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Incise Drapes Literature 2005 7/11/05 3:31 PM Page 3

3M Incise Drapes

LATEX
A barrier to bacterial contamination
NEW IMPROVED IOBAN DELIVERY SYSTEM

● New silicone delivery liner assists easy


release of 3M™ Ioban™ 2 Drape onto
the skin, making application even easier.
● Delivery liner is thinner and more
flexible, saving time in patient
preparation.
● Ioban adhesive remains the same,
ensuring excellent adhesion to the skin.

3Health Care 3M Infection Prevention


Incise Drapes Literature 2005 7/11/05 3:31 PM Page 4

3M™ Ioban™ 2 Antimicrobial Film Incise Drapes

Ioban 2 antimicrobial incise drapes contain iodophor


which is slowly released on to the skin surface giving
continuous and controlled antimicrobial activity
throughout the surgical procedure.

Ioban 2 antimicrobial incise drapes . . .

* have a high moisture vapour transmission rate which


allows the skin to “breathe” ensuring improved
adhesion throughout the longest procedures.

* are highly conformable to body contours. The unique


low memory stretch allows limb mobilisation or heavy
retraction with reduced tension to the skin.

* have superb adhesion right up to the wound edge.

Rate of bacterial recolonisation of the skin after preparation: four methods compared
60

Here is how Ioban 2 antimicrobial


No. of colony forming units

incise drapes compare 50


(mean average results)

40
“Within the duration of the study the
slow release iodophor drape was more 30
effective than the other regimes in
delaying bacterial recolonisation”.1 20

Chlorhexidine in alcohol 10

Povidone-iodine in alcohol
Alcohol and non-3M incise drape 0
Alcohol and Ioban 2 antimicrobial film incise drape 5 Minutes 30 Minutes 1 Hour
Sampling time 3 Hours

1. Johnston D.H., Fairclough J.A., Brown E.M., Morris R: Rate of bacterial recolonisation of the skin after preparation: four methods compared. Br. J. Surg. 1987; 74 p64.
Incise Drapes Literature 2005 7/11/05 3:31 PM Page 5

3M™ Ioban™ 2 Antimicrobial Film Incise Drapes


Proven antimicrobial activity
NEWRESEARCH shows . . . NEWRESEARCH proves . . .
What’s on your patient’s skin when you get ready to operate ? Another reason to use Ioban 2 antimicrobial incise drapes . . .
The following is the summary of a study2. generated by the 3M Infection Prevention In order to analyse antimicrobial activity, the 3M Infection Prevention Discovery Centre
Discovery Centre. has created genetically engineered staphylococci that glow whilst they are alive.2.
Conversely, when they are killed by an antiseptic agent like iodine, the glow ceases. This
New evidence presented in this study: allows a visual demonstration of the release of the antimicrobial agent under laboratory
* A percentage of the patient population naturally host larger conditions. The continuous antimicrobial activity of an iodophor impregnated incise drape
numbers of skin bacteria than others. These are referred to as (Ioban incise drape) is shown through these organisms in a new in vitro study.
“high counters”
What we found out:
* After surgical site disinfection, these “high counters” continue
to harbour significant levels of skin organisms Non-antimicrobial incise drape
* The rate of “high counters” in the general population is about .
one in every three to four people.
* Efficacy of the preps varied with test subject.

The more we learn about the largest of Prep Efficacy (Post-Prep) by Subject
our human organs, the skin, the more we Darkfield image Darkfield image
understand the microbial challenge it ethyl alcohol (ETOH) at initial time point at 2 hours
100.000
presents. The skin is a living organ that providone iodine (PI) Antimicrobial incise drape (Ioban)
provides an effective barrier to the chlorhexidine gluconate (CHG)
outside microbial world.
10.000

In this study, eight subjects were


prepped with common antiseptic solutions.
1.000
What we found out:

Post-Prep Bacteria Counts


*Efficacy of the preps varied with test
subject
*It was related in part to initial bacterial 100 Darkfield image Darkfield image
density on the skin at initial time point at 2 hours
*Although all preps reduced bacterial
counts by at least one log, individual 10
responses varied: It is clear that most of the bioluminescent bacteria remained alive
-70% ETOH reduced more bacteria than after two hours under a non-antimicrobial incise drape. The
PI on one subject while PI worked better Ioban 2 antimicrobial incise drape, however, was successful in
1
than 70% ETOH on another subject. 1 2 3 4 5 6 7 8
killing most of the bioluminescent bacteria.
Subject

The preparation of the operative site should include the use of an


We are not created microbiologically equal - even after prepping, antimicrobial incise drape as well as the normal skin prep.
1

you never know how many bacteria remain on the skin.


Restricted to bacteria in growth phase. (Skin bacteria typically grow at a slower rate.)
Potential false negatives (low/no light emission) can occur if bacteria are temporarily
As long as we are not able to identify “high counters” we should pushed into dormancy. Luminescent bacteria are modified from their original genetic
use incise drapes to create a sterile field around the incision structure. Previous research on other genetically altered organisms reported in the
literature suggests no difference in phenotype. 3M tested the staphylococci of this study
and verified that they did not deviate from their unmodified counterparts.

These laboratory experimental results cannot be extrapolated directly to on-patient


performance. However, results from this bioluminescence method are consistent with
other studies available on Ioban 2 antimicrobial incise drapes.

3M’s Infection Prevention Discovery Centre continues to study this area and other topics in asepsis.
Best practice is achieved through the sophisticated skills of health care professionals combined with sound What’s on your patient’s skin
when you get ready to operate ?
scientific study. For more than 50 years, 3M has offered health care providers innovative solutions designed
to enhance patient outcomes. For a CD Rom that provides more detailed
information about 3M Infection Prevention
Discovery Centre studies, call 01509 613151.

REFERENCE Web site: www.3mhealthcare.co.uk


3Health Care innovation in action

2. Data on file, 3M Health Care Ltd.


Incise Drapes Literature 2005 7/11/05 3:31 PM Page 6

3M™ Steri-Drape™ Incise Drapes

Steri-Drape incise drapes are sterile


adherent drapes which provide a sterile operating
surface.

Steri-Drape 2 incise drapes . . .

● are made of a breathable film which provides


superior adhesion especially during critical and
long surgical procedures.

● have unique low memory stretch to allow limb


mobilisation or heavy retraction reducing the
tension applied to the skin.

● are highly conformable, allowing smooth


adhesion to all contours of the body - including
the notoriously difficult ones.

● reduce or eliminate the need for towel clips


by stabilising surgical drape sheets.

Steri-Drape 1 incise drapes . . .

● are the original incise drapes which are totally


impermeable, have a pressure sensitive adhesive
and provide a sterile operating surface.
Incise Drapes Literature 2005 7/11/05 3:30 PM Page 2

3M Incise Drapes

Application and Removal

A p p l i c a t i o n R e m o v a l
Prior to skin closure
Disinfect the skin with your
usual skin-preparation. Allow the
skin-preparation agent to dry Create a crease in the drape by
completely. pinching the film near the
incision’s edge.

Using two people, remove the liner


Pull up on crease, separating the
on the 3M incise drape until the
drape from the skin at the
xx sign appears.
STOP

incision’s edge, exposing up to


three centimetres of skin surface.
Proceed with closure.

After skin closure


Hold the drape over the
intended incision site with Before removing the drape, first
adequate tension but without cover the incision with the
overstretching. dressing.

Smooth the drape first along the


intended incision line with a sterile Remove the fabric drape with the
towel. film attached by folding the
drape/towels 180° back on itself.
Pull gently with even tension.
Do not pull up.

Working away from the incision


line, smooth the remainder of the To remove incise drapes from
drape into place. reusable linen drapes or towels,
wet the material and then peel the
incise drape off the material.

