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  • What is Thonic bandage?

    Thonic Bandage is a patented short stretch compression/containment bandaging system.

    It consists of an inner long-stretch elastic bandage inserted into an outter inelastic cotton tube joined together at regular intervals with transversal seams.

    1. The inner elastic bandage delivers controlled compression on the limb.
    2. The outter inelastic cotton tube contains the swelling in case of oedema and protects the skin.
    3. Thanks to the transversal seams, the inelastic cotton tube will mechanically limit the stretchability of the long stretch elastic bandage to short stretch values.
  • What makes Thonic bandage different from other systems?

    Although it is based on the fundamentals of compression therapy (combination of elastic and inelastic materials) Thonic bandage is different because:
    1. It is simpler to apply
    2. It is safer to apply
    3. It is washable and reusable
    4. It is less bulky and allows a better limb mobility than most multi-component systems currently available on the market.
    5. It is very soft against the skin (100% cotton) and therefore comfortable to wear
    6. It exists in limited editions in colours
  • What makes Thonic bandage simpler?

    Thonic bandage is simpler because:
    1. The inelastic and elastic components are applied simultaneously, which makes the application easier and faster.
    2. As both sides are exactly the same (100% cotton), the person applying the bandage does not have to bother about which side should be applied against the patient's skin, which makes the application more user-friendly.
    3. For patients with limited dexterity or strength, stretching Thonic Bandage while winding it up will facilitate its’ application as it can then just be unwound around the limb.
    4. Our unique « anchor point » will greatly facilitate the application start, especially when self-bandaging the upper limb.

     

  • What makes Thonic bandage safer?

    All experts agree that compression bandages need to be applied by trained staff which, by definition, means self-bandaging is not really an option for them. This can be explained by the fear of having the patients, carers, or non-trained staff applying dangerously high pressures by over-stretching the elastic component of the bandaging system.

    In order to reduce the risks of applying dangerously too high pressures, elastic bandages are sometimes marked with a pictogramm that will show when the right stretch is reached.

    The main inconvenients of such systems is that the levels of compression reached will depend on:

    1. The intellectual capacity of the person applying this bandage to understand this principle
    2. The visual capacity of this person to reach the desired shape for the pictogram
    3. The difficulty to maintain the pictogram's shape during the application of the bandage.

    Thanks to its' unique and patented structure, the stretchability of Thonic bandage is mechanically limited. This means the patients, carers, or non-trained staff cannot apply dangerously high pressures by over stretching Thonic bandage.

  • What level of compression is delivered by Thonic bandage?

    The compression delivered by any bandaging system is the result of a rather complex equation known as Laplace's law: P= (T x N x 4630) / (C x W) where P = sub-bandage pressure (mmHg), T = bandage tension (kilograms force - kgf), N = Number of layers, C = limb circumference (cm), and W = bandage width (cm).

    It is therefore not possible to announce an accurate compression level for any bandaging system as each application can lead to different values.

    The initial results of our sub-bandage pressure measurements campaign show compression values of around 30 mmHg with an overlap of 50% for Thonic Bandage.

     

  • How should Thonic bandage be applied?

    Thonic bandage has been designed for an easy, fast, and safe application. Both sides can be in contact with the patient's skin and our patented system allows the outer inelastic layer to mechanically limit the stretchability of the inner elastic bandage, which eliminates the risk of applying dangerously high pressure onto the limb.

    The application process is as follows:

    1. To facilitate the application onto the limb, it is recommended to wind up Thonic bandage under tension by stretching it up to the maximum during its winding.
    2. If Thonic has been wound under tension, it can then just be unrolled around the limb (Fig. 2). Otherwise, Thonic bandage must be applied with maximum stretch.
    3. Start the application at the base of the fingers or toes.
    4. For models with the anchor point, the patient's thumb or big toe must be inserted into the anchor point, making sure it does not create any constriction or discomfort for the patient
    5. The recommended application technique is spiral bandaging along the limb with an overlap of 50%.
    6. If the perceived compression is too high, especially for upper limb, Thonic bandage can be applied, under the guidance of a fully trained specialist, with a reduced overlap.
    7. Any other application technique or overlap, which can create local higher pressures must be carried out only by fully trained specialists.
    8. The end of Thonic bandage must be secured preferably with an appropriate adhesive tape.

    Click here to see the illustrated version of Thonic bandage application

     

  • What are the indications for Thonic bandage?

    Thonic Bandage is recommended in the following indications:

    1. Chronic venous conditions according to CEAP classification: from C3 (Chronic oedema) to C6 (Open ulcer) and after sclerotherapy or varicous vein surgery.
    2. Lymphoedema, lipoedema, phlebo-lymphoedema.
    3. Venous thrombosis (in association with anticoagulants)

     

  • Are there contra-indications to the use of Thonic bandage?

    The absolute contra-indications are:

    1. Peripheral artery occlusive disease (PAOD) with ankle-brachial pressure index (ABPI) < 0,6
    2. Advanced diabetic microangiopathy (for compression > 30 mmHg)
    3. Phlegmasia cerulea dolens (Painful blue oedema with arterial compression)
    4. Septic thrombophlebitis

    A regular reevaluation of the ratio benefit/risk is necessary in case of :

    1. PAOD with ABPI between 0,6 and 0,9
    2. Advanced peripheric neuropathy
    3. Dermatitis
    4. Intolerance to the bandage material.

     

  • Which patients will benefit the most from Thonic bandage?

    The patients who will benefit the most from Thonic Bandage are:

      1. Patients who are motivated by self-bandaging. This usually "active patients" will mostly enjoy the simplicity of application that will allow them to remove and reapply Thonic bandage several times a day if they want to (to alternate with their garments, to have a rest, to have a shower, ...). Although these patients are usually quite capable of controlling the compression delivered by the systems they currently use, they will also be reassured by the additional safety offered by Thonic bandage.

    Patients whose compression therapy is applied by carers or non-trained healthcare staff

      . With these usually more "passive" patients, the challenge is usually the difficulty of applying the compression therapy and it is the person applying the bandages or the garments who will immediatly see the benefits of Thonic bandage and will appreciate the simplicity and safety it offers.
  • Is Thonic bandage washable and reusable?

    Yes, Thonic bandage can be washed in a washing machine at 40°C (without softener) and the guarantee on manufacturing, finishing and quality extends over a period of 6 months after delivery.

    Thonic bandage is therefore much more cost-effective and eco-friendly than single-use bandaging kits.

  • How can I avoid wrinkles when applying Thonic bandage?

    Wrinkles will appear when Thonic Bandage is not applied at full stretch, which can happen when the person applying it does not have the strength to or does not dare to do so. That is why we recommend to wind up Thonic bandage under tension by stretching it up to the maximum during its winding which allows its application by unrolling it around the limb.

    Click here to see the application of Thonic bandage.

     

     

  • How do I use the anchor point on Thonic bandage?

    The anchor point is an option available on all sizes of Thonic bandage.

    This system has been developped by Thonic Innovation to facilitate the application of Thonic bandage and more specifically for self-bandaging of the upper limb. The patient just has to insert the thumb in the anchor point and to apply Thonic bandage.

    If the size of the patient's big toe allows it, the anchor point can also be used for the lower limb. In order to optimize the compression in the retro-malleolar area, Thonic bandage can be applied directly from the toe to the back of the ankle before going under the foot with a figure of 8 bandaging around the foot followed by a spiral bandaging along the leg.

    Click here to see Thonic bandage application

     

  • Can I use padding underneath Thonic bandage?

    Yes, for patients who need them, currently available padding systems can be used in combination with Thonic bandage.

  • How can I recognize the length of a Thonic bandage?

    To know the length of a Thonic bandage, you just need to count the number of segments along the bandage.

    Number of segments and length:

    27 segments = 3.5 m length

    31 segments = 4.0 m length

    35 segments = 4.5 m length

    39 segments = 5.0 m length

     

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