Klinik Koeh
Dr. Koeh Bee Hoay

* Remind Dr. Koeh about the EPI Glu, the SavScar Advance and the L&R wound dressing products

* Dr. Koeh previous ordering items:
1) EPI Glu   

* Dr. Koeh keep in mind to the EPI Glu and will applied the EPI Glu for closing the patient wound when have the suitable wound cases treatment can applied the EPI Glu 

* Dr. Koeh told that clinic still have the EPI Glu stocks and will put in the order for the EPI Glu when clinic needed to top up the stocks ordering for the EPI Glu

* Thanks Dr. Koeh for the helping and the supporting to the company products the EPI Glu, the SavScar Advance and the L&R wound dressing products



* Remind Dr. Koeh about the SavScar Advance 

* Sharing the product information of the SavScar Advance and the applying method

* Detailing that the SavScar Advance is made of unique formulation of natural botanical extracts combined with the SPF 30 UV protection that can reduce the appearance of skin irregularity, smoothing and softening our skin and prevent the formation of scars on the patient skin 

* Detailing that the SavScar Advance is suitable to applied for the newly formed scars, closed wound, post-burn scars, post-operation wound, the hypertrophic scars and the pregnancy women stretch mark

* Sharing that the SavScar Advance also suitable to applied for the pregnancy women after the scissorian to helps the patient reducing and prevent the scars formation and nourishing the patient skin

* Sharing that the SavScar Advance is suitable to applied for the insects bites that causes the skin inflammation and the itchiness on the skin

* Sharing that the SavScar Advance also suitable to applied for the dry skin patient who always feeling the itching 

* Sharing that the moisturizing of the SavScar Advance can help to reduce the itching and pain for the dry skin patient


* Detailing the clinical paper Journal I & II

* Detailing the result of the clinical paper Journal I shows that the effectiveness of the SavScar Advance helps in reducing the pain and the itching on the hypertrophic scar and also reduce the appearance of skin irregularity and prevent the formation of scars on the patient skin 

* Sharing that the formulation of the SavScar Advance is safe and the clinical paper Journal II was a published paper from Dermatology and Therapy Journal. (FYI Dermatology and Therapy Journal rank#12 in Dermatology Journal)

And the Journal II clinical paper is supported by
° Dr. Apirag Chuangsuwanich 


* Sharing the clinical paper that the SavScar Advance can helps to reduce the appearance of skin irregularity, smoothing and softening skin, reduce skin hyperpigmentation, itching, pain and prevent the scars formation on the skin

* Briefing that the SavScar Advance should be applied twice daily and for the newly formed scars can be reapply every two hours and need to avoid from the sunlight exposure for 15 min before applied the SavScar Advance

* Giving that the price of the SavScar Advance is RM 60 per tube and 1 tube contains 15 g and the recommended selling price of the SavScar Advance is RM 80 per box

* Dr. Koeh keep in mind to the SavScar Advance and will helping to introduce the SavScar Advance when have the patients needed the SavScar Advance to reduce and prevent the scars formation on the skin, skin caring, skin nourishing and skin protection

* Thanks Dr. Koeh for the helping to introduce the SavScar Advance and the supporting to the company product the SavScar Advance



* Remind Dr. Koeh about the L&R wound dressing products

* Remind the L&R wound dressing products items:

Debrisoft
Suprasorb Liquacel
Suprasorb A+Ag
Suprasorb X+PHMB
Suprasorb C
Suprasorb H  Hydrocolloid dressing 
Suprasorb P  PU foam dressing
Suprasorb P Silicone
Suprasorb F
Vliwasorb
Vliwaktiv
Vliwaktiv Ag
Curapor
Curapor Transparent
Metalline 
Solvaline N
Lomatuell H
Curafix H
Mollelast
Mollelast haft
tg tubular bandage
tg fix tubular net bandage
Rosidal K
Rosidal TCS



* Introduce Suprasorb A+Ag 

Detailing that the Suprasorb A+Ag is Advance wound dressing product and suitable to applied for the clean wounds like the post-operation wound and for the chronic wound such as the lower leg venous leg ulcers and the diabetic wounds 

Besides, the Suprasorb A+Ag have the anti-microbial effects and very effective in absorption of the wound exudates from the heavily exuding wound


* Introduce Suprasorb X+PHMB

Detailing that the Suprasorb X+PHMB is Advance wound dressing product with the ability to absorb and release moisture to maintain an optimum moist wound healing environment

