Take the Atrauman Ag from the peel pack with both cover papers in place and, if necessary, cut it so that it fits the size of the wound by applying sterile conditions. Atrauman Ag should overlap the wound and should be about the same size as the secondary dressing. Remove the cover paper on one side. Either place the free side on the wound and then remove the remaining cover paper (see pictograms 1 – 5) or use sterile tweezers or sterile gloves to pick up Atrauman Ag from the second cover paper and place it on the wound (see pictograms a-f). Atrauman Ag should be applied in a single layer, do not fold or apply in multiple layers. Secure a suitable sterile, secondary dressing (either absorbent or superabsorbent dressings, foam dressings or gauzes e.g. Zetuvit Plus) according to its use instructions over Atrauman Ag to absorb wound exudate. As an alternative, the Vivano negative pressure wound therapy system can be used. In particular, in the case of deep wounds, it must be ensured, that Atrauman Ag is in direct contact with the absorbent wound dressing so that no creasing occurs in order to guarantee unimpaired drainage of exudate. In the case of thick exudate, it is recommended to cut in Atrauman Ag with sterile scissors to prevent accumulation of exudate. Please observe the related instructions for use before combining the dressing with the Vivano negative pressure wound therapy system. The efficacy of the barrier dressing lasts for up to seven days. Unless otherwise prescribed by the doctor or medically indicated, a new Atrauman Ag dressing should be applied at each dressing change. The wear time of one dressing shall not exceed seven days.