In a study of interface pressure changes under compression bandages, Junjie Ning, Fedor Lurie (both Jobst Vascular Institute, Toledo, USA), and colleagues found that while pressure decreased over time under all studied bandages, the temporal pattern of pressure change...
Amy Ferris (Geriatric and General Medicine Cardiff, Cardiff, Wales, UK), Keith Harding (Welsh Wound Innovation Centre, Ynysmaerdy, Wales, UK), and colleagues have landed on a “suitable protocol” for measuring serum and wound fluid iron levels in the context of...
A prospective, randomised controlled crossover study (NCT03662997) comparing three multi-layered silicone foam dressings for the management of chronic wounds finds Mepilex Border Flex (Mölnlycke Health Care, the study’s sponsors) to be statistically superior in terms of wear after one...
Patient-centred clinical success after lower-extremity revascularisation for people with diabetic foot wounds was achieved among 63% of patients in a new analysis—but researchers suggest the measure on which the study was based may define clinical success too strictly given...
  KitoTech Medical has been awarded a group purchasing agreement for non-invasive skin closure devices with Premier. Effective since 1 November, the new agreement allows Premier members, at their discretion, to take advantage of special pricing and terms pre-negotiated by...
Treatment with the mVASC microvascular tissue graft product (MicroVascular Tissues) results in superior wound closure compared to standard of care alone, the first randomised controlled trial using microvascular elements to treat microvascular dysfunction—the HIFLO trial—finds. Presented at the Symposium...
A specialist device that can remotely monitor the foot health of diabetes patients features in a new collaboration between the University of South Wales (USW) and healthcare systems company Thermetrix. The Podium device examines the sole of the foot temperature...
The global advanced wound care market size is expected to reach US$15.59 billion by 2027, exhibiting a compound annual growth rate (CAGR) of 5.1% during the forecast period. The increasing cases of chronic wounds such as foot ulcers, pressure ulcers,...
A multidisciplinary limb salvage alliance found that operating room (OR) and clinic volumes, as well as work relative value units (wRVUs), all increased significantly over a four-year period after the recruitment of podiatrists into the programme. Studying data from...
PolarityTE has announced it has received notification of being awarded a Phase I Small Business Innovation Research grant from the National Institutes of Health (NIH) for an application titled “Fluid Management System for Point of Care Device for Novel...
In its comments submitted to the Center for Medicare and Medicaid Services (CMS) in early October, the Alliance of Wound Care Stakeholders voiced its opposition to payment cuts from 5–9% for surgical procedures and 9% for physical therapy services...
A coalition organised by the CLI Global Society has announced its proposal to distinctly recognise "critical limb ischaemia" (CLI) and "chronic limb-threatening ischaemia" (CLTI) in the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) was approved by the...
Results from the Fluorescence Imaging Assessment and Guidance (FLAAG) clinical trial, published recently in Advances in Wound Care, reveal that 82% of wounds in enrolled patients—which included diabetic foot ulcers, venous leg ulcers, pressure ulcers, and other chronic wounds—had...
Scientists at the Tokyo University of Science (Tokyo, Japan) have developed a novel method to produce an alkaline hydrogel that can help improve wound healing. The method requires no specialised equipment and can be performed at room temperature to produce an alkaline hydrogel in five...
AOTI has announced an expansion of its multi-modality Topical Wound Oxygen (TWO2) therapy product family including the addition of a new larger extremity-chamber to the company's peripheral vascular disease (PVD) focused product line.  This has allowed for the application of TWO2 treatments for many more...
Midterm results from a study of the largest population of patients with no-option chronic limb-threatening ischaemia (CLTI) treated with percutaneous deep vein arterialisation (pDVA) using the LimFlow device show that, in this complex group of patients, this treatment method...
Surmodics has announced receipt of US Food and Drug Administration (FDA) 510(k) clearance for its Pounce thrombus retrieval system. The company describes the Pounce system as a mechanical thrombectomy device intended for the nonsurgical removal of thrombi and emboli from...
To deliver clinical and cost benefits, leg ulcer care pathways should be revised to include early assessment and treatment of superficial venous reflux, researchers behind a recent Journal of the American Medical Association (JAMA) Surgery study suggest. The investigators set...
Smith and Nephew has teamed up with Avail Medsystems to provide remote, real-time collaboration services to its customers, directly in the operating room. Streamlining procedures in both hospitals and ambulatory surgery centres (ASCs) is becoming increasingly important with operating room...
The Center for Medicare and Medicaid Services have released for comment its proposed CY 2021 updates to the Hospital Outpatient Prospective Payment System and Physician Fee Schedule. Below, verbatim, are several provisions the Alliance of Wound Care Stakeholders has...
The Wound Healing Foundation held their awards ceremony at the Symposium on Advanced Wound Care–Wound Healing Society (SAWC–WHS) virtual meeting (24–26 July 2020). Winners are as follows: 2020 WHF Thomas K Hunt Lecturer: Margaret A Liu COVID-19: The Intersection of Vaccine...
Amniox Medical, a TissueTech company involved in the research of the clinical application of human birth tissue-based products, recently announced that Yun Guan (Johns Hopkins University School of Medicine, Baltimore, USA) has been awarded a five-year R01 grant from...
A multidisciplinary limb preservation service under the leadership of vascular surgery in a level one trauma centre was associated with an immediate and rapid decline in the number of amputations performed for all indications, including trauma, acute limb ischaemia...
Patients with diabetes are at a higher risk of mortality when discharged from hospital, a recent study published in the Journal of Diabetes and its complications concludes. The authors, Teesta Mukherjee (Institute of Digital Healthcare, WMG, University of Warwick,...
The Alliance of Wound Care stakeholders recently submitted comments to the Centers for Medicare & Medicaid Services (CMS) to demand wound care is included in the US Department of Health and Human Services (HHS) and CMS grant waivers, as...
EO2 Concepts announced the release of an enhanced version of their full wound closure, at-home therapy system. The upgrade of the system consists of new and improved features for both the medical device, called the OxyGeni, and the OxySpur...
