Triage Meditech Pvt Ltd specializes in negative pressure wound therapy (NPWT) to manage chronic and complex wounds effectively, which is critical given India's high diabetic population suffering from foot ulcers. The company offers a range of advanced NPWT products that enhance healing by reducing edema, increasing granulation tissue formation, and minimizing infection risks, all while being cost-effective. Triage Meditech is committed to providing high-quality, affordable healthcare solutions and maintains a significant market share in India and exports to over 11 countries.

1. YOUR PARTNER IN
WOUND CARE
www.triagemeditech.com

2. WOUND MANAGEMENT
Chronic and complex wound management requires a
systematized and comprehensive approach and represents a
considerable COST BURDEN to the society on health services. It
requires considerable manpower, frequent specialist
consultation and adjunct therapies.
India is known as the diabetes capital of the world and about 5%
of India's total diabetic population develops foot ulcers resulting
in approximately 45,000 lower limb amputations annually

3. COMPOUND FRACTURE
TRAUMATIC ABRASSIONPRESSURE SORE`
VENUS LEG ULCER
DIABETIC FOOT ULCER
ABDOMINAL DEHISCENCE
TYPE OF WOUNDS
NPWT is used to treat almost all kinds of wounds with very few
contraindications or complications.

4. NEGATIVE PRESSURE WOUND THERAPY
NPWT is wound therapy to manage effective wound treatment and
has become a widely used option for treating variety of acute,
chronic and complex wounds.
Sterile healing environment
Reduction of edema
Increased wound perfusion
Increased granulation tissue
formation
Decreased bacterial loading
Decreased anaerobic activity
Faster wound healing

5. This technique involves the use
of open cell non-linear PU foam
to seal the surface of wound
with a transparent adhesive
film followed by application of
intermittent or constant
pressure through a therapeutic
NPWT device.
NPWT TECHNOLOGY
An advance wound healing technique that promotes VASCULAR
PROFUSION, REDUCES EDEMA, enhances MICRO ANGIOGENESIS
which aids in wound healing in acute as well as chronic scenario.

6. Wounds heal up to 61%
faster With NPWT
BENEFITS OF NPWT
NPWT has revolutionized the management of wounds. It has many
advantages over conventional methods of wound dressing
Non-invasive treatment
Reduction of dressing changes
Reduced nursing time
Reduced infection risks (patient & hospital)
Concurrent rehabilitation
Better patient tolerance
Cost benefits
Improved patient quality life
Infection rates drop as
much as 38%
Financial burden
decreases up To 83%

7. • Company: Triage Meditech Pvt Ltd
• Brand : CCNPWT
• One of the fastest growing domestic Medical
Technology companies
• Manufacturer of complete NPWT products and
other advanced wound management products
• Holds over 80% of the domestic market share
• Pan India presence through direct and dealers
network
• Currently exporting to more than 11 countries
ABOUT US
The first company to introduce NPWT technology in India and the
first Indian company to export this technology to outside India. At
present, we are supporting to more than 11 countries

8. HEALTHCARE FOR ALL
Triage Meditech Pvt. Ltd. is dedicated to support the mission
"healthcare for all". Our mission is to improve healthcare by utilizing
technological advancement and developing best-in-class products.
The company's continuous R&D and evolution efforts towards
manufacturing and promoting indigenous products at affordable
price. We intend to offer the best quality products which help
healthcare professionals and caregivers to offer quality in their
practice and solutions to their patients. We are dedicated to
continuous advancement in our offerings and we understand the
missing or discomfort factors that patients experience. We address
these factors during the planning & development of our products.

