PICO◊

Single Use Negative Pressure Wound Therapy System

 

This information is intended for healthcare professionals in the United Kingdom and Ireland only.

Incision Management

Your world is getting tougher.

Your surgical world is increasingly challenging.

Protect your patients and your reputation with PICO.

Surgical caseloads are progressively more complex and high risk patients are increasingly common:

  1. Higher number of obese patients
  2. Higher number of older patients
  3. More patients with multiple co-morbidities

It’s more critical than ever to protect against post-operative complications.  We can help you do this.

PICO is an incision management system that promotes optimal healing, giving you more control over what happens when your patient leaves theatre.

What risks do you face?

  • An increasing number of patients have co-morbidities and so are often considered to be high-risk for surgery and recovery
  • Complex surgical procedures and compromised patients increase the risk of incision-related complications1
  • Surgical site complications are associated with considerable morbidity and contribute to additional healthcare resources – at substantial cost to your hospital, as well as your patients’ wellbeing2

 

Improving outcomes with incisional NPWT

The mechanism of action of Negative Pressure Wound Therapy (NPWT) improves the speed, strength and quality of incisional wound healing, thus minimising the failures of healing that lead to infection and/or dehiscence.

Incisional NPWT MOA

Considerable evidence shows NPWT delivers clinical benefits as part of effective incision management.3

This video shows PICO's mode of action

To see how PICO can help your clinical speciality, click on the relevant link:

Obstetrics and Gynaecology

 

References

1. Gomoll AH, Lin A, Harris MB. Incisional vacuum-assisted closure therapy. J Orthop Trauma 2006; 20(10):705–9.
2. National Institute for Health and Clinical Excellence. Guideline 74. Surgical site infection: prevention and treatment of surgical site infection. London: NICE; 2008.
3. Karlakki S et al, Negative pressure wound therapy for management of the surgical incision in orthopaedic surgery, Bone Joint Res 2013; 2:276-84.

Introducing PICO

Introducing PICO◊: Single Use Negative Pressure Wound Therapy

PICO opens up new possibilities for people who may never before have benefitted from Negative Pressure Wound Therapy (NPWT).

Created with patients in mind

Pocket-sized PICO is designed to let patients get on with their lives: discreet, lightweight and easy-to-use.  PICO can be left in place for up to 7 days, reducing disruption to patients and supporting them through the healing process.

Unrivalled simplicity with cutting-edge technology

The PICO pump is connected to an innovative dressing which:

  1. Maintains the negative pressure across the wound bed1
  2. Removes the exudate from the wound bed through absorbency and evaporation 1

Rollover the product animation below to view more details.

PICO: The no-hassle NPWT

  • As easy to apply as a dressing – quick and easy dressing changes can free up nursing time
  • Small enough to fit in a pocket for total portability – helping to improve quality of life and patient concordance
  • Simple one button operation – can be paused for up to one hour to enable showering
  • Available in both hospital and community care settings - Drug Tariff, NHS Supply Chain direct from Smith & Nephew
  • Single use – means no logistics to manage 

 

Which dressing size to choose?

PICO is available in a range of sizes.  Choose a size of dressing that, when applied, allows coverage of the wound whilst keeping the port away from the area of injury.

SizePad SizeS&N CodeNHS CodePIP Code
10cm x 20cm
5.6cm x 15cm 66800951 ELZ348 366-8571
10cm x 30cm
5.6cm x 25cm 66800952 ELZ349 366-0032
10cm x 40cm
5.6cm x 35cm 66800953 ELZ478 377-7646
15cm x 15cm
10cm x 10cm 66800954 ELZ350 366-0024
15cm x 20cm
10cm x 15cm 66800955 ELZ351 366-0016
15cm x 30cm
10cm x 25cm 66800956 ELZ479 377-7653
20cm x 20cm 15cm x 15cm 66800957 ELZ480 377-7679
25cm x 25cm 20cm x 20cm 66800958 ELZ481 377-7661

Indications

PICO is indicated for patients who would benefit from a suction device (negative pressure wound therapy) as it may promote wound healing via removal of low to moderate levels of exudate and infectious materials.  PICO is suitable for use in both a hospital and community setting:

  • Acute
  • Chronic
  • Flaps and grafts
  • Incision sites
  • Partial-thickness burns
  • Subacute and dehisced wounds
  • Traumatic
  • Ulcers (such as diabetic or pressure)

 

Carrying PICO

PICO - bag

View larger photo of PICO bag

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

 

 

Click here to see the PICO Patient Information booklet

 

References

1. Data on file reference DS 11/037/R2 In-vitro wound model testing of PICO at a moderate exudate flow rate March 2011.

Kick Start Chronic Wounds

Now more than ever, there is a drive to treat patients away from resource-intensive hospitals, to treatment in the community.

