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Product Type: Antimicrobial
Other related brands
Aroa Biosurgery Ltd. (distributed in the U.S. by Appulse Medical) | Model: 629312 |
HCPCS : A6021 (Medicare DME co-payment per billable unit min / max: $4.37 / $5.14)

Endoform® Antimicrobial Dermal Template is a collagen dressing with ionic silver.

INTENDED USES:  sterile, single use ovine forestomach-derived extracellular matrix intended to cover, protect, and provide a moist wound environment

CLAIMED FEATURES: composed of natural, non-reconstituted collagen retaining the native extracellular matrix associated macromolecules including fibronectin, glycosaminoglycans, laminin, and elastin. It contains approximately 12 µg/cm2 (~0.3% w/w) ionic silver, intended to inhibit colonization of the dressing. The dressing is effective against a broad spectrum of microbes, including Acinetobacter baumannii, Candida albicans, Candida parapsilosis, Candida glabrata, Escherichia coli, Methicillin Resistant Staphylococcus aureus (MRSA), coagulasenegative Staphylococci, group A (beta-hemolytic) Streptococci, Pseudomonas aeruginosa, Aspergillus niger, and Vancomycin Resistant Enterococci (VRE). The dressing provides sustained antimicrobial effectiveness within the dressing for up to 7 days.

OPTION: fenestrated sheets. 

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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