Endoform Dermal Template Dressing Overview
What is Endoform Dressing made of?
Aroa BioSurgery Endoform Dermal Template is made of an extracellular matrix with 85% intact collagen scaffold and structural adhesion proteins designed to support each stage of wound healing. It offers more advantages over traditional collagen dressings because it is collagen and structural adhesion proteins to stabilize the wound, reduce inflammation, build new tissue and redistribute tissue. Endoform also has the ability to maintain the natural molecular form of collagen to maintain a moist wound environment needed to support new tissue growth. Wound healing and tissue growth are made possible by managing bacteria. The matrix targets multiple wound proteases which are enzymes that break down proteins and peptides in the wound. Research shows bacterial proteases breakdown bacterial biofilm to planktonic bacteria that are easier to manage and kill.
The Endoform is placed over the wound and naturally hydrated with exudate or moistened with saline solution. Cover with a secondary dressing for the wound type. such as Hydrofera Blue foam dressing. You may also benefit from compression therapy by applying a gauze roll over the Endoform and secured around a limb. Endoform can remain on the wound up to seven days but the wound should be accessed every 72 hours.
Purchase Endoform Natural Dermal Template with perforation (fenestrated) options to expand over a medical device such as an I.V.
How Endoform Dermal Template Dressing Works
When beginning treatment on a wound, add two or three layers of Endoform to make sure there is enough. An open sore may have a large number of proteases. These proteases react with the collagen contained in the product. As they consume the collagen, the Endoform disappears. This process eventually modulates the proteases, bringing them into balance.
Healing moves into Phase 2, where the product acts as a scaffold, providing a structure on which granular buds can grow. At this point, residue from the dressing should be apparent in the wound. The remaining dressing sometimes looks like slough. Probing with a cotton-tipped applicator helps you determine if the substance is slough or dressing. Slough is stringy and attached to the wound be and does not move around. The dressing will move around.
The dressing can be different colors, depending on the exudate. It may look like the early stages of an infection, but it is not. A careful examination of the wound may be helpful here. Signs of healing should be evident. Dampen the remnant and then put another layer of the dressing on.
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Holding Cells Together
Your tissues have more than just cells. They have a structure that holds them together. This framework also helps transmit signals between cells -which direct cells to grow, divide, where to move, and when to attach. This structure is called the Extracellular Matrix, or ECM for short.
The ECM plays a vital role in healing, but in cases of acute or chronic wounds, this structure often gets damaged or is otherwise unable to function. Sometimes it gets destroyed and is missing. Without cues from the ECM, wound healing cannot occur.
Endoform creates a temporary structure that provides a natural porous scaffold to support both epithelial and fibroblast infiltration. Endoform only uses components found in tissue ECM.
Features and Benefits:
- Supports Each Stage of Wound Healing
- Supports Tissue Growth
- Stabilized Wound Bed
- Manages Bacteria
- Maintains Collagen Form During Healing Process
How To Use Endoform Collagen Dressing Templates
Preparing the wound
Wounds treated with Endoform should be free of infection, necrosis, and debris. Before using this dressing, clean, irrigate, and (if necessary) debride the wound.
- Clean wound bed and Periwound
How do you apply Endoform
- Clean wound bed and Periwound
- Cut dressing to desired size
- For wounds larger than product, cover with multiple pieces
- Cover wound with dry product
- Dampen with exudate or saline
- Add a secondary dressing
- Anchor with gauze if necessary
Frequency of Dressing Changes
- This product can be left on for a maximum of seven days.
- Change frequency of this dressing will differ from individual to individual and depends on the wound's condition and type. Users should follow their health care practitioner's instructions.
- Change the bandages any time the dermal template has been incorporated into the wound. The wound should be looked at by a doctor within 72 hours to gain further instruction.
Indications
- Surgical wounds: donor sites, grafts
- Pressure ulcers
- Venous ulcers
- Diabetic ulcers
- Chronic vascular ulcers
- Abrasions, skin tears, lacerations and burns
- Draining wounds with high amounts of exudate
- Partial thickness wounds
- Full thickness wounds
- Sounds that extend below the skin (tunneling and undermining
- Wounds that fail to close or heal properly

Contraindications
- Do not use this product if sheep allergies or sensitivities are present.
- This item should never be used for third degree burns.
Dressing Precautions
- This is a single-use product. Only use this item once before discarding.
- Do not use this dressing if the seal is broken upon purchase as this product is packaged as sterile.
- Never use this product on wounds that have acute inflammation, infection, bleeding, or large quantities of drainage.
- Use aseptic technique to handle this product to prevent contamination and potential infection.
- Use the bandage directly after removing it from its sealed packaging. If this product has been mishandled or misused and may have been contaminated, do not use the bandage. Throw the bandage away and retrieve a new one for use.
Product Specifications:
- Manufacturer: AROA Biosurgery Inc.
- Brand: Endoform
- Latex-Free: Yes
- Non-Fenestrated Item Numbers: 529311, 529313
- Fenestrated Item Numbers: 529312, 529314
- Quantity: Each, Box of 10
- Application: Wound Care for Acute and Chronic Wounds
- Sizes: 2 x 2 Inch, 4 x 5 Inch
- HCPCS Code: A6021 (529311, 529312), A6022 (529313)
Frequently Asked Questions
How long can you wear Endoform wound dressing?
This product can be worn for a maximum of seven days, but should be removed sooner if the template is fully incorporated into the wound before this period is up or if a doctor instructs users to remove the dressing sooner.
Is Endoform a Collagen?
This product is not pure collagen, however, it is a collagen-based dressing. This product contains a natural intact collagen scaffold that helps heal chronic and acute wounds.
What is Endoform Made of?
Endoform is made entirely of natural tissue components found in an extracellular matrix. Components include a natural intact collagen scaffold and essential secondary molecules that enhance the healing process. This dressing is 85% collagen. The rest of the structure consists of other important glycosaminoglycans and proteins.
Does Endoform Dissolve?
Yes, this product dissolves into the wound. Because it is made entirely out of natural tissue components (such as collagen), it dissolves into the wound to help rebuild damaged tissue. More of the bandage will dissolve when higher levels of proteases are present.
Related and Complimentary Products
- Aroa Endoform Fenestrated Collagen Dressing: A fenestrated version of Endoform collagen bandages. This product comes in a 4 x 5 inch size.
- Medikmark Debridement Kit: A fully stocked debridment kit. This kit includes scissors, scalpel, forceps, gloves, and more.
- DermaCol Col/Ag Collagen Dressing with Silver: An alternative collagen-based dressing that also contains antibacterial silver. This product comes in 2 x 2 inch and 4 x 4 inch sizes.
- Skintegrity Wound Cleansing Spray by Medline: A gentle, non-cytotoxic cleanser for wound preparation. This item can be sprayed as a mist or a jet. the jet function helps remove wound debris.
- SilvaKollagen Antimicrobial Gel: A gel wound dressing that contains both antimicrobial silver and tissue building collagen. This product comes in a 1.5 ounce tube and can be used on a wide variety of wound types.
Product Videos
Dr Stillerman discusses using Endoform Video (6:16 minutes)
Appulse Medical Clinical Educators discuss residual Endoform Video (7:17 minutes)
Wound bed preparation with Dr Greg Bohn Video (4:25 minutes)
Endoform® Mechanism of Action Video (2:13 minutes)
Endoform® Mechanism of ActionEndoform® Natural and Endoform® Antimicrobial Application Guide Video (2:13 minutes)
How To Apply Endoform to Children - Wound Care Video (2:13 minutes)
Reggie Casilang discusses Endoform® proteases study Video (4:20 minutes)
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