Biotechnology - Chest & abdomen Hernia Graft Hiatal Graft Rectopexy OASIS ECM Biodesign® Hernia Graft The Biodesign Hernia Graft is intended for implantation to reinforce soft tissues where weakness exists during ventral hernia repair. Document Rectopexy Graft Instruction for use Document Biodesign Breadth of offering EN Document Biodesign scientific monograph Up Video Hernia Graft Hernia Biodesign® Rectopexy Graft The Biodesign Rectopexy Graft is intended to support/reinforce soft tissue in surgical procedures for open and laparoscopic repair of rectal prolapse/rectal intussusception. Document Rectopexy Graft Instruction for use Document Biodesign Breadth of offering EN Document Biodesign scientific monograph Biodesign® Hiatal Hernia Graft The Biodesign Hiatal Hernia Graft is used for implantation to reinforce soft tissue where weakness exists, during hiatal hernia repair. Document Rectopexy Graft Instruction for use Document Biodesign Breadth of offering EN Document Biodesign scientific monograph Hiatal rectopexy OASIS® Extracellular Matrix Cook Biotech’s advanced tissue-repair products are derived from porcine small intestinal submucosa (SIS) and other ECM-based biomaterials. They are used to manage multiple types of wounds, including burns, diabetic ulcers, venous ulcers, and trauma wounds. Surgical applications include hernia repair, fistula repair, otologic repair, and soft-tissue reinforcement. Document OASIS Instruction for use up Video Oasis OASIS Brochure EN OASIS Back to Biotechnology Back to products

Wound spray Products WOUND Back to products

COVER replaces Aldanex COVER is a transparent, viscous, non-greasy, smooth and fragrance-free silicone-based barrier ointment for the treatment and prevention of skin damage and superficial lesions. The product’s superior adhesive qualities allow Aldanex to maintain its protective barrier function against external influences for up to 12 hours. The product does not contain zinc and adheres excellently to moist as well as dry skin. The active ingredient contained, dimethicone, is able to develop its covering and protective effect against external influences. COVER can be applied easily and quickly and removed painlessly. It can therefore be perfectly integrated into the treatment of incontinence. The product can be applied frequently or less frequently, depending on the need. COVER fulfils 3 important functions: 1. COVER supports skin regeneration by creating an ideal wound environment. 2. COVER prevents the development of incontinence-associated dermatitis, maceration, decubitus lesions, intertrigo and napkin dermatitis in susceptible patient populations. 3. COVER protects irritated and/or injured skin by forming a protective layer against infectious agents and other negative influences Product advantages Why COVER is a must in the daily fight against incontinence-associated dermatitis, maceration, decubitus lesions* and intertrigo: COVER is translucent, allowing better monitoring of the skin's condition The substance is easier to apply to the skin area to be treated Better adhesion thanks to the cream which stays on the skin for up to 12 hours, prolonging its action Combats the effects of Incontinence Associated Dermatitis (IAD) Reduces the risk of pressure ulcer lesions by treating and preventing maceration Alleviates the effects of pressure and shear forces Protects both intact and pre-damaged skin It does not contain zinc and is therefore also suitable for patients undergoing radiotherapy Perfect adhesion, both on moist and dry skin Painless application and rapid improvement in the patient's quality of life It can be applied daily or even more often Cost saving due to the healing/preventive effect and favourable price Up to and including 2nd degree lesions Indications COVER maintains the moisture of the skin. It is suitable for the therapeutic prevention of skin lesions due to incontinence (urine, faeces or both). It is also very suitable for the preventive treatment of decubitus lesions up to grade 2, intertrigo (inflammation of skin folds) and napkin dermatitis in children. Another area of application is in very superficial wounds, in the case of maceration of wound edges and maceration/friction of drains, intubation ports, catheters and tracheal and nasal cannulae. Aldanex case reports english Cover brochure Up Video Aldanex using instructions Up Video Aldanex nappy rash Up Animation Aldanex function Back to products

