Epigard is a synthetic skin replacement for temporary wound covering, wound cleaning and conditioning of the wound bed in preparation for a later skin transplantation.
EpiGARD is a nontextile, micro-porous plastic material without medicinal impregnation. The material is double layered. The bottom side, which is placed on the wound surface, forms an open matrix made of elastic soft polyurethane (PUR) foam. The top side consists of a thin, micro-porous polytetrafluorethylene (PTFE) film.
EpiGARD is a synthetic skin replacement for temporary wound covering, wound cleaning and conditioning of the wound bed. It is absorbent, permeable to air and water vapor, as well as it prevents the migration of bacteria and the passage of fluid and secretion. In general, within
48h renewal of EpiGARD is recommended. EpiGARD sticks to the wound surface rapidly and effectively through thrombogenic adhesion
and coagulation of the exudate on the wound bed. This rids the wound of necrotic tissue and exudate when the bandage is changed for the first time. During this wound cleansing phase, fibroblasts and vessels start growing in the wound area and the open-pored PUR foam. After a few days a consistent, well vascularized wound bed is achieved, which can be covered with a secondary dressing. The product is available in five sizes. Each individual product is double-packed and sterilized by means of ethylene oxide.
EpiGARD is a synthetic skin replacement for temporary wound covering, wound cleaning and conditioning of the wound bed.
The wound exudate adheres to the cavities in the polyurethane structure.
Necrotic tissue and wound exudate can be removed when the bandage is changed.
After the wound cleansing phase, fibroblasts and blood vessels begin to grow, which encourages a consistent and well vascularised granulation of the wound bed.
According to the instruction manual, EpiGARD is indicated for external wounds with open wound treatment and for preparation of a secondary wound closure, such as:
- Temporary infection protecting wound covering of defect wounds.
Soft tissue injuries of open fractures and of open spongiosa grafts.
- Temporary infection protecting wound covering after surgical necrosis removal with severe burns to prevent microbial invasion and to contain the plasma loss.
- Interim covering of wound surfaces until final autologous transplantation.
- Temporary wound covering with provisional wound closure as well as for protection of exposed bones, tendons, ligaments and burn wounds.
Wound cleaning of infected defect wounds and burn wounds.
Wound cleaning with ulcera cruris, decubital ulcers, surface skin lesions and surgery
- Conditioning of the wound bed especially before transplants.
EpiGARD is also indicated for the exclusive treatment of all defect wounds with flat wound bed without subsequent skin transplantation, such as:
- Surface wounds to promote the granulation and epithelization.
- Skin defects at all locations, especially skin defects on the fingers.
- Defects that are caused trough surgical excisions.
- Defect covering with emergency compartment openings of the extremities.
- Wound covering to support the autologous enzymatic wound cleaning with defect wounds.
Thorough wound debridement to gain an overall impression of the condition of the wound.
Precise adjustment of the skin replacement. Accurate cutting to size around the wound contour.
A lightly compressed dressing. Regular change of Epigard after 24 to 48 hours; examination of the wound, sterile dressing.
Repeated application of Epigard until a granulation bed that is ready for transplantation is achieved.
Definitive wound occlusion by means of a mesh graft or delayed primary suture after 3 to 7 days.
The following contraindications are listed in the instruction manual:
- Wounds with pocket formation.
- Massive infection with severe putrid secretion.
- Patients with restricted blood coagulation.
- Simultaneous application of creams or ointments.
The following chapter describes how to use EpiGARD according to the instruction manual
- Before using EpiGARD the wound area must be carefully cleaned.
Ointment residues and larger necroses are to be removed.
- Place EpiGARD with the open pore foam layer onto the wound!
- To ensure close contact with the wound surface EpiGARD must be trimmed according to
the wound size and extend to the wound edges. It should be held in position e.g. with a
light bandage. Due to frequent change of dressing saturation should be dispensed with.
- EpiGARD is to be regularly examined and with fluid accumulation or irritation of the wound
edges it is to be replaced.
- In general daily renewal of EpiGARD is recommended.
- EpiGARD can be renewed any number of times and in this way serves as a secure infection
protecting interim covering.
- With infected wounds such as e.g. with ulcerations, residual necroses and wound exudates
can be removed from the wound area through frequent change of the dressing (1 to 2 times
The removal of the infection is the requirement for the adhesiveness of EpiGARD on the wound and the granulation stimulation.
Lateral open dermatofasciotomy in lower leg compartment syndrome.
Covering of the gaping wound with the synthetic skin (EPIGARD).
Dynamic sampling of the wound edges to achieve a direct secondary
Follow up condition on restored mesh graft after fasciotomy due to compartment syndrome.
In the instruction manual the following possible negative effects, warnings and notes are
During the renewal of the wound covering patient-dependent pain can occur. The specialist user should undertake individual measures for pain reduction. A renewal of the wound covering after a short interval can also significantly reduce the pain.
Within 48 hours. Not longer! Epigard is intended for one-time use.
Yes. It is OK to cut the Epigard to size when wearing disposable gloves and using sterile bandage scissors.
The product has a batch number (month/year of manufacturer). From the batch number the Epigard has a shelf life of a further 5 years, if it is guaranteed that the packaging has been stored under sterile conditions in a dry and cool place.
No. We deliver all products from an order volume of 1 unit.
Yes. If the batch no. indicates that the products have a remaining shelf life of at least 3 years. Please always inform us of returns by phone first, on (+49) 7634-6955425 or email us to firstname.lastname@example.org.
We do attend smaller conferences and meetings irregularly and will post the dates on our website.