Patients with diabetic foot ulceration (DFUs) in Italy had more amputations during the height of the coronavirus pandemic—March to May 2020—than over the same time period in 2019, according to a newly published study. The study, led by Paola Caruso...
Researchers claim to have developed cellulose membranes that eliminate wound infections early on, as they look to tackle the issues of increased antibiotic resistance. If germs invade a wound, they can trigger a long-lasting infection that may fail to heal...
Preliminary evidence supports the use of a novel biophysical marker—the measurement of sub-epidermal moisture—to detect tissue damage early, allowing wound care specialists to identify pressure/shear-induced tissue damage and intervene “when the damage is still microscopic and reversible”. This is...
PolarityTE have announced positive results from a protocol-specified interim analysis of the first 50 patients enrolled in a multicentre randomised controlled trial evaluating treatment of diabetic foot ulcers with SkinTE plus standard of care (SOC) versus SOC alone. SkinTE is...
World-first plasma-coated bandages with the power to attack infection and inflammation could revolutionise the treatment of chronic wounds such as pressure, diabetic, or vascular ulcers that will not heal on their own. Developed by the University of South Australia, the...
Reapplix has received Medicare reimbursement coding instructions from the Centers for Medicare and Medicaid Services (CMS) with a national average payment rate of US$1,622.74. The rate covers each patient visit to hospital outpatient departments to receive 3C Patch therapy...
A new kit for imaging bacteria in wounds in a surgical and/or isolation setting is now available on the market. The i:X sterile surgical sleeve convenience kit, from MolecuLight, is made of a novel, optically-clear material that does not...
Optimised cushioning provided by newly developed 3D printed insoles in diabetic footwear can significantly enhance their capacity to reduce plantar pressure, a new study concludes. This research was published in Gait and Posture, the official journal of the Gait...
Health care technology company Axxess has released a new comprehensive wound care management system that enables users to document and track wound care seamlessly. The Axxess Wound Manager tracks wounds, wound care orders, and wound care in an easy-to-use, central...
A BIBA MedTech Insights survey (conducted May 2020) indicates a trend towards centres only performing emergency percutaneous peripheral procedures during the COVID-19 pandemic. However, this trend is not seen with stenting/angioplasty for critical limb-threatening ischaemia. With critical limb ischaemia,...
In this issue of iWounds News: How COVID-19 is changing wound care Randomised trial of skin cell suspension confirms efficacy for healing venous ulcers US podiatrists outline triage system and community care focus to combat COVID-19 William Ennis: Assessing the...
MTF Biologics has announced that new positive coverage decisions by Aetna, Centene Corporation, WellCare and Tufts Health Plan will provide greater access to its human placental and dermal allografts, AmnioBand and AlloPatch, for the treatment of diabetic foot ulcers (DFUs). In...
The Journal of Wound Care has republished a consensus document to tackle the rising rates of device-related pressure ulcers (DRPUs) among patients and now, due to COVID-19, health care professionals. The authors, Amit Gefen (Tel Aviv University, Tel Aviv, Israel) and Karen Ousey (University of Huddersfield, Huddersfield, UK) write that, amid...
MolecuLight has announced that the Centers for Medicare & Medicaid Services (CMS) has assigned an Ambulatory Payment Classification (APC) code 5722 for the MolecuLight i:X imaging procedure for point-of-care real-time fluorescence wound imaging for bacterial presence, location, and load....
The 30th Annual Conference of the European Wound Management Association, EWMA 2020 will be a fully virtual conference, taking place on 18–19 November 2020. The Association states: “The health and safety of our attendees, partners, vendors and staff is our...
Speaking from four separate rooms in four different corners of the world, William Ennis, Desmond Bell, Michael Edmonds, and William Li expounded over zoom on the myriad ways in which COVID-19 had impacted multidisciplinary wound care, both in terms...
Speaking from four separate rooms in four different corners of the world, William Ennis, Desmond Bell, Michael Edmonds, and William Li expounded over zoom on the myriad ways in which COVID-19 had impacted multidisciplinary wound...
VisionQuest Biomedical and the University of New Mexico School of Medicine have been awarded a three-year US$3 million grant from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health (NIH),...
LimFlow SA today announced publication of positive two-year data from the ALPS registry of the LimFlow percutaneous deep vein arterialisation (pDVA) system. Results were published online yesterday in the Journal of Endovascular Therapy and will also appear in the...
Older age, being male, deprivation, living in a densely populated area, ethnicity, obesity, and chronic kidney disease are associated with a positive test for COVID-19, according to results from 3,802 people tested for SARS-CoV-2 in the UK. The observational...
Therapeutic biologics company MiMedx has announced the appointment of William L Phelan as senior vice president and chief accounting officer, effective 1 May, 2020. Phelan is an accounting professional with more than 25 years of experience building, leading, and advising...
Reviewing the available evidence for below-the-ankle interventions in the treatment of critical limb-threatening ischaemia (CLTI), Srini Tummala proposes that pedal artery intervention “should be an integral part of the armamentarium” when physicians are faced with patients with both below-the-knee...
Prism Schneider (Cumming School of Medicine, University of Calgary, Calgary, Canada) and others write in a commentary in the Canadian Medical Association Journal—because of an increase in domestic violence during the pandemic—healthcare providers should be aware of the signs...
On 18 March, the Centers for Medicare & Medicaid Services (CMS) recommended “limiting non-essential care and expanding surge capacity into ambulatory surgical centres and other areas” to conserve resources and staff for managing COVID-19 patients. However, in a statement...
Since the outbreak of the COVID-19 pandemic, AOTI has been focusing all its resources on supporting a growing number of wound care patients being treated at home by the company’s multi-modality topical wound oxygen (TWO2) therapy. In a press release,...
Intact Vascular has announced the first commercial use of its Tack Endovascular System (4F) in multiple sites across the USA. Notably the first FDA-approved vascular implant for below-the-knee (BTK) post-angioplasty dissection repair, Tack implants are designed to optimise balloon...
i:X MolecuLight has announced the integration of its MolecuLight i:X device with Tissue Analytics’ interconnected platform for seamless integration with leading electronic medical record (EMR)/electronic health record (EHR) platforms. According to a press release, Tissue Analytics is an artificial intelligence...
