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Product Type: Antimicrobial
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Medline Industries, Inc. | Model: MSC9445EP |
HCPCS : A6197 (Medicare DME co-payment per billable unit min / max: $3.42 / $4.02)
Maxorb Extra AG+ is a calcium alginate and CMC dressing.

INTENDED USES: For moderate to heavily draining wounds. Helps manage bacterial burden. For pressure injuries; leg ulcers; first and second-degree burns; moderate to heavily draining partial and full-thickness wounds; diabetic foot ulcers; surgical wounds; graft and donor sites; and trauma wounds
CLAIMED FEATURES: With controlled-release ionic silver. Up to 21-day antimicrobial protection Easy dressing changes. Highly absorbent. Reduces odor. Fluid will not wick laterally Contraindications: third-degree burns; dry or lightly draining wounds; patients with a known sensitivity to alginates or silver; to control heavy bleeding; as a surgical implant. Dressing change frequency will depend on amount of drainage. Up to 21-day antimicrobial protection.

Wound Reference does not produce, market, re-sell or distribute health care goods or services consumed by, or used on, patients.
Application: Can be used as primary dressing
Application: Can be used as secondary dressing
Depth: Full thickness (deep)
Depth: Partial thickness (shallow)
Exudate: Dry
Exudate: Low
Exudate: Moderate
Exudate: High
Indications: May be applied over infected tissue
Indications: May be used to pack deep wounds
Indications: May be used under compression
Medicare freq of replacement: 1/day
Medicare freq of replacement: every other day
Medicare freq of replacement: 3/week
Medicare freq of replacement: 1/week
Wear time: Up to 1 day
Wear time: Up to 3 days
Wear time: Up to 7 days
Wear time: More than 7 days

Antimicrobial dressings play an important role in wound care but should only be used after careful assessment by your clinician. Antimicrobial dressings are indicated for infected wounds. Antimicrobial dressings have substances with antiseptic activity, which weaken and slow the growth of bacteria and other microorganisms - this antiseptic activity helps prevent the bacteria from causing further infection.  It has not been confirmed that bacteria develop immunity (resistance) to antiseptics with extended antiseptic use. Some antiseptics may delay the healing process and worsen a wound's condition. However, new technological advances resulted in products that cause less harm to the wound and are excellent at destroying germs. These include antiseptics such as silver, cadexomer iodine, polyhexamethyl biguanide (PHMB) and honey. Below is a summary of how some of these agents work:

  • Silver is effective against many types of bacteria, fungi and viruses. Frequent use can cause some discoloration on the skin around the wound. If absorbed by internal organs it may impair their function. Silver is not recommended for prolonged use as silver may inhibit epithelialization with long term use (>4 weeks).
  • Honey: Manuka honey is thought to have antimicrobial and cleaning properties. Products are available as sheet dressings or as topical applications. Topical applications are applied directly to the wound and are covered with a wound dressing; an additional secondary dressing may be required for wounds with large amounts of fluid. Some individuals experience a stinging sensation when Manuka honey is applied. Manuka honey should not be applied on individuals with hypersensitivity to honey. According to manufacturers, it can be used on persons with diabetes, as it does not alter levels of blood sugar.
  • Iodine: Slow-release iodine-based dressings are effective against wound infection. They should not be used on persons with: known or suspected iodine sensitivity, Hashimoto's thyroiditis, non-toxic nodular goitre, children and pregnant or lactating women. Iodine may be absorbed by the internal organs, especially when large wounds are treated. Iodine dressings have a maximum dosage and maximum length of time over which they can be used. Manufacturers’ instructions should be followed.


If you have coverage through Medicare Part  and your condition meets Medicare requirements for coverage, you may be eligible to have this product covered by Medicare. Not all antimicrobial dressings are covered by Medicare. If it is covered, you will need a written order prescribed by a provider enrolled in Medicare, so that you can purchase this product at a Durable Medical Equipment store that accepts Medicare. You will need to pay deductibles and co-payment. The actual co-payment amount varies according to your state. If you do not have Medicare Part B or do not meet the requirements needed for coverage, you can find this product at pharmacies and medical supply stores. When available, please see pricing in "Other Stores" below.

Important Notice: The product information contained on this page, including the product images and additional product materials, was collected from various supplier sources. All product claims and specifications are those of the product suppliers. Every effort has been made to ensure the accuracy of the product information, however on occasion manufacturers may alter their products or packaging without notice. Wound Reference assumes no liability for inaccuracies or misstatements about products. The properties of a product may change or be inaccurate following the posting or printing of the product information in the document, either in the print or online version. Due to product changes, information listed in this document is subject to change without notice. We recommend that you always read labels, warnings and instructions for use before using a product. Content on this site is for reference purposes and is not intended to be a substitute for professional advice given by a physician or other licensed healthcare professional.
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