3M™ Tegaderm™ Foam Dressing (nonadhesive)

Tegaderm Foam ™

Dressings (nonadhesive)

High
Absorbency
& Breathable Barrier
High absorbency plus breathable film barrier
means total fluid management.
• Low incidence of periwound skin maceration*
• Easy to use
• Barrier to strikethrough
• Non-swelling
• Variety of sizes and styles

* Studies on file at 3M.

 3M™ Tegaderm™ Foam Dressing (nonadhesive)
3M™ Tegaderm™ Foam Dressing (nonadhesive) is a highly absorbent, breathable, non-adherent
wound dressing. It is constructed from conformable polyurethane foam covered with a highly
breathable film backing. The film backing prevents wound exudate strike-through and acts as
a barrier to outside contamination. The dressing maintains a moist wound environment, which
has been shown to enhance wound healing.

Overall Fluid Management

Heavily draining wounds often require frequent dressing changes, which are not only expensive, but may also result in
patient discomfort. Owing to its combination of absorbency and fluid evaporation (moisture vapor permeability) — key
dressing characteristics necessary to managing wound fluid levels — Tegaderm™ Foam Dressing (nonadhesive) provides
a high level of overall fluid management.

Application and Removal Instructions

Note: Follow Universal Precautions and facility guidelines for
infection control
Supplies You May Need
Indications for Use
Ideal for moderate- to highly-exudating partial- and
• Gloves full-thickness dermal wounds, Tegaderm™ Foam
• Saline or irrigation solution Dressing (nonadhesive) is indicated for:
• Gauze pads • Pressure, neuropathic (diabetic) and venous leg
• Clean towels or underpads to protect patient and surfaces ulcers, including use under compression wraps

• Tegaderm™ Foam Dressing (nonadhesive) - select a dressing • Skin tears

size to allow for 2.5 cm (1 inch) of foam to extend beyond the • Abrasions
wound edge • Skin graft donor sites
• Tape or other products for dressing secural (see Dressing
Secural Considerations)
• Appropriate protective wear: mask, eyewear, protective gown

Site Preparation
Wash or sanitize hands, set up a clean field with supplies, apply gloves.

Step 1 Step 2 Step 3

Cleanse wound and periwound skin
according to your institution’s protocol. Dry
the area around the wound with dry gauze.
Note: Do not use the dressing in
combination with oxidizing agents, such as
hydrogen peroxide or hypochlorite solution.
These solutions may affect the structure
and performance of the polyurethane foam.
Assess the wound. Observe the wound for
signs of infection. If infection occurs, see a
health care professional. Tegaderm™ Foam
dressing (nonadhesive) may be used on
infected wounds only under the care of a
health care professional.
Remove soiled gloves and wash or sanitize
hands. Apply clean gloves.
Note: If periwound skin is fragile or
exposure to wound exudate is likely, apply a
barrier film, such as 3M™ Cavilon™ No Sting
Barrier Film. Let dry.

2
Application Instructions
Remove the 3M™ Tegaderm Foam Dressing
(nonadhesive) from the package and center
over the wound, printed grid side up.
Dressing Secural Options
Tape: Picture frame the dressing with tape
(3M™ Medipore™ Soft Cloth Tape or 3M™
Micropore™ Tape).
Note: To maintain moisture vapor
evaporation, tape only edges of the
dressing in picture frame manner.
Tube Exit Sites: When using the dressing
for absorption and cushioning of tube sites
(such as tracheostomy or gastric tubes),
the dressing may be held in place by the
tube itself, or secured by taping the edges
of the dressing in a picture frame manner.
Position the dressing over the wound with
edges overlapping onto intact skin.
Transparent Film Dressings: A transparent
film dressing (3M™ Tegaderm™ Transparent
Dressing) may be used to secure the
dressing. Select a size of film dressing that
will allow 1" of overlap on all sides of the
foam dressing.
Note: The use of a transparent film
dressing may affect the rate of moisture
vapor evaporation.
Lower Extremity Compression Wraps:
The dressing may be used under
compression wrap systems for the
treatment of venous insufficiency leg ulcers.
Additional taping is typically not required.
Secure with tape, elastic or self-adherent
wrap, or other methods (see Dressing
Secural Options).
Wraps: When dressing an extremity and
limiting the use of adhesives due to fragile
periwound skin, secure the dressing with a
gauze wrap, a self-adherent wrap
(3M™ Coban™ Self-Adherent Wrap), tubular
stockinette, or an elastic wrap.
Removal Instructions
Gently remove adhesive tape border or
overwrap. Lift foam dressing from the
wound bed. If the dressing is adhered to
the wound surface, saturate with normal
saline and gently loosen. Discard dressing
according to your institution’s policy.
3
3M™ Tegaderm™ Foam Dressing (nonadhesive)
Considerations
Observe the dressing frequently. As the dressing absorbs, exudate will wick to the top of the dressing, and discoloration
may be noticeable. When the exudate spreads to the edges of the dressing or the dressing begins to leak, a dressing
change is indicated.
• 3M™ Tegaderm™ Foam Dressing (nonadhesive) may be used as an absorbent cover dressing over wound fillers such
as alginates or gauze packing.
• Dressing change frequency will depend on the type of wound, volume of exudate and clinical situation. Change at
least every seven days, or as indicated per treatment protocol.
• You may cut the dressing, as needed, to fit the size of the wound or accommodate wound contours.

Ordering Information:
Catalog No. NDC No. Size Dressings/Box Boxes/Case HCPCS Code*

3M Tegaderm Foam Dressings (nonadhesive)

™ ™

2 in x 2 in
90600 8333-9060-00 10 4 A6209
5 cm x 5 cm
4 in x 4 in
90601 8333-9060-10 10 4 A6209
10 cm x 10 cm
4 in x 8 in
90602 8333-9060-20 5 6 A6210
10 cm x 20 cm
8 in x 8 in
90603 8333-9060-30 5 6 A6211
20 cm x 20 cm
3 ½ in x 3 ½ in
90604 8333-9060-40 8,8 cm x 8,8 cm 10 4 A6209
Fenestrated
4 in x 24 in
90605 8333-9060-50 1 roll/pkg. 6 rolls A6211
10 cm x 60 cm, Roll

* HCPCS codes as referenced in the Local Coverage Determination Surgical Dressing Policy.
Disclaimer:
HCPCS codes have been provided to assist you in the preparation of Medicare Part B claims. Please note, however, that the reimbursement information provided by 3M Health Care and its
representatives is intended to provide general information relevant to coverage and coding for 3M products. Insurers' reimbursement policies can vary and the use of the codes discussed
here does not guarantee that an insurer will cover or pay at any particular level. Health care providers should exercise independent clinical judgment in choosing the codes which most
accurately describe the products provided.

For more information visit our website at www.3M.com/tegaderm, contact your 3M Skin & Wound Care representative, or call the 3M Health Care
Customer Helpline at 1-800-228-3957.
These products can be ordered from your local distributor. Outside the United States contact the local 3M subsidiary.

Skin & Wound Care Division 3M Canada 3M, Cavilon, Coban, Medipore Please recycle.
3M Health Care P.O. Box 5757 Micropore and Tegaderm are Printed in U.S.A.
3M Center, Building 275-4W-02 London, Ontario N6A 4T1 trademarks of 3M. © 3M 2010.
St. Paul, MN 55144-1000 Canada All rights reserved.
USA 1-800-364-3577 70-2009-3180-9 (Bolger)
1-800-228-3957 www.3M.com/ca/healthcare
www.3M.com/healthcare