt that adoption of standardised

fluid capacity symbol(s) with associated ranges would aid clinical and patient

experience.

These will all aid clinical and patient experience in managing expectations relating to

performance of the products being applied and will also reduce product wastage.

7.2 Barcodes

The CET are aware of the Scan4Safety project and are aligned with the ambitions of

the programme, which will deliver significant benefits in terms of patient safety and

efficiency, to the NHS. The adoption of standards, driven by Scan4Safety, enables

patient, product and location identification and traceability from the supply chain to

the patient.

Adoption of these standards has also been shown to improve the quality of care by

minimising the risk of human error.

The CET will be considering the inclusion of an evaluation criteria relating to the

presence of GS1 compliant barcodes in future reports, as following our clinical

conversations we have seen clinical staff asking for it to be included, but further

information will be issued by the CET on this to stakeholders in advance.

8. Disclaimer

Reports published by the NHS Clinical Evaluation Team represent general guidance

and the team’s opinions on products are based on the clinical evaluations

undertaken, using the information and clinical criteria generated from extensive

stakeholder engagement in line with the team’s requirements and evaluation

pathway. Reports will be reviewed and updated at the team’s discretion as deemed

appropriate to reflect any changes.

You should make your own assessment and not take or rely on the opinions

expressed by the NHS Clinical Evaluation Team, as contained in the reports, as

recommendations or advice to buy or not buy (as the case may be) particular

products.

The NHS Clinical Evaluation Team is not responsible for any errors or omissions, or

for the results obtained from the use of the information contained in the reports. The

22

reports are provided ‘as is’, with no guarantee of completeness, accuracy or

timeliness and without representation, warranty, assurance or undertaking of any

kind, express or implied, including, but not limited to fitness for a particular purpose.

The NHS Clinical Evaluation Team shall not be liable to you or anyone else for any

decision made or action taken in reliance on the information contained in the reports

or for any consequential, special or indirect loss.

Reports are accurate at the time of publication, any recommendations or best practice guidance should be checked for updates.

9. Acknowledgements

On behalf of the Clinical Reference Board and the NHS Clinical Evaluation Team, we

would like to acknowledge the support, help and advice given by our colleagues

across a range of organisations. We would particularly like to thank the Department

of Health and Social Care, NHS Business Services Authority and their

Communications team, along with publishing partners The APS Group and, most

importantly, our NHS colleagues who have supported our work specifically the

hundreds of tissue viability nurses who contributed to the evaluation of products and

to acknowledge a special thank you for those NHS Trusts who were directly involved

in product evaluation; Nottingham University Hospitals NHS Trust, University

Hospital Southampton NHS Foundation Trust, and Plymouth Hospitals NHS Trust.

The team would also like to acknowledge the inspiration of Mandie Sunderland who

saw this opportunity and who, through her personal drive and enthusiasm, has

ensured that the clinical voice and the need for quality, safety and value throughout

the NHS has been heard.

10. Authors and NHS Clinical Evaluation Team Information

NHS Clinical Specialist Lead author:

Simon Hall, Clinical Specialist Lead, Department of Health and Social Care

With support from NHS Clinical Evaluation Team colleagues:

Dr Naomi Chapman, RN, Clinical Programme Lead/Deputy Chief Nurse

David Newton, RN, Clinical Specialist Lead Department of Health and Social Care

Stephanie McCarthy, RN, Clinical Specialist Lead, Department of Health and Social Care

Sian Fumarola, RN, Clinical Specialist Lead, Department of Health and Social Care

Liam Horkan, RN, Clinical Specialist Lead, Department of Health and Social Care

Clare Johnstone, RN, Clinical Specialist Lead, Department of Health and Social Care

Marc Naughton, Senior Paramedic, Clinical Specialist Lead, Department of Health and Social Care

Karen Hudson, RN, Clinical Specialist Lead, Department of Health and Social Care

Roger Kirkham, RN, Clinical Specialist Lead, Department of Health and Social Care

Colin Iversen, RN, Clinical Specialist Lead, Department of Health and Social Care

Joanna Hamilton Davies, RN, Clinical Specialist Lead, Department of Health and Social Care

Jillian Best, RN, Clinical Specialist Lead, Department of Health and Social Care

Maya Guerrero, RN, Clinical Specialist Lead, Department of Health and Social Care

Colette Longstaffe, RN, Clinical Specialist Lead, Department of Health and Social Care

Dan Lewin, Physiotherapist, Clinical Specialist Lead, Department of Health and Social Care

Department of Health & Social Care, Clinical Evaluation Team colleagues:

• Elizabeth Wright, Programme Lead

• Lisa Edwards, Operational Programme Manager

You can find team member full biographies at: www.nhsbsa.nhs.uk/CET

http://www.nhsbsa.nhs.uk/CET

24

‘Quality, safety and value are at the heart of our work and it’s important that we use our clinical experience to deliver high standards

of care while reducing cost and waste in the NHS.’

Mandie Sunderland Chair, Clinical Reference Board

(Governing body of the NHS Clinical Evaluation Team)

Appendix 1

Adhesive StandardBrand Supplier MPC NPC Size Category Sub-category UOI Units

PolyMem Aspen Medical Europe Ltd (Ex Unomedical) 203 ELA297 5cm x 5cm Foam dressing Adhesive Standard Pack 20

Brand Supplier MPC NPC Size Category Sub-category UOI Units

ActivHeal Advanced Medical Solutions (Plymouth)Ltd 10011148 ELA598 10 x 10cm Foam dressing Adhesive Standard Carton 10


ActivHeal Advanced Medical Solutions (Plymouth)Ltd 10009109 ELA210 10cm x 10cm Foam dressing Adhesive Standard Pack 10

ActivHeal Advanced Medical Solutions (Plymouth)Ltd 10011149 ELA599 12.5 x 12.5cm Foam dressing Adhesive Standard Carton 10

ActivHeal Advanced Medical Solutions (Plymouth)Ltd 10009110 ELA211 12.5cm x 12.5cm Foam dressing Adhesive Standard Pack 10





ActivHeal Advanced Medical Solutions (Plymouth)Ltd 10011147 ELA597 7.5 x 7.5cm Foam dressing Adhesive Standard Carton 10

