3M ™ Coban ™ 2 Layer Compression Therapy Application and Removal Poster.
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3M™ Coban™ 2 Layer Compression Therapy
Applicationand RemovalPoster.
Application/Removal
3M™ Coban™ 2 Layer Compression System3M™ Coban™ 2 Layer Lite Compression System
Product Information• Provideseffective,sustained,compressionforthetreatmentofvenouslegulcersandotherconditionswhere
compressiontherapyisappropriate.• Forpatientslesstolerantofcompression,orwhohavemixedetiologywithanABPIgreaterthanorequalto0.5,
Coban2LayerLiteCompressionSystemisrecommended.• Manypatientshaveextremelegcontours.DuetotheuniquepropertiesofCoban2LayerCompressionSystems,the
applicationtechniquecaneasilybeadaptedtoprovideconformable,effective,sustainedcompressionforthesepatients.• Latex-free.
Basic Application
Application for a Highly Contoured Leg – Follow the Roll
Application for a Highly Contoured Leg – Cutting Technique Bandage Removal
Layer 1: The Inner Comfort Layer-Applythislayerwiththefoamsideagainsttheskin,usingjustenoughtensiontoconformtotheshapeofthelegwithminimaloverlap.
Layer 2: The Outer Compression Layer—Applythislayeratfullstretch.Holdtherollclosetothefootandlimbthroughouttheapplicationforcontrolled,evencompression.
Step 1: Withthefootinadorsiflexedposition,starttheapplicationwithacircularwindingatthebaseofthetoes,beginningatthefifthmetatarsalhead.Beginningatthefifthtoeprovidesneutral,comfortablefootalignment.
Step 8: Withthefootinadorsiflexedposition,starttheapplicationwithacircularwindingatthebaseofthetoes,beginningatthefifthmetatarsalhead.
Step 2: The2ndcircularwinding shouldcomeacrossthetopof thefootsothatthemiddleofthebandagewidthapproximatelycoversthearticulatingaspectoftheanklejoint.
Step 9: Thesecondcircularwindingshouldcomeacrossthetopofthefootandaroundthebackoftheheel.
Step 3: Bringthiswindingaroundthebackoftheheelandlayitoverthetopofthefootwhereitoverlapstheunderlyingmaterial.
Step 4: Cutthewrapandgentlypressintoplace.Theposteriorplantarsurfaceofthefootisnotcompletelycovered.
Step 10: Usingthefigureeighttechnique,bringtherollbackoverthetopofthefoot,acrossthebottomofthefootandbackuptocomearoundthebackoftheheel.Completetwoorthreefiguresofeightaroundtheankleensuringthattheentireheeliscoveredwithatleasttwolayers.
Step 5: Withminimaloverlap,proceeduptheleginaspiraltechniquewithjustenoughtensiontoconformsmoothlyalongthecontours.Ifthebandage spiraldoesnotconformwithminimaloverlaps,thebandagemaybecuttoredirecttheapplication.Continueupthelegtocoverallskinwithasthinalayeraspossible.
Step 11: Proceedupthelegwith50%overlaptocovertheentireinnercomfortlayerwithatleasttwolayers.Maintainconsistentstretchthroughouttheprocess.
Step 6: Thetopofthebandageshouldendjustbelowthefibularhead,ortwofingerswidthbelowthecreaseatthebackoftheknee.Cutoffexcessmaterial.
Step 12: Endthewrapatthefibularhead,orjustbelowthebackofthekneeandevenwiththetopedgeofthecomfortlayer.Cutoffanyexcessmaterial.
Step 7: Applylightpressuretothecomfortlayerwithyourhands.Thishelpstomouldthebandagetothepatient.Theendofthecomfortfoamlayermaybesecuredwithtape.
Step 13: Gentlypressandconformtheentiresurfaceoftheapplication.Thiswillensurethatthetwolayersbondfirmlytogetherwhichhelpsreduceslippageduringwear.Note:Ifyoudetectanygapsinthecompressionlayer,youmayapplyadditionalcompressionlayermaterialatfullstretch.
