We evaluated an innovative new device on aspects important to patients and providers in wound healing. Our study consisted of three components: clinical trial, retrospective chart review and survey’s. After receiving IRB approval, 15 enrolled patients received 57 separate procedures.
This non-randomized, unblinded trial involved placement of a novel fluid delivery system instilling either small amounts of 3% gentamicin solution, sterile water, or normal saline at a constant rate to partially saturate a semi-occlusive pad. The dressing was applied to the wound and the activated device left in place for up to 5 days. A survey was completed at each visit by the provider analyzing application, removal, and device functioning. Patient question’s included the ability to perform ADL’s. A retrospective chart review showed data on wound progression before/after the device administration.
Safety: No adverse events were reported during the study and no incidents between clinic visits; varying degrees of maceration of the periwound affected wound healing in 11% of the cases.
Ease of Use: Application time decreased to as little as 10 minutes; the device was deemed “intuitive”. Removal of the device received 89% of clinicians rating as “easy‟.
Impact on ADL’s: 91% of patients responded that the device posed no limitations on their ADL’s; 4% even stated that it enhanced their daily activities.
Healing rates: determined to be favorable with 85% of the device applications resulting in wound healing rated “as anticipated” or “better than anticipated”; 14 out of 15 patients (93%) had a reduction in wound surface area.
Conclusion: Ease of use with favorable patient acceptance and possible improved healing rates suggests this device may have an application in wound care.