Wound debridement pulsed lavage system Pulsar II™ AWI™

Wounds, in particular chronic wounds, present a challenge to patients and healthcare providers and also represent a major health care burden worldwide. The burden is growing rapidly due to increasing health care costs, an aging population and a sharp rise in the incidence of diabetes and vascular disease worldwide. To combat the increasing number of patients with chronic wounds and wound healing problems, the need for advanced wound care technique is sharply on the raise . Chronic Wounds Acute wounds heal in an anticipated time range, typically 21 days or less, and repair the skin structural and functional integrity. Chronic wounds, by comparison, result from an inadequate or disrupted healing process and are defined as those wounds that neither follow a normal trajectory nor restore the skin functional and structural integrity. Chronic wounds or ulcers may take months or years to heal. Chronic wounds are often classified by etiology as arterial, diabetic, venous insufficiency, pressure ulcers, or non-healing surgical wounds. However, the variability in the local chronic wound environment is largely due to one of five common actors: diminished perfusion, decreased oxygenation, increased mechanical forces, malnutrition, or systemic disease. It is the presence of these actors that determines its chronicity. Nonetheless, the division of chronic wounds by etiologic category allows capture of the primary pathophysiologic actors and statistics by disease process common to each wound type. Regardless of the etiologic classification assigned to a non-healing wound, all chronic wounds possess similar cellular and biochemical impairