Doing more in compression

  • Description
  • Benefits
  • Indications
  • In Practice
  • FAQs
  • Evidence
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Discover UrgoK2

Compression therapy designed for you:

  • Two-layer compression bandage system
  • Unique PresSure System to optimise the safe application of the recommended therapeutic pressure
  • Increased patient concordance helping to achieve better results
  • Easy to apply
  • Available as latex-free

Composition

KTechLayer 1: KTECH (wadding: viscose, polyester; knitted layer: polyamide, elastane)

  • White short-stretch bandage, providing compression, protection and absorbency

 

 

 

KPress Layer 2: KPRESS (acrylic, polyamide, elastane; cohesive material containing natural latex*)

  • Pink/beige cohesive long-stretch bandage, providing the additional compression necessary to achieve the therapeutic pressure for leg ulcers and securing the bandage system in place

*For patients and practitioners allergic to latex, a latex free option is available

KPRESS Latex Free: cotton, polyester, polyamide, elastane; synthetic latex free cohesive material.

Mode of action

UrgoK2/KTwo is a two layer compression bandage system, which benefits from the exclusive technology of the PresSure system.
The PresSure system has been specifically designed to aid the application of the recommended therapeutic pressure (average 40 mmHg) for venous leg ulcers from the first application.
UrgoK2/KTwo provides the same gold standard compression provided by four layer bandage systems, but with only 2 layers.


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

  • Good absorption of exudate
  • Uniform pressure protects bony prominences and avoids high pressure points
  • Provides an average pressure of 40 mmHg
  • Enhances healing rates

benefits-for-professionnalBenefits for health professionals

  • Pressure indicator to ensure that correct consistent compression is applied every time
  • Accurate pressure from the first application
  • Pressure maintained for up to 7 days
  • High levels of absorbency
  • Good patient concordance
  • Clinically proven to enhance healing rates
  • Choice of ready-to-use kits for different ankle sizes

benefits-for-patientBenefits for patients

  • Massage effect when walking (low resting pressure, higher walking pressure)
  • Improving venous return and oedema reduction
  • Comfortable day and night = improved patient concordance
  • Reduced bandage slippage
  • Low bulk allows wearing of normal footwear
  • Enhances healing rates
  • Enhances quality of life
  • Latex Free option available

k2_ulcerThe UrgoK2/KTwo compression bandage system has been designed for the treatment of venous leg ulcers, venous oedema and lymphoedema which require full compression.

Contraindications

  • Arterial conditions (arterial or predominantly arterial ulcers; known or suspected arterial disease)
  • Ankle Brachial Pressure Index (ABPI) < 0.8.
  • Patients suffering from diabetic microangiopathy, ischaemic phlebitis (phlegmatia coerulea dolens), septic thrombosis.
  • Ulceration as a result of infection.
  • Allergy to any of the components – in particular latex for the “non-latex free” version

Instructions for use

Before applying the bandages:

  • Examine the shape of the leg and identify any areas at risk of excessive pressure (i.e. bony prominences)
  • If a wound is present, apply an appropriate dressing before applying any bandages. Protect and reshape leg with wadding (K-Soft) if necessary.
  • Measure the ankle circumference and choose the correct kit accordingly (ankle size 18-25cm or 25-32cm).
  • It is preferable to apply the compression system first thing in the morning or after the patient’s legs have been elevated for an hour to minimise any orthostatic oedema.
  • Depending on the indication, assess the need for toe to knee (venous leg ulcer or oedema) or toe to thigh (oedema) bandaging and choose the appropriate kit and bandage width.

For venous leg ulcer and reduction of venous oedema

“Below – knee” application

- Ankle circumference 18-25cm kit – 50% overlap

  • Place foot at 90° angle – “toes to nose”. Apply KTECH from the base of the toes with 1 or 2 turns to anchor in place, ensuring the wadding is in contact with the skin and the pressure indicator is at the top edge, towards the patient. Secure the heel with a figure of eight, ensuring full coverage of the heel. Do not apply full stretch when bandaging the foot.
  • Apply the bandage in a spiral up the leg from the malleolus, stretching the bandage so that the pressure indicator forms a circle, and overlapping the bandage so the pressure indicator is just covered (50% overlap). Finish bandaging 2cm below the popliteal space. Cut off any excess bandage and secure with tape.
  • Apply KPRESS (or KPRESS Latex Free) over KTECH using the same application technique as KTECH. For patient comfort, allow a small border of KTECH at the toes and knee. Once applied, cut off any excess bandage and press down gently to ensure full cohesion.

- Ankle circumference 25-32cm kit – 2/3 overlap

Apply in the same way as the 18-25cm kit, covering the pressure indicator printed in the middle of the bandage (2/3 overlap).

 

 

For lymphoedema

“Toe to Thigh” application

If necessary, first bandage the toes using an appropriate bandage. For full leg bandaging, use the same application technique and overlap as the below-knee application, but with the following bandage sequence:

  1. Apply an 8cm (or 10cm depending on the foot size) KTECH to the foot – stop at the ankle.
  2. Then apply a 10cm KTECH to just above the knee, flexing the knee slightly. Pad behind the knee for comfort if necessary.
  3. Continue to top of thigh with either a 10cm or 12cm KTECH and secure with tape.
  4. Apply KPRESS over the KTECH using the same sequence of bandages and application technique. Any excess bandage should be cut off.  Once applied, press down gently on the bandage to ensure full cohesion and secure with tape if necessary.

 

 

 

UrgoK2/KTwo (or UrgoK2 Latex Free/KTwoLatex free) should be left in place both day and night until the next dressing change at the discretion of the clinician.

Video demonstrating the correct application of UrgoK2

Precautions for use

  • Check that the ABPI > 0.8 using Doppler ultrasound before prescribing the bandage system.
  • In the event of diabetes, heart failure or advanced micro-vascular disease, use the compression system with close medical monitoring following appropriate treatment.
  • If peri-ulcer infectious dermatosis is present, treat the infection before commencing treatment with the compression system.
  • If the ulcer is from rare aetiology (vasculitis, haemopathy, pyoderma gangrenosum etc.) the compression system should only be used following specialist referral.
  • The efficacy of UrgoK2/KTwo (or UrgoK2 Latex Free/KTwo Latex free) has been tested and validated for the application of KTECH and KPRESS (or KPRESS Latex Free) together.
  • The PresSure System has been specifically designed to aid application of the bandages; it is important to follow the instructions carefully to achieve the recommended therapeutic pressure
  • The UrgoK2/KTwo (or UrgoK2 Latex Free/KTwo Latex free) kits are designed for single use only.
  • Store away from light and heat.
  • KPRESS may be washed up to 5 times at 40°C – air dry flat.
  • KTECH and KPRESS Latex Free are not washable. The level of compression cannot be guaranteed after washing.

Range available

urgok2UrgoK2/KTwo kit

Contains 1 KTECH and 1 KPRESS

  • Available in 3 widths:
    8cm, 10cm (standard) and 12cm for ankle sizes:
    18-25cm stretch-bandage (KTECH: 6m long; KPRESS: 7.5m long) and 25-32cm stretch-bandage (KTECH: 7.3m long; KPRESS: 10.5m long).

urgok2-latex-freeUrgoK2 Latex Free/KTwo Latex free kit

Contains 1 KTECH and 1 KPRESS Latex Free

  • Available in 10cm width for ankle sizes:
    18-25cm stretch-bandage (KTECH: 6m long; KPRESS Latex Free 7.15m long) and 25-32 cm stretch-bandage (KTECH: 7.3m long; KPRESS Latex-free 10.5m long).

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 UrgoK2?

UrgoK2 is a two layer compression bandage system, which benefits from the exclusive technology of the PresSure system.

