Wound
Management
BY:
FARES EZZAT.
Wounds:
A wound is an injury to living tissue caused by a cut, blow, or
other impact,
typically one in which the skin is cut or broken.
Types of
Wounds:Acute
Follows the normal stages of wound healing to achieve
complete repair by definition within 12 weeks. Such as:
• Incisions and excisions
• Abrasions
• Puncture wounds
• Penetration wounds
Chronic
The process of repair continues on for greater than 12 weeks
Wound care goals:
Identify patient’s wound and wound complications; prescribe
preventive measures to promote skin integrity; and to treat wound
problems once they develop.
Wound care is the key for achieving the best result, patient
satisfaction and healing downtime.
Wound healing physiology:
Wound healing is a physiologic process in which the skin or organ or tissue
repairs itself after injury.
- Skin healing goes through 4 phases in order as follow:
Wound healing stages:
Wound healing phases:
Types of Wound Healing & closure :
There are 3 different types of wound healing:
Primary healing :
occurs when the tissue is cleanly incised and realigned anatomically
minimizing the volume of repair and the wound healing process
usually proceeds without complication.
Types of Wound Healing & closure :
There are 3 different types of wound healing:
Secondary healing:
occurs when a wound is not closed with sutures and
is instead left to heal by granulation, contraction and epithelialization.
Wounds at risks of infection as well as burns heal in this manner.
Types of Wound Healing & closure:
There are 3 different types of wound healing closure:
Tertiary healing :
Uses both principles of primary and secondary healing and is the method most
often used for dirty and/or infected wounds.
By delaying the closure of the wound and keeping the wound environment
moist the rate of bacterial replication is reduced.
The wound is packed to prevent natural closure and is watched closely, usually
for at least 3 to 5 days.
Wound Covers:
Hydrocolloid:
They are used on burns, light to moderately draining wounds, necrotic wounds, under compression
wraps, pressure ulcers and venous ulcers.
Hydrogel:
They are for wounds with little to no excess fluid, painful wounds, necrotic wounds, pressure ulcers, donor
sites, second degree or higher burns and infected wounds.
Alginate:
Alginate dressings are used for moderate to high amounts of wound drainage, venous ulcers, packing wounds
and pressure ulcers in stage III or IV.
Collagen:
A collagen dressing can be used for chronic or stalled wounds, ulcers, bed sores, transplant sites, surgical
wounds, second degree or higher burns and wounds with large surface areas.
In addition to the wound product categories listed above, there are other wound dressings available, such as
foams and compression in addition to secondary and cover dressings like wraps, gauze and tape.
Wound Assessment:
1- General Health Assessment:
- Age – medical history - obesity or poor nutrition - Impaired blood supply - Lifestyle (smoking).
2- Local Wound Assessment:
- location, size, base/depth - presence of pain - condition of the wound bed.
3- Healing Local Barriers:
- wound contains dead tissue or debris - Infection or inflammation - Wound is too moist or too dry –
wound failing to close, edges worn away or damaged.
Wound Assessment:
Appearance of Wound:
Wound with clean granular base
Wound with crater
Wound with necrotic/non-viable tissue
Wound with exudate
Wound with sinus, tunnel, undermining
Wound with infection
Wound appearance :
Treatment Dressing
Hydrocolloid Hydrogel Alginate Foam (VAC) device
Wound with clean granular base
Wound with crater
Wound with necrotic/non-viable tissue
Wound with exudate
Wound with sinus, tunnel, undermining
Wound with infection
Slow healing wounds
Wound appearance & Treatment:
Market of wound dressings:
The wound care market is expected to reach USD 22.01
Billion by 2022 from USD 17.69 Billion in 2016 at a CAGR
of 3.7%.
