Frequently Asked Questions

Click on the sections below for answers to our frequently asked questions.
Activon - Manuka Honey dressings
Can Activon honey be used under compression bandaging?
The Activon range can be used under compression bandaging. The amount of exudate would influence your choice of Activon Tulle or Actilite with an appropriate absorbent secondary dressing such as Eclypse. The secondary dressing must be appropriate to the exudate level and will influence wear time.
Can Activon Tulle be folded and put into a cavity?
Activon Tulle dressings can be put into a cavity wound, again dependant on exudate levels. If there is a possibility of sinus within the wound base then Activon Tube should be used to ensure that the honey reaches the entire wound bed.
Can the Activon Tulle be unfolded to apply?
Activon Tulle can be unfolded and applied, however this will reduce the level of honey at the wound bed. The triple layer of the gauze delivers the optimum amount of honey to the wound bed therefore unfolding the dressing would affect efficacy.
Can your Manuka honey dressings be used on diabetic patients?
While there is no known case of honey influencing blood glucose levels adversely, it is recommended that the blood sugar levels of patients with diabetes are monitored when using honey.
Does the honey sting on application?
There have been reports of honey causing a stinging pain when applied to the wound. This appears to be due to the acidity of honey, as pain is not experienced when neutralised honey is used. The pain experienced does not seem to be indicative of damage being done to the wound, as wounds have healed rapidly in cases where patients have endured the pain to benefit from the stimulation of healing that they see, and in cases where analgesia has been used.