9. Bangladesh
Bulgaria
India
Middle
East Nepal
Sri Lanka
Uzbekistan
OUR REACH

10. Complete Portfolio for NPWT Concept
WHY US?
The FIRST company to introduce this concept in India
A COMPLETE manufacturing Indian company for the entire concept
Maintaining international STANDARDS with COST EFFECTIVE solutions
Pan India EFFICIENT sales and support network through direct as well as dealer
network
Best of standard STERILISATION Gama radiation
An ISO 13485:2003 certified and DCGI REGULATED company
Backed by QUALIFIED clinical staffs supervised by a panel of super speciality
physicians for QUALITY ASSURANCE
TRAINED engineer for tech SUPPORT

11. As no two wounds are alike so are NPWT systems. For effective
treatment always choose right partner who can deliver
OUR VALUE
QUALITY CARE SAFETY
COST EFFECTIVE
EFFICIENT
SATISFACTION
Most Featured System | Complete Portfolio | Low Noise level
Academic Upgradation Support

12. WHAT IS CLOSED CYCLIC NEGATIVE PRESSURE WOUND
THERAPY (CCNPWT)?
NEGATIVE PRESSURE WOUND THERAPY also widely
known as NPWT, WOUND VAC or TNP(Tropical Negative
Pressure) is a widely accepted wound management
modality today, i.e.,
A specially designed foam dressing applied on a wound
bed, sealed with a PU/PE drape further connected with a
drainage tubing to the Therapeutic Negative Pressure
Device

13. HOW DOES CLOSED CYCLIC NEGATIVE PRESSURE
WOUND THERAPY PROMOTE WOUND HEALING?
 Removes excess fluid (infections and non-infectious),
reduces edema, allowing tissue decompression
 Stimulates granulation tissue formation by increasing
vascular perfusion
 Encourages mechanical stretching, approximates wound
edges, enhances dermal perfusion, overall wound
contraction
 Protects wound from microbe imbalance
 Maintains a moist wound healing environment

14. OUR PRODUCT PORTFOLIO
VTG 2901
The new
programmable
CCNPWT system
delivers controlled
negative pressure
in the wound site
to accelerate
healing process.
VTG 3000
Newly introduced
portable system in
CCNPWT portfolio
caters the future
of advanced
wound care where
you need and
when you need.
PPT 1000
Peace of Mind for
You. Convenient
and affordable
system designed
to deliver effective
therapy for
venous
insufficiency.
DRESSINGS
superior quality
dressings and
accessories offer
quality wound
care. Our products
are being tested
on predefined
parameters for the
optimum results.

17. CCNPWT ABDOMINAL DRESSING
A MESH LESS ABDOMINAL DEHISCENCE TREATMENT
Is a transparent polyurethane non
adherent sandwiched dressing, with
a layer for encapsulating exposed or
open bowel protection layer. The non
adherent protection layer having
uniform perforation drains out fickle
materials from abdominal cavity
provides an infection free
environment for early closure of
abdominal wall.

18. CCNPWT THERAPY
DRESSING BENEFITS
Flexible foam dressing adapts to the contours of deep
& irregular surface of the wound bed
Specially designed hydrophobic, non-linear networked
foam dressing removes bacteria colonised wound
exudate
The CCNPWT foam dressing aggressively promotes
uniform healthy granulation tissue formation throughout
the wound bed

19. CCNPWT provides a closed sterile & moist
wound healing environment
Promotes granulation tissue formation, recent
studies suggest mechanical stretching may result
in increased mitosis (Cell Replication)
 Controlled Negative Pressure Therapy
decreases wound volume approximating wound
edges, helps uniformly draw wounds closed
Promotes continuous wound debridement by
removing wound debris & bacteria colonized
wound output/interstitial fluid allowing tissue
decompression
WHAT FACTORS MAY ENHANCE HEALING

20. BIO-MECHANISM.
Reduces oedema
Reduces bacterial load
Stimulates cell proliferation
Enhances dermal perfusion
Promotes micro angiogenesis
Protects wound from re-infection,
cross infection or spreading further
infection
Promotes Skin Graft/Flap uptake
(The flexible foam dressing gently
presses the skin graft or flap ensuring
full contact with the wound bed