ActivHeal Advanced Medical Solutions (Plymouth)Ltd 10010232 ELM161 7.5cm x 7.5cm Foam dressing Adhesive Standard Carton 10

ActivHeal Advanced Medical Solutions (Plymouth)Ltd 10011153 ELA603 18cm x 18.5cm Foam dressing Adhesive Standard Carton 10

Allevyn Adhesive Smith & Nephew Healthcare Ltd 66000599 ELA113 10cm x 10cm Foam dressing Adhesive Standard Pack 10

Allevyn Adhesive Smith & Nephew Healthcare Ltd 66150044 ELA024 12.5cm x 12.5cm Foam dressing Adhesive Standard Pack 10




Allevyn Adhesive Smith & Nephew Healthcare Ltd 66000451 ELA099 22cm x 22cm Foam dressing Adhesive Standard Pack 10


Allevyn Adhesive Smith & Nephew Healthcare Ltd 66000700 ELS046 17cm x 17cm Foam dressing Adhesive Standard Pack 10

Askina Transorbent Border B Braun Medical Ltd 0072710C ELA858 14cm x 14cm Foam dressing Adhesive Standard Box 5

Askina Transorbent Border B Braun Medical Ltd 0072715D ELA856 17cm x 17cm Foam dressing Adhesive Standard Box 5

Askina Transorbent Border B Braun Medical Ltd 0072720E ELA857 24cm x 24cm Foam dressing Adhesive Standard Box 5

Askina Transorbent Border B Braun Medical Ltd 0072705B ELA859 9cm x 14cm Foam dressing Adhesive Standard Box 5

Biatain Adhesive Coloplast Limited 3430 ELA074 10cm x 10cm Foam dressing Adhesive Standard Pack 10


Biatain Adhesive Coloplast Limited 3420 ELA044 12.5cm x 12.5cm Foam dressing Adhesive Standard Pack 10

Biatain Adhesive Coloplast Limited 3421 ELA635 15x15cm Foam dressing Adhesive Standard Box 5

Biatain Adhesive Coloplast Limited 3486 ELA209 17cm Foam dressing Adhesive Standard Pack 5

Biatain Adhesive Coloplast Limited 3483 ELA636 17cm x 17cm Foam dressing Adhesive Standard Box 5



Biatain Adhesive Coloplast Limited 3462 ELA658 7.5cm x 7.5cm Foam dressing Adhesive Standard Box 10


CovaWound Locus Consulting Services Ltd 2010505 ELA928 10cm x 10cm Foam dressing Adhesive Standard Carton 10


CovaWound Locus Consulting Services Ltd 2010919 ELA930 12.5cm x 22.5cm Foam dressing Adhesive Standard Carton 10





CovaWound Locus Consulting Services Ltd 2030411 ELA935 7.5cm x 15cm Foam dressing Adhesive Standard Carton 10

CovaWound Locus Consulting Services Ltd 2030416 ELA936 7.5cm x 20cm Foam dressing Adhesive Standard Carton 10

CovaWound Locus Consulting Services Ltd 2051313 ELM507 17cm x17cm Foam dressing Adhesive Standard Carton 10

CovaWound Locus Consulting Services Ltd 2052323 ELM508 23cm x 23cm Foam dressing Adhesive Standard Carton 10

Farmactive Medicare Colgate Ltd (Sterifeed) 1701401010 ELA909 10cm x 10cm Foam dressing Adhesive Standard Box 10





HydroTac Comfort Paul Hartmann Ltd (Blue Diamond) 685813 ELA803 10cm x 20cm Foam dressing Adhesive Standard Case 60

HydroTac Comfort Paul Hartmann Ltd (Blue Diamond) 685815 ELA801 12.5cm x 12.5cm Foam dressing Adhesive Standard Case 60




HydroTac Comfort Paul Hartmann Ltd (Blue Diamond) 685810 ELA800 8cmx 8cm Foam dressing Adhesive Standard Case 60

PermaFoam Comfort Paul Hartmann Ltd (Blue Diamond) 409408 ELA864 10cm x 10cm Foam dressing Adhesive Standard Case 60





Permafoam Comfort Paul Hartmann Ltd 409428 ELA267 8cm x 8cm Foam dressing Adhesive Standard Pack 10



Tegaderm Foam Adhesive 3m United Kingdom Plc 90611 ELA177 10cm x 11cm Foam dressing Adhesive Standard Pack 10




Tegaderm Foam Adhesive 3m United Kingdom Plc 90616 ELA179 19cm x 22.2cm Foam dressing Adhesive Standard Pack 5

Tegaderm Foam Adhesive 3m United Kingdom Plc 90615 ELA493 6.9cm x 6.9cm Foam dressing Adhesive Standard Case 40

Tegaderm Foam Adhesive 3m United Kingdom Plc 90614 ELA492 6.9cm x 7.6cm Foam dressing Adhesive Standard Case 40

Tegaderm Foam Adhesive 3m United Kingdom Plc 90610 ELA371 8.8cm x 8.8cm Foam dressing Adhesive Standard Pack 10

Tielle Kci Medical Ltd MTL101EN ELA215 11cm x 11cm Foam dressing Adhesive Standard Pack 10

Tielle Kci Medical Ltd MTL105 ELA052 15cm x 15cm Foam dressing Adhesive Standard Pack 10



Tielle Kci Medical Ltd MTL100EN ELA053 7cm x 9cm Foam dressing Adhesive Standard Pack 10

Tielle Plus Kci Medical Ltd MTP501 ELA010 11cm x 11cm Foam dressing Adhesive Standard Pack 10



Tielle Plus Kci Medical Ltd MTP508 ELA268 20cm x 26.5cm Foam dressing Adhesive Standard Pack 5


Tielle Sacrum Kci Medical Ltd MTL104 ELA029 18cm x 18cm Foam dressing Adhesive Standard Pack 5

Adhesive LiteBrand Supplier MPC NPC Size Category Sub-category UOI Units

Tielle Lite Kci Medical Ltd MTL300EN ELA103 7cm x 9cm Foam dressing Adhesive Lite Pack 10

