How to apply:
Before applying the first bandage:
- Check the ABPI (Ankle Brachial Pressure Index) to determine if arterial disease is present. If the ABPI is less than 0.8 do not apply the System.
- Confirm ankle circumference is greater than 18 cm (Ankle circumference may change as edema is reduced.)
- Apply an appropriate non-adhesive primary dressing to cleansed wound before applying ThreePress®.
Layer One - Padding Bandage:
- Wrap the padding/absorption layer with the fluffy cotton sideagainst the skin.
- Use a spiral technique at 50% overlap from the base of the toes to just below the knee.
- Stretch this layer around bony prominence, such as the heel, to increase conformability.
- Cut off any excess bandage and use it over the wound area to absorb drainage.
- Secure the end of the padding layer with one of the tape strips provided.
- When applying a compression system to the leg, it is important to enclose the heel with all layers of the System.
Layer Two - Compression Bandage:
- Wrap the compression bandage from the base of the toes to the ankle using the spiral technique.
- At the ankle, switch to using the figure of eight wrapping technique at 50% extension and 50% overlap starting at the ankle to just below the knee.
- To assist in extending this bandage at 50% the rectangular pattern on the bandage will form a square pattern at 50% extension.
- Cut off any excess bandage once you have wrapped to the knee.
- Secure the end of Layer Two with one of the tape strips provided.
Layer Three - Cohesive Compression Bandage:
- Wrap the cohesive compression bandage from the base of the toes to just below the knee using the spiral technique at 50% extension and 50% overlap.
- Cut off any excess bandage to avoid a tourniquet effect once you have wrapped to the knee.
Care and Removal:
- ThreePress® should be cut off by a clinician with specially designed bandage scissors.
- After removal, clean and assess the wound, chart the progress of healing and continue treatment if necessary.
- Dispose of the contaminated dressing and wraps using the plastic bag in which ThreePress® is packaged.