In a brief report in Annals of Internal Medicine, Seongman Bae (Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea) and colleagues report that neither surgical nor cotton masks appear to be an effective approach for preventing the dissemination of SARS-CoV-2 from...
George Adams, MD (Raleigh, USA) talks to Vascular News at VIVA 2019 (Vascular InterVentional Advances; 4–7 November, Las Vegas, USA) about the six-month data from the TOBA II BTK pivotal study immediately after the late-breaking clinical trial session in which these data were...
Royal Philips has announced that the US government and Philips agreed to team up to increase the production of hospital ventilators in its manufacturing sites in the USA. Philips plans to double the production by May 2020  and achieve...
The European Commission (EC) has adopted a proposal to postpone by one year the date of application of the new Medical Devices Regulation (MDR), which was due to come into force on 26 May this year. The postponement, a press...
In a new statement published on 2 April 2020, all 45 societies represented by the US Council of Medical Specialty Societies (CMSS)—over 800,000 physicians—emphatically declare their belief that all frontline healthcare professionals must have access to personal protective equipment...
In response to the COVID-19 national crisis, Healogics has announced the launch of a Telehealth Programme. The programme is available immediately to Healogics' 600-plus wound care centres and 4,000 associated wound care providers, providing a means and set of...
The American College of Surgeons (ACS) today leapt to the defense of healthcare workers who are heading to work in the face of increasing concerns over personal protective equipment (PPE) shortages as the COVID-19 pandemic cuts trails across the...
According to a statement, soft tissue repair company Aroa Biosurgery is stepping up to support clinicians and their patients who are battling to treat wounds, amid disruption to many existing US facilities for wound care due to COVID-19. Aroa vice...
In the face of increasing pressure on healthcare systems, caused by the COVID-19 pandemic, the International Working Group on the Diabetic Foot (IWGDF)—in collaboration with D-Foot International and Diabetic Foot Australia—has set out to answer clinicians’ questions, particularly on...
“Our goal is to reduce the burden on the healthcare system by keeping patients safe, functional, and at home during the COVID-19 pandemic,” state the authors of a new viewpoint published in the Journal of the American Podiatric Medical...
According to a statement, minor cuts and lacerations can be safely, quickly, and effectively treated at home with Clozex Medical innovative wound closures, reducing the risk of exposure to COVID-19 and other contagions. "Stay safe and keep our medical professionals...
During a Q&A section of a European Commission (EC) college meeting on 25 March, EC spokesperson Stefan de Keersmaecker stated that the commission were looking to delay the “entry into force” of the new European medical device regulations (MDR) because of...
Wound dressings in the UK are changed on average every three days, according to a new survey, conducted by the Journal of Community Nursing on behalf of Mölnlycke, of over 300 healthcare professionals, including tissue viability nurses, district nurses,...
A viewpoint in the Journal of the American Medical Association (JAMA) has offered potential solutions to modifying ongoing randomised clinical trials during the COVID-19 pandemic. It aims to “minimise disruption and preserve integrity”, while still ensuring participant health and safety. Authors Mary...
Use of autologous skin cell suspension (ASCS) in addition to compression has been shown to accelerate healing in large venous leg ulcers (VLUs), according to the results of a multicentre randomised trial conducted in the UK. Writing in the...
The American College of Surgeons (ACS) has announced the release of new clinical guidance for surgeons to curtail recommendations for elective surgical procedures, with the aim of preserving necessary resources for the care of critically ill patients during the...
In a statement from the Alliance of Wound Care Stakeholders, a multidisciplinary trade association of physician specialty societies and clinical and patient associations, it has been emphasised that wound care is an essential—not elective—service that prevents admissions to hospital...
The 2020 Charing Cross (CX) Symposium that was due to take place next month in London, UK, has been cancelled due to COVID-19.  In full, the statement from the CX Symposium team, reads: "The CX Symposium team has made the difficult...
With healthcare systems around the world facing the most severe global health crisis in a generation, wound care is one of many areas that could be seriously affected. As iWounds News editor-in-chief William J Ennis explains, the commonality between...
A five-year institutional population health review has revealed that there is a rising trend in the clinical and economic burden of wound care in the Tropics. Published in the International Wound Journal (IWJ), the study was conducted after two...
A retrospective analysis of patients diagnosed with lower extremity lymphoedema, and treated in a cancer-affiliated physical therapy department, has found that chronic venous insufficiency (or phlebolymphoedema) is the “predominant cause of lower extremity lymphoedema”. Published online in the Journal...
In this issue of iWounds News: How wound care specialists can improve microcirculation Multicentre RCT shows superiority of PICO NPWT system Updated guidelines reveal pressure ulcer damage cascade Thomas Serena: Wound care cooperation Michael Edmonds: Avoiding amputation Profile: Una Adderley
In this issue of iWounds News: How wound care specialists can improve microcirculation Multicentre RCT shows superiority of PICO NPWT system Updated guidelines reveal pressure ulcer damage cascade Thomas Serena: Wound care cooperation Michael Edmonds: Avoiding amputation Profile: Una Adderley
The Lindsay Leg Club Foundation has launched a new fundraising campaign in partnership with the Aviva Community Fund, in a bid to raise money for a new Leg Club. There are currently 44 Leg Clubs operating throughout the UK,...
The 32nd International Symposium on Endovascular Therapy (ISET; 22–25 January, Hollywood, USA) had a particular focus on treating critical limb-threatening ischaemia (CLTI). In the session “Improving outcomes and prognosis for CLI”, conference attendees learnt about the global scale of...
“Venous leg ulcers (VLUs) secondary to deep venous stenosis represents a distinct class of patients who require a unique treatment paradigm,” stated Abhisekh Mohapatra (University of Pittsburgh Medical Center, Pittsburgh, USA), presenting results of a multicentre retrospective study of...
