Negative Pressure Wound Therapy NPWT Principles and Applications

Ancient Cupping Therapy Ge Hong (281 -341 A. D) “Acupuncture and cupping, more than

Evolution of NPWT 1947, Russia Post-op exudate management Wall Suction & Gauze 1995: Wound

NPWT on Wound Healing Provide moist wound environment Removes Exudate Infectious materials Mechanical/ Biological

Composition of Kula. VAC® • Components ü Foam Dressing (Three Different Sizes) ü Film

Features of Kula. VAC® Polyurethane Foam ü hydrophobic, prevents Contamination from exudate. ü Prevents

Features of Curasys® 1. Portability ü Weight 890 g ü Up to 12 hours

Kula. VAC® on Various Indications Dehisced Wound DM Foot Pressure Ulcer Trauma 10

Kula. VAC® on Various Indications Skin Graft Open Abdomen Burn 11

Kula. VAC® Publications Intermittent mode Cyclic mode 14

Kula. VAC® Clinical Trial on Trauma Effects of Incisional NPWT on High-energy Foot &

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Negative Pressure Wound Therapy (NPWT) : Principles and Applications A-Young Lee (李雅永) Ph. D. Academic support, Daewoong Pharmaceutical

Ancient Cupping Therapy Ge Hong (281 -341 A. D) “Acupuncture and cupping, more than half of the ills cured” 2

Evolution of NPWT 1947, Russia Post-op exudate management Wall Suction & Gauze 1995: Wound VAC®– KCI Foam Kula. VAC® -Daewoong 1952 Closed suction used prophylactically to reduce Post-op complications EZ Care™ - Smith & Nephew Engenex® (Boehringer Wound Systems) – Conva. Tec Genadyne A 4 – Genadyne Biotechnologies Inc. Kalypto - Kalypto Medical Medela® - Invia Mobl. Vac® - Ohio Medical Prodigy™ - Premco Medical Systems, Inc. Prospera PRO-I™ & PRO-II™ Systems – Medica Renasys – Smith & Nephew Svedman™ & Sved™ Systems - Innovative Therapies Venturi™ System - Talley Group 3

NPWT on Wound Healing Provide moist wound environment Removes Exudate Infectious materials Mechanical/ Biological Forces Angiogenesis & ↑perfusion Cell migration & proliferation Promotes Granulation tissue formation 4

Composition of Kula. VAC® • Components ü Foam Dressing (Three Different Sizes) ü Film Dressing ü Accessories (Suction Head, Tubing with Connectors and Clamp) 5

Features of Kula. VAC® Polyurethane Foam ü hydrophobic, prevents Contamination from exudate. ü Prevents ingrowth of granulation tissue Pore size : 400 -600 μm 6

Kula. VAC® Bridge 7

Kula. VAC® Silver 8

Features of Curasys® 1. Portability ü Weight 890 g ü Up to 12 hours of battery life ü A/C or battery operational 2. The world’s first cyclic Mode of Curasys® ü Increased vascular Perfusion ü Faster wound closure ü Reduced pain 9

Kula. VAC® on Various Indications Dehisced Wound DM Foot Pressure Ulcer Trauma 10

Kula. VAC® on Various Indications Skin Graft Open Abdomen Burn 11

Kula. VAC® Publications 12

Kula. VAC® Publications 13

Kula. VAC® Publications Intermittent mode Cyclic mode 14

Kula. VAC® Clinical Trial on Trauma Effects of Incisional NPWT on High-energy Foot & Ankle Trauma - A Prospective, Multicenter, Randomized Controlled Trial- High risk of Wound dehiscence, Marginal necrosis, Infection/Dehiscence rate Pilon이루어졌음. ) Fx: 5~40% (본 연구는 CG Bio의 후원으로 Calcaneal Fx: 0~25% 15