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PROFORE Lite

A 3-Layer Sustained Compression Bandage System

Overview

Description

PROFORE Lite Low Compression Bandaging System


Features

Each system pack contains the following:

  • One PROFORE wound contact layer (9.5cm x 9.5cm)
  • One PROFORE #1 natural padding bandage (10cm x 3.5m unstretched)
  • One PROFORE #2 light conformable dressing (10cm x 4.5m stretched)
  • One PROFORE #4 flexible cohesive bandage (10cm x 2.5m unstretched)


Benefits

Reduced Compression
PROFORE Lite offers reduced compression from the original PROFORE kits.

Developed for the management of mixed aetiology leg ulcers
PROFORE Lite has been developed for the management of leg ulcers where assessment of the patient has identified arterial as well as venous insufficiency. Arterial impairment prevents the use of full compression because of the risk of ischaemic necrosis.

Graduated Compression
Effective graduated compression is recognised to be the most important factor in the treatment of venous leg ulcers.

Sustained Compression
The multi-layer compression bandage system has been demonstrated to maintain effective levels of compression for at least one week after application.

Can be left in place for up to one week
The multi-layer compression bandage system has sufficient absorption capacity to manage exudate for up to a week without needing re-application.

Convenient
PROFORE Lite contains everything necessary for the application of multi-layer compression bandage therapy. PROFORE Lite reduces preparation time, simplifies stock control and ensures that the correct components are always available.


Indications

PROFORE Lite has been developed for the management ovenous leg ulcers where assessment of the patient has identified arterial as well as venous insufficiency. Arterial impairment prevents the use of full compression because of the risk of ischaemic necrosis.


Contraindications / Precautions

  • Should the patient develop pain or pale, cool or numb extremities distal to the dressing, the bandages should be promptly removed.
  • It is important that the size and shape of the limb is assessed carefully and that the appropriate combination of PROFORE bandages is used - the systems will not protect vulnerable areas for excessive pressure in patients with very thin legs or prominent tibial crests unless additional padding [PROFORE# 1] is used.
  • Failure to detect significantly reduced arterial flow can result in pressure necrosis, amputation or even death.
  • This product has components that contain natural rubber latex which may cause allergic reactions in some individuals.
  • The risk of arterial as well as venous disease rises with age.
  • Do not use on patients with an ankle: brachial pressure index (ABPI) of less than 0.6 (PROFORE Lite) or on diabetic patients with advanced small vessel disease.


Ordering information

Catalogue# Size Packaging
66000415 18cm - 25cm 1 Kit (WCL #1, #2, #4)
66000701 Wound Contact Layer (Sterile) 50 Dressings / 1Box

Instructions for Use

Note: Only apply PROFORE following training in its application and with knowledge of the use of compression therapy in patients with compromised arterial circulation.

Step 1

Before applying the first bandage check the following:

  • Assess the patient thoroughly to ensure that sufficient arterial supply exists to apply compression therapy. The use of Doppler ultrasound is essential.
  • Ankle : Brachial pressure index (ABPI) should be greater than 0.6.


Step 2

Measure the ankle circumference to confirm that it is greater than 18cm (padded).


Step 3

Assess the patient's limb for bony prominences or calf fibrosis. Ensure that these are well protected using the PROFORE #1 padding to distribute pressure evenly.


Step 4

If the patient has a known allergy to natural rubber latex, protect the skin from the bandage end seal using natural padding bandage.

Apply PROFORE Lite in the following sequence: 


Step 5

PROFORE sterile wound contact layer
Remove from the pack with sterile forceps and apply to the wound. Hold in place until covered by PROFORE #1.


Step 6

PROFORE #1 natural padding bandage
Apply from the base of the toes to the knee using a simple spiral technique and 50% overlap. Use any leftover padding to further protect any bony prominences or to improve absorption capacity if the wound is heavily exuding.


Step 7

PROFORE #2 light conformable bandage
Apply from the base of the toes to the knee, over PROFORE #1, using a simple spiral technique, apply at mid-stretch and 50% overlap. For maximum patient comfort, leave a slight border of PROFORE #1 visible to prevent subsequent bandages rubbing on the skin. Cut off any excess PROFORE #2. Use tape to secure.


Step 8

PROFORE #4 flexible cohesive bandage
Apply from toes to knee using a spiral technique with 50% extension and 50% overlap. Apply the bandage at 50% extension around the foot to help prevent oedema and steeply across the front of the foot to reduce build-up of material over the front of the ankle. Following application, press lightly on the surface to ensure that the bandage adheres to itself.

Please see the Overview tab for Contraindications/Precautions

Clinical Support

Paper Title: Sustained compression and healing of chronic venous ulcers
Author:
S Blair et al
Reference: British Medical Journal, 1988
Study Abstract: Graduated compression was therefore applied - as the radius of the leg increases from ankle to calf. Complete ulcer healing was achieved in 74% at 12 weeks. The four layer bandage achieved pressures of about 40mm Hg and were sustained for at least one week. In a multi-layer system, the mistakes in tension in any one layer tend to be averaged out. The pressures achieved by different bandagers were more consistent with the four layer bandage.

Paper Title: Community clinics for leg ulcers and impact on healing.
Author: C Moffatt et al
Reference: British Medical Journal, 1992
Study Abstract: Four layer bandaging in the community clinics achieved complete healing in 60% venous ulcers by 12 weeks and 83% by 24 weeks. The cost for all six clinics for one year was about £35-40000. The family health services committee probably already pays a similar or larger amount for materials, which are largely ineffective. 56% healed by 12 weeks and 75% by 24 weeks. The 50 patients with ABPI of >0.5 to <0.8 were treated with a reduced compression technique with a three layer bandage regime by removing layer #3  the light elastic compression bandage.