PHMB (polyhexamethylene biguanide)
* Anti-microbial effects

This can reduce wound pain during treatment and provide an alternative option to silver or honey when treating patients with an infected wound or patients who are at risk of infection

Suprasorb X+PHMB is suitable to applied for the dry and low moderate exudate wound condition and for the infected wound

Suprasorb X+PHMB have two version:

* Rope 
- can be layering by folding it onto itself and packed into deep wound
- covered with appropriate secondary dressing:
Suprasorb P
Suprasorb P Silicone 
Suprasorb F
Solvaline N
Vliwasorb 
Vliwazell 

* Dressing
- gently smooth the dressing in place and allow it to conform to the shape of the wound



* Introduce Suprasorb Liquacel

Detailing that the Suprasorb Liquacel is Advance wound dressing products and suitable to applied for the clean wound like the post-operation wound and for the chronic wound such as the lower leg venous leg ulcers and the diabetic wounds 

Besides, the Suprasorb Liquacel can protect against the maceration of wound margin and wound environment through vertical absorption of exudate and transfer to a secondary dressing 

The Suprasorb Liquacel *rope version can loosely pack the deep wounds up to 85% and can secure the dressing with suitable moisture-retaining secondary dressing e.g. Vliwasorb, Suprasorb P PU foam dressing



* Introduce Suprasorb P PU foam dressing

Detailing that the Suprasorb P PU foam dressing is suitable to applied for the patient wounds with Moderately exuding wounds, and the wound stage of sloughy, granulation and epithelial tissue 

- in all phases of wound healing 
e.g.: 
▪ulcers of various origin
▪decubitus
▪second-degree burns
▪skin donor sites and skin graft
▪postoperative wound 


Besides, Suprasorb P PU foam dressing is very good wound healing through reliable exudate management 


Detailing the properties of Suprasorb P PU foam dressing 

-> even distribution of wound exudate

-> perforated wound contact layer 

-> bacteria-proof and water-proof

-> permeable to water vapour 

-> high wearing comfort because of it`s soft and supple structure 

-> easy to assess the wound exudate 


To note:

# Suprasorb P PU foam dressing changed: 3-7 days 
based on wound condition, degree of exudate 

# change the dressing as soon as the discoloration reaches the wound edges

# can be used individually or as a secondary dressing in combination with
eg. Suprasorb A or Suprasorb A+AG,
Suprasorb Liquacel, Suprasorb C, Suprasorb X, Suprasorb X+PHMB



* Introduce Suprasorb P Silicone wound dressing

Detailing that the Suprasorb P Silicone wound dressing is made of additional silicone layer for gentle & easy application and painless removal

Briefing the product indication of Suprasorb P Silicone dressing 

Indication: 
- Light to moderate exuding
- * Superficial to deep wounds
- Non-infected 

- Wounds with sloughy and granulation and epithelial tissue 

Exp: ulcers of various origin
         pressure ulcer, diabetic ulcers
         first- and second-degree burns
         
Properties:
-> even distribution of wound exudate
-> gentle silicone adhesive layer 
-> bacteria-proof and water-proof
-> permeable to water vapour 

## can be used as secondary dressing
## combination to:
Suprasorb Liquacel, A, A+Ag, C



* Introduce Suprasorb C Collagen wound dressing

* Detailing that the Suprasorb C is Collagen wound dressing product that can released collagen to activate patient wound healing and protects growth factors and thus actively accelerates patient wound healing process

Fields of application: 
- Lightly to moderately exuding wounds
- Superficial and deep
- Non-infected 

- Wounds cover for injuries with extensive superficial tissue damage, 
e.g.: 

▪burns
▪surgical tissue damage 
▪ulcers of various origin and wound cavities, in particular when stagnating wound conditions are found after treatment with other wound dressings 

Properties:

-> released collagen activates wound healing and protects growth factors 

-> fast absorption of exudate through a distinct porous structure 

To note: 

# dressing changed: 3-7 days 
based on wound condition, degree of exudate and secondary dressing 

## Moistening Suprasorb C with physiological saline  NaCl 0.9%
or Ringer`s solution is recommended for lightly exuding wounds 



* Introduce Suprasorb H Hydrocolloid dressing

* Detailing that the Suprasorb H Hydrocolloid dressing is thin and flexible wound dressing and suitable for the moist wound healing environment 

Indication:   * non-adh/self/sacrum *
- * Moderate exuding
- * Superficial
- Non-infected 

