Expert in desloughing

  • Description
  • Benefits
  • Indications
  • In Practice
  • FAQs
  • Evidence
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Soft adherent dressing with poly-absorbent fibres

Desloughing and managing exudate:

  • Absorbs and drains slough and bacteria
  • Is removed in one piece
  • Provides atraumatic and painfree dressing changes

 

Composition

UrgoClean is a soft-adherent dressing with poly-absorbent fibres, comprising:

  • Poly-absorbent polyacrylate fibres with an acrylic core.
  • A soft-adherent TLC healing matrix.

 

urgoclean-composition 

Poly-absorbent fibres

UrgoClean is made of poly-absorbent fibres, comprising of polyacrylate fibres with an acrylic core.

Desloughing

High-efficacy poly-absorbent fibres trap the sloughy residue within the dressing. These residues will then be absorbed and retained by the dressing structure to aid removal, and prepare the wound for improved healing.

Gelling and binding of the sloughy residue
Gelling and binding of the sloughy residue

Absorption

The polyacrylate fibres in UrgoClean are highly absorbent, gelling on contact with exudate for effective vertical absorption, with no lateral spread of exudate. UrgoClean Pad has the capacity to absorb up to 1700 g of exudate per m² on average. This absorption is equivalent to that of hydrofibre (Aquacel®, Durafiber®) and alginate (Algosteril®) dressings.

Gelling and binding of the sloughy residue
Absorption of exudate

Minimal discomfort on removal*

Due to acrylic core, the strength of the fibres in the UrgoClean range mean the dressing can be removed in one piece, facilitating removal of the dressing.** The presence of TLC helps removal of the dressing to be pain-free for the patient and atraumatic for the wound. Additionally the skin around the wound is protected thanks to TLC.

* Painfree removal in 91% of cases
** Easy or very easy removal in 99% of cases, 50 patients with venous leg ulcers and pressure ulcers
* / ** data issued from clinical study: S. Meaume et al. Management of chronic wounds with an innovative absorbent wound dressing. Journal of wound care vol 21, no7, July 2012

Gelling and binding of the sloughy residue
One-piece removal

Other properties

UrgoClean has been shown to trap bacteria1 and provide haemostatic2 properties.

1 in vitro studies, data on file Urgo.
2 in vitro study, data on file Urgo.

With UrgoClean wounds are safely prepared for better healing.

Mode of action

In contact with exudate, the poly-absorbent fibres of UrgoClean gel, swell and bind to the sloughy residue, absorbing and draining it to aid elimination. The creation of this gel maintains a moist environment, in contact with the wound, which promotes the healing of desloughed areas, trapping exudate and preventing their lateral diffusion.

 

Mode of action

Patient testimonial


This website is an international website. Some products or sizes can therefore be unavailable in some countries. For more information, please contact us.

Benefits for the wound

  • Desloughing properties
  • Trapping of slough
  • Vertical absorption and retention of exudate : protection of peri-wound skin
  • Absorption controlled
  • Protection of peri-wound skin
  • One piece removal: no need to retrieve fragments of a dressing left in the wound bed
  • One piece removal
  • Bacteria trapping
  • Moist wound healing
  • No adherence to the wound: no damage to newly formed tissue
  • Fibroblast proliferation
  • Protection and improvement of surrounding skin
  • High conformability to the wound bed due to soft-adherence
  • Haemostatic properties
  • Can be left in place for up to 7 days – fewer dressing changes reducing healing disturbance

benefits-for-professionnalBenefits for health professionals

  • Safe desloughing
  • Time saving treatment (facilitates mechanical debridement)
  • Exudate management
  • Gel blocking
  • One piece removal: no need to retrieve fragments of a dressing left in the wound bed
  • One piece removal
  • Easy to apply
    • Stays in place when applied
    • Easy to reposition without losing its gentle adherence
    • Available as a rope with a probe to facilitate application
  • Easy to remove with painfree dressing changes
  • Can be used under compression
  • Can be left in place for up to 7 days – fewer dressing changes
  • Clinically proven

benefits-for-patientBenefits for patients

  • Painfree dressing changes thanks to no adherence to the wound
  • Well tolerated
  • Very conformable and comfortable
  • One piece removal: no need to retrieve fragments of a dressing left in the wound bed
  • One piece removal
  • Can be left in place for up to 7 days – fewer dressing changes

UrgoClean Pad is indicated for exuding, sloughy wounds (leg ulcers, pressure ulcers, diabetic foot ulcers, burns, skin abrasions, traumatic wounds, postoperative wounds…)

Contraindications

-        Do not use if there is a known sensitivity to UrgoClean.

