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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 FFP3 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

A-tam® A-Tam® anal tampons for faecal incontinence are manufactured in various shapes and sizes. They are made of polyvinyl alcohol (foam), which is toxicologically and dermatologically safe. Individual sizes are possible by arrangement. Cylindrical tampon Used when the sphincter still has a residual function, but the sealing and holding function is not guaranteed due to insufficient formation Concave tampon Used when the sphincter muscle is convex (normal anatomy). The waisted shape therefore allows good sealing and holding function Spherical tampon Used when there is no residual function of the muscle tissue. The spherical tip seals the area where stool collects (ampulla recti) similar to a ball valve Spiral tampon With its grooved surface structure, this tampon offers optimal support in cases of mild to moderate diarrhoea. Excessive gas pressure is dissipated by grooves on the surface Conical tampon Closes the rectum in a similar way to a ball valve, seals the anal canal due to its thickening in the middle part and adapts optimally to the anatomy due to its taper Convex tampon This shape prevents uncontrolled bowel movements and activates the sphincter muscle if residual function is present. The convex-shaped tampon is also used in cases of severely regressed muscle tissue. Proctology tampon Used in the post-operative phase (haemorrhoids, plastic reconstruction of the anal canal, etc.) Buy quickly and discreetly online Buy quickly and discreetly online Buy quickly and discreetly online Buy quickly and discreetly online Buy quickly and discreetly online Buy quickly and discreetly online Product features ● discreet ● odour-preventing ● invisible ● pressure free ● easy to use At the beginning of the therapy, we recommend the so-called starter assortment, which we have pre-sorted according to age based on experience for: ● Adults ● Adolescents ● Children ● Anal atresia (extra small sizes) Accessories for A-Tam® anal tampons Anal securing device Self-adhesive due to latex-free adhesive. Additional securing device to prevent the tampon from sliding out when the patient is active (e.g. wheelchair sports). Applicators For better insertion of the anal tampon, which is unstable when wet. Important notes Anal hygiene is an essential measure to maintain health. This includes changing the tampon 3 times a day when using round-the-clock care, careful cleaning of the anal area from the outside (lukewarm water with light soapy water, disposable gloves), drying well and applying cream if necessary. When cleaning, avoid injuries from fingernails or other hard objects. In case of problems, please consult the attending physician. Notes/recommendations • The procedure is similar to that for a suppository (suppositories) • The tampons are intended for single use. • The insertion aid (applicator) can be used several times. • Empty the bowel before insertion. • Use toilet training to get the bowel used to a constant emptying time. • Start with small sizes when using for the first time. • If necessary, coat the spike of the applicator with Vaseline - easy to loosen. • Wait for the pinch reflex (approx. 15 to 20 seconds).* • Remove the tampon after a maximum of 6 to 8 hours. • The tampon is removed from the anal canal by pulling the retraction thread. • If the retraction thread breaks despite continuous checks when removing the tampon and you are unable to pull the tampon out as a result, please consult the doctor. * This reflex no longer occurs after an acclimatisation period of about 5 to 6 weeks Anal incontinence The following causes can trigger faecal incontinence: - age-related incontinence - stroke - Alzheimer's disease - multiple sclerosis - Brain tumour - Paraplegia (tetraplegia) - Spina bifida aperta - Haemorrhoid surgery (because sensitive mucous membrane of the intestine is removed) - Diarrhoea - Rectal prolapse (protrusion of the sensitive intestinal mucosa to the outside) - Colitis (inflammation of the large intestine) - Benign and malignant tumours, tumour surgery - Fistula rupture - Perineal tear during birth (if the sphincter muscle is also injured) - Infiltrating abscesses - - Pelvic floor prolapse (frequent symptom of old age due to weakness of the connective tissue and degeneration of the pelvic muscles, operations on the uterus) - Overstretching due to constipation - Congenital malformation (anal atresia) - Crohn's disease Medication or psychological disorders can also be the cause of faecal incontinence Back to incontinence 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. Disposable gown nonwoven (40, 30, 25 gr) Non-sterile disposable gowns with long sleeves and elastic cotton cuffs. Lightweight disposable gown with belt at waist, closure at back neck with ties, eco-friendly material, soft and comfortable to wear. Non-woven fabric, comfortable, high quality and protective. Water-repellent, airy, odorless Comply with EN 13795-1:2019 Type II standard Medical product according to 93/42/EEG To the shop Zurück zu PPE Produkte Zurück zur Produktübersicht

