DYNA-FLEX™ Multi-Layer Compression System

1. Confirm the absence of arterial or diabetic small vessel disease. (Before first application.)
2. Confirm ankle circumference is greater than 18 cm. (Ankle circumference may change as edema is reduced.)
3. Wound contact dressing: Carefully clean the wound following facility protocol and ensure skin surrounding the wound is dry. Cover the wound with ADAPTIC™ Non-Adhering Dressing. NOTE: DYNA-FLEX™ Multi-Layer Compression System may also be used over TIELLE™ Hydropolymer Foam Dressing, PROMOGRAN™ Matrix Wound Dressing or PROMOGRAN PRISMA™ Matrix.
4. DYNA-FLEX™ Compression System Layer One (Padding/Absorption Layer, Blue Labeled Bandage): To secure in place, wrap the padding/absorption layer against the skin. Use a spiral technique at 50% overlap from the base of the toes to just below the knee. Stretch this layer around bony prominence, such as the heel, to increase conformability. Cut off any excess bandage to avoid overlap at the knee. Secure end of Layer One with appropriate tape.

5. DYNA-FLEX™ Compression System Layer Two (Compression Bandage, Green Labeled Bandage): To secure in place, wrap the compression bandage from the base of the toes to the ankle using the spiral technique. Begin using the figure eight technique at 50% extension from the ankle to just below the knee. Cut off any excess bandage to avoid overlap at the knee. To assist in wrapping it is recommended that the rectangular pattern on the bandage be stretched to a square pattern. Secure end of Layer Two with appropriate tape.
6. DYNA-FLEX™ Compression System Layer Three (Cohesive Compression Bandage, Red Labeled Bandage): Wrap the cohesive compression bandage from the base of the toes to just below the knee using the spiral technique at 50% extension and 50% overlap. Cut off any excess bandage to avoid overlap at the knee.
7. Removal: DYNA-FLEX™ Compression System should be removed by a clinician with blunt scissors. After removal, clean and assess wound, chart progress, and continue treatment as necessary. Dispose of the contaminated dressing and wraps using the resealable ziplock package provided with the system.