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Outlasts,Outperforms,Outnumbers™
Also Sprach Zarathustra-Eumir Deodato, Prelude
Table of Contents
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The Silverlon® Advantage
The Negative Pressure Innovation
What Silverlon® Has
How To Use
Five Case Studies
90 Day Value Analysis
One Year Value Analysis Projection
Savings Calculator – hospital
Savings Calculator – home health
Contact Information
slide 3
slides 4-5
slides 6-7
slides 8-10
slides 11-22
slide 23-24
slides 25-27
slide 28
slide 29
slide 30
The Silverlon® Advantage
• Silverlon® is the most cost effective silver
product on the market and is the most versatile.
• Silverlon® can be rinsed to remove excess
exudate and reapplied for up to 7 day use.
Silverlon® Negative Pressure Dressings
Award Winning Innovation
Combine Silverlon® NPD with NPWT
Accelerates Healing Potential.
Proven in over 300 patient trials to enhance and accelerate granulation
and wound closure by 20% to 40% vs. Conventional protocols.
Reduces Overall Cost of NPWT.
Wounds heal quicker, saving rental charges, kit costs, and nursing time.
Lowers Infection.
Proven in over 300 patient trials to lower the risk of the media re-infecting
the wound bed.
Silverlon® Negative Pressure Dressings
Award Winning Innovation
Combine Silverlon® NPD with NPWT: (Continued)
Reduces Foam Sticking to the Wound.
Silverlon® not only reduces the incidence of foam adhering to the
granulation bed, but it also eliminates the need to pick the foam out of
the wound.
Safe and Easy to Use.
Silverlon® is not known to interact with any drug and is bactericidal to
all clinically relevant pathogens. It will not shed metallic silver into
tissue, nor will it tattoo or stain the skin.
Silverlon® Negative Pressure Dressings
Clinical Investigations
Silverlon® Negative Pressure Dressings
Sustained Strength & Easy to Use
Silverlon® Negative Pressure Dressings
Simple Technique Means Easy to Use
Silverlon® Negative Pressure Dressings
Professional Guidelines For Use
 Moisten dressing with sterile or clean water. Saline may be
used for irrigation, but should be avoided as the primary
wetting agent.
 Apply either side of dressing in direct contact with wound
bed and walls, and overlap wound edges onto healthy skin.
 Cover Silverlon® NPD with negative pressure foam or fill
media ( if using Versatile 1) and drape per manufacturer’s
instructions.
 Change Silverlon® NPD when you change foam or fill media.
 Silverlon® NPD may be used for up to 7 days.
Silverlon® Negative Pressure Dressings
Frequently Asked Questions
 Can these dressings handle highly exudative wounds ?
 The unique dual “flow ports” allow for rapid fluid passage into the media,
making it an ideal dressing over highly exudative wounds, with or without
the use of NPWT.
 Can these dressings be rinsed and reused ?
 Based on professional discretion, all these dressings may be rinsed and
reused, provided they are substantially free of debris and exudate.
 Can these dressings also be used without negative pressure
therapy ?
Absolutely, simply follow Silverlon® wound contact protocol.
 See dressing package for Indications and Caution.
Five Clinical Cases
Combining Negative Pressure Therapy
with Silverlon® Negative Pressure
Dressings, and Bilayered Living Skin
Equivalent
Case Study 1
• 82 y/o woman with diabetes, peripheral
vascular disease, and neuropathy
• Ulcer developed from thermal injury
(electric blanket). Failed to respond to
conventional treatment.
Case Study 1
(Continued)
1/12/02
1/12/02
Necrotic Diabetic Heel
Ulcer
s/p debridement, preApligraft®, Silverlon®, KCI
Wound Vac®
5.1 x 7.0cm
Case Study 1
(Continued)
85% Wound Volume Reduction in 90 days
1/14/02
4/10/02
2 days s/p Apligraft®,
Silverlon®, Wound Vac®
2 days s/p 2nd apligraft®,
Silverlon®, Wound Vac®
2.1 x 2.0cm
Case Study 2
Rapid Healing in 90 days
10/3/01
12/31/01
Admit
Healed at 3 months
4.7 x 6.0 x 1.8cm
Case Study 3
Rapid Healing In 30 Days
11/12/01
12/10/01
Silverlon® & Wound Vac®
s/p Silverlon®, Vac®, &
Apligraft®
4.0 x 4.7 x 0.7 cm
0.6 x 1.0 cm
Case Study 4
• 73 y/o woman with chronic steroid
dependent asthma, hypertension
bilateral venous stasis disease and hx
of phlebitis.
• 3 month old painful leg wound that
originated from an insect bite and has
failed conventional therapy
Case Study 4 (Continued)
Admit
6/11/01
s/p debridement
s/p 12 of Wound Vac®
application of Apligraf®
continue Vac® and
Silverlon® reduced pain
Case Study 4 (Continued)
7/2/01
8/28/01
s/p Apligraf® & Vac
Continue Silverlon® and
Dynaflex®
Healed in less than 3 months
Case Study 5
• 63 y/o woman with chronic steroid
dependent rheumatoid arthritis, Sjogren
Syndrome, osteoporosis and iron
deficiency anemia present with a a
traumatic painful leg Ulcer.
Case Study 5 (Continued)
11/26/01
11/29/01
Admit
s/p debridement
application Apligraf®
9.9 x 8.5cm
Case Study 5
(Continued)
11/29/01
12/03/01
Apligraf®, Silverlon®,
Vac®
1st dressing change,
reduced pain, went on to
rapid healing
COMPARATIVE STUDY OF COMBINATION THERAPY
SILVERLON®NPD with VAC® VS. VAC® ALONE
Non-Healing Chronic Wounds Associated With Tissue Defects of the Legs and Feet,
Stanley N. Carson, M.D.; Fountain Valley Regional Hospital. Presented at SAWC, 2005
Efficacy and Cost Savings Analysis at 90 days of Treatment.
Patient Population
VAC® Alone N=40
Age
Male
Female
Diabetes
Tobacco Use
Renal Failure
Ischemia ABI 0.5-0.8
Wound Areas
16 – 90 years
21
19
18
7
5
12
Avg. = 10cc
Silverlon® NPD & VAC® N=40
15 – 89 years
21
19
18
7
5
12
Avg. = 12cc
COMPARATIVE STUDY OF COMBINATION THERAPY
SILVERLON®NPD with VAC® VS. VAC® ALONE (Continued)
RESULTS
VAC® Alone
Silverlon® NPD & VAC®
Percent healed at 90 days
50%
87.5%
Infection
15%
0
No. of kits/patient
30
18
Nurse time/ patient
17.5 hrs.
10.5 hrs.
Savings per patient
w/ Silverlon® NPD
$ 3,073.50
__________________________________________________________________
Protocol:
VAC® alone:
Silverlon® & VAC®:
VAC® dressings changed every 3 days.
VAC® dressings changed every 5 days.
One Year Value Analysis Projection
Using Silverlon® with
Negative Pressure Wound Therapy
• Expected Annual Cost Savings Analysis Using
Medicare Reimbursement Pricing
• 2003 actual utilization at 800 bed teaching
hospital with an average of 18 active VAC’s
• Silverlon® Negative Pressure Dressing with
VAC® vs. VAC® with Standard Kit
One Year Value Analysis Projection
Negative Pressure Wound Therapy
(Continued)
VAC® Alone --- Standard KCI Protocol
3 Dressing Changes Per Week
Costs
Actual NPT Patient Days - 2003
Actual Rental Charge (Per Day Per Machine)
Actual Kit Usage - 3 kits/wk/patient (total units)
Avg.Kit Cost (foam/drape) – avg. of all sizes
Avg. Nursing Time Per Kit Change - 38 min. each
Avg. Infection Rate: NPT Related
6,570
$ 70.00
$ 459,900
2,190
$ 28.00
$ 61,320
1,387hrs. @ $ 27/hr $ 37,449
12%
Total $558,669
VAC® Combined with Silverlon® NPD --- Silverlon® Protocol
1 Dressing Change Per Week
Costs
Est. NPT Patient Days with Silverlon® - 2003
Est. NPT Rental Charge (Per Day Per Machine)
Est. Kit Usage – 1 kit/wk/patient (total units)
Avg. Kit Cost
Avg. Nursing Time for 938 kits @ 38 min. each
5,256
$ 70.00
938
$ 28.00
594 hrs. @ $27/hr
$ 367,920
$ 26,264
$ 21,411
Total $ 415,595
Expected Savings: $ 558,669 - $ 415,595 = $ 143,074 or 25 %
One Year Value Analysis Projection
Negative Pressure Wound Therapy (Continued)
Expected Annual Savings
Rental Savings from fewer rental days needed:
$ 459,900 - $ 367,920 =
$ 91,980 or 20%
Disposable Kit Savings from fewer kits used:
2,190 – 938 = 1,254 saved $ 35,056 or 57%
Nursing Time Savings from fewer kit changes:
1,254 kits @ 38 minutes = 793 hrs. or 57%
Payroll Dollars Saved: (793 nurse hours x $ 27 avg.) = $ 21,411
Overall Expected Annual Savings: $ 143,074 or 25%
Can your silver dressing do this ?
Savings Calculator – Hospital
(file on this CD as NPD Savings Calculator – Hospital.xls)
Negative Pressure Therapy
Estim. National
Averages
Direct Cost Per Patient Week
Plug In Your
Costs
Assumptions
Daily Pump Rental Cost
Avg. Disposable Kit Cost
Avg. Hourly Nursing Cost
Avg. Cost of SilverlonØ Negative Pressure Dressing
Avg. Number of Active NPWT Patients Per Week
$70.00
$28.00
$27.00
$25.00
$65.00
$28.00
$27.00
$25.00
10
$490.00
$84.00
$40.50
$455.00
$84.00
$40.50
$614.50
$579.50
$490.00
$42.00
$20.25
$37.50
$455.00
$42.00
$20.25
$37.50
$589.75
$554.75
$24.75
$24.75
$247.50
$12,870.00
Weekly Cost of Care - Conventional Protocol - 3 Changes
Weekly Pump Rental
Kit Costs Per Week with 3 Changes
Labor Per Week (30 min. per Kit Change - 3 changes)
Estimated Weekly Cost Per Patient
Weekly Cost of Care - SilverlonØ NPD Protocol- 1.5 Changes
Weekly Pump Rental
Kit Costs Per Week with 1.5 Kit Changes
Labor Cost Per Week (30 min. per Kit Change - 1.5 changes)
SilverlonØ Cost
Estimated Weekly Cost Per Patient
Estimated Weekly Savings Per Patient
Estimated Weekly Savings --- All Patients
Estimated Annual Savings --- All Patients
Additional Weekly Savings - Patient Days Reduced 20% With Silverlon
10
Ø NPD Protocol
Weekly Pump Rental
Kit Costs Per Week with 1.5 Kit Changes
Labor Cost Per Week (30 min. per Kit Change - 1.5 Changes)
Silverlon CostØ
Estimated Weekly Cost Per Patient
Estimated Savings With SilverlonØ ----- Per Patient Per Week
Estimated Savings With SilverlonØ ----- All Patients
Expected Annual Savings --- Reduced Patient Days --- All Patients
Total Direct Annual Savings All Patients
$392.00
$33.60
$20.25
$37.50
$364.00
$33.60
$16.20
$30.00
$483.35
$443.80
31%
10
$135.70
$1,357.00
$70,564
$83,434.00
Savings Calculator – Home Health
( file on this CD as NPD Savings Calculator – Home Health.xls)
Negative Pressure Wound Therapy
Cost Per Patient Week
Estim. National
Averages
Plug In Your
Costs
Home Health
Agency Savings
with SilverlonØ
$70.00
$28.00
$100.00
$30.00
$60.00
$28.00
$100.00
$24.00
50
$490.00
$84.00
$300.00
$874.00
$420.00
$84.00
$300.00
$804.00
Medicare
Medicare
your cost
$490.00
$42.00
$150.00
$45.00
$727.00
$420.00
$42.00
$150.00
$36.00
$648.00
Medicare
Medicare
$150.00
($36.00)
$147.00
$156.00
$114.00
Assumptions
Daily Pump Rental Cost
Avg. Disposable Kit Cost
Avg. Nursing Visit Cost
Avg. Cost of SilverlonØ Negative Pressure Dressing
Annual Average Total Number of NPWT Patients
Weekly Cost of Care - Conventional Protocol- 3 Visits Per Week
Weekly Pump Rental
Kit Costs Per Week with 3 Changes
Labor Per Week with 3 Changes
Estimated Weekly Cost Per Patient - Conventional Protocol
Weekly Cost of Care - SilverlonØ NPD Protocol- 1.5 Visits Per Week
Weekly Pump Rental
Kit Costs Per Week with 1.5 Kit Changes
Labor Cost Per Week with 1.5 Kit Changes
SilverlonØ NPD Cost
Estimated Weekly Cost Per Patient - Silverlon Ø NPD Protocol
Estimated Weekly Savings --- Conventional Protocol vs SilverlonØ NPD Protocol
Additional Agency Savings From Faster Healing
Using Silverlon Ø NPD Protocol
Estimated Savings Per Week of Care Saved --- Silverlon
Ø NPD Protocol
--- Per Patient
average duration of care - Conventional Protocol - days *
average days saved with SilverlonØ NPD Protocol - assuming 30% * *
Your Estimated Savings - Per Patient
Annual Average Number of NPWT Patients
Your Estimated Total Annual Savings
Source: * KCI, Ostomy Wound Management 1999, Nov:45(11) 41-50
Source: * * Carson, SN et al, Silver Dressings Used with VACØ: Is There An Advantage ?
Estim. National
Average
$147.00
97
29
$611.10
Your
Agency
$114.00
$473.91
50
$78,985.71
Silverlon®
Contact Information
Argentum Medical, LLC.
(Customer Service) 1-888-551-0188
More information is available at SILVERLON.COM
Silverlon® Outlasts, Outperforms, Outnumbers™