There is evidence that honey stimulates nocioceptors (Al-Swayeh and Ali, 1998), nerve endings that create a pain sensation in response to heat, acidity and some organic chemicals. It may be that it is not a direct effect of the acidity of honey, as neutralising honey could affect the ionisation of some of its components and make them unable to fit in the nocioceptors. It is possible that in some patients these nerve endings are sensitised and are more responsive to the acidity and/or the component organic chemicals of honey.
How long can the honey dressings be left on the wound for?
The dressings can be left in place for up to seven days, again this would depend on the exudate levels produced by the wound and the appearance of the dressing. As long as the dressing has maintained it’s original colour (the honey is present) it can remain in situ.
What are the contra indications for your Manuka honey?
Known allergy to bee-venom. Although no known instance of increased levels of blood sugar in patients with diabetes. It is advisable to closely monitor the levels. Increased pain may be experienced due to acidification.
What secondary dressing do you recommend?
It depends upon the level of exudate. Low to moderate exuding wounds 
we recommend the Advazorb® range of foam dressings. For medium to 
high exudate, we recommend Eclypse® super absorbent dressings.
Do honey dressings increase wound exudate levels?
Yes, this is due to osmotic action which is an important and integral 
part of how honey works. Ensure secondary dressing can cope with the 
increased exudate level. The high level of exudate should subside after 
time.
Advazorb - Hydrophilic Foam Dressings
Is Advazorb Border shower proof?
The backing is waterproof. However due to the hydrophobic nature of silicone if water does come between the skin and the contact layer then adherence will be lost. In an average shower it is showerproof, however in a power shower or for a longer period than normal it may not be.
Is there strike through?
No. The backing is waterproof, low friction and prevents strike through.
Which direction does it wick?
Wicking is vertical and lateral, ensuring maximum use of all the foam in the dressing.
Why would I use Advazorb Border instead of Advazorb Silfix?
Advazorb Silfix is ideal for wounds with fragile skin that require a degree of compression/ secondary fixation. Advazorb Border is ideal for hard to dress wounds where secondary fixation isn't possible/ required.
Why are the holes on Advazorb Border so big?
As Advazorb Border doesn't require secondary fixation, and subsequently there isn't additional pressure to enhance the hydrophilic nature of the foam, the larger holes offer a greater surface area of exposed foam enabling the smooth passage of exudate into the dressing.
Silflex - Silicone Contact Layer
Can Silflex be taken off, cleaned and put back on?
No due to the risk of infection.
Do you have to wet your gloves when handing Silflex?
As silicone is hydrophobic it is easier to handle if your gloves are wet, preventing Silflex from sticking to your gloves.
How long can Silflex be left on for without moving it?
14 days is the maximum wear time for Silflex, however it is recommended that a 180 degree rotation is undertaken to prevent over granulation.
Why does Silflex have such large holes?
This is merely the way it was designed however, some practitioners have commented that the size of holes allow for easier passage of exudate.
Eclypse - Super Absorber Dressings
Are there any contra-indications for Eclypse dressings?
We do not advise use of Eclypse super absorbent dressings on arterial bleeds or heavily bleeding wounds. The wicking action and absorption of the dressing will absorb the blood making it difficult to assess the amount of blood loss.
Can Eclypse be cut?
All Eclypse dressings cannot be cut, the edges are sealed, cutting would lead to shedding of the internal fibres, which could lead to potential foreign body reactions in the wound.
Can Eclypse be used as both a primary, and secondary wound contact layer?
Eclypse Adherent® can be used on all wound types as either a primary or secondary dressing due to its unique soft silicone contact layer, which prevents adherence to the wound bed. On wounds with broken tissue it may be necessary to use an additional primary contact layer with Eclypse® for example Silflex®. Eclypse® can be used as a primary contact layer where the skin is in tact.
Can Eclypse be used under compression?
Yes Eclypse can be used under compression. In respect of use under compression, Eclypse in its dry state is a very flat dressing and will not adversely affect compression values.
Do you get strike-through with Eclypse?
The backing is a water resistant barrier film to prevent strike-through with a high moisture vapour transfer rate prolonging wear ability.
Does Eclypse cause maceration?
The dressing has a rapid wicking face combined with the highly absorbent moisture locking system. The absorbent layer provides a large capacity with rapid fluid uptake ensuring the exudate is drawn away from the wound bed and surrounding tissue, preventing maceration.
How do we know when to change Eclypse?
Eclypse can be left in place for up to 7 days but will need to be changed more frequently depending on the level of exudate. Once saturated the dressing may become heavy and sag these are all signs that the Eclypse needs to be renewed.
How long can you leave Eclypse on for?
Wear time will depend on the level of exudate, daily changes may be required, but Eclypse can be left in place for up to 7 days. Because of the excellent fluid handling capability of the dressing, it may become heavy and cause sagging when saturated. Once the crystals are swollen and full of exudate they may cause pressure on the wound bed making it necessary to change Eclypse.
How much fluid does Eclypse hold?
The Eclypse dressings will rapidly absorb fluid with a capacity for 6000gms/sq meter. This volume can be absorbed and retained within the dressing in a period of 5 minutes.
How should I choose between the regular Eclypse and the adherent one?
Eclypse Adherent is the dressing of choice, when skin is fragile or when any adherence would lead to trauma or pain.
What should I use to secure Eclypse?
Eclypse® should be secured with the appropriate bandage system, 
i.e tubular or compression. The Eclypse Adherent® dressings are self 
adherent due to the soft silicone contact layer, although additional 
securing can be used as mentioned above.
Other Products
Advadraw or Advadraw Spiral?
Rapid capillary action technology is indicated for most exuding necrotic or sloughy wounds including pressure ulcers, leg ulcers, dehisced surgical wounds and diabetic foot ulcers. Advadraw and Advadraw Spiral can be used on the same wounds, select Advadraw Spiral if the increased conformability of the shape is desirable but is especially indicated for sinus cavities.
When should I change the Advadraw dressings?
The dressing must be changed at least every seven days but this will depend on a number of factors e.g. the level of exudates and interstitial fluid, number of dressings that are layered, level of necrotic and sloughy tissue to be removed from the wound bed. Advadraw must either be changed or additional layers applied when exudate has reached the outer edges of the dressing.
When should I use Advadraw?
Use on any exuding wound, especially where there is some necrotic or sloughy tissue present. It is particularly useful where the wound is an irregular shape as Advadraw can be easily cut to the shape of the wound. As it draws fluid into the dressing an exact wound profile is not essential, it may be beneficial to overlap the peri-wound area with Advadraw. Fluid is drawn vertically into the dressing and there is no lateral movement of fluid at the wound interface which could cause maceration.
General
Where can I get Advancis Medical Products?

The Advancis Medical range of advanced wound care products are exclusively distributed by:
DUKAL Corporation
2 Fleetwood Court
Ronkonkoma, NY 11779

P: 631-656-3800 or call toll free 1-800-243-0741
F: 631-656-3810
E: Advancisinfo@dukal.com
W: www.dukal.com