What makes PICO unique
PICO sNPWT features an exclusive mode of action that enables delivery of negative pressure wound therapy across the entire dressing to the wound or incision and periwound, while simultaneously removing exudate.1,2
For high-risk surgical incisions, PICO:
- Protects the incision from external contamination3
- Helps hold incisions together, reducing lateral tensile forces across the incision4
- Helps to increase the activity of the lymphatic system in deep tissue via reduction in wound fluid5
For complex open wounds, PICO:
- Protects the wound from external contamination6
- Improves wound contraction7
- Assists in stimulation of granulation tissue formation7
- Promotes changes in blood flow, and the formation of new blood vessels, by helping to reduce edema8,9
- Manages up to 300mL of exudate7,10
How the dressing works
Reduce complications for surgical incisions.
Kickstart progression for stalled wounds.
PICO sNPWT is a pioneering negative pressure wound therapy system that raises the level of care:
- Manages low to moderate levels of exudate6,7,10
- Delivers compression-like therapy to the wound, wound margin and periwound14
- Canister-free and portable, which can help improve patient mobility15,16 and increase satisfaction rates8
- Provides therapy for up to 14 days with PICO 14 and 7 days with PICO 7/7Y
- Waterproof dressing, allowing patients the ability to shower15
As compared to standard dressings, PICO has been shown to help:
PICO sNPWT features a portable, canister-free design that has been shown to increase patient satisfaction rates across the clinical spectrum:8
- May improve scar quality20-23
- Portable system allows patients the freedom to continue daily activities15
- Gentle silicone adhesive makes application and removal easy15 while minimizing pain10,22-25
- Waterproof dressing, allowing patients the ability to shower15
- Quiet system better enables patients to sleep15
Clinically effective meets cost effective
A suitable alternative to tNPWT for more than 88% of wounds treated in long-term care facilities, enabling cost savings of up to $91/day27
- Smith & Nephew 2019.Pre-Clinical Assessment of Single-Use Negative Pressure Wound Therapy during in vivo Porcine Wound Healing. Internal Report. DS/19/313/R.
- Smith & Nephew January 2018. Outcomes following PICO compared to conventional dressings when used prophylactically on closed surgical incisions: systematic literature review and meta-analysis. Internal Report. EO/AWM/PICO/004/v1
- Smith & Nephew February 2011.Bacterial Barrier Testing (wet-wet) of PICO dressing with a 7 day test duration against S. marcescens. Internal Report. 1102010.
- Loveluck J, Copeland, T., Hill, J., Hunt, A., and Martin, R., . Biomechanical Modeling of the Forces Applied to Closed Incisions During Single-Use Negative Pressure Wound Therapy. ePlasty. 2016.
- Kilpadi DV, Cunningham MR. Evaluation of closed incision management with negative pressure wound therapy (CIM): hematoma/seroma and involvement of the lymphatic system. Wound Repair Regen. 2011;19(5):588-596.
- Data on file reference 1102010 – Bacterial Barrier Testing (wet-wet) of PICO dressing with a 7 day test duration against S.marcescens; Helen Lumb, February 2011.
- Malmsjö M. et al. Biological effects of a disposable, canisterless Negative Pressure Wound Therapy system. Eplasty 2014; 14:e15.
- Kirsner R, et al. Randomized controlled trial on the efficacy and acceptance of a single-use negative pressure wound therapy system versus traditional negative pressure wound therapy in the treatment of lower limb chronic ulcers (VLU and DFU). Poster presented at Wild on Wounds National Wound Conference. September 12–15, 2018. Poster 18.
- Karlakki S, Brem M, Giannini S, Khanduja V, Stannard J, Martin R. Negative pressure wound therapy for management of the surgical incision in orthopaedic surgery: A review of evidence and mechanisms for an emerging indication. Bone Joint Res. 2013;2(12):276-84. 8.
- Data on File DS/18/015/R. Summary Wound Model Report for Opal PICO 7. January 2018.
- Scalise A, Calamita R, Tartaglione C, et al. Improving wound healing and preventing surgical site complications of closed surgical incisions: a possible role of Incisional Negative Pressure Wound Therapy. A systematic review of the literature. Int Wound J. 2016;13(6):1260-1281.
