20250319_PICONHW_Hero

Targeting progress

Clinicians in the community already dedicate a substantial amount of time to managing chronic wounds,4 so wounds that fail to progress add to that workload. Wounds that remain in a prolonged inflammatory phase beyond 4-6 weeks should be addressed promptly to improve the chances of recovery. The longer you wait, the more challenging it becomes to heal.5

When incorporated into a clinical pathway, evidence shows why PICO sNPWT can be an incredibly powerful tool to help activate healing in stalled wounds.1-3

20250319_PICONHW_Application

It’s estimated that community clinicians spend 43% of their time managing chronic wounds,6 and when up to 4.3 dressing changes per week (shown in DFUs)7 are combined with 135% higher treatment costs7 for non-healing wounds (vs healed wounds), it quickly adds up. Conversely, UK data showed only 18% of clinicians regularly use NPWT6 – a potentially powerful solution.



Discover PICO sNPWT


The PICO System’s mode of action

20250319_PICONHW_MoAOverview


How PICO sNPWT achieves positive clinical outcomes

Pressure distribution

Regular-AIRLOCK Technology facilitates the consistent delivery of NPWT, even when put under pressure,***20,22,32 redistributing pressure over a larger contact area and delivering effective NPWT to more of the wound and peri-wound tissue than traditional NPWT (tNPWT) dressings.***20,22, 32-34








Improved healing environment

Shown to help provide better quality granulation tissue without filler than other NPWT systems with filler; producing granulation tissue that’s less inflammatory and allowing re-epithelisation to occur under the dressing.27,28,35 








Less wound disruption

Removing PICO sNPWT resulted in less disruption to granulation tissue, when compared to tNPWT with filler. Furthermore, wounds treated with tNPWT with filler have been shown to have inflammatory cell activity.**27








Manages exudate

The combined action of 80% evaporation and 20% absorption allows the PICO System to absorb exudate effectively, without the use of an external canister.22,30 Even if negative pressure is lost, wound model testing shows the PICO Dressing continues to manage exudate without leakage at the dressing edges.8,16 PICO sNPWT has been shown to help reduce the risk of maceration.1,18








Deeper wound management

Capable of managing low to moderate levels of exudate at wound depths of up to 4.5cm.16 In a variety of chronic wounds deeper than 2cm, PICO sNPWT resulted in a 46% relative reduction in mean time to wound healing (as part of an integrated care bundle, compared to standard dressings).9








20250325_PICONHW_DeeperWound

Pressure distribution

Regular-AIRLOCK Technology facilitates the consistent delivery of NPWT, even when put under pressure,***20,22,32 redistributing pressure over a larger contact area and delivering effective NPWT to more of the wound and peri-wound tissue than traditional NPWT (tNPWT) dressings.***20,22, 32-34








Improved healing environment

Shown to help provide better quality granulation tissue without filler than other NPWT systems with filler; producing granulation tissue that’s less inflammatory and allowing re-epithelisation to occur under the dressing.27,28,35 








Less wound disruption

Removing PICO sNPWT resulted in less disruption to granulation tissue, when compared to tNPWT with filler. Furthermore, wounds treated with tNPWT with filler have been shown to have inflammatory cell activity.**27








Manages exudate

The combined action of 80% evaporation and 20% absorption allows the PICO System to absorb exudate effectively, without the use of an external canister.22,30 Even if negative pressure is lost, wound model testing shows the PICO Dressing continues to manage exudate without leakage at the dressing edges.8,16 PICO sNPWT has been shown to help reduce the risk of maceration.1,18








Deeper wound management

Capable of managing low to moderate levels of exudate at wound depths of up to 4.5cm.16 In a variety of chronic wounds deeper than 2cm, PICO sNPWT resulted in a 46% relative reduction in mean time to wound healing (as part of an integrated care bundle, compared to standard dressings).9








20250325_PICONHW_DeeperWound


The longer you wait, the harder it gets


Achieving successful outcomes depends on early and accurate assessment, identification of wound aetiology and consideration of local and systemic factors that may be contributing to non-healing.

Evidence has demonstrated that healing success rates become gradually less favourable if active therapy is implemented after 3 months.2 Aim to follow a clinical pathway that facilitates early intervention on suitable patients.

20250321_PICONHW_Pathway


Testimonials

How is PICO sNPWT improving lives?


Living with a diabetic foot ulcer can affect so many aspects of a patient’s life. As Kevin’s experience highlights, the PICO System’s ability to offer comfort, freedom and wound healing progress can be truly profound. As you listen to Kevin’s story, imagine the potential benefits for your patients.

Why are clinicians using PICO sNPWT?


When building an effective treatment pathway for non-healing wounds, experts like Rosemary Hill need the option of advanced technologies at their disposal. Listen to Rosemary explain how and why she uses PICO sNPWT’s active therapy to help put wounds on a healing trajectory.