AVITA Medical has announced the initiation of a study into soft tissue reconstruction with the enrolment of the first patient at the Arizona Burn Center (Valleywise Medical Health Center, Phoenix, USA). According to a statement, this study will evaluate...
MolecuLight has announced the publication of "In vitro detection of porphyrin-producing wound bacteria with real-time fluorescence imaging" in Future Microbiology. The peer-reviewed paper describes the results of an extensive in vitro validation study using the MolecuLight i:X fluorescence imaging system to detect common wound pathogens.  In this...
Smith+Nephew has announced the US launch of the new PICO 14 Single Use Negative Pressure Wound Therapy System (sNPWT), which has a pump duration of up to 14 days. According to a statement, the new pump builds on the...
Pharmaceutical company PolyPid has announced that the first patient has been enrolled and randomised in a phase 3 clinical trial called SHIELD (Surgical site Hospital-acquired Infection prEvention with Local D-plex). SHIELD will evaluate PolyPid's D-PLEX100 plus standard of care,...
A combined literature review and retrospective study has confirmed that the use of a dermal regenerative template (DRT) is “a viable option for providing vascularised coverage over wounds with avascular components”. Moreover, it was also found by Ronald N...
Una Adderley

Una Adderley

As director of the National Wound Care Strategy, a programme that aims to improve the quality of wound care across the UK, Una Adderley is one of several figures in the nursing community leading the drive for change. Speaking...
Described as a “Cinderella condition”, Charcot foot is little understood within the non-specialist medical community. In this article, Benjamin Bullen (Cardiff Metropolitan University, Cardiff, UK) presents a multidimensional conceptualisation of health literacy and underlines the importance of developing knowledge...
Investigators at the University of Southern California, Los Angeles, USA, have developed a severity adjustment model for predicting the healing trajectory of chronic wounds within 12 weeks. The research, published online ahead of print in Advances in Wound Care,...
Results of a retrospective cohort study, published online in Wounds, have demonstrated that a combination of advanced treatment modalities—such as negative pressure wound therapy (NPWT)—and the use of oxidised regenerated cellulose (ORC), collagen or silver-ORC dressings, contributes to an...
MolecuLight has announced the release of a "significant upgrade" to its i:X digital wound measurement feature that enables clinicians to more accurately and quickly capture digital wound area measurement. According to a statement, clinicians can now reliably detect more complex...
For the first time, faculty in the biomedical engineering department, University of Connecticut, Mansfield, USA, have designed a wirelessly-controlled, or “smart”, bandage and a corresponding smartphone-sized platform that can precisely deliver different medications to the wound with independent dosing. Chronic...
Use of incisional negative pressure wound therapy (NPWT) does not change the rate of deep surgical site infection, for patients undergoing surgery for major trauma-related lower limb fractures, according to results of the WHIST randomised clinical trial. Published online...
President of the German Wound Council, Martin Storck, considers how to improve the treatment of chronic wounds. While the road to better treatment “may still be long,” he says, “it is a road worth going down”. “On average, a patient...
Aurealis Therapeutics has announced that the first diabetic foot ulcer (DFU) patient has been dosed with AUP-16, its three-in-one combination biologic drug for chronic non-healing wounds and regenerative diseases. The trial, currently being performed in non-healing DFU patients, is...
University Hospitals Ahuja Medical Center (UH) has been revealed as the first clinical setting in Ohio using special technology to identify harmful bacteria, leading to healing for patients suffering from chronic wounds. Windy Cole, medical director of the UH Ahuja...
Healogics has announced the newest release of WoundSuite Navigator, a physician relationship management mobile app. WoundSuite Navigator is Healogics' proprietary tool and is available on the WoundSuite Center Management platform. According to a statement, the latest release includes optimisations...
 Venous News filmed a panel discussion with Alun Davies (London, UK), Manj Gohel (Cambridge, UK) and Daniel Carradice (Hull, UK); who discussed treatment of venous ulceration and the randomised EVRA trial which, Carradice says, showed that early endovenous ablation of superficial venous...
Auckland-based Aroa Biosurgery has announced the launch of a large-format version of its Endoform Natural product. The largest of Aroa’s wound care products, this 8.5 by 6-inch device has been launched in the US and Canadian markets, following its...
 Paul Hayes (Cambridge, UK) talks to BLearning Wounds at LINC 2020 (Leipzig Interventional Course; 28–31 January 2020, Leipzig, Germany) about the challenges of wound care, in particular assessing the success or failure of endovascular treatment of peripheral artery disease,...
Profusa has announced research findings that suggest the company's Lumee oxygen platform may help improve the clinical management of patients with critical limb ischaemia (CLI) who are undergoing endovascular revascularisation treatment (EVT). The data, from a recent post-market clinical...
A study that aimed to evaluate the sensitivity and specificity of subepidermal moisture (SEM)—a biomarker employed for the early detection of pressure ulcers—has demonstrated that SEM biocapacitance measures “can complement clinical skin and tissue assessments (STAs)”. Published in Wound...
BandGrip has announced a partnership with Rush University Medical Center, Chicago, USA, to improve patient care and efficiencies in the operating room. According to a statement, Rush has recognised the benefits of the product and knows it would be...
Profusa has announced that it has received Conformité Européenne (CE) mark approval to market its Wireless Lumee Oxygen platform for continuous, real-time monitoring of tissue oxygen in patients with potential acute and chronic changes in tissue oxygen levels. The...
Sky Medical Technology has announced that the geko device was presented as part of the didactic program, and at a corporate-sponsored symposium, at the Orthopaedic Summit 2019: Evolving Techniques (OSET 2019) annual meeting (December 11–14, Las Vegas, USA). Jason Snibbe, a...
Diabetic foot ulcers frequently occur in different locations to previously-healed wounds for patients in diabetic foot remission, according to a secondary analysis of trial data. “Given the significant morbidity, mortality, and resource utilisation associated with foot ulcer recidivism, quality...
First revealed at the International Symposium on the Diabetic Foot (22–25 June 2019, The Hague, The Netherlands), new guidelines from the International Working Group on the Diabetic Foot (IWGDF) have updated recommendations for the practice of diabetic foot care...
