Hollister Endoform Dermal Template Collagen Dressing

What is Endoform Dressing?

Endoform Dermal Template is a collagen dressing with an intact extracellular matrix (ECM). Derived from ovine (sheep) forestomach tissue, this advanced wound care dressing is non-reconstituted collagen. Thus it retains the innate biological structure of the native ECM-associated macromolecules, including elastin, fibronectin, glycosaminoglycans, and laminin. When rehydrated with wound exudate or sterile saline, this dressing transforms into a soft conforming sheet, which is naturally incorporated into the wound over time. It contains:

• Natural intact collagen scaffold
• Secondary molecules that are important during the healing
• Only natural tissue components

How does Endoform Collagen Dressing work?

Endoform contains components important to the tissue healing process. The composition of Endoform’s natural extracellular matrix enables appropriate interactions with the patient’s cells during the phases of healing. Endoform is 85% collagen and contains important structural and adhesion proteins and glycosaminoglycans (GAGs). Endoform only contains components that are found in the extracellular matrix.
 

When to use Endoform Natural Dermal Template?

Endoform Natural Dermal Template is indicated for the management of wounds, including

• Partial and full-thickness wounds
• Pressure ulcers
• Venous ulcers
• Diabetic ulcers
• Chronic vascular ulcers
• Tunneled/undermined wounds
• Surgical wounds (donor sites, grafts, post Mohs surgery, post laser surgery, pediatric, wound dehiscence)
• Traumatic wounds (abrasions, lacerations, first and second-degree burns, and skin tears)
• Draining wounds

Endoform Manuals

• Endoform Dermal Template Brochure
• How do Endoform Dressings work?
• Endoform Natural Dermal Template User Manual
• Endoform Application Guide
• Endoform Dressing Safety Data Sheet

What to buy with Endoform Dermal Template Collagen Dressing

• Medline Soothe And Cool Moisture Barrier Ointment
• Medline Avant Gauze Non-Woven Sterile Sponges
• Medline Skintegrity Wound Cleanser

How to use Endoform Dermal Collagen Dressing?

Wound Preparation

• Prepare the wound bed by cleansing, irrigation, and if necessary, debridement to ensure the wound is free of debris, necrotic tissue, or infected tissue.

How to apply Endoform Dressing?

1. Select a sheet of the dermal template which is slightly larger than the wound and apply it aseptically.
2. Endoform application can be done as a whole sheet or trimmed so that it contacts the wound margins. Multiple sheets can be used to cover the entire wound bed.
3. For ease of handling, apply the dermal template by placing the dry material in the wound and rehydrating it with exudate or sterile saline. When hydrated this wound dressing transforms into a soft conforming sheet. Ensure that the dermal template conforms to the underlying wound bed.
4. To protect the Endoform Dermal Template collagen dressing from adhering to the secondary dressing, consider applying a non-adherent dressing over the dermal template to help protect the tissue while facilitating an optimal moist wound healing environment.
5. Secure the dressing using an appropriate secondary dressing. The overlying dressing should be changed according to the standard of care, considering the level of exudate.
6. The biodegradable Dermal Template is naturally absorbed and incorporated into the wound over time. Depending on the environment, the dressing may last up to 7 days in the wound.
7. It can be used in conjunction with compression therapy and negative pressure wound therapy under the supervision of a healthcare provider.

Endoform Dressing Changes

• The duration of treatment and reapplication is determined by the physician and depends upon the wound type and conditions.
• Reapply when the dermal template has been incorporated into the wound. It is recommended to assess the wound within 72 hours. Endoform Dermal Template may last up to 7 days in the wound, depending on the wound environment.
• Carefully cleanse the wound surface in accordance with established procedures. Do not attempt to remove the off-white to golden gel that forms from residual dressing in the wound, as it contains extracellular matrix components that assist in wound healing. 
• If areas of the dermal template are dry upon inspection, rehydrate with sterile saline and leave in place.
• It is not necessary to remove any residual dressing during dressing changes. However, if the product has overlapped onto the peri-wound area, the remaining loose product that has not been incorporated into the wound may be gently removed around the edges if desired.
• Change the secondary dressings as needed and when the wound dressing is re-applied.

Precautions while using Endoform Dermal Template

• Do not apply to wounds with uncontrolled clinical infection, acute inflammation, excessive exudate, or bleeding.
• Endoform dermal template is supplied as a sterile dressing. Do not use it if the pouch seal is broken.
• Discard the Endoform dermal template if mishandling has caused possible damage or contamination.
• Single-use product. Do not attempt to re-sterilize. Discard all unused portions. To help reduce the potential for infection and other complications, do not reuse.
• Always handle Endoform dermal template using an aseptic technique.

Contraindications

• Endoform dermal template is derived from an ovine (sheep) source and should not be used on patients with known sensitivity to ovine (sheep) derived material.
• Endoform wound care is not indicated for use on third-degree burns.

FAQs About Endoform Dressing

1. What side of Endoform goes on wound?

Apply Endoform by placing the dry material in the wound and rehydrating with exudate or sterile saline until moistened.

2. How often should Endoform wound dressing be changed?

Endoform dressings can be worn for up to 7 days; the dressings can be applied as often as daily or as infrequently as weekly

3. Do you moisten Endoform?

Apply dry Endoform to the wound bed. If needed, moisten Endoform with normal saline and ensure that it conforms to the underlying wound bed.