The base year for this study is 2016 and the forecast
period includes 2017-2022
KEY PLAYERS
WORLDWIDE:
• Acelity L.P. Inc. (US)
• Smith & Nephew plc (UK)
• Mölnlycke Health Care AB (Sweden)
• ConvaTec Group Plc (UK)
• Baxter International Inc. (US)
• Coloplast A/S (Denmark)
• BSN medical GmbH (Germany)
• Organogenesis Inc. (US)
• DeRoyal Industries, Inc.(US)
• Ethicon, Inc. (US)
• Medtronic plc (Ireland)
• 3M Company (US)
• Derma Sciences, Inc. (US)
Market of wound dressings:
• Vivostat A/S (Denmark)
• Wound Care Technologies, Inc. (US)
• Leap Therapeutics Inc. (US)
• Hematris Wound Care GmbH (Germany)
• Alliqua BioMedical, Inc. (US)
• Stratpharma AG, Inc. (SW)
• LayerBio Inc. (US)
• Triage Meditech Pvt. Ltd (India)
• Fidia Pharma USA Inc. (US).
• Hill-Rom Holdings, Inc. (US)
• Paul Hartmann AG (Germany)
• NovaBay Pharmaceuticals, Inc. (US)
Market’s Top 5 Competitors :
NEWLY
Available pricing:
• Replicare Ultra Dressing - 4" x 4" - Box of 5 = 52.95 EGP
• Replicare Ultra Dressing - 6" x 6" - Box of 5 = 93.99 EGP
• Replicare Ultra Dressing - 7" x 8" Sacrum - Box of 5 = 96.95
EGP
• Cutinova Hydro-Selective Dressing - 2" x 2 3/8" - Box of 10 = 30.99 EGP
• Cutinova Hydro-Selective Dressing - 4" x 4.5" - Box of 5 = 28.99 EGP
• Cutinova Hydro-Selective Dressing - 6" x 8" - Box of 3 = 66.95 EGP
Available pricing:
• Comfeel® Plus Ulcer Dressings, 4" X 4", Box of 5 = 91.95 EGP
• Comfeel® Plus Contour Dressings, 24 SQ Inches, Box of 5 =
58.95EGP
• Comfeel® Plus Triangle Dressings, 7" X 8", Box of 5 = 129.00 EGP
Biatain Non-Adhesive Foam Dressing, 4" X 4", Box of 10 = 95.95 EGP
Biatain Non-Adhesive Foam Dressing 6" X 6", Box of 5 = 109.95 EGP
Biatain Non-Adhesive Foam Dressing 8" X 8", Box of 5 = 188.95 EGP
Biatain Adhesive Foam Dressing, 4" X 4", Box of 10 = 83.99 EGP
Biatain Adhesive Foam Dressing, 5" X 5", Box of 10 = 116.00 EGP
Biatain Sacral Adhesive Foam Dressing, 9" X 9", Box of 5 = 119.95 EGP
Comfeel® Plus
Biatain Foam Dressing
Available pricing:
DuoDERM®
Sterile
Hydroactive®
Dressing - 4"
x 4" - Box of
20
349.95 EGP
DuoDERM®
Extra Thin
Dressing
47.95 EGP
DuoDERM
Signal®
Dressing
39.95 EGP
Versiva®
XC®
Gelling
Foam
Dressing
60.95 EGP
PLAN:
1- Target Audiences:
• Wound care associations
• Research & consulting firms
• Distributors of wound research products
• Contract manufacturers of wound care products,
devices, equipment and consumables
• Doctors, nurses and wound care specialists surgeon
• Government associations
PLAN:
2- Indications ( wound type):
Chronic wounds
Diabetic foot ulcers
Pressure ulcers
Venous leg ulcers
Other chronic wounds
Acute Wounds
Surgical & traumatic wounds
Burns.
PLAN:
3- End User:
Hospitals and specialty wound care clinics
• Inpatient
• Outpatient
Long-term care facilities
Home healthcare
PLAN:
Situational analysis:
- Launching phase
Objectives:
- targeted market place & sales target
Strategy:
- Delivering our product’s benefits in the most efficient way.
Tactics:
- Proper selection of targeted market segment and their KOLs & decision makers.