Alternate technique: Insteadofcuttingthewrap,youcancontinuetoproceeduptheleginaspiralpattern.Ifyoudothis,asmallfoldofmaterialmaybepresentintheAchillesarea.GuidethisfoldofftheAchillesandlayitintotheadjacentconvexarea.
Layer 1: The Inner Comfort Layer-Applythislayerwiththefoamsideagainsttheskin,usingjustenoughtensiontoconformtotheshapeofthelegwithminimaloverlap.
Layer 2: The Outer Compression Layer—Applythislayeratfullstretch.Holdtherollclosetothefootandlimbthroughouttheapplicationforcontrolled,evencompression.
Step 1: Withthefootinadorsiflexedposition,starttheapplicationwithacircularwindingatthebaseofthetoes,beginningatthefifthmetatarsalhead.Beginningatthefifthtoeprovidesneutral,comfortablefootalignment.
Step 8: Withthefootindorsiflexedposition,starttheapplicationwithacircularwindingatthebaseofthetoes,beginningatthefifthmetatarsalhead.
Step 2: Thesecondcircularwindingshouldcomeacrossthetopofthefootsothatthemiddleofthebandagewidthapproximatelycoversthearticulatingaspectoftheanklejoint.
Step 9: Usingthefigureeighttechnique,bringtherollbackoverthetopofthefoot,acrossthebottomofthefootandbackuptocomearoundthebackoftheheel.Completetwoorthreefiguresofeightaroundtheankleensuringthattheentireheeliscoveredwithatleasttwolayers.Cutthewrapandgentlymouldintoplace.
Step 3: Bringthiswindingaroundthebackoftheheelandlayitoverthetopofthefootwhereitoverlapstheunderlyingmaterial.
Step 4: Cutthewrapandgentlypressintoplace.Theposteriorplantarsurfaceofthefootisnotcompletelycovered.
Step 10: Applythenextwindingbystartingtherollatthepreviouscutedgewitha50%overlaptotheunderlyingmaterial.Bringthebandagearoundtheankleandproceeduptheleginthedirectiontherolltakesyouwiththetopoftheapplicationendingjustbelowthefibularhead.
Step 5: Withminimaloverlap,andwithjustenoughtensiontoconformsmoothlyalongthecontours,windthebandagearoundtheankleandproceedupthelegapplyingthelayerinthedirectiontherolltakesyou.
Step 11: Bringthebandagebackdownthelegtocovertheentirecomfortlayerwithatleasttwolayersofcompressionmaterial.
Step 6: Thetopofthebandageshouldendjustbelowthefibularhead,ortwofingerswidthbelowthecreaseatthebackoftheknee.Bringthebandagebackdownthelegtocoverallareasoftheskin.Toensureasthinalayeraspossible,trytominimisetheareasofoverlappedmaterial.
Step 12: Ifatanytimeyouwanttochangethedirectionoftheroll,youmaycutthebandageandredirecttheapplication.
Step 7: Asyouendtheapplication,applylightpressureandcutofftheexcessmaterial.Mouldthelayerstogethertoensurethatthebandagewindingscoheretoeachother.
Step 13: Asyouendtheapplication,applylightpressureandcutofftheexcessmaterial.
Step 14: Mouldthelayerstogethertoensurethatthebandagewindingscoheretoeachother.
Layer 1: The Inner Comfort Layer-Applythislayerwiththefoamsideagainsttheskin,usingjustenoughtensiontoconformtotheshapeofthelegwithminimaloverlap.
Layer 2: The Outer Compression Layer—Applythislayeratfullstretch.Holdtherollclosetothefootandlimbthroughouttheapplicationforcontrolled,evencompression.
Step 1: Withthefootinadorsiflexedposition,starttheapplicationwithacircularwindingatthebaseofthetoes,beginningatthefifthmetatarsalhead.Beginningatthefifthtoeprovidesneutral,comfortablefootalignment.