- Wounds with sloughy and granulation and epithelial tissue 

Exp: 
▪︎ ulcers of various origin
▪︎ second-degree burns
▪︎ skin donor sites and skin graft


Indication:    **  thin  **
- * Light exuding
- * Superficial
- Non-infected 

- Wounds with granulation and epithelial tissue 

Exp: 
▪︎ ulcers of various origin
▪︎ second-degree burns
▪︎ skin donor sites and skin graft
▪︎ postoperative wound 


Properties:
-> when exudate is absorbed, the hydrocolloid swells, forming a gel in which exudate and cell debris are bound 

-> repels bacteria and fluids
-> excess water vapour evaporates 

## Can combination with:
Suprasorb Liquacel, A, C, G, amorphous gel



* Introduce Suprasorb F film

Detailing that the Suprasorb F is the film wound dressing which is made of transparent polyurethane film, bacteria-proof and water-proof

Briefing that the Suprasorb F is suitable as the protection and retention for the primary wound dressings, cannulas, vacuum seals and drainage tubes

Suprasorb F can be also used for covering of ointment dressings



* Introduce Debrisoft

* Detailing that Debrisoft is the Advance wound dressing product that using as mechanical debribement for patients exudates wounds, debris and keratoses


Fields of application:

-> Debribement of superficial wounds and the surrounding skin in cases of:
▪Diabetic ulcers 
▪Arterial and venous ulcers
▪Pressure ulcers
▪Postoperative wounds healing by second intention 

-> To absorb exudate, debris and keratoses during debribement 


Properties:

• High-tech polyester fibers

• Angles fiber tips, 18 million fiber for gentle application

• Effective removal of debris, exudates, keratosis 角化病

• Reduction in pain with no analgesia

• Fast, cleans the wound in 2-4 minutes 

• Easy to use with all common wound rinsing solutions  20-40 ml
( tap water, sterile water or saline 盐水 )

• Protect newly formed granulation tissue and new epithelial cell growth 
 
• Reduce risk of bacterial colonisation 


**Debrisoft**
For debribement 
10x10 cm 

## Mechanism: 
-> The angled fiber tips actively loosen debris and exudate from the wound

-> Fiber composite absorb and retain the loosened debris and keratoses 


Product composition: 
Composed of 100% unbleached polyester with a back layer made from polyacrylic (free of colophony and colophony derivatives)


To note:

• To be used for debribement only, 
- must not be left on the wound

• Can be used each time the wound dressing is changed, as required 

• Should be used until the wound thoroughly cleansed and has progressed from cleansing phase to the granulation phase 

• Before use, the side of the Debrisoft  made of soft fibres must be thoroughly soaked with e.g. : distilled water or saline solution in accordance with the national guidelines 

• The soft fibre side may be moistened with any common wound rinsing solution 

• A very good outcome will be achieved even with highly keratotic or necrotic wound debris, provided the wound was previously treated with autolytic debribement



* Introduce Vliwasorb

Detaling that Vliwasorb is a Superabsorbent wound dressing with high absorption and retention capacity for heavily exuding wounds 


Fields of application: 

- heavily exuding wounds 
- superficial wounds in exudation phase
e.g.: 
▪pressure ulcer
▪arterial ulcer
▪venous leg ulcers
▪diabetic foot ulcer
▪second degree burns 

- postoperative wounds healing by second intention 

- laporotomy wounds 

- fistulas 


Properties:

• High capacity to absorb and retain wound exudate

• An absorbent core with super-absorbent polymers, which can absorb up to 20 times their weight 

• Cost and time savings of fewer dressing changes 

• Retain excess exudate safely and permanently inside absorbent core  
and thus help to prevent maceration 

• Protect maceration of the wound edge and promotes wound healing due to the moist wound environment 

• Reduces the risk of adhering to the wound 


To note:

# do not cut 

# can be used individually or as a secondary dressing in combination with
eg. Suprasorb A or Suprasorb A+AG



* Introduce Vliwaktiv

Detailing that Vliwaktiv is Absorbent *Activated Charcoal Dressing and suitable to applied for the

- moderately to heavy exuding wounds with unpleasant odour
Exp: 
ulcers, pressure ulcers, decubitus 褥疮 and fistulae 瘘

- can be used as **secondary dressing** in combination with
eg. Suprasorb A, Suprasorb A+AG, Suprasorb Collagen, Vliwaktiv Ag Rope 


