Multi-Layer Stocking Ulcer Compression System
For accurate and controlled graduated compression for the
treatment of leg ulcers
Multi-Layer Stocking Ulcer Compression System
The Multi-Layer consists of two stockings specifically manufactured to work together, producing accurate compression levels
Understocking
• Ankle indication knit for proper placement• Blue heel for positioning• Smooth surface to facilitate application of Overstocking• Fits easily over the primary dressing • Helps protect the wound and skin• Facilitates the application of the Overstocking• Allows for appropriate compression at night for continued compression therapy (16-18 mmHg)• Ballooned toe for comfort and no compression over toes
Multi-Layer Stocking Ulcer Compression System
Overstocking
Specifically designed to work together with the Understocking to produce the needed accurate compression levels for treatment
Produces combined compression of 30-40 mmHg or 40-50 mmHg
Available is sheer beige or black sock styles
Stockings should be machined washed and dried in dryer
Washing helps maintain fabric compression levels
Certified for compression for 90 washings
Latex Free
Multi-Layer Stocking Ulcer Compression System
Broad Fitting Range
Fits ankle circumferences from 7” (15.5 cm) to 14” (35.5 cm)
Fits Calf Circumferences from 10” (25.5 cm) to 26” (66 cm)
Available in Short and Regular Lengths
Multi-Layer Stocking Ulcer Compression System
Manufactured in a state of the art facility in North Carolina USA
Certified for accurate compression by the Hosiery Technology Center
Compression Standard Specifications:
BSI: 6612
FDA GMP (FDA Reg. No. 56-1044755)
Multi-Layer Stocking Ulcer Compression System
As soon as the patient’s leg falls within the fitting chart, the Multi-Layer System can be applied
Measure ankle, calf and length
Select appropriate compression level (30-40 mmHg - 40-50 mmHg)
Select style and size
Stabilize the patients edema using bandage wrap system
Multi-Layer Stocking Ulcer Compression System
Apply dressing
Turn foot portion of stocking inside out
Slide foot portion of stocking over patients foot
Bring stocking to top of calf- smooth out any wrinkles
Applying Understocking
Multi-Layer Stocking Ulcer Compression System
Applying Overstocking
Turn foot portion of stocking inside out
Slide foot portion of stocking over patients
foot. Work fabric up the leg
Pull fabric away from
toes
Multi-Layer Stocking Ulcer Compression System
Both the Understocking and the Overstocking should be worn when the patient is ambulatory.
At night, the Overstocking can be removed leaving the Understocking on to provide appropriate compression (similar to an anti-embolism stocking 16-18 mmHg ), to improve blood flow, protect the skin and to help keep the dressing in place.
The compression levels in the Understocking have been shown to best improve blood flow for the recumbent patient.
Multi-Layer Stocking Ulcer Compression System
Multi-Layer System is reimbursed as a secondary dressing when used on an open venous insufficiency ulcer wound that requires debridement.
Reimbursement is available for both 30-40 mmHg and 40-50 mmHg
Reimbursement
A6531 Gradient compression stocking, below knee, 30-40 mmHg Reimbursement- Carton $90.76
A6532 Gradient compression stocking, below knee, 40-50 mmHg Reimbursement- Carton $127.90
Contact your DME Provider for additional information
Multi-Layer Stocking Ulcer Compression System
Treatment with
Multi-Layer Stocking Ulcer Compression System
Sorbion sachet S Dressing
After third dressing change. (18 days)
More effective than a standard short-stretch compression bandage in healing venous leg ulcers and in reducing associated pain
Leg compression with stockings was more effective than bandages, with reduced pain and a higher rate and speed of ulcer healing
The patients were treated with the 35-40 mmHg Carolon Multi-Layer Compression System and given permission to change the dressings and participate in their wound care. All patients were treated successfully and remained free of recurrence and infection during the year study.