MTF Biologics, a global nonprofit organisation, has announced a partnership with Net Health, a provider of cloud-based software for specialised care. According to a statement, the collaboration allows MTF Biologics to offer its wound care solutions through Net Health’s...
3M has announced that the UK National Institute for Health and Care Excellence (NICE) has published a Medtech Innovation Briefing (MIB) regarding the use of VAC VERAFLO Therapy to promote wound healing in chronic and acutely infected wounds. The...
Smith+Nephew has announced the publication of results from a new randomised controlled trial (RCT) demonstrating that the use of the PICO single-use negative pressure wound therapy system (sNPWT) significantly reduces wound area, depth and volume, compared with traditional negative...
Healthy.io has announced the launch of a digital wound management solution, which is an extension of Healthy.io's clinical grade colour recognition products. According to a statement, this solution will help healthcare professionals objectively assess chronic wounds and track their...
Wound Care Advantage has announced the release of FlightPlan 2.0, an algorithm-based referral programme which is designed to provide flexibility and increase efficiency for both physicians and programme directors working in the field of wound care and healing. According to...
The application of new global vascular guidelines for chronic limb-threatening ischaemia (CLTI) provides an opportune and worthwhile window to revisit the concept of critical limb ischaemia (CLI), along with its implications as a worldwide healthcare issue. In this article,...
With the level of spending on wound care in the billions of pounds, both the financial and health-related impact of venous leg ulcers cannot be understated. Dan Carradice (Hull York Medical School, Hull, UK) speaks to iWounds News about the...
Researchers at Lund University, Lund, Sweden, have developed a new hydrogel based on the body’s natural peptide defence, which has been shown to prevent and treat infections in wounds. The formulation kills multi-resistant bacteria, something that is “increasing in...
In the area of lower limb amputation, core outcome sets “should be adopted in all future studies recruiting patients” said Graeme Ambler (University of Bristol, Bristol, UK), who was speaking at the annual meeting of the Vascular Society for...
The use of a new tissue allograft, which can be injected into areas of high pressure in the foot, has demonstrated clinical improvement in a number of real-life cases, according to a presentation delivered at the Desert Foot Conference...
“When it comes to complicated wounds, it is important to acknowledge that we cannot do it alone,” argued David Davidson (Buffalo Medical Group, Buffalo, USA), before emphasising that “we need a truly multidisciplinary limb preservation team” during his presentation...
Following their publication in the American Diabetes Association (ADA) journal Diabetes Care, results of a double-blinded, randomised controlled trial have been announced, showing that at both 12 weeks and 12 months, adjunctive cyclical pressurised topical oxygen wound therapy (TWO2)...
“The goal needs to remain on improving healing, but also reduced recurrence in the long term,” said Stephen Black (Guy’s and St Thomas’ Hospital, London, UK), during his presentation of results from the Leg Ulcer Pathway Audit (LUPA) study...
A controlled evaluation of 100 UK National Health Service (NHS) patients has demonstrated savings in chronic wound care costs with the use of Granulox, a haemoglobin spray that binds oxygen from the atmosphere and facilitates its diffusion to the...
Described as “deliberately challenging”, the new time-to-treatment targets published by the Vascular Society of Great Britain and Ireland (VSGBI), as part of the Peripheral Arterial Disease Quality Improvement Framework, have prompted a number of different measures in the UK...
LimFlow, a specialist in minimally-invasive technology for the treatment of chronic limb-threatening ischemia (CLTI), a severe form of peripheral artery disease (PAD), has announced that the first patient has been treated in its PROMISE II US pivotal trial of...
A new initiative supported by both the Association for the Advancement of Wound Care (AAWC) and the Wound Healing Society (WHS)—the “Wound Care Expert/FDA-Clinical Endpoint Project” (WEF-CEP)—will take an updated list of primary endpoints for wound care trials to...
Inpatient wound services are an essential component of care that can improve the likelihood of patients returning as outpatients, thereby reducing readmissions, Christi Cavaliere (Cleveland Clinic, Cleveland, USA) told the annual meeting of the American College of Wound Healing...
There is no significant benefit to the use of nanocrystalline-coated silver dressings over standard wound dressings, following coronary revascularisation, in patients with type 2 diabetes, according to the results of a study conducted with 194 patients. Results of the...
Using an implant containing gentamicin in the groin area following vascular surgery does not significantly reduce the incidence of infected wounds during the postoperative course, according to a new study presented at the European Society for Vascular Surgery annual...
MolecuLight, a specialist in handheld fluorescence imaging for real-time visualisation of fluorescence in wounds, has received FDA 510(k) clearance for its i:X handheld fluorescence imaging device for use in the detection of wounds containing bacteria. This FDA 510(k) clearance...
Orpyx has announced the launch of its Orpyx SI Sensory Insoles with remote patient monitoring for the prevention of diabetic foot ulcers (DFU) and neuropathy-related ulcers. By monitoring pressure, temperature, and movement, the Orpyx SI Sensory Insole system provides the wearer with...
In the UK, the lower limb amputation rate has not improved significantly since 2012, and is contributed to heavily by the high incidence of infection and ischaemia in patients with diabetic wounds. Michael Edmonds (King’s College Hospital, London, UK),...
With the rising importance of high-quality research in the field of wound care and healing, there is a need for key players from all disciplines across the wound care spectrum to collaborate. Writing for iWounds News, editorial board member...
Wound care specialists can improve microcirculation by maximising “the overall vascular health of patients” It is the refrain William Ennis (University of Illinois, Chicago, USA) hears continually: “I cannot do anything about the microcirculation!” His swift response however, at...
Implementation of an evidence-based pathway for leg ulcer care in community nursing has resulted in a significant reduction in healing times, according to research conducted by the Manchester University NHS Foundation Trust, Manchester, UK. Although quality of life scores...
Initial findings of an early feasibility trial have demonstrated that the LimFlow System does represent a safe and reproducible method of treating patients with no-option critical limb ischaemia (CLI). The results of PROMISE I, which were described by chief...
