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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

Privacy policy In the following data protection declaration we inform you about the most important aspects of data processing within the framework of our website. We collect and process personal data only on the basis of the legal provisions (Basic Data Protection Regulation, Telecommunications Act 2003). As soon as you access or visit our website as a user, your IP address, start and end of the session are recorded. This is for technical reasons and therefore constitutes a legitimate interest within the meaning of Art. 6 Para. 1 lit. f DSGVO. Contact us If you contact us, either via our contact form on our website or by email, the data you send us will be stored by us for six months for the purpose of processing your enquiry or in the event of further follow-up questions. Your transmitted data will not be passed on without your consent. Data storage Within the scope of facilitating the shopping process and for the subsequent processing of the contract, the IP address of the connection owner is stored by the webshop operator within the scope of cookies, as are the name, delivery and invoice address, and ATU number if applicable. The following data is also stored by us for the purpose of contract processing: Email, telephone number. The data provided by you is necessary for the fulfilment of the contract and for the implementation of pre-contractual measures. It is not possible to conclude a contract without this data. The data collected is not transmitted to third parties, with the exception of the transmission of payment data (credit card data) to the processing bank/payment service provider for the purpose of debiting the purchase price, to the shipping company (transport company) commissioned by us to deliver the goods and to our tax advisor for the purpose of fulfilling our obligations under tax law. If you cancel the purchase process, the data stored by us will be deleted. Should a contract be concluded, all data resulting from the contractual relationship will be stored until the expiry of the retention period required by tax law (7 years). The transmitted name, address, purchased goods and date of purchase will also be stored until the expiry of product liability (10 years). The data processing is carried out on the basis of the legal provisions of § 96 para 3 TKG as well as Art 6 para 1 lit a (consent) and/or lit b (necessary for the fulfilment of the contract) of the DSGVO. Cookies Our website uses so-called cookies. These are small text files that are stored on your end device with the help of the browser. They do not cause any damage. We use cookies to make our offer user-friendly. Some cookies remain stored on your end device until you delete them. They enable us to recognise your browser on your next visit. If you do not wish this, you can set your browser so that it informs you about the setting of cookies and you only allow this in individual cases. If you deactivate cookies, the functionality of our website may be limited. Your rights As a data subject, you have a fundamental right with regard to your data stored by us to: Information Deletion of data Transferability of data Revocation and objection to data processing. If you suspect that violations of data protection law have occurred in the course of processing your data, you have the possibility to complain to us (info(at)sini-medik.com) or to the data protection authority. You can reach us at the following contact details: SINI-MEDIK Niederreiter GmbH Email: info(at)sini-medik.com Telefon: +43 5412 61892 Quelle: Erstellt mit dem Datenschutz-Generator von AdSimple

Biotechnology - Extremities 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 Back to Biotechnologie Back to products

Biotechnologie - Pelvis 4layer Fistula plug Rectopexy OASIS ECM Biodesign® 4 Layer Tissue The Biodesign 4-Layer Tissue Graft is intended for implantation to reinforce soft tissue. It is indicated for use in chordee correction, Peyronie’s disease treatment, and urethral repair. Document Document Document 4 Layer Instructions Biodesign Breadth of offering Biodesign scientific monograph 4layer Biodesign® Fistula Plug - not available at the moment! The Biodesign Fistula Plug is for implantation to reinforce soft tissue for repair of anorectal fistulas. Document Document Document OASIS Instruction for use Biodesign Breadth of offering EN Biodesign scientific monograph Up Video Fistula Plug Biodesign® Fistula Plug The Biodesign Fistula Plug is for implantation to reinforce soft tissue for repair of anorectal fistulas. Fistula 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 Recto 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 prdoucts

PPE-Products Our articles are high-quality, certified products that guarantee protection and safety. Together for safety, because your health is important to us. Masks FFP2 without filter particle filtering half mask Certified according to 149:2001 + A1 2009 Category III according to RL EU 2016/425 Non-woven fabric with metal nose clip To the shop Back to PPE Products Back to products