Imprint Imprint according to § 5 E-Commerce Act: SINI-MEDIK Niederreiter GmbH Trade with food additives Druggists' trade, retail trade in dressing materials (GISA 21451744) VAT-number: ATU46635404 Company register number: 181087 f Company register court: Provincial court Innsbruck NidiCare GmbH Trade in medical products Manufacture, reprocessing, rental of medical devices and manufacture and trade of wound care products (GISA 21492457) VAT number: ATU64789606 Company register number: 323668 h Company register court: Innsbruck regional court Registered office: 6460 Imst, Fabrikstraße 2, Austria Tel: +43 - (0)5412-61 891 Fax: +43 - (0)5412 - 61 891 18 Email: info(at)sini-medik.com Web: www.sini-medik.com Member of the WKO Trade regulations: www.ris.bka.gv.at Imst district administration, trade authority Managing Director: Simonetta Niederreiter

Chronic wounds Direct insight into how it works Here you will get an insight into the treatment methods for various wound healing supplies. Case report 1 - decubitus on the rump with wet necrosis Patient data and anamnesis: Pressure sores on the rump with wet necrosis on an 89-year-old, completely immobile patient. There is also diabetes mellitus with high blood sugar levels and MRSA infection. The patient is only partially oriented and capable of contact. For some weeks mobilization in the wheelchair is only occasionally possible. The care and nursing takes place via an outpatient nursing service 3 times a day and a home care service instead. The patient lies on a alternating pressure system and is stored. The urine excretion is passed through a urostoma. There is a fecal incontinence with frequent stool frequencies. So far, the decubitus was performed with a fine-pored foam dressing in three-day rhythm. This treatment resulted in no result. Exudate levels are moderate Fig. 1: 02.02.2016 Fig. 1: 10.02.2016 Fig. 1: 02.02.2016 Fig. 1: 19.02.2016 Fig. 1: 02.02.2016 Fig. 1: 09.03.2016 Fig. 1: 02.02.2016 Initially, a mechanical wound cleaning with polyhexanide solution and LIGASANO® intensive and soft was performed. Fig. 2: 02.02.2016 Tamponade of the small undermining at 3 o'clock and covering of the wound surface with LIGASANO® white wound strip mini. Fig. 3: 02.02.2016 Covering the wound area with LIGASANO® white sterile 15 x 10 x 1 cm and 24 x 16 x 1 cm. Fixation with adhesive fleece at the margin area. Dressing change every two days. In support of this, the patient was stored on LIGASANO® green 55 x 45 x 2 cm and LIGASANO® white 59 x 49 x 2 cm. Fig. 4: 10.02.2016 Further mechanical wound cleaning with polyhexanide solution and LIGASANO® intensive and soft. Complete replacement of necrosis by LIGASANO® alone. Fig. 5: 19.02.2016 The moist necroses and coatings were increasingly removed by the treatment with LIGASANO® white. This results in an increase in wound depth. The surrounding skin with the smaller decubitus ulcers has calmed significantly and the lesions have healed. The treatment is continued with the LIGASANO® white wound strip mini, the cover of the wound surface with LIGASANO® white sterile 15 x 10 x 1 cm and additionally with LIGASANO® white sterile 24 x 16 x 1 cm. Fixation with adhesive fleece at the margin area. Dressing change every two days. Fig. 6: 09.03.2016 The entire surrounding skin is intact and non-irritant. The wound bed has cleared and shows granulation islands. Significant decrease in wound depth through granulation. Author: Daniela Laskowski, nurse, wound expert from Fulda, correspondence through LIGAMED® medical Produkte Gmb (c) Ligamed Back to applications Back to the products

COFLEX TLC LS (Longstretch) Limited mobility Milliken's CoFlex TLC LS offers patients with limited mobility a double measure of comfort Odour and itch minimisation features Visual indicators to guide therapeutic compression Easy to apply Comfortable and breathable, lightweight and thin Non-slip Nylon stocking included in each set Video Video application TLC LS Application and removal tips Apply wound dressing and select compression set based on patient's ABI. Layer 1 – Foam layer 1 4 2 3 Layer 2 – Comression layer 5 8 6 9 7 10 Product information Video Video application TLC LS Back to compression therapy Back to prodcuts

