Market Flooded With False Wound Care Product Claims
Legacy of Bad Practices In Hospital and Market
Do Not Want to Be Measured With Quantitate Wound Assessments
Use Products That Have Been Identified By Research as Toxic or Prohibits Wound Progression to Healing
There are three main drivers that determine the level of resources used in wound care, and these are the first things to look at when trying to make wound care more efficient. They are shown below
Reality
The Time it takes to heal a wound
Longer duration means increased nursing and dressing cost and may lead to increased risk of complications
The frequency of changing dressings
Higher frequency means increased dressing cost per week, increased nursing cost and the potential higher risk of complications
✓ Revenue Vs Patient Expectations
The incidence of complication (e.g. infection
Complication may lead to hospital admission, surgical intervention, extended period of treatment or increased use of other resources
✓
The Science Does Not Lie
✓ “Preventable” Complications
Our Proven Protocol
Keys to Successful Holistic Wound Healing
Tissue Regeneration dermagold100
Kill Bacteria
Procellera® Technology
Measure Progress
Silhouette®
Shockwave Stimulates & Accelerates Vasculogenesis
Shockwaves
Basic physical principles
From the physical point of view a shock wave is defined by an abrupt, nearly discontinuous change in pressure and by having a velocity that is higher than the speed of sound in the medium it propagates [1]. A typical pressure profile of a focused shockwave used for therapeutic purposes is shown in fig. 1. Generally a shock wave can be described as a single pulse with a wide frequency range (from approx. 150 kHz up to 100 MHz), high pressure amplitude (up to 150 MPa), low tensile wave (up to -25 MPa), small pulse width and a short rise time of up to a few hundred nanoseconds.
Dermagold 100 uses the electrohydraulic principle.
An electrode is placed in the first focal point F1 of a water-filled semi-ellipsoid reflector and high voltage is applied to the tips of the electrode.
Spark Waves Modulate Inflammation Response
Growth factor activation:
• Nitric oxide (NO)
• Fibroblast growth factor (FGF)
• Transforming growth factor (TGF)
• Insulin-like growth factor-1 (IGF-1)
• Platelet-derived growth factor (PDGF)
• Vascular endothelial growth factor (VEGF)
• Proliferating cell nuclear antigen (PCNA)
Energy Sets off a Cascade of Biological Responses dermagold100
Electric Field Based Dressing Disrupts Mixed-Species Bacterial Biofilm Infection
and Restores Functional Wound Healing
Barki, Kasturi Ganesh MD; Das, Amitava PhD; Dixith, Sriteja MS; Ghatak, Piya Das MS; MathewSteiner, Shomita PhD; Schwab, Elizabeth BS; Khanna, Savita PhD; Wozniak, Daniel J. PhD; Roy, Sashwati PhD; Sen, Chandan K. PhDAnnals of Surgery: November 02, 2017
COLUMBUS, Ohio – Researchers at The Ohio State University Wexner Medical Center have shown – for the first time – that special bandages using weak electric fields to disrupt bacterial biofilm infection can prevent infections, combat antibiotic resistance and enable healing in infected burn wounds. The dressing becomes electrically active upon contact with bodily fluids.
Results of the regenerative medicine study published in the journal Annals of Surgery. “Drug resistance in bacteria is a major threat, and antibiotic-resistant biofilm infections are estimated to account for at least 75 percent of bacterial infections in the United States,” said Chandan Sen, director of Ohio State’s Center for Regenerative Medicine & Cell Based Therapies, who led the study with colleagues at the Medical Center’s Comprehensive Wound Center and Center for Microbial Interface Technology. “This is the first pre-clinical long-term porcine study to recognize the potential of ‘electroceuticals’ as an effective platform technology to combat wound biofilm infection.”
What if you could prevent infections, combat antibiotic resistance and help heal infected wounds, just by using a simple bandage?
Bacteria that can't be treated with antibiotics are a major threat. Biofilm infections resistant to antibiotics cause up to 75 percent of bacterial infections in the United States.
"That’s why it’s important to try to find other ways to combat infection without the use of antibiotic drugs,” says Chandan Sen, director of Ohio State’s Center for Regenerative Medicine & Cell Based Therapies
This is the first pre-clinical, long-term porcine study to recognize the potential of “electroceuticals” as an effective technology to combat wound “biofilm infection”
“This wireless electric dressing is FDA-cleared and already in clinical use. But we need to learn more about its underlying mechanisms to enable optimal use," Sen says.
