Exufiber and Exufiber Ag+ are sterile gelling fibre wound dressings made from highly absorbent polyvinyl alcohol (PVA) fibres, designed for the management of moderately to highly exuding wounds.

On contact with wound exudate, the fibres absorb fluid and transform into a soft, conformable gel. Mölnlycke's Hydrolock® Technology helps absorb, retain and transfer exudate while maintaining the structural integrity of the dressing, allowing it to be removed cleanly in one piece.

Two versions are available:

• Exufiber – standard non-antimicrobial gelling fibre dressing
• Exufiber Ag+ – antimicrobial gelling fibre dressing containing silver sulphate

Exufiber

Exufiber is a sterile nonwoven gelling fibre dressing made from highly absorbent PVA fibres.

It is designed to absorb and retain wound exudate while maintaining a moist wound environment and supporting autolytic debridement.

Key features:

• Gelling fibre wound dressing
• Made from highly absorbent polyvinyl alcohol (PVA) fibres
• Hydrolock® Technology
• Suitable for moderately to highly exuding wounds
• Absorbs and retains high levels of wound exudate
• Transforms into a soft gel on contact with fluid
• Transfers exudate vertically and laterally
• Helps reduce fluid pooling
• Helps reduce leakage and periwound maceration
• Retains fluid even when used under compression
• Supports autolytic debridement
• Helps soften and break down slough
• High wet integrity
• Designed for clean one-piece removal
• Available as pads and ribbons
• Suitable for cavity wounds
• Can be used under compression therapy
• Requires an appropriate secondary dressing
• Can remain in place for up to 7 days
• May remain in place for up to 14 days on donor sites, where clinically appropriate
• Sterile
• Single use
• Medical device

Suitable wound types include:

Exufiber may be used for moderately to highly exuding wounds including:

• Leg ulcers
• Venous leg ulcers
• Arterial and mixed-aetiology leg ulcers following appropriate assessment
• Diabetic foot ulcers
• Pressure ulcers / pressure injuries
• Partial-thickness burns
• Donor sites
• Traumatic wounds
• Surgical wounds
• Dehisced surgical wounds
• Appropriate malignant / oncology wounds with exudate
• Cavity wounds
• Tunnelling wounds
• Undermined wounds

How Exufiber works:

Hydrophilic PVA fibres attract and absorb wound exudate.

As fluid enters the dressing:

1. The fibres swell and form a soft gel.
2. Exudate is retained within the dressing.
3. Fluid is transferred both vertically and laterally through the dressing.
4. The moist environment supports autolytic debridement.
5. Slough and wound debris may become incorporated into the gel.
6. The dressing maintains sufficient wet strength to support removal in one piece.

This helps reduce residual fibres and dressing debris in the wound during dressing changes.

How to use – flat wounds:

1. Clean the wound according to normal clinical practice.
2. Dry the surrounding skin thoroughly.
3. Select an appropriate Exufiber dressing.
4. Apply the dressing directly to the wound bed.
5. Cover with an appropriate secondary dressing selected according to exudate level.
6. Secure with an adhesive dressing, bandage or appropriate fixation system.
7. Apply compression therapy where clinically prescribed.

Deep and cavity wounds:

For cavities, tunnels or undermining:

1. Clean the wound according to clinical practice.
2. Dry the surrounding skin.
3. Loosely place the Exufiber ribbon or pad into the cavity.
4. Do not tightly pack the wound; allow room for the dressing to swell as it absorbs exudate.
5. When using a ribbon, leave approximately 2–3cm visible outside the wound to assist complete removal.
6. Cover with an appropriate secondary dressing.
7. Secure as required.

Always ensure all dressing material is removed at dressing change.

Donor sites:

When used on donor sites:

• Ensure haemostasis has been achieved.
• Select a dressing large enough to extend approximately 5cm beyond the wound.
• Apply Exufiber dry.
• Cover with an appropriate secondary dressing.
• Secure according to clinical practice.

Exufiber may remain in place for up to 14 days on donor sites, depending on wound condition and clinical practice.