Tielle Lite Kci Medical Ltd MTL301EN ELA104 11cm x 11cm Foam dressing Adhesive Lite Pack 10

Tielle Lite Kci Medical Ltd MTL308 ELA008 8cm x 15cm Foam dressing Adhesive Lite Pack 10

Tielle Lite Kci Medical Ltd MTL309 ELA007 8cm x 20cm Foam dressing Adhesive Lite Pack 10

Non-adhesive StandardBrand Supplier MPC NPC Size Category Sub-category UOI Units

365 Foam 365 Healthcare 36590062 ELA871 10cm x 10cm Foam dressing Non-adhesive Standard Box 10



365 Foam 365 Healthcare 36590061 ELA874 7.5cm x 7.5cm Foam dressing Non-adhesive Standard Box 10

ActivHeal Advanced Medical Solutions (Plymouth)Ltd 10009115 ELA216 10cm x 10cm Foam dressing Non-adhesive Standard Pack 10




ActivHeal Advanced Medical Solutions (Plymouth)Ltd 10009114 ELA245 7.5cm x 7.5cm Foam dressing Non-adhesive Standard Pack 10

ActivHeal Advanced Medical Solutions (Plymouth)Ltd 10010227 ELM160 18cm x 12cm Foam dressing Non-adhesive Standard Pack 5

Advazorb Advancis Medical CR4166 ELA453 10cm x 10cm Foam dressing Non-adhesive Standard Box 10

Advazorb Advancis Medical CR4168 ELA712 15cm x15cm Foam dressing Non-adhesive Standard Pack 10

Advazorb Advancis Medical CR4170 ELA708 20cm x 20cm Foam dressing Non-adhesive Standard Box 10

Advazorb Advancis Medical CR4221 ELA624 5 x 5cm Foam dressing Non-adhesive Standard Box 10

Advazorb Advancis Medical CR4165 ELA526 7.5cm x 7.5cm Foam dressing Non-adhesive Standard Box 10

Advazorb Heel Advancis Medical CR4228 ELA625 17 x 21cm Foam dressing Non-adhesive Standard Box 5

Allevyn Non Adhesive Smith & Nephew Healthcare Ltd 66157637 ELA131 10cm x 10cm Foam dressing Non-adhesive Standard Pack 10


Allevyn Non Adhesive Smith & Nephew Healthcare Ltd 66157638 ELA133 20cm x 20c Foam dressing Non-adhesive Standard Pack 10


Allevyn Non Adhesive Smith & Nephew Healthcare Ltd 66007630 ELA100 10.5cm x 13.5cm Foam dressing Non-adhesive Standard Pack 5

Aquacel Foam Convatec Ltd 420633 ELY413 10cm x 10cm Foam dressing Non-adhesive Standard Pack 10





Aquacel Foam Convatec Ltd 421156 ELY575 10x20cm Foam dressing Non-adhesive Standard Box 5

Askina B Braun Medical Ltd 7241010 ELA410 10cm x 10cm Foam dressing Non-adhesive Standard Box 10


Askina B Braun Medical Ltd F72037 ELY311 10cm x 20cm Foam dressing Non-adhesive Standard Box 10

Askina B Braun Medical Ltd F72039 ELY313 15 x 20 cm Foam dressing Non-adhesive Standard Box 10

Askina B Braun Medical Ltd F72038 ELY312 15cm x 20cm Foam dressing Non-adhesive Standard Box 10


Askina B Braun Medical Ltd 7240105 ELA409 225cm Foam dressing Non-adhesive Standard Box 5

Biatain Non Adhesive Coloplast Limited 3410 ELA039 10cm x 10cm Foam dressing Non-adhesive Standard Pack 10





CovaWound Locus Consulting Services Ltd 2001010 ELA938 10cm x 10cm Foam dressing Non-adhesive Standard Carton 10










CovaWound Locus Consulting Services Ltd 2040685 ELA961 6cm x 8.5cm Foam dressing Non-adhesive Standard Carton 10

CovaWound Locus Consulting Services Ltd 2001013 ELM506 10cm x 13cm Foam dressing Non-adhesive Standard Carton 5

Cutimed Siltec Heel Bsn Medical Ltd 72648-00000-00 ELA497 16cm x 24cm Foam dressing Non-adhesive Standard Pack 5

Farmactive Medicare Colgate Ltd (Sterifeed) 1701391010 ELA912 10cm x 10cm Foam dressing Non-adhesive Standard Box 10




Farmactive Medicare Colgate Ltd (Sterifeed) 1701397575 ELA915 7.5cm x 7.5cm Foam dressing Non-adhesive Standard Box 10


GenaFoam Aspen Medical Europe Ltd (Ex Unomedical) 400404 ELA765 10cm x 10cm Foam dressing Non-adhesive Standard Pack 10





HydroTac Paul Hartmann Ltd (Blue Diamond) 685832 ELA984 10cm x 10cm Foam dressing Non-adhesive Standard Case 40

HydroTac Paul Hartmann Ltd (Blue Diamond) 685837 ELA796 12.5cm x 12.5cm Foam dressing Non-adhesive Standard Case 60


HydroTac Paul Hartmann Ltd (Blue Diamond) 685825 ELA799 18cm x 18.5 cm Foam dressing Non-adhesive Standard Case 60


HydroTac Paul Hartmann Ltd (Blue Diamond) 685849 ELA794 6cm Foam dressing Non-adhesive Standard Case 60

Kendall H&R Healthcare Ltd 55544- ELA700 10cm x 10cm Foam dressing Non-adhesive Standard Case 50

Kendall H&R Healthcare Ltd 55548 ELA701 10cm x 20cm Foam dressing Non-adhesive Standard Case 50

Kendall H&R Healthcare Ltd 55555 ELA702 12.5cm x 12.5cm Foam dressing Non-adhesive Standard Case 50




Kendall H&R Healthcare Ltd 55544P ELA693 10cm x 10cm Foam dressing Non-adhesive Standard Case 50

Kerraheel Crawford Pharmaceuticals ATL-0007 ELG027 12cm x 20cm Foam dressing Non-adhesive Standard Carton 5

