Global

‡ In these countries please contact our distributor

PICO◊

Single Use Negative Pressure Wound Therapy

PICO Negative Pressure Wound Therapy

About PICO

Single Use Negative Pressure Wound Therapy

PICO represents a unique way of treating patients who would benefit from the application of Negative Pressure Wound Therapy (NPWT). PICO has been shown to provide positive patient outcomes when applied to open wounds, closed surgical incisions and skin grafts1,2,3,4

The PICO system is canister-free which means the pump is small enough to fit in the palm of your hand. This makes the system very discreet and portable for the patient to wear2.

The PICO pump generates an effective negative pressure of -80mmHg5 and provides therapy for up to 7 days.

The PICO pump is connected to a conformable, innovatively designed dressing which:

  1. Is easily applied and removed, minimising skin trauma2 and delivers the negative pressure across the wound bed or closed incision1
  2. Is designed to reduce the risk of pressure points and supports patient comfort 6,7
  3. Manages the fluid away from the wound or closed incision through a unique combination of absorbency and evaporation1,5.

Provided as a convenient all-in-one-system, canister-free PICO supports patients in maintaining their daily activities. Patients may be safely discharged with PICO in place2,3,8, the size and simplicity gives confidence that they can manage the system at home2,3,8.

Healthcare providers can be confident in using PICO because it has been shown to lead to improved patient outcomes and utilisation of resources across a range of wound types and care settings2,3,8,9.

PICO is presented to provide one week (7 days) of therapy. In each kit there is one pump plus two dressings complete with fixation strips. This enables a dressing change to be carried out within the therapy life of the pump if this is clinically necessary.

Being single use, PICO can be kept on the shelf to allow easy access to the therapy when it's needed.

 

References

  1. Hudson D, et al. Simplified negative pressure wound therapy: clinical evaluation of an ultraportable, no-canister system. International Wound Journal 2013; 12: 195-201
  2. Hurd T, Evaluating the Cost and Benefits of Innovations in Chronic Wound Care Products and Practices. Ostomy Wound Management 2013; 59(6): supp. 1-15
  3. Selvaggi F, et al. New Advances in Negative Pressure Wound Therapy (NPWT) for Surgical Wounds of Patients Affected with Crohn’s Disease. Surgical Technology International 2014; 24: 83-89
  4. Edwards J. Use of a portable Negative Pressure Wound Therapy system (NPWT) (PICO) for split thickness skin grafts. Poster presented at Wounds UK Conference, Harrogate; 2012.
  5. Malmsjo M, et al. Biological Effects of a Disposable, Canisterless Negative Pressure Wound Therapy System. ePlasty 2014; 14: 113-127
  6. Casey C. Comparison of Pressure Transmission through Port Area of Current PICO and PICO Soft Port Dressings. Data on file; 2014: report DS/14/065/R
  7. Casey C. Comparison of Pressure Transmission through RENASYS Drape and Palermo Designs in-vitro Test. Data on file; 2014: report DS/14/066/R
  8. Bullough L, et al. Changing woundcare protocols to reduce post-operative caesarean section infection and readmission. Wounds UK 2014; 10(1); 84-89
  9. Nuila L. NPWT in incisions in cardiothoracic surgery. Paper presented at 5th NPWT Expert Panel Meeting, Frankfurt; 2014.

 

SN12026 06/07/2015

PICO in Use

Troubleshooting Guide


Which Dressing Size to Choose


Choose a size of dressing that, when applied, allows coverage of the wound, graft or total length of the incision whilst keeping the port away from the area of injury.