PPE-Products Our articles are high-quality, certified products that guarantee protection and safety. Maintaining safety together, because your health is important to us. Hautfreundliches Händedesinfektionsmittel FFP2 masks without filter Hautfreundliches Händedesinfektionsmittel FFP3 masks without filter Hautfreundliches Händedesinfektionsmittel Face shield Hautfreundliches Händedesinfektionsmittel Gowns Hautfreundliches Händedesinfektionsmittel Suits Hautfreundliches Händedesinfektionsmittel Hoods Hautfreundliches Händedesinfektionsmittel Shoe covers, gloves Hautfreundliches Händedesinfektionsmittel Surgical masks Back to 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

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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

Reducing the risk of wound formation due to insufficient blood flow Texts and images (c) Ligamed Application for different types of wounds Skin-deep wounds (up to approx. 0.5 cm deep) ► Complete coverage of the wound with LIGASANO® white, from skin level at least 2 cm thick ► Wound margins overlapping at least 2 cm ► Make sure that complete contact with the wound is also ensured at somewhat deeper parts of the wound ► If necessary extensive coverage of the wound environment with LIGASANO® white for local blood circulation promotion ► Air-permeable fixation Deep Wounds ► Completely fill the wound with LIGASANO® white – additionally cut LIGASANO® white slightly larger than the wound diameter and slightly thicker than the wound depth ► Insert LIGASANO® white into the wound with slight compression, there must be a full-surface wound contact, even at the wound margins ► Extensive coverage of the wound and wound environment with LIGASANO® white ► Air-permeable fixation Deep wounds with undermining ► Completely fill in the undermining and the actual wound with LIGASANO® white – additionally cut LIGASANO® white slightly larger than the wound diameter and slightly thicker than the wound depth ("Wound Filler") ► Insert LIGASANO® white into the wound with slight compression; there must be complete wound contact, including the margins of the wound and undermining ► Extensive coverage of the wound and wound environment with LIGASANO® white ► Air-permeable fixation Wounds with narrow entrance / fistulas ► Complete filling of the wound with the Cavitiy dressings LIGASANO® white wound strip, wound strip mini, micro wound strip or sticks (depending on the volume of the wound). To do so, first investigate the direction and depth of the wound so that you can reliably reach the wound bed ► Extensive coverage of the wound and wound environment with LIGASANO® white ► The wound strip lays fan-folded in the wound. When removing results in little friction. The change of dressing is fast, easy and comparatively painless. Premature surface closure of the wound is counteracted ► Air-permeable fixation Back to applications Back to products

PPE-Products Our articles are high-quality, certified products that guarantee protection and safety. Together for safety, because your health is important to us. Latex gloves Disposable examination and protective gloves made of latex, light beige, heavily textured Surface, non-sterile and powder-free. Can be worn on the right and left. Suitable for the established medical field with a focus on dentistry and laboratory work. EN 455 -1,2,3,4; EN ISO 374-1, 2, 3, 4, 5; CAT III Directive EU 2016/425 AQL 1.5 CE marking on all levels of packaging Classification CE: Class I Protective glove according to the regulation for personal protective equipment (EN 2016/425) Category III. To the shop Back to PPE products Back to products

