Hartmann USA, Inc. USA THREEPRESS® 43420000 Compression Bandaging System Contains: (3) Bandages, (3) Tape Strips, Padding Bandage, 4in. x 4.3 yds (unstretched), Compression Bandage (in kit), 4in. x 4.3 yds (stretched), Cohesive Bandge (in kit), 4i

How to apply:

Before applying the first bandage:

• Check the ABPI (Ankle Brachial Pressure Index) to determine if arterial disease is present. If the ABPI is less than 0.8 do not apply the System.
• Confirm ankle circumference is greater than 18 cm (Ankle circumference may change as edema is reduced.)
• Apply an appropriate non-adhesive primary dressing to cleansed wound before applying ThreePress®.

Layer One - Padding Bandage:

• Wrap the padding/absorption layer with the fluffy cotton sideagainst the skin.
• Use a spiral technique at 50% overlap from the base of the toes to just below the knee.
• Stretch this layer around bony prominence, such as the heel, to increase conformability.
• Cut off any excess bandage and use it over the wound area to absorb drainage.
• Secure the end of the padding layer with one of the tape strips provided.
• When applying a compression system to the leg, it is important to enclose the heel with all layers of the System.

Layer Two - Compression Bandage:

• Wrap the compression bandage from the base of the toes to the ankle using the spiral technique.
• At the ankle, switch to using the figure of eight wrapping technique at 50% extension and 50% overlap starting at the ankle to just below the knee.
• To assist in extending this bandage at 50% the rectangular pattern on the bandage will form a square pattern at 50% extension.
• Cut off any excess bandage once you have wrapped to the knee.
• Secure the end of Layer Two with one of the tape strips provided.

Layer Three - Cohesive Compression Bandage:

• Wrap the cohesive compression bandage from the base of the toes to just below the knee using the spiral technique at 50% extension and 50% overlap.
• Cut off any excess bandage to avoid a tourniquet effect once you have wrapped to the knee.

Care and Removal:

• ThreePress® should be cut off by a clinician with specially designed bandage scissors.
• After removal, clean and assess the wound, chart the progress of healing and continue treatment if necessary.
• Dispose of the contaminated dressing and wraps using the plastic bag in which ThreePress® is packaged.