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A Pilot Study of the WoundWand™ Debridement Device on Infection Prevention

A Pilot Study of the WoundWand™ Debridement Device on Infection Prevention

Status
Terminated
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01924806
Acronym
WoundWand
Enrollment
11
Registered
2013-08-19
Start date
2014-03-04
Completion date
2015-02-09
Last updated
2020-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lower Leg Wound

Keywords

debridement, post-debridement, infection, prevention, wound, wound tissue, wound management, WoundWand, wound size reduction, wound bed debridement, WoundWand Debridement Device, chronic wound, delayed healing, cellular senescence, acute wound, diabetic foot ulcer, venous leg ulcers, radiofrequency debridement, necrotic tissue, wound healing, skin

Brief summary

A Pilot Study of the WoundWand™ Debridement Device on Infection Prevention

Detailed description

The primary aim of this pilot study is to investigate differences in bacterial content of the study wound that may impact upon infection rates following debridement with the WoundWand Debridement Device or Standard of Care (SoC) surgical (sharp) debridement. Additionally, the clinical investigation will evaluate reduction in wound size post-debridement and gather Health Economic data relating to wound bed debridement with the WoundWand Debridement Device or SoC.

Interventions

DEVICEWoundWand™ Debridement Device

Group I - Electrical energy that removes necrotic, ischemic, and/or infected tissue within a wound

DEVICEStandard of Care sharp debridement

Group II - Sharp instruments that remove necrotic, ischemic, and/or infected tissue within a wound

Sponsors

Smith & Nephew, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Subjects who meet the following criteria may be included in the clinical investigation, if they present with ALL of the following: 1. Subject is able to understand the evaluation and willing to consent and comply with all post-debridement visits and procedures 2. Age 18 years and older. Subjects may be of either sex and of any race or skin type 3. Subjects fulfilling any one or all of the following criteria: 1. chronic wound(s) below the level of the knee, defined by delayed healing or cellular senescence 2. acute wound(s) as a result of a surgical procedure, laceration, abrasion or trauma 3. diabetic foot ulcer(s) 4. subjects with venous leg ulcers below the knee on the leg or foot with one or more documented failure of maximal medical therapy for their study wound \>30 days such as compression bandages (low elasticity, elastic, multilayered, elastic and non elastic compression) 4. Subjects with the following lab results within 30 days of treatment: 1. serum albumin level \>20g/L 2. clinically non significant results of liver function test (LFTs), serum glucose and complete blood count (CBC) with differential 5. Subjects with a Braden Score ≥13-14 (Moderate Risk) 6. Subjects with adequate arterial blood flow \[Ankle-Brachial Index (ABI) \>0.75\]

Exclusion criteria

Subjects will be excluded from the clinical investigation, if they present with ANY of the following: 1. Subjects that have tunneling wounds 2. Subject presents with an active infection in the study wound, as defined by purulence and: 1. Fever and leukocytosis OR any TWO of the following: 2. Malodor, pain or tenderness, warmth, erythema, induration, swelling, lymphangitis 3. Infected bone diagnosed by imaging modality (e.g., Magnetic Resonance Imaging (MRI) and/or radiographic images) 4. Subjects whose study wound does not require debridement 5. Cardiac pacemaker or other electronic implant(s) 6. Subjects with irradiate, burn or ischaemic wounds or history of keloids 7. Subjects with vasculitis, non-reconstructive peripheral vascular disease, pyoderma gangrenosum, renal failure or lymphoedema 8. Subjects with uncontrolled bleeding disorder (PT/PTT) and coagulopathy (including those with hemophilia) 9. Subjects taking treatment with any of the following: 1. Systemic corticosteroids 2. Immunosuppressive agent(s) 3. Chemotherapy or Radiation therapy 10. Subjects deemed to require biologic dressing/ skin substitute 11. Terminally ill subjects 12. Subjects that have an immunodeficiency disorder that interferes with wound healing, including Acquired Immunodeficiency Syndrome (AIDS) or know to be infected with Human Immunodeficiency Virus (HIV) 13. Subjects that have chronic skin conditions such as psoriasis, etc. 14. Subjects that reside in a nursing home 15. Subject is physically or mentally compromised (e.g., currently being treated for a psychiatric disorder, senile dementia, Alzheimer's disease, etc.) to the extent that the Investigator judges the subject to be unable or unlikely to remain compliant 16. Subject is pregnant and/or intending to become pregnant during this clinical investigation period 17. Subject has documented evidence of a history (e.g. liver testing) of drug/alcohol abuse within the 12 months prior to enrollment for clinical investigation entry 18. Subject is excluded if they have received an investigational therapy or approved therapy for investigational use within 30 days of surgery 19. Subject is excluded if planning to participate in another research study during the follow-up phase of this study or 84 days after study completion