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

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Exudate management and soft debridement P1 P1 DUO P1 Drain P1 Heel Curea P1 The classic for improved wound healing and better quality of life curea P1 is our high-performance standard product designed for managing light to heavy exuding wounds. It is indicated for cases where, alongside effective exudate management, gentle wound debridement is desired during dressing changes. SuperCore® ensures secure binding of excessive exudate Proven binding and reduction of germs and MMPs Proven binding of whole blood Soft debridement during dressing changes Reduced risk of wound maceration Can be applied under compression and pressure Core remains stable during application Protection against leakage Maintains a balanced, moist wound environment Wear time up to 7 days Application areas: Light to heavy exuding wounds. Chronic wounds: Ulcus cruris (UCV, UCM, UCA), diabetic foot syndrome, decubitus ulcer Acute wounds Wounds with concomitant injuries IFU P1 P1 Instruction for use P1 drain Exudate management for drainage and tube systems curea P1 drain uses a slit dressing design ideal for use with drains, catheters and the like. The cross cut allows the dressing to fit perfectly around tubing systems or cables of varying diameters. This effectively absorbs exudate, keeping exit sites dry and protected from inflammation. Document P1 drain Instruction for use drain Curea P1 DUO Avoid application errors due to the possibility of double-sided application curea P1 duo can be applied to the light to heavy exuding wound from both sides. Especially when things have to be done quickly in everyday clinical practice, application errors are reduced, as the wound dressing absorbs with both the top and the bottom side and "incorrect" application is ruled out. Document P1 DUO Instruction for use P1 Heel Efficient wound care for the heel area curea P1 heel is ideal for wound care in the heel area. Its special shape allows easy application to the foot using a folding technique. This reduces leakage risk due to the breathable yet fluid-impermeable top layer. Document P1 Heel Instruction for use Back to Curea 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. Shoecover Plastic Plastic shoe covers with elastic band Class I medical product according to 93/42/EEG Shoe cover non-woven fabric Non-woven shoe covers with elastic band for the medical sector CE according to Directive 93/42/EEC Class I medical device blue To the shop Back to PPE products Back to products

