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3M™ Tegaderm™ I.V. Advanced Securement Dressing


3M™ Tegaderm ™ I.V. Advanced Securement Dressing

Products Features & Benefits Clinical Evidence Application & Removal Resources

3M™ Tegaderm™ I.V. Advanced Securement Dressings are comprehensively designed to deliver exceptional patient care by providing cost-effective advanced catheter securement, superior wear time, gentle removal, and excellent moisture management.

Product Image Catalog Number Product Size Dressing/Box Box/Case
1683
2½ in. x 2¾ in.
6.5 cm x 7 cm
100 4

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1685
3½ in. x 4½ in.
8.5 cm x 11.5 cm
50 4

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Tegaderm IV Dressings - 1688 Product Image 1688
4 in. x 4¾ in.
10 cm x 12 cm
50 4

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Tegaderm IV Dressings - 1689 Product Image 1689
4 in. x 6? in.
10 cm x 15.25 cm
25 4

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Not made with natural rubber latex.

*HCPCS Codes are referenced in DMERC Surgical Dressing Medical Policy.

DISCLAIMER: HCPCS Codes have been provided to assist you in the preparation of insurance claims. Please note, however, that the reimbursement information provided by 3M Health Care and its representatives is intended to provide general information relevant to coverage and coding for 3M products. Insurers' reimbursement policies can vary and use of the codes discussed here does not guarantee that an insurer will cover or pay at any particular level. Health care providers should exercise independent clinical judgment in choosing the codes which more accurately describe the products provided.

Benefits

Provides secure hold

  • Reinforced border, deep notch, and tape strips work together to enlist the entire dressing in securement
  • Innovative adhesives hold strongly, manage moisture, and release easily
  • Designed to maintain securement by preventing edge lift, flexing with patient movement, and managing moisture

Excellent value

  • Can potentially reduce the number of dressing changes and restarts
  • May be worn for up to 7 days on a PIV catheter**
  • Provides up to 7 days of wear time for CVC’s

Easy to apply and remove

  • Designed to promote consistent application
  • Frame delivery makes placement accurate and easy
  • Supports infection prevention goals
  • A waterproof film coating on all pieces provides a barrier to external contaminants including liquids, bacteria and viruses*
  • Allows continuous monitoring

Features

Stabilization Border

Stabilization Border

  • Maximizes securement, breathability and wear time
  • Flexible and conformable
  • Reduces edge lift to maintain securement
  • Waterproof film coating

Deep notch*

Deep notch

  • Fits easily and conforms around hubs and lumens
  • Designed to discourage edge lift
  • Designed to reduce the risk of catheter manipulation and dislodgement

Securement Tape Strips

Securement Tape Strips

  • Enhance securement while promoting consistent application
  • Waterproof film coating
  • Pre-printed documentation label for dressing changes

Picture-frame delivery

Picture-frame delivery

  • Minimizes potential to stick to gloves or to itself
  • One-handed application

* No notch on the 1688 dressing.

** 3M internal data on file.

*** In vitro testing shows that the transparent film of 3M™ Tegaderm™ I.V. Advanced Securement Dressing provides a viral barrier for viruses 27 nm in diameter or larger while the dressing remains intact without leakage.

Clinical Evidence

Out-performs against leading transparent film dressings

Compared to standard transparent film dressing plus tape strips, 3M™ Tegaderm™ I.V. Advanced Securement Dressing 1683 plus tape strips withstood nearly twice the pull force when securing a P.I.V.

Learn more about IV Advanced’s pull force

When securing a straight PIV catheter, 3M™ Tegaderm™ I.V. Advanced Securement Dressing 1683 plus tape strips withstood three times the pull force after 48 hours of the leading flat film dressing plus tape strip (see Figure 1).* Innovative adhesives provide excellent hold for the length of your facility’s protocol. The patterned adhesive secures and protects the catheter and channels moisture away from the skin to help reduce the risk of maceration. A second, complementary adhesive around the reinforced border further enhances securement.

Mean force removal compared to tape and standard transparent film dressing.

Can provide significant cost savings

Tegaderm™ I.V. Advanced Securement Dressings can help facilities manage I.V. site care costs by potentially reducing the number of dressing changes and catheter restarts.
The transparent film allows for continuous monitoring of the insertion site. The dressing may be worn for the life of a PIV catheter and provides up to 7 days of wear time for CVC’s.** A waterproof film coating on all pieces resists soiling and provides a barrier to external contaminants including liquids, bacteria and viruses.***
Over the course of a year, facilities can realize significant savings using Tegaderm™ I.V. Advanced Securement Dressings in place of tape plus transparent film dressing as part of their standard of care.

* 3M internal data on file.
** O'Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al. Guidelines for the prevention of intravascular catheter-related infection, 2011. Centers for Disease Control and Prevention.
*** In vitro testing shows that the transparent film of 3M™ Tegaderm™ I.V. Advanced Securement Dressing provides a viral barrier for viruses 27 nm in diameter or larger while the dressing remains intact without leakage.

Assumptions

  • Only peripheral I.V.s were considered for this analysis.
  • Inserting a PIV takes an average of 29 minutes.
  • Tape plus transparent film dressing savings to 1683 is by reducing restarts.

Application and Removal

pdf Application & Removal Guide for 3M™ Tegaderm™ I.V. Advanced Securement Dressing



1685 PICC Application and Removal Technique

Application Step 1

Prepare the site according to your facility's protocol. Allow all preps and skin protectants to dry completely. Open package and remove sterile dressing.