Code Size (cm) Pad size (cm)
66801358 10 x 20 5.6 x 15
66801359 10 x 30 5.6 x 25
66801360 10 x 40 5.6 x 35
66801361 15 x 15 10 x 10
66801362 15 x 20 10 x 15
66801363 15 x 30 10 x 25
66801364 20 x 20 15 x 15
66801365 25 x 25 20 x 20
66801356 15 x 20 Multisite (Small) 121cm2
66801357 20 x 25 Multisite (Large) 246cm2


How to Deal with an Air Leak/Low Pressure

  • Smooth the dressing and strips against the skin, it may be that movement has caused the edge to lift a little.
  • Once this has been completed, press the orange button and the pump will re-establish the vacuum.
  • Whilst the pump is running the green light will flash. If the vacuum is successfully re-established the green light will continue to flash.
  • If air is still finding a way into the dressing, the yellow leak light will start to flash after approximately 30 seconds. Repeat the smoothing motion and press the orange button until the leak is resolved.

 

How to Change the Batteries

  • Press the orange button to pause the therapy.
  • Remove the battery cover from the top of the pump and remove the old batteries.
  • Replace with 2 new AA lithium batteries. An indication of which way up each battery should be placed is shown inside the battery compartment.
  • Replace the cover.
  • Press the orange button to start the therapy.

 

PICO in Use: How to Change the Batteries

Carrying PICO

 PICO Carry CaseEnlarge Image

 

 

PICO is small enough to fit into a pocket or handbag. It’s very discreet.

A bag is also available to carry PICO. This can be ordered using code 66800918

 

Safety and Electromagnetic Compatibility Information

Please click on your country to download your EMC data

 

SN12026 06/07/2015

Indications

PICO Single Use (NPWT) system is indicated for patients who would benefit from negative pressure wound therapy as it may promote wound healing via removal of low to moderate levels of exudate.

PICO Single Use Negative Pressure Wound Therapy System is suitable for use in both a hospital and community setting and indicated for the following:

  • Acute wounds
  • Chronic wounds
  • Flaps and grafts
  • Partial-thickness burns
  • Subacute and dehisced wounds
  • Surgically closed incision sites
  • Traumatic wounds
  • Pressure injuries
  • Diabetes-related foot ulcers

 

Use with Fillers

PICO is compatible with the standard fillers of foam and gauze used with traditional NPWT if this is necessary1.

When treating wounds with a depth of 0.5cm - 2cm, a wound filler of gauze or foam should be considered to ensure adequate treatment of all the wound surfaces, especially if:

  • The wound bed is uneven
  • There is undermining
  • The wound is a sinus

 

Wounds treated with the larger sizes of PICO should be no more than 2cm in depth.

 

Open Wounds

 

Deeper Open Wound  

 

Deeper Open Wound  

 

Application of PICO Multisite – Heel Application

 

Closed Incisions

Surgically Closed Incisions

 

Skin Grafts 

 

Fluid Management

The PICO dressing has been uniquely designed to manage fluid in two ways2. The first is absorption into the superabsorbent layer and the second is by transpiration of the moisture through the REACTIC top film.

As fluid is removed from the wound bed, it first enters the airlock layer then is rapidly pulled away by the hydrophilic superabsorbent layer2. This part of the dressing forms a gel which acts to hold the fluid securely away from the wound.

Once the gel forms underneath the film at the top of the dressing, the film starts to transpire the moisture2 and an equilibrium is established to balance the amount of fluid in the dressing at any one point in time. This action prevents the dressing on the patient becoming heavy with fluid.

 

References

1. Roberts S. Wound model investigation of the compatibility of PICO with a range of wound filters and a wound contact layer. Data on file; 2011: Report DS/11/021/R1. 

2. Malmsjo, M, et al. Biological effects of a disposable, canisterless negative pressure wound therapy system. ePlasty 2014; 14: 113-127.

 

SN12026 06/07/2015

Evidence

Evidence

Please follow this link to access clinical papers on PICO: http://improving-outcomes-online.com/ For additional evidence please contact Smith & Nephew. 

Patient Information

Patient Perspectives on PICO

Hear what the first patients who were treated with the PICO system have to say about their experience:

 

Download our PICO Patient Guide here

 

Please refer to the instructions for use provided with the product for full details on how to use this product.

 

SN12026 06/07/2015