Explore expert-led learning modules on how to use PICO sNPWT in chronic wound management

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Order numbers

Dressing sizesPICO 7 systemPICO 7 systemPICO 14 SystemMultipackPICO 7Y device
+ 1 dressing+ 2 dressings+ 2 dressingswith 5 dressings+ 2 dressings
Multisite small
15cm x 20cm
66802010668020006680204066802020-
Multisite large
20cm x 25cm
6680201166802001668020416680202166802031
10cm x 20cm66802012668020026680204266802022-
10cm x 30cm66802013668020036680204366802023-
10cm x 40cm66802014668020046680204466802024-
15cm x 15cm66802015668020056680204566802025-
15cm x 20cm66802016668020066680204666802026-
15cm x 30cm66802017668020076680204766802027-
20cm x 20cm66802018668020086680204866802028-
25cm x 25cm66802019668020096680204966802029-

Disclaimers

* DFU cases; n=4.

** n=161; ITt analysis; Least-Squared (LS) mean.

*** As demonstrated in benchtop testing.

**** 97% reduction in established biofilm bacteria; p<0.05. Demonstrated in vitro vs baseline. Tested against Pseudomonas aeruginosa, after 72-hour treatment with 1.49 Log10 CFU/ml reduction. 99% of bacteria locked in the dressing demonstrated in vitro.

Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Smith+Nephew representative or distributor if you have questions about the availability of Smith+Nephew products in your area. For detailed product information, including indications for use, contraindications, precautions and warnings, please consult the product’s applicable Instructions for Use (IFU) prior to use.

 

Citations
  1. Kirsner R, et al. Wound Repair Regen. 2019;27(5):519 - 529.
  2. Kirsner RS, et al. Wound Manag & Prev. 2020;66(3):30-36.
  3. Dowsett C, et al. Wounds International. 2017;8(2):52-58.
  4. Guest JF, et al. J Wound Care. 2017;26(6):292-303.
  5. Fletcher J, et al. Wounds UK. 2022. Available at: https://www.pcdsociety.org/resources/details/active-treatment-non-healing-wounds-community
  6. Nursery research – TBD
  7. UK survey – citation TBD
  8. Smith+Nephew 2018. Internal Report. DS.18.260.R.
  9. Hurd T, et al. Ostomy Wound Manage. 2014;60(3):30-36
  10. Gilchrist B, et al. Performance, safety, and efficacy of a single use negative pressure wound therapy system for surgically closed incision sites and skin grafts: A prospective multi-centre follow-up study. Paper presented at: SWC; 2020.
  11. Smith+Nephew 2018. Internal Report. RD/18/137.
  12. Smith+Nephew March 2018. Internal Report. DS.18.066.R.
  13. Stryja J, et al. Prolekare. 2015;94(8):322 - 328.
  14. Wang E, et al Wound Practice and Research 2017;25(1):36-40.
  15. Smith+Nephew 2020. Internal Report. EO.AWM.PCS261.002.v2.
  16. Smith+Nephew 2018. Internal Report. EO.AWM.PCS230.001.v2.
  17. Smith+Nephew 2015. Internal Report. ST865 CT09/02.
  18. Hudson DA, et al. Int Wound J. 2015;12(2):195-201.
  19. Payne C, et al. ePlasty. 2014:152-166.
  20. Casey C. Consistent delivery of therapeutic negative pressure levels by a single use negative pressure wound therapy system (sNPWT)* in a wound model. Paper presented at: EWMA; 2019; Gothenburg, Sweden.
  21. Smith & Nephew 2019.PICO Biomechanical Study. Internal Report. DS/19/211/R.
  22. Malmsjö M, et al. ePlasty. 2014;14:1 - 15.
  23. Smith+Nephew 2020. Internal Report. 2001002.
  24. Kilpadi DV, et al. Wound Repair Regen. 2011;19(5):588-596.
  25. Ma Z, et al. Exp Ther Med. 2016;11(4):1307-1317.
  26. Xia CY, et al. Mol Med Rep. 2014;9(5):1749-1754.
  27. Brownhill VR, et al. Adv Wound Care (New Rochelle). 2020;0(0):1 - 12.
  28. Patel A, et al. Comparison of wound closure in chronic lower extremity ulcers between single use negative pressure wound therapy and traditional negative pressure wound therapy: a real world analysis. Paper presented at: National Wound Conference; 2019; Las Vegas, NV, USA.
  29. Hurd T, Gilchrist B. Single use negative pressure wound therapy (sNPWT) in the community management of chronic open wounds deeper than 2cm. Paper presented at: Symposium on Advanced Wound Care/Wound Healing Society Meeting; 2020; Abu Dhabi.
  30. Mcmanus H, et al. Bacterial retention within a multi-layered absorbent AIRLOCK™ Technology Single Use Negative Pressure Wound Therapy (sNPWT) dressing. Paper presented at: EWMA; 2018; Krakow, Poland.
  31. Smith+Nephew 2018. Internal Report. CSD.AWM.24.056.
  32. Smith+Nephew 2019. Internal Report. RD/19/006.
  33. Smith+Nephew 2018. Internal Report. RD/18/132.
  34. Smith+Nephew 2018. Internal Report. DS/18/219/R V2.
  35. Schwartz JA, et al. J Wound Care. 2015;24(2).
  36. Smith+Nephew 2020. Internal Report. EO.AWM.PCS261.002.v2.
  37. Smith+Nephew 2016. Internal report. DS.16.179.R.
  38. Smith+Nephew 2016. Internal report. DS.16.174.R.
  39. Smith+Nephew 2008. Internal report. DS/08/062/R1.
  40. Smith+Nephew 2009. Internal report. DS/08/078/R2.
  41. Smith+Nephew 2008. Internal report. DS/08/062/R2.

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