UrgoKTwo and UrgoKTwo Reduced details
Get to know UrgoKTwo
UrgoKTwo is a multicomponent bandage, meaning that it is made of more than one compression bandage, of different elasticities. UrgoKTwo is formed of the K-Tech layer, a short stretch bandage, and the K-Press layer, a long stretch bandage.
The combined effects of both bandages mean that UrgoKTwo is able to provide continuous, consistent and comfortable compression, both when active and at rest1,2.
UrgoKTwo’s unique PreSsure system technology facilitates consistent application of the recommended therapeutic pressure levels required, from the very first application2.
UrgoKTwo (40mmHg): Treatment in adults, of venous leg ulcers and/or lower limb oedema where strong compression therapy is recommended.
UrgoKTwo Reduced (20mmHg): Treatment in adults, of venous or mixed leg ulcers and/or lower limb oedema where moderate compression is recommended.
| Ankle circumference |
Width | Product code | PIP code | NHSSC code |
| 18-25 cm | 10 cm | 506653 | 327-4685 | ECA152 |
| 18-25 cm | 8 cm | 586653 | 345-0335 | ECA385 |
| 18-25 cm | 12 cm | 526653 | 345-0350 | ECA387 |
| 25-32 cm | 10 cm | 506666 | 333-8480 | ECA164 |
| 25-32 cm | 8 cm | 586666 | 345-0343 | ECA386 |
| 25-32 cm | 12 cm | 526666 | 345-0368 | ECA388 |
| Ankle circumference |
Width | Product code | PIP code | NHSSC code |
| 18-25 cm | 10 cm | 516653 | 372-5231 | ECA236 |
| 25-32 cm | 10 cm | 516666 | 372-5249 | ECA237 |
| Ankle circumference |
Width | Product code | PIP code | NHSSC code |
| 18-25 cm | 10 cm | 596653 | 360-2869 | ECA205 |
| 25-32 cm | 10 cm | 596666 | 360-2877 | ECA206 |
| Ankle circumference |
Width | Product code | PIP code | NHSSC code |
| 18-25 cm | 10 cm | 576653 | 372-5256 | ECA234 |
| 25-32 cm | 10 cm | 576666 | 372-5264 | ECA235 |
Before applying the bandages
- In the event of a wound, apply a suitable dressing before applying the bandage.
- Exercise clinical judgement and shape the leg with wadding (such as K-Soft) when necessary, prior to applying UrgoKTwo or UrgoKTwo Reduced, to create a conical shape (e.g. for inverted champagne bottle leg, fibrosis, calf muscle wastage) and to protect any bony prominences (e.g. tibial crest, malleolus, any foot abnormalities).
- Before bandaging, measure the ankle circumference and choose the correct UrgoKTwo kit size (18-25cm or 25-32cm).
- It is best to apply the compression system in the morning on getting up or after having elevated the patient’s legs for an hour, in order to minimise orthostatic oedema.
- Depending on the indication, apply the bandages up to the knee or thigh and use the appropriate bandage widths, using the following application methods.
Application method
- “Under the knee” application method
- Hold the foot at a 90° angle – “toes to nose”.
- Make sure that the wadded side of the white bandage is in direct contact with the skin and the pressure indicators printed on the bandage are at the top edge of the bandage (size: 18-25 cm) or in the middle (size: 25-32 cm) of the bandage. Wrap the bandage around the foot once or twice to secure it, with moderate stretching (as per the pressure indicators), according to the vascular status and shape of the foot, as well as the presence of oedema.
- Then take the bandage around the ankle to make a figure of eight, ensuring full coverage of the heel.
- To attain the therapeutic pressure, apply the bandage up to the knee in spirals while continuing to stretch the bandage so that the pressure indicators form circles. To apply the correct overlap, each new spiral should cover the previous circle, positioning it at its base (size 18-25 cm: 50% overlap; size 25-32 cm: 2/3 overlap). Finish 2 cm below the knee.
- Warning! Always cut off any excess bandage. Do not wrap the excess bandage around the limb, as this would increase the pressure.
- Secure using adhesive tape.
- Apply the beige bandage (or the Latex Free beige bandage) over the white bandage, using the same method, starting one finger above the white bandage and finishing one finger below the white bandage so that only the white bandage is in direct contact with the skin. Once applied, press the bandage gently with your hands to make sure the system is properly secured.
- “Up to the thigh” application method
If necessary, apply a suitable bandage on the toes. To apply the bandage up to the thigh, follow the same method as for application to under the knee, but using the following bandage sequence:
Apply an 8 cm white bandage to the foot (or 10 cm depending on the foot size) and up to the ankle.
- Then apply a 10 cm white bandage. Stop just below the knee: bend the knee slightly. If required and for greater comfort, pad the back of the knee with wadding.
- Continue up to the top of the thigh with a 10 cm or 12 cm white bandage (the most appropriate) and secure in place with adhesive tape.
- Apply the beige bandage (or the Latex Free beige bandage) over the white bandage, using exactly the same bandage sequence and application method.
- Cut off any excess bandage. Once application is completed, press the bandage gently with your hands to make sure the system is properly secured.
UrgoKTwo (or UrgoKTwo Latex Free) should be left in place day and night until the next dressing change, to be decided on by the practitioner.
The UrgoKTwo/ UrgoKTwo Latex Free kit is for single use.
References:
1. Jünger et al. Comparison of interface pressures of three compression bandaging systems used on healthy volunteers. Journal of Wound Care (2009).
2. Hanna R. et al. A comparison of interface pressures of three compression bandage systems. British Journal of Nursing (2008).