duomed® • 9
mmHg and they are under close clinical supervision.
• Decompensated heart failure (NYHA III + IV)
• Septic thrombophlebitis
• Phlegmasia cerulea dolens
In the following instances, the therapeutic decision
should be made by weighing up the benefits and risks
and by selecting the most suitable compressive
equipment:
• Severe weeping dermatosis
• Intolerance to compressive material
• Severe paraesthesia in the limbs
• Advanced peripheral neuropathy (e.g. in diabetes
mellitus)
• Primary chronic polyarthritis
If you are not sure whether one or more of these
statements applies to you, speak to your doctor and/
or the medical personnel treating you.
The following risks and the following side effects may
occur:
Medical compression stocking may incur the follow-
ing, especially if handled incorrectly:
• Skin necrosis and
• Pressure damage to peripheral nerves.
If your skin is sensitive, the compressive equipment
may cause itchiness, peeling or signs of inflammation.
Adequate skincare under the compression stocking is
vital. Therefore, please take particular care to observe
our important notes and the instructions for putting
the compression stocking on (sections 7 and 8).
If the following symptoms are experienced - the com-
pression stocking should be removed immediately
and clinical advice sought: Change in toe colour - blue
or white, new experience of paraesthesia or numb-
ness in toe foot or leg, increase of pain, shortness of
breath, sudden sweating or acute limitation in move-
ment of limb.
5. Intended users and patient target groups
Healthcare professionals and patients, including per-
sons who play a supporting role in care, are the inten-
ded users for this device, provided that they have re-
ceived briefing on this from healthcare professionals.
Patient target group: Healthcare professionals should
provide care to adults and children, applying the
available information on the measurements/sizes and
required functions/indications, in line with the infor-
mation provided by the manufacturer, and acting un-
der their own responsibility.
6.
How long should my duomed compression
stocking be worn for? How long can it be used for?
Unless otherwise specified by the doctor, wear your
mediven compression stocking from morning to night
for optimal therapeutic results. . If the maximum wea-
ring time is exceeded by a significant amount in ex-
ceptional cases (e.g. long haul flights), the top band
should be moved frequently if you are wearing a
thigh-length stocking, or you should consider wearing
tights as an alternative.
A precise pressure gradient (high pressure at bottom,
decreasing towards the top) is required to ensure that
compression stocking functions optimally.Through
daily wearing and washing, the medically necessary
pressure and elasticity of your compression stocking
can decrease over time. The stockings should there-
fore only be used for a maximum of six months. If the
medical compression stocking has been used for six
months and a repeat prescription is issued, the
patient’s dimensions must be checked again by the
medical specialist retailer as they could have changed
due to the patient’s condition or their individual cir-
cumstances.
Observe our instructions for putting on the stockings
and instructions for care to ensure that the compressive
effect is maintained as well as possible (sections 8 and
10). Please do not hesitate to get in touch with us. We
can give you information on the options for ensuring
long-term effective therapy for venous and lymphatic
system disorders using medical compression garments.
7. Instructions for use - what should I know?
• The compression stocking should be issued by
trained specialists with a briefing on how to handle it
and how to care for the compression stocking (see
sections 8 and 10 on this).
• If pain or increased irritation of the skin occurs while
you are wearing the compression stocking, remove it
immediately and consult your doctor or the medical
specialists.
• Appropriate skincare must be maintained during
compression therapy. This is essential. Creams or
salves that are particularly greasy and also soap
residue can cause skin irritation and material wear
and can thus impair the efficacy of the compression
stocking. Therefore, medi also offers a skincare
range (medi day, medi night, medi soft foam lotion)
that is specially formulated for compression stock-
ing. Please visit a medical specialist retailer to dis-
cuss which product is right for you.
• Compression stockings with a silicone top band can
cause skin irritation in people with sensitive skin
(caused by perspiration in combination with me-
chanical stress). In order to prevent this, it is recom-
mended that the top band is repositioned slightly
several times throughout the day. If the patient uses
unsuitable skincare (see also previous point) or has a
lot of body hair, then the compression stocking could
slip. Please visit a medical specialist retailer to dis-
cuss this, should it occur.
• Sharp fingernails and jewellery can cause damage to
the knit fabric.
• Do not attempt to repair your compression stocking
yourself or to have it repaired by an external service
provider, as this will render the guarantee void, with-
out exception. Furthermore, this can impair the
quality, safety and efficacy of the product. You can
obtain information on correct repair by medi - if pos-
sible - from your medical specialist retailer or our
services.
• In the event of any complaints regarding the product
such as damage to the fabric or a fault in the fit,
please report to your specialist medical retailer di-
rectly. Only serious incidents which could lead to a
significant deterioration in health or to death are to
be reported to the manufacturer or the relevant au-
thorities in the EU member state. The criteria for se-
rious incidents are defined in Section 2, No. 65 of the
Regulation (EU) 2017/745 (MDR).
• The sewn-in fabric label is an important component
in ensuring that the identification and traceability of
the product is guaranteed. Therefore, ensure that it
is not removed from the compression stocking under
any circumstances. Do not tear it out or cut it out, as
this renders any claim to the guarantee, repair or ex-
change null and void.
8. Care instructions - what do I need to do when put-
ting on my duomed compression stocking?
Explanatory videos with tips and tricks for putting on
the stocking correctly can be found here: www.medi.
biz/donning
Ideally, you should put the compression clothing on
immediately after you wake up. If you have a shower
in the morning and then apply skin care products (see
“Section 10 - Skin care products” here), then you
should wait a while until your skin is completely dry.
This will make it far easier to put on the compression
clothing. Please also ensure that you have your medi
fabric gloves or rubber gloves ready. These are availa-
ble from specialist medical retailers. You will use them
later. They make it easier to distribute the fabric over
the leg, or you can use them to put the stocking on,
right from the beginning. The gloves proffer excellent
purchase and make it easier to put on the clothing.
Tip:
Ask about useful donning aids such as the medi But-
ler, medi 2in1 and medi slide.
When you are putting the clothing on, ensure that
your fingernails have been filed into a smooth, roun-
ded shape. It is also important to ensure that your
heels and toenails are well cared for to avoid causing
damage to the knit fabric. Only put your jewellery or
watch on once you have put the compression clothing
on. To ensure that your compression stocking is easy
to put on, sit down and place your foot on an elevated
support, such as a small stool.
Tip for compression stockings with open ends:
First,
place your foot in the attached donning aid.
A.
Reach into the compression stocking and grasp the
heel. Hold the heel and turn the compression stocking
inside out.
B.
The foot part (which has remained inside the com-
pression stocking) now forms an opening. Stretch the
opening out slightly using both hands.
C.
Slide your foot into the opening (if the stocking has
an opening in the toe, do this using the donning aid
that comes with the product) and pull the compressi-
on stocking over your foot carefully, up to the heel.
D.
Then distribute the material evenly over the leg wit-
hout causing wrinkles. Do this by pulling it up the leg
bit by bit, ensuring that the compression stocking is not
overstretched. In the interim, check that it is correctly
fitted on the toe and heel. If required, correct this once
you have put it on by pulling the compression stocking
down slightly (tip: this is easier if you use the gloves).
Tip for compression stockings with open ends:
After
this step, remove the donning aid by folding the foot part
of the compression stocking up towards the heel and
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