Lyofoam Max Molnlycke Health Care Ltd 603201 ELA572 10cm x 10cm Foam dressing Non-adhesive Standard Pack 10




Lyofoam Max Molnlycke Health Care Ltd 603200 ELA571 7.5cm x 8.5cm Foam dressing Non-adhesive Standard Pack 10

Mepilex Lite Molnlycke Health Care Ltd 284100 ELA184 10cm x 10cm Foam dressing Non-adhesive Standard Pack 5

Mepilex Lite Molnlycke Health Care Ltd 284300 ELA185 15cm x 15cm Foam dressing Non-adhesive Standard Pack 5

Mepilex Lite Molnlycke Health Care Ltd 284500 ELA831 20cm x 50cm Foam dressing Non-adhesive Standard Case 24

Mepilex Lite Molnlycke Health Care Ltd 284000 ELA182 6cm x 8.5cm Foam dressing Non-adhesive Standard Pack 5


PermaFoam Paul Hartmann Ltd (Blue Diamond) 409401 ELA860 10cm x 10cm Foam dressing Non-adhesive Standard Case 60




PolyMem Aspen Medical Europe Ltd (Ex Unomedical) 5044 ELA303 10cm x 10cm Foam dressing Non-adhesive Standard Pack 15



PolyMem Aspen Medical Europe Ltd (Ex Unomedical) 606 ELA578 15cm x 15cm Foam dressing Non-adhesive Standard Box 60







PolyMem Adhesive Sacral Aspen Medical Europe Ltd (Ex Unomedical) 3709 ELA611 18.4cm x 20cm Foam dressing Non-adhesive Standard Pack 20

PolyMem Finger/Toe Aspen Medical Europe Ltd (Ex Unomedical) 4404 ELA665 Size 4 Foam dressing Non-adhesive Standard Pack 6

PolyMem Max Aspen Medical Europe Ltd (Ex Unomedical) 5088 ELA491 20cm x 20cm Foam dressing Non-adhesive Standard Pack 5

PolyMem Max Aspen Medical Europe Ltd (Ex Unomedical) 5045 ELA659 11cm x 11cm Foam dressing Non-adhesive Standard Box 10

PolyMem Nursicare Aspen Medical Europe Ltd (Ex Unomedical) 400-EN ELA927 2.5cm Foam dressing Non-adhesive Standard Pack 6

PolyMem Shapes Aspen Medical Europe Ltd (Ex Unomedical) 8053 ELA313 12.7cm x 8.8cm Foam dressing Non-adhesive Standard Pack 15

PolyMem Shapes Aspen Medical Europe Ltd (Ex Unomedical) 5055 ELA305 13cm x 13cm Foam dressing Non-adhesive Standard Pack 15

PolyMem Shapes Aspen Medical Europe Ltd (Ex Unomedical) A-8086 ELA594 16.5cm x 20.9cm Foam dressing Non-adhesive Standard Pack 20

PolyMem Shapes Aspen Medical Europe Ltd (Ex Unomedical) 8023 ELA588 5cm x 7.6cm Foam dressing Non-adhesive Standard Box 100

PolyMem Wic Aspen Medical Europe Ltd (Ex Unomedical) 5733 ELA772 8cm x 8cm Foam dressing Non-adhesive Standard Box 10

Renofoam Ims Euro Ltd FO14EN01 ELA881 10cm x 10cm Foam dressing Non-adhesive Standard Box 50




Renofoam Ims Euro Ltd FO14ENO4 ELA885 5cm x 5cm Foam dressing Non-adhesive Standard Box 100

Tegaderm Foam 3m United Kingdom Plc 90601 ELA166 10cm x 10cm Foam dressing Non-adhesive Standard Pack 10

Tegaderm Foam 3m United Kingdom Plc 90605 ELA170 10cm x 60cm Foam dressing Non-adhesive Standard Roll 1




Tielle Non Adhesive Kci Medical Ltd TLN1010EN ELA818 10cm x 10cm Foam dressing Non-adhesive Standard Pack 10


Tielle Non Adhesive Kci Medical Ltd TLN1717EN ELA820 17.5cm x 17.5cm Foam dressing Non-adhesive Standard Pack 5



Tielle Xtra Kci Medical Ltd MTP301 ELA367 11cm x 11cm Foam dressing Non-adhesive Standard Pack 10



Non-adhesive LiteBrand Supplier MPC NPC Size Category Sub-category UOI Units

Askina B Braun Medical Ltd 6201010 ELY408 10 x 10cm Foam dressing Non-adhesive Lite Pack 10



CovaWound Locus Consulting Services Ltd 2041010 ELA937 10cm x 10cm Foam dressing Non-adhesive Lite Carton 10





CovaWound Locus Consulting Services Ltd 2040685 ELA961 6cm x 8.5cm Foam dressing Non-adhesive Lite Carton 10

Mepilex Lite Molnlycke Health Care Ltd 284100 ELA184 10cm x 10cm Foam dressing Non-adhesive Lite Pack 5

Mepilex Lite Molnlycke Health Care Ltd 284300 ELA185 15cm x 15cm Foam dressing Non-adhesive Lite Pack 5

Mepilex Lite Molnlycke Health Care Ltd 284500 ELA831 20cm x 50cm Foam dressing Non-adhesive Lite Case 24

Mepilex Lite Molnlycke Health Care Ltd 284000 ELA182 6cm x 8.5cm Foam dressing Non-adhesive Lite Pack 5

Silicone Adhesive StandardBrand Supplier MPC NPC Size Category Sub-category UOI Units

365 Silicone Foam 365 Healthcare 36590072 ELA875 10cm x 10cm Foam dressing Silicone Adhesive Standard Box 10




365 Silicone Foam 365 Healthcare 36590071 ELA879 7.5cm x 7.5cm Foam dressing Silicone Adhesive Standard Box 10

ActivHeal Advanced Medical Solutions (Plymouth)Ltd 10012556 ELA838 10cm x 10cm Foam dressing Silicone Adhesive Standard Box 10


ActivHeal Advanced Medical Solutions (Plymouth)Ltd 10012557 ELA840 12.5cm x 12.5cm Foam dressing Silicone Adhesive Standard Box 10



