J Dermatol Sci. 2008;121(4):1256-1262. Primary surgical repair of anterior vaginal prolapse:A randomised trial comparing anatomical and functional outcome between anterior colporrhaphy and trocar-guided transobturator anterior mesh. Attachment# 16.060 Sterility Assurance Level is the same as a glove or instrument used in the OR -A SAL of 10-6 is the recommended probability of survival for organisms on a sterilized device. When stored frozen at -80 C, Stravix has a 2-year shelf-life. Robinson PM, Muir LT. Foreign body reaction associated with Artelon: Report of three cases. SurGraft TL is a triple-layer amniotic tissue allograft produced from donated human amniotic membrane. J Foot Ankle Surg. Cole PD, Stal D, Sharabi SE,et al. Platelet-rich plasma: Evidence to support its use. J Plast Surg Hand Surg. Marston WA, Lantis JC, 2nd , Wu SC, et al. 2002;28(1):81-82. After 16 weeks of treatment, patients in each group were evaluated on 4 criteria: O'Donnell and Lau (2006) examined if more "modern" complex wound dressings further improve the healing of venous ulcers over that with simple wound dressings. Available at: https://www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/drafts-for-review/skin-substitutes_draft.pdf. Stepney, Australia: Australian Safety and Efficacy Register of New Interventional Procedures - Surgical (ASERNIP-S); August 2006. Favreau-Weltzer C, Bouchard D, Eleouet-Kaplan M, Pigot F. Response to Ratto et al., 'new Gore Bio-A() plug for anal fistula'. Human skin equivalent investigators group. Enhancement of wound tissue expansion and angiogenesis by matrix-embedded fibroblast (dermagraft), a role of hepatocyte growth factor/scatter factor. BlueCross BlueShield Association (BCBSA), Technology Evaluation Center (TEC). Two groups were defined: ReCell compared to conventional dressings in shallower burns, and meshed grafts plus ReCell compared to meshed grafts alone in larger deeper burns. 2013;19(3):179-180. Drug and Biological Products. U.S. Food and Drug Administration (FDA). 2006;72(12):1181-1188. A clinical evaluation of Biobrane() and Suprathel() in acute burns and reconstructive surgery. Extracellular matrix bioscaffolds for orthopaedic applications. Int Wound J. PI 112 Rev1, 01/2015. Rockville, MD: AHRQ; December 18, 2012. 1998;7(10):536-540. Reinforced biologic mesh reduces postoperative complications compared to biologic mesh after ventral hernia repair. Diabetic foot ulcers treated with porcine urinary bladder extracellular matrix and total contact cast: Interim analysis of a randomized, controlled trial. Facial Plast Surg. Cheng AW, Abbas MA, Tejirian T. Outcome of abdominal wall hernia repair with Permacol biologic mesh. A multicenter clinical trial of a biosynthetic skin replacement, Dermagraft-TC, compared with cryopreserved human cadaver skin for temporary coverage of excised burn wounds. Driver VR, Hanft J, Fylling CP, Beriou JM; Autologel Diabetic Foot Ulcer Study Group. 2017;46(6):266-278, Makovicka JL, Chung AS, Patel KA, et al. Plast Reconstr Surg. The healing rates were different but not statistically significant, there were no adverse outcomes, and TheraSkin averaged $2,495.33 and Apligraf averaged $4,316.67 per subject. Accessed March 4, 2005. 2011;36(1):116-120. 2009;35(4):439-443. Question - Biocartilage | Medical Billing and Coding Forum - AAPC 2006;192(6):705-709. 2000;53(3):281-287. Available at: http://www.nice.org.uk/nicemedia/live/11163/41728/41728.pdf. Fagotti L, Soares E, Bolia IK, et al. TransCyte provides a temporary protective barrier for the wound. Niederauer MQ, Michalek JE, Armstrong DG. Though wounds were of different etiology diabetic foot ulcer, traumatic, surgical, and decubitus this did not appear to change outcomes. It is applied over the wound or burn site following wound preparation in a physicians office or outpatient setting. Kathju S, Lasko LA, Medich DS. Package Insert. Pilot trial of biovance collagen-based wound covering for diabetic ulcers. Available at: http://www.fda.gov/cdrh/pdf7/K072113.pdf. Schneider KH, Aigner P, Holnthoner W, et al. Unite Biomatrix (Synovis Orthopedic and Woundcare, Inc.)is a wound biomodulating decellularized extracellular matrix (ECM) that is sourced from equine pericardium (Snyder, et al., 2012). Carless PA, Henry DA. Innovations (Phila). J Burn Care Rehabil. 