Ordering Information

FERRIS MFG. CORP.

5133 Northeast Parkway
® www.polymem.com Fort Worth, TX 76106-1822 USA
Made in the USA
Toll Free U.S.A.: 800-765-9636
Trademarks are owned by or licensed to Ferris. The marks may be registered or pending in several countries.
International: +1 817-900-1301
This document is meant for general information. See individual product instructions for use.
© 2019-2021 Ferris Mfg. Corp. MKL-698 R8 0421 www.polymem.com
PolyMem and PolyMem Silver Non-Adhesive Dressings
PolyMem Non-Adhesive
PolyMem Non-Adhesive
REF DIMENSIONS PER CASE PACKAGING HCPCS Codes ®

5022 1.8” x 1.8” (4.7cm x 4.7cm) 100 5 bx / 20 ea A6209

5033 3” x 3” (8cm x 8cm) 60 4 bx / 15 ea A6209
5044 4” x 4” (10cm x 10cm) 60 4 bx / 15 ea A6209 ®
5055 5” x 5” (13cm x 13cm) 30 2 bx / 15 ea A6210
5077 6.5” x 7.5” (17cm x 19cm) 30 2 bx / 15 ea A6210
The optimal choice when cutting dressings to size
5124 4” x 12.5” (10cm x 32cm) 12 1 bx / 12 ea A6210 and tapeless attachment or roll taping, is your
5244 4” x 24” (10cm x 61cm) Roll 8 2 bx / 4 ea preferred method of application. Use as a primary,
A6211
secondary or combined primary and secondary dressing.
5824 8” x 24” (20cm x 60cm) Roll 2 1 bx / 2 ea A6211

PolyMem Silver Non-Adhesive

REF DIMENSIONS PER CASE PACKAGING HCPCS Codes
1022 1.8” x 1.8” (4.7cm x 4.7cm) 100 5 bx / 20 ea A6209
1044 4.25” x 4.25” (10.8cm x 10.8cm) 30 2 bx / 15 ea A6210
1077 6.5” x 7.5” (17cm x 19cm) 15 1 bx / 15 ea A6211
1124 4.25” x 12.5” (10.8cm x 32cm) 12 1 bx / 12 ea A6211

PolyMem MAX and PolyMem MAX Silver Non-Adhesive Dressings

PolyMem MAX ®

REF DIMENSIONS PER CASE PACKAGING HCPCS Codes

5035 3” x 3” (7.6cm x 7.6cm) 40 4 bx / 10 ea A6209
5045 4.5” x 4.5” (11cm x 11cm) 20 2 bx / 10 ea A6210 This configuration is a thicker PolyMem pad with high
5088 8” x 8” (20cm x 20cm) 10 2 bx / 5 ea A6211 MVTR film for wounds with heavier drainage or when
longer weartime is desired. Use as a primary, secondary
or combined primary and secondary dressing.
PolyMem MAX Silver
1045 4” x 4” (10cm x 10cm) 16 2 bx / 8 ea A6209
1088 8” x 8” (20cm x 20cm) 10 2 bx / 5 ea A6211

PolyMem WIC, PolyMem WIC Silver & PolyMem WIC Silver Rope Wound Fillers
PolyMem WIC ®
®
REF DIMENSIONS PER CASE PACKAGING HCPCS Codes
5733 3” x 3” (8cm x 8cm) 4 grams 40 4 bx / 10 ea A6215
5712 3” x 12” (8cm x 30cm) 16 grams 12 1 bx / 12 ea A6215
With no film backing, WIC expands within the wound
5788 8” x 8” (20cm x 20cm) 28 grams 10 2 bx / 5 ea A6215 cavity to fill dead space, keeping the wound bed clean and
moisturized while absorbing excess fluid. WIC Rope has a
PolyMem WIC Silver reinforced mesh to ensure one-piece removal.
1331 1” x 3” (2.5cm x 7.6cm) 1.3 grams 70 5 bx / 14 ea A6215
1333 3” x 3” (8cm x 8cm) 4 grams 20 2 bx / 10 ea A6215
1788 8” x 8” (20cm x 20cm) 28 grams 10 2 bx / 5 ea A6215

