2Table of Contents The Silverlon® Advantage slide 3 The Negative Pressure Innovation slides 4-5What Silverlon® Has slides 6-7How To Use slides 8-10Five Case Studies slides 11-2290 Day Value Analysis slide 23-24One Year Value Analysis Projection slides 25-27Savings Calculator – hospital slide 28Savings Calculator – home health slide 29Contact Information slide 30
3The Silverlon® Advantage Silverlon® is the most cost effective silver product on the market and is the most versatile.Silverlon® can be rinsed to remove excess exudate and reapplied for up to 7 day use.
4Silverlon® Negative Pressure Dressings Award Winning Innovation Combine Silverlon® NPD with NPWTAccelerates Healing Potential.Proven in over 300 patient trials to enhance and accelerate granulation and wound closure by 20% to 40% vs. Conventional protocols.Reduces Overall Cost of NPWT.Wounds heal quicker, saving rental charges, kit costs, and nursing time.Lowers Infection.Proven in over 300 patient trials to lower the risk of the media re-infecting the wound bed.
5Silverlon® Negative Pressure Dressings Award Winning Innovation Combine Silverlon® NPD with NPWT: (Continued)Reduces Foam Sticking to the Wound.Silverlon® not only reduces the incidence of foam adhering to the granulation bed, but it also eliminates the need to pick the foam out of the wound.Safe and Easy to Use.Silverlon® is not known to interact with any drug and is bactericidal to all clinically relevant pathogens. It will not shed metallic silver into tissue, nor will it tattoo or stain the skin.
7Silverlon® Negative Pressure Dressings Sustained Strength & Easy to Use
8Silverlon® Negative Pressure Dressings Simple Technique Means Easy to Use
9Silverlon® Negative Pressure Dressings Professional Guidelines For UseMoisten dressing with sterile or clean water. Saline may be used for irrigation, but should be avoided as the primary wetting agent.Apply either side of dressing in direct contact with wound bed and walls, and overlap wound edges onto healthy skin.Cover Silverlon® NPD with negative pressure foam or fill media ( if using Versatile 1) and drape per manufacturer’s instructions.Change Silverlon® NPD when you change foam or fill media.Silverlon® NPD may be used for up to 7 days.
10Silverlon® Negative Pressure Dressings Frequently Asked QuestionsCan these dressings handle highly exudative wounds ?The unique dual “flow ports” allow for rapid fluid passage into the media, making it an ideal dressing over highly exudative wounds, with or without the use of NPWT.Can these dressings be rinsed and reused ?Based on professional discretion, all these dressings may be rinsed and reused, provided they are substantially free of debris and exudate.Can these dressings also be used without negative pressure therapy ?Absolutely, simply follow Silverlon® wound contact protocol.See dressing package for Indications and Caution.
11Five Clinical Cases Combining Negative Pressure Therapy with Silverlon® Negative Pressure Dressings, and Bilayered Living Skin Equivalent
12Case Study 182 y/o woman with diabetes, peripheral vascular disease, and neuropathyUlcer developed from thermal injury (electric blanket). Failed to respond to conventional treatment.
13Case Study 1 (Continued) 1/12/02Necrotic Diabetic Heel Ulcer5.1 x 7.0cm1/12/02s/p debridement, pre-Apligraft®, Silverlon®, KCI Wound Vac®
14Case Study 1 (Continued) 85% Wound Volume Reduction in 90 days 1/14/022 days s/p Apligraft®, Silverlon®, Wound Vac®4/10/022 days s/p 2nd apligraft®, Silverlon®, Wound Vac®2.1 x 2.0cm
15Case Study 2 Rapid Healing in 90 days 10/3/01Admit4.7 x 6.0 x 1.8cm12/31/01Healed at 3 months
16Case Study 3 Rapid Healing In 30 Days 11/12/01Silverlon® & Wound Vac®4.0 x 4.7 x 0.7 cm12/10/01s/p Silverlon®, Vac®, & Apligraft®0.6 x 1.0 cm
17Case Study 473 y/o woman with chronic steroid dependent asthma, hypertension bilateral venous stasis disease and hx of phlebitis.3 month old painful leg wound that originated from an insect bite and has failed conventional therapy
18Case Study 4 (Continued) Admits/p debridement s/p 12 of Wound Vac®6/11/01application of Apligraf® continue Vac® and Silverlon® reduced pain
19Case Study 4 (Continued) 7/2/01s/p Apligraf® & Vac Continue Silverlon® and Dynaflex®8/28/01Healed in less than 3 months
20Case Study 563 y/o woman with chronic steroid dependent rheumatoid arthritis, Sjogren Syndrome, osteoporosis and iron deficiency anemia present with a a traumatic painful leg Ulcer.
