Kliniderm Fiber Kliniderm fiber cmc is a hydro-active, highly absorbent, soft, gel-forming wound dressing made of 100% carboxymethyl cellulose (CMC). As wound exudates are absorbed, the CMC forms a soft gel which assists to keep a moist environment to support the wound healing process and aid in the removal of nonviable tissue from the wound, without damaging newly formed tissue. Features: Supports autolytic debridement Reduces risk of maceration of the wound edges due to strong absorbency Highly conformable Does not adhere to the wound bed Supports moist wound healing Can be used under compression therapy Easy application and removal May remain in situ for up to 7 days where clinically indicated Indications: Kliniderm fiber cmc is intended to be used for moderate to heavily exuding chronic and acute wounds including: Leg ulcers Pressure ulcers (stage II-IV) Diabetic foot ulcers Surgical wounds Partial thickness burns Traumatic wounds Cavity wounds Superficial burns How to Use: Applying Kliniderm fiber cmc* Site preparation: Debride when necessary and irrigate the wound site in accordance with standard protocols Remove excess solution from surrounding skin Exuding wounds: Kliniderm fiber cmc should overlap 1cm onto the skin surrounding the wound When using Kliniderm fiber cmc ribbon in deep cavity wounds, leave at least 2.5cm outside the wound for easy retrieval. Only pack deep wounds up to 80%, as Kliniderm fiber cmc will expand to fill the wound spaces on contact with wound fluid Apply the dressing to the wound and cover with an appropriate secondary dressing Kliniderm fiber cmc can be left in place for up to 7 days where clinically indicated (except for burns where it can be left in place for up to 14 days) Dry wounds: In addition to the directions for use set forth above: Place the Kliniderm fiber cmc on the wound and wet with sterile water or saline over the wound area only Cover the dressing with a moisture retentive dressing to avoid drying out the dressing and subsequent dressing adherence to the wound Partial thickness burns: The Kliniderm fiber cmc should overlap at least 5cm onto the skin surrounding the burn, as the dressing will shrink as it absorbs the exudate The Kliniderm fiber cmc should be covered with sterile loosely woven gauze pad and appropriatley secured. In the intermediate post burn period (up to 4 days) large volumes of wound exudate may require that the saturated dressing be removed and replaced Remove the cover dressing periodically and inspect the Kliniderm fiber cmc while it remains in place on the burn In this indication adherence to the wound bed of the Kliniderm fiber cmc is a desired characteristic. Non adherence of areas of the dressing may indicate deepening of the wound or infection. Areas of the dressing may be cut away to facilitate assessment. The exposed areas should then be treated appropriately As the burn would re-epithelialises, the Kliniderm fiber cmc will detach or be easily removed For partial thickness burns, Kliniderm fiber cmc may be left in place for up to 14 days or until clinically indicated If the burn is infected, frequent inspection of the wound may be necessary Discard any unused portion of the dressing