Venous, arterial and diabetic ulcers Texts and images (c) Ligamed Venous ulcus cruris The venous leg ulcer is typically a very heavily weeping wound. The main problem is to absorb large amounts of exudate and channel it so that it does not overflow to the wound edges. The heavily weeping wound is filled with LIGASANO® white and also covered with LIGASANO® white, overlapping the wound edges by at least 2 cm. If the change is made in good time, the overflow of the wound edges is counteracted. Excess exudate is absorbed. It may be advisable to use additional superabsorbents. The accompanying treatment (compression bandage, compression stocking) is carried out as usual. Arterial ulcus cruris Consequences of arterial circulatory disorders usually begin below the knee. If there is no arterial occlusion, the LIGASANO® bandage can provide valuable services. The leg or foot lesion is locally treated with LIGASANO® white. The circulation-promoting effect is produced by the LIGASANO® bandage (300x10x0.3 cm). The LIGASANO® bandage is applied in 5 or 10 cm width like a normal padded bandage. They achieve both padding and stimulation of blood circulation at the same time. The LIGASANO® bandage does not tend to slip, but can be fixed with a mesh tube or better with LIGAMED® Fix if required. Ulcus cruris mixtum The arterial venous leg ulcer is particularly difficult to treat because on the one hand the necessary blood inflow is missing and on the other hand it is hindered by compression measures due to the lack of outflow. The wound, which usually weeps, is filled with LIGASANO® white and also with LIGASANO® white. The wound edges are covered with at least 2 cm of overlap. If the change is made in good time, the overflow of the wound edges is counteracted. The LIGASANO® bandage is applied 5 or 10 cm wide like a normal padded bandage under the compression bandage or stocking. They achieve cushioning and blood circulation at the same time. Case report 1 - Wound treatment with LIGASANO® in Achilles heel ulcers Patient data and anamnesis: 71-year-old patient, diabetic type II since 2013, insulin-dependent since 12/2014, diabetic neuropathy, apoplexy 2014, hemiparesis right, dependent on wheelchair; very good domestic situation; cared by the wife; she also connects the wound. Wound description: Ulcus over the right Achilles heel since 10/2015, probably pushed at the wheelchair. Therapy from 10/2015 - 30.03.2016: Until 11/2015: hydrogel; fatty gauze (Lomatüll), 12/2015: started with medical honey, 12/2015: started with Silvercell, 01/2016: again hydrogel from Hartmann, 02/2016: further with Silvercell (granulation at the wound edge), beginning of 03/2016: change to foam with adhesive edge (Aquacel Foam) Wound condition on 06. September, 2010: the wound was in a state of flux.04.2016: Wound fissured, inflamed, with fibrin coatings, partial granulation; little wound odour; wound surface: approx. 12 cm long, 5 cm wide, 0.5 cm deep, skin in wound area dry and scaly, hardly any pain, but sensitive to touch. The patient today has an appointment in the practice of Dr. Jecht, conversion to LIGASANO®, ulcer has remained unchanged with previous treatment; wound size and signs of inflammation have rather increased. Wound cleansing with Prontosan wound irrigation solution, wound base Prontosan wound gel X, dressing material: LIGASANO® white sterile stick 6 x 2.5 x 0.4 cm, LIGASANO® white sterile wound dressing 10 x 10 x 1 cm, LIGASANO® white non-sterile bandage 300 x 10 x 0.3 cm. Fig. 1: 06.04.2016: Wound condition before the start of treatment with LIGASANO® white Fig. 2: 20.04.2016: Wound size now 11 x 5 x 0.5 cm, less plaque, otherwise unchanged Fig. 3: On 10..05.2016 the wound looks much better, further reduction of plaque. Fig. 4: 10.05.2016 wound cleaning and wound dressing as before, no change in therapy. Fig. 5: On 01.06.2016 the wound is flatter overall and shows several islands of granulation. Fig. 6: 01.06.2016 wound cleaning and wound dressing unchanged. Fig. 7: 22.06.2016: The wound has continued to decrease in area and depth and is completely granulated. Fig. 8: 13.07.2016: Wound size now 3x1x 0.2 cm, little exudate, further slow granulation and epithelization, good healing in general. Fig. 9: 15.11.2016: wound completely healed. Authors: Astrid Kliem, nurse, ICW wound expert, Berlin, Dr. medical Michael Hecht, Havelhöhe Hospital, Berlin and Susanne Hagen, specialist nurse, ICW wound expert (c) Ligamed Ulcer treatment in the ankle or lower leg area Back to applications Back to products