This means that you will see more and more complex and demanding wounds.  These wounds need more than just managing – they need active intervention.  PICO lets you meet this need, boosting patient wellbeing at the same time as saving money.

PICO makes it possible

NPWT efficiently heals open wounds, closed incisions and hard-to-heal chronic wounds by applying negative pressure to the affected area. With over 1,000 peer reviewed publications, NPWT is a proven and effective wound therapy system.

PICO Hard To Heal MOA

A therapy to transform lives

Living with a complex wound can have a significant impact on patients’ quality of life.  Physical discomfort, social isolation and anxiety are just three well-documented issues.  Added to this, patients can suffer with a wound for years and some need daily dressing changes.  So a wound can become a long-term, distressing part of a patient’s life.

PICO has been developed to address key patient issues:

  • Unique dressing design – no canisters, for greater patient freedom and to protect patient dignity
  • Pocket-sized – can be hidden from view to improve mobility
  • Lightweight – lets the patient carry on with life
  • Lights, not sound, indicate alarm status – to reduce patient anxiety
  • Completely battery operated to avoid the necessity to of having to charge the device from the mains power

PICO in practice

PICO Hard To Heal Case Study 1 PICO Hard To Heal Case Study 2
   
PICO Hard To Heal Case Study 3 PICO Hard To Heal Case Study 4

Background

  • A 64-year-old woman suffered a trauma injury to the ankle
  • Wound conservatively managed, but unhealed after 6 to 7 weeks
  • No underlying co-morbidities accounted for delayed wound closure, but oedema present around the ankle

PICO intervention

  • 10 x 20cm PICO dressing applied
  • 1 week later, oedema subsided around ankle injury and wound considerably smaller, depth of wound bed reduced from 1cm to 0.5cm
  • 3 weeks after treatment initiated, wound almost closed
  • PICO replaced with moist wound healing therapy (ALLEVYN Gentle Border Lite)

Use with Fillers

A filler is recommended when the wound is deeper than 2cm to ensure that the negative pressure can reach all parts of the wound bed.  PICO is compatible with the standard Smith & Nephew NPWT foam and gauze fillers.

The videos below show the application and removal of PICO on wounds with and without a filler.

Evidence

Evidence

Evidence supporting Type of Evidence Document
Effective application of NPWT compared to current devices.
Stimulation of blood flow
Wound bed contraction

Author: Dr M Malsmjo, MD, PhD, University of Lund, Sweden.

Assessment of simplified NPWT device in pre-clinical blood flow studies1.

Contact Smith & Nephew to see this evidence

Use of PICO on acute wounds.

Hip replacement, knee replacement, surgical wounds, minor defect trauma.

A prospective, open, non- comparative, multi- centre study to evaluate the functionality and dressing performance of a new negative pressure dressing in acute wounds2.

PICO case studies PDF (3.9Mb)

Fluid management

In-vitro studies3,4

Contact Smith & Nephew to see this evidence

Use with ACTICOATFlex

In-vitro study5

Contact Smith & Nephew to see this evidence

 

References

1. Data on file reference 1104011 Assessment of simplified NPWT device in pre-clinical blood flow studies.
2. Data on file reference SRS/CT09/02 A prospective open, non comparative multicenter study to evaluate the functionality and dressing performance of a new negative pressure enhanced dressing in acute wounds. February 2011.
3. Data on file reference DS/11/037/R2 In-vitro wound model testing of PICO at a moderate exudate flow; Sarah Roberts, March 2011.
4. Data on file reference DS/11/057/R2 In-vitro wound model testing of PICO at a low exudate flow; Sarah Roberts, April 2011.
5. Data on file reference 1102008 Compatability of ACTICOAT Flex and PICO dressings under NPWT February 2011.

Information

Recycling the PICO batteries

The two AA batteries in the PICO pump can be easily removed. Please dispose of the batteries in local battery recycling bins.

Recycling the PICO pump and dressing

This product is classed as contaminated clinical waste and should be disposed of according to your local guidelines.

Smith & Nephew belong to an environmental compliance scheme where we pay an annual fee that is directly related to the amount of PICO products we manufacture for use in the UK. This fee is used to recover and recycle electrical products.

Patient Information

See how PICO made a difference to these patients.

Alternatively, download our Patient Guide to PICO.

Troubleshooting

How to deal with an air leak/low pressure

PICO button

Smooth the dressing and strips against the skin, it maybe that movement has caused the edge to lift a little.

Once this has been completed, press the orange button and the pump will try to 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 amber 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

PICO button

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 indicated inside the battery compartment.

Replace the cover.

Press the orange button to start the therapy.