As part of newly published international guidelines on the prevention and treatment of pressure ulcers, it has been revealed that these wounds occur, primarily, due to the deformation and distortion of cells and tissues. Previously, it was understood that...
The 2019 Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline, published on 15 November 2019, has introduced new evidence-based recommendations for using a "subepidermal moisture (SEM)/oedema measurement device as an adjunct to routine clinical assessment." "The days of subjective...
“Our aim is to establish the underlying economic and clinical case for change, identify what needs to happen and describe how we make that change happen” argued Una Adderley, director of the National Wound Care Strategy Programme, who was...
US wound care service providers operating in skilled nursing facilities were urged to follow a new set of steps when attending to patients amid a new billing system adopted by the Centers for Medicare and Medicaid Services (CMS), according...
The National Pressure Ulcer Advisory Panel (NPUAP) has announced that it has changed its name to the National Pressure Injury Advisory Panel (NPIAP). According to a statement, the new name reflects the future direction of the organisation and reaffirms...
William ennis illustration

William Ennis

William Ennis is currently Catherine and Francis Burzik professor of Wound Healing and Tissue Repair, and chief of Wound Healing Section, University of Illinois, Chicago, USA. With his 25 years of experience practising wound care, Ennis speaks about what...
The efficacy of the Kerecis fish skin treatment for diabetic lower-extremity wounds has been affirmed in a new peer-reviewed article published in the journal Wounds.  The paper, “Acellular Fish Skin Graft Use for Diabetic Lower Extremity Wound Healing: a Retrospective Study...
Imbed Biosciences, a biotech company which specialises in the development of advanced therapies for burns, chronic ulcers and surgical wounds, has announced that it has closed its Series A Preferred Stock equity financing, which was expanded to US$4 million...
MolecuLight Inc, a provider of handheld fluorescence imaging for real-time visualisation of bacteria for chronic wounds, has been informed by the American Medical Association (AMA) that in its summary of panel actions September 2019 meeting, the CPT Editorial Panel...
The superiority of fish-skin xenografts over dehydrated human amnion/chorion allografts (dHACM) for the treatment of acute wounds has been established in a randomised controlled trial published in Wound Repair Regeneration. Conducted by Robert Kirsner (University of Miami Miller School...
Masters Speciality Pharma, a UK-headquartered pharmaceutical company "specialising in the global distribution of high-quality, life-changing medicines", has announced the launch of Neuropad, a rapid and reliable screening test for diabetic foot syndrome, in Brazil. According to a statement, diabetes is...
Improvements that enable better miniaturisation of technology leads to higher-quality wearable health solutions, including digital devices that were “never before possible’, said Breanne Everett (Orpyx Medical Technologies, Calgary, Canada) at the American College of Wound Healing and Tissue Repair...
Microbion Corporation has announced results from a Phase 1b trial of its microbial bioenergetic inhibitor, pravibismane, in patients with moderate to severe infected diabetic foot ulcers (DFUs). The findings of the trial were presented at the Symposium on Advanced Wound Care...
It has been found that the application of dehydrated human amnion and chorion allografts (dHACA) results in a better venous leg ulcer (VLU) healing rate than the use of standard multilayer compression therapy, following a randomised controlled study comparing...
There is a growing need for wound care amid higher rates of chronic wounds—somewhere in the vicinity of five to seven million in the United States per year—at a cost level in excess of US$25 billion, Venita Chandra (Stanford...
A report titled ‘Venous Leg Ulcers: A Silent Crisis’ has been published by the All-Party Parliamentary Group on Vascular and Venous Disease (VVAPPG) at an event held at the Palace of Westminster, highlighting the opportunities available to help thousands...
Based on the results of the INVIPS trial, incisional negative pressure wound therapy (INPWT) has been shown to decrease the risk of surgical site infections (SSIs) following vascular surgery with inguinal incision. Conducted at Skane University Hospital (Malmӧ, Sweden),...
WoundVision, the manufacturer of the industry's first long-wave infrared thermography (LWIT) solution for mitigating risk associated with hospital-acquired pressure injuries (HAPIs) and other wounds, has announced the expansion of its product offering with the debut of the Scout Mobile...
In this issue of iWounds News: Clinical trials confirm efficacy of TLC-NOSF dressing IWGDF unveils new infection and PAD guidelines Michael Edmonds: A new dawn in diabetic foot care Karen Imma Gellada: Wound care specialisation Profile: William Ennis
In this issue of iWounds News: Clinical trials confirm efficacy of TLC-NOSF dressing IWGDF unveils new infection and PAD guidelines Michael Edmonds: A new dawn in diabetic foot care Karen Imma Gellada: Wound care specialisation Profile: William Ennis
LifeNet Health's Dermacell AWM, an advanced acellular dermal matrix (ADM) for wound treatment, is the first human ADM available in India. According to a statement, this introduction will provide access to proven therapy for millions of patients in India suffering...
PolarityTE, a company specialised in regenerative tissue products and biomaterials, has announced findings from an open-label, single-arm pilot study, which examined the impact of SkinTE in closing venous stasis leg ulcers (VLUs) following the failure of conventional treatments. The clinical outcomes...
Advanced fluorescence imaging has the potential to decrease bioburden and significantly improve the healing rates of chronic wounds, according to the results of a case series investigation conducted in Cleveland, USA. As well as targeting debridement to promote wound...
A pilot evaluation of a new multilayer wound dressing has confirmed its efficacy for transporting exudate containing toxic matrix metalloproteases (MMPs) away from chronic venous leg ulcers (VLUs). Conducted by Oscar M Alvarez (University Hospital; Rutgers New Jersey Medical...
Turn Therapeutics, a Los Angeles-based pharmaceutical and medical device company, has announced that it has received FDA clearance for its Protego antimicrobial wound dressing, which is described as a disruptive innovation to traditional petroleum saturated gauze dressings. Protego wound...
3M has announced that it has completed the acquisition of Acelity and its KCI subsidiaries from a consortium comprised of funds advised by Apax Partners (the Apax Funds), together with controlled affiliates of the Canada Pension Plan Investment Board...
