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Actico2C

Actico2C - 2 component leg ulcer kit for the perfect combination of comfort and compression

In detail

Actico2C is a 2 component, latex free kit for managing leg ulcers. All the benefits of Actico applied over a skin friendly comfort layer. Applied at 100% full stretch in a simple spiral, reducing the risk of over compression.

How to use Actico2C (pdf)

 Key benefits

  • Suitable for venous leg ulcers in mobile and immobile patients
  • Ultra-low profile
  • Latex free
  • Can be worn up to 7 days
  • Low resting pressures so very comfortable at night
  • Non slip so Actico requires fewer re-applications
  • Patients can usually wear their normal footwear

Recommended e-learning modules

Actico®2C — a two component leg ulcer kit

Actico2C two component leg ulcer kit can be used for the management of venous leg ulceration, without or with mild uncomplicated oedema.

Compression bandages & hosiery

Explore the different types of bandages & hosiery available for delivering compression, their properties & how they work.

Indications

A full holistic assessment, including Doppler, should be carried out prior to application (refer to local guidelines)

Indications for use:

  • Venous leg ulcers without or with mild, uncomplicated oedema (as a result of venous insufficiency), in both mobile and immobile patients.
  • If the ABPI is 0.8 - 1.3 Actico®2C Two component leg ulcer kit can be applied.
  • If the ABPI is >1.3 further investigation may be required before Actico®2C Two component leg ulcer kit is applied (Seek specialist guidance).

Precautions:

  • If the ABPI is 0.5 – 0.8 (venous leg ulcer with an arterial component) Actico® can be applied with caution – under specialist supervision. (Please refer to local guidelines.)
  • For patients with ankle circumference of less than 18cm and for patients with moderate- severe chronic oedema / lymphoedema, the use of Actico® inelastic cohesive compression bandages (with appropriate padding) is recommended.

Use with caution:

  • Significant arterial disease (ischaemia) according to vascular assessment
  • Current acute inflammatory episode
  • Acute deep vein thrombosis
  • Patients with diabetes or rheumatoid arthritis unless after specialist referral and under supervision
  • Patients with renal failure unless after specialist referral and under supervision
  • Congestive heart failure, as compression could lead to cardiac overload
  • Sensory disorders of the limb i.e. peripheral neuropathy
  • Known sensitivity to the bandage system

Following application:

  • If the patient shows signs of pain, reduced colour or numbness on their extremities distal to the bandage, then it should be removed immediately
  • Actico®2C Two component leg ulcer kit should not be reused
  • As with all compression bandage systems, training on the correct application of Actico®2C Two component leg ulcer kit is recommended

Ordering codes

LR code PIP code NHS SC
Comfort Layer 10cm x 3.5m 31772 378-0699 ECA246
Compression Layer 10cm x 6m 31773 378-0707 ECA245
Two component leg ulcer kit 18-25cm 10cm x 6m 31770 376-5203 EGJ183
Two component leg ulcer kit 25-32cm 10cm x 9m 31771 376-5211 EGJ184

Clinical evidence

Results of an observational study in 102 leg ulcer patients with new two component system

102 patients rated Actico2C highly for quality of life benefits and practical features of the system eg. not itchy, hot or prone to slippage

Author: Mazzei et al.
Publication: Poster presentation EWMA 2013
Date: May 1st, 2013

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Evaluation of a new two component inelastic bandage compression kit

16 patients with leg ulcers and mild oedema evaluated Actico2C. All patients described Actico2C as "very comfortable" meaning concordance was not an issue.

Author: Knowles et al.
Publication: Journal of Community Nursing May/June 2013
Date: May 1st, 2013

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Two-component compression: Concordance, evidence and clinical use

Non concordance using layers of bandages for venous leg ulcers can be high. The article looks at how concordance can be improved and how a 2 component kit may be preferable to patients.

Author: Annemarie Brown,Tissue Viability Solutions
Publication: Wounds UK and The Diabetic Foot Journal
Date: October 1st, 2014

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