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PROFORE

Multi-Layer Compression Bandage System

Overview

Description

PROFORE is a multi layer compression bandage 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 #3 light compression bandage (10cm x 8.7m stretched)
  • One PROFORE #4 flexible cohesive bandage (10cm x 2.5m unstretched)


Benefits

Effective Compression
Proven effective in both hospital and community treatment studies, PROFORE is designed to deliver 40mm Hg pressure at the ankle, decreasing to 17mm Hg at the knee.

Graduated Compression
PROFORE provides higher pressure at the ankle, with decreasing pressure exhibited at the calf.

Sustained Compression
Even a full week after application, PROFORE maintains effective levels of compression.

Safety
PROFORE pads bony prominences for protection and through the use of layers, compression is built up gradually.

Extended Weartime
PROFORE has sufficient absorption capacity to manage exudate for up to a full week without needing re-application.

Cost-Effective
Weekly dressing changes greatly reduce the nursing time required for the treatment of venous leg ulcers. Studies have shown that the multi-layer compression bandage system provides significant savings in treatment costs.

Convenience
PROFORE system pack contains everything necessary for the application of effective graduated compression therapy. PROFORE reduces preparation time, simplifies stock control and ensures that the correct components are always available.


Indications

The multi-layer compression bandage system has been specifically designed for the management and treatment of venous leg ulcers and associated conditions. The system pack can be used on patients with ankle circumferences of greater than 18cm (padded), but will give best results on ankle circumferences of 18-25cm.


Contraindications / Precautions

  • Do not use on patients with an ankle: brachial pressure index (ABPI) of less than 0.8, or on diabetic patients with advanced small vessel disease.
  • 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 system will not protect vulnerable areas from excessive pressure and 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.


Ordering information

Catalogue# Description Units per case Ankle circumference
66000016 PROFORE Four Layer Bandage System 1 Kit 18-25cm
66000770 PROFORE (Latex Free) 1 Kit 18-25cm

Instructions for Use

CAUTION - BEFORE APPLYING THE FIRST BANDAGE It is important to check the following: 

  1. Assess the patient to rule out arterial disease. The use of Doppler ultrasound is recommended. 
  2. Measure the ankle circumference to confirm that it is greater than 18cm (padded). 
  3. Check if the patient's ankle circumference has changed due to a reduction in oedema. Always re-measure after the initial treatment period and check the bandage selection guide for the correct kit for the size of leg. 
  4. Assess the patient's limb for bony prominences or calf fibrosis. Ensure that these are well protected using the PROFORE #1 padding.


Apply PROFORE in the following sequence: 

  1. PROFORE WCL Sterile wound contact layer Remove from the pack with sterile forceps and apply to the wound. Hold in place until covered by PROFORE #1.
  2. PROFORE #1 Natural padding bandage Apply from the base of the toes to the knee using a simple spiral technique and 50% overlap. Do not apply tension.
  3. 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. Use tape to secure.
  4. PROFORE #3 Light compression bandage Apply from the base of the toes to the knee, using a figure of eight technique at 50% extension. Use the central yellow line as guidance. Use tape to secure.
  5. PROFORE #4 Flexible cohesive bandage Apply from toe to knee using a spiral technique with 50% extension and 50% overlap. Press lightly on the bandage to ensure that the bandage adheres to itself. Apply the bandage steeply across the foot to reduce build-up of material over the front of the ankle. 

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: Randomised trial comparing two four layer bandage systems in the treatment of venous leg ulceration. 
Author: C Moffatt et al 
Reference: New Orleans 1997 
Study Abstract: The Profore* system of four layer bandaging is at least as effective as the original four layer system. The four layer bandage system has the particular advantage of being adaptable to different limb circumferences. 

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.

Paper Title: A poineering service to the community. The Riverside Community Leg Ulcer
Project Author:
C Moffatt, M Oldroyd 
Reference: Professional Nurse 1994 
Study Abstract: There was significant reduction in levels of anxiety, depression, pain and interference with daily and social activities. Riverside Health Authority was spending £400,000 annually on leg ulcer care prior to community clinics. This cost fell to £150,000 per annum when clinics were established.