Fistulas and surgical wounds Texts and images (c) Ligamed Case report 1 - Wound treatment with LIGASANO® for inflamed PEG puncture site Patient data and anamnesis: 2-year old girl from Lower Bavaria, Z.n. epileptic encephalopathy, a PEG plant due to refusal to eat was carried out on 05.09.2016 in Augsburg. First daily bandage change, cleaning with NaCl, supply with Metalline. Inflammation of the injection site, pus focus visible, swollen. Presentation at the paediatrician. Recommendation: Change of dressing twice a day, cleaning with Octenisept, if necessary antiobiotic ointment in case of further deterioration. From 14.09.2016 Start of treatment with LIGASANO®: Cleaning twice daily with Octenisept, application of a sterile LIGASANO® slotted compress 7.5 x 7.5 x 1 cm. Fig. 1: 16.09.2016 cleaning with Octenisept, application of antibiotic ointment for two days, dressing change once a day with LIGASANO® white sterile 7.5 x 7.5 x 1 cm Fig. 2: 23.09.2016 Significant improvement, further dressing change once a day with LIGASANO® white sterile 7.5 x 7.5 x 1 cm, ointment supply ended. Fig. 3: 10.10.2016 Minimal inflammation still present, further dressing change once a day with LIGASANO® white sterile 7.5 x 7.5 x 1 cm Fig. 4: 23.10.2016 complete healing of the inflammation. Fig. 5: 23.10.2016 Further use of the slit compress made of LIGASANO® white sterile 7.5 x 7.5 x 1 cm Conclusion: A very simple, inexpensive and allergen-free supply. The slit compresses made of LIGASANO® white dressing material are still used as pressure protection and prophylaxis. Author: Barbara Hinz, nurse, wound expert, from Landshut, German (c) Ligamed Padding of hoses, catheters and tubes Prefabricated slit compresses Case report 2 - Wound treatment with LIGASANO® for abscessing sinus pilonidalis Patient data / anamnesis: 33 years, male, abscessing sinus pilonidalis (recurrence), condition after excision, open wound treatment in November 2014 with abscess left lateral to the penis root, condition after excision, open wound treatment in April 2013 with abscessing sinus pilonidalis, condition after pit-picking, nicotine abuse. In September 2015 an excision of the abscessing pilonidal sinus was performed. Histological findings: Pilonidal sinus with florid and chronic fibrosing inflammation. Pretreatment in the clinic: Several times daily showering of the wound. Treatment with compresses was performed as wound filler and wound covering. A Fixomull® stretch polyacrylate adhesive plaster was used for fixation. The patient presented for the first time on 27 October 2015 at our WZ® Wound Centre with severe pain in the area of the wound and wound environment under drug pain therapy with Cox-2 inhibitor - Arcoxia 90 mg in the morning. The wound environment showed no signs of irritation. There was a slight bleeding in the area of the wound margin. The wound depth was 2.5 cm up to the subcutis. 80% of the wound bed was covered with fibrin, which was strongly attached to the wound bed. Isolated granulation islands appeared. A wound odour was present when the dressing was removed. A wound swab was taken at first admission with the finding of colonisation by Corynebacterium sp. and coagulase-negative staphylococci. On 29.03.2016 a control smear was taken, in which only isolated erythrocytes, leukocytes and epithelial cells were found. The local therapeutic wound treatment in the WZ® Wound Centre was carried out as follows: Wound cleaning: Wet-dry phase with a wound cleansing solution based on a singlet oxygen, NaOCl (ActiMaris®). Wound filler: Tamponade with LIGASANO® Wound strip 300 x 2.5 x 0.4 cm, white, sterile. Wound coverage: Zetuvit® plus10 x 20 cm. Fixation with Mefix® 11 cm x 10 m. Frequency of dressing changes daily, with exudate removal 3-4 x weekly. Relatives were instructed on dressing changes. In the context of the reduction of patient relatives, particular emphasis was placed on hygienic measures, nicotine refusal, pain medication intake and nutritional substitution. A seat cushion was prescribed as an aid to reduce or distribute pressure. Fig. 1: 27.10.2015 Fig. 2: 17.11.2015 Fig. 3: 03.12.2015 Fig. 4: 22.12.2015 Fig. 5: 14.01.2016 Fig. 1: 27.10.2015: Wound size 8.37 cm2, wound depth 2.5 cm, pain according to NRS: 8/10 Fig. 2: 17.11.2015: Wound size: 4.35 cm2. Wound contraction visible, epithelial tissue in the wound area is stable. Wound depth: 1.8 cm. Due to the local therapeutic measure with the LIGASANO® wound dressing used, white, sterile, pain reduction could be achieved according to NRS: 3/6. Fig. 3: From 03.12.2015 a change in therapy was performed. Wound cleansing was left untreated, the absorber was replaced by a LIGASANO® wound dressing. Fixation remained. Frequency of dressing changes increased to 4x weekly. Fig. 4: 22.12.2015: Wound size 0.31 cm2, wound depth 0.1 cm, pain medication discontinued since 14.12.2015. Fig. 5: 14.01.2016: Stable, epithelialized wound, recurrence-free until August 2016. Summary / Conclusion: The LIGASANO® Wound Tape 300 x 2.5 x 0.4 cm, white, sterile shows a very good adaptation to the wound contours without exerting pressure on the wound. Granulation and wound contraction took place very quickly with simultaneous reduction of exudation and significant pain reduction. Author: Heidi Jodl, health and nurse, AZWM®, head of the WZ® Wound Center Augsburg (c) Ligamed Back to applications Back to products