3M incise drapes DO DO NOT


Apply to prepped, dry skin Overstretch the drape during application
Apply using slight tension Defibrillate through the drape
Remove by peeling drape at 180° angle Use 3M™ Ioban™ 2 Antimicrobial Incise Drapes on
iodine-sensitive patients

Backed by the 3M reputation for innovation and quality.


The 3M range of incise drapes is designed to provide a sterile operating surface for all types of surgery.
Effectively preventing bacterial migration, the superior performance characteristics and adhesion of
3M incise drapes make them an ideal choice even for long operating procedures.

Email: infectionprevention.uk@mmm.com 3M Health Care not only provides quality

3 products but also appropriate supporting services


which enable correct product use and optimised
outcomes.
Theatre Products
3M Health Care Limited 3M Ireland
3M strives to contribute to one of the ultimate
3M House 3M House goals of all health care organisations: infection-free
Morley Street Adelphi Centre patients and health care professionals, throughout
Loughborough Dun Laoghaire
the continuum of care.
Leicestershire LE11 1EP Co. Dublin, Ireland
Tel: (01509) 611611 Tel: (01) 280 3555 3M, Ioban and Steri-Drape are trademarks of the 3M Company.
Fax: (01509) 237288 Fax: (01) 280 3509 © 3M Health Care Limited 2005.
GX750
Incise Drapes Literature 2005 7/11/05 3:30 PM Page 1

3M Incise Drapes

Ordering Information

3M™ Ioban™ 2 Antimicrobial Incise Drapes


NSV Code 3M Cat No. Product Overall Size Adhesive Area Items/Box Boxes per Case
ELW891 6635 Treatment Incise 15cm x 20cm 10cm x 20cm 10 4
ELW893 6640 Small Incise 44cm x 35cm 34cm x 35cm 10 4
ELW895 6650 Medium Incise 66cm x 45cm 56cm x 45cm 10 4
ELW897 6648 Large Incise 66cm x 60cm 56cm x 60cm 10 4
ELW925 6651 Extra Large Incise 66cm x 85cm 56cm x 85cm 10 4

3M™ Steri-Drape™ 2 Incise Drapes


ELW801 2035 Treatment Incise 20cm x 20cm 10cm x 20cm 10 4
ELW853 2037 Special Incise 38cm x 25cm 28cm x 25cm 10 4
ELW855 2040 Small Incise 38cm x 41cm 28cm x 41cm 10 4
ELW857 2045 Medium Incise 60cm x 45cm 50cm x 45cm 10 4
ELW859 2050 Large Incise 90cm x 60cm 60cm x 60cm 10 4
ELW861 2051 Extra Large Incise 90cm x 85cm 60cm x 85cm 10 4

3M™ Steri-Drape™ 1 Incise Drapes


ELW811 1035 Treatment Incise 15cm x 20cm 10cm x 20cm 10 4

– 1037 Special Incise 29cm x 25cm 19cm x 25cm 10 4


ELW815 1040 Small Incise 60cm x 35cm 35cm x 35cm 10 4
ELW817 1050 Large Incise 82cm x 45cm 60cm x 45cm 10 4
ELW819 1051 Extra Large Incise 82cm x 85cm 60cm x 85cm 10 4

MINIMUM ORDER QUANTITY: 1 CASE

3M has simplified the patient prepping process


Clip with a 3M™ Surgical Clipper

Prep with a skin prep solution

Drape with an Ioban 2 antimicrobial incise drape


These three easy steps provide a fast and effective prepping method which can be incorporated into infection control protocol.

3M HEALTH CARE FREE EXCHANGE SCHEME


3M Health Care recognises that lists and procedures are subject to last minute changes. Therefore your Theatre Products
Representative will be happy to exchange any uncontaminated, opened and unused 3M surgical drape or surgical gown, free
of charge, for a new sterile drape or gown.

For further information, samples or to arrange a free demonstration of gowns and draping systems,
contact your local Theatre Products Representative or Customer Services on 01509 613151.

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