Properties: 

• Absorb odours and bacteria 

• Skin-friendly and breathable 

• Clothing protection layer prevents wound exudate from leaking out


To note: 

# do not cut 

# can be used individually or as a secondary dressing in combination with
eg. Suprasorb A or Suprasorb A+AG


Application: 

- Apply the *Dark area of Vliwaktiv onto the wound

- Use a suitable material for dressing retention: 
[ dressing retention sheet: Curafix H ] 
[ elastic conforming bandage: Mollelast ]


Dressing change:
Determined by the physician, based on the wound condition (degree of exudation)



* Introduce Vliwaktiv Ag

Detailing that Vliwaktiv Ag is *Activated Charcoal Dressing and Rope with Silver which absorbs odour and bacteria 


Versions:
• Absorbent dressing with non-woven clothing protection 
• Rope 


Fields of application:
- Infected, foetid wounds 
- Unpleasant smelling wounds
- wounds with increased risk of infection 

Exp: 
- pressure ulcers
- arterial ulcers
- venous leg ulcers
- diabetic foot ulcers
- exulcerative tumours 


• Absorbent dressing: 
- for heavily exuding superficial wounds 

• Rope: 
- packing deep wounds
- wound dressing for superficial wounds 


Properties:

• Absorbs wound odours and exudate

• Exerts an antibacterial effect by releasing silver to kill bacteria 

• Additional clothing protection layer (version: Absorbent dressing) prevents wound exudate from leaking out


To note: 
# do not cut 


Application:

Vliwaktiv Ag 
• Absorbent Dressing
- apply the *Dark area onto the wound

- Use a suitable material for dressing retention: 
[ dressing retention sheet: Curafix H ] 
[ elastic conforming bandage: Mollelast ]


Vliwaktiv Ag 
• Rope  
- padding 填充 of deep wounds/ 
* Loosely pack deep wound

- applicable on both sides 

- in combination with secondary dressing   eg: Vliwazell, Solvaline N 


Dressing change:
Determined by the physician, based on the wound condition (degree of exudation)


Extra:

Activated Charcoal abosorb odours 
Silver ions -> bacteria
#  - disturbance of cell division 
    - block functions of bacterial enzymes 
      and protein 
    - damage cell membrane and cell wall 
       of bacteria



* Introduce Curapor and Curapor Transparent

Detailing that the Curapor and Curapor Transparent are the wound dressing products used in sterile treatment of: postoperative wound, injuries caused by accidents, minor cuts and abrasions 

Curapor Surgical dressing is soft, elastic, permeable to air and water vapour and low risk adhesion to the wound 
* non-adhesive wound contact layer:
(polyester/ polyethylene)

Curapor Transparent is the water-proof transparent wound dressing, breathable, impermeable to bacteria and resistant to common disinfectants 



* Introduce Metalline

Detailing that Metalline is a Non-adherent wound dressing with the smooth surface that made of aluminised fibres 

Properties:

> wound side: (grey color)
non-woven aluminised fibres 
that does not stick to the wound through its smooth surface 

• reduced the risk of adhesion to wounds 
• less painful dressing changes
• gentle on the wound 
• permeable to air and water vapour 
• supple and soft
• good drainage

Indications:

1) Treatment of open wounds:
- fresh cuts, lacerations, contusions
- large-scale burns
- chemical burns
- abrasions 
- drainages 
- surgical wounds 
- initial treatment of wounds
- tracheostomy 
- nephrostomy 
- wire or nail extensions 

2) first aid and emergency use: 
- sterile cover of accident wounds 
- as bedding layer for severely injured patients



* Introduce Solvaline N 

Detailing that the Solvaline N is the Traditional wound dressing product and suitable to applied for the acute wound such as the first aid e.g. of incisions, cuts and abrasions, second degree burns and the superficial exuding wounds

Besides, Solvaline N is low-adherent wound dressing that make the dressing changes virtually painless and atraumatic 

Solvaline N can be cut to size


* Introduce Lomatuell H 

Detailing that the Lomatuell H is paraffin gauze dressing that consists of Cotton (wide-mesh tulle) and Vaseline, covered with glassine

Lomatuell H is suitable to applied for skin graft donor sites, burns, cuts, abrasion, lower leg ulcers, radiation injuries, postoperative in the fields of plastic or cosmetic surgery

Lomatuell H is impregnated with a hydrophobic ointment base and reduced the risk of adhesion to the wound

Lomatuell H promotes the drainage of exudate, supports the natural coarse of healing and ensures an undisturbed wound rest period

Lomatuell H can be combined with antiseptic ointments



* Introduce Curafix H

Detailing that the Curafix H is applied for full-surface retention of wound dressings in difficult-to-dress areas of body  
e.g. joints, on the neck, etc.