- Karlakki S, Brem M, Giannini S, Khanduja V, Stannard J, Martin R. Negative pressure wound therapy for management of the surgical incision in orthopaedic surgery: A review of evidence and mechanisms for an emerging indication. Bone Joint Res. 2013;2(12):276-84. 8. 13. Glaser DA, Farnsworth CL, Varley ES, Nunn TA, Sayad-Shah M, Breisch EA, et al. Negative pressure therapy for closed spine incisions: a pilot study. Wounds. 2012;24(11):308-16.
- Glaser DA, Farnsworth CL, Varley ES, Nunn TA, Sayad-Shah M, Breisch EA, et al. Negative pressure therapy for closed spine incisions: a pilot study. Wounds. 2012;24(11):308-16.
- Smith & Nephew January 2018. Outcomes following PICO compared to conventional dressings when used prophylactically on closed surgical incisions: systematic literature review and meta-analysis. Internal Report. EO/ AWM/PICO/004/v1.
- Hurd, T., Trueman, P., & Rossington, A. Use of portable, single use negative pressure wound therapy device in home care patients with low to moderately exuding wounds: a case series. Ostomy Wound Management. Volume 60. Issue 3. March 2014.
- WMP.11446.UEF/R3 Project Fairbanks Human Factors Summary Report Issue 5. G Walker, May 2017.
- Saunders C, Buzza K, Nherera L. A Single Use Negative Pressure System* Reduces Surgical Site Complications compared with Conventional dressings in Closed Surgical Incisions: A Systematic Literature Review with Meta-Analysis. Paper presented at: European Wound Management Association (EWMA) Conference; 2019; Gothenburg, Sweden.
- Strugala, V., Martin, R. Meta-analysis of comparative trials evaluating a prophylactic single-use negative pressure wound therapy system for the prevention of surgical site complications. Surgical Infections, Vol. 18, No. 00, 2017.
- Patange Subba Rao SP, Karlakki S. Use Of Negative Pressure Wound Therapy Dressings (NPWTd) In Exudating Wounds Following Elective Hip And Knee Replacement Procedures: A Specialist Elective Orthopaedic Hospital Experience. Paper presented at: EFORT; 2019; Lisbon.
- Galiano RD, Hudson D, Shin J, van der Hulst R, Tanayadin V, Djohan R, et al. Incisional Negative Pressure Wound Therapy for Prevention of Wound Healing Complications Following Reduction Mammaplasty Plastic & Reconstructive Surgery Global Open 2018; 6(1):e1560: 1-8.
- Tanaydin V, et al. Randomized controlled study comparing disposable negative-pressure wound therapy with standard care in bilateral breast reduction mammoplasty evaluating surgical site complications and scar quality. Aesthetic Plast Surg. 2018. doi. 10.1007/s00266-018-1095-0 23.
- Sharp, E; Single use NPWT for the treatment of complex orthopaedic surgical and trauma wounds; Journal of Woundcare Cases supplement 2013, Vol 22, No 10, S5-9.
- Hudson, D; Adams, K; Van Huyssteen, A; Martin, R; Huddleston, E; Simplified negative pressure wound therapy: clinical evaluation of an ultraportable, no canister system; International Wound Journal 2015, 12: 195-201.
- Payne C, Edwards D: Application of the single-use negative pressure wound therapy device (PICO) on a heterogeneous group of surgical and traumatic wounds: Eplasty Apr 2014, 14: e20.
- Rossington, A; A prospective, open, non-comparative, multicentre study to evaluate the functionality and dressing performance of a new negative pressure enhanced dressing (NPED) in acute wounds, Internal Smith & Nephew report, CT09/02, May 2015.
- Nherera, L.M., Trueman, P., Schmoeckel, M. and Fatoye, F.A., 2018. Cost-effectiveness analysis of single use negative pressure wound therapy dressings (sNPWT) compared to standard of care in reducing surgical site complications (SSC) in patients undergoing coronary artery bypass grafting surgery. Journal of cardiothoracic surgery, 13(1), p.103.
- Adeyemi, Ayoade & Waycaster, Curtis. (2018). Cost-minimization Analysis of Negative Pressure Wound Therapy in Long-term Care Facilities. Wounds : a compendium of clinical research and practice. 30. E13-E15.