During the study, the research team applied WED within two hours of wound infection in pigs to test its ability to prevent biofilm formation. Researchers also applied WED after seven days of infection to study disruption of established biofilm. Both proved successful. Researchers treated the wounds with placebo dressing or WED twice a week for 56 days.
This study shows that WED may be viewed as a first-generation electroceutical wound care dressing.
WED also speeds healing in wounds by restoring skin barrier function.
“Electroceutical principles should be utilized in the design of hospitals and operating rooms to fight the threat of hospital acquired infections,” Sen says.
Broad Indications for Use Procellera Protocols Acute &
Chronic Wounds
Wound Assessment System
It is not a luxury it is a necessity
Do Hospitals in Thailand Meet the Basic Standards of Wound Care?
Is this Acceptable to a 5 Star JCI Accredited Hospital? ---- NO -----
Usually Associated with Poor Provincial Markets Worldwide
This is Typical of International Hospitals
Our Proof In Thailand
In line with all clinical trails Random Hospitals
The Big Fat Lies
Hyperbaric Chambers Heal Wounds
Silver Ion Dressing Effective
Betadine Only Kills Bacteria Not New Cells
“How We Prove Our Statements”
Accelerates Wound Healing
Procellera® Technology
Shockwaves Antibacterial
First Day
Micro-Electrical Dressing Antimicrobial
Four Treatments
Diabetic Foot
Accelerates Wound Healing
Procellera® Technology
Shockwaves Antibacterial
First Day
Micro-Electrical Dressing Antimicrobial
Six Treatments
Pressure Wound
Accelerates Wound Healing
Procellera® Technology
Shockwaves Antibacterial
First Day
Micro-Electrical Dressing Antimicrobial
One Week
Ladprao
Accelerates Wound Healing
Procellera® Technology
Shockwaves Antibacterial
First Day
Micro-Electrical Dressing Antimicrobial
1 Month 4 shockwave Treatments Procellera every 2 days
Non-Healing Wound 2 Years
Venous Ulcer
Accelerates Wound Healing
Procellera® Technology
Shockwaves Antibacterial
Micro-Electrical Dressing Antimicrobial
➢ Navy Hospital Patient 90 yrs. Old Wound is 9 Months Old.
➢ Other Treatment Used and did not work, Granulox Aquacell.
Significant Improvement Transfers from Rama to Navy Hospital
➢ Navy Hospital Wound is 1 yr. old.
➢ Other Treatment Used and did not work Granulox Aqualcell .
Accelerates Wound Healing
Procellera® Technology
Pethavej
Accelerates Wound Healing
Shockwaves Antibacterial
Five Year Old Chronic Wound
4.5 CM Tunnel
Navy Hospital
Procellera® Technology
Micro-Electrical Dressing Antimicrobial
Navy Captain would be forced to retire if wound will not
heal Could not walk with shoe Wound Closed After 5 Years
20 Days After OR stiches removed patient released
1500 Shocks Per Week
6 Treatments
Cost = 54,000 baht
Procellera used = 9
change every three days = 7200 baht
Doctor at Bangkok Hospital Calls This a World Record
Procellera used = 16 change every three days = 12,000 baht
1500 Shocks Per Week
6 Treatments
Cost = 54,000 baht
Pressure Wound
40 Days large Pressure Closed
Bangkok Hospital
Arterial Block revasculariztion
Arterial Block revascularization Continue Damage
Arterial Occlusion & Bypass Emboli Flush (PAD)
Arterial Block revascularization Hole Develops bone Exposed
Arterial Block revascularization Ulcer Starts to fill in
Toe completely rebuilt with tissue
Toe 90% healed small narcotic tip will disappear in two weeks
Ramathibodi
Peripheral artery bypass Same as last Picture
This is what happens when you get there late
In this patient you can see the result of the Artery bypass which has pushed the emboli into the foot and destroyed all capillary feeds and destroyed the top of the foot. We saveed the foot and the toe and a skin graph was applied. If Treatment would have started early like the previous slide this would not have happened.
