DeRoyal Negative Pressure Wound Therapy Kit

Features of DeRoyal NPWT Kit

• RX only
• Single patient use
• Non-sterile
• Not made with natural rubber latex

When to use DeRoyal NPWT Kit?

• The Dressing Kits are to be used in conjunction with the NPWT pump to promote wound healing by removal of wound exudates, debris, and infectious material.
• The DeRoyal Negative Pressure Wound Therapy Dressing Kits may be used during surgery or at the patient’s bedside and are indicated for home use.

What to buy with DeRoyal Negative Pressure Wound Therapy Kit

• Medline Skintegrity Wound Cleanser
• AMBITEX Nitrile Powder Free Examination Gloves
• Medline Povidone Iodine Swabsticks

Directions to use DeRoyal NPWT Kit during the procedure

1. Read the warnings and cautions thoroughly and complete the steps described prior the procedure
2. Inspect the packaging for damage or defects. Replace the entire kit if the packaging is damaged.
3. If desired, place a primary, non-adherent dressing on the wound bed. Do not overlap on to intact skin. Cleanse wound gently and carefully with saline until the wound is free of debris and dead tissue. Gently blot dry the wound edges, periwound margin, and all skin to be covered by transparent dressing. Prepare wound according to facility protocol.
   Warnings -
   • Prior to dressing wound check all undermining and/or tunnels for excess wound fillers (foam, gauze, etc.) Ensure all previous wound fillers are removed. Take proper care to ensure wound fillers do not rip or tear during removal.
   • For black foam dressing application, measure the wound and cut the foam to the appropriate size and shape. Gently place the foam dressing into the wound cavity. Fill the entire wound cavity but do not overlap on the intact skin. Do not cut the foam over the wound, as small fragments may fall into the wound bed. Do not force or push the foam dressing into the wound, as this may cause further injury to the wound.
   • For gauze or white foam dressing application, open the gauze and moisten with saline. Gently place the gauze in the wound bed. Fill the entire wound cavity but do not overlap on the intact skin. Do not force, push or over pack the gauze into the wound, as this may cause further injury to the wound.
4. Size and cut the DeRoyal Transeal transparent dressing to cover the primary dressing, making sure the primary dressing is completely covered and the DeRoyal Transeal overlaps on the intact skin by at least one inch on all edges of the wound. Proper DeRoyal Transeal application is the key to fewer alarms and less loss of seal issues.
5. Gently press the top of the DeRoyal Transeal to ensure adhesive adheres to the skin. Remove the carrier layer of the DeRoyal Transeal.
6. Gently lift the DeRoyal Transeal with your thumb and forefinger. Cut a 2 to 2.5 cm hole in the DeRoyal Transeal over the center of the wound using either scissors or scalpel.
7. Do not cut a slit, as a slit could collapse and block the suction when pressure is applied
8. Hold the tab and pull the paper to release the liner from the Top Draw dome pad
9. Place the center of the dome pad directly over the cut hole
10. Ensure the seal is completely adhered to the skin
11. Peel the clear backing liner off the connector. Peel off the tabs, and pat around the dome pad to recheck the seal is completely adhered to the skin.
12. Connect the dome pad tubing to the end of the connector tube attached to the canister. Every dome connector will have an adapter included.
13. Turn on the NPWT system, making sure that the pressure is set at the proper mmHg per doctor’s order
14. Once the NPWT is turned on, the primary dressing, dome pad, and DeRoyal Transeal will start to compress. A compressed look means the DeRoyal Transeal is properly adhered to the skin and negative pressure is reaching the wound.
15. After use, discard the entire kit according to your facility’s protocol.

Contraindications -

• Necrotic tissue
• Unexplored or non-enteric fistulas
• Untreated osteomyelitis
• Wounds containing malignant tissue
• Exposed arteries, veins, or internal organs
• Exposed anastomotic site

Warnings -

• Read and understand all warnings, cautions and directions completely and carefully before use. Failure to do so may result in serious injury to either the patient or the user.
• These kits are intended to be used by licensed practitioners familiar with negative pressure wound therapy. User should have a thorough understanding of wound care protocols and procedures to determine appropriate application and treatment.
• Do not reuse, reprocess, or re-sterilize any part of the kit. This kit is for single use only. Reuse, reprocessing, or re-sterilization may damage the kit, may lead to pump failure or contamination, and may result in user or patient injury, patient infection, or patient death.
• Do not use if package opened or package or kit is damaged. Handle with care to avoid damage to the kit packaging and contents during transportation and storage.
• Thoroughly inspect the pump, including its accessories and cables, for breaks, cracks or other damage or defects prior to use.
• If any part of the package or kit is damaged, replace the entire kit.

Cautions - Precautions should be taken for patients who are or have -

• Difficult wound hemostasis
• On anticoagulation or active bleeding
• Close proximity of blood vessels, organs, muscle, and fascia requiring adequate protection
• Irradiated or infected vessels and tissue
• Bony fragments
• Untreated Malnutrition
• Non-compliant
• Spinal cord injuries
• Circumferential dressing application
• Use near vagus nerve Patients requiring:
  • MRI
  • Defibrillation
  • Hyperbaric chamber

DeRoyal NPWT Kit User Manual