21Case Study 5 (Continued) 11/26/01Admit9.9 x 8.5cm11/29/01s/p debridement application Apligraf®
22Case Study 5 (Continued) 12/03/011st dressing change, reduced pain, went on to rapid healing11/29/01Apligraf®, Silverlon®, Vac®
23Efficacy and Cost Savings Analysis at 90 days of Treatment. COMPARATIVE STUDY OF COMBINATION THERAPY SILVERLON®NPD with VAC® VS. VAC® ALONENon-Healing Chronic Wounds Associated With Tissue Defects of the Legs and Feet,Stanley N. Carson, M.D.; Fountain Valley Regional Hospital. Presented at SAWC, 2005Efficacy and Cost Savings Analysis at 90 days of Treatment.Patient Population VAC® Alone N= Silverlon® NPD & VAC® N=40Age – 90 years – 89 yearsMaleFemaleDiabetesTobacco UseRenal FailureIschemia ABIWound Areas Avg. = 10cc Avg. = 12cc
24RESULTS VAC® Alone Silverlon® NPD & VAC® COMPARATIVE STUDY OF COMBINATION THERAPY SILVERLON®NPD with VAC® VS. VAC® ALONE (Continued)RESULTS VAC® Alone Silverlon® NPD & VAC®Percent healed at 90 days % %Infection %No. of kits/patientNurse time/ patient hrs hrs.Savings per patientw/ Silverlon® NPD $ 3,073.50__________________________________________________________________Protocol:VAC® alone: VAC® dressings changed every 3 days.Silverlon® & VAC®: VAC® dressings changed every 5 days.
25One Year Value Analysis Projection Using Silverlon® with Negative Pressure Wound Therapy Expected Annual Cost Savings Analysis Using Medicare Reimbursement Pricing2003 actual utilization at 800 bed teaching hospital with an average of 18 active VAC’sSilverlon® Negative Pressure Dressing with VAC® vs. VAC® with Standard Kit
26One Year Value Analysis Projection Negative Pressure Wound Therapy (Continued) VAC® Alone --- Standard KCI Protocol3 Dressing Changes Per WeekCostsActual NPT Patient Days ,570Actual Rental Charge (Per Day Per Machine) $ $ 459,900Actual Kit Usage - 3 kits/wk/patient (total units) ,190Avg.Kit Cost (foam/drape) – avg. of all sizes $ $ 61,320Avg. Nursing Time Per Kit Change - 38 min. each $ 27/hr $ 37,449Avg. Infection Rate: NPT Related %Total $558,669VAC® Combined with Silverlon® NPD --- Silverlon® Protocol1 Dressing Change Per WeekEst. NPT Patient Days with Silverlon® ,256Est. NPT Rental Charge (Per Day Per Machine) $ $ 367,920Est. Kit Usage – 1 kit/wk/patient (total units)Avg. Kit Cost $ $ 26,264Avg. Nursing Time for min. each $27/hr $ 21,411Total $ 415,595Expected Savings: $ 558,669 - $ 415,595 = $ 143,074 or 25 %
27Expected Annual Savings Can your silver dressing do this ? One Year Value Analysis Projection Negative Pressure Wound Therapy (Continued)Expected Annual SavingsRental Savings from fewer rental days needed:$ 459,900 - $ 367,920 = $ 91,980 or 20%Disposable Kit Savings from fewer kits used:2,190 – 938 = 1,254 saved $ 35,056 or 57%Nursing Time Savings from fewer kit changes:1, minutes = 793 hrs. or 57%Payroll Dollars Saved: (793 nurse hours x $ 27 avg.) = $ 21,411Overall Expected Annual Savings: $ 143,074 or 25%Can your silver dressing do this ?
28Savings Calculator – Hospital (file on this CD as NPD Savings Calculator – Hospital.xls)
29Savings Calculator – Home Health ( file on this CD as NPD Savings Calculator – Home Health.xls)
30(Customer Service) 1-888-551-0188 Silverlon® Contact InformationArgentum Medical, LLC.(Customer Service)More information is available at SILVERLON.COMSilverlon® Outlasts, Outperforms, Outnumbers™