Application Step 2

Remove liner to expose adhesive. Place dressing adhesive side up on sterile field or inside of dressing package.

Application Step 3

Position notch edge of dressing over catheter hub, placing stabilization border over catheter "wings." Do not stretch dressing over skin surface.

Application Step 4

Apply dressing to skin applying firm, gentle pressure to window film. Pinch film firmly around catheter tubing connection. Gently lift tubing connection and press border firmly under catheter lumens.

Application Step 5

Slowly peel frame away from border edge while simultaneously applying firm pressure to border edge. Smooth entire dressing into skin to ensure optimal adhesion.

Application Step 6

Remove securement tape strip with notch from liner. Two small adhesive free tabs from liner will remain on tape strip liner. Partially fold securement tape strip in half at notch.

Application Step 7

Apply tape strip's pre-cut notch completely underneath catheter's molded junction. The notch opening should face the insertion site. Peel paper tabs from liner corners. Smooth entire dressing surface, working from catheter insertion site out toward dressing edge.

Application Step 8

Prepare and apply documentation label over the top of the exposed molded junction. Press first half of strip against the junction, then adhere on the other side.

Application Step 9

Apply firm pressure to the entire dressing to ensure optimal adhesion.

Removal Step 1

Removal all securement tape strips from dressing.

Removal Step 2

Gently grasp soft cloth edges below keyhole notch.

Removal Step 3

Lift dressing on each side from skin using low and slow technique. Peel dressing toward catheter insertion site until removed.

1688 Application & Removal Technique

Application Step 1

Prepare the site according to your facility's protocol. Allow all preps and skin protectants to dry completely. Open package and remove sterile dressing.

Application Step 2

Remove liner to expose adhesive. Place dressing adhesive side up on sterile field or inside of dressing package.

Application Step 3

Position notch edge of dressing over catheter hub, placing stabilization border over catheter "wings." Do not stretch dressing over skin surface.

Application Step 4

Apply dressing to skin applying firm, gentle pressure to window film. Pinch film firmly around catheter tubing connection. Gently lift tubing connection and press border firmly under catheter lumens.

Application Step 5

Slowly peel frame away from border edge while simultaneously applying firm pressure to border edge. Smooth entire dressing into skin to ensure optimal adhesion.

Application Step 6

Apply tape strip's pre-cut notch completely underneath catheter's molded junction. The notch opening should face the insertion site. Smooth entire dressing surface working from catheter insertion site out toward dressing edge.

Application Step 7

Prepare and apply documentation label over the top of the exposed molded junction. Press first half of strip against the junction, then adhere the other side.

Application Step 8

Apply firm pressure to entire dressing to ensure optimal adhesion.

Removal Step 1

Remove all securement tape strips from dressing.

Removal Step 2

Gently grasp soft cloth edges below keyhole notch.

Removal Step 3

Lift dressing on each side from skin using low and slow technique.

Removal Step 4

Peel dressing toward catheter insertion site until removed.

1689 Application & Removal Technique

Application Step 1

Prepare the site according to your facility's protocol. Allow all preps and skin protectants to dry completely. Open package and remove sterile dressing.

Application Step 2

Remove liner to expose adhesive. Place dressing adhesive side up on sterile field or inside of dressing package.

Application Step 3

Position notch edge of dressing over catheter hub, placing stabilization border over catheter "wings." Do not stretch dressing over skin surface.

Application Step 4

Apply dressing to skin applying firm, gentle pressure to window film. Pinch firmly around catheter tubing connection. Gently lift tubing connection and press border firmly under catheter lumens.

Application Step 5

Slowly peel frame away from border edge while simultaneously applying firm pressure to border edge. Smooth entire dressing into skin to ensure optimal adhesion.

Application Step 6

Remove securement tape strip with notch from liner. Two small adhesive free tabs from liner will remain on tape strip liner. Partially fold securement tape strip in half at notch.

Application Step 7

Apply tape strip's pre-cut notch completely underneath catheter's molded junction. The notch opening should face the insertion site. Peel paper tabs from liner corners. Smooth entire dressing surface, working from catheter insertion site out toward dressing edge.

Application Step 8

Prepare and apply documentation label over the top of the exposed molded junction. Press first half of strip against the junction, then adhere the other side.

Application Step 9

Apply firm pressure to entire dressing to ensure optimal adhesion.

Removal Step 1

Remove all securement tape strips from dressing.

Removal Step 2

Gently grasp soft cloth edges below keyhole notch.

Removal Step 3

Lift dressing on each side from skin using low and slow technique.

Removal Step 4

Peel dressing toward catheter insertion site until removed.


Resources

FDA Classification

3M transparent dressing is a Class 1 securement device.

FDA 510K Classification: An intravascular catheter securement device is a device with an adhesive backing that is placed over a needle or catheter and is used to keep the hub of the needle or the catheter flat and securely anchored to the skin. FDA 21CFR880.5210


INS Standards of Practice

INS Standards of Practice 2011 Edition, Standard 36: Vascular Access Device Stabilization (VAD) Practice Criteria A: The use of a catheter stabilization device should be considered the preferred alternative to tape or sutures when feasible.


CDC Guidelines

2011 HICPAC Guidelines for the Prevention of Intravascular Catheter-Related Infections (Category II): Use a sutureless securement device to reduce the risk of infection for intravascular catheters.

Product Information — Tegaderm™ I.V. Advanced Securement Dressings

Application and Removal Guide — Tegaderm™ I.V. Advanced Securement Dressings

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