UrgoK2 provides the gold standard compression usually provided by four-layer compression bandaging (pressure around 40 mmHg on average) with only 2 layers. It is indicated for the treatment of venous leg ulcer, venous edema and lymphedema, which require full compression.

UrgoK2 is available in 2 ankle circumferences: 18-25 cm and 25-32 cm in order to guarantee the right pressure, irrespective of the morphology of the patient’s leg.

How does UrgoK2 work?

Using a combination of inelastic and elastic bandages, UrgoK2 has a short stretch behavior, therefore applies a high level of Static Stiffness.

UrgoK2 donates a medium resting pressure and is developed to give constant sustained compression maintained over time, with massage effect at walk.

What is the PresSure System?

The PresSure system is an exclusive technology aiding the application of the recommended therapeutic pressure from the first application.

The UrgoK2 PresSure System guarantees a correct pressure application every time by helping applying correct stretch and correct overlap of the bandage.

What is the difference with other multilayer bandages?

Gold Standard Compression is defined as providing 40mmHg sub-bandage pressure at the ankle. UrgoK2 provides the same level of pressure and has been shown in an RCT (1) to be as effective and as safe as Profore (4-layer bandage system).

However, UrgoK2 provides “Gold Standard” compression in only 2 layers, making it easier to apply for the clinicians, more comfortable and less bulky for the patient.

What is the difference with short stretch bandages?

Short-stretch bandages are difficult to apply since the bandage must be stretched to 100% whereas extensibility is low.

In a clinical study with experienced nurse practitioners, only 25% achieved the correct therapeutic pressure of 40mmHg with short-stretch bandage system with the remaining 75% applying only 30mmHg.(2)

Moreover, we can observe a significant reduction in pressure in the 1st hours and bandage slips on the leg with short-stretch bandage system, especially in presence of oedema.(3)

With only 2 layers, UrgoK2 has been shown to be very easy to apply regardless of the level of training. The PresSure System ensures the correct pressure is applied every time and the pressure is maintained for up to 7 days. 85% of the nurses achieve the required therapeutic pressure of 30-50 mmHg with UrgoK2.

What is the difference with long stretch bandages?

Long-stretch bandages provide low massage effect at walk and are difficult to tolerate at night. Moreover, there is high risk of over-pressure and a tourniquet effect, which can damage the leg of the patient and create injury (4).

UrgoK2 provides a massage effect when the patient is active, increasing venous return and effectively reducing oedema levels.

Wearable day and night (respectively 95% and 92% of patients found comfort to be ‘good’  or ‘very good’), UrgoK2 improves patient compliance and therefore chance to heal.

(1) Lazareth I, Moffatt C, Dissemond J, Hanna R, Bohbot S, Connolly N. Evaluation of the efficacy and safety of the UrgoK2 versus Profore compression systems in the treatment of venous leg ulcers: results of a European Randomized Controlled Trial
(2) Hanna R, Bohbot S, Connolly N. A comparison of interface pressures of three compression bandage systems.
(3) Junger et al. Comparison of Interface pressure of three different bandaging systems used on healthy volunteers: results of a prospective randomized clinical study.
(4) World Union of Wound Healing Societies (WUWHS). Principles of best practice: Compression in venous leg ulcers. A consensus document. London: MEP Ltd, 2008.

Indications

When should I use UrgoK2?

  • UrgoK2 is indicated for the treatment of venous leg ulcer, venous oedema and lymphoedema, which require full compression.
  • UrgoK2 Lite is indicated for the treatment of venous or mixed leg ulcer, venous oedema and lymphoedema, which require a reduced level of compression. UrgoK2 Lite could also be used for patients unable to tolerate full compression, or in a step up approach.
  • Latex-free versions are indicated for patients and practitioners who are allergic to latex.

What are the contraindications of UrgoK2?