2013;74(2):103-107. Carbohydr Res. Novartis Pharmaceuticals Corporation. Cost-benefit analysis of amniotic membrane transplantation for venous ulcers of the legs that are refractory to conventional treatment. 510(k) Summary. Patel KM, Nahabedian MY, Gatti M, Bhanot P. Indications and outcomes following complex abdominal reconstruction with component separation combined with porcine acellular dermal matrix reinforcement. The mean wound size in the diabetic foot ulcer group was 6.2cm2 ( 11.8) and 11.8cm2 ( 22.5) in the venous leg ulcer group. 2007;4(1):3-7. 2010;149(1):112-116. The authors stated that further studies are needed to characterize the molecular mechanisms uncerlying tissue incorporation of this product. For example, it may be used to support implants in a defined pocket such as in breast reconstruction, and abdominal wall reconstruction procedures. Dermal autografts as a substitute for acellular dermal matrices (ADM) in tissue expander breast reconstruction:A prospective comparative study. Topol BM, Dalton EF, Ponn T, et al. 2009;111(2):380-386. Report IRR No. 2009;373(9671):1264-1274. 2005;18(5 Pt 1):258-266. Failure of artelon interposition arthroplasty after partial trapeziectomy:A case report with histologic and immunohistochemical analysis. 1999;45(1):34-43. These investigators stated that future studies in this research area will need to recruit from many centers, and have a robust easily assessable primary outcome, preferably measured by the patient without the need for regular travel to the trial center. Int Wound J. Zidan et al performed a single center prospective randomized controlled trial in Egypt consisting of 40 patients with thermal burns or trauma undergoing STSG. Plast Reconstr Surg. A prospective comparison of diabetic foot ulcers treated with either cryopreserved skin allograft or bioengineered skin substitute. Thon SG, O'Malley L, 2nd, O'Brien MJ, Savoie FH, 3rd. Wound healing with "spray-on" autologous skin grafting (ReCell) compared with standard care in patients with large diabetes-related foot wounds: An open-label randomised controlled trial. -derived tissues contain endogenous growth factors and cytokines that maintain the natural healing properties of amnion. 1991;213(4):292-296. #: OF1-000119-en-US Version: K -load sharing device. J Oral Maxillofac Surg. 2006;19(6):310-322. Narotam PK, Jos S, Nathoo N, et al. Partial and fullthickness neuropathic diabetic foot ulcers that are greater than 6 weeks in duration with no capsule, tendon or bone exposed, when used in conjunction with standard diabetic ulcer care; Difficult-to-heal chronic venous or diabetic partial and full-thickness ulcers of the lower extremity that have failed standard wound therapy of at least 4-weeks duration. Al-Abed YA, Ayers J, Ayantunde A, Praveen BV. 2006;3(3):181-187. 2007;32(3):268-274. 2004;(1):CD003554. Blood flow changes in diabetic foot ulcers treated with dermal replacement therapy. 2013;217(6):999-1009. 2006;(2):CD002933. After removal of these subjects, the primary outcome of complete wound closure at 12 weeks for the completed trial was significantly associated with treatment per protocol, Active 23 (46.0%), Sham 11 (22.0%), RR 0.69 (95% CI 0.52, 0.93), P = .02. Plast Reconstr Surg. Using cells would reduce the donor sites necessary to cover deep dermal injured areas and the rest of the donor sites could be used to cover full thickness injured areas. Centers for Medicare & Medicaid Services (CMS). Kosutic D, Biraima AM, See M, James M. Posterior and anterior tibialis turn-over muscle flaps with primatrix for salvage of lower extremity after free-flap failure. 