Smith & Nephew Launches First Portable Single-Use Negative Pressure Wound Therapy System

Smith & Nephew plc has launched in Europe the new PICO 7Y Single Use Negative Pressure Wound Therapy System (sNPWT) with AIRLOCK Technology. This is the first sNPWT system to include an innovative integrated Y extension enabling the utilisation of two dressings concurrently from one pump, in practice allowing for two wounds to be addressed at the same time, thereby potentially reducing cost.
 
PICO 7Y sNPWT includes extended soft port and multisite dressings, designed to conform to complex anatomies.¹ It is particularly suited for use on multiple wounds, such as breast surgical procedures. PICO 7Y also includes a check dressing indicator, which is intended to reduce unnecessary dressing changes and wastage^2,3 and is 23 percent quieter than the first generation PICO,^4,5 making it less intrusive for patients. 
 
“With breast surgical procedures becoming more frequent,⁶ increasingly complex,^7,8 and with more women at high risk of breast cancer choosing to undergo risk-reducing surgery, such as bilateral prophylactic mastectomy,^9,10 PICO 7Y is improving the delivery of therapy for what is currently an unmet need,” said Paolo Di Vincenzo, Smith & Nephew’s senior vice president Global Marketing of Advanced Wound Management. “PICO 7Y delivers effective therapy to two surgical wounds simultaneously with a unique patient friendly system, which we believe will help improve patient outcomes, patient management and health care professional efficiency across diverse clinical settings.” 
 
PICO 7Y is the latest addition to the PICO family of sNPWT products, which have revolutionised the use of negative pressure wound therapy by making a treatment, previously predominantly used in a hospital inpatient setting, available to a wider range of outpatients in a cost effective, portable solution.^11,12 PICO has been shown to significantly reduce wound complications following breast reduction surgery compared with standard dressings.^13* In a breast cancer study with patients undergoing therapeutic mammoplasty, PICO reduced the incidence of post-surgical wound dehiscence by 75 percent compared with standard care, thereby reducing the potential for delay in the commencement of adjuvant therapy.^14** There is a growing body of literature supporting PICO as an effective prophylactic treatment option for surgical site infections including the recent publication of a Medtech Innovation Briefing from the UK National Institute for Health and Care Excellence (NICE).¹⁵
 
It was confirmed that PICO 7Y met all relevant regulatory European requirements in August 2018. U.S. regulatory clearance is pending.
 
Smith & Nephew is a global medical technology business dedicated to helping healthcare professionals improve people’s lives. With leadership positions in Orthopedic Reconstruction, Advanced Wound Management, Sports Medicine, and Trauma & Extremities, Smith & Nephew has around 15,000 employees and a presence in more than 100 countries. Annual sales in 2017 were almost $4.8 billion. Smith & Nephew is a member of the FTSE100 (LSE:SN, NYSE:SNN).

*Absolute difference of 5 percent (10 patients); p=0.004.
**Reduction in wound breakdown: 24 patients; PICO 4.2 percent; standard dressings 16.7 percent. Number of patients too small to test for statistical significance.
 
References
1. Data on file. A volunteer trial to assess dressing performance of Palermo multisite vs Control. OR-DOF/42 2014.
2. PICO 7Y lndicator activation test report. Internal Report. RD.18.074 v1. 2018.
3. PICO 7Y Human Factors Summary. Internal Report. WMP/16/533/UEF/R15.2018.
4. Smith & Nephew. 2018. PICO 7Y Device Noise Test Report. Internal Report RD.18.076 v2.
5. Data on File Report – DS/17/701/R. Dec 2017 Acoustic Testing Report: Comparison of PICO™ 7 to PICO 1.6 Devices.
6. International Society of Aesthetic Plastic Surgery. ISAPS statistics infographic for 2016. Available at:  https://www.isaps.org/wp-content/uploads/2017/10/GlobalStatistics.Infographic2016-1.pdf. Accessed 29 May 2018. 
7. Dietz J, Lundgren P, Veeramani A, et al. Autologous inferior dermal sling (autoderm) with concomitant skin-envelope reduction mastectomy: an excellent surgical choice for women with macromastia and clinically significant ptosis. Ann Surg Oncol. 2012;19:3282-3288. 
8. McCulley SJ and Macmillan RD. Planning and use of therapeutic mammoplasty – Nottingham approach. Br J Plast Surg 2005;58:889-901.
9. Wong SM, Freedman RA, Sagara Y, Aydogan F, Barry WT, Golshan M. Growing use of contralateral prophylactic mastectomy despite no improvement in long-term survival for invasive breast cancer. Ann Surg. 2017;265:581–589.
10. National Cancer Institute. Surgery to reduce the risk of breast cancer. Available at: https://www.cancer.gov/types/breast/risk-reducing-surgery-fact-sheet. Accessed 24 September 2018.
11. Hurd, T. Evaluating the costs and benefits of innovations in chronic wound care products and practices. Ostomy Wound Management. 2013; Supplement(June):1–16. Available at: https://www.o-wm.com/pdf/SN-supp-june.pdf. Accessed 24 September 2018.
12. Smith & Nephew. March 2018. Kendal PICO 7Y – pump weight and dimensions. Internal Report. DS.18.066.R.
13. Galiano RD, Hudson D, Shin J, et al. Incisional negative pressure wound therapy for prevention of wound healing complications following reduction mammaplasty. Plast Reconstr Surg Glob Open 2018;6:e1560.
14. Holt R and Murphy J. PICOÔ incision closure in oncoplastic breast surgery: a case series. Br J Hosp Med 2015;76:217-223.
15. NICE Medtech Innovation briefing (MIB149). PICO negative pressure wound therapy for closed surgical incision wounds. Published June 2018. Available at: https://www.nice.org.uk/advice/mib149. Accessed 24 September 2018.