Step 7: Withthefootinadorsiflexedposition,starttheapplicationwithacircularwindingatthebaseofthetoes,beginningatthefifthmetatarsalhead.
Step 2: Thesecondcircularwindingshouldcomeacrossthetopofthefootsothatthemiddleofthebandagewidthapproximatelycoversthearticulatingaspectoftheanklejoint.
Step 3: Bringthiswindingaroundthebackoftheheelandlayitoverthetopofthefootwhereitoverlapstheunderlyingmaterial.
Step 4: Cutthewrapandgentlypressintoplace.Theposteriorplantarsurfaceofthefootisnotcompletelycovered.
Step 8: Usingthefigureeighttechnique,bringtherollbackoverthetopofthefoot,acrossthebottomofthefootandbackuptocomearoundthebackoftheheel.Completetwoorthreefigures-of-eightaroundtheankleensuringthattheentireheeliscoveredwithatleasttwolayers.Forsmoothconformabilityandevencoverage,cutthecompressionmaterialandproceedupthefootandlegwithindividualwindingsat50%overlap,makingsuretopressandconformeachsubsequentlayer.
Step 5: Withminimaloverlap,applythenextwindingsoitlayssmoothalongthecontoursandcutitwhenitoverlapstheunderlyingmaterial.
Step 9: Endthewrapatthefibularhead,orjustbelowthebackofthekneeandevenwiththetopedgeofthecomfortlayer.Cutoffanyexcessmaterial.Gentlypressandconformtheentiresurfaceoftheapplication.
Step 6: Proceedupthelegwithindividualwindingsusingthesametechnique.Endtheapplicationatthefibularhead,orjustbelowthebackoftheknee.Cutoffexcessmaterial.Lightpressureappliedattheendofthebandageanddownthelegensuresthatitstaysinplaceduringapplicationofthecompressionlayer.
Thin, Fragile Legs
Step 7a: Forpatientswithverythinlegsthathavevulnerablebonyprominencessuchasthetibialcrestorthetopofthefoot,youcanprovideadditionalcomfortandprotectionbycuttingapieceofthecomfortmaterialandplacingitoverthetopofthefoot,runningitupthelegtoprotectthetibialcrest.Atthearticulatingarea,makeaslitoneachsideofthestriptoconformattheankle.Gentlypressintoplace.
Dippingthescissortipsintocreamallowscomfortableandeasybandageremoval.
Coban 2 Layer Compression Systemmayberemovedwithbandagescissorsorbyunwrapping.
Ordering information.
Learn More• Forapplicationvideos,pleasevisitourwebsites:3M.com.au/Coban2and3M.co.nz/Coban2
• Formoreinformation,contactyourlocal3MSalesRepresentative,orcallthe 3MHealthCareCustomerHelplineon(AUS)1300363878or(NZ)0800808182
3MMedicalSolutionsDivision3MAustraliaPtyLimitedABN90000100096BuildingA,1RivettRoadNorthRydeNSW21131300363878www.3M.com.au/Coban2
3MMedicalSolutionsDivision3MNewZealandLimited94ApolloDriveRosedale,Auckland0632CustomerService:0800808182www.3M.co.nz/Coban2
©3M2019.Allrightsreserved.3MandCobanaretrademarksof3MCompany.Pleaserecycle.AV011441944
3M™ Coban 2™ Layer Compression System
Product Code Roll Description Roll Size Qty/Box Boxes/Case
2094N
Roll1–ComfortFoamLayer
10cmx2.7m Unstretched
1kitcontains 2rollsand1nylonstocking
8Roll2–Compression
Layer10cmx4.7mFullystretched
3M™ Coban 2™ Layer Lite Compression System
Product Code Roll Description Roll Size Qty/Box Boxes/Case
2794N
Roll1–ComfortFoamLayer
10cmx2.7m Unstretched
1kitcontains 2rollsand1nylonstocking
8Roll2–Compression
Layer10cmx4.7mFullystretched
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