ProFore is a compression bandage system utilizing multiple compression layers to manage Wound Care for venous leg ulcers. Compression Bandages have been found useful to treat venous diseases. Compression helps to reverse the venous insufficiency in the leg, healing any damage and helping to direct the flow of blood back towards the heart. Smith & Nephew manufacturers ProFore for both hospital and home use. ProFore Compression Wraps are a multi-layer compression bandaging system consisting of 5 components: a sterile wound contact layer; a padding bandage; a light conformable bandage; a light compression bandage and a flexible cohesive bandage.The multiple compression layers to deliver up to 40 mmHg pressure at the ankle. ProFore reinforces a safe and consistent protocol to heal up to 79% of venous leg ulcers within 12 weeks.
Smith & Nephew provides two major ProFore Compression Bandage options: the ProFore Four Layer Bandage (four compression layers and a Wound Contact Layer) and the ProFore LF Bandage (same as ProFore Four Layer Bandage, but latex free). The ProFore Four Layer Bandage Systems are designed to deliver 40mm Hg pressure at the ankle, decreasing to 17mm Hg at the knee.
A third ProFore Bandage option is the ProFore Lite Bandage. The Lite Bandage has three compression layers instead of four and a wound contact layer. ProFore Lite provides less pressure than the ProFore Four or the ProFore LF bandages. The ProFore Lite is designed to manage leg ulcers where the patient suffers from arterial as well as venous insufficiency. Arterial impairment prevents the use of full compression because of the risk of ischaemic necrosis. ProFore Lite consists of a low-adherent wound contact layer, an absorbent wool padding layer, a light conformable crepe bandage and a flexible cohesion compression bandage.
Smith & Nephew Profore Options
- Profore Four Layer Bandage - up to 40 mmHg compression.
- Profore Latex Free Bandage - up to 40 mmHg compression.
- Profore Lite Bandage - low compression.
- Profore Wound Contact Layer - layer adjacent to the skin.
Smith & Nephew Profore Compression Bandage System Components
- One Profore Wound Contact Layer (9.5cm x 9.5cm)
- One Profore #1 natural padding bandage (10cm x 3.5m unstretched)
- One Profore #2 light conformable dressing (10cm x 3m unstreteched/10cm x 4.5m stretched)
- One Profore #3 light Compression Bandage (10cm x 8.7m stretched) Note: This component is not included in Profore Light.
- One Profore #4 flexible cohesive bandage (10cm x 2.5m unstretched/10cm x 5.25cm stretched)
Smith & Nephew Profore Compression Bandage Features & Benefits
- Effective compression in both hospital and community treatment studies.
- Graduated compression provides higher pressure where needed (high pressure at the ankle, decreasing pressure at the calf).
- Sustained compression for up to 7 days.
- Extended exudate absorption for up to a full week.
- Reduces changing frequency and nursing staff time requirements.
- Profore is a complete treatment system reducing preparation time and simplifying stock control.
- Profore pads and protects bony prominences from impact injuries.
Smith & Nephew Profore Application Sequence
- Step 1: Profore WCL Sterile Wound Contact Layer
- Do not use if pouch is opened or damaged. Remove from the pack with sterile forceps and apply to the wound. Hold in place until covered by Profore #1.
- Step 2: Profore #1 Natural padding bandage
- Bandage the foot using an ankle lock. Apply from the ankle to the knee using a simple spiral technique and 50% overlap. Do not apply tension.
- Step 3: Profore #2 Light conformable bandage
- Bandage the foot using an ankle lock. Apply from the ankle to the knee over Profore #1, using a simple spiral technique, apply at mid-stretch and 50% overlap. Use tape to secure.
- Step 4: Profore #3 Light compression bandage
- Bandage the foot using an ankle lock. Apply from the ankle to the knee,using a figure of eight technique at 50% extension. Use the central line as guidance. Use tape to secure.
- Step 5: Profore #4 Flexible cohesive bandage
- Bandage the foot using an ankle lock. Apply from ankle to knee using a spiral technique with 50% extension and 50% overlap. Press lightly on the bandage to ensure that the bandage adheres to itself.