Transforming Pathways with PICO◊ single-use Negative Pressure and Wound Therapy (sNPWT)

Leave nothing to chance with PICO sNPWT

Build an incision management pathway for your surgical procedures with PICO sNPWT, shown to significantly reduce surgical site complications*

*Compared to care with standard dressings; p<0.05. 1,2

About

PICO sNPWT is a wound care system, which provides suction known as Negative Pressure Wound Therapy (NPWT). PICO sNPWT consists of an NPWT pump connected to an absorbent gentle adhesive dressing.3-6 This draws out excess fluid from a wound, providing a compressive force and protecting the injured area and to help promote healing.7-9 PICO sNPWT has been shown to significantly reduce the risk of surgical site complications (SSC) when compared to standard care dressings.1,2 The risk of developing a post-operative SSC depends on the type of surgery and patient risk factors.10

All risk factors and their classifications within the PICO sNPWT Transforming Pathways Tool have been taken from the World Union Wound Healing Societies (WUWHS) consensus document.11 The WUWHS consensus document recommends the application of NPWT for closed surgical incisions as a preventative measure for SSCs in cases with one major risk factor or the presence of two or more moderate risk factors.11

Please note that the Transforming Pathways with PICO sNPWT Tool is intended for informational and guidance purposes only and is not a medical device. It serves as a resource to assist in determining when to consider PICO sNPWT for SSC prevention.

The recommendations contained herein are the local clinical protocols, recommendations, and/or guidelines as set forth by the local medical institution or facility regarding the use of PICO sNPWT. Protocol recommendations have not been verified by Smith & Nephew.

To the extent that use of this Tool contributes to a decision to use a medical product(s), whether or not manufactured or sold by Smith+Nephew, the treating healthcare professional and their organisation must understand that this Tool is for informational and guidance purposes only and does not supersede or replace the Instructions for Use for such product(s).

Smith & Nephew accepts no responsibility for the content of this pathway and shall not be responsible for any reliance placed on the content. Smith & Nephew, through provision of the Tool or otherwise, does not provide medical advice.

It is the responsibility of healthcare professionals to determine and utilise medical products and techniques that are appropriate for each of their individual patients based on the indications, contraindications, precautions, warnings, and other information as provided for in the respective medical product’s Instructions for Use.

Any complaint or adverse event relating to a Smith+Nephew product should be reported to Smith+Nephew at https://www.smith-nephew.com/en/contact-us/complaints or by email at complaints@smith-nephew.com.

Smith+Nephew may, to the extent permitted by applicable law, use certain non-personally identifiable data relating to customer/user’s use of the Tool for the purposes of further developing the Tool, to produce marketing or promotional material in relation to the Tool, and for general educational, research, promotional and commercial purposes including without limitation commercial development and generation of product and service sales and ideas for Smith+Nephew. By proceeding, you consent to this use.

Personal Data and Process shall each have the meanings ascribed to them in the Data Protection Laws.

Data Protection Laws means the national legislation protecting the fundamental rights and freedoms of individuals and, in particular, their right to privacy with respect to the use of their personal data, including but not limited to the EU GDPR, UK GDPR, and relevant laws in the United States and other jurisdictions, together with applicable guidance, codes of practice and codes of conduct issued by relevant supervisory or regulatory authorities and legislative bodies in relation to such laws.

S+N shall not Process any Personal Data of patients in connection with the Tool. Customers/users of the Tool shall adhere to the principles of medical confidentiality in relation to patients in connection with whom the Tool is used, and shall not disclose to S+N the identity of patients or information about the health of identifiable patients.

Each Customer/User acknowledges and agrees that S+N may, to the extent permitted by applicable law, use certain non-personally identifiable data relating to Customer/User’s use of the Tool for the purposes of further developing the Tool, to produce marketing or promotional material in relation to the Tool, and for general educational, research, promotional and commercial purposes including without limitation commercial development and generation of product and service sales and ideas for S+N.

Customers/Users are directed to S+N’s Privacy Notice located at Privacy Notice (smith-nephew.com) in relation to how S+N processes Customer/User information that is provided to S+N in connection with use of the Tool.

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Leave nothing to chance with PICO◊ sNPWT

Use this tool to build a bespoke surgical site complication (SSC) prevention pathway with PICO sNPWT

Create a tailored surgical site complications (SSC) prevention pathway

You now have the option to identify risk factors that your patient may present with in order to build a custom incision management pathway.

The list of risk factors has been based on guidance from WUWHS.11 You are able to determine whether you think any risk factors are major risk factors or moderate risk factors by moving through the app. You will be asked to identify major risk factors first. You can go back and change your answers if you need to.

Guidance suggests that PICO◊ sNPWT should be considered as a post-operative incision dressing if one major risk factor, or two moderate risk factors are present.11

It is the responsibility of clinicians to determine and utilise products and techniques appropriate for each of their individual patients. For detailed device information, including indications for use, contraindications, precautions and warnings, please consult the product’s Instructions for Use (IFU) prior to use.

Create a tailored surgical site complications (SSC) prevention pathway

Swipe for more

    1. Select your surgical specialty
    2. Select any major risk factors that the patient presents with
    3. Select any moderate risk factors that the patient presents with
    4. Select any procedural-related moderate risk factors
    5. Generate your tailored SSC prevention pathway

    By using the Transforming Pathways with PICO◊ sNPWT Tool you acknowledge that the pathways created will be stored for educational purposes by Smith+Nephew. By proceeding, you consent to this use.

