UrgoK2

• High pressure level, of around 40 mmHg at the ankle.
• Massage effect when walking, promoting venous return and the reduction of oedema, and moderate pressure at rest for continuous compression.
• Ease of application: with the PresSure system, the therapeutic pressure level is obtained from the very first application.
• High level of comfort, day and night, for better treatment compliance.
• The system can remain in place for up to 7 days.

Treatment of venous leg ulcers, venous oedema and lymphoedema, justifying strong compression.

Before applying the bandages

• In the event of a wound, apply a suitable dressing before applying the bandage.
• Examine the shape of the leg to identify any zones at risk of excess pressure (bony prominences) and protect them with wadding if necessary.
• Measure the ankle circumference and check that the appropriate kit has been chosen (18-25 cm or 25-32 cm).
• It is best to apply the compression system in the morning on getting up or after having elevated the patient’s legs for an hour, in order to minimise orthostatic oedema.
• Depending on the indication, apply the bandages up to the knee or thigh and use the appropriate bandage widths, using the following application methods.

Application method

• “Under the knee” application method

1. Hold the foot at a 90° angle – “toes to nose”.
2. Make sure that the wadded side of the white bandage is in direct contact with the skin and the pressure indicators printed on the bandage are at the top edge of the bandage (size: 18-25 cm) or in the middle (size: 25-32 cm) of the bandage. Wrap the bandage around the foot once or twice to secure it, with moderate stretching (as per the pressure indicators), according to the vascular status and shape of the foot, as well as the presence of oedema.
3. Then take the bandage around the ankle to make a figure of eight, ensuring full coverage of the heel.
4. To attain the therapeutic pressure, apply the bandage up to the knee in spirals while continuing to stretch the bandage so that the pressure indicators form circles. To apply the correct overlap, each new spiral should cover the previous circle, positioning it at its base (size 18-25 cm: 50% overlap; size 25-32 cm: 2/3 overlap). Finish 2 cm below the knee.
5. Warning! Always cut off any excess bandage. Do not wrap the excess bandage around the limb, as this would increase the pressure.
6. Secure using adhesive tape.
7. Apply the beige bandage (or the Latex Free beige bandage)

– over the white bandage, using the same method, starting one finger above the white bandage and finishing one finger below the white bandage so that only the white bandage is in direct contact with the skin. Once applied, press

– the bandage gently with your hands to make sure the system is properly secured.

• “Up to the thigh” application method

If necessary, apply a suitable bandage on the toes. To apply the bandage up to the thigh, follow the same method as for application to under the knee, but using the following bandage sequence:

Apply an 8 cm white bandage to the foot (or 10 cm depending on the foot size) and up to the ankle.

1. Then apply a 10 cm white bandage. Stop just below the knee: bend the knee slightly. If required and for greater comfort, pad the back of the knee with wadding.
2. Continue up to the top of the thigh with a 10 cm or 12 cm white bandage (the most appropriate) and secure in place with adhesive tape.
3. Apply the beige bandage (or the Latex Free beige bandage) over the white bandage, using exactly the same bandage sequence and application method.
4. Cut off any excess bandage. Once application is completed, press the bandage gently with your hands to make sure the system is properly secured.

UrgoK2 (or UrgoK2 Latex Free) should be left in place day and night until the next dressing change, to be decided on by the practitioner.
The UrgoK2/ UrgoK2 Latex Free kit is for single use.

UrgoK2/ UrgoK2 Latex Free is available in two sizes, for ankle circumferences of: 18-25 cm and 25-32 cm. UrgoK2 exists in three widths: 10 cm for the standard application method; 8 and 12 cm for application up to the thigh.
UrgoK2 Latex Free exists in the 10 cm width only.

^{**Class 1 medical devices. LPPR fully reimbursable (Social Security 60% + top-up mutual insurance 40%) in the treatment of venous leg ulcers (ABI ≥ 0.8).}

• Odyssey study

Lazareth I. et al. Efficacy of two compression systems (Urgo K2 vs Profore) in the local management of venous leg ulcers: results of a European randomized clinical trial. Journal of Wound Care vol 21, no 11, November 2012.

• Jünger study

Jünger et al. Comparison of interface pressures of three compression bandaging systems used on healthy volunteers. J Wound Care (2009) 18(11): 474-80.

• Hanna study

Hanna R. et al. A comparison of interface pressures of three compression bandage systems. British Journal of Nursing (2008) 17 (20): S16-S24.

• Benigni study

Benigni J-P et al. Efficacy, safety and acceptability of a new two-layer bandage system for venous leg ulcers. J Wound Care (2007) 16 (9): 385-390.