Application Information

LIGASANO^®White is intended for once-only use and is applied directly onto or into the wound without any other products (in particular no use of ointments or irrigation etc).  Apply 2cm thick Ligasano^®White to shallow skin-deep wounds, the edges overlapping the wound by 2-4cm.  Deeper wounds, pocket shaped wounds and hollow wounds should be completely padded with Ligasano^®White and a further piece 2-4cm larger than the actual wound placed over the entire area and held in place FIRMLY with bandaging or porous adhesive tape to prevent maceration of the edges of the wound. There must be overall direct contact with the wound. To guarantee this, Ligasano^®White can be compressed by up to 50%.

Dressing thickness:
Measuring from the wound base upwards, Ligasano^®White should be a layer at least 2cm thick above skin level.  For shallow wounds, measure from the wound base upwards to achieve a 2cm thick layer of Ligasano® White over the wound area. For deep wounds, layer Ligasano® White into the cavity and then cap with a 2cm layer over the wound area at skin level.  Ligasano^® will conform to the shape of the wound area.

Dressing-change frequency:
Change daily, sooner if there are signs of exudation / secretion / ooze on the covering layer of Ligasano®.  This will be more apparent during the inflammatory stage of the wound.  Change the dressing as required.

Once exudate reduces dressing changes may be performed every 2^nd– 3^rd day until healed.  Ligasano® should not be left on for longer than 3 days.

Dressing technique:
Cut Ligasano® White, using an aseptic technique, to the shape and the size of wound and place directly onto wound bed. There should be no need to irrigation/cleanse the wound at all, unless Sepsis has been diagnosed.  Re-apply with a new piece of Ligasano® White as quickly as possible to maintain the wound temperatureand to keep infection/re-infection to a minimum.

Sepsis:
Irrigate the wound if necessary with warm saline and re-apply the new dressing as fast as possible.

Typical wound-cleaning sequence:
With acute wounds, the inflammatory-cleaning phase requires approximately 5-10 dressing changes as a guide but each application is unique and will vary. For a chronic wound the inflammatory phase may require more.

Sticking to wound:
Should Ligasano^® stick to the wound, moisten it with saline solutionto assist with removal.  The new Ligasano® White dressing may be slightly moistened on the side facing the wound to prevent it sticking again.  A cause of sticking is that the Ligasano® dressing has not made direct contact with the wound bed, which allows too much air to get to the wound drying it out. Ensure that dressing is making direct contact to the wound bed and FIRMLY secured with bandages.

Pressure Ulcers:
Cut and pack layers of 1cm thick Ligasano^®into the wound. Ensure that Ligasano® is firmly packed into wound pockets and sinuses. Cover with a single 2cm thick sheet or more depending upon severity of ulcer. Hold firmly in place with porous adhesive tape. Change daily.

Arterial Ulcers:
Ligasano^® should be cut to shape and size of the wound and placed directly onto the wound bed without any pressure being applied when bandaging the wound area. Lightly moisten Ligasano^®White on the side facing the wound.  The 10cm wide Ligasano^®White roll is ideal for arterial ulcers as it also assists with improving circulation.

The rapid conformity to the shape of the body (drop in pressure distribution) by Ligasano^®White enables even distribution of pressure from the surface padding and avoids the pressure points. Ligasano^®White can be simply cut to fit where pressure relief is required. The mechanical stimulus of Ligasano^®White stimulates the peripheral blood supply where there is contact with the skin, and the patient’s residual pressure increases. Surplus sweat is absorbed, leaving normal skin moisture intact. Ligasano^®White in thickness of 4cm thick pads/sheets does not form any folds and actively prevents further risk of decubitus ulcers developing. Patients must always be placed directly onto Ligasano^®White so that there is direct skin contact to ensure mechanical stimulation of the area

Venous Ulcers:
Proceed with treatment as described in Basic Wound Treatment.  Cover Ligasano^® with compression bandage, stockings etc.

Sacral Ulcer with Double Incontinence:
The wound must be well protected from stool and urine.  If contaminated with either, the dressing will need to be changed immediately to prevent infection.  There are modern aids on the market that may assist in protecting patients from this.

Proceed with treatment as described in Basic Wound Treatment. Dress to fit each individual case, but adhesive tape must be pervious to air.

Lightly moisten Ligasano^®White on the side facing the wound otherwise proceed with treatment as described

in Basic Wound Treatment.

Ligasano® White rapidly conforms to body shape (reducing pressure areas) and enabling even distribution of body pressure. Ligasano^®White can be simply cut to fit where pressure area relief is required.  Ligasano^®White mechanically stimulates the peripheral blood supply where there is contact with the skin, and the patient’s residual pressure increases. Surplus sweat is absorbed, leaving normal skin moisture intact. Ligasano^®White 4cm thick pads/sheets do not form any folds and actively prevents further risk of decubitus ulcers developing. Patients must always be placed directly onto Ligasano^®White so that there is direct skin contact to ensure mechanical stimulation of the area.

