UrgoStart^® Plus Border

INDICATIONS

UrgoStart^® Plus Border is indicated for covering and treating the following skin wounds:

• Leg ulcers.
• Diabetic foot ulcers.
• Pressure ulcers (bedsores).
• Other long-lasting or recurrent wounds or wounds at risk of long lasting.

UrgoStart^® Plus Border is intended to be used for all healing phases: it is suitable for application to wounds covered with fibrin (yellowish slough on the wound bed) and to wounds with granulation tissue (red budding tissue on the wound).

CONTRAINDICATIONS

• Wounds with weakened periwound skin.
• Mucous membrane wounds.
• Malignant wounds.
• Fistula wounds.
• Epidermolysis bullosa wounds.
• Necrotic wounds (wounds covered with black dead tissue, eschars).
• Haemorrhagic wounds: UrgoStart^® Plus Border can be used to help stop minor bleeding but should not be used as a surgical sponge.
• Known hypersensitivity of the patient to one of the TLC or TLC-NOSF dressings, or to carboxymethylcellulose (CMC).

PRECAUTIONS

In the event of signs or symptoms of infection before or after starting treatment with UrgoStart^® Plus Border such as erythema (redness or skin around the wound), oedema (swelling), heat or pain in the wound area, fever, enlargement of the wound, odour from the wound, or profuse exudate (that is, a large amount of fluid in the wound), consult a healthcare professional for appropriate treatment. In the event of overgranulation (excessive raised formation of red budding tissue on the wound) before or after starting treatment with UrgoStart^® Plus Border it must be reported to a healthcare professional for appropriate care.

Warnings

• Keep the pouches of UrgoStart Plus Border in their box until use (does not apply to large capacity packaging intended for hospitals).
• Do not use a previously used dressing.
• Do not re-sterilized.
• Do not use beyond expiration date.
• The use of a dressing that is in non-sterile condition, re-sterilized, or beyond expiration date, does not guarantee performance of UrgoStart^® Plus Border and exposes the patient to the risk of infection.

DIRECTIONS FOR USE

UrgoStart® Plus Border can be applied by a healthcare professional, or by the patient or a relative after training with a healthcare professional. 

Before use 

• Wash your hands with soap and water and dry them with a clean towel; or disinfect your hands with a hydro-alcoholic solution or gel.
• Put on disposable medical gloves.
• Prepare the wound according to the usual wound management protocol. When debridement is deemed necessary by the caregiver, the use of UrgoStart® Plus Border does not exempt it. The wound may appear larger after being cleaned or after debridement. Gently dry the skin around the wound with a sterile pad.
• Remove the disposable medical gloves.
• Check that the pouch that maintains the sterile condition of UrgoStart® Plus Border has not been damaged or unintentionally opened before use. If this is the case, use another one. 

To apply UrgoStart® Plus Border 

• Open the UrgoStart® Plus Border pouch on its full length, without touching the dressing. Do not take UrgoStart® Plus Border out of its pouch at this stage.
• Put on new disposable medical gloves.
• Take UrgoStart® Plus Border out of the opened pouch, avoiding touching the outside of the pouch.
• UrgoStart® Plus Border consists of several absorbent layers that must not be cut. Only the adhesive border can be cut with sterile scissors where it can facilitate application and dressing securement.  
• In order to facilitate handling, remove one of the two protective tabs from UrgoStart® Plus Border, start applying the dressing from its part released from the protection, and remove the second protective tab to fully apply the dressing.
• Be careful to place the adhesive border at least one centimetre (1 cm) from the wound edges. 

Sacrum format: place the tip of the dressing towards the bottom of the sacrum area (at the start of the intergluteal cleft). 

• If any compression therapy prescribed, apply the compression system. 
• If any food offloading is prescribed or recommended, set up the foot offloading system. 

Replacement frequency and treatment duration 

• The replacement frequency is left to the discretion of the healthcare professional. However, it is recommended to replace UrgoStart® Plus Border every 1 to 2 days for wounds with fibrin (yellowish slough on the wound bed) and then adapt the replacement frequency according to the clinical assessment of the wound and the level of exudate (that is, the amount of fluid in the wound) without exceeding 7 days of use per dressing. 
• It is recommended to continue treatment with UrgoStart® Plus Border until complete wound healing. 
• The time to complete healing depends on the characteristics of the wound (for example, its size, duration, and recurrence) as well as on the patient (for example, age, mobility and comorbidities), and can exceed 8 weeks. 

To discard the dressing 

• The dressing and the medical gloves should be disposed of safely to avoid infection and microbial hazards. 
• In domestic use, put all these consumables in the disposable packaging, and discard them all with household waste. In hospital, dispose of according to the procedures in force. 

PRODUCT OPTIONS

Supplied in boxes of 10 individually packed sterile dressings.

Disclaimer: The product codes published on this website are local reference codes used for ordering, tender, and administrative purposes. They are not the manufacturer's product codes and may differ from the product codes shown on the product label or packaging. The product specifications and intended use remain unchanged.