Micro water jet technology for gentle debridement
Efficient, thorough, tissue-preserving
Successful wound treatment is still one of today's major challenges of modern medicine.
A wound-healing disorder associated with acute or chronic wounds is often caused by multiple factors that need to be considered as a complex during the treatment phase. Patients with delayed wound healing have vastly compromised quality of life. The most important precondition for wound healing is thorough and tissue-preserving cleaning. Gentle removal of infected, damaged or necrotic tissue by means of micro water jet technology has shown excellent healing results.
Flexible, handy, efficient
debritom+ cleans acute and chronic wounds precisely and in a tissue-preserving manner. A high-pressure micro water jet removes slough such as fibrin, necrosis or biofilm, removes foreign bodies from acute wounds and is ideally suited for efficient irrigation of contaminated wounds.
The micro water jet technology is a tissue-preserving and efficient alternative to conventional surgical procedures such as those performed with a scalpel or a surgical shaver.
debritom+ is used for both in-patient and out-patient treatment. Since the treatment is carried out without general anesthesia, it must not necessarily be performed or attended by a physician. A wound care specialist can perform the debridement, which is a sophisticated but minimally invasive technique, without any assistance. This means that instead of just performing a dressing change, the wound can be debrided* at the same time. The pressure intensity set on the instrument, the distance between the wound and the jet and the fineness of the wiping motions determine how much of the wound surface is debrided.
*Wound debridement is defined as the removal of necrotic tissue and deposits such as biofilm, fibrin and detritus, as well as the removal of foreign bodies down to intact anatomical structures while preserving the granulation tissue.
The method involves mechanical cleaning and stimulation by the micro water jet.
debritom+ works with a high-pressure micro water jet that removes both soft and tough slough from the wound, accurately and in a tissue-preserving manner. To this end, a sterile fluid is sprayed through a jet onto the wound surface at a selected intensity level. During debridement, draping is used to protect the treatment provider, the patient and the treatment setting from contamination.
The debridement is continued until all surfaces are removed. Minimal superficial bleeding from the wound bed is a desirable effect. The treatment provider deliberately provokes microbleeding in order to bring about hyperemization, which accelerates the regenerative process of the wound healing during all four phases (exudation, proliferation, maturation and epithelialization). The treatment of patients undergoing anticoagulation therapy is generally unproblematic. The microbleeding is applied not only during the cleaning (exudation) phase, but also in the granulation (proliferation) phase. However, the microbleeding is only one factor in the deliberate stimulation and activation of the body's own wound healing.
debritom+ can be used with various irrigation fluids.
debritom+ is compatible with all commercially available irrigation fluids such as Ringer's solution, saline solution or solutions containing polyhexanide. The functionality of debritom+ is not compromised.
Product details at a glance
Effective time-saving 10-minute treatment session
Experience has shown that debridement with debritom+ substantially reduces the amount of time required for wound treatment.
Thoroughly removes fibrin, biofilm and necrotic tissue
Fibrin, biofilm and necrotic tissue are thoroughly removed from the wound. The desired microbleeding and intact granulation are visible.
Reduced formation of scar tissue
Compared to surgical methods, considerably less scar tissue forms. The treated surface has a very smooth appearance and the tissue remains soft and stable. There is no tightness or uneven sloughing associated with hyperkeratosis.
No general anesthesia required
In most cases, local anesthesia or superficial anesthesia is sufficient, even for treating large wounds.
Transforms chronic wounds into acute wounds
Debridement with the micro water jet method transforms stagnant, chronic wounds into acute wounds; in other words, wound healing is re-initiated.
Areas of application
debritom+ is used for the following areas of application:
- Cleaning and debridement of necrotic, dry, wet and other slowly healing wounds
- Preparing the wound surface for skin transplant
- Stimulating renewal of stagnant wound healing
- High-pressure irrigation and cleaning
- Removal of foreign bodies
- Venous and arterial leg ulcers
- Diabetic foot syndrome
- Infected acute wounds
- Burn and scald wounds
Areas of application
debritom+ is used for the following areas of application:
- Out-patient wound care facilities
- Nursing care centers
- Home care organizations
- Surgical practicesWundambulatorien
- Patient rooms
- Emergency ward
Uniklinik Freiburg im Breisgau (Deutschland)
Wir haben das debritom im Jahre 2004 gekauft. Das Gerät ist einfach zu bedienen bei guten Debridementergebnissen. Ein grosser Vorteil ist das geringe Schmerzreizpotential. Im Jahre 2005 war bei keinem der Patienten, bei dem das debritom zum Einsatz kam, eine Analgesie zum Debridement notwendig. Mit den Schutzzelten ist das Arbeiten sehr hygienisch. Das Gerät erweitert das therapeutische Spektrum unserer Wundsprechstunde.