-        Do not use Urgoclean as a surgical sponge for heavily bleeding wounds.

Instructions for use

  • Clean the wound as per local protocol and rinse with normal saline.
  • The use of UrgoClean Pad does not dispense with the need for associated mechanical debridement when required.
  • UrgoClean Pad can be cut using sterile scissors to fit the dressing size to the wound if necessary.
  • Using the tabs, remove the protective film.
  • Apply the soft-adherent side of UrgoClean Pad to the wound.
  • If required, cover UrgoClean Pad with a secondary dressing suitable for the location and level of wound exudate.
  • Secure the dressing in place with a suitable bandage, adhesive tape. Apply a compression bandage when prescribed.
  • UrgoClean Pad should be changed every 1 to 2 days during the wound desloughing phase, then as often as required (up to 7 days) depending on the level of exudate and the clinical condition of the wound.

 

Application UrgoClean Pad

Precautions for use

  • As the soft-adherent layer of UrgoClean adheres to surgical gloves (latex), it is recommended to use the protective wings to aid application.
  • Due to the non-occlusive nature of this dressing, UrgoClean Pad can be used on colonised wounds under close medical supervision.
  • During the desloughing process, the wound may appear to increase in size due to the gradual elimination of sloughy tissue.
  • Discard any unused parts of the dressing.
  • Check that the sterility protector is intact before use.
  • Single-use, individual and sterile dressing: re-using a single-use product may lead to risks of infection.
  • Do not re-sterilise the dressing.

urgocleanSizes available

  • 6×6 cm; 6 x 10 cm
  • 10×10 cm; 10×12 cm
  • 15×15 cm
  • 15×20 cm

 

 


This website is an international website. Some products or sizes can therefore be unavailable in some countries. For more information, please contact us.

Product

What is UrgoClean?

UrgoClean Pad is a soft-adherent poly-absorbent fibres dressing providing a high absorption and desloughing capacity.

How does UrgoClean work?

When in contact with exudate, the poly-absorbent fibres gel, swell and bind to the sloughy residue, absorbing and draining it to aid elimination. The creation of this gel maintains a moist environment in contact with the wound which promotes the healing of the desloughed areas and also prevents lateral diffusion by trapping exudate.

What is the absorption capacity of UrgoClean compared to other dressings?

UrgoClean absorbs 1700 g/m², similar to hydrofibre dressings (Aquacel pad).

Why is UrgoClean efficient at desloughing wounds?

The poly-absorbent fibres of UrgoClean have a high absorption capacity and ability to trap sloughy residues.

How do you explain the removal in one piece?

The poly-absorbent fibres of UrgoClean have an ultra-resistant acrylic core, ensuring strong integrity on removal, even after gelling in contact with the wound.

What is the difference between poly-absorbent fibres and hydrofibres?

Hydrofibres are hydrocolloid fibres which gel and maintain a moist environment and absorb exudate.
Poly-absorbent fibres promote desloughing, absorbs exudate with no risk of maceration, trap bacteria limiting bacterial proliferation and support clotting.

What is the role of the soft-adherence?

The soft-adherence makes UrgoClean very conformable and flexible, ensuring close contact with the wound bed to promote healing and maintaining the position of UrgoClean when applied, aiding dressing change.

Indications

When should I use UrgoClean?

UrgoClean Pad is indicated for sloughy ans exuding wounds (leg ulcers, pressure ulcers, diabetic foot ulcers, burns, dermabrasions, traumatic wounds, postoperative wounds, oncological wounds…)

Can I use UrgoClean during the granulation stage?

Yes.
However, if the wound is chronic, UrgoStart is the perfect treatment following UrgoClean to reduce wound healing time.

