DEC 15th, 2011

Arbor Village
Rehab and Nursing Center
490 S. Old Wire Road
Wildwood , Fl 34785

A 65 year old thin male, 5 feet, 11 inches tall and 138 pounds was admitted to Arbor Village on April 30, 2011 with a diagnosis of diabetes, paraplegia and contractures. He has chronic pain with movement and is a two person assist. He is wheelchair/bed bound.

He presented with a long term sacral decub that developed at home. It was a Stage 4 and measured 11x 9w x 1.5d cm with exposed bone. He had an albumin level of 2.4 on a scale of 3.5 – 5.2 and a pre-albumin level of 9 on a scale of 20-40. Prostat was ordered.

He was placed on the Tridien ST 1400 bed on May 15, 2011. He is very resistant to turning, does not eat well and is very non-compliant. Despite of all these attributes, his wound decreases in size from 11 x 9 x 1.5 d cm with exposed bone and serous exudates and black eschar to 5.8 x 3.5 x 1.0 cm; with 80% of granulation. However, he was readmitted to the hospital on 10/28/2011 with his wound measurements at 6.0 x 5.0 x 0.8 cm. Immediately upon return to the bed, his wound began to decrease in size again. On 11/17/11, his wound measured 4.3 x 3.5 x 1.2 cm. His chart continues to report his non-compliance with turning and repositioning. He continues to want to stay in his wheelchair for long periods of time and refuses his pro-stat. Arbor Village truly believes that without the Tridien ST 1400 bed, his wound would not have healed to this point.

Mary Alice Lewis RN LHRN
352-748-3322

24 Jan, 1998

Advanced Medical Systems, Inc.
352 Cleveland Place Suite 105
Virginia Beach, Virginia 23462

To Whom It May Concern,

My name is Barbara Whiting and I am the Ostomy/Wound Nurse at Portsmouth naval Medical Center in Portsmouth, Virginia. In my role I am directly responsible for the assessment of patients with wound and skin problems. I am also responsible for patient assessment and teaching for patients with genitourinary problems who may need surgical intervention or for those patients who have already undergone a surgical procedure. I am also responsible for the development and implementation of pressure sore prevention programs, treatment plans and protocols.

It has been my experience that all of the SENTECH MEDICAL SYSTEMS pressure relieving therapies provided by Advanced Medical Systems, Inc. are outstanding products. Since 1992 we have consistently utilized the SENTECH STAGE IV Alternating Low Air Loss Mattress Overlay, the STAGE IV Alternating Loss Air Chair, and the THERA-TURN 1000 Mattress Overlay that provides Continuous Lateral Rotation in addition to Low Air Loss therapy. The products have provided our patients with effective, appropriate therapy and have demostrated their effectiveness in pressure sore prevention and treatment in our critical care patients and for our general patient population that have been identified as being at risk of pressure sore development.

The products have been successfully utilized in the treatment of both Stage III and Stage IV ulcers at a considerable cost savings to our hospital. Since using these therapies we have had excellent clinicla results with positive patient and staff response. There has been an increase in appropriate patient placemtns and assessments resulting in a decrease of hospital acquired pressure sore development and a marked decrease in expenditures of bed rental equipment.

We have also received excellent service from Advanced Medical Systems on the SenTech Products. and I have found the company to be most efficeint, knowledgeable and helpful. It has been my pleasure to work wiht such a professional company.

Sincerely,

Barbara A. Whiting, RN, BSN
Ostomy/Wound Nurse Specialist
General Surgery Department