ActivHeal Advanced Medical Solutions (Plymouth)Ltd 10012555 ELA843 7.5cm x 7.5cm Foam dressing Silicone Adhesive Standard Box 10


Advazorb border Advancis Medical CR4194 ELA551 10cm x 20cm Foam dressing Silicone Adhesive Standard Box 10




Advazorb border Advancis Medical CR4190 ELA547 7.5cm x 7.5cm Foam dressing Silicone Adhesive Standard Box 10

Allevyn Gentle Border Smith & Nephew Healthcare Ltd 66800270 ELA362 10cm x 10cm Foam dressing Silicone Adhesive Standard Pack 10


Allevyn Gentle Border Smith & Nephew Healthcare Ltd 66800272 ELA361 12.5cm x 12.5cm Foam dressing Silicone Adhesive Standard Pack 10






Allevyn Gentle Border Heel Smith & Nephew Healthcare Ltd 66800506 ELA392 23cm x 23.2cm Foam dressing Silicone Adhesive Standard Pack 5

Allevyn Gentle Border Scarrum Smith & Nephew Healthcare (E-Direct) 66801031 ELA605 21.6cm x 23cm Foam dressing Silicone Adhesive Standard Pack 10

Allevyn Life Smith & Nephew Healthcare Ltd 66801067 ELA607 10.3cm x 10.3cm Foam dressing Silicone Adhesive Standard Pack 10



Allevyn Life Smith & Nephew Healthcare Ltd 66801070 ELA610 21cm x 21cm Foam dressing Silicone Adhesive Standard Pack 10


Allevyn Life Heel Smith & Nephew Healthcare (E-Direct) 66801304 ELA650 25cm x 25.2cm Foam dressing Silicone Adhesive Standard Box 5

Allevyn Life Sacrum Smith & Nephew Healthcare Ltd 66801306 ELA645 17.2cm x 17.5cm Foam dressing Silicone Adhesive Standard Box 10

Allevyn Life Sacrum Smith & Nephew Healthcare (E-Direct) 66801307 ELA646 21.6cm x 23cm Foam dressing Silicone Adhesive Standard Box 10

Aquacel Foam Convatec Ltd 420680 ELY417 10cm x 10cm Foam dressing Silicone Adhesive Standard Pack 10

Aquacel Foam Convatec Ltd 420619 ELY418 12.5cm x 12.5cm Foam dressing Silicone Adhesive Standard Pack 10

Aquacel Foam Convatec Ltd 420621 ELY419 17.5cm x 17.5cm Foam dressing Silicone Adhesive Standard Pack 10



Aquacel Foam Convatec Ltd 420804 ELY428 8cm x 8cm Foam dressing Silicone Adhesive Standard Box 10

Aquacel Foam Convatec Ltd 420625 ELY422 19.8cm x 14cm Foam dressing Silicone Adhesive Standard Pack 5

Aquacel Foam Convatec Ltd 420626 ELY423 20cm x 16.9cm Foam dressing Silicone Adhesive Standard Pack 5

Biatain Silicone Coloplast Limited 3343531006 ELA451 10cm x 10cm Foam dressing Silicone Adhesive Standard Box 10

Biatain Silicone Coloplast Limited 3343631006 ELA426 12.5cm x 12.5cm Foam dressing Silicone Adhesive Standard Box 10

Biatain Silicone Coloplast Limited 3343731006 ELA427 15cm x 15cm Foam dressing Silicone Adhesive Standard Box 5



Biatain Silicone Lite Coloplast Limited 3345301006 ELA787 5cm x 12.5cm Foam dressing Silicone Adhesive Standard Box 5

Biatain Silicone Lite Coloplast Limited 3345201006 ELA786 5cm x 5cm Foam dressing Silicone Adhesive Standard Box 5

Biatain Silicone Lite Coloplast Limited 33445 ELA688 10cm x 10cm Foam dressing Silicone Adhesive Standard Box 10

Biatain Silicone Lite Coloplast Limited 33446 ELA689 12.5cm x 12.5cm Foam dressing Silicone Adhesive Standard Box 10

Biatain Silicone Lite Coloplast Limited 33444 ELA687 7.5cm x 7.5cm Foam dressing Silicone Adhesive Standard Box 10

C-Foam Silicone Border Richardson Healthcare Ltd 203810 ELA886 10cm x 10cm Foam dressing Silicone Adhesive Standard Box 10



C-Foam Silicone Border Richardson Healthcare Ltd 203875 ELA889 7.5cm x 7.5cm Foam dressing Silicone Adhesive Standard Box 10

C-Foam Silicone Border Sacral Richardson Healthcare Ltd 203877 ELA894 18.3cm x 18.3cm Foam dressing Silicone Adhesive Standard Box 10

CovaWound Locus Consulting Services Ltd 1031010 ELA962 10cm x 10cm Foam dressing Silicone Adhesive Standard Carton 10


CovaWound Locus Consulting Services Ltd 1011012 ELA964 10cm x 12.5cm Foam dressing Silicone Adhesive Standard Carton 10






CovaWound Locus Consulting Services Ltd 1031212 ELA969 12.5cm x 12.5cm Foam dressing Silicone Adhesive Standard Carton 10







CovaWound Locus Consulting Services Ltd 1011720 ELA977 17.5cm x 20cm Foam dressing Silicone Adhesive Standard Carton 10









Cutimed Siltec B Bsn Medical Ltd 72631-01 ELA443 12.5cm x 12.5cm Foam dressing Silicone Adhesive Standard Pack 10

Cutimed Siltec B Bsn Medical Ltd 72631-02 ELA444 15cm x 15cm Foam dressing Silicone Adhesive Standard Pack 10


Cutimed Siltec B Bsn Medical Ltd 72631-00004-01 ELA494 22.5cm x 22.5cm Foam dressing Silicone Adhesive Standard Pack 5


Cutimed Siltec Sacrum Bsn Medical Ltd 7264700 ELA855 17cm x 17cm Foam dressing Silicone Adhesive Standard Pack 5

Cutimed Siltec Sacrum Bsn Medical Ltd 7264701 ELA854 23cm x 23cm Foam dressing Silicone Adhesive Standard Pack 5