About us Our enterprise looks back to many years of experience in the wound care medical sector. Our passion for solving real problems and bringing valuable solutions in the health care field has brought us as far as we are today. We rely on team members with valuable and sound experience in marketing an organization as well as in the medical field. Co-workers with more than 20 - 30 years experience and know how, together with teamwork and visions, guarantee professional assistance for our customers and offer constant innovation and progress in our product range. Our idea of innovative solutions for wound care enables us to offer not only an excellent and easy to apply medication system but also professional and effective high quality products and therapies for tissue repair making wound healing a matter of choice. We have made woundhealing our mission, bringing high quality products to our customers and achieving effective solutions, also at the bed side. Product categories Wound care epicite hydro Innovative wound care for the treatment of acute and chronic wounds Ligasano WOUND Curea Compression therapy The two-layer compression sets were developed to improve the experience of both the practitioner and the patient. compression set Biotechnology Biodesign Cook Biotech's advanced tissue repair products f.e.hernia repair, fistula repair, and soft tissue reinforcement. OASIS Incontinence Contam Enjoy the good side of life again despite incontinence... Atam Contam cube Prevention Ligasano Innovative and effective products for prevention COVER PD Care PPE-Products PPE products Find innovative and effective products to protect medical staff and patients, as well as antigen testing Operating theatre Liquisorb Clean and safe fluid management where it is most needed Curea Liquimat Curea 150 Scar/skin care Alhydran Innovative products for the care of scars and skin BapScarCare Scarban Contact us Thank you for your message Send

Burns, scalds, frostbite Texts and images (c) Ligamed Case report 1 - Burns of the left thigh side on a hot oven 65 years old, female, left thigh burned on a hot oven. Fig. 1: Condition before debridement with LIGASANO® white Fig. 2: Wound during treatment with LIGASANO® white. Fig. 3: Wound during treatment with LIGASANO® white. Fig. 4: After two weeks of treatment with LIGASANO® white, the wound is clean and can be covered with split skin. Fig. 5: Status after successful split skin transplantation. Fig. 6: Condition after successful split skin transplantation. Excerpt from an application observation of the accident hospital Targu-Mureş, Romania, (c) Ligamed Case report 2 - second-degree burns on the forearm 21-year-old female patient with second-degree burn on her forearm. Fig. 1 Fig. 2 Fig. 3 Under LIGASANO® white wound therapy, a significant reduction in fibrin deposits can be shown within two dressing changes (Figs. 1 and 2). The wound was treated with a two-centimeter-thick LIGASANO® white foam. The foam was first changed daily, in the second week, after the decrease in wound secretion, the dressing was changed every two days. After removal of the dressing, the absorbed wound secretion and the detached fibrin coatings were visible on the wound side. The patient showed no pain either during the wearing time of the dressing or during the removal. There was no sticking between dressing and wound. At the beginning of the third week, the wound was epithelialized (Fig. 3). In the epithelisation phase, the foam was moistened with 2 ml Ringer solution. Excerpt from a post-marketing surveillance of the accident hospital Targu-Mureş, Romania (c) Ligamed Case report 3 - Third degree burns on the left forefoot Patient data and anamnesis: Young patient, born in 1989, tipped hot oil over his left forefoot and suffered grade 3 burns. Patient was already treated for 3 weeks in a medical care center. Due to the complex care, Rinocon GbR was additionally involved as a homecare company to further support and ensure continuous treatment. At the first admission of the patient, the wound was very heavily covered with fibrin, the toe gaps were strongly macerating and moist. The wound environment was dry and scaly. The treatment with paraffin-soaked gauze and sterile compresses proved to be insufficient within the first 3 weeks of treatment and very painful for the patient (dressing glued to the wound). Fig. 1: 31.05.2016 Fig. 2: First dressing check on 03.06.2016 (3rd day of treatment) Fig. 3: Dressing check on 14.06.2016 (14th day of treatment) Fig. 4: Dressing check on28.06.2016 (28th day of treatment) Fig. 1: 31.05.2016 After consultation by Rinocon GbR with the treating physician, the therapy was adapted and continued with Principelle IF 8 x 10 cm and LIGASANO® white sterile 15 x 10 x 1 cm. LIGASANO® was incised at the front and additionally tamponed into the toe gaps. The restoration was fixed with an elastic gauze bandage. Fig. 2: First dressing check on 03.06.2016 (3rd day of treatment): Already after 3 days with the changed treatment a highly positive course was observed. After mechanical debridement, the wound bed was completely free of fibrin deposits. Beginning epithelisation was visible at the wound margin. The previously strongly macerated toe interdigits were completely intact and dry. Fig. 3: Dressing control on 14.06.2016 (14th day of treatment): 70% of the wound was already covered with an epithelial layer, only two small wounds were left with a clean red granulating wound bed. The entire wound area was pale and dry. The treatment continued with a Principelle IF and LIGASANO® white sterile. Fig. 4: Dressing control on 28.06.2016 (28th day of treatment): The wound was completely epithelialized, skin appearance completely renewed without scarring. Conclusion: A highly positive course of the wound could be achieved with the treatment of Principelle IF in combination with sterile LIGASANO® PUR foam dressing white for the burn of grade 3 on the left forefoot of a young patient. The wound showed a good response to the selected combination of medical honey and foam dressing. In addition, the patient's pain load could be significantly reduced and the tolerance to the treatment increased sustainably. Autor: Rinocon Gbr, Homecare-Service, Bad Windsheim (c) Ligamed Back to applications Back to products

