4-layer compression bandages: Softexe, SetoCrepe, Elset, 3M™ Coban™

Contraindications: Arterial leg ulcers, arterial disease.

The System 4 pack combines padding, exudate absorption and retention, giving graduated pressure from 40mmHg at the ankle to 17mmHg at the knee on ankles of 18—25 cm circumference.

The System 4 pack also contains SetoPrime, a 9.5cm x 9.5cm knitted viscose primary dressing that can be placed on the ulcer, prior to the application of Softexe.
 

SetoPrime Sterile Primary Dressing
Place the SetoPrime dressing over the wound to protect it and prevent the padding from adhering. Cut to size if required.

Before Bandaging Assess the following points:
Has the possibility of arterial disease been eliminated by the use of Doppler ultrasound or other clinical method?

The System 4 layer bandage system is not recommended for use on patients with an Ankle Brachial Pressure Index of less than 0.8.

Has the ankle circumference been measured?
System 4 is suitable for ankles with a circumference of 18—25cm. Smaller and larger limb sizes can be accommodated by prescribing different combinations of the System 4 components.

Has the limb been checked for oedema, contour distortion and bony prominences?
If any are present, consult a clinician before System 4 application.

Has the wound been assessed for infection, skin maceration, excessive exudate?
If any of these complications are present, they must be treated in addition to compression therapy.

NOTE: When assessing patients, consider their health, diet and lifestyle; particularly, their degree of mobility and exercise, footwear and their likely compliance with the treatment. System 4 will only deliver ulcer healing when applied correctly and kept at the correct extension.