    Step One

    Surgical speciality selection:

    Please select which surgical specialty is relevant to your custom pathway

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    Please select 1 option

    Please select at least 1 option

    Please select at least 1 option

    Please select at least 1 major risk factor or 2 moderate risk factors before continuing.

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    Step Five

    Send your surgical site complication (SSC) prevention pathway to your email

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    The recommendations contained herein are the local clinical protocols, recommendations, and/or guidelines as set forth by the local medical institution or facility regarding the use of PICO sNPWT. Protocol recommendations have not been verified by Smith & Nephew. Smith & Nephew accepts no responsibility for the content of this pathway and shall not be responsible for any reliance placed on the content. Smith & Nephew does not provide medical advice. It is the responsibility of clinicians to determine and utilise products and techniques appropriate for each of their individual patients. For detailed device information, including indications for use, contraindications, precautions and warnings, please consult the product’s Instructions for Use (IFU) prior to use.

    By using the Transforming Pathways with PICO sNPWT Tool you acknowledge that the pathways created will be stored for educational purposes by Smith+Nephew. By proceeding, you consent to this use.

    Go Back

    *Compared to care with standard dressings; p<0.05. T2-8

    Thank you!

    Your pathway has been sent to your email

    Does your patient present with one of the following major risk factors?11
    Yes
    PICO◊ sNPWT
    No
    Does the patient present with 2 or more of the following moderate risk factors?11
    Yes
    PICO◊ sNPWT
    No
    Standard care dressing
    Learn more about PICO sNPWT

    Thank you!

    Help to significantly reduce surgical site complications with PICO◊ sNPWT*

    *Compared to care with standard dressings; p'<'0.05. T2-8

    References: 1. Sugrue M, Ciprandi G, Djohan R, et al. World Union of Wound Healing Societies (WUWHS) Consensus Document. Closed surgical incision management: Understanding the role of NPWT. Wounds Int [Internet]. 2016. https://www.woundsinternational.com/resources/details/closed-surgical-incision-managementunderstandingthe- role-of-npwt. 2. Global guidelines for the prevention of surgical site infection, 2nd ed. [online] Available from: https://www.who.int/publications/i/item/global-guidelinesfor- the-prevention-of-surgical-site-infection-2nd-ed Last accessed September 2022.

    Thank you!

    Your pathway has been sent to your email

    References

    1. Saunders C, Nherera LM, Horner A, Trueman P. Single-Use negative-pressure wound therapy versus conventional dressings for closed surgical incisions: systematic literature review and meta-analysis. BJS Open. 2021;0(0):1 - 8.

    2. James K et al., Single-use negative pressure wound therapy versus conventional dressings for the reduction of surgical site infections in closed surgical incisions: Systematic literature review and meta-analysis, The American Journal of Surgery, https://doi.org/10.1016/ j.amjsurg.2023.10.031

    3. Smith+Nephew July 2018.PICO 7Y Non-NPWT Wound Model Summary. Internal Report. DS.18.260.R.

    4. Hudson DA, Adams KG, Van Huyssteen A, Martin R, Huddleston EM. Simplified negative pressure wound therapy: clinical evaluation of an ultraportable, no canister system. Int Wound J. 2015;12(2):195-201.

    5. Payne C, Edwards D. Application of the Single Use Negative Pressure Wound Therapy Device (PICO) on a Heterogeneous Group of Surgical and Traumatic Wounds. ePlasty. 2014:152-166

    6. Stryja J, Staffa R, Říha D, Stryjová K, Nicielniková K. Cost-effectiveness of negative pressure wound therapy in outpatient setting. Prolekare. 2015;94(8):322 - 328.

    7. Smith+Nephew 2020.Bacterial barrier testing of the PICO dressing. Internal Report. 2001002.

    8. Smith & Nephew 2019.PICO Biomechanical Study. Internal Report. DS/19/211/R.

    9. Smith+Nephew 2021.PICO™ Pressure Mapping Study. Internal Report. DS/19/211/R - Part B.

    10. Global guidelines for the prevention of surgical site infection, 2nd ed. [online] Available from: https://www.who.int/publications/i/item/9789241550475 Last accessed July 2024

    11. Sugrue M. Ciprandi G, Djohan R, et al. World Union of Wound Healing Societies (WUWHS) Consensus Document, Closed surgical incision management: Understanding the role of NPWT. Wounds int [internet]. 2016. https://woundsinternational.com/consensus-documents/consensus-document-closed-surgical-incision-management-understanding-the-role-of-npwt-wme/

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    Create a tailored surgical site complications (SSC) prevention pathway

    Swipe for more

      1. Select your surgical specialty
      2. Select any major risk factors that the patient presents with
      3. Select any moderate risk factors that the patient presents with
      4. Select any procedural-related moderate risk factors
      5. Generate your tailored SSC prevention pathway

      Create a tailored surgical site complications (SSC) prevention pathway

      You now have the option to identify risk factors that your patient may present with in order to build a custom incision management pathway.

      The list of risk factors has been based on guidance from WUWHS.11 You are able to determine whether you think any risk factors are major risk factors or moderate risk factors by moving through the app. You will be asked to identify major risk factors first. You can go back and change your answers if you need to.

      Guidance suggests that PICO◊ sNPWT should be considered as a post-operative incision dressing if one major risk factor, or two moderate risk factors are present.11

      It is the responsibility of clinicians to determine and utilise products and techniques appropriate for each of their individual patients. For detailed device information, including indications for use, contraindications, precautions and warnings, please consult the product’s Instructions for Use (IFU) prior to use.