Cutimed Siltec Sacrum Bsn Medical Ltd 72647-00000-00 ELA495 17.5cm x 17.5cm Foam dressing Silicone Adhesive Standard Pack 5

Farmactive Medicare Colgate Ltd (Sterifeed) 1701451010 ELA916 10cm x 10cm Foam dressing Silicone Adhesive Standard Box 10



Foamlite ConvaTec Dressing Convatec Ltd 421559 ELA850 10cm x 10cm Foam dressing Silicone Adhesive Standard Box 10

Foamlite ConvaTec Dressing Convatec Ltd 421561 ELA851 15cm x 15cm Foam dressing Silicone Adhesive Standard Box 10


Foamlite ConvaTec Dressing Convatec Ltd 421563 ELA852 5cm x 12.5cm Foam dressing Silicone Adhesive Standard Box 10

Foamlite ConvaTec Dressing Convatec Ltd 421557 ELA853 7.5cm x 7.5cm Foam dressing Silicone Adhesive Standard Box 10

GentilFoam Aspen Medical Europe Ltd (Ex Unomedical) 430608 ELA923 15cm x 20cm Foam dressing Silicone Adhesive Standard Pack 10

KerraFoam Gentle Border Crawford Pharmaceuticals CWL1011 EME088 10x10cm Foam dressing Silicone Adhesive Standard Box 10

KerraFoam Gentle Border Crawford Pharmaceuticals CWL1012 EME089 10x20cm Foam dressing Silicone Adhesive Standard Box 10

KerraFoam Gentle Border Crawford Pharmaceuticals CWL1013 EME090 12.5x12.5cm Foam dressing Silicone Adhesive Standard Box 10

KerraFoam Gentle Border Crawford Pharmaceuticals CWL1010 EME087 7.5x7.5cm Foam dressing Silicone Adhesive Standard Box 10

KerraFoam Gentle Border Crawford Pharmaceuticals CWL1024 EME102 23cm x 25cm Foam dressing Silicone Adhesive Standard Box 5

KerraFoam Gentle Border Crawford Pharmaceuticals CWL1040 EME127 23cm x 26cm Foam dressing Silicone Adhesive Standard Box 5

KerraFoam Gentle Border Crawford Pharmaceuticals CWL1023 EME101 17cm x 17.5cm Foam dressing Silicone Adhesive Standard Box 5

Kliniderm foam silicone border H&R Healthcare Ltd 40514829 ELA742 10cm x 10cm Foam dressing Silicone Adhesive Standard Pack 5


Kliniderm foam silicone border H&R Healthcare Ltd 40514833 ELA907 10cm x 30cm Foam dressing Silicone Adhesive Standard Case 100

Kliniderm foam silicone border H&R Healthcare Ltd 40514830 ELA743 12.5cm x 12.5cm Foam dressing Silicone Adhesive Standard Pack 5


Kliniderm foam silicone border H&R Healthcare Ltd 40514828 ELA741 7.5cm x 7.5cm Foam dressing Silicone Adhesive Standard Pack 5

Kliniderm foam silicone heel border H&R Healthcare Ltd 40514836 ELA908 20cm x 20.8cm Foam dressing Silicone Adhesive Standard Case 100

Kliniderm foam silicone sacrum border H&R Healthcare Ltd 40514838 ELA758 18 x 18cm Foam dressing Silicone Adhesive Standard Pack 5

Mepilex Border Molnlycke Health Care Ltd 295366 ELA828 10cm x 10.5cm Foam dressing Silicone Adhesive Standard Box 10

Mepilex Border Molnlycke Health Care Ltd 295066 ELA823 10cm x 12.5cm Foam dressing Silicone Adhesive Standard Pack 10

Mepilex Border Molnlycke Health Care Ltd 295800 ELA713 10cm x 20cm Foam dressing Silicone Adhesive Standard Pack 5


Mepilex Border Molnlycke Health Care Ltd 295466 ELA829 15cm x 17.5cm Foam dressing Silicone Adhesive Standard Box 10


Mepilex Border Molnlycke Health Care Ltd 295266 ELA822 7cm x 7.5cm Foam dressing Silicone Adhesive Standard Pack 10


Mepilex Border Flex Molnlycke Health Care Ltd 283300 ELA781 13x16cm Foam dressing Silicone Adhesive Standard Case 35

Mepilex Border Flex Molnlycke Health Care Ltd 283400 ELA711 15x19cm Foam dressing Silicone Adhesive Standard Box 5

Mepilex Border Heel Molnlycke Health Care Ltd 283250 ELA651 18.5 x 24cm Foam dressing Silicone Adhesive Standard Pack 5

Mepilex Border Post Op Molnlycke Health Care Ltd 495650 ELS658 10cm x 35cm Foam dressing Silicone Adhesive Standard Case 50

Mepilex Border Post Op Molnlycke Health Care Ltd 495400 ELA655 10x20cm Foam dressing Silicone Adhesive Standard Pack 10






Mepilex Border Post Op Molnlycke Health Care Ltd 495300 ELA654 9x15cms Foam dressing Silicone Adhesive Standard Pack 10

Molnlycke Healthcare Molnlycke Health Care Ltd 282000 ELA300 18cm x 18cm Foam dressing Silicone Adhesive Standard Pack 5

Molnlycke Healthcare Molnlycke Health Care Ltd 282400 ELA173 23cm x 23cm Foam dressing Silicone Adhesive Standard Pack 5

Tielle Silicone Border Kci Medical Ltd TLSB1010EN ELA813 10cm x 10cm Foam dressing Silicone Adhesive Standard Pack 10

Tielle Silicone Border Kci Medical Ltd TLSB1212EN ELA814 12.5cm x 12.5cm Foam dressing Silicone Adhesive Standard Pack 10

Tielle Silicone Border Kci Medical Ltd TLSB1717EN ELA815 17.5cm x 17.5cm Foam dressing Silicone Adhesive Standard Pack 5



Urgotul Absorb Border Urgo Ltd 551433 ELA749 10 x 25cm Foam dressing Silicone Adhesive Standard Pack 10

Urgotul Absorb Border Urgo Ltd 551431 ELA747 6.5 x 10cm Foam dressing Silicone Adhesive Standard Pack 10







