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NPWT Supply Request: Re-Order Form

Please note this reorder form option should be used only for patients who are currently using a V.A.C. provided by SunMED Medical. If you would like to place an order for a new V.A.C., please contact us @ 855-304-2930. NOTE: Contact SunMED directly @ 855-304-2930 for any same day requests.

Per Medicare guidelines, if this patient remains on the VAC longer than four months, a face-to-face appointment with a physician is required for continued use of the VAC for the fifth and any subsequent months. If the patient in non-compliant with following Medicare's guideline, the VAC treatment will be discontinued.

STEP 1 - Select your Re-Order Products from the list below:

THERAPY UNIT
ACTIV.A.C. Therapy Unit
ACTIV.A.C. Therapy Unit
V.A.C. THERAPY DRESSINGS
V.A.C. SIMPLACE EX Small Dressing Kit
V.A.C. SIMPLACE EX Small Dressing Kit
Case of 5 Dressing Kits
Product Code: M8275046/5
2 spiral GRANUFOAM Dressings (7.7 x 11.2 x 1.75cm), 2 strips of V.A.C. Drape, 1 SENSAT.R.A.C. Pad with connector, 1 disposable ruler.
V.A.C. SIMPLACE EX Medium Dressing Kit
V.A.C. SIMPLACE EX Medium Dressing Kit
Case of 5 Dressing Kits
Product Code: M8275045/5
2 spiral GRANUFOAM Dressings (14.7 x 17.4 x 1.75cm), 2 drape strips and 1 sheet of V.A.C. Drape, 1 SENSAT.R.A.C. Pad with connector, 1 disposable ruler.
V.A.C. SIMPLACE Small Dressing Kit with 3M Tegaderm Drape
V.A.C. SIMPLACE Small Dressing Kit with 3M Tegaderm Drape
Case of 5 Dressing Kits
Product Code: M8275041/5
2 spiral GRANUFOAM Dressings (7.7 x 11.2 x 1.75cm), 2 sheets of 3M Tegaderm Drape, 1 SENSAT.R.A.C. Pad with connector, 1 disposable ruler.
V.A.C. SIMPLACE Medium Dressing Kit with 3M Tegaderm Drape
V.A.C. SIMPLACE Medium Dressing Kit with 3M Tegaderm Drape
Case of 5 Dressing Kits
Product Code: M8275040/5
2 spiral GRANUFOAM Dressings (14.7 x 17.4 x 1.75cm), 3 sheets of 3M Tegaderm Drape, 1 SENSAT.R.A.C. Pad with connector, 1 disposable ruler.
V.A.C. GRANUFOAM Bridge Dressing Kit
V.A.C. GRANUFOAM Bridge Dressing Kit
Case of 5 Dressing Kits
Product Code: M8275042/5
1 GRANUFOAM Dressing (6 x 17 x 1.9cm), 1 GRANUFOAM Bridge Dressing (67cm) with integrated SENSAT.R.A.C. Pad, 1 sheet of perforated V.A.C. Drape with pre-cut hole, 1 disposable ruler.
V.A.C. GRANUFOAM XG Dressing Kit
V.A.C. GRANUFOAM XG Dressing Kit
Case of 5 Dressing Kits
Product Code: M8275044/5
2 spiral GRANUFOAM Dressings, 1 GRANUFOAM Bridge Dressing (67cm) with integrated SENSAT.R.A.C. Pad, 1 sheet of V.A.C. Drape, 1 sheet of perforated V.A.C. Drape with pre-cut hole, 1 disposable ruler.
V.A.C. GRANUFOAM SILVER Small Dressing Kit
V.A.C. GRANUFOAM SILVER Small Dressing Kit
Case of 5 Dressing Kits
Product Code: M8275098/5
1 GRANUFOAM SILVER Dressing (10 x 7.5 x 3.2cm), 1 V.A.C. Drape, 1 SENSAT.R.A.C. Pad with connector, 1 disposable ruler.
