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Bandages Products Compression therapy Cohesive bandages Back to prodcuts

Pre- and postoperative wound treatment Texts and images (c) Ligamed Case report 1 - Wound in the groin with undermining Fig. 1 to 4 shows how a wound in the groin (state after abscess removal) with a depth of 3 cm and a wound undermining to the medial of 8 cm is provided with LIGASANO® white. Fig. 1 Fig. 2 Fig. 3 For this wound care we chose LIGASANO® white in one centimeter thickness for tamponade or wound filling. Alternatively, you can also work with the LIGASANO® white wound strip. The wound was covered with LIGASANO® white in two centimeters thickness and fixed by an elastic bandage. Fig. 4 Fig. 5 After two days, LIGASANO® was changed to white because the absorption capacity was exhausted. LIGASANO® white can be removed from the wound atraumatically and without pain (Fig. 5). (c) Ligamed Case report 2 - abdominal, postoperative wound The therapeutic effect of LIGASANO® white was particularly evident in the treatment of abdominal, postoperative wound healing disorders. LIGASANO® white was changed daily in the secretion phase until the wound bed was clean and granulated. In the second wound healing phase, the dressing was changed every two days. Care had to be taken that there was no adhesion between dressing and newly formed tissue. Fig. 1 Fig. 2: Fig. 3 From Fig. 1 to Fig. 3, three weeks have passed. In addition to the LIGASANO® white wound therapy, the wound margins were adapted in the granulation phase with Steristrips to further reduce the wound and to achieve a good cosmetic result. (c) Ligamed Case report 3 - Wound treatment with LIGASANO® in postoperative wound Patient data and anamnesis: 45 years, female, three small children, geriatric nurse and farmer. Weight 104 kg with a size of 1.68 m. At the end of January 2016, she pinched her stomach on the zipper of her pants and became infected with a bird germ. Within three days the belly was already crimson, the patient got fever and pain and drove to a nearby hospital. They immediately transfered them to a large clinic in the neighboring village. She had acute kidney failure, high fever and was now hardly responsive. That same night, the toxic tissue was removed (a total of 7.5 kg!). In the intensive care unit, she was only provided with pain medication, was responsive, not ventilated, and had dialysis and antibiotics. The wound was kept open with sterile surgical drapes. Beginning of wound treatment with LIGASANO® white sterile on 04.02.2016. LIGASANO® white, sterile, 100 x 80 x 1 cm was inserted once a day. After three weeks, a partial closure was already achieved. The rest were treated with negative pressure therapy, a total of seven intervals of three days each. In early April, the remaining wound was closed with split skin removal from the thigh. The patient was released in mid-April. Daily check by the family doctor. Her general condition and her mental state recovered amazingly well. The split skin on the thigh is also healed very well. Fig. 1: 03.02.2016 Fig. 4: 15.02.2016 Fig. 7: 13.04.2016 Fig. 2: 06.022016 Fig. 5: 18.02.2016 Fig. 8: 23.05.2016 Fig. 3: 12.02.2016 Fig. 6: 01.03.2016 Fig. 9: 25.10.2016 The patient is currently no longer under medical treatment. By re-gaining weight, the cosmetic result of wound healing is not quite as satisfactory as expected. Author: Raphaela Hacker, Nursing Therapist Wound ICW, Hospital Traunstein (c) Ligamed Back to applications Back to products

Wound conditioning before surgical interventions Texts and images (c) Ligamed Case report 1 - Wound treatment with LIGASANO® white on the ankle joint Patient data and anamnesis: 53 years, male Hereditary polyneuropathy State after brain tumor since the age of 40 Ankle fracture 5 years ago; Joint had to be stiffened Alcohol and nicotine abuse With 50 years occurring ankle pain. Swelling and water retention. The family doctor referred him to the orthopedist. First, bandages, insoles and shoe supply for stabilization. Diagnosis: Arthrosis in the upper ankle. One year later surgery in the hospital. Stiffening of the upper ankle, again orthopedic shoe, pain and swelling continued. Change from the specialist, doubts about the supply. Performing stiffening of the upper and lower ankle, shortening the fibula by 15 cm to allow the bone material to connect to the forefoot. Stabilization plate installed. The operation took place in 2015. Placement of a lying plaster for two months. Load with 20 kg with increase to 40 kg in the following two months. Early 2016 Adaptation of a VACO PED shoe for further relief, beginning of a wound situation due to pressure of the shoe in the scar area without pain perception. Wound healing was abducted for several months. In February 2017, a new wound smear showed a significant germ attack. This was followed twice by the installation of a VAC. In March 2017, she was transferred to BG Unfallklinik Murnau with suspected acute sepsis. After positive wound smear, a high level of antibiosis was given over 6 weeks. Fig. 1: In 2015 stiffening of the upper and lower ankle, reduction of the fibula by 15 cm, to connect with the bone material with the forefoot. Installation of a stabilization plate. Fig. 2: In April 2017 attachment of an external fixator (stabilization of the ankle with tibia and heel bone). Discharge after 6 weeks, partial load of the heel allowed (crutches). Fig. 3: In June 2017, a 3D CT with germ imaging was performed: disintegration of the fibula, upper and lower ankle gastric. Pain therapy despite polyneuropathy (high-dose morphine). Fig. 4: July 2017: Inoculation sites are inflamed (material reaction). Supply with LIGASANO® white slit compresses. Pressure relief with customized compression. Fig. 5: 17.07.2017 The dressing was changed every two days. Fig. 6: 17.07.2018 Sterile slit compresses made of LIGASANO® white were used as primary dressing. Fig. 7: 17.07.2017: Secondary dressing and padding with LIGASANO® white. Fig. 8: 17.07.2017 Due to the permitted heel load we padded with LIGASANO® white and green for pressure relief. At the same time fix a defect on the lower bale. Fig. 9: 17.07.2018 Customization of a compression bandage. Fig. 10: In January 2018 decrease of external fixator. For the next six weeks a partial load of a maximum of 20 kg is allowed Fig. 11: Part load afterwards with 40 kg. From June 2018 full load on the heel bone allowed. A full load on the entire foot will only be possible in a few years. Fig. 12: Supply with a special shoe, 2-fold. Crutch supply. Care and care is provided by the wife. Patient is in early retirement, currently care level 3. Authors: Caritas Sozialstation Berchtesgadener Land, Wound Team Christine Kantsperger, Martina Vogel, Dr. med. med. Rudolf Bauer, Siegsdorf, specialist in general medicine (c) Ligamed Back to applications 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

Wound cleansing Products Effigerm Back to products

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 Effigerm 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

Biotechnology - Head & Neck 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 OASIS Brochure EN up Video Oasis Oasis Back to Biotechnology Back to products

Ligasano is a single-layer polyurethane medical dressing with honeycomb structure, differential porosity and a unique granular surface. It has been used in medicine for over 30 years. All products are CE certified and class IIb according to MDR 2017/745 Ligasano Medikation Ligasano® wound treatment Unlike common polyurethane foams that are normaly used as secondary dressings to absorb and manage exudate, Ligasano is mainly indicated as a primary dressing for debridement and drainage of the woundbed, particularly in chronic and infected wounds. It´s efficacy in debridement and drainage is second only to advanced surgical techniques (eg. Ultrasound, Surgery) and negative pressure wound therapy. However compared to these techniques it´s biomechanical activity is neither expensive nor operator dependent. With it´s peculiar structure and functional properties, Ligasano is a unique dressing that grants an extremely effective and selective debridement, also in case of tunnels and fistulas, while being extremely versatile and economical. How it works Ligasano Ligasano applies a biomechanical action of cleansing the wound bed, that can be divided into 2 subsequent steps: 1. The open-cell surface of Ligasano adheres to the necrotic tissue. The patient's natural movements (walking, breathing, heartbeat, etc.) rattle the honeycombed cell walls and create a slight friction with the wound walls and the wound bed. Unhealthy tissue is thus selectively removed, while underlying healthy, rooted tissue is not damaged. 2. Honeycomb structures react to special physical laws. Under light pressure, the honeycomb cells act like small vacuum pumps and force liquids in the opposite direction. And that is why Ligasano must be lightly pressed into the wound bed. The removed tissue and exudate can flow out of the wound through the Ligasano. Fast, safe and selective. It simply works! Different structures for different applications Ligasano Green Structur LIGASANO® green is an elastic, foamed polyurethane (PUR), almost unhindered by air and water, imaginable like a three-dimensional sieve. The structure is coarse, the surface rough. Application Extremely high drainage, significant mechanical hard debridement capacity, considerable stimulation of the proliferative phase, insignificant absorption and thermohygrometric capabilities . Indication Primary dressing for hard debridement of chronic and/or infected wounds, debridement of radicated fibrinuous sediments, slough and necrotic tissues. Drainage and cleansing of heavily suppurating lesions, even with highly dense exudate. To be used in contact with necrotic and spurious tissues, and fibrinous sediments. Avoid contact with delicate tissues (tendons, bones, primary blood vessels, intestines) and healthy perilesional skin . Using instructions Ligasano green Ligasano White Structure LIGASANO® white has mixed pores, i.e. it has open, half-open and closed pores Application Strong drainage, high permeability, good mechanical debridement capacity (soft debridement) and stimulation of granulating tissues. Absorption capacities up to 88% of it´s volume and mantainance of thermohygrometric equilibriume. Indications Primary dressing for soft debridement (biofilm, slough, fibrinous sediments) of chronic and/or infected wounds. Drainage of moderately suppurating lesions with exudate of low average density. May be used in contact with delicate tissues and healthy and perilesional skin. Secondary dressing specifically indicated for infected wounds, where a highly permeabel dressing is required to control the bacterial load, opposed to other situations in which the managing of high volume of exudate in low bacterial load conditions ist he priority. Using instructions Ligasano white Back to Ligasano Indications Variants of treatment of pressure ulcers category 3 Ulcer treatment in the ankle or lower leg area Back to the products

Contact SINI-MEDIK Niederreiter GmbH Fabrikstrasse 2A-6460 Imst / Tyrol Austria info(at)sini-medik.com Austria Tel. 0043 - (0) 5412 61 891 Fax 0043 - (0)5412 61 891 18 Italy Phone 0039 – 02 40 70 82 64 Fax 0039 – 02 93 65 06 64 France Phone 0033 – (0)97 51 80 24 0 Fax 0033 – (0)17 27 03 45 7 Contact us Thank you for your message Send

PPE-Products Our articles are high-quality, certified products that guarantee protection and safety. Together for safety, because your health is important to us. Hoods Nonwoven hood CE according to directive 93/42/EEG nonwoven transparent, elastic blue, white, green To the shop Back to PPE products Back to products

Wound treatment with LIGASANO® LIGASANO® white for wound healing - has a pressure-relieving effect, stimulates blood circulation, activates the self-cleaning of the wound. LIGASANO® white can be used for all types of wounds and wound stages. Preoperative wound conditioning with LIGASANO® white is a typical indication. LIGASANO® is available sterile and non-sterile With LIGASANO® green wounds can be covered or filled. A collapse of wounds under the influence of external pressure or suction, eg with active wound drainage or NPWT, is counteracted. LIGASANO has been used in medicine for over 30 years. All products are CE certified nad class IIb according to MDR 2017/745. LIGASANO® simply works: Attention: the linked pages may contain content and images that are only intended for medical professionals. If you still want to continue, click on the gray bar. Chronic wounds Attention: the linked pages may contain content and images that are only intended for medical professionals. If you still want to continue, click on the gray bar. Pressure ulcers Attention: the linked pages may contain content and images that are only intended for medical professionals. If you still want to continue, click on the gray bar. Burns, scalds, frostbite Attention: the linked pages may contain content and images that are only intended for medical professionals. If you still want to continue, click on the gray bar. Fistulas, surgical wounds Attention: the linked pages may contain content and images that are only intended for medical professionals. If you still want to continue, click on the gray bar . Venous, arterial, diabetic ulcers Attention: the linked pages may contain content and images that are only intended for medical professionals. If you still want to continue, click on the gray bar. Reduced wound formation Attention: the linked pages may contain content and images that are only intended for medical professionals. If you still want to continue, click on the gray bar . Fungal infections Attention: the linked pages may contain content and images that are only intended for medical professionals. If you still want to continue, click on the gray bar . Pre- and postoperative wound treatment Attention: the linked pages may contain content and images that are only intended for medical professionals. If you still want to continue, click on the gray bar . Wound conditioning prior to surgery Videos Variants of treatment of pressure ulcers category 3 Ulcer treatment in the ankle or lower leg area Intertrigoprophylaxis and -therapy with Ligasano Woundcongress Nürnberg Ligasano wound treatment general information Back to products

