GENERAL RANGE CERDAK BASIC (Cerdak sachets without adhesives) CERDAK AEROCLOTH (Sachets mounted on non-woven fabric adhesives) CERDAK AEROFILM (Sachets mounted on waterproof transparent adhesive films) Size 30 x 30mm 50 x 25mm 50 x 50mm 50 x 100mm 100 x 100mm 100 x 150mm 45 x 150mm 45 x 200mm 45 x 300mm Size 30 x 30mm 50 x 25mm 50 x 50mm 50 x 100mm 45 x 150mm 45 x 200mm 45 x 300mm Size 30 x 30mm 50 x 25mm 50 x 50mm 50 x 100mm 45 x 150mm 45 x 200mm 45 x 300mm VIEW PRODUCT VIEW APPLICATION VIEW PRODUCT VIEW APPLICATION VIEW PRODUCT VIEW APPLICATION SPECIAL RANGE CERDAK DRYDOCS (Cerdak plaster for small wounds) CERDAK DIGITIP (Finger and toe tip injuries) CERDAK CAVITY (Bedsores and large cavity wounds) Size 15 x 25mm Size Standard Size 100 x 100mm 100 x 150mm VIEW PRODUCT VIEW PRODUCT VIEW APPLICATION VIEW PRODUCT CERDAK MINI (Delicate facial procedures) CERDAK UMBILICAL (Umbilical hernia and laprascopies) CERDAK CATH (Entry point of central line catheters) Size 15 x 20mm Size 15mm and 25mm Size 50 x 50mm VIEW PRODUCT VIEW PRODUCT VIEW PRODUCT APPLICATION TECHNIQUES Normal surgical principles of wound treatment must apply when Cerdak is used. The most important of these principles are : Remove debris and clean the wound thoroughly using normal saline or a mild disinfectant solution. Remove any foreign bodies from the wound. Administer Tetanus toxoid 0.5 ml in all patients who have not had recent inoculation or where wounds are soiled. Patients who present infected wounds with swelling and deeper soft tissue infection should receive antibiotics and analgesics/non-steroidal anti-inflammatory medication. Patients with chronic, non-healing or recurrent wounds are to be tested for diabetes mellitus (high blood sugar). Once the wound has been prepared properly the Cerdak WTD is placed on the wound. The Cerdak must be in contact with every part of the wound. Should Cerdak Basic (Cerdak without self-adhesive) be used, secure the sachet in place with medical tape and/or a soft conforming bandage. After the first application it is important to inspect the outer surface of the Cerdak WTD. If more than a visually estimated 50% of the outer surface of the device is discoloured and therefore saturated, the device should be replaced with a new one. Wounds initially producing a great deal of exudate may need a change within 6 to 12 hours, but these are the exception to the rule. Cerdak WTD’s can be left in place for up to 7 days, provided it is checked regularly to prevent over-saturation of the sachet. Cerdak will not be effective once the granules are saturated with moisture. When applied as a primary surgical dressing, it may be left in place for five (5) to seven (7) days. Replacing the Cerdak WTD is as simple as removing it and placing a new device on the wound as described above. The wound is not cleaned again, except when thick pus is present. The pus could clog up the pump action of the ceramic and prevent its proper action, but this applies to only a very small number of wounds. Patients can safely open wounds at home and replace the Cerdak WTD’s without fear of causing infection. They are given a simple set of instructions. This method has been tried and tested in hundreds of patients in rural practice. Do not pick at or remove scabs that have formed under the Cerdak WTD’s. Experience has shown that due to the natural bacteriostatic action of the ceramic, bacteria are not able to multiply beneath the scab. The scab separates naturally when the epithelium has covered the entire wound surface. If unforeseen problems not related to the use of the Cerdak WTD’s should occur, intervention by a health professional will be necessary to prevent the incorrect use of Cerdak WTD’s. For example: a wound might not heal to expectation; the blood circulation could be insufficient to sustain healing; a limb could become oedematous and require the use of an elastic support stocking or elevation, etc.