Actions Field work ( Sales cycle process).
Control Follow up sales team achievements VS targeted plan
SOSTAC model:
Thank you
Fares Ezzat

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Wound managment

  • 2. Wounds: A wound is an injury to living tissue caused by a cut, blow, or other impact, typically one in which the skin is cut or broken.
  • 3. Types of Wounds:Acute Follows the normal stages of wound healing to achieve complete repair by definition within 12 weeks. Such as: • Incisions and excisions • Abrasions • Puncture wounds • Penetration wounds Chronic The process of repair continues on for greater than 12 weeks
  • 4. Wound care goals: Identify patient’s wound and wound complications; prescribe preventive measures to promote skin integrity; and to treat wound problems once they develop. Wound care is the key for achieving the best result, patient satisfaction and healing downtime.
  • 5. Wound healing physiology: Wound healing is a physiologic process in which the skin or organ or tissue repairs itself after injury. - Skin healing goes through 4 phases in order as follow:
  • 8. Types of Wound Healing & closure : There are 3 different types of wound healing: Primary healing : occurs when the tissue is cleanly incised and realigned anatomically minimizing the volume of repair and the wound healing process usually proceeds without complication.
  • 9. Types of Wound Healing & closure : There are 3 different types of wound healing: Secondary healing: occurs when a wound is not closed with sutures and is instead left to heal by granulation, contraction and epithelialization. Wounds at risks of infection as well as burns heal in this manner.
  • 10. Types of Wound Healing & closure: There are 3 different types of wound healing closure: Tertiary healing : Uses both principles of primary and secondary healing and is the method most often used for dirty and/or infected wounds. By delaying the closure of the wound and keeping the wound environment moist the rate of bacterial replication is reduced. The wound is packed to prevent natural closure and is watched closely, usually for at least 3 to 5 days.
  • 11. Wound Covers: Hydrocolloid: They are used on burns, light to moderately draining wounds, necrotic wounds, under compression wraps, pressure ulcers and venous ulcers. Hydrogel: They are for wounds with little to no excess fluid, painful wounds, necrotic wounds, pressure ulcers, donor sites, second degree or higher burns and infected wounds. Alginate: Alginate dressings are used for moderate to high amounts of wound drainage, venous ulcers, packing wounds and pressure ulcers in stage III or IV. Collagen: A collagen dressing can be used for chronic or stalled wounds, ulcers, bed sores, transplant sites, surgical wounds, second degree or higher burns and wounds with large surface areas. In addition to the wound product categories listed above, there are other wound dressings available, such as foams and compression in addition to secondary and cover dressings like wraps, gauze and tape.
  • 12. Wound Assessment: 1- General Health Assessment: - Age – medical history - obesity or poor nutrition - Impaired blood supply - Lifestyle (smoking). 2- Local Wound Assessment: - location, size, base/depth - presence of pain - condition of the wound bed. 3- Healing Local Barriers: - wound contains dead tissue or debris - Infection or inflammation - Wound is too moist or too dry – wound failing to close, edges worn away or damaged.
