LONDON, Jan. 24, 2022 /PRNewswire/ — Smith+Nephew (LSE:SN,NYSE:SNN), the global medical technology business, is pleased to announce new indications for use for its PICO 7 and PICO 14 Single Use Negative Pressure Wound Therapy (sNPWT) Systems. The U.S. Food and Drug Administration (FDA) cleared the systems for use on closed surgical incisions, to aid in reducing the incidence of:
- Superficial and deep incisional surgical site infections (SSIs) for high risk patients in Class I and Class II wounds
- Post-operative seroma
The development of post-operative surgical site complications (SSCs), such as surgical wound dehiscence, are a substantial burden for patients and healthcare systems, globally1. Postoperative wound dehiscence cases from the Nationwide Inpatient Sample demonstrate 9.6% excess mortality, 9.4 days of excess hospitalization and $40,323 in excess hospital charges relative to matched controls2. In addition, it is estimated that 5% of all patients undergoing a surgical procedure will develop an SSI1. In the U.S. alone, more than 500,000 patients are affected by SSIs each year, resulting in about 8,000 deaths annually3. SSIs are also the most common reason for readmission to the hospital, accounting for 19.5% of overall readmissions4. However, 60% of all SSIs are considered preventable2.
“As a high-volume elective hip and knee replacement surgeon, I am sending more patients home the same day with outpatient surgery,” said Dr. Bashyal, Director of Outpatient Total Joints, NorthShore University Health System, Chicago, Illinois. “The PICO System has been a game changer in managing closed incisions in my practice by helping to reduce the incidence of wound complications, including drainage, seromas, and superficial infections.”
As part of the process for FDA clearance of the PICO 7 and 14 sNPWT Systems, the clinical evidence was subject to rigorous review. Only the highest quality evidence was considered, such as randomized controlled trials (RCTs). Overall, twenty-five (25) studies enrolling 5,560 patients were included, spanning a variety of surgical specialties such as cesarean section, orthopedics and colorectal. By performing meta-analyses on these studies, the PICO 7 sNPWT System demonstrated statistical efficacy when compared to conventional dressings, including the reduction of the incidence of superficial and deep incisional SSIs for class I and class II wounds. The PICO System also reduced the odds of post-operative seroma and dehiscence.
Recently celebrating 10 years in clinical practice, PICO sNPWT has been used on an estimated 2.3 million surgical incisions, helping to prevent surgical site complications.1,5 The PICO System has helped reduce hospital stays and spared healthcare systems the associated costs of nursing time and resourcesⱡ1,6,7.
Additionally, the PICO 7Y System, which treats two wounds simultaneously, was also cleared by the FDA to aid in the reduction of the incidence of superficial incisional SSIs for high risk patients in Class I wounds, post-operative seroma and dehiscence. The PICO System is demonstrated to be effective for up to 7 days for aiding in reducing the incidence of surgical site infection.
To learn more about PICO sNPWT see www.possiblewithpico.com
For full product and safety information, please see the Instructions for Use.
ⱡ Compared to standard of care
- World Union of Wound Healing Societies (WUWHS), 2016. Closed surgical incision management: Understanding the role of NPWT. Wounds International.
- Shanmugam, V. K., Fernandez, S. J., Evans, K. K., McNish, S., Banerjee, A. N., Couch, K. S., Mete, M., & Shara, N. (2015). Postoperative wound dehiscence: Predictors and associations. Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society, 23(2), 184–190. https://doi.org/10.1111/wrr.12268
- Najjar PA, Smink DS. Prophylactic antibiotics and prevention of SSIs. Surg Clin N Am 2015;95(2):269-283.
- Merkow RP, et al. Underlying reasons associated with hospital readmission following surgery in the United States. JAMA 2015;313(5):483-495.
- DOF Smith+Nephew 2021. Assumptions on product channel split.
- Dowsett C, Hampton K, Myers D, Styche T. Use of PICO to improve clinical and economic outcomes in hard-to-heal wounds. Wounds International. 2017;8(2):52-58
- Saunders C, Nherera LM, Horner A, Trueman P. Single-Use negative-pressure wound therapy versus conventional dressings for closed surgical incisions: systematic literature review and meta-analysis. BJS Open. 2021;0(0):1 – 8.
Smith+Nephew is a portfolio medical technology business focused on the repair, regeneration and replacement of soft and hard tissue. We exist to restore people’s bodies and their self-belief by using technology to take the limits off living. We call this purpose ‘Life Unlimited’. Our 18,000 employees deliver this mission every day, making a difference to patients’ lives through the excellence of our product portfolio, and the invention and application of new technologies across our three global franchises of Orthopaedics, Advanced Wound Management and Sports Medicine & ENT.
Founded in Hull, UK, in 1856, we now operate in more than 100 countries, and generated annual sales of $4.6 billion in 2020. Smith+Nephew is a constituent of the FTSE100 (LSE:SN,NYSE:SNN). The terms ‘Group’ and ‘Smith+Nephew’ are used to refer to Smith & Nephew plc and its consolidated subsidiaries, unless the context requires otherwise.
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