Dressing changes:

Exufiber may remain in place for up to:

7 days

depending on:

• Exudate level
• Wound condition
• Secondary dressing
• Clinical progress
• Local treatment protocol

Change earlier if:

• The secondary dressing becomes saturated
• Leakage occurs
• Exudate reaches the dressing edge
• The wound requires assessment
• Infection or deterioration is suspected

Important information – Exufiber:

Do not use Exufiber:

• On dry wounds
• On full-thickness burns
• In patients with known hypersensitivity to the dressing or its materials

If infection develops, appropriate treatment should be started according to clinical protocol.

Infection itself is not a contraindication to standard Exufiber, but Exufiber does not provide an antimicrobial effect and does not replace appropriate infection treatment.

Exufiber Ag+

Exufiber Ag+ is a sterile antimicrobial gelling fibre dressing made from absorbent PVA fibres coated with silver sulphate.

It provides the same fluid-management and gelling properties as the Exufiber range while additionally releasing antimicrobial silver ions when the dressing comes into contact with wound fluid.

It is intended for moderately to highly exuding wounds where antimicrobial action is clinically indicated.

Key features:

• Antimicrobial gelling fibre dressing
• Highly absorbent PVA fibres
• Fibres coated on both sides with silver sulphate
• Contains the equivalent of 0.2mg silver/cm²
• Contains hydroxypropyl cellulose
• Hydrolock® Technology
• Suitable for moderately to highly exuding wounds
• Releases silver ions on contact with wound fluid
• Broad antimicrobial activity demonstrated in vitro
• Helps reduce wound-related microorganisms
• Helps reduce and prevent reformation of bacterial biofilm as part of an appropriate biofilm-management strategy
• Provides a barrier against microbial penetration through the dressing
• Absorbs and retains wound exudate
• Converts into a soft gel
• Helps minimise fluid pooling
• Supports autolytic debridement
• High wet integrity
• Designed for one-piece removal
• Suitable for cavity wounds
• Can be used under compression therapy
• Requires an appropriate secondary dressing
• Maximum wear time of up to 7 days
• Sterile
• Single use
• Medical device

Silver content:

Exufiber Ag+ contains:

• Polyvinyl alcohol fibres
• Hydroxypropyl cellulose
• Silver sulphate

providing approximately:

0.2mg silver per cm²

When exposed to wound fluid, silver ions are released into the wound environment.

Antimicrobial action:

The released silver ions inactivate a range of wound-related microorganisms, including:

• Bacteria
• Fungi
• Moulds

Laboratory and in-vivo evidence also supports its ability to reduce bacteria within biofilm and help prevent biofilm reformation.

Exufiber Ag+ should be used as part of a broader wound and biofilm-management approach, which may include:

• Cleansing
• Debridement
• Reassessment
• Management of the underlying wound cause
• Systemic antimicrobial therapy where clinically indicated

Suitable wound types include:

Exufiber Ag+ may be considered for moderately to highly exuding wounds where antimicrobial management is clinically indicated, including:

• Venous leg ulcers
• Arterial and mixed-aetiology leg ulcers
• Diabetic foot ulcers
• Pressure ulcers / pressure injuries
• Partial-thickness burns
• Donor sites
• Wounds prone to bleeding following appropriate haemostasis
• Debrided wounds
• Traumatic wounds
• Surgical wounds
• Dehisced surgical wounds
• Appropriate exuding oncology wounds
• Cavity wounds

How to use:

1. Assess and cleanse the wound according to normal clinical practice.
2. Dry the surrounding skin.
3. Apply Exufiber Ag+ directly to the wound.
4. For cavity wounds, loosely place the pad or ribbon into the wound without tightly packing it.
5. Leave an accessible portion of ribbon outside a cavity to assist removal.
6. Cover with an appropriate secondary dressing.
7. Secure according to local clinical practice.
8. Compression therapy may be used where clinically indicated.

Dressing changes:

Exufiber Ag+ may remain in place for up to:

7 days

depending on:

• Wound condition
• Exudate
• Infection status
• Secondary dressing
• Clinical judgement

Antimicrobial dressings should be regularly reassessed to determine whether continued silver treatment remains clinically necessary.