Silicone Adhesive LiteBrand Supplier MPC NPC Size Category Sub-category UOI Units

CovaWound Locus Consulting Services Ltd 1031010 ELA962 10cm x 10cm Foam dressing Carton 10


Advazorb border lite Advancis Medical CR4198 ELA555 10cm x 10cm Foam dressing Silicone Adhesive Lite Box 10



Advazorb border lite Advancis Medical CR4199 ELA556 12.5cm x 12.5cm Foam dressing Silicone Adhesive Lite Box 10



Advazorb border lite Advancis Medical CR4197 ELA554 7.5cm x 7.5cm Foam dressing Silicone Adhesive Lite Box 10

Allevyn Gentle Border Lite Smith & Nephew Healthcare Ltd 66800835 ELA469 10cm x 10cm Foam dressing Silicone Adhesive Lite Pack 10

Allevyn Gentle Border Lite Smith & Nephew Healthcare (E-Direct) 66801012 ELA570 10cm x 20cm Foam dressing Silicone Adhesive Lite Pack 10

Allevyn Gentle Border Lite Smith & Nephew Healthcare Ltd 66801014 ELA569 15.2cm x 13.1cm Foam dressing Silicone Adhesive Lite Pack 10


Allevyn Gentle Border Lite Smith & Nephew Healthcare Ltd 66800836 ELA470 5.5cm x 12cm Foam dressing Silicone Adhesive Lite Pack 10


Allevyn Gentle Border Lite Smith & Nephew Healthcare Ltd 66800834 ELA468 7.5cm x 7.5cm Foam dressing Silicone Adhesive Lite Pack 10

Allevyn Gentle Border Lite Smith & Nephew Healthcare (E-Direct) 66801013 ELA568 8.6cm x 7.7cm Foam dressing Silicone Adhesive Lite Pack 10


Allevyn Gentle Border Lite Smith & Nephew Healthcare (E-Direct) 66801041 ELA604 8cm x 8.4cm Foam dressing Silicone Adhesive Lite Pack 10

Biatain Silicone Lite Coloplast Limited 3345301006 ELA787 5cm x 12.5cm Foam dressing Silicone Adhesive Lite Box 5

Biatain Silicone Lite Coloplast Limited 3345201006 ELA786 5cm x 5cm Foam dressing Silicone Adhesive Lite Box 5

Biatain Silicone Lite Coloplast Limited 33445 ELA688 10cm x 10cm Foam dressing Silicone Adhesive Lite Box 10

Biatain Silicone Lite Coloplast Limited 33446 ELA689 12.5cm x 12.5cm Foam dressing Silicone Adhesive Lite Box 10

Biatain Silicone Lite Coloplast Limited 33444 ELA687 7.5cm x 7.5cm Foam dressing Silicone Adhesive Lite Box 10

Foamlite ConvaTec Dressing Convatec Ltd 421559 ELA850 10cm x 10cm Foam dressing Silicone Adhesive Lite Box 10

Foamlite ConvaTec Dressing Convatec Ltd 421561 ELA851 15cm x 15cm Foam dressing Silicone Adhesive Lite Box 10

Foamlite ConvaTec Dressing Convatec Ltd 421563 ELA852 5cm x 12.5cm Foam dressing Silicone Adhesive Lite Box 10

Foamlite ConvaTec Dressing Convatec Ltd 421557 ELA853 7.5cm x 7.5cm Foam dressing Silicone Adhesive Lite Box 10

Kliniderm foam silicone lite border H&R Healthcare Ltd 40514817 ELA730 10cm x 10cm Foam dressing Silicone Adhesive Lite Pack 5

Silicone Adhesive LiteBrand Supplier MPC NPC Size Category Sub-category UOI Units

Kliniderm foam silicone lite border H&R Healthcare Ltd 40514818 ELA731 15cm x 15cm Foam dressing Silicone Adhesive Lite Pack 5

Kliniderm foam silicone lite border H&R Healthcare Ltd 40514814 ELA726 4cm x 5 cm Foam dressing Silicone Adhesive Lite Pack 10

Kliniderm foam silicone lite border H&R Healthcare Ltd 40514815 ELA729 5cm x 12.5cm Foam dressing Silicone Adhesive Lite Pack 5

Kliniderm foam silicone lite border H&R Healthcare Ltd 40514816 ELA728 7.5cm x 7.5cm Foam dressing Silicone Adhesive Lite Pack 5

Mepilex Border Lite Molnlycke Health Care Ltd 281366 ELA826 10cm x 10.5cm Foam dressing Silicone Adhesive Lite Box 10

Mepilex Border Lite Molnlycke Health Care Ltd 281566 ELA827 15cm x 15cm Foam dressing Silicone Adhesive Lite Box 10

Mepilex Border Lite Molnlycke Health Care Ltd 281000 ELA272 4cm x 5cm Foam dressing Silicone Adhesive Lite Pack 10

Mepilex Border Lite Molnlycke Health Care Ltd 281166 ELA824 5cm x 12.5cm Foam dressing Silicone Adhesive Lite Box 10

Mepilex Border Lite Molnlycke Health Care Ltd 281266 ELA825 7.5cm x 7.5cm Foam dressing Silicone Adhesive Lite Box 10

Silicone Non-adhesive StandardBrand Supplier MPC NPC Size Category Sub-category UOI Units

ActivHeal Advanced Medical Solutions (Plymouth)Ltd 10012564 ELA844 10cm x 10cm Foam dressing Silicone Non-adhesive Standard Box 10





ActivHeal Advanced Medical Solutions (Plymouth)Ltd 9001555 ELA834 7.5cm x 7.5cm Foam dressing Silicone Non-adhesive Standard Box 10

Advazorb Silfix Advancis Medical CR4179 ELA641 12.5cm x 12.5cm Foam dressing Silicone Non-adhesive Standard Box 10

Advazorb Silfix Advancis Medical CR4178 ELA536 10cm x 10cm Foam dressing Silicone Non-adhesive Standard Box 10

Advazorb Silfix Advancis Medical CR4181 ELA539 10cm x 20xm Foam dressing Silicone Non-adhesive Standard Box 10



