Saving Time and Money with Smith & Nephew’s PICO

Adam Filippi and Brian Meehan from Smith & Nephew stopped by our offices this past Tuesday to show off a rising star in their wound care product line, PICO.


PICO is a next-generation negative pressure wound therapy system (NPWT) that combines Smith & Nephew’s advanced wound care expertise with a tiny, cannister-free pump solution to greatly enhance patient compliance and quality of life.

Traditional NPWT systems utilize a pump and cannister along with an airtight dressing to remove wound fluids from the area around an open wound or closed surgical site.  The cannister can be bulky, and often requires the patient to remain near a power outlet for four or more hours a day.  In addition, application can be quite a trial for a clinician, and the dressing needs to be changed as often as three times a week.

PICO, on the other hand, uses an advanced 4-layer dressing that can hold up to 400 CC’s of wound fluid with no cannister, and can be left in place for up to seven days.  According to clinical studies, PICO can be used in place of a larger traditional NPWT system in over 70% of all cases.  In fact, early studies show that PICO may even be more effective than traditional solutions due to increased blood flow to the tissues surrounding the wound.

PICO has been shown to be an excellent solution for a number of open wound types:

  • Martorell ulcers
  • Pyoderma gangrenosa
  • Diabetic foot ulcers
  • Venous ulcers
  • Refractory ulcers
  • Pressure ulcers
  • Hypertensive eschemic ulcers
  • Vasculitic ulcers
  • Vasculitis pyoderma
  • Superficial wounds

In addition, PICO has demonstrated excellent results when used on a number of closed surgical incisions for high-risk patients or high risk procedures:


  • C-section
  • Hysterectomy
  • Total Hip Replacement
  • Total Knee Replacement
  • Sternotomy
  • Colorectal Surgery
  • Calcaneus Fracture
  • Mastectomy
  • Breast Reduction

For the patient, PICO is a much more discrete and mobile solution- the pump, approximately the size of a deck of cards, fits easily in a pocket.  PICO is also available at a significantly lower cost.  Patients may be discharged sooner following outpatient surgeries, and also have lower rates of readmission thanks to reduced surgical site complications.

For the agency or clinician, PICO represents significant time savings, as it is both easier to apply, and requires far fewer dressing changes.  PICO is convenient to stock, as it is a latex-free, all-in-one solution that has the same price point across all eight sizes.  Also, unlike traditional NPWT solutions, there is no need to manage equipment or track therapy days.


We have included a video below from Smith & Nephew’s YouTube channel that shows the basic application procedure and a visualization of some of the technologies they are bringing to the table.  For much more information, including clinical resources, studies, and Medicare reimbursement information, follow this link to Smith & Nephew’s ‘Possible With PICO’ site.



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