The 10cm wide Ligasano^®White roll is wrapped firmly around the thigh, starting in the groin area, and working downwards so it does not shift. Continue wrapping until it overlaps by one half or three quarters over the joint area. The mechanical stimulus of Ligasano^®White stimulates the blood circulation. A loose nylon stocking can be worn in addition to secure the bandage in place, but all compression must be avoided.

A wet and warm low-oxygen environment around the skin encourages the occurrence of fungal infections and inflammation of the skin. A layer of 1-2cm of Ligasano^®White is extremely effective against this, being both preventative and therapeutic. If a fungal infection occurs, an additional remedy can be applied thinly to the affected area of skin if necessary. Additional measures are not usually necessary in the case of inflammation. Typical application: between toes and fingers or folds of the stomach, under breasts and for armpits and contractures.

Side Effects:
There are no undesirable side effects or incompatibilities with the correct application of Ligasano^®White. A typical affect within the first 3 days when using Ligasano^®White is the reddening of the skin on contact, initial “itching”, a more intense wound, return of sensitivity (in the case of wounds also pain), this is as a result of stimulation of the circulation. Please notify us immediately of any other side effects and recognised or assumed risks.

Sterilisation:

Ligasano^®White is available in both sterile and non-sterile forms. It can be sterilised with steam, 134°C for 4 minutes up to 20 minutes.

Disposal/environmental relevance:

Ligasano^®White is a single-substance material made of polyurethane, consisting of approximately 97-98% air and can be disposed of with regular household waste.

Storage/ Fire behaviour pattern:

Ligasano^®White is highly flammable and sensitive to UV radiation. Therefore protect against fire, embers, heat, UV radiation and humidity/moisture. The original plastic packaging protects against humidity and UV radiation.

Do’s and Dont’s:

• Ligasano^®White in its sterile form is for single use only.
• Ligasano^®White must not be used after expiration.
• Ligasano^®White must not be re-used if used for wound treatment.
• Ligasano^®White must not remain in the wound or in the body permanently. Recommendation is 1-3 days, depending on the indication.
• Ligasano^®White must not have any direct contact with blood vessels.
• Ligasano^®White must not have any contact with mucosa.
• Ligasano^®White must not have any direct contact with organs.
• Applications in contact, connection or combination with additional preparations, drugs, solutions, ointments etc are not recommended by Ligamed^® Australasia Pty Ltd.
• Applications in combination with additional mechanical, electrical or electronic apparatus and aids are not recommended by Ligamed^® Australasia Pty Ltd.

Ligasano^®Green has cushioning qualities without the undesirable thermal properties of other foams where nursing is concerned. The special properties of Ligasano^®Green mean that the body can breathe where moisture would otherwise accumulate as a result of contact with other materials (egflatbed surfaces, seats or back rests etc). As a result of gravity, fluid can run downwards, and dampness (eg sweat) can evaporate. Skin maceration can be effectively prevented with this product.

Place Ligasano^® Green underneath the bed sheet, in a pillowcase or cover with a linen saver.It is vital that contact with the skin is avoided, because the rough surface of the material could cause lesions of the skin through friction.

Ligasano^®Green may be used for weeks where no direct skin contact is made. Soiled material may be wash up to 90°C and will be almost dry after the spin cycle therefore additional drying is not needed. For re-conditioning, sterilisation with steam, allow minimum of 4 minutes at 134°C, up to 20 minutes.

Disposal/Environmental Relevance:
Ligasano^®Green is a single-substance material made of polyurethane, consisting of approximately 97-98% air and can be disposed of with regular household waste.

Storage/ Fire BehaviourPattern:
Ligasano^®Green is highly flammable and sensitive to UV radiation. Therefore protect against fire, embers, heat, UV radiation and humidity/moisture. In its original packaging, a confined protection exists against humidity and UV radiation by the special plastic film used.

Do’s and Dont’s:

• Ligasano^®Green in its sterile form for single use only.
• Ligasano^®Green must not be used after expiration.
• Ligasano^®Green must not be re-used if used for wound treatment.
• Ligasano^®Green must not remain in the wound or in the body permanently. Recommendation is 1-3 days, depending on the indication.
• Ligasano^®Green must not have any direct contact with blood vessels.
• Ligasano^®Green must not have any contact with mucosa.
• Ligasano^®Green must not have any direct contact with organs.
• Due to the course surface of Ligasano^®Green, medical personnel should decide in every single case, whether contact to the skin is allowed.
• Applications in contact, connection or combination with additional preparations, drugs, solutions, ointments etc are not recommended by Ligamed^®Australasia Pty Ltd.
• Applications in combination with additional mechanical, electrical or electronic apparatus and aids are not recommended by Ligamed^®Australasia Pty Ltd.
• Due to the cell structure of Ligasano^®Green, granulation of tissue into the material is possible. You can prevent this with regular changing of Ligasano^®
• Avoid possible friction of wound or skin during application of and in the removal of the Ligasano^®Green to the wound so that no additional lesions might be caused.
• WhenLigasano^®Green is applied on or in passive wounds or on parts of the body with a poor blood supply, the increased stimulation may lead to painful sensations. Usually this sensation will normalise from within a few hours not longer than a few days.