Ligasano is a single layer medical dressing made of polyurethane with honeycomb structure, differentiated porosity and a unique granular surface. It has been used in medicine for over 30 years. All products are CE certified and class IIb according to 2017/745. Ligasano® Prevention Ligasano® White The rapidly falling pressure tension of LIGASANO® white allows a nearly consistent distribution of the contact pressure and thus avoidance of dreaded pressure peaks. LIGASANO® white and LIGASANO® orange are easy to cut. Thus arise by the ingenuity of the nursing staff adapted positioning aids such as rollers, wedges, heel shoes, etc. The mechanical stimulus of LIGASANO® white promotes peripheral blood circulation during skin contact, increasing the pressure resistance of the patient. Sweat is absorbed, thus normal skin moisture and in conjunction with the mechanical stimulus also skin care. The preservation of the physiological skin environment is supported. With a suitable thickness, LIGASANO® does not wrinkle, a further pressure ulcer risk is effectively prevented. The patient is always stored directly on the skin on LIGASANO® white, without intermediate layer. In fact, the mixed cell structure of Ligasano white leads to permanent deformation under pressure (= memory effect). Therefore, areas exposed to anatomical convexities (e.g. heels, calves, gluteal region, shoulders, occipital region) become thinner, while those exposed to concavities retain their shape and volume. This leads to a global and even distribution of the body's weight over its total surface, giving it a virtual fluctuation. Ligasano White, with a micro-granular surface, can come into contact with sensitive skin. As it is permanently deformed, the top sheet should be changed regularly, at least weekly, depending on the patient's body weight. The amount of layers of Ligasano White needed for a particular patient is directly related to their weight and varies from person to person.. Ligasano® Orange The perfect supplement for prevention The application of the alveolar technology allows Ligasano Orange to redistribute the weight peak areas of the patient (e.g. heels, sacrum, hips) onto the entire surface, effectively preventing pressure ulcers. It´s high permeabilty to fluids grants a continuous air flow through it´s structure, even when compressed, lowering local temperature and humidity level, thus preventing tissue maceration. Prevention for bedridden patients Bedridden patients, especially in case of paraplegy and tetraplegy, have specific needs that a single prevention complement by itself cannot accomplish. Hydration, nutrition and regular mobilization represent the preconditions for a proper prevention, completed by appropriate medical devices. Ligasano Orange is a complement device, and part of a prevention system specifically engeneired to respond to the specific needs of every patient. In case of bedridden patients, Ligasano Orange represents the structural base of the support surface and it needs to be implemented with Ligasano White sheets over it, in order to grant a highly effective prevention system. Using instructions Ligasano orange Positioning of the patient in 180° prone position Positioning the head in the supine position Positioning the head in the prone position Palm dressing (spasticity) Padding of hoses, catheters and tubes Pressure ulcer prophylaxis - Ear Pressure relief of the heel with the LIGASANO® heel bandage Customized heel protection Heel pressure relief - pattern step by step Prefabricated slit compresses Back to the products