Design outcomes

Primary

MeasureTime frameDescription
Bacterial Diversity and Number of Bacteria Present in the WoundDay 1 (immediately pre- and post-debridement) and 4 weeks post-debridementPrimary endpoint was to determine bacterial diversity and number of bacteria present in the study wound at 4 weeks post- debridement using either WoundWand Debridement Device or Standard of Care. Punch biopsies were performed per standard practice to quantify the type and amount of bacteria present in wounds debrided with either Standard of Care Sharp Debridement or WoundWand Debridement Device. Debridement of contaminated tissue is essential to prevent wound infection, promote healing, and provide a neat wound edge for the prevention of scaring. A 3-4 mm punch biopsy for quantitative tissue culture (i.e. bacterial content) will be collected from the study wound site immediately pre- and post-debridement and at Week 4. The punch biopsy will be performed per standard practice and if required, utilizing the appropriate analgesia \[e.g. general, local (e.g. 1% lidocaine with epinephrine)\]. Quantitative tissue culture will be completed according to the laboratory's standard procedures

Secondary

MeasureTime frameDescription
Photograph Area Measurements to Determine Reduction in Wound SizeVisit 2 through Visit 8 (12 weeks)a) Reduction in wound size for up to 12 weeks post-debridement Photographs of the wound site were taken to determine the reduction in wound size and to assess healing progression of the study wound. Standardization of images was ensured by the Eykona® Wound Measurement System that uses small sterile 'targets' placed on the study wound to set the focus and position of the camera thus eliminating inconsistency between images acquisition time points. The photographs are stored on a USB (Universal Serial Bus) flash drive which will be archived with the study files.
Wound Status Using Bates-Jensen Wound Assessment - Total ScoreScreening through Visit 8 (12 weeks)The Bates-Jensen Wound Assessment Tool is a 13-item questionnaire (size, depth, edges, undermining, necrotic tissue type, exudate type, exudate amount, skin color surrounding wound, peripheral tissue edema, peripheral tissue induration, granulation tissue, epithelialization) used to assess wound status. Total score is determined by adding together the sub-scores from each of the 13 items, with a higher score indicating a more severe wound status. Each of the 13 item scores ranged from 1 to 5 possible points. Minimum score of 13 indicated the best outcome, maximum score of 65 indicated the worst outcome.
Braden Scale for Predicting Pressure Sore Risk - Total ScoreScreening through Visit 8 (12 weeks)The Braden Scale, performed by the Investigator (or designee), is a 6-item questionnaire (sensory perception, moisture, activity, mobility, nutrition, and friction &shear) used to assess the subject's level of risk for development of pressure ulcers. Total score is determined by adding together the sub-scores from each of the 6 items, with a lower score indicating a higher risk for developing pressure ulcers. Braden Scale thresholds: 19-23 = not at risk 15-18 = preventative interventions 13-14 = moderate risk 10-12 = high risk 6-9 = very high risk Sub-score ranges: Sensory perception: 1 - 4 Moisture: 1 - 4 Activity: 1 - 4 Mobility: 1 - 4 Nutrition: 1 - 4 Friction & Shear: 1 - 3 Total score minimum of 6 indicated a very high risk outcome, maximum score of 23 indicated the subject not at risk.

Countries

France, United Kingdom

Participant flow

Recruitment details

Sixty (60) subjects were to be randomized in a 1:1 ratio. A total of 11 subjects were enrolled at 1 investigative site by 2 investigators.

Pre-assignment details

Overall, 9 subjects received treatment for a total of 9 wounds treated. Two of the enrolled subjects, discontinued prior to treatment.

Participants by arm

ArmCount
WoundWand™ Debridement Device
WoundWand™ Debridement Device: Group I - Electrical energy that removes necrotic, ischemic, and/or infected tissue within a wound. ArthroCare developed COBLATION® technology, which uses a controlled, non-heat drive process (i.e., radiofrequency energy) to gently and precisely dissolve soft tissue, thereby minimizing damage to healthy tissue. ArthroCare adapted this technology for use in wound debridement via the WoundWand Debridement Device.
5
Standard of Care Sharp Debridement
Standard of Care sharp debridement: Group II - Sharp instruments that remove necrotic, ischemic, and/or infected tissue within a wound. Surgical or sharp debridement is one of the methods commonly used to remove necrotic tissue from non-healing and difficult-to-heal chronic wounds. Surgical debridement requires sterile instruments and a qualified clinician in addition to general or local anesthesia.
4
Total9

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyPhysician Decision21

Baseline characteristics

CharacteristicWoundWand™ Debridement DeviceStandard of Care Sharp DebridementTotal
Age, Continuous66.4 years
STANDARD_DEVIATION 8.6
68.8 years
STANDARD_DEVIATION 13.6
67.8 years
STANDARD_DEVIATION 10.4
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants4 Participants9 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Etiology of Study Wound
Abrasion
0 Participants0 Participants0 Participants
Etiology of Study Wound
Infection
1 Participants0 Participants1 Participants
Etiology of Study Wound
Infection, Trauma and Neuropathy
0 Participants1 Participants1 Participants
Etiology of Study Wound
Laceration
0 Participants0 Participants0 Participants
Etiology of Study Wound
Neuropathy
0 Participants0 Participants0 Participants
Etiology of Study Wound
Other
0 Participants0 Participants0 Participants
Etiology of Study Wound
Pressure
2 Participants2 Participants4 Participants
Etiology of Study Wound
Pressure and Neuropathy
0 Participants1 Participants1 Participants
Etiology of Study Wound
Surgical Procedure
0 Participants0 Participants0 Participants
Etiology of Study Wound
Surgical Procedure and Underlying Condition
1 Participants0 Participants1 Participants
Etiology of Study Wound
Trauma
0 Participants0 Participants0 Participants
Etiology of Study Wound
Underlying Condition
0 Participants0 Participants0 Participants
Etiology of Study Wound
Vascular Insufficiency
1 Participants0 Participants1 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants0 Participants1 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
4 Participants4 Participants8 Participants
Region of Enrollment
United Kingdom
5 participants4 participants9 participants
Sex: Female, Male
Female
1 Participants1 Participants2 Participants
Sex: Female, Male
Male
4 Participants3 Participants7 Participants
Type of Wound
Acute
0 Participants0 Participants0 Participants
Type of Wound
Chronic
0 Participants1 Participants1 Participants
Type of Wound
Chronic and Diabetic Foot Ulcer
0 Participants2 Participants2 Participants
Type of Wound
Diabetic Foot Ulcer
5 Participants1 Participants6 Participants
Type of Wound
Venous Leg Ulcer
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 50 / 4
other
Total, other adverse events
4 / 52 / 4
serious
Total, serious adverse events
0 / 50 / 4

Outcome results

Primary

Bacterial Diversity and Number of Bacteria Present in the Wound

Primary endpoint was to determine bacterial diversity and number of bacteria present in the study wound at 4 weeks post- debridement using either WoundWand Debridement Device or Standard of Care. Punch biopsies were performed per standard practice to quantify the type and amount of bacteria present in wounds debrided with either Standard of Care Sharp Debridement or WoundWand Debridement Device. Debridement of contaminated tissue is essential to prevent wound infection, promote healing, and provide a neat wound edge for the prevention of scaring. A 3-4 mm punch biopsy for quantitative tissue culture (i.e. bacterial content) will be collected from the study wound site immediately pre- and post-debridement and at Week 4. The punch biopsy will be performed per standard practice and if required, utilizing the appropriate analgesia \[e.g. general, local (e.g. 1% lidocaine with epinephrine)\]. Quantitative tissue culture will be completed according to the laboratory's standard procedures

Time frame: Day 1 (immediately pre- and post-debridement) and 4 weeks post-debridement

Population: All treated subjects

ArmMeasureGroupValue (NUMBER)
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total Pseudomonads/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-001 - Total Strep/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total Strep/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total Strep/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total Staph/Week 46.70 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-009 - Total Gram Negative Anaerobes/Pre5.82 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total Gram - Anaerobes/Post3.96 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-003 - Total Strep/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total Strep/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total Strep/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total Gram - Anaerobes/Week 43.59 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-007 - Total S. aureus/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total S. aureus/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total S. aureus/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-010 - Total Gram Negative Anaerobes/Pre5.73 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total Gram - Anaerobes/Post6.07 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-007 - Total Strep/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total Strep/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total Strep/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total Gram - Anaerobes/Week 48.62 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-009 - Total S. aureus/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total S. aureus/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-009 - Total Strep/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total Strep/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total Strep/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-010 - Total Strep/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total Strep/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total Strep/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-001 - Total Aerobes/Pre7.74 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total Aerobes/Post7.25 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total Aerobes/Week 46.29 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total S. aureus/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-010 - Total S. aureus/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total S. aureus/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-003 - Total Aerobes/Pre9.14 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total Aerobes/Post4.38 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total Aerobes/Week 46.67 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total S. aureus/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-001 - Total Coliforms/Pre6.83 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total Coliforms/Post3.53 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total Coliforms/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-007 - Total Staphylococci/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total Staph/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-007 - Total Aerobes/Pre7.42 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total Aerobes/Post5.12 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total Aerobes/Week 48.08 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total Staph/Week 43.93 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-003 - Total Coliforms/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total Coliforms/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-009 - Total Aerobes/Pre6.90 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total Aerobes/Post4.41 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total Aerobes/Week 48.56 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-010 - Total Aerobes/Pre7.30 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total Aerobes/Post7.24 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-001 - Total Gram Positive Anaerobes/Pre7.66 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total Gram + Anaerobes/Post5.25 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total Gram + Anaerobes/Week 45.66 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total Coliforms/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-001 - Total Staphylococci/Pre7.11 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total Staph/Post4.56 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-003 - Total Gram Positive Anaerobes/Pre8.66 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total Gram + Anaerobes/Post3.36 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total Gram + Anaerobes/Week 47.60 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total Staph/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-009 - Total Staphylococci/Pre6.97 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total Staph/Post4.64 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-007 - Total Coliforms/Pre7.33 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total Coliforms/Post4.99 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total Coliforms/Week 44.57 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-007 - Total Gram Positive Anaerobes/Pre5.28 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total Gram + Anaerobes/Post3.29 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total Gram + Anaerobes/Week 43.92 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total Staph/Week 48.47 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-010 - Total Staphylococci/Pre7.05 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total Staph/Post6.87 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-009 - Total Gram Positive Anaerobes/Pre4.28 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total Gram + Anaerobes/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total Gram + Anaerobes/Week 48.70 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-010 - Total Gram Positive Anaerobes/Pre4.30 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total Gram + Anaerobes/Post3.15 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total Gram + Anaerobes/Week 47.66 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-001 - Total Gram Negative Anaerobes/Pre6.98 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total Gram - Anaerobes/Post3.21 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total Gram - Anaerobes/Week 44.80 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-009 - Total Coliforms/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total Coliforms/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total Coliforms/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-003 - Total Gram Negative Anaerobes/Pre8.90 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total Gram - Anaerobes/Post3.70 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total Gram - Anaerobes/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-010 - Total Coliforms/Pre7.14 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total Coliforms/Post6.89 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total Coliforms/Week 48.24 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-001 - Total Pseudomonads/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total Pseudomonads/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total Aerobes/Week 48.79 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total Pseudomonads/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total Staph/Week 48.15 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-001 - Total S. aureus/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total S. aureus/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-003 - Total Pseudomonads/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total Pseudomonads/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total Pseudomonads/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-001 - Total S. aureus/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-007 - Total Gram Negative Anaerobes/Pre7.54 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total Gram - Anaerobes/Post5.13 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total Gram - Anaerobes/Week 47.89 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-003 - Total Staphylococci/Pre8.75 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-003 - Total S. aureus/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-007 - Total Pseudomonads/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total Pseudomonads/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-007 - Total Pseudomonads/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total S. aureus/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total S. aureus/Week 46.58 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-003 - Total Staph/Post4.38 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-009 - Total Pseudomonads/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total Pseudomonads/Post0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-009 - Total Pseudomonads/Week 40.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-010 - Total Pseudomonads/Pre0.00 Log^10 CFU/g
WoundWand™ Debridement DeviceBacterial Diversity and Number of Bacteria Present in the Wound02-010 - Total Pseudomonads/Post0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total Gram - Anaerobes/Week 46.30 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total Coliforms/Post0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-008 - Total Gram Negative Anaerobes/Pre3.31 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total Gram - Anaerobes/Post0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total Gram - Anaerobes/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-002 - Total Staphylococci/Pre6.39 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total Staph/Post5.92 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total Staph/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-004 - Total Staphylococci/Pre5.15 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total Staph/Post3.25 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total Staph/Week 47.55 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-005 - Total Staphylococci/Pre8.37 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total Staph/Post6.67 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total Staph/Week 46.69 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-008 - Total Staphylococci/Pre7.24 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total Staph/Post5.93 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total Staph/Week 43.43 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-002 - Total S. aureus/Pre0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total S. aureus/Post0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total S. aureus/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total S. aureus/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-004 - Total S. aureus/Pre0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total S. aureus/Post0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-005 - Total S. aureus/Pre0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total S. aureus/Post0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total S. aureus/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-008 - Total S. aureus/Pre6.89 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total S. aureus/Post5.49 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total S. aureus/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-002 - Total Coliforms/Pre6.84 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total Coliforms/Post5.58 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total Coliforms/Week 44.68 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-004 - Total Coliforms/Pre0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total Coliforms/Week 44.23 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-005 - Total Coliforms/Pre6.50 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total Coliforms/Post5.56 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total Coliforms/Week 46.26 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-008 - Total Coliforms/Pre7.75 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total Coliforms/Post7.37 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total Coliforms/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-002 - Total Pseudomonads/Pre0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total Pseudomonads/Post0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total Pseudomonads/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-004 - Total Pseudomonads/Pre5.89 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total Pseudomonads/Post4.87 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total Pseudomonads/Week 44.43 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-005 - Total Pseudomonads/Pre0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total Pseudomonads/Post0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total Pseudomonads/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-008 - Total Pseudomonads/Pre0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total Pseudomonads/Post0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total Pseudomonads/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-002 - Total Strep/Pre0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total Strep/Post0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total Strep/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-004 - Total Strep/Pre0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total Strep/Post0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total Strep/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-005 - Total Strep/Pre0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total Strep/Post0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total Strep/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-008 - Total Strep/Pre0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total Strep/Post0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total Strep/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-002 - Total Aerobes/Pre8.37 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total Aerobes/Post7.05 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total Aerobes/Week 45.31 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-004 - Total Aerobes/Pre5.99 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total Aerobes/Post4.91 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total Aerobes/Week 47.70 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-005 - Total Aerobes/Pre8.46 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total Aerobes/Post6.75 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total Aerobes/Week 46.38 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-008 - Total Aerobes/Pre7.84 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total Aerobes/Post7.41 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total Aerobes/Week 44.09 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-002 - Total Gram Positive Anaerobes/Pre8.50 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total Gram + Anaerobes/Post7.05 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total Gram + Anaerobes/Week 43.83 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-004 - Total Gram Positive Anaerobes/Pre5.02 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total Gram + Anaerobes/Post3.80 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total Gram + Anaerobes/Week 46.43 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-005 - Total Gram Positive Anaerobes/Pre7.42 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total Gram + Anaerobes/Post5.58 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total Gram + Anaerobes/Week 44.56 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-008 - Total Gram Positive Anaerobes/Pre7.61 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total Gram + Anaerobes/Post7.41 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-008 - Total Gram + Anaerobes/Week 40.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-002 - Total Gram Negative Anaerobes/Pre7.30 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total Gram - Anaerobes/Post5.57 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-002 - Total Gram - Anaerobes/Week 44.75 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-004 - Total Gram Negative Anaerobes/Pre0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total Gram - Anaerobes/Post0.00 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-004 - Total Gram - Anaerobes/Week 45.88 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the WoundSubject 02-005 - Total Gram Negative Anaerobes/Pre6.54 Log^10 CFU/g
Standard of Care Sharp DebridementBacterial Diversity and Number of Bacteria Present in the Wound02-005 - Total Gram - Anaerobes/Post5.59 Log^10 CFU/g
Secondary

Braden Scale for Predicting Pressure Sore Risk - Total Score

The Braden Scale, performed by the Investigator (or designee), is a 6-item questionnaire (sensory perception, moisture, activity, mobility, nutrition, and friction &shear) used to assess the subject's level of risk for development of pressure ulcers. Total score is determined by adding together the sub-scores from each of the 6 items, with a lower score indicating a higher risk for developing pressure ulcers. Braden Scale thresholds: 19-23 = not at risk 15-18 = preventative interventions 13-14 = moderate risk 10-12 = high risk 6-9 = very high risk Sub-score ranges: Sensory perception: 1 - 4 Moisture: 1 - 4 Activity: 1 - 4 Mobility: 1 - 4 Nutrition: 1 - 4 Friction & Shear: 1 - 3 Total score minimum of 6 indicated a very high risk outcome, maximum score of 23 indicated the subject not at risk.

Time frame: Screening through Visit 8 (12 weeks)

Population: All available subjects at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
WoundWand™ Debridement DeviceBraden Scale for Predicting Pressure Sore Risk - Total ScoreVisit 4/Week 217.8 total score on a scaleStandard Deviation 3.1
WoundWand™ Debridement DeviceBraden Scale for Predicting Pressure Sore Risk - Total ScoreVisit 6/Week 417.8 total score on a scaleStandard Deviation 2.8
WoundWand™ Debridement DeviceBraden Scale for Predicting Pressure Sore Risk - Total ScoreVisit 3/Week 117.6 total score on a scaleStandard Deviation 2.9
WoundWand™ Debridement DeviceBraden Scale for Predicting Pressure Sore Risk - Total ScoreVisit 7/Week 618.0 total score on a scaleStandard Deviation 1.7
WoundWand™ Debridement DeviceBraden Scale for Predicting Pressure Sore Risk - Total ScoreVisit 5/Week 317.8 total score on a scaleStandard Deviation 3.6
WoundWand™ Debridement DeviceBraden Scale for Predicting Pressure Sore Risk - Total ScoreVisit 8/Week 1219.3 total score on a scaleStandard Deviation 3.8
WoundWand™ Debridement DeviceBraden Scale for Predicting Pressure Sore Risk - Total ScoreVisit 1/Screening17.8 total score on a scaleStandard Deviation 2.6
Standard of Care Sharp DebridementBraden Scale for Predicting Pressure Sore Risk - Total ScoreVisit 8/Week 1220.0 total score on a scaleStandard Deviation 4.4
Standard of Care Sharp DebridementBraden Scale for Predicting Pressure Sore Risk - Total ScoreVisit 1/Screening18.5 total score on a scaleStandard Deviation 3.1
Standard of Care Sharp DebridementBraden Scale for Predicting Pressure Sore Risk - Total ScoreVisit 3/Week 118.0 total score on a scaleStandard Deviation 2.2
Standard of Care Sharp DebridementBraden Scale for Predicting Pressure Sore Risk - Total ScoreVisit 4/Week 218.0 total score on a scaleStandard Deviation 2.2
Standard of Care Sharp DebridementBraden Scale for Predicting Pressure Sore Risk - Total ScoreVisit 5/Week 318.3 total score on a scaleStandard Deviation 2.9
Standard of Care Sharp DebridementBraden Scale for Predicting Pressure Sore Risk - Total ScoreVisit 6/Week 418.5 total score on a scaleStandard Deviation 3.3
Standard of Care Sharp DebridementBraden Scale for Predicting Pressure Sore Risk - Total ScoreVisit 7/Week 620.0 total score on a scaleStandard Deviation 4.4
Secondary

Photograph Area Measurements to Determine Reduction in Wound Size

a) Reduction in wound size for up to 12 weeks post-debridement Photographs of the wound site were taken to determine the reduction in wound size and to assess healing progression of the study wound. Standardization of images was ensured by the Eykona® Wound Measurement System that uses small sterile 'targets' placed on the study wound to set the focus and position of the camera thus eliminating inconsistency between images acquisition time points. The photographs are stored on a USB (Universal Serial Bus) flash drive which will be archived with the study files.

Time frame: Visit 2 through Visit 8 (12 weeks)

Population: All treated subjects

ArmMeasureGroupValue (NUMBER)
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-003 Visit 7/Week 63.99 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound SizeSubject 02-007 Visit 2/Pre Debridement23.56 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-007 Visit 2/Pre Debridement25.87 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-007 Visit 2/Post DebridementNA cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-007 Visit 3/Week 126.91 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-007 Visit 4/Week 223.02 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-007 Visit 5/Week 324.89 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-007 Visit 6/Week 428.04 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-007 Visit 7/Week 6NA cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-007 Visit 8/Week 12NA cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-003 Visit 8/Week 121.43 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound SizeSubject 02-001 Visit 2/Pre DebridementNA cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-001 Visit 2/Post Debridement80.24 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-001 Visit 3/Week 157.24 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-001 Visit 4/Week 258.36 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-001 Visit 5/Week 350.15 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-001 Visit 6/Week 452.12 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-001 Visit 7/Week 635.61 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-001 Visit 7/Week 6 measurement 229.70 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-001 Visit 8/Week 1217.84 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound SizeSubject 02-003 Visit 2/Pre Debridement6.80 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-003 Visit 2/Post Debridement9.34 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound SizeSubject 02-009 Visit 2/Pre Debridement50.49 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-009 Visit 2/Post Debridement35.05 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-009 Visit 3/Week 167.80 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-009 Visit 4/Week 226.84 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-009 Visit 5/Week 323.02 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-009 Visit 6/Week 438.27 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-009 Visit 7/Week 6NA cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-009 Visit 8/Week 12NA cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound SizeSubject 02-010 Visit 2/Pre Debridement9.03 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-010 Visit 2/Post Debridement9.39 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-010 Visit 3/Week 124.15 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-010 Visit 3/Week 1 measurement 26.55 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-010 Visit 4/Week 26.99 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-010 Visit 5/Week 35.08 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-010 Visit 6/Week 415.42 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-010 Visit 7/Week 6NA cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-010 Visit 8/Week 12NA cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-003 Visit 3/Week 16.25 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-003 Visit 4/Week 26.29 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-003 Visit 4/Week 2 measurement 29.18 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-003 Visit 5/Week 32.88 cm^2
WoundWand™ Debridement DevicePhotograph Area Measurements to Determine Reduction in Wound Size02-003 Visit 6/Week 43.05 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-005 Visit 5/Week 322.16 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound SizeSubject 02-002 Visit 2/Pre Debridement41.80 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-002 Visit 2/Post DebridementNA cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-002 Visit 3/Week 153.59 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-002 Visit 4/Week 230.03 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-002 Visit 5/Week 340.08 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-002 Visit 6/Week 431.73 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-002 Visit 7/Week 637.43 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-002 Visit 7/Week 6 measurement 233.99 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-002 Visit 8/Week 1222.79 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound SizeSubject 02-004 Visit 2/Pre Debridement2.37 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-004 Visit 2/Post Debridement0.59 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-004 Visit 3/Week 11.25 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-004 Visit 3/Week 1 measurement 21.35 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-004 Visit 4/Week 21.02 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-004 Visit 5/Week 31.84 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-004 Visit 6/Week 42.41 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-004 Visit 8/Week 120.33 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound SizeSubject 02-005 Visit 2/Pre Debridement16.20 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-005 Visit 2/Post Debridement28.74 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-005 Visit 3/Week 119.53 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-005 Visit 3/Week 1 measurement 219.98 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-005 Visit 4/Week 223.67 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-004 Visit 7/Week 60.42 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-005 Visit 6/Week 421.40 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-005 Visit 7/Week 634.06 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-005 Visit 8/Week 1226.56 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound SizeSubject 02-008 Visit 2/Pre Debridement29.53 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-008 Visit 2/Post Debridement86.16 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-008 Visit 3/Week 150.26 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-008 Visit 3/Week 1 measurement 285.47 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-008 Visit 4/Week 230.13 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-008 Visit 4/Week 2 measurement 272.20 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-008 Visit 5/Week 319.65 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-008 Visit 5/Week 3 measurement 233.32 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-008 Visit 6/Week 493.46 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-008 Visit 6/Week 4 measurement 224.75 cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-008 Visit 7/Week 6NA cm^2
Standard of Care Sharp DebridementPhotograph Area Measurements to Determine Reduction in Wound Size02-008 Visit 8/Week 12NA cm^2
Secondary

Wound Status Using Bates-Jensen Wound Assessment - Total Score

The Bates-Jensen Wound Assessment Tool is a 13-item questionnaire (size, depth, edges, undermining, necrotic tissue type, exudate type, exudate amount, skin color surrounding wound, peripheral tissue edema, peripheral tissue induration, granulation tissue, epithelialization) used to assess wound status. Total score is determined by adding together the sub-scores from each of the 13 items, with a higher score indicating a more severe wound status. Each of the 13 item scores ranged from 1 to 5 possible points. Minimum score of 13 indicated the best outcome, maximum score of 65 indicated the worst outcome.

Time frame: Screening through Visit 8 (12 weeks)

Population: All subjects seen and assessed at each time point.

ArmMeasureGroupValue (MEAN)Dispersion
WoundWand™ Debridement DeviceWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 1/Screening33.2 total score on a scaleStandard Deviation 3.1
WoundWand™ Debridement DeviceWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 2/Debridement35.2 total score on a scaleStandard Deviation 5.8
WoundWand™ Debridement DeviceWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 3/Week 131.0 total score on a scaleStandard Deviation 6.4
WoundWand™ Debridement DeviceWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 4/Week 227.8 total score on a scaleStandard Deviation 2.9
WoundWand™ Debridement DeviceWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 5/Week 325.2 total score on a scaleStandard Deviation 3.1
WoundWand™ Debridement DeviceWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 6/Week 425.5 total score on a scaleStandard Deviation 5.7
WoundWand™ Debridement DeviceWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 7/Week 618.7 total score on a scaleStandard Deviation 0.6
WoundWand™ Debridement DeviceWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 8/Week 1216.0 total score on a scaleStandard Deviation 1.7
Standard of Care Sharp DebridementWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 8/Week 1231.0 total score on a scaleStandard Deviation 20.9
Standard of Care Sharp DebridementWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 1/Screening33.8 total score on a scaleStandard Deviation 4.8
Standard of Care Sharp DebridementWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 5/Week 333.3 total score on a scaleStandard Deviation 6.1
Standard of Care Sharp DebridementWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 2/Debridement33.3 total score on a scaleStandard Deviation 5.6
Standard of Care Sharp DebridementWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 7/Week 631.0 total score on a scaleStandard Deviation 10.1
Standard of Care Sharp DebridementWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 3/Week 134.0 total score on a scaleStandard Deviation 5
Standard of Care Sharp DebridementWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 6/Week 432.3 total score on a scaleStandard Deviation 7.6
Standard of Care Sharp DebridementWound Status Using Bates-Jensen Wound Assessment - Total ScoreVisit 4/Week 233.3 total score on a scaleStandard Deviation 5.4

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026