Christian Moosmann, Leitung Wundambulanz
Chirurgische Praxis Alpenblick, Zug (Schweiz)
Seit über 8 Jahren verwende ich das debritom in der Wundbehandlung und zur Behandlung infektiöser Prozesse. Die Akzeptanz der Patienten ist sehr hoch, das Debridieren ist effizienter und durch die Stimulation konnte so manche Wunde zur Heilung stimuliert und jene Hautplastik gerettet werden. Auch kann man gut schmale Wundtaschen reinigen. Unerwünschte Nebenwirkungen habe ich keine beobachtet und bei routinemässigem Einsatz geht der Aufbau rasch vonstatten. Ausserdem stellt es einen wichtigen wirtschaftlichen Faktor der Zeit-Nutzen-Kosten Relation dar.
Dr. med. Kerstin Ott
Kantonsspital Obwalden (Schweiz)
Wir arbeiten praktisch jeden Tag mit dem debritom zur Wundbettvorbereitung. Das Mikro-Wasserstrahl-Debridement stellt für die Patienten eine schmerzarme und angenehme Therapie dar. Für uns ist das debritom eine äusserst präzise und effiziente Unterstützung bei der täglichen Wundbehandlung.
Dr. med. Martin Reber / Irma Britschgi, dipl. Wundexpertin SAfW
Studies/Post-marketing surveillance studies
debritom by Medaxis has already been tested and evaluated in the past in several applications. The journal Zeitschrift für ästhetische und operative Dermatologie, Kammerlander Consulting, as well as Prof. Dr. Luc Téot of Clinical, Nursing and Patient Care, monitored the first-generation debritom instrument. The results are summarized as follows:
- debritom considerably reduces the time required for wound debridement.
- The instrument can be used by both physicians and other health care professionals.
- Applications involving debritom are relatively painless.
Call for study participants
If you are a physician or wound care professional and are interested in participating in a study, please do not hesitate to contact us.
Course of wound healing
Patient, Age 66, leg ulcer
Ulcer on the lower leg. Course of wound healing lasting 4.5 months. Temporary enlargement of the wound area after the initial debridement.
Afterwards, good stimulus and quick healing progress.
Patient, Age 47, infection after skin graft
Infection after skin graft on the left hand. Wound debridement with the micro water jet technology. Duration of the described course of healing: 11 weeks.
debritom+ application on wound
Operation and working parameters
- Flow rate
- Jet push pressure
Jet push pressure
The jet push pressure is the abrasive effect brought about by the water jet of the debritom+. It is the force per area which pushes (arrives) on the wound surface. The jet push pressure force is dependent on the intensity level selected at the debritom+ and the distance and angle of the handpiece in relation to the wound surface.
Ordering information and prices debritom+, accessories and consumables
Prices are quoted per piece (not per packaging unit), excluding VAT and excluding transport
Subject to errors
Swiss Medical Technology:
The micro water jet technology has been developed and manufactured in Switzerland
Ammann Technik AG company name was changed to Medaxis in 2002. Since then, the Swiss company has specialized in the development, production and international sales of high-quality medical devices and systems for modern wound treatment.
We are actively committed to enhancing the quality of life of patients with acute or chronic wounds in the long term. We aim to set clinically proven medical and economically-efficient standards. Our close collaboration with medical professionals, our university-based research partners and with patients is the guarantee for ongoing optimization and refinement of our products. All of the products are developed and manufactured in Switzerland. They are patented and CE-certified. Our company is ISO 13485 certified.
The people behind the scenes
Experience, competence and passion
This team is committed to enhancing the quality of life of patients with acute and chronic wounds.
Upcoming trade shows
10. Freiburger Wundsymposium, Bad Krozingen DE
SAWC Spring, Charlotte USA
25. – 29.04.2018
EWMA, Krakow PL
09. – 11.05.2018
Past trade shows
DeWu Deutscher Wundkongress / Bremer Pflegekongress, Bremen DE
10. - 12.05.2017
EWMA, Amsterdam NL
03. – 05.05.2017
SAWC Spring, San Diego USA
05. – 08.04.2017