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Compression Bandage System


Compression Bandage System

This information is intended for Healthcare Professionals only.




Profore* is a convenient presentation of the clinically effective 4 layer bandaging system for venous leg ulcer management. It reinforces a safe and consistent protocol to heal up to 79% of venous leg ulcers in 12 weeks.


Features and 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.



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


Extended Weartime

  • Profore in combination with other Smith & Nephew dressings has sufficient absorption capacity to manage exudate for up to a full week without needing re-application.



  • 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.



  • 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.

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 No.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.



Each system pack contains the following:

  • One Profore wound contact layer (9.5cm x 9.5cm)
  • One Profore No.1 natural padding bandage (10cm x 3.5m unstretched)
  • One Profore No.2 light conformable dressing (10cm x 2.9m unstretched)
  • One Profore No.3 light compression bandage (10cm x 3.1m unstretched)
  • One Profore No.4 flexible cohesive bandage (10cm x 3m unstretched)

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Code Description
66000016 Profore 4-layer kit – medium (18-25cm)
66000017 Profore 4-layer kit – large (25-30cm)
66000018 Profore 4-layer kit – extra large (over 30cm)



Clinical Support

Compression Bandage System

This information is intended for Healthcare Professionals only.

Clinical Support

Paper Title: Sustained compression and healing of chronic venous ulcers
Author: S Blair et al
Source: British Medical Journal, 1988
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
Source: New Orleans 1997
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
Source: British Medical Journal, 1992
Abstract: Four layer bandaging in the community clinics achieved complete healing in 69% 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. Fifty 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 no.3 the light elastic compression bandage. of these 50 patients, 56% healed by 12 weeks and 75% by 24 weeks.>

Paper Title: A poineering service to the community. The Riverside Community Leg Ulcer Project
Author: C Moffatt, M Oldroyd
Source: Professional Nurse 1994
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.

Paper Title: Randomised trial comparing two four-layer bandage systems in the management of chronic leg ulceration.
Author: C.J Moffatt, D.A Simon, P.J Franks et al
Source: Phlebology 1999
Abstract: A new four-layer bandage system ( Profore) was compared with the original 4LB in the closure of chronic leg ulceration.
This was a prospective randomised stratified parallel groups open trial.
All bandages were changed weekly unless required more frequently. Patients were randomised to receive either the original four-layer bandage or the newer system, ( Profore).
233 patients were randomised, of whom 232 attended at least one follow-up visit (115 original, 117 Profore). At 12 weeks complete healing of the ulcerated limb, analysed by 'intention-to-treat' was 60% using the original 4LB compared with 72% using Profore. The difference of 11.8% had largely disappeared after 24 weeks, with 73% healed using the original 4LB and 76% using Profore, a difference of 3.0%. Overall there was a higher healing rate for patients on Profore but this did not achieve statistical significance.
Ulcer healing using the newer Profore system is as good as the original four-layer system.


Instructions for Use

Compression Bandage System

This information is intended for Healthcare Professionals only.

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.

4. Assess the patient's limb for bony prominences or calf fibrosis. Ensure that these are well protected using the Profore* No.1 padding.
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Apply Profore in the following sequence:

Step 1:
Profore Sterile wound contact layer
Remove from the pack with sterile forceps and apply to the wound. Hold in place until covered by Profore No.1.

Alt Text
Step 2:
Profore No.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.

Natural Padding
Step 3:
Profore No.2 Light conformable bandage
Apply from the base of the toes to the knee, over Profore No.1, using a simple spiral technique, apply at mid-stretch and 50% overlap. Use tape to secure.

Light Conformable
Step 4:
Profore No.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.

Light Compression
Step 5:
Profore No.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 General page for Contraindications/Precautions
Flexible Cohesive