Can I use UrgoClean on dry wounds?

In the case of black necrosis (escar), the wound must be debrided before using UrgoClean. If the wound is dry, it should be moistened with normal saline before applying UrgoClean.

Can I use UrgoClean on infected wounds?

Due to the non-occlusive nature of this dressing, UrgoClean can be used on colonised wounds under close medical supervision. However, in the case of an infected wound, an antibacterial dressing should be used.

UrgoClean traps bacteria, does that mean it is antibacterial?

No. UrgoClean has no added silver and is not an antibacterial dressing but due to its strong absorption, UrgoClean is able to trap bacteria from colonised wounds. However, in the case of an infected wound, an antibacterial dressing should be used.

Use

UrgoClean can adhere to gloves. How should I avoid this?

It is recommended to use the protective wings to facilitate application.

Which side of UrgoClean should I apply to the wound?

Apply the soft-adherent side to the wound.

cutting-dressing-guide

Cutting Guide

Can I cut UrgoClean?

Yes.

How can I secure UrgoClean?

UrgoClean Pad may be covered with a secondary dressing suitable for the location and level of wound exudate. Secure the dressing in place with a suitable bandage, adhesive tape or apply compression bandage when prescribed.

Can I use UrgoClean under compression?

Yes. UrgoClean has a strong ability to retain exudate even under compression.

When should I change UrgoClean?

UrgoClean should be changed every 1 to 2 days during the desloughing phase, then as often as required (up to 7 days) depending on the level of exudate and the clinical condition of the wound.

Why can the wound enlarge after treatment with UrgoClean?

The wound can seem larger following treatment with UrgoClean. This is due to the desloughing process and the removal of debris in the wound.

Urgo_Review_resize_A4_web earth-study-march-2014  
Supporting evidence-based practice: a clinical review of TLC technology Evaluation of two fibrous wound dressings for the management of leg ulcers: Results of a European randomised controlled trial (EARTH RCT)  
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Management of chronic wounds with an innovative absorbent wound dressing

Meaume S. et al, journal of wound care vol 21 , no 7 , July 2012

  • Objective: To evaluate the efficacy and tolerability of an innovative absorbent wound dressing (UrgoClean; Laboratoires Urgo) in the local management of venous leg ulcers and pressure ulcers, during the sloughy stage of the healing process.
  • Method: A pilot, prospective, non-controlled open-label clinical trial held in 21 investigating centres. Adult patients, presenting with either a venous leg ulcer (VLU ) or a category III /IV pressure ulcer (PU ) with more than 50% of the surface area covered with sloughy tissue, a duration of less than 24 months, and no clinical signs of infection were included in the study. Patients were followed over a 6-week period with weekly visits, which included a physical examination, wound-area tracings and photographs by the investigating physician. Evaluations by the nursing staff and by the patients were made at each dressing change.
  • Results: Fifty patients with either a VLU (n=35) or a PU (n=15) were recruited. At baseline, mean wound surface area was 11.9 ± 11.3 cm2 and 12.5 ± 10.7 cm2, with a mean duration of 8.3 ± 6.4 months and 2.9 ± 3.0 months in the VLU and PU groups, respectively. Wounds in both groups were covered with more than 70% sloughy tissue, and the peri-lesional skin was considered to be healthy in 19 patients. By 6 weeks, mean wound surface area reduction in the VLU and PU groups was 23.7% and 29.2%, respectively, with full healing in 6 patients. All treated wounds were considered to be debrided by week 3 (< 40% slough for all wounds) and the median relative decrease of the sloughy tissue, at week 6, in the VLU and PU groups was 75% and 89%, respectively. Dressing acceptability was documented as being very good for both patients and nursing staff, particularly conformability and ease of use, with no residue left on the wound bed at dressing removal and the dressing also remained in one piece. Seven local adverse events were deemed to be potentially related to the trial dressing.
  • Conclusion: The results suggest that the dressing promoted the healing process of chronic wounds, showing itself to be a credible therapeutic alternative for the sloughy stage of the wound-healing process. It also demonstrated good tolerance and acceptability.
Last update : November 23, 2017