Source: CRF At the 2019 Transcatheter Cardiovascular Therapeutics (TCT) meeting (25–29 September, San Francisco, USA), InterVene won the TCT-Shark Tank Innovation Competition for its novel endovenous system (BlueLeaf) for forming valves in patients with deep vein reflux and/or chronic venous insufficiency. The award,...
Klox Technologies Inc. (Klox), a regenerative medicine company focused on the development of fluorescent light energy biomodulation systems for applications in dermatology and wound care, has announced that it has completed the acquisition of FB Dermatology, a specialized dermatology...
Caitlin Hicks (Baltimore, USA) talks to BLearning at SVS 2019 (Society for Vascular Surgery; 12–15 June; Washington DC, USA) about why it is so important to save limbs and the huge impact limb salvage can have on a patient’s...
Imbed Biosciences has announced that it has been awarded a US$1.5 million two-year Small Business Innovation Research (SBIR) grant from the National Institute for Arthritis and Musculoskeletal and Skin Diseases (NIAMS) at the National Institutes of Health (NIH). According...
 Julien Hasselmann (Malmö, Sweden) talks to iWounds News at ESVS 2019 (European Society of Vascular Surgery; 24–27 September; Hamburg, Germany) about the recent findings of the INVIPS trial which looked at the effect of negative pressure wound therapy (NPWT)...
Axxess is partnering with Swift Medical to provide thousands of home health agencies access to advanced wound care management. "Swift Medical's wound management capabilities complement what Axxess provides within our solution and enables us to deliver even more value to...
Huntleigh has announced the UK release of an innovative technology that is designed to assist in the management of hard-to-heal leg ulcers. Developed at the Arjo R&D Faculty in Cardiff, the Wound Express Advanced Wound Therapy Device is designed...
EO2 Concepts has announced the publication of a post hoc analysis from its randomised, double-blinded, multi-centre study, published last year in the Journal of Wound Care. This latest study evaluates the positive impact which continuous diffusion of oxygen (CDO), with...
LimFlow has announced that the US Food and Drug Administration (FDA) has approved its investigational device exemption (IDE) for the PROMISE II pivotal study of the LimFlow Percutaneous Deep Vein Arterialisation (pDVA) System. PROMISE II is a multicentre, prospective, single-arm study...
New data presented at the 2019 American Society of Colon and Rectal Surgeon’s Annual Scientific Meeting by Justin Malek, Baylor Scott & White Health, reveal that the CleanCision System, an advanced irrigating wound protection therapy, was shown to reduce...
The National Alliance of Wound Care and Ostomy (NAWCO) has announced the first professional credential to recognize clinical expertise in advanced wound care at the 2019 Wild On Wounds (WOW) national conference in Las Vegas, USA. According to a statement,...
MolecuLight Inc., a provider of handheld real-time fluorescence imaging for chronic wounds, has announced the publication of "Fluorescence imaging guided dressing change frequency during negative pressure wound therapy: a case series": a new paper published today in the Journal...
Cook Regentec has announced enrolment of the first patient in an international clinical trial evaluating the HemaTrate Blood Filtration System to treat patients with critical limb ischemia (CLI) due to peripheral arterial disease (PAD). To treat CLI, the HemaTrate...
Smith+Nephew has announced the US launch of its new PICO 7Y Single Use Negative Pressure Wound Therapy System (sNPWT) with AIRLOCK technology. This is the first PICO sNPWT pump to include an integrated Y connector, enabling the utilisation of...
Omar Ishrak, Medtronic’s chairman and CEO is to retire on 26 April 2020, following the end of the company’s current fiscal year. Also, the Medtronic Board of Directors has announced key leadership appointments as part of its multi-year, leadership...
Michael Edmonds, a pioneer in the treatment of the diabetic foot, has underlined the need for innovation and development in the wound care field. Today, the emergence of multiple randomised controlled trials (RCTs) is driving the effort to upgrade...
At the Charing Cross Symposium (London, UK), Ian Chetter (Hull, UK) presented on the pathway from assessment to treatment for patients with surgical wounds healing by second intention (SWHSI), discussing the impact this may have on such factors as...
A study into the efficacy of early reflux elimination for venous leg ulcer (VLU) patients has revealed that the combination of ultrasound-guided foam sclerotherapy (UGFS) only, and a hybrid method of endovenous laser treatment (EVLT) with UGFS, could present...
MolecuLight Inc., a provider of handheld fluorescence imaging for real-time visualization of bacteria for chronic wounds, has announced it has secured a US$7.5 million term loan from Oxford Finance LLC, a specialty finance firm providing senior debt to life...
The impact of chronic wounds—a global “healthcare problem”—is felt by patients and the medical community, yet there is limited education on the management of wounds and no standard training programme currently in place. Karen Imma Gellada, a member of...
ZipLine Medical, Inc. has announced the publication of positive results from clinical studies in two peer-reviewed journals, demonstrating that the use of Zip Surgical Skin Closure leads to better clinical outcomes and healthcare cost savings than surgical staples. A randomised,...
Engineers at Heriot-Watt University, Edinburgh, UK, are developing a sensor that will help patients, doctors and nurses manage how wounds heal. Wounds cost the NHS between £4.5 and £5.1 billion each year to manage, while burns, diabetic ulcers, caesarean...
Results from two open prospective trials have revealed that the TLC-NOSF sucrose octasulphate dressing, with poly-absorbent fibres, represents an effective and safe treatment for the local management of leg ulcers. In addition, cost-effectiveness studies examining the economic impact of...
Members of the International Working Group on the Diabetic Foot (IWGDF) presented up-to-date guidelines for the diagnosis, prognosis and treatment of diabetic foot ulcers at the 29th conference of the European Wound Management Association (EWMA; 5–7 June, Gothenburg, Sweden),...
Two-year results from the MOBILE (Marrowstim treatment of limb ischaemia in patients with severe peripheral arterial disease) trial indicate that injecting concentrated bone marrow aspirate (cBMA, Zimmer Biomet), vs. placebo, into patients with critical limb ischaemia is associated with...