21. Increased Perfusion
Morykwas Michael J, Argenta Louis C, Shelton-Brown Erica I, McGuirt Wyman: NPWT: A New Method for Wound
Control and Treatment: Animal Studies and Basic Foundation. Annals of Plastic Surgery, 1997
Peak blood flow recorded at 125 mmHg
 Study helped establish original pressure
protocol with Foam Dressing (400-600
micron pore-size)
Hypothesized that reduction in oedema
decompresses small blood vessels and
increases flow
Frank Ischaemia and Wound Hypoxia
Positive effect on perfusion
with 100-125 mmHg

22. Reduction of Inhibitory Factors
Morykwas Michael J, Argenta Louis C, Shelton-Brown Erica I, McGuirt Wyman: NPWT: A New Method for Wound
Control and Treatment: Animal Studies and Basic Foundation. Annals of Plastic Surgery, 1997
Reduction of oedema has positive effect in wound
healing
 Reduction of inhibitory factors contained in
interstitial fluid (chemical)
 Decompression of small blood vessels, which
restores flow (mechanical)
Negative Pressure Wound Therapy increases perfusion and
oxygenation, therapy likely enhances resistance to infection

25. What types of wound benefit from CLOSED CYCLIC
NEGATIVE PRESSURE WOUND THERAPY?
Broadly Catagorised as:
ACUTE WOUNDS
SUB-ACUTE WOUNDS
CHRONIC WOUNDS
Full thickness and partial thickness burns
Diabetic / Neuropathic ulcers
Venous Insufficiency ulcers
Post-operative and dehisced surgical
Traumatic Wounds
Skin Flaps and Grafts
Explored fistulas
SAVE
A
SURGICAL
OUTCOME
FROM
INFECTION
SAVE LIFE/LIMB

26. WHAT CONDITIONS INDICATE CAUTION?
 Active bleeding or patient on anticoagulant
therapy
 Proximity of blood vessels, organs, muscle, and
fascia requiring protection
 Irradiated vessels and tissue
 Bony fragments
 Untreated malnutrition
 Non-compliant or combative behaviour

27. Fixation of skin graft (mesh-grafts) or flap until the
graft has taken (4-6 days). In these special cases,
Topical Negative Pressure Therapy is used
for the secure fixation
of a split skin graft to the wound
The soft foam helps gently press the graft/flap onto the wound
bed and thus ensures full contact between the graft and the
underlying wound bed, irrespective of the wound contours and
the formation of pockets, also continuously drains out the
wound output, ensures infection free graft uptake
CCNPWT helps in Flaps & Graft uptake

28. Wound Healing with Proven Cost Effectiveness
CLOSED CYCLIC NEGATIVE PRESSURE WOUND THERAPY has been used on more than a million wounds
worldwide. Clinical studies have shown that CCNPWT Therapy has the potential to help R E D U
C E. . . . . .. .
 Need for emergency care or re-admission
 Wound septicemia
 No of dressing change
 Length of hospital stay
 Hospital Infection rate
 Risk of Medicinal overdose
 Cost of care
 Need for hospitalization
 Need for outpatient visits
 Overall medical costs
 Hospital staff time
 Bed Soiling
 Patient & Patient Family Suffering

29. Wound complications involving large subcutaneous vessels can
cause significant challenges for surgeons. Negative pressure
wound therapy (NPWT) has been increasingly used for treating
complex wounds in vascular surgery, including groin infections,
either as a bridge to surgical closure or as a primary wound
treatment modality. A multidisciplinary advisory panel reviewed
the literature relevant to wounds related to vascular surgical
procedures and complications, focusing on large subcutaneous
or infected vascular conduits. The results supported by the
literature and the clinical practice of the consensus panel
suggested that NPWT can be a useful adjunct to the
management of vascular groin infections and dehiscence but
must be used with caution & under close supervision.
PMID: 18845099 [PubMed - indexed for MEDLINE]

30. IT IS A COMBINATION OF VARIABLE POSITIVE &
NEGATIVE PRESSURE THERAPY.
SYSTEM ENHANCES VASCULARITY BY
PROMOTING MICRO ANGIOGENESIS, OPTIMIZES
THE HEALING ENVIRONMENT & WORKS AS A
CATALYST IN THE WHOLE PROCESS OF HEALING.
RESULTS MAY VARY PATIENT TO PATIENT BASED
ON VARIOUS FACTORS…
like Nutrition Level, Blood Glucose Level, Severity
of PAOD etc..