V.A.C. GRANUFOAM SILVER Medium Dressing Kit
V.A.C. GRANUFOAM SILVER Medium Dressing Kit
Case of 5 Dressing Kits
Product Code: M8275096/5
1 GRANUFOAM SILVER Dressing (18 x 12.5 x 3.2cm), 2 sheets of V.A.C. Drape, 1 SENSAT.R.A.C. Pad with connector, 1 disposable ruler. NOTE: Not covered by Medicare.
V.A.C. GRANUFOAM SILVER Large Dressing Kit
V.A.C. GRANUFOAM SILVER Large Dressing Kit
Case of 5 Dressing Kits
Product Code: M8275099/5
1 GRANUFOAM SILVER Dressing (26 x 15 x 3.2cm), 2 sheets of V.A.C. Drape, 1 SENSAT.R.A.C. Pad with connector, 1 disposable ruler. NOTE: Not covered by Medicare.
V.A.C. GRANUFOAM Small Dressing Kit
V.A.C. GRANUFOAM Small Dressing Kit
Case of 5 Dressing Kits
Product Code: M8275051/5
1 GRANUFOAM Dressing (10 x 7.5 x 3.2cm), 1 sheet of V.A.C. Drape, 1 SENSAT.R.A.C. Pad with connector, 1 disposable ruler.
V.A.C. GRANUFOAM Round Dressing Kit
V.A.C. GRANUFOAM Round Dressing Kit
Case of 5 Dressing Kits
Product Code: M8275075/5
1 perforated GRANUFOAM Dressing (5” diameter), 1 sheet of V.A.C. Drape, 1 SENSAT.R.A.C. Pad with connector, 1 disposable ruler.
V.A.C. GRANUFOAM Thin Dressing Kit
V.A.C. GRANUFOAM Thin Dressing Kit
Case of 5 Dressing Kits
Product Code: M8275081/5
1 perforated GRANUFOAM Dressing (26 x 15 x 1.6cm), 2 sheets of V.A.C. Drape, 1 SENSAT.R.A.C. Pad with connector, 1 disposable ruler.
V.A.C. GRANUFOAM Hand Dressing Kit
V.A.C. GRANUFOAM Hand Dressing Kit
Case of 5 Dressing Kits
Product Code: M8275064/5
1 hand-shaped GRANUFOAM Dressing with finger separators, 1 sealing bag, 1 SENSAT.R.A.C. Pad with connector, 1 disposable ruler.
V.A.C. WHITEFOAM Small Dressing Kit
V.A.C. WHITEFOAM Small Dressing Kit
Case of 5 Dressing Kits
Product Code: M8275068/5
1 polyvinyl alcohol dressing (10 x 7.5 x 1cm), 1 V.A.C. Drape, 1 SENSAT.R.A.C. Pad with connector, 1 disposable ruler.
V.A.C. WHITEFOAM Large Dressing Kit
V.A.C. WHITEFOAM Large Dressing Kit
Case of 5 Dressing Kits
Product Code: M8275067/5
1 polyvinyl alcohol dressing (10 x 15 x 1cm), 1 V.A.C. Drape, 1 SENSAT.R.A.C. Pad with connector, 1 disposable ruler.
CANISTERS AND ACCESSORIES
ACTIV.A.C. 300ml Canister with Gel
ACTIV.A.C. 300ml Canister with Gel
Case of 5 Canisters
Product Code: M8275058/5
1 canister (sterile fluid path) with SENSAT.R.A.C. Tubing, clamp and connector (also used with V.A.C. SIMPLICITY Therapy Unit). For additional quantities, please call SunMED.
SENSAT.R.A.C. Pad Only
SENSAT.R.A.C. Pad Only
Case of 5 Pads
Product Code: M8275057/5
1 SENSAT.R.A.C. Pad with tubing, clamp and connector.
V.A.C. Drape
V.A.C. Drape
Case of 10 Drapes
Product Code: M6275009/10
1 adhesive drape (30.5 x 26cm).
V.A.C. Y-Connector
V.A.C. Y-Connector
Case of 5 Connectors
Product Code: M6275066/5
Allows two V.A.C. Dressings to be connected to one V.A.C. Therapy Unit.
 
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