2014;11(6):711-717. 2008;29(2):293-303. 1998;101(7):1891-1903. Pro3- Cord preserves maximum natural thickness (8x thicker than Pro3-Placenta); and helps support tendon and deep soft tissue healing. Weinstein JS, Liu KC, Delashaw JB Jr,et al,The safety and effectiveness of a dural sealant system for use with nonautologous duraplasty materials. Neurosurgery. J Oral Maxillofac Surg. Cochrane Database Syst Rev. Effectiveness Guidance Document. Cultured epithelial grafting using human amniotic membrane: The potential for using human amniotic epithelial cells as a cultured oral epithelium sheet. Clin Biomech (Bristol, Avon). The acidification of the wound bed by breakdown products is also supposed to have a bactericidal effect. 2018;30(9):283-289. Endress, et al. 2007;33(8):946-957. A modified approach to component separation using biologic graft as a load-sharing onlay reinforcement for the repair of complex ventral hernia. 2007;120(2):373-381. Tausche AK, Skaria M, Bhlen L,et al. 2006;104(1 Suppl):16-20. Alfieri A, Schettino R, Taborelli A,et al. 2016;25 Suppl 7:S18-S25. Falanga V, Margolis D, Alvarez O, et al. Erbatur S, Coban YK, Aydn EN. American Medical Association Technology News. London, UK: BMJ Publishing Group;June 2010. 2014;27(1):20-25. StrataGraft is indicated for topical application by a healthcare provider for the treatment of adults with thermal burns containing intact dermal elements for which surgical intervention is clinically indicated (deep partial-thickness burns). For use with standard diabetic foot ulcer care for the treatment of full-thickness neuropathic diabetic foot ulcers of greater than 6-weeks duration that have not adequately responded to conventional ulcer therapy and which extend through the dermis but without tendon, muscle, capsule or bone exposure; In conjunction with standard therapy to promote effective wound healing of chronic, non-infected, partial and full-thickness venous stasis ulcers that have failed conservative measures of greater than 4 weeks duration using regular dressing changes and standard therapeutic compression. Package Insert. Leboeuf L, Miles RA, Kim SS, Gousse AE. WoundFix XPlus Membrane and BioWound XPlus Membrane are supplied in single-use packaging, in 6 sq. Long-term outcomes after abdominal wall reconstruction with acellular dermal matrix. London, UK: NICE; November 2011. Each matrix provides the same amount of human keratin proteins per square centimeter of product. Lancet. The aesthetic mastectomy utilizing a non-nipple-sparing portal approach. UpToDate [online serial]. 2006;38(2):174-187. This product is intended to function as a barrier ad provide protective coverage from the surrounding environment for acute and chronic wounds. Edmonds M, Bates M, Doxford M, et al. REGUaRD is administered by a health care professional in a physician's office, outpatient surgery center, or acute care facility. Furthermore, the guideline stated that in the absence of strong evidence on particular wound dressings, clinicians should use the wound dressings with the lowest acquisition cost, taking into account their clinical assessment of the wound, the experience and preferences of the patient, and the clinical circumstances. According to the manufacturer, the products of Suprathel degradation stimulate the healing process by increasing angiogenesis and rebuilding the dermis. TissueMend (TEI Biosciences Inc., Boston, MA), marketed by Stryker Orthopaedics (Stryker Howmedica Osteonics, Kalamazoo, MI), is a remodelable collagen matrix derived from bovine skin intended for reinforcement of soft tissues repaired by sutures or suture anchors during tendon repair surgery, including reinforcement of the rotator cuff, patellar, Achilles, biceps, quadriceps, or other tendons. Am J Rhinol. 