31. WHAT INTERVENTIONS WILL MAXIMIZE
HEALING?
 Debride wound prior to Negative Pressure
Therapy
 Off load pressure ulcers consistently
 Minimize time off NPWT to < 4 hours in a day
 Manage co-morbid condition
 Increased blood flow
 Reduction of oedema
 Minimize infection rate
 Control blood glucose level

32. WHAT ARE THE EXPECTED OUTCOMES?
 May observe increased exudate and wound size during the
first 48-72 hours due to the decompression of interstitial
space and removal of extra-cellular fluid and debris.
 Gradual reduction of fluid and surface area should be
observed with each assessment.
 Colour of wound bed should become a deeper red as
perfusion to the site increases.
 Measurements should decrease weekly.
 If healing is not observed in a week, treatment should be re-
evaluated.
 The average treatment with NPWT is 1-4 weeks. Length of
treatment is determined by goals of therapy.

33. HOW DO YOU MANAGE WOUND WITH CCNPWT?
Change dressing two/three times per week.
Monitor frequently
Observe wound and peri-wound area for signs
and symptoms of infection
Remove dressings carefully to protect new
tissue growth.
Bright gush flow red blood in canister requires
immediate evaluation.
Measure and document per facility protocol
Note : To initiate it is recommended to follow CCNPWT protocol, to ensure optimal
results, as these are tried and tested protocol designed by various CCNPWT expert
wound managers

34. WOUND
ASSESMENT
CHART

35. WOUND
ASSESMENT
CHART

36. WOUND
TREATMENT
PLAN CHART

37. STEP 1 : DEBRIDE & CLEAN THE WOUND WITH
ISOTONIC SOLUTION
STEP 2 : CUT THE FOAM DRESSING IN THE SHAPE
OF WOUND AND PLACE IT ON WOUND BED
STEP 4 : STICK THE MAPC TUBING DISTAL END
KEEPING SYMMETRY WITH HOLE IN CENTRE &
CONNECT WITH THE NEGATIVE PRESSURE
SOURCE
STEP 3: SEAL THE WOUND WITH SEMI-PERMEABLE
DRAPE & MAKE A SMALL HOLE IN THE CENTRE
DRESSING APPLICATION TECHNIQUE

38. INDICATED FOR TRAUMA WOUNDS

39. Granulation after 3 days of
application
INDICATED FOR DIABETIC FOOT ULCERS

40. INDICATED FOR
all Grade II, III & IV
PRESSURE ULCERS

41. INDICATED FOR
VENUS/ARTERIAL
LEG ULCERS

42. Infected Laprotomy
**Please seek advice for special Dressing selection
INDICATED FOR
ABDOMINAL
COMPARTMENT SYNDROME

43. VENUS LEG ULCER
with complications of sickle cell anaemia

44. CCNPWT
application
for 10 days
20 days
post follow-up

45. ROAD ACCIDENT
LACERATION

46. Road Accident case : with no vessels for
primary closure
(results of 13 days NPWT Dressing Application)

47. INFECTED COMPOUND FRACTURE

48. AFTER 1st DRESSING CHANGE
AFTER 2nd DRESSING
CHANGE

49. FOLLOW-UP
POST FLAP

50. Crushed Injury
Amputation
CCNPWT applied
for
4 days

51. ROAD
ACCIDENT
LACERATION
Patient :
HBsAg Positive

52. CCNPWT
Applied for 7 days

53. DIABETIC FOOT ULCERS
Day 8 after Therapy Initiation

54. PRESSURE ULCER (GRADE IV)
Result of 8 days /2
dressing change

55. NPWTIS MOR E TH AN A MAC H IN E
R E M E M B E R

56. THANK YOU