Incontinence Incontinence hygiene tampons that improve your quality of life. Bladder weakness and faecal incontinence can have many causes. Incontinence affects many people - men and women, younger and older. Don't let incontinence limit you! With our safe, hygienic and discreet aids, you will gain new freedom and quality of life - whether at home, at school, at work or in your free time. Products for bladder weakness Contam Contam Cube for descent problems for faecal incontinence A-Tam Back to products

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Bapscarcare Bapscarcare is a medical silicone therapy that ensures faster and improved healing of the skin. It makes existing scars flatter, smoother and thinner. The scar is less disfiguring and in many cases becomes almost invisible. Bapscarcare provides visible reduction, even in thickened scar tissue that has formed thick ‘strands’ on the skin. Bapscarcare comprises four products with scientifically proven effectiveness. The products are also extremely pleasant to use. Bapscarcare offers the right treatment – from small scars on the face to larger, more problematic scars. One example is our scar gel with sun protection factor 40 (SPF 40), which protects scars from harmful UV radiation. Products Silicone scar gel Bapscarcare Gel ensures that scars become flatter, smoother and thinner. Complaints such as persistent redness, itching, restricted movement in the joints, discomfort and cosmetic problems are reduced. The gel can be used on both old and new scars: Treatment and prevention of abnormal scars (hypertrophic scars and keloids) Treatment of burn scars Treatment of surgical scars Silicone scar gel with UV protection Bapscarcare Gel SPF 40 has a sun protection factor of 40, which protects the scar from harmful UV rays. The gel provides increased moisture to the epidermis (top layer of skin). The increased moisture ensures that scarring is prevented or heals faster and symptoms are alleviated. Bapscarcare Gel SPF 40 can be applied anywhere on the skin and is ideal for treating scars on the face, neck, joints and skin folds. The gel is enriched with vitamin E. Bapscarcare T – thin silicone film Bapscarcare T is a self-adhesive, thin, transparent silicone film for treating old and new scars. Thanks to its flexibility, the self-adhesive bandage adheres securely to all areas of the body requiring treatment. Suitable for use under clothing. Available in various sizes. Treatment and prevention of abnormal scars (hypertrophic scars and keloids) Treatment of burn scars Treatment of surgical scars Bapscarcare S- thick silicone film Bapscarcare S is a self-adhesive, thick, washable, transparent medical silicone dressing for the treatment and prevention of abnormal (hypertrophic, keloidal) scars. Due to the flexibility of Bapscarcare S, the self-adhesive dressing stays securely in place on all areas of the body to be treated. Bapscarcare S is suitable for use under clothing and during compression therapy. With proper care, the dressing can be used for several weeks. Available in various sizes. Back to products