Multi-Layer Stocking Ulcer Compression System
A NEW METHOD OF COMPRESSION THERAPY IN TREATMENT OF VENOUS LEG ULCERATIONHampton, Sylvie; Collins, Fiona: Tissue Viability Consultancy Services Limited
A PILOT STUDY TO EVALUATE THE USE OF GRADUATED COMPRESSION STOCKING IN THE TREATMENT OF PATIENTS WITH VENOUS LEG ULCERATION Bale, Sue; University of Wales College of Medicine
COMPRESSION FOR VENOUS LEG ULCERS VIA BANDAGES OR STOCKINGS: RESULTS OF A PILOT STUDY COMPARING THE PERFORMANCE OF A TWO-LAYERED COMPRESSION STOCKING SYSTEM WITH THAT OF SHORT STRETCH BANDAGER Polignano, Universita degli Studi de Firenze. P Bonadeo, Insitute of Vascular Surgery, Milan University, G Guarnera, Istituyo Dermopatico dell’Immacolata
EVALUATION OF SUREPRESS COMFORT: A NEW COMPRESSION SYSTEM FOR THE MANAGEMENT OF VENOUS LEG ULCERSR. Polignsno, G. Guarnera, P. Oonadeo Journal of Wound Care Volume 13, Number 9, October 2004.
IN SEARCH OF OPTIMAL COMPRESSION THERAPY FOR VENOUS LEG ULCERS: A META-ANALSIS OF STUDIES COMPARING DIVERS BANDAGES WITH SPECIFICALLY DESIGNED STOCKINGSAmsler F, Willenberg T, Blattler W JOURNAL OF VASCULAR SURGERYVolume 50, Number 3 Pps. 668-674
Multi-Layer Stocking Ulcer Compression System
Available
Calyx Medical Services
Manager: Jacob Harrison
601.261.3863 phone
601.261.3474 fax
601.319.5550 cellCovered by US Pat. No. 6,613,007; European Pat. No. 1104275; Australian Pat. No. 768593; New Zealand Pat. No. 516052; and Canadian Pat. No. 2,376,026 and Patents Pending in Japan.
Multi-Layer Stocking Ulcer Compression System
Literature Review
A NEW METHOD OF COMPRESSION THERAPY IN TREATMENT OF VENOUS LEG ULCERATIONHampton, Sylvie; Collins, Fiona: Tissue Viability Consultancy Services LimitedFive patients were selected with chronic venous leg ulcers that had undergone previous treatment.The patients were treated with the 35-40 mmHg Carolon Multi-Layer Compression System and given permission to change the dressings and participate in their wound care.All patients were treated successfully and remained free of recurrence and infection during the year study. A PILOT STUDY TO EVALUATE THE USE OF GRADUATED COMPRESSION STOCKING IN THE TREATMENT OF PATIENTS WITH VENOUS LEG ULCERATION Bale, Sue; University of Wales College of Medicine20 patients were selected: 10 long-standing and 10 new venous leg ulcers. The patients used their standard treatment for 4 weeks and then changed to the Multi-Layer Compression System.45% of the patients were healed with a median time of 9 weeks.The patients that did not heal within a 12 week period had a median percentage reduction in wound size of 81.6%.Patients rated comfort positively.
COMPRESSION FOR VENOUS LEG ULCERS VIA BANDAGES OR STOCKINGS: RESULTS OF A PILOT STUDY COMPARING THE PERFORMANCE OF A TWO-LAYERED COMPRESSION STOCKING SYSTEM WITH THAT OF SHORT STRETCH BANDAGER Polignano, Universita degli Studi de Firenze. P Bonadeo, Insitute of Vascular Surgery, Milan University, G Guarnera, Istituyo Dermopatico dell’Immacolata56 patients were selected with 28 treated with short stretch bandages and 28 treated with the two layer stocking system. Treatment lasted for 12 weeks.14 % of the ulcers treated with the short stretch bandages healed in the 12 week period verses 56% of the patients treated with the stocking system.The stocking system was found to be more effective than short stretch bandages in healing venous leg ulcers.
EVALUATION OF SUREPRESS COMFORT: A NEW COMPRESSION SYSTEM FOR THE MANAGEMENT OF VENOUS LEG ULCERSR. Polignsno, G. Guarnera, P. Oonadeo Journal of Wound Care Volume 13, Number 9, October 2004.Conclusion:”more effective than a standard short-stretch compression bandage in healing venous leg ulcers and in reducing associated pain. It is well accepted by patients due to its ease of use and comfort, and its safety profile is comparable to that of a standard compression system.”
IN SEARCH OF OPTIMAL COMPRESSION THERAPY FOR VENOUS LEG ULCERS: A META-ANALSIS OF STUDIES COMPARING DIVERS BANDAGES WITH SPECIFICALLY DESIGNED STOCKINGSAmsler F, Willenberg T, Blattler W JOURNAL OF VASCULAR SURGERYVolume 50, Number 3 Pps. 668-674Authors Conclusions: Leg compression with stockings was more effective than bandages, with reduced pain and a higher rate and speed of ulcer healing.