2008;17:174-180. Hsu PW, Salgado CJ, Kent K, et al. Inferolateral AlloDerm hammock for implant coverage in breast reconstruction. Ann Plast Surg. Fahrenbach EN, Qi C, Ibrahim O, Kim JY, Alam M. Resistance of acellular dermal matrix materials to microbial penetration. Am Surg. Wiechula R. Post harvest management of split thickness skin graft donor sites:A systematic review. Agency for Healthcare Research and Quality (AHRQ). 1999;15(11):651-658. Clin Oral Implants Res. Musculoskelet Surg. 2014;22(6):688-693. 2010;25(4):378-382. 2015;19(1):135-140. 2019;7(2):228-233. Plast Reconstr Surg. Adelmeijer J, Porte RJ, Lisman T. In vitro effects of proteases in human pancreatic juice on stability of liquid and carrier-bound fibrin sealants. Reconstruction of pulmonary venous conduit with CorMatrix in lung transplant. 2009;152(2):281-287. Amani H, Dougherty WR, Blome-Eberwein S. Use of Transcyte((R)) and dermabrasion to treat burns reduces length of stay in burns of all size and etiology. Influence of bioengineered skin substitutes on diabetic foot ulcer and venous leg ulcer outcomes. Gauglitz GG, Williams FN. Danish SF, Samdani A, Hanna A, et al. Open J Regen Med. Overview of the management of the severely burned patient. 2011;24(5):208-216. 2012;18(5):375-384. A randomized trial comparing RECELL system of epidermal cells delivery versus classic skin grafts for the treatment of deep partial thickness burns. David-Montefiore E, Barranger E, Dubernard G,et al. 2017;224(3):351-361. Ann Plast Surg. Obes Surg. Eligible children were enrolled and randomized, stratified by burn thickness, to be dressed in an ointment-based dressing or Mepitel Ag. 2003;29(8):863-866. Arch Orthop Trauma Surg. Safety and efficacy of TransCyte for the treatment of partial-thickness burns. The investigators note that burn depth was assessed clinically only by experienced burn physicians. Suprathel is a composed entirely of synthetic materials, including a tripolymer of polyactide, trimethylene carbonate and caprolactone. Adv Skin Wound Care. Healy CM, Boorman JG. 2010;20(6):397-404. Varas RP, O'Keeffe T, Namias N, et al. The product is sterile single use and is available in sizes of 1x1 cm, 2 cm x 2 cm, 2 cm x 3 cm, 4 cm x 4 cm, 4 cm x 6 cm, 4 cm x 8 cm, 8 cm x 8 cm, 10 cm x 10 cm, 10 cm x 12 cm, and 10 cm x 20 cm (CMS, 2021). 2010;23(1):34-38. Randomized phase II clinical trial of avotermin versus placebo for scar improvement. Arch Dermatol. Ann Plast Surg 2014;73(3):282-285. 2015;115(6):968-977. This was a single case study on the use . Ritz MC, Gallegos R, Canham MB, et al. 2014;2014:704323. Diabetes Care. Renuva isintended for the replacement of damaged or inadequate integumental adipose tissue matrix such as facial deformities, craniofacial deformities, breast reconstructions, or for other homologous uses into areas of the body where native fat would exist. AmnioRepair is indicated for use as a biological barrier or wound cover. In an animal model, ProLayer Acellular Dermal Matrix (ADM) was implanted into 12 rats. Supplies and Other. Biomed Res Int. 2014;23(10):465-474. Hernia. Commercial extracellular matrix scaffolds for rotator cuff tendon repair. J Urol. J Reconstr Microsurg. Australia and New Zealand Horizon Scanning Network (ANZHSN). Slutzkey S, Kozlovsky A, Artzi Z, Matalon S. Collagen barrier membranes may accelerate bacterial growth in vitro:A potential clinical risk to regenerative procedures. Am J Sports Med. 4.9x More Total Living Cells than claimed by Dermagraft. These researchers tried to optimize operating times beginning with the biopsy and, during digestion, preparing the receiving areas. Swedish Council on Technology Assessment in Health Care (SBU). Int J Oral Maxillofac Implants. Covidien. Request to establish a single new Level II HCPCS code to identify two porcine-derived extracellular matrices also known as urinary