Important information – Exufiber Ag+:

Do not use in patients with a known hypersensitivity to:

• Silver
• PVA
• Hydroxypropyl cellulose
• Any other component of the dressing

Be aware that:

• Data on prolonged or repeated use of silver dressings are limited, particularly in children and neonates.
• Frequent or prolonged silver exposure may result in permanent skin discolouration.
• Exufiber Ag+ does not replace systemic antibiotics or other appropriate treatment where clinical infection requires them.
• The wound should be reassessed if infection develops or deteriorates.

Where Exufiber Ag+ is present in an area undergoing radiotherapy, it should be removed before radiation treatment and a new dressing applied afterwards.

Avoid contact between silver dressings and:

• ECG electrodes
• EEG electrodes
• Conductive gels used for electrical measurements

unless compatibility has been specifically established.

Single-use information:

Both Exufiber and Exufiber Ag+ are:

• Sterile
• Individually packaged
• Single use only

Do not:

• Reuse
• Re-sterilise
• Use if the sterile barrier is damaged or previously opened

Exufiber – Current UK sizes and codes

5cm × 5cm

• Pack size: 10
• Product code: 709900
• PIP: 394-4337
• NPC: ELY818

10cm × 10cm

• Pack size: 10
• Product code: 709901
• PIP: 394-4345
• NPC: ELY819

15cm × 15cm

• Pack size: 10
• Product code: 709903
• PIP: 394-4352
• NPC: ELY820

20cm × 30cm

• Pack size: 5
• Product code: 709904
• PIP: 394-4360
• NPC: ELY821

4.5cm × 10cm

• Pack size: 10
• Product code: 709905
• PIP: 394-4402
• NPC: ELY848

4.5cm × 20cm

• Pack size: 10
• Product code: 709906
• PIP: 394-4386
• NPC: ELY850

4.5cm × 30cm

• Pack size: 10
• Product code: 709907
• PIP: 394-4378
• NPC: ELY845

Exufiber Ribbon 1cm × 45cm

• Pack size: 5
• Product code: 709908
• PIP: 413-0464
• NPC: ELY843

Exufiber Ribbon 2cm × 45cm

• Pack size: 5
• Product code: 709909
• PIP: 401-0005
• NPC: ELY844

Exufiber Ag+ – Current UK sizes and codes

5cm × 5cm

• Pack size: 10
• Product code: 603401
• PIP: 414-3418
• NPC: ELY846

10cm × 10cm

• Pack size: 10
• Product code: 603402
• PIP: 414-3426
• NPC: ELY847

15cm × 15cm

• Pack size: 10
• Product code: 603403
• PIP: 414-3434
• NPC: ELY830

20cm × 30cm

• Pack size: 5
• Product code: 603407
• PIP: 414-3475
• NPC: ELY831

4.5cm × 10cm

• Pack size: 10
• Product code: 603404
• PIP: 414-3442
• NPC: ELY832

4.5cm × 20cm

• Pack size: 10
• Product code: 603405
• PIP: 414-3459
• NPC: ELY833

4.5cm × 30cm

• Pack size: 10
• Product code: 603406
• PIP: 414-3467
• NPC: ELY834

Exufiber Ag+ Ribbon 2cm × 45cm

• Pack size: 5
• Product code: 603400
• PIP: 414-3400
• NPC: ELY849

Manufacturer: Mölnlycke Health Care

Product type – Exufiber: Gelling Fibre Wound Dressing

Product type – Exufiber Ag+: Antimicrobial Silver Gelling Fibre Wound Dressing

Base material: Polyvinyl alcohol fibres

Technology: Hydrolock® Technology

Suitable exudate level: Moderate to high

Secondary dressing required: Yes

Suitable for cavity wounds: Yes

Can be used under compression: Yes

Maximum standard wear time: Up to 7 days

Exufiber donor-site wear time: Up to 14 days, where clinically appropriate

Silver content – Exufiber Ag+: 0.2mg/cm²

Sterile: Yes

Single use: Yes

Exufiber and Exufiber Ag+ should be selected according to the wound type, exudate level, presence or risk of infection and the overall wound-management plan. Chronic, infected, diabetic, arterial or otherwise complex wounds should be assessed and monitored by an appropriately trained healthcare professional.