Curafix H also can be applied for retention of drains and catheters


* Introduce Mollelast and Mollelast haft

* Mollelast is Elastic (legthwise) Conforming bandage that used to retain dressings and cannulas, immobilize the limbs and for compression

* Mollelast haft is Cohesive Conforming bandage with two-way stretch (lengthwise and widthwise) that used to retain dressings and cannulas, immobilize the limbs and for compression


* Introduce tg tubular bandage and tg fix tubular net bandage

Detailing that the tg tubular bandage is suitable for the light compression and retention of padding materials 

Detailing that the tg fix tubular net bandage is used to retain the dressing pads & splints and for application of occlusion films


* Introduce Rosidal K

Short Stretch Bandage
Detailing that the Rosidal K is applicable for the powerful compression, support and pressure relief & to immobilize the limbs



* Introduce Rosidal TCS

* Briefing the product indication and the application method of the Rosidal TCS 

The Rosidal TCS consists of two types of bandage:
Rosidal SC  
Rosidal CC 

** Rosidal SC **
Compression bandage, Soft

Fields of application: 

-> Can be used as the first compression layer to protect the skin and make the bandage less prone to slipping 

-> For light compression under lymphology or phlebology compression bandages 

Properties: 
• Soft textile bottom side
• Stretchy
• Permeable to air and water vapour 
• Small-pore
• Helps to distribute compression evenly
• Makes the compression bandage less prone to slipping 
• Light compressive effect increases wearing comfort
• With cut edges
• White 

Product composition: 
Polyurethane foam, with woven textile material made from 60% polyamide and 40% cotton 

With bandage clips:
Size: 10cm x 3.5m

# can be washed up to 50 times at 95°C 


** Rosidal CC **
Latex-free Cohesive compression bandage

Fields of application: 

-> To immobilize the limbs
-> For retention of multi-layer bandages
-> For compression 

Properties:
• Lengthwise elastic  (approx. 75%)
• Cohesive on both sides because of the synthetic coating
• High static stiffness 
• Has selvedges 
• Latex-free
• Off-white 

Product composition:
51% cotton, 39% polyamide, 10% polyurethane, with a hypo-allergenic synthetic microcoating 

Size: 10cm x 6m 

# cannot wash


Bandages application:

• The rolled-up part of the bandage (bandage head) shows outwards

• Keep the bandage head close to the leg

• Both bandages must always be applied fully stretched 
(max. extension  Safe-Loc)

* Excess material can be cut off and the bandage end should be attached with tape rather than bandage clips to avoid injuries to the sensitive skin

* To prevent the bandage edges from rolling up in the heel area you may keep them in place with a strip of tape (Porofix) approx. 10cm long


Wearing period:

- The product may be worn day and night

- The compression bandages may stay on the leg for up to 7 days, depending on the wound condition and the change of wound dressing 

- The bandages can be removed either by unwinding or by simply cutting off



* Dr. Koeh keep in mind to the L&R wound dressing products and will contact for the ordering when clinic needed to order the L&R wound dressing products

* Thanks Dr. Koeh for the helping and the supporting to the company product the L&R wound dressing products


* Remind Dr. Koeh that company provide the wound management services products items:
1) LiquiBand Optima
2) LiquiBand Exceed
3) EPI Glu
4) SavScar Advance
5) L&R wound dressing products


* Dr. Koeh keep in mind to the company products the EPI Glu, the SavScar Advance, the LiquiBand Optima, the LiquiBand Exceed and the L&R wound dressing products and will contact for the ordering when clinic needed to order the EPI Glu, the SavScar Advance, the LiquiBand Optima, the LiquiBand Exceed and the L&R wound dressing products

* Thanks Dr. Koeh again for the helping and the supporting to the company products the EPI Glu, the SavScar Advance, the LiquiBand Optima, the LiquiBand Exceed and the L&R wound dressing products

* Will come to visit and remind Dr. Koeh about the EPI Glu, the SavScar Advance, the LiquiBand Optima, the LiquiBand Exceed and the L&R wound dressing products and follow up the stock level of the EPI Glu and the L&R wound dressing products on the next month




