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Wound Bed Preparation
 
    Application Guidelines
    Estimating the Number and Size of Sheets
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Placement, Shaping and Cutting
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Placement, Shaping and Cutting

  • Gently "scoop out" INTEGRA™ Bilayer Matrix Wound Dressing sheets from the holding basin
    with gloved hands and place directly onto the wound
  • Be sure the silicone side is facing up and the Collagen-GAG matrix is against the wound bed
  • INTEGRA™ Bilayer Matrix Wound Dressing must conform to and be in contact with the prepared wound bed
  • Do not try to move or "float" sheets like a split thickness skin graft. Instead, lift sheets up and reposition
  • These are two basic application techniques:

        (1) Place sheets on prepared wound bed. Affix sheets parallel to inside edges by sutures,
        staples, or other suitable alternative. Trim excess; or

        (2) Place sheet on prepared wound bed. Trim sheet to fit site. Affix sheets perpendicular to
        seam by sutures, staples, or other suitable alternative.

    Note: For Patients that are prone to keloid formation, it is recommended to place staples parallel to seams approximating healthy tissue

  • Cut sheets to avoid gaps
  • Place seam lines along Langer's Lines to reduce risk of contracture
  • INTEGRA Bilayer Matrix Wound Dressing can overlap healthy tissue by 1 to 2 mm
  • In a staged procedure, do not place INTEGRA™ Bilayer Matrix Wound Dressing in contact with non-viable tissue, rather maintain a safety margin between the prepared wound bed and any non-viable tissue
  • Make sure INTEGRA™ Bilayer Matrix Wound Dressing lays flat with no wrinkles or bubbles
 
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