PolyMem WIC Silver Rope

1814 0.4” x 14” (1cm x 35cm) 3 grams 12 2 bx / 6 ea A6215

PolyMem Finger/Toe Dressings

Finger / Toe
REF DIMENSIONS PER CASE PACKAGING HCPCS Codes
4401 #1 SM; circ. 1.8”- 2.2”(4.67cm - 5.7cm) 30 5 bx / 6 ea A6209
4402 #2 MED; circ. 2.2”- 2.6”(5.7cm - 6.72cm) 30 5 bx / 6 ea A6209 This configuration is specially designed for
4403 #3 LG; circ. 2.6”- 3.0”(6.72cm - 7.74cm) 30 5 bx / 6 ea A6209 use on fingers and toes. Appropriate for use
4404 #4 XL; circ. 3.0”- 3.4”(7.74cm - 8.76cm) 30 5 bx / 6 ea A6209 as a combined primary and secondary dressing
4405 #5 XXL; circ. 3.4”- 3.8”(8.76cm - 9.78cm) 30 5 bx / 6 ea A6210 or as a secondary dressing.

Finger / Toe Silver

REF DIMENSIONS PER CASE PACKAGING HCPCS Codes
1401 #1 SM; circ. 1.8”- 2.2”(4.67cm - 5.7cm) 30 5 bx / 6 ea A6209
1402 #2 MED; circ. 2.2”- 2.6”(5.7cm - 6.72cm) 30 5 bx / 6 ea A6209
1403 #3 LG; circ. 2.6”- 3.0”(6.72cm - 7.74cm) 30 5 bx / 6 ea A6209
1404 #4 XL; circ. 3.0”- 3.4”(7.74cm - 8.76cm) 30 5 bx / 6 ea A6209
1405 #5 XXL; circ. 3.4”- 3.8”(8.76cm - 9.78cm) 30 5 bx / 6 ea A6210
PolyMem Silicone Border Dressings
PolyMem Silicone Border
®
REF DIMENSIONS PER CASE PACKAGING HCPCS Codes
2423 #3 Oval 1.0” x 2.0” (2.5cm X 5.0cm) Pad A6212
50 5 bx / 10 ea
2.0” x 3.0” (5.0cm X 7.6cm) Adhesive
Our unique silicone border is engineered to stay in place
2435 #5 Oval 2.0” x 3.0” (5.0cm X 7.6cm) Pad 5 bx / 5 ea A6212 better and more securely than other silicone dressings.
25
3.5” x 5.0” (8.8cm X 12.7cm) Adhesive
4.0” x 5.7” (10.1cm X 14.6cm) Pad 4 bx / 5 ea A6213
2468 #8 Oval 20
6.5” x 8.2” (16.5cm X 20.9cm) Adhesive

2439 Sacral 4.5” x 4.7” (11.4cm x 12.0cm) Pad 20 4 bx / 5 ea A6212

7.2” x 7.8” (18.4cm x 20cm) Adhesive

PolyMem Silicone Border Silver

REF DIMENSIONS PER CASE PACKAGING HCPCS Codes
1243 #3 Oval 1.0” x 2.0” (2.5cm X 5.0cm) Pad
50 5 bx / 10 ea A6212
2.0” x 3.0” (5.0cm X 7.6cm) Adhesive
2.0” x 3.0” (5.0cm X 7.6cm) Pad
1245 #5 Oval 25 5 bx / 5 ea A6212
3.5” x 5.0” (8.8cm X 12.7cm) Adhesive

1248 #8 Oval 4.0” x 5.7” (10.1cm X 14.6cm) Pad 4 bx / 5 ea

20 A6213
6.5” x 8.2” (16.5cm X 20.9cm) Adhesive
1249 Sacral 4.5” x 4.7” (11.4cm x 12.0cm) Pad A6212
20 4 bx / 5 ea
7.2” x 7.8” (18.4cm x 20cm) Adhesive