  • 13. Wound Assessment: Appearance of Wound: Wound with clean granular base Wound with crater Wound with necrotic/non-viable tissue Wound with exudate Wound with sinus, tunnel, undermining Wound with infection
  • 14. Wound appearance : Treatment Dressing Hydrocolloid Hydrogel Alginate Foam (VAC) device Wound with clean granular base Wound with crater Wound with necrotic/non-viable tissue Wound with exudate Wound with sinus, tunnel, undermining Wound with infection Slow healing wounds Wound appearance & Treatment:
  • 15. Market of wound dressings: The wound care market is expected to reach USD 22.01 Billion by 2022 from USD 17.69 Billion in 2016 at a CAGR of 3.7%. The base year for this study is 2016 and the forecast period includes 2017-2022
  • 16. KEY PLAYERS WORLDWIDE: • Acelity L.P. Inc. (US) • Smith & Nephew plc (UK) • Mölnlycke Health Care AB (Sweden) • ConvaTec Group Plc (UK) • Baxter International Inc. (US) • Coloplast A/S (Denmark) • BSN medical GmbH (Germany) • Organogenesis Inc. (US) • DeRoyal Industries, Inc.(US) • Ethicon, Inc. (US) • Medtronic plc (Ireland) • 3M Company (US) • Derma Sciences, Inc. (US) Market of wound dressings: • Vivostat A/S (Denmark) • Wound Care Technologies, Inc. (US) • Leap Therapeutics Inc. (US) • Hematris Wound Care GmbH (Germany) • Alliqua BioMedical, Inc. (US) • Stratpharma AG, Inc. (SW) • LayerBio Inc. (US) • Triage Meditech Pvt. Ltd (India) • Fidia Pharma USA Inc. (US). • Hill-Rom Holdings, Inc. (US) • Paul Hartmann AG (Germany) • NovaBay Pharmaceuticals, Inc. (US)
  • 17. Market’s Top 5 Competitors : NEWLY
  • 18. Available pricing: • Replicare Ultra Dressing - 4" x 4" - Box of 5 = 52.95 EGP • Replicare Ultra Dressing - 6" x 6" - Box of 5 = 93.99 EGP • Replicare Ultra Dressing - 7" x 8" Sacrum - Box of 5 = 96.95 EGP • Cutinova Hydro-Selective Dressing - 2" x 2 3/8" - Box of 10 = 30.99 EGP • Cutinova Hydro-Selective Dressing - 4" x 4.5" - Box of 5 = 28.99 EGP • Cutinova Hydro-Selective Dressing - 6" x 8" - Box of 3 = 66.95 EGP
  • 19. Available pricing: • Comfeel® Plus Ulcer Dressings, 4" X 4", Box of 5 = 91.95 EGP • Comfeel® Plus Contour Dressings, 24 SQ Inches, Box of 5 = 58.95EGP • Comfeel® Plus Triangle Dressings, 7" X 8", Box of 5 = 129.00 EGP Biatain Non-Adhesive Foam Dressing, 4" X 4", Box of 10 = 95.95 EGP Biatain Non-Adhesive Foam Dressing 6" X 6", Box of 5 = 109.95 EGP Biatain Non-Adhesive Foam Dressing 8" X 8", Box of 5 = 188.95 EGP Biatain Adhesive Foam Dressing, 4" X 4", Box of 10 = 83.99 EGP Biatain Adhesive Foam Dressing, 5" X 5", Box of 10 = 116.00 EGP Biatain Sacral Adhesive Foam Dressing, 9" X 9", Box of 5 = 119.95 EGP Comfeel® Plus Biatain Foam Dressing
  • 20. Available pricing: DuoDERM® Sterile Hydroactive® Dressing - 4" x 4" - Box of 20 349.95 EGP DuoDERM® Extra Thin Dressing 47.95 EGP DuoDERM Signal® Dressing 39.95 EGP Versiva® XC® Gelling Foam Dressing 60.95 EGP
  • 21. PLAN: 1- Target Audiences: • Wound care associations • Research & consulting firms • Distributors of wound research products • Contract manufacturers of wound care products, devices, equipment and consumables • Doctors, nurses and wound care specialists surgeon • Government associations
  • 22. PLAN: 2- Indications ( wound type): Chronic wounds Diabetic foot ulcers Pressure ulcers Venous leg ulcers Other chronic wounds Acute Wounds Surgical & traumatic wounds Burns.
  • 23. PLAN: 3- End User: Hospitals and specialty wound care clinics • Inpatient • Outpatient Long-term care facilities Home healthcare
  • 24. PLAN: Situational analysis: - Launching phase Objectives: - targeted market place & sales target Strategy: - Delivering our product’s benefits in the most efficient way. Tactics: - Proper selection of targeted market segment and their KOLs & decision makers. Actions Field work ( Sales cycle process). Control Follow up sales team achievements VS targeted plan SOSTAC model: