What to expect during the Phases of NovoSorb BTM integration

Nurses: please see the link below to view the Clinical Application Guide for NovoSorb BTM. FAQs can be found at the bottom of this page.

Clinical Application Guide

Note: These instructions are general guidelines, refer to IFU for full instructions.  These guidelines are not designed to replace existing institutional protocols or professional clinical judgement regarding patient care.

The choice of outer dressings should:
• Not adhere to the BTM.
• Absorb mild exudate.
• Possess an antimicrobial property.
• Encourage continued contact of the BTM to the wound bed without shear.
For Example:
1. Apply a non-adherent contact layer directly over BTM
2. Apply an antimicrobial dressing
3. Apply gauze
4. Apply outer crepe dressing

Collections of turbid fluid or hematomas under the seal can be expressed via the fenestrations in the overlying seal. If necessary, the sealing membrane may be further fenestrated with a scalpel to provide drainage holes.

Performing Wound Care: under aseptic conditions

  • Remove all dressings.
  • Do not remove BTM and/or staples/sutures.
  • Gently wipe the BTM surface with a saline gauze and/or antimicrobial preparation such as chlorhexidine solution or povidone-iodine solution.
  • Replace dressings following standard of care

The dressings should be removed and replaced as frequently as required for

  • Dressings with absorbed exudate to be discarded
  • Replacement of antibacterial agents once their period of therapeutic effect has expired

Staples or sutures remain in place until NovoSorb BTM is fully integrated to the wound or until delamination.

Examples of NovoSorb BTM at various stages of integration:  These images are a series of photos of an arm with NovoSorb BTM integrating.

Click photo to enlarge

1st Dressing change at Day 2 post NovoSorb BTM application: notice ingress of blood into the BTM from the wound
Day 4, 2nd dressing change. Foam is still visible through the clear sealing membrane
Day 6, the 3rd dressing change. Color gradually changing.
4th Dressing change, Day 9, starting to see integration.
Day 11
Day 23, integration clearly visible.
Day 31 The BTM sealing membrane has been removed, and the neo-dermis is ready for grafting.
This shows the wound at the day the skin has been grafted.
Day 318 post grafting.