PolyMem Film Adhesive Dressings

PolyMem Film Adhesive ®
REF DIMENSIONS PER CASE PACKAGING HCPCS Codes
1” x 1” (2.5cm x 2.5cm) Pad
203 100 5 bx / 20 ea A6212
2” x 2” (5cm x 5cm) Adhesive
The ultra-thin, adhesive-coated urethane film,
2” x 3” (5cm x 7.6cm) Pad together with the PolyMem membrane, provides
405 60 4 bx / 15 ea A6212
3.5” x 4.5” (8.9cm x 11.4cm) Adhesive a breathable yet tough, protective, water-resistant
dressing of unsurpassed versatility.
PolyMem
PolyMemMAX
MAX Film Adhesive
Film Adhesive
REF DIMENSIONS PER CASE PACKAGING HCPCS Codes
1.25” x 1.5” (3.1cm x 3.8cm) Pad A6212
0230 40 4 bx / 10 ea
2.75” x 3” (7cm x 7.6cm) Adhesive
3.5” x 3.5” (9cm x 9cm) Pad
606 60 4 bx / 15 ea A6212
5.25” x 5.25” (13.3cm x 13.3cm) Adhesive
2” x 10” (5cm x 26cm) Pad
3412 12 1 bx / 12 ea A6213
3.5” x 11.75” (8.9cm x 29.8cm) Adhesive

PolyMem Surgical ®

PolyMem Surgical MAX Film Adhesive

SURGICAL
REF DIMENSIONS PER CASE PACKAGING HCPCS Codes Control inflammatory response for
0511 Flexible 3.15” x 9.2” (8cm x 23.35cm) Pad maximum benefit, speed healing, and
5.3” x 11” (13cm x 28cm) Adhesive 10 2 bx / 5 ea A6213 improve outcomes with a revolutionary
Knee Dressing
dressing for surgical incision sites
0512 Surgical 3.5” x 10.5” (9cm x 27cm) Pad
10 2 bx / 5 ea A6213
Dressing 5.5” x 12.75” (14cm x 32cm) Adhesive
0511
0481 C-Section 2.7” x 8.25” (6.85cm x 21cm) Pad
10 2 bx / 5 ea A6213 0512
Dressing 4.7” x 10.2” (12cm x 26cm) Adhesive

0230 MAX Film 1.25” x 1.5” (3.1cm x 3.8cm) Pad

40 4 bx / 10 ea A6212
Island Dressing 2.75” x 3” (7cm x 7.6cm) Adhesive 0481
606 MAX Film 3.5” x 3.5” (9cm x 9cm) Pad 0230
5.25” x 5.25” (13.3cm x 13.3cm) Adhesive 60 4 bx / 15 ea A6212
Island Dressing
3412 MAX Film 2” x 10” (5cm x 26cm) Pad
12 1 bx / 12 ea A6213 606
Island Dressing 3.5” x 11.75” (8.9cm x 29.8cm) Adhesive

PolyMem Surgical Silver MAX Film Adhesive

3412
REF DIMENSIONS PER CASE PACKAGING HCPCS Codes
1511 Flexible Silver 3.15” x 9.2” (8cm x 23.35cm) Pad 10 2 bx / 5 ea A6213 1511
5.3” x 11” (13cm x 28cm) Adhesive 1512
Knee Dressing

1512 Silver Surgical 3.5” x 10.5” (9cm x 27cm) Pad 10 2 bx / 5 ea A6213

Dressing 5.5” x 12.75” (14cm x 32cm) Adhesive
PolyMem Cloth Adhesive Dressings
PolyMem Cloth Adhesive
REF DIMENSIONS PER CASE PACKAGING HCPCS Codes
1” x 1” (2.5cm x 2.5cm) Pad
7203 100 5 bx / 20 ea A6212 A breathable, adhesive-coated cloth backing that
2” x 2” (5cm x 5cm) Adhesive
provides exceptional comfort for your patient.
2” x 3” (5cm x 8cm) Pad
7405 60 4 bx / 15 ea A6212
4” x 5” (10cm x 13cm) Adhesive
3.5” x 3.5” (9cm x 9cm) Pad
7606 60 4 bx / 15 ea A6212
6” x 6” (15cm x 15cm) Adhesive
1” x 1” (2.5cm x 2.5cm) Pad
7031 100 5 bx / 20 ea A6212
1” x 3” (2.5cm x 8cm) Adhesive
2” x 1.5” (5cm x 4cm) Pad A6212
7042 100 5 bx / 20 ea
2” x 4” (5cm x 10cm) Adhesive

