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Nisus NPWT Case Studies
Patient A - Nisus NPWT System
Wound Type: Diabetic / Ulcer of the Left Lower Extremity
Location: Calcaneous
Date Wound Acquired: 01/08/2015
Patient Age: 68
Patient Weight: 118 Kg
History and Physical:
68-year-old Caucasian male presented to the wound clinic on 01/08/2015 with primary complaint of wound to the left heel.
Past Medical History:
Insulin dependent diabetes, PVD, PAD, CHF, CAD, and 40 pack year cigarette smoker. Patient states the wound has been present for a month prior to being seen at the clinic. Patient states he has been treating with gauze dressing for the last month.
Initial Findings:
Patient has Grade 3 Ulcer to left calcaneous. The wound has measurements length of 6.5 cm, width of 11.6 cm, depth of 1.3 cm, and cubic volume of 77 cm3. Wound bed presented with 90% unstable necrotic tissue, 10% pink tissue, and small amount of serous drainage.
Course of Treatment:
Initial excisional debridement occurred on 01/20/15 and modality of treatment was a silver alginate. On 01/30/15 no improvement of wound and modality of treatment changed to a skin substitute. On 02/13/15 wound bed appeared with 90% necrotic tissue and excisional debridement preformed and continued modality of treatment of skin substitute. On 02/20/2015, upon exam patient had absence of pedal and posterior tibial
pulses, via Doppler. Patient underwent an emergent re-vascularization of the left leg. Post procedure a skin substitute was placed. Between 02/20/15 to 07/31/15 patient underwent multiple excisional debridement’s and several modalities of treatment with no wound improvement. Amputation of left lower extremity was considered. On 07/31/15 the Nisus NPWT wound system was applied. On 08/07/15 wound showed marked improvement and appeared with 10% percent necrotic tissue and excisional debridement performed. Between 07/31/15 to 09/18/15 patient modality of treatment was Nisus NPWT wound system, patient had 2 more excisional debridement’s for small clean-up of necrotic tissue. On 09/18/15 The Nisus NPWT wound system was DC secondary to wound is 100 granulated and is ready for re-epithelization.
Results:
On 10/01/15 the wound was 100% re-epithelized.
Patient B- Nisus NPWT System
Wound Type: Stage IV Pressure Ulcer
Location: Left Ischium
Date Wound Acquired: 9/16/15
Patient Age: 53
History and Physical:
53 year-old male presented to LTC with stage IV pressure ulcer to the left ischium. Patient admit date to LTC facility was 11/19/15.
Past Medical History:
CHF, insulin dependent diabetic, immobility, extremity muscle contractures, and dysphagia.
Initial Findings:
Patient present with a stage IV pressure ulcer to the left ischium. Wound was acquired on 09/19/15. Initial measurement of wound was length of 2.0 cm by with width of 3.0 by depth of 2.5 cm. No prior measurements are obtainable from previous medical record. Wound had minimal serous drainage and 90% granulation tissue and 10% necrotic tissue.
Course of Treatment:
Course of treatment starting on 11/19/15 was a primary dressing of a silver alginate covered with a gauze secondary dressing. On 11/26/15 wound showed no signs of improvement and modality of treatment was changed to a primary dressing of a silver hydrogel covered with a
gauze secondary dressing. On 12/2/15 wound showed slight improvement in measurements, current treatment was continued at this time. On 12/8/15 wound showed no signs of improvements from previous week; Nisus NPWT applied at this time. On 12/15/15 with mark improvement to wound and Nisus NPWT system continued. Patient seen on 12/22/15 with mark improvement in wound measurements and
Nisus NPWT system continued. on 12/29/15 wound measurements were .1 cm by .2 cm by .3cm and Nisus NPWT system was discontinued and a messalt packing placed.
Results:
On 1/5/16 the wound was healed.
Patient C- Nisus NPWT System
Wound Type: Venous Stasis
Location: Right lower leg
Date Wound Acquired: 05/17/16
Patient Age: 57
History and Physical:
A 57 year old male presented with venous stasis ulcer to right lower leg.
Past Medical History:
Patient has past medical history of CHF, insulin dependent diabetes, COPD, HTN, and obesity. Patient has significant history of venous stasis ulcers.
Initial Findings:
Patient presented to facility on 5/21/16 with a full thickness injury to his right lower leg, etiology of venous stasis ulcer. Initial measurements were length of 21 cm, width of 14 cm, and depth of 0.3 cm. Treatment at the time of admission was silver alginate with a secondary dressing
of kerlix and light compression.
Course of Treatment:
Patient was being treated at an acute care facility with calcium alginate and light compression therapy. Upon admission to the extended care facility, the same course of treatment was continued. On 5/27/16, wound measurements were length of 23 cm, width of 17 cm, and
depth of 0.4 cm. At this time, the Nisus NPWT platform was placed with light compression. Over the next 4 weeks, the wound continued to make noticeable improvement with the Nisus NPWT platform and light compression.
On 6/24/16, the Nisus NPWT platform was discontinued, and a contact layer was placed with light compression.
Results:
The wound had complete closure on 7/8/16.
FAQs
Your Questions Answered: Quick, Clear Support for Negative Pressure Wound Therapy
What is the difference between the Nisus pump and the Nisus Touch Pump?
Who is the manufacturer of ProCare Medical Equipment's Negative Pressure Wound Therapy systems?
Cork Medical. Cork Medical is a leading global manufacturer of innovative wound care technologies and therapeutic support surfaces. Cork Medical focuses on revolutionizing the wound care industry by enabling thousands of hospitals, nursing homes, providers, and homecare facilities to treat and prevent the cause of wounds in patients through innovative wound care solutions.
How does your consultation service work?
We assess your needs and budget to recommend the best medical equipment solutions.
How does training for equipment usage get arranged?
We arrange training sessions with our technicians once a purchase or lease is finalized.
Where does ProCare Medical Equipment deliver NPWT?
We are able to direct ship Negative Pressure Wound Therapy systems anywhere in the United States.