  • Arterial conditions (arterial or predominantly arterial ulcers; known or suspected arterial disease): Ankle Brachial Pressure Index (ABPI) < 0.8 for UrgoK2 and < 0.6 for UrgoK2 Lite
  • Patients suffering from diabetic microangiopathy, ischaemic phlebitis, septic thrombosis.
  • Ulceration due to infection.
  • Allergy to any of the components – in particular latex for the “non-latex free” version

Use

How can I apply UrgoK2

For venous leg ulcer and reduction of venous oedema

“Below – knee” application

- Ankle circumference 18-25cm kit – 50% overlap

  • Place foot at 90° angle – “toes to nose”. Apply KTECH from the base of the toes with 1 or 2 turns to anchor in place, ensuring the wadding is in contact with the skin and the pressure indicator is at the top edge, towards the patient. Secure the heel with a figure of eight, ensuring full coverage of the heel. Do not apply full stretch when bandaging the foot.
  • Apply the bandage in a spiral up the leg from the malleolus, stretching the bandage so that the pressure indicator forms a circle, and overlapping the bandage so the pressure indicator is just covered (50% overlap). Finish bandaging 2cm below the popliteal space. Cut off any excess bandage and secure with tape.
  • Apply KPRESS (or KPRESS Latex Free) over KTECH using the same application technique as KTECH. For patient comfort, allow a small border of KTECH at the toes and knee. Once applied, cut off any excess bandage and press down gently to ensure full cohesion.

- Ankle circumference 25-32cm kit – 2/3 overlap

Apply in the same way as the 18-25cm kit, covering the pressure indicator printed in the middle of the bandage (2/3 overlap).

 

 

For lymphoedema

“Toe to Thigh” application

If necessary, first bandage the toes using an appropriate bandage. For full leg bandaging, use the same application technique and overlap as the below-knee application, but with the following bandage sequence:

 

  1. Apply an 8cm (or 10cm depending on the foot size) KTECH to the foot – stop at the ankle.
  2. Then apply a 10cm KTECH to just above the knee, flexing the knee slightly. Pad behind the knee for comfort if necessary.
  3. Continue to top of thigh with either a 10cm or 12cm KTECH and secure with tape.
  4. Apply KPRESS over the KTECH using the same sequence of bandages and application technique.

 

Once applied, press down gently on the bandage to ensure full cohesion.

UrgoK2 / UrgoK2 Lite should be left in place both day and night until the next dressing change at the discretion of the clinician.

 

 

When should I change UrgoK2?

UrgoK2 and UrgoK2 Lite should be left in place both day and night until the next dressing change, at the discretion of the clinicians.

UrgoK2 and UrgoK2 Lite can stay in place up to 7 days depending on the patient’s condition

JWC_18_11_474_Junger-web BJN_17_20_TVS_16_24_Urgo_web urgo-evidence-review-supplement-lr
Comparison of interface pressures of three compression bandaging systems used on healthy volunteers A comparison of interface pressures of three compression bandage systems Efficacy and reproducible
compression of the KTwo
bandage system
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Efficacy of two compression systems in the management of VLUs: Results of a European RCT.

I Lazareth et al. Journal of Wound Care 21(11) 553-565, 2012

  • Objectives: To assess the efficacy of UrgoK2/KTwo compared with Profore in the treatment of venous leg ulcer. Judgement criterion being 100% re-epithelialisation following a maximum of 12 weeks treatment.
  • Results: The rate of complete wound closure is represented in the following histogram, both globally and by country with ITT analysis.
    The efficacy analysis shows complete wound closure in 44.1% of the UrgoK2/KTwo group vs 38.7% in the Profore group (p= ns) (PP analysis shows similar results).
    Percentage of patients with 100% wound closure at 12 weeks.
    This clinical trial demonstrates the non-inferiority of UrgoK2/KTwo compared to the original 4-layer compression bandage system (Profore) with a high confidence rating proving UrgoK2/KTwo to be equal to “Gold Standard” compression.

In addition, data shows that the UrgoK2/KTwo compression system has the same efficacy as the Profore system, is very easy to apply and has an excellent tolerance profile.

Last update : November 23, 2017