Genadyne Biotechnologies | DMR-06-091- Rev F
Protect Periwound Skin
Consider use of a skin preparation product to protect periwound skin. Do not allow wound filler to
overlap onto intact skin. Protect fragile / friable periwound skin with additional hydrocolloid or other
transparent film.
Multiple layers of the transparent film dressing may decrease the moisture vapor transmission
rate, which may increase the risk of maceration.
If any signs of irritation or sensitivity to the film dressing, wound filler or tubing assembly appear,
discontinue use and consult a physician.
To avoid trauma to the periwound skin, do not pull or stretch the transparent film over the wound
filler dressing during film application.
Extra caution should be used for patients with neuropathic etiologies or circulatory compromise.
Circumferential Dressing Application
Avoid use of circumferential dressings except in the presence of anasarca or excessively weeping
extremities, where a circumferential film technique may be necessary to establish and maintain a seal.
Consider using multiple small pieces of transparent film rather than one continuous piece to minimize
the risk of decreased distal circulation. Extreme care should be taken not to stretch or pull the film when
securing it, but let it attach loosely and stabilize edges with an elastic wrap if necessary. When using
circumferential film techniques, it is crucial to systematically and recurrently palpate distal pulses and
assess distal circulatory status. If circulatory compromise is suspected, discontinue therapy, remove
dressing and contact a physician.
Operating Precautions:
When operating, transporting, repairing or disposing of XLR8+ devices and accessories, the risk of
infectious liquids being aspirated, or contamination of the device assembly through incorrect use,
cannot be eliminated. Universal precautions should be observed whenever working with potentially
contaminated parts or equipment.
As a condition of use, the XLR8+ Wound Care System should only be used by qualified and authorized
personnel. The user must have the necessary knowledge of the specific medical application for which
NPWT is being used.
The XLR8+ Wound Care System should remain on for the duration of the treatment. If the patient must
be disconnected, the ends of the tubing should be protected using the tethered cap. The length of time
a patient may be disconnected from the XLR8+ Wound Care System is a clinical decision based on
individual characteristics of the patient and the wound. Factors to consider include the location of the
wound, the volume of drainage, the integrity of the dressing seal, the assessment of bacterial burden
and the patient's risk of infection.
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