Smith & Nephew PICO User manual

Supporting healthcare professionals for over 150 years
Quick
Reference
Guide
(Refer to PICO Instructions for Use
for full details)

2 |PICO Quick reference guide
1. Remove any excess hair to ensure close approximation
of the dressing to the wound. If necessary irrigate the
wound with sterile saline and pat the wound dry.
2.Usingacleantechnique,peelothecentralrelease
handle and place the dressing centrally over the wound
toreducethechanceofwounduidcomingintocontact
with the soft port.
 Ensurethedressingliesattothewoundand
surrounding skin. The soft port should be uppermost from
the wound (depending on the patient’s primary position),
placed on intact skin and not extending over the wound to
preventuidpoolingaroundthesoftportandblockingthe
negative pressure.
Remove the other two handles and smooth the dressing
around the wound to prevent creasing. Reposition if
required to ensure border is not creased.
3.Once the dressing is in place, remove the pump and the
batteries from the tray. The direction in which the
batteries should be placed is indicated inside the battery
compartment. Insert the batteries. Replace the cover.
Followingthisallthreeindicatorsshouldashonce(See
page 5).
4. Join the pump and dressing tubes by twisting together
the connectors. The soft tube can be directly connected
to the pump if long tubing is not required.
Press the orange button to start the application of
negativepressure.Thegreenindicatorwillstarttoash
(indicates system working OK - See page 5).
Depending on the size of the wound, the pump should
take up to 30 seconds to establish negative pressure
wound therapy.
5.IfusingSECURA™priortoapplicationofthexationstrips
wipe the area surrounding the dressing and allow skin
to dry. (Please refer to section 5. Precautions in the PICO
Instructions for Use)
6.Applythexationstripstoeachofthefoursidesofthe
dressing. Remove top carrier on the strip after each one
has been applied. These strips maintain the seal over
the wear time of the dressing. Place each strip so that
it overlaps the dressing border by approximately 1cm.
Ensure tubing is not twisted or trapped between clothing.
PICO™ dressing application
Please note: That if at any
timethexationstripsare
removed, the dressing
should also be replaced.

PICO Quick reference guide |3
PICO™ dressing change
1. Dressings should be changed in line with standard wound
management guidelines, typically every 3-4 days. At the
healthcare professional’s discretion a PICO dressing may
be left in place for up to 7 days.
2. Inspect the dressing regularly. If the dressing appears
ready for changing; (image B or C) press the orange
button and disconnect the dressing from the pump. The
xationstripsshouldbestretchedawayfromtheskinand
the dressing lifted at one corner and peeled back until it
has been fully removed. Apply another dressing as per
dressing application section. (See page 2) Connect to
the pump and press the orange button to reinitiate the
therapy.
3. The dressing should be disposed of as clinical waste.
The batteries should be removed from the pump; and
both batteries and pump disposed of according to local
regulations.
A. Dressing properly positioned and
is acceptable to be left in place.
B. Dressing requires change.
C. Dressing requires change.
Usewithllersandwoundcontactlayers
 PICOiscompatiblewithstandardgauzeandfoamllers
used in traditional NPWT where this is clinically appropriate
–forexampleonadefectwound.Whenllerisused,
thellerandthePICOdressingshouldbechanged2to
3 times a week, according to local clinical protocol and
manufacturer’sinstructions.Gauzeshouldlooselylltothe
surface of the wound. Avoid over packing.
PICO may be used over the top of a non-adherent layer if
required, for example over a skin graft. Gel strips may be
used around the border to help achieve a seal.
PICO is compatible with compression therapy if clinically
required;however,thewoundshouldberstaccurately
assessed to ensure the exudate is of low to moderate
volume. Application of active NPWT to a wound may cause
production of additional exudate; under a compression
system, check the PICO dressing after 2-3 days.
On infected wounds
or wounds at risk of
infection, ACTICOAT™ Flex
3 antimicrobial dressings
may be used under PICO.

4 |PICO Quick reference guide
Showering and bathing
Cleaning
Light showering is permissible but care must be taken that
the dressing is not saturated. The device and dressing
should not be exposed to a direct spray nor must they be
submerged. The device should be disconnected from the
dressing prior to showering. In this case, place the device
in a safe location where it will not get wet. Ensure the end of
the tubing attached to the dressing is facing down so that
water does not enter the top of the tube.
Adherence to clinical directives concerning hygiene is of
prime importance. The pump may be wiped clean with a
damp cloth using soapy water or a weak disinfectant
solution.

PICO Quick reference guide |5
Device status indications
Display status Indicator status Possible cause Comments/trouble shooting
Allindicatorso. The pump is OFF.
The pump has reached the
end of its life.
The batteries are no longer
functional.
The therapy has been paused. Pressing the orange
button will restart the therapy and the green indicator
willash.
When the pump reaches the end of its life, it will
automatically cease functioning, in this case all the
indicatorswillturno.Pressingtheorangebuttonwill
notprovideagreenashingindicator.
Ifthepumphashadlessthanthespecieddays
usage, the batteries may not be functional and should
be replaced.
All indicators
ashonce.
Thisreectsthepump
self-test once batteries have
been inserted and the cover
has been replaced.
This is expected.
Green ‘OK’
indicatorashes.
Dressing applied, and
full system is functioning
properly.
No issues.
The pump may be heard running occasionally as it
maintains the negative pressure. This is normal. If
this occurs frequently (several times an hour) smooth
down the dressing to remove any creases that may
be allowing air into the system. NPWT is still being
applied in this situation.
Yellow ‘leak’
indicatorashes.
Air leak detected possibly
due to a creased dressing/
border/strip.
Pump is in auto pause.
NPWT is not being applied
to the wound.
The pump will auto
pause for 1 hour and then
will automatically try to
re-establish therapy if no
remedial action is taken.
Smooth down the dressing and the strips to remove
any creases that are allowing air into the system.
Press the orange button to restart the therapy. The
green“OK”indicatorwillashasthepumptriesto
establish therapy.
If the air leak remains, the yellow leak indicator will
starttoashafterapproximately30seconds.
If this happens, repeat smoothing actions and press
the orange button. If the leak is resolved the green
indicatorwillcontinuetoash.
Green ‘OK’
indicatorashes.
Yellow ‘battery
low’ indicator
ashes.
System on and functioning
properly.
Battery power low.
Change of batteries required in <24 hours. Pause
therapy by pressing the orange button.
Push open the battery cover at the top of the pump
and remove the old batteries.
Insert 2 new AA lithium (L91) batteries.
Replace the cover. Press the orange button, the
therapywillre-startandthegreenindicatorwillash.
Yellow ‘leak’
indicatorashes.
Yellow ‘battery
low’ indicator
ashes.
Creased dressing/ border/
strip.
Battery power low.
Address air leak as above.
Change of batteries or device required in <24 hours
as above.
All indicators
solidly
illuminated.
Pump failed.
System is not usable.
Contact Smith & Nephew representative.
Apply new pump and dressing.
PICO™ has visual indicators to let the user know when there is an issue. PICO does not contain audible alerts. The
pump should be carried so that it is accessible and the patient/healthcare professional can check the status routinely.

6 |PICO Quick reference guide
PICO™ system ordering codes
PICO Single Use NPWT for 7 days consist of 1 pump, 2 sterile dressings, sterilized retention strips and 2 AA batteries
Image Product code Description NHSSC Code PIP Code
66801358 PICO
10cm x 20cm ELZ653 366-8571
66801359 PICO
10cm x 30cm ELZ654 366-0032
66801360 PICO
10cm x 40cm ELZ650 377-7646
66801361 PICO
15cm x 15cm ELZ655 366-0024
66801362 PICO
15cm x 20cm ELZ656 366-0016
66801363 PICO
15cm x 30cm ELZ651 377-7653
66801364 PICO
20cm x 20cm ELZ652 377-7679
66801365 PICO
25cm x 25cm ELZ657 377-7661
66800918 PICO Bag - 366-0073
66801020 Gauze Wound Filler ELZ426 375-8679
66801021 Foam Wound Filler ELZ427 375-8661
66801082
RENASYS™Adhesive
Gel Patch
10cm x 7cm
ELZ440 373-8036

PICO Quick reference guide |7
Image Product code Description NHSSC Code PIP Code
66801356 PICO Multisite Small
15cm x 20cm ELZ691 397-7188
66801357 PICO Multisite Small
20cm x 25cm ELZ692 397-7196
PICO™ Multisite dressing ordering codes
PICO Single Use NPWT for 7 days consist of 1 pump, 2 sterile dressings, sterilized retention strips and 2 AA batteries
PICO Multisite allows:
• Allows easier attainment and maintenance of
a seal compared to standard PICO dressings
– especially in awkward anatomical areas e.g.
heels.1
• Better conformability compared to a standard
PICO dressing. This helps to minimize creasing in
awkward anatomical areas e.g. heel.1

Reference
1. DataonlereportOR-DOF/42AVolunteertrialtoassessdressingperformanceofPalermo(PICO)Multisitevs.controlMar2014
www.smith-nephew.com/uk
™Trademark of Smith & Nephew
All Trademarks acknowledged
©February 2017 Smith & Nephew
79401
Smith & Nephew
Croxley Park
Building 5, Lakeside
Hatters Lane, Watford
Hertfordshire WD18 8YE
T [phone]
F [phone]
Support healthcare professionals
for over 150 years
To place an order for PICO Single-Use Negative Pressure Wound Therapy,
please contact Smith & Nephew:
Monday - Thursday 8.00am - 5.30pm
Friday 8.00am - 5.00pm
UK
T: 08000 157 573
F: 01923 477101
E: [e-mail]
PICO™ device ordering
Please note: Orders need to be received by 4.00pm and delivery time is 2 working days
Ireland
T: 01 276 9700
F: 01 276 4970
E: [e-mail]
24hr Technical support freephone number:
UK: 0800 9155394
Ireland: 1800 30 36 22