Transform Wound Healing Outcomes with Advanced Hydrogel Technology

Patient Population (n=21)

• Age: 54–90 years (median ~74)
• Comorbidities: HTN ~76%; DM ~29%; Lipid disorders ~47%
• Locations: Ear (6), Nose (6); majority head/neck

Selection, wound size/depth, and care protocols influence outcomes. Use clinical judgment to determine suitability for hydrogels by exudate level and wound bed condition.

Instruction of use of VityPatch Hydrogels for Medical Professionals

VityPatch Hydrogel: Clinical Application Protocol for Wound Management

Indications

VityPatch Hydrogel is indicated for the management of partial- and full-thickness wounds, including but not limited to: pressure injuries/ulcers (Stages 2-4), diabetic foot ulcers, venous leg ulcers, first- and second-degree burns, and donor sites. It is designed to maintain a moist wound environment, support autolytic debridement, and provide a soothing, cooling effect.

Contraindications

Third-degree burns, wounds with known hypersensitivity to hydrogel components, and wounds with established clinical signs of infection without concomitant appropriate antimicrobial therapy.

Pre-Procedure Preparation

1. Aseptic Technique: Perform hand hygiene and don clean or sterile gloves.
2. Assessment: Conduct a comprehensive wound assessment, including location, dimensions (length, width, depth, undermining/tunneling), tissue type (e.g., necrotic, slough, granulation, epithelial), exudate level, and peri-wound condition. Document findings.
3. Gather Supplies: VityPatch Hydrogel, sterile saline irrigation solution, sterile gauze, appropriate secondary dressing (e.g., foam, alginate, transparent film), and fixation tape. Select secondary dressing based on wound exudate levels.

Application Techniques (Select Based on Wound Presentation)

Option 1: Shallow Wounds (Granulating or Epithelializing)

Procedure:

1. Wound Bed Preparation: Irrigate the wound bed thoroughly with sterile saline to remove debris and residual gel. Gently pat the peri-wound skin dry.
2. Gel Application: Apply a thin, even layer (approximately 5mm thick) of VityPatch directly to the wound bed, extending slightly beyond the wound margins.
3. Secondary Dressing: Cover with a non-adherent silicone interface or a foam dressing for low to moderate exudate.

Rationale: This method hydrates the wound bed and supports moist wound healing without over-hydrating.

Option 2: Deep Wounds with Cavities, Sinus Tracks, or Undermining

Procedure:

1. Cleansing & Debridement: Irrigate all wound cavities. Perform sharp or mechanical debridement of non-viable tissue as necessary.
2. Packing Technique: Impregnate a sterile gauze strip or alginate rope with VityPatch Hydrogel. Gently and loosely pack the wound cavity, ensuring contact with all wound surfaces. Do not over-pack.
3. Secondary Dressing: Cover with an absorptive secondary dressing like a foam pad to manage exudate.

Rationale: Fills dead space, delivers moisture to the wound base, and wicks exudate away from the wound bed.

Option 3: Wounds with Necrotic Eschar or Slough (for Autolytic Debridement)

Procedure:

1. Cross-Hatching: If the eschar is stable and non-infected, cross-hatch the surface with a sterile scalpel to increase hydrogel.
2. Application: Apply a thick layer of VityPatch directly onto the necrotic tissue.
3. Occlusion: Cover with an occlusive or semi-occlusive secondary dressing (e.g., transparent film or hydrocolloid) to retain moisture.

Rationale: Creates an optimal environment for the body's enzymes to liquefy and separate non-viable tissue from the wound bed.

Dressing Change Frequency & Aftercare

• Frequency: Change the dressing every 24 to 72 hours, or when strike-through (saturation of the secondary dressing) occurs. More frequent changes may be necessary during the active debridement phase.

At Each Dressing Change:

• Gently irrigate the wound to remove all residual gel and liquefied slough.
• Re-assess the wound for progress, noting any reduction in size, improvement in tissue quality (increased granulation, decreased slough), or signs of complications.
• Re-apply VityPatch following the appropriate technique.

Monitoring and Management of Complications

• Infection: Monitor closely for signs of infection (increased pain, erythema, edema, purulent exudate, odor, fever). If infection is suspected, obtain a wound culture and initiate appropriate systemic antimicrobial therapy. VityPatch can be used in conjunction with topical antimicrobials (e.g., silver, polyhexamethylene biguanide [PHMB]) as part of a comprehensive care plan.
• Maceration: If peri-wound maceration occurs, reassess exudate levels. Consider a more absorptive secondary dressing (e.g., foam) or a barrier film to protect the peri-wound skin. Ensure gel is applied only to the wound bed, not the surrounding skin.
• Lack of Progress: If the wound fails to show improvement after 2-4 weeks of consistent care, re-evaluate the overall treatment plan, including offloading, compression, vascular status, and nutritional support.

Note: This protocol is a clinical guideline. Treatment must be tailored to the individual patient based on a comprehensive assessment and clinical judgment.

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