In her presentation at the Royal Society of Medicine Venous Forum (RSMVF; 17–19 June, London, UK), consultant vascular surgeon Emma Wilton (Oxford University Hospitals, Oxford, UK) outlined the important process for identifying which patients with leg ulceration require deep...
Endovenous laser ablation (EVLA) of perforating veins has been established as an effective method of treating chronic venous ulcers in patients with diabetes mellitus, according to a new study conducted in Azerbaijan. Results of the study, which involved 42 patients...
A member of the UK parliament has emphasised the need for a national wound care strategy during a recent debate in the House of Commons, highlighting that “diagnosis is difficult, but rapid diagnosis is absolutely essential”. Ann Clywd, MP...
Hoth Therapeutics, a biopharmaceutical company focused on targeted therapeutics for patients suffering from indications such as dermatological and chronic wound disorders, has announced the initial results of its pilot study on the application of the BioLexa Platform on diabetic...
 Karen Bauer (Toledo, USA) discusses the wound care limb salvage track at C3 which offered the “opportunity for clinicians from multiple disciplines to get together and talk about some really cutting-edge” topics. Bauer, a wound specialist, says that at the...
Rajesh Dave (Camp Hill, USA) talks to iWounds News about his highlights from the 15th annual C3 conference, which included a special session on the paclitaxel controversy. Dave talks about the “journey of 15 years” and how the meeting started...
An Expert Panel report published in The Diabetic Foot Journal has recommended a new treatment algorithm for topical oxygen therapy in patients with diabetic foot ulcers (DFUs) and called for it to be considered as an adjunct to standard of...
The TLC-NOSF (UrgoStart, Urgo Medical) advanced wound care dressing was recently recommended by the UK National Institute for Health and Care Excellence (NICE) for healing of venous and diabetic foot ulcers. Speaking at the European Wound Management Association annual...
Four years ago, vascular experts from around the world had a "quixotic quest", to get all surgeons and providers to agree on the best ways to treat a common and debilitating illness: chronic limb-threatening ischaemia. The goal has come...
Mike Edmonds profile on iwounds news

Michael Edmonds

Michael Edmonds is professor of Diabetic Foot Medicine, King’s College London, and consultant physician, King’s College Hospital, London, UK. A pioneer in many areas of the diabetic foot, Edmonds speaks about his interest in diabetes and its treatment, the...
Preliminary findings from an initial study with 25 patients have shown that measuring the changes in oxygen concentration at baseline, during, and after endovascular revascularisation, can predict wound healing and functional improvement in critical limb ischaemia patients. Marianne Brodmann, Medical...
The opening of an outpatient wound centre has been associated with a significant increase in peripheral vascular practice and a significant decrease in amputation rate. Venita Chandra and colleagues Alyssa M Flores, Matthew W Mell and Ronald L Dalman...
The 2019 Charing Cross Symposium (CX; 15–18 April, London, UK) saw the introduction of a new strand of care with the debut of the iWounds Workshop to the exhibition hall. The iWounds Workshop aimed to promote early diagnosis of...
Keith Harding advocates for the increased involvement of medical staff in the treatment of patients with wound healing difficulties, as the number of chronic wounds seen in hospitals is on the rise. He argues that wounds “do not receive...
CX Executive Board member Una Adderley (Wakefield, UK), director of the National Wound Care Strategy Programme for the National Health Service (NHS) England, spoke recently at the 2019 Charing Cross Symposium (London, UK) on the challenge of ankle-brachial pressure...
There is a robust evidence base to support the use of compression therapy for healing venous leg ulceration and for preventing ulcer recurrence. The most recent version of the Cochrane Review1 on the effectiveness of compression and the relative effectiveness of different...
Speaking at the Leipzig Interventional Course (LINC; 22–25 January, Leipzig, Germany), Katja Mühlberg of the University of Leipzig, Germany, called for an improvement in the evidence base around the role of compression in healing venous leg ulcers (VLU). Mühlberg...
The UK's National Institute of Health and Care Excellence (NICE) has published new guidance recommending UrgoStart wound dressings (Urgo Medical) for treatment of diabetic foot ulcers and venous leg ulcers. In a press release, Urgo Medical states that use...
Healogics, a provider of advanced chronic wound care services in the USA, has announced they have added vein ablation to their in-house service offerings through a new programme called Healogics VeinCare. This programme allows the company to provide patients...
Despite what current guidelines denote, and in addition to the emergence of data supporting the early intervention of venous ulceration, Alun Davies (London, UK) put forward that the recommendations are consistently being ignored, and highlighted that: “Urgent action is...
“A lot more bacteria than anticipated” have been discovered on wounds in a patient cohort consisting of 89% venous leg ulcers, and using fluorescence imaging proved superior for detecting infection in wounds. This was the conclusion of Tomas Serena (Warren,...
Defining success in venous ulcer healing, and for all chronic wounds, remains a nebulous concept—with no consensus on what constitutes a successful outcome. Dave Bosanquet (Bristol, UK) outlined the difficulties at the Charing Cross Symposium (London, UK), arguing that...
 Michael Edmonds (London, UK), Thomas Serena (Warren, USA), Keith Harding (Cardiff, UK), and Williams Ennis (Oak Lawn, USA) talk at Charing Cross Live about the first-ever iWounds workshop, the importance of wound management and what they hope to achieve. Edmonds...
The UK National Institute for Health and Care Excellence (NICE) has released new recommendations for use of the PICO negative pressure wound dressing (Smith & Nephew) for closed surgical incisions, saying the negative pressure dressings are "associated with fewer...
InGeneron has announced the publication of results from an investigator initiated case series in chronic leg wounds in the Journal of the European Academy of Dermatology and Venereology. In the case series, InGeneron’s proprietary adipose-derived regenerative cell (ADRC) technology was...
Una Adderley

Una Adderley

William ennis illustration

William Ennis

Mike Edmonds profile on iwounds news

Michael Edmonds