PolyMemSilver
PolyMem SilverCloth
Cloth Adhesive
Adhesive
3.5” x 3.5” (9cm x 9cm) Pad
1766 30 2 bx / 15 ea A6212
6” x 6” (15cm x 15cm) Adhesive

Shapes by PolyMem Oval & Oval Silver Dressings

Shapes by PolyMem Oval Film Adhesive ®

REF DIMENSIONS PER CASE PACKAGING HCPCS Codes

1” x 2”(2.5cm x 5cm) Pad
8023 100 5 bx / 20 ea A6212
2” x 3”(5cm x 7.6cm) Adhesive
A variety of oval sizes offer a secure fit for
3” x 2”(7.6cm x 5cm) Pad
8053
5” x 3.5”(12.7cm x 8.8cm) Adhesive
30 2 bx / 15 ea A6212 wounds on elbows, knees and other contoured
areas of the body where the dressing needs to
4” x 5.7”(10.1cm x 14.6cm) Pad
8086 20 2 bx / 10 ea A6213 bend and conform.
6.5” x 8.2”(16.5cm x 20.9cm) Adhesive

Shapes by PolyMem Oval Silver Film Adhesive

REF DIMENSIONS PER CASE PACKAGING HCPCS Codes
1” x 2”(2.5cm x 5cm) Pad
1823 100 5 bx / 20 ea A6212
2” x 3”(5cm x 7.6cm) Adhesive
3” x 2”(7.6cm x 5cm) Pad
1853 30 2 bx / 15 ea A6212
5” x 3.5”(12.7cm x 8.8cm) Adhesive
4” x 5.7”(10.1cm x 14.6cm) Pad
1886 20 2 bx / 10 ea A6213
6.5” x 8.2”(16.5cm x 20.9cm) Adhesive

Shapes by PolyMem Sacral Dressings

Shapes by PolyMem Sacral Film Adhesive
The heart-shaped dressing is designed
REF DIMENSIONS PER CASE PACKAGING HCPCS Codes specifically for use in the sacral region.
4.5” x 4.7” (11.4cm x 12.0cm) Pad
3709 20 2 bx / 10 ea A6212
7.2” x 7.8” (18.4cm x 20cm) Adhesive

Shapes by PolyMem Sacral Silver Film Adhesive

REF DIMENSIONS PER CASE PACKAGING HCPCS Codes
4.5” x 4.7” (11.4cm x 12.0cm) Pad
1709 20 2 bx / 10 ea A6212
7.2” x 7.8” (18.4cm x 20cm) Adhesive

Shapes by PolyMem Tube Dressings

Shapes by PolyMem Tube Dressings This configuration is pre-cut
to enhance patient comfort
REF DIMENSIONS PER CASE PACKAGING HCPCS Codes
and help clinicians easily
5333 2.75” x 2.75” (7cm x 7cm) 30 2 bx / 15 ea A6209 apply the dressing to tube
sites. Unlike other dressings
5335 3.5” x 3.5” (9cm x 9cm) 30 2 bx / 15 ea A6209 used on tube sites, PolyMem
dressings do not shed fibers.
Nursicare
Nursicare Sterile Breast Pad ® Nursicare therapeutic breast
®
pads soothe and alleviate pain
REF DIMENSIONS PER CASE PACKAGING associated with nursing, while
400 2.5” Diameter (6.30cm Diameter) 60 10 bx / 6 ea helping to heal cracked or sore
nipples.
SportsWrap by PolyMem Dressings
SportsWrap by PolyMem Dressings ®

REF DIMENSIONS PER CASE PACKAGING

9336 3” x 36” (7cm x 91cm) SW Roll 16 2 bx / 8 ea
Non-sterile dressings created
9536 5” x 36” (12cm x 91cm) SW Roll 8 2 bx / 4 ea specifically to manage athletic
9548 5” x 48” (12cm x 121cm) SW Roll 6 2 bx / 3 ea injuries and provide quicker
(more effective) management.
9120 2.5” x 12’ (6.3cm x 3.6m) SW ST Roll 10 1 bag / 10 ea