medi mediven Mode D'emploi page 8

• Post-thrombotic syndrome
• Thrombotic prophylaxis in mobile patients
Oedema
• Lymphoedema
• Oedema during pregnancy
• Post-traumatic oedema
• Post-operative oedema
• Post-operative reperfusion oedema
• Cyclic idiopathic oedema
• Lipoedema
• Conditions involving stasis due to immobility
(arthrogenic congestive syndrome, paresis and
partial paresis of the extremity)
• Oedema caused by job (jobs which involve a lot of
sitting or standing)
• Oedema caused by taking medication which cannot
be altered (no viable alternative)
Other indications
• Obesity with functional venous insufficiency
• Inflammatory dermatitis of the leg
• Nausea, dizziness during pregnancy
• Complaints involving stasis during pregnancy
• Conditions resulting from burns
• Scar treatment
Please observe the following instructions:
Due to the different manufacturing methods used for
medical compression stocking and the different
modes of action that they elicit, medi generally recom-
mends that round-knitted compression stocking (sto-
cking without seams) be used for venous conditions
and flat-knitted compression stocking (stocking with
seams) be used for lymphatic system conditions. Ho-
wever, flat-knitted stocking may still be an appropriate
therapy for a venous condition, for example (e.g. if the
limb is very large at one point and narrow at another or
if tissue folds are very deep). Note that this decision
can only be made by a doctor.
Patient-dependent factors in particular, such as the
patient's weight, the type and severity of the oedema
and the nature of their connective tissue all play a role
in this decision.
Therefore, our recommendation is as follows:
• The higher the patient's weight,
• The more they tend towards oedema,
• The more severe the disease,
• The softer their connective tissue,
-> The more compressive the stocking material needs
to be!
Your doctor or the medical professionals treating you
will support and advise you in selecting the correct
medical compression stocking for you. This ensures
that your individual needs are met, which increases
your wellbeing and provides you with the best chan-
ces of therapeutic success.
4. contraindications - are there instances in which I
should not wear the medical compression stocking?
Medical compression stocking may not be worn if the
patient has the following conditions:
• Advanced peripheral arterial occlusive disease (if
one of these parameters is present: ABPI < 0.5, ankle
arterial pressure < 60 mmHg, toe pressure <
30mmHg or TcPO2 < 20 mmHg on dorsum of foot).
8 • mediven®
When non-elastic materials are implemented, the
patient can still try out compression stocking if they
have ankle arterial pressure between 50 and 60
mmHg and they are under close clinical supervision.
• Decompensated heart failure (NYHA III + IV)
• Septic thrombophlebitis
• Phlegmasia cerulea dolens
In the following instances, the therapeutic decision
should be made by weighing up the benefits and risks
and by selecting the most suitable compressive
equipment:
• Severe weeping dermatosis
• Intolerance to compressive material
• Severe paraesthesia in the limbs
• Advanced peripheral neuropathy (e.g. in diabetes
mellitus)
• Primary chronic polyarthritis
If you are not sure whether one or more of these
statements applies to you, speak to your doctor and/
or the medical personnel treating you.
The round-knit medical compression stockings, me-
diven angio, have product characteristics which are
specially formulated to ensure that they are optimal
for serving the needs of patients with concomitant
conditions such as diabetes mellitus or mild to midd-
ling peripheral arterial occlusive disease (ABPI > 0.6).
mediven angio has been confirmed to be safe for this
patient population in a clinical study.
The following risks and the following side effects may
occur:
Medical compression stocking may incur the follow-
ing, especially if handled incorrectly:
• Skin necrosis and
• Pressure damage to peripheral nerves.
If your skin is sensitive, the compressive equipment
may cause itchiness, peeling or signs of inflammation.
Adequate skincare under the compression stocking is
vital. Therefore, please take particular care to observe
our important notes and the instructions for putting
the compression stocking on (sections 7 and 8).
If the following symptoms are experienced - the com-
pression stocking should be removed immediately and
clinical advice sought: Change in toe colour - blue or
white, new experience of paraesthesia or numbness in
toe foot or leg, increase of pain, shortness of breath, sud-
den sweating or acute limitation in movement of limb.
Rother U et al. Safety of medical compression sto-
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ckings in patients with diabetes mellitus or peripheral
arterial disease. BMJ Open Diabetes Res Care
2020;8(1):e001316.
5. Intended users and patient target groups
Healthcare professionals and patients, including per-
sons who play a supporting role in care, are the inten-
ded users for this device, provided that they have re-
ceived briefing on this from healthcare professionals.
Patient target group: Healthcare professionals should
provide care to adults and children, applying the
available information on the measurements/sizes and
required functions/indications, in line with the infor-
mation provided by the manufacturer, and acting un-
der their own responsibility.
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