Presentation on theme: "This slide to be displayed before Webinar begins."— Presentation transcript:
1This slide to be displayed before Webinar begins.
2GlideWear® Prosthetic Liner Patch Presentation of a New Intervention for the Management of Skin Breakdown for Amputees
3Presenter Intro + Disclosures Charles W. Kuffel MSM, CPO, FAAOP is the President & Clinical Director at Arise Orthotics & Prosthetics. Kevin Hines CPO is an owner & certified prosthetist-orthotist at Arise Orthotics & Prosthetics.
4Presenter Intro + Disclosures Charles & Kevin both serve as clinical consultants for Tamarack Habilitation Technologies.Jason Pawelsky is the Sales & Marketing Manager at Tamarack Habilitation Technologies with 8 years of O&P product development-related sales & marketing experience.
5Webinar AgendaDiscuss the skin care challenge faced by Prosthetists and AmputeesIntroduce friction management concept and its role in wound careIntroduce GlideWear Prosthetic Liner PatchPresent case studiesQ&AContact Information
6The Prosthetist’s Dilemma Approx. 1.9 million amputees in the U.S.Over 65k LL amputations annually due to diabetes aloneAnnual prosthetic liner utilization estimated at over 200k unitsSkin integrity disruption is a constant struggle for the Prosthetist and rising amputee population – it is not isolated by diagnosis, geography, liner, or device type
7Interface Design Concerns A recent survey of Prosthetists about the design of prostheses conducted on the OandP-L (n = 95) revealed:Nearly 50% concluded that the most important area for prosthetic device design improvement is on interface materialsThe distal tibia and fibular head ranked as most common areas of socket discomfort for transtibial amputees.
8Got Pressure?Pressure reduction in at-risk areas is an essential component of skin tissue health and is the leading focus amongst clinicians. However, pressure isn’t the only consideration… Once a prosthetic socket is fabricated, both friction and moisture must also be appropriately managed.
9The Impact of Friction & Shear on Human Soft Tissue Intrinsic FactorsGeneral health, nutrition, age, neuro-muscular andneuro-sensory status, metabolic status, etc.Global FactorsPatient education, motivation, lifestyle, program follow-up, etc.Extrinsic factorsPressureFriction & ShearMicroclimateIntrinsic and global factors are nearly uncontrollable. However, the extrinsic factors, through proper fabrication and materials selection and patient follow-up, can all be managed to improve skin tissue health, device compliance, and outcomes.
10Extrinsic Factors - Summing It Up: FFFs22.214.171.124.By addressing the extrinsic factors, 4 results will have to be met:Improvement of microclimateRedistribution of pressure loadsManagement of static and dynamic frictionMinimization of shear forces in at-risk areas
11Repetitive LoadingDuring ambulation, load is applied to the skin, reaches a maximum and, in the unloading phase, incurs tensile stress caused by the weight of the prosthesis. This series of loading cycles occurs again, and again, and again…Virtually all repetitive loading has a “rub” (friction) component.When insufficiently addressed, skin breakdown occurs.
12Repetitive Loading Let’s examine what this looks like clinically… Every ambulatory person has experience with this…It is an occasional irritant for “Mr. Blue”It causes significant discomfort and occasional breakdown for “Ms. Green”“Mr. Red” is unable to wear his leg until his wound heals – keeping him from living the active lifestyle he enjoys with his family & friendsLet’s examine what this lookslike clinically…
14Conventional “Wisdom” Red skin = “Pressure Area”So, must reduce peak pressure… End of story.BUT REMEMBER!Reducing pressure decreases the clinical control that was originally desiredLost opportunity to enhance and extend functionLabor intensive (costly)
16How do we currently address friction and shear? Skin lubricants – lotions & gelsMessy to applyLikely to spread beyond targeted areaHydrates skin when absorbed, increasing the coefficient of friction between skin and liner – making skin more susceptible to traumaShort term solution – needs frequent reapplication.Contraindicated for some liners
17How do we currently address friction and shear? Moisture Management LinersOnly addresses 1/3 of the equationNot widely used amongst amputeesSkin-Drying PowdersMessy to applyLimited duration of protection
18The Friction FactorBy introducing a low friction material at the interface of the device and skin, friction is virtually eliminated in targeted, at-risk areas. It’s important to mention that friction is important when it comes to supporting proper device fit & function– just not when it causes shearing and skin trauma.
19What is GlideWear? Patented dual-ply low friction fabric technology Manufactured in Minneapolis, Minnesota by Tamarack Habilitation TechnologiesFirst commercialized in 2009 for use in wheelchair cushion covers and in 2013 for prosthetic linersGlideWear is a comfortable, versatile, long-lasting and highly effective shear management technology.
20GlideWear® Prosthetic Liner Patch Indications for Use Indicated for nearly every amputee who experiences discomfort and skin breakdown from their prosthetic liner or socket.Critical Sites of Skin Breakdown include…PatellaPoplitealDistal anterior tibiaFibular headAlso recommended as a tool to preventpremature liner breakdown!
21GlideWear® Prosthetic Liner Patch Features Easy to UseAvailable in two sizes. Place appropriately-sized GlideWear Patchagainst the targeted area before rolling the liner over the top.*Provides Targeted Shear ReductionShearing occurs between the dual ply GlideWear fabric; not againstthe skin in at-risk areas.Extremely DurableReuse daily and launder frequently for months of worry-free skin protectionTested through 100 wash/dry cycles and 180,000 rub cycles to ensure durability through long term use.*Do not apply directly over open wounds.
22GlideWear® Prosthetic Liner Patch Benefits For AmputeesImmediate improvement in comfortBetter wound-healing environmentEliminates need for messy and ineffectual cream & powder useProtect liners from early wear-outEnjoy months of daily use with a single patch -> cost-effective!For PractitionersLess extensive socket recontouring = better fit and functionReduction of “early returns” due to nagging skin problemsReduced practitioner time on non-billable facility expenseNo reimbursement battles!
23GlideWear® Prosthetic Liner Patch User Instructions Position the GlideWear ProstheticLiner Patch over the affected area.Roll the liner over the GlideWearPatch to complete placement process.Use clean, dry patch daily to ensure lasting protection. Launder as needed.
24GlideWear® Prosthetic Liner Patch Purchasing Options Choose from 2 size options:Small (2.5 in. x 4.75 in.)Suitable size for most users!USD $27 MSRPLarge (4.5 in. x 7.5 in.)For larger limbs & coverage needsUSD $34 MSRPSold 2 patches (same size) per pack
30GlideWear TipsGlideWear is not intended for placement directly against open wounds.Always follow standard wound cleaning & coverage procedures (as recommended by a licensed healthcare professional) to support a healthy wound-healing environment.To avoid recurrence of skin breakdown after healing, amputees should continue using the GlideWear Prosthetic Liner Patch daily to protect against future issues in at-risk areas.
31ConclusionsSkin breakdown in the amputee population can be addressed in numerous ways.Pressure, shear, and microclimate must all be managed to optimize device fit, comfort, and skin protection.GlideWear offers a simple, low-cost, and long-lasting solution for shear-related discomfort and breakdown for amputees.
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