Advazorb Silfix Advancis Medical CR4177 ELA535 7.5cm x 7.5cm Foam dressing Silicone Non-adhesive Standard Box 10

Allevyn Gentle Smith & Nephew Healthcare Ltd 66800248 ELA360 10cm x 10cm Foam dressing Silicone Non-adhesive Standard Pack 10





Biatain Coloplast Limited 3473 ELA404 5cm x 7cm Foam dressing Silicone Non-adhesive Standard Box 5


Biatain Soft-Hold Coloplast Limited 3470 ELA274 10cm x 10cm Foam dressing Silicone Non-adhesive Standard Pack 5



C-Foam Silicone Richardson Healthcare Ltd 203610 ELA890 10cm x 10cm Foam dressing Silicone Non-adhesive Standard Box 10




CovaWound Locus Consulting Services Ltd 1001010 ELA941 10cm x 10cm Foam dressing Silicone Non-adhesive Standard Carton 10




CovaWound Locus Consulting Services Ltd 1001212 ELA945 12.5cm x 12.5cm Foam dressing Silicone Non-adhesive Standard Carton 10








CovaWound Locus Consulting Services Ltd 1047575 ELA953 7.5cm x 7.5cm Foam dressing Silicone Non-adhesive Standard Carton 10

Cutimed Siltec Bsn Medical Ltd 72632-01 ELA447 10cm x 10cm Foam dressing Silicone Non-adhesive Standard Pack 10





Cutimed Siltec L Bsn Medical Ltd 72630-01 ELA440 10cm x 10cm Foam dressing Silicone Non-adhesive Standard Pack 10



Cutimed Siltec PLUS Bsn Medical Ltd 72683-01 ELA682 10 x 10cm Foam dressing Silicone Non-adhesive Standard Pack 10





Cutimed Siltec PLUS Bsn Medical Ltd 72683-00 ELA681 5cm x 6cm Foam dressing Silicone Non-adhesive Standard Pack 10

GentilFoam Aspen Medical Europe Ltd (Ex Unomedical) 420404 ELA924 10cm x 10cm Foam dressing Silicone Non-adhesive Standard Pack 10

GentilFoam Aspen Medical Europe Ltd (Ex Unomedical) 420C44 ELA925 10cm x 10cm Foam dressing Silicone Non-adhesive Standard Pack 5

GentilFoam Aspen Medical Europe Ltd (Ex Unomedical) 420303 ELA926 7.5cm x 7.5cm Foam dressing Silicone Non-adhesive Standard Pack 10

Kliniderm foam silicone H&R Healthcare Ltd 40514824 ELA740 10cm x 10cm Foam dressing Silicone Non-adhesive Standard Pack 5

Kliniderm foam silicone H&R Healthcare Ltd 40514827 ELA756 20 x 20cm Foam dressing Silicone Non-adhesive Standard Pack 5

Kliniderm foam silicone H&R Healthcare Ltd 40514823 ELA739 5cm x 5cm Foam dressing Silicone Non-adhesive Standard Pack 5

Mepilex Molnlycke Health Care Ltd 294160 ELS657 10cm x 11cm Foam dressing Silicone Non-adhesive Standard Case 50

Mepilex Molnlycke Health Care Ltd 294500 ELA383 20cm x 50cm Foam dressing Silicone Non-adhesive Standard Pack 2

Mepilex Molnlycke Health Care Ltd 294015 ELA715 5cm x 5cm Foam dressing Silicone Non-adhesive Standard Pack 5

Mepilex Heel Molnlycke Health Care Ltd 288100 ELA277 13cm x 20cm Foam dressing Silicone Non-adhesive Standard Pack 5

Mepilex Heel Molnlycke Health Care Ltd 288300 ELA429 15cmx22cm Foam dressing Silicone Non-adhesive Standard Pack 5

Mepilex Transfer Molnlycke Health Care Ltd 294800 ELA111 15cm x 20cm Foam dressing Silicone Non-adhesive Standard Pack 5

Mepilex XT Molnlycke Health Care Ltd 211160 ELA722 10cm x 11cm Foam dressing Silicone Non-adhesive Standard Pack 5




Urgotul Absorb Urgo Ltd (Blue Diamond) 551331 ELA774 10cm x 10cm Foam dressing Silicone Non-adhesive Standard Box 10




Silicone Non-adhesive LiteBrand Supplier MPC NPC Size Category Sub-category UOI Units

Mepilex Lite Molnlycke Health Care Ltd 284000 ELA182 6cm x 8.5cm Foam dressing Silicone Non-adhesive Lite Pack 5


Advazorb Silfix Lite Advancis Medical CR4186 ELA643 10cm x 10cm Foam dressing Silicone Non-adhesive Lite Box 10

Advazorb Silfix Lite Advancis Medical CR4185 ELA642 7.5cm x 7.5cm Foam dressing Silicone Non-adhesive Lite Box 10

Advazorb Silfix Lite Advancis Medical CR4189 ELA545 10cm x 20xm Foam dressing Silicone Non-adhesive Lite Box 10

Advazorb Silfix Lite Advancis Medical CR4187 ELA543 12.5cm x 12.5xm Foam dressing Silicone Non-adhesive Lite Box 10

Advazorb Silfix Lite Advancis Medical CR4188 ELA544 15cm x 15xm Foam dressing Silicone Non-adhesive Lite Box 10

CovaWound Locus Consulting Services Ltd 1041020 ELA943 10cm x 20cm Foam dressing Silicone Non-adhesive Lite Carton 10

CovaWound Locus Consulting Services Ltd 1041515 ELA946 15cm x 15cm Foam dressing Silicone Non-adhesive Lite Carton 10

CovaWound Locus Consulting Services Ltd 1047575 ELA953 7.5cm x 7.5cm Foam dressing Silicone Non-adhesive Lite Carton 10

Kliniderm foam silicone lite H&R Healthcare Ltd 40514813 ELA755 20 x 50cm Foam dressing Silicone Non-adhesive Lite Pack 4

Documents

Clinical Review...2.3 Clinical Practice Foam dressings come in a variety of sizes, shapes, and formats. This enables their use: as primary, and secondary dressings; for differing wound