Mirragen Advanced Wound Matrix, Per Square Centimeter (A2002)

Name of the Procedure:

Mirragen Advanced Wound Matrix
Common name(s): Mirragen treatment
Technical or medical terms: Mirragen wound care, bioresorbable wound matrix application

Summary

Mirragen Advanced Wound Matrix is a wound care treatment where a biologically designed matrix is applied to a wound to promote healing. This matrix is made of bioresorbable materials that interact with the body's cells to accelerate tissue repair and regeneration.

Purpose

The procedure is aimed at treating chronic or difficult-to-heal wounds, such as diabetic ulcers, pressure ulcers, and surgical wounds. The goal is to enhance wound healing, reduce infection risks, and improve overall skin integrity.

Indications

• Chronic diabetic foot ulcers
• Pressure ulcers (bedsores)
• Venous stasis ulcers
• Traumatic wounds
• Surgical incisions that are not healing properly

Patient criteria:

• Non-responsive to conventional wound care treatments
• Wounds with delayed healing
• Patients with compromised wound healing capability due to underlying conditions

Preparation

• Follow the wound care specialist's instructions, which may include cleaning the wound area.
• Medication adjustments may be needed, particularly if taking anticoagulants.
• Basic diagnostic tests like blood tests to assess for infection and overall health status.

Procedure Description

1. The wound area is cleaned and debrided if necessary.
2. The Mirragen matrix is cut to match the size of the wound.
3. The matrix is then gently placed over the wound bed.
4. A secondary dressing is applied to keep the matrix in place and protect the wound.
5. The wound is monitored regularly, and the dressing is changed as needed.

Tools and Equipment:

• Mirragen wound matrix material
• Sterile instruments for wound debridement
• Secondary dressings (bandages, gauze)

Anesthesia:

• Typically, no anesthesia is needed, but local anesthesia might be applied in cases of wound debridement.

Duration

The initial application procedure usually takes between 20 to 40 minutes. Follow-up applications may vary in duration.

Setting

The procedure can be performed in various settings, including a hospital wound care center, outpatient clinic, or even at home by a trained healthcare provider.

Personnel

• Wound care specialist or surgeon
• Registered nurse
• Medical assistant (optional)

Risks and Complications

• Infection
• Allergic reaction to matrix material
• Incomplete wound coverage
• Pain or discomfort

Management:

• Appropriate antibiotics for infection
• Discontinuation of the matrix in case of allergic reactions
• Pain management with prescribed medications

Benefits

• Accelerated wound healing
• Reduced risk of infection
• Improved tissue regeneration
• Relief from chronic wound-related symptoms

Benefits may be realized within a few weeks to a couple of months, depending on the wound's severity and the patient's overall health.

Recovery

• Follow-up visits for wound assessment and dressing changes
• Avoiding activities that may put stress on the wound area
• Keeping the wound clean and dry

Expected recovery time varies but generally ranges from several weeks to a few months.

Alternatives

• Traditional wound dressings (gauze, hydrocolloids)
• Negative pressure wound therapy (NPWT)
• Skin grafts or flaps
• Hyperbaric oxygen therapy

Pros and Cons:

• Traditional dressings may be less expensive but slower in healing.
• NPWT is effective but can be cumbersome.
• Skin grafts require surgery and longer recovery.
• Hyperbaric oxygen therapy can be effective but is expensive and requires multiple sessions.

Patient Experience

During the procedure, most patients will feel minimal discomfort. Post-procedure, patients might experience mild pain or itching at the application site, which can be managed with over-the-counter pain relievers. Regular follow-up visits will help ensure comfort and monitor the healing process.