Cleansing the Wound Site:
Cleanse the ulcer according to normal practice, rinse well and dry the surrounding skin prior to application of the primary dressing and the compression bandage. Following the application of a primary dressing, a SurePress® Absorbent Padding (supplied separately) may be used as an underlayer beneath the compression bandage. This soft absorbent wrap helps to distribute graduated compression and protect bony, vulnerable areas and skin from any exudate leaking from the primary dressing.

Bandage Application:
Determine whether the limb size is normal or large using a tape measure. Ankle sizes between 18cm-26cm are considered normal. Ankles in excess of 26cm are considered large. Having determined the limb size, select the small or large rectangular extension indicator on the bandage. The small rectangle should be selected for normal limb sizes and the large rectangle for large limb sizes. Start the bandage at the center of the ball of the foot with the lower edge of the bandage at the base of the toes. Wrap the bandage using minimal tension 1(1/2) times around the foot. Anchor the bandage with the thumb and start the turn around the heel. Wrap the bandage over the front of the ankle and under the foot to cover the gap. Then stretch the bandage until a selected rectangle becomes a square. Make a turn around the ankle area and proceed up the leg in a spiral fashion, overlapping the bandage on each turn by 50% of its width, using the continuous midline as a guide. Upon reaching the area just below the knee, cut off any excess bandage, fold under the cut edge and secure with tape. In edematous limbs, the bandage should be checked regularly and may require frequent reapplication.

Remove tape, lift the free edge of the bandage and carefully unwind. Remove the primary wound dressing according to the instructions for use for that product.