Contam ® Anker 1 Contam® Vaginal tampon Therapy option for stress incontinence (involuntary leakage of urine when laughing, coughing, sneezing, etc.) and for strengthening / activating the pelvic floor muscles. A planned hysterectomy with a plastic abutment can be dispensed with through effective therapy with Contam. Contam® Duo Can be used in the same way as the normal version - but its double shape offers a better fit and mode of action. Pressure is exerted on the tissue surrounding the urethra, resulting in a natural closure. This prevents unwanted urine leakage. In addition, the connection of the tampons brings a stability effect for easier insertion Contam® Special Contam® Special Product performance as normal version - additionally offers depot possibilities for ointments / creams (including ointments containing hormones) due to the groove-shaped surface in the depressions. The healing-supporting substances applied in the depressions of the tampon surface are hardly wiped off during insertion Contam® Med This tampon provides a carrier function for the local supply of medical substances that support healing. It can also be used as an aid if there is no stress incontinence, because the preformed urethral formation on both sides exerts no or barely noticeable pressure on the urethra Function: By positioning the tampon in the vaginal area, gentle pressure causes the bladder neck to return to its original position. The sphincter muscle can perform its original function again. The vaginal tampon supports the activation of the pelvic floor muscles. By using Contam®; uterine prolapse can be reduced if necessary and thus operations can be delayed, in some cases even prevented. Contam® performs the carrier function for local positioning of substances that support healing (for fungal infections, hormone treatments). Large sizes help to regress a prolapse. Advantages: pleasantly soft and supple, yet elastic not visible fits snugly odour-preventing Important information Contam® vaginal tampon does not need to be removed during urination. Vaginal secretion is maintained and the normal vaginal flora is not affected. The raw material used for Contam® is a toxicologically and dermatologically safe foam and has been used for decades in cardiac surgery, burns and open fractures. The sewn-in retrieval thread means that there is hardly any contact between the thread and the mucous membrane. Irritation is thus prevented. Contraindications: Please do not use Contam - during menstruation - in case of PVA allergy Important: Contam® should be changed after swimming. Wearing during pregnancy and in case of uterine prolapse should be agreed with the doctor. Wearing time should not be considerably longer than 12 hours if possible. Caution: If fever, diarrhoea, vomiting, dizziness or skin rash suddenly occur when using Contam®, remove the tampon and consult a doctor. Tip: For example, a cream containing estriol can be used to support insertion, which also helps to maintain the vaginal flora and vaginal secretion. Furthermore, protection against infection (Döderlein) and the tightening of the mucous membrane is promoted Contam Anker 2 Enjoy the pleasures of life again despite stress incontinence... Contam Using instruction english Bladder weakness, urinary incontinence Urinary incontinence (Lat.: Incontinentia urinae) refers to the loss or failure to learn the ability to safely store and expel urine at a desired location at a self-determined time Types of urinary incontinence: Urge incontinence The urge to urinate that cannot be suppressed causes urine to be lost before reaching the toilet. This can have various causes: Sensory urge incontinence: Here, the perception of the bladder filling is disturbed in the sense of a premature feeling of filling, for example due to an inflammation, bladder stones or blockage of the draining urinary tract. Motoric urge incontinence: Here, the nerve impulses leading out to the muscles of the bladder wall (the bladder muscles responsible for emptying) are disinhibited, which leads to a premature, sometimes spasmodic detrusor contraction. Urge incontinence can be the result of inflammation of the lower urinary tract (bladder, urethra), obstructive (constricting) changes such as urethral strictures, benign or malignant prostate enlargements, or neurological disorders such as dementia. Giggle incontinence (enuresis risoria): Giggle incontinence is a special form of urge incontinence. In this case, uncontrolled loss of urine occurs when laughing vigorously, but this is difficult to detect clinically. This rather rare form of urge incontinence is predominantly observed in girls; this form of incontinence has hardly ever been observed in boys or even in adults. The cause is a deficit in the central nervous inhibition of the micturition reflex Stressincontinence In stress incontinence, increased intra-abdominal pressure due to strain, pressing for various reasons (lifting, carrying, climbing stairs, laughing, coughing, sneezing) triggers the more or less pronounced loss of urine. Triggers can be coughing, sneezing and abrupt body movements; in severe cases, even unstrained movements. In women, stress incontinence is often caused by childbirth, which leads to overstretching and slackening of the retaining ligaments and the pelvic floor. Other known forms are mixed incontinence (i.e. urge and stress incontinence combined), overflow incontinence (constantly overfull urinary bladder due to drainage problems) and reflex incontinence due to central nervous disorders (e.g. after paraplegia or multiple sclerosis). Source: Wikipedia 2007 To prevent incontinence, and also in cases of existing bladder weakness, it is always advisable to drink enough fluids and do regular pelvic floor exercises. Back to incontinence Back to products