bladder matrix (UBM), Trade Names: Cytal3L and Cytal6L. Acellular dermal matrices in abdominal wall reconstruction:A systematic review of the current evidence. Dermatol Surg. Cervigni M, Natale F, La Penna C,et al. No adverse events related to TheraSkin were reported. Another potential drawback was the lack of direct comparison to other advanced treatment modalities for diabetic wounds. For placement of amniotic membrane using tissue glue . Excluded were subjects with large ulcers (10 cm2 or greater), infection, Charcot foot, and inadequate circulation to the foot. Thoracic wall reconstruction with Collamend in trauma: Report of a case and review of the literature. Technology Appraisal Guidance No. Waltham, MA: UpToDate; reviewed December 2020. #: OF1-000179-en-USVersion: FLanguage: EnglishRevision Date: 02/22/2023 2023 Coding and Reimbursement Guidelines for the IntraOsseous BioPlasty TechniqueFile Type: Ref. Barber FA, Herbert MA, Boothby MH. Canadian Agency for Drugs and Technologies in Health (CADTH). Treatment of severe burn with DermACELL(), an acellular dermal matrix. Venjade is available in sizes of 1x1 cm, 2x2 cm, 2x4 cm, 4x4 cm, 4x6cm, 4x8 cm, and 6x6 cm with dosage determined by wound size (CMS, 2021). 2016;18(3):286-294. There was no effect on metabolic function, and subsequent necropsy analyses indicated tissue incorporation and blood vessel infiltration with no untoward tissue reaction, including encapsulation in each case. Use of resorbable collagen dural substitutes in the presence of cranial and spinal infections-report of 3 cases. Diabetes Metab Res Rev. A multicenter experience report. Unite Biomatrix differs from other products in that it is composed ofdecellularized equine pericardial implants. There were no significant differences in stiffness between any of the nerve glue groups. 2022a. This product is fully resorbable and does not require removal from the wound bed. Furthermore, subjects treated with ASCS + compression experienced a decrease in pain and an increase in HRQoL compared with the Control. REGUaRD is packaged in the following sizes: 2cm X 2cm, 2cm X 4cm, 4cm X 4cm, 4cm X 6 and 4cm X 8cm and stored at ambient temperatures. There is insufficient scientific evidence regarding the effectiveness of Veritas Collagen Matrix for use as an implant for the surgical repair of soft tissue deficiencies or for any other indication. Corneal wound healing is modulated by topical application of amniotic fluid in an ex vivo organ culture model. Comparision of clinical and histopathological results of hyalomatrix usage in adult patients. Surgical management of primary thumb carpometacarpal osteoarthritis:A systematic review. 2014;34(2):161-163. Brigido SA. Hayn E. Successful treatment of complex traumatic and surgical wounds with a foetal bovine dermal matrix. Following application to a wound bed, the product functions to regenerate full-thickness functional skin across the entire surface, including all layers (epidermis, dermis, hypodermis), and regenerate functional appendages native to skin. July 13, 2011. 2010;76(1):1-6. Cell Tissue Bank. Wien Med Wochenschr. Prophylactic administration of avotermin for improvement of skin scarring: Three double-blind, placebo-controlled, phase I/II studies. Used as an anatomical barrier or wrap in a variety of orthopedic applications. Custom sizes and thicknesses are available upon request. The HAM group was associated with less pruritis, dressing changes, and discomfort than the non-HAM group. 2006;(2):CD002930. Contracture of skin graft in human burns: Effect of artificial dermis. 2000;70(6):1820-1825. Puros Dermis Allograft Tissue Matrix (Zimmer Dental) is a natural biological matrix designed for soft tissue augmentation, periodontal/peri-implant soft tissue management, and guided tissue regeneration procedures (Snyder et al, 2012).

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