Fungal infections Texts and images (c) Ligamed Intertrigoprophylaxis and dealing with contractures In bedridden patients and joint immobilization, contracture (joint stiffness) and muscular atrophy (muscle contraction) may develop. Particularly at risk are patients with inflammatory or degenerative joint diseases, but also patients whose joints are immobilized, e.g. by restraint, paralysis or weakness. Measures to maintain an intact musculoskeletal system and functional joints are movement exercises, mobilization and appropriate positioning. What is an intertrigo? Where there is direct skin-to-skin contact, e.g. in skin folds or where for other reasons no air comes to the skin, sweat can not evaporate and the skin softens (maceration). In this humid environment, bacteria and fungi can multiply, the skin eventually becomes sore and intertrigo has developed. AVOIDING SKIN-TO-SKIN CONTACT (INTERTRIGOPROPHYLAXIS AND THERAPY) Not only as a preventive measure, but also as a therapy support for fungal treatments in connection with an antifungal agent or as a therapy itself if the skin is only irritated or slightly inflamed. Ligasano white for the tummy fold, for the chest/bosom or groin between toes and fingers. Intertrigoprophylaxis and -therapy with Ligasano Back to applications Back to products

Biotechnology OASIS® Extracellular Matrix Head & neck Extremities Chest & adbomen Pelvis 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 Broschüre EN up Video Oasis Up Video OASIS mechanism of action Oasis Back to Biotechnology Back to products

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

epicite hydro - the hydro-active dressing for an ideal wound healing environment The biotechnology derived cellulose provides unique properties to the wound dressing epicitehydro. It contains a minimum of 95% isotonic saline solution due to its very dense and homogeneous structure. Creates a supportive moist environment to the wound with a favorable hydrobalance and water vapor permeability. Absorbs excess wound exudates. 1 Provides an immediate cooling effect after its application. 2 Adapts easily to all types and shapes of wounds and can be cut to a sizable fit. Dries out during the healing process and after successful epithelization can be peeled off easily and nearly pain-free. Easy to store (5 – 30°C). The unique structure of epicitehydro provides plenty of moisture to the skin Indications epicite hydro has been developed to support the healing of acute dermal wounds. It is proven for superficial and deep partial thickness wounds with a slight to moderate level of exudate. Superficial and deep partial thickness thermal or chemical burn wounds (1st and 2nd degree) Scalds Skin graft donor sites Abrasions Lacerations epicite hydro sets new standards for an advanced wound management Less pain and stress for patients due to the reduced number of dressing changes Can optionally be soaked with antiseptic solutions and is easy to apply Reduces nursing time and shortens hospital stay Application 1. Wound debridement. Ensure a good hemostasis. Assessement of wound depth. 2. Optional step: epicite hydro can be soaked for approximately 30 minutes in commonly used antiseptic solutions (like Octenidine or PHMB) 3. Apply epicitehydro on the wound. It should cover the surrounding healthy tissue by at least 1-2 cm. 4. For larger wounds, apply further epicite hydro dressings with overlaps of 1-2 cm. epicite hydro can be cut to fit any size of wound. 5. Apply one layer of fatty gauze. 6. If necessary, put material to absorb the wound exudate like a gauze compress on the fatty gauze for the first three days. Then use a fixation bandage. 7. The healing process is successful, when epicitehydro is dried out and the edges begin to peel. 8. The detached material should be cut off during each wound assessment until the entire dressing has come off (same principle as a natural scab). A wound dressing assessment should be done at least every 48 hours: epicitehydro and the fatty gauze remain on the wound. For superficial burn wounds (2a degree): no dressing change required. For mixed superficial and deep partial thickness burn wounds (2a & 2b degree) a dressing change may be required: Rehydrate epicitehydro for an easy and nearly pain-free removal. After assessment of the wound, apply a new epicitehydro dressing. Epicite hydro prospect english Epicite hydro Video english link link link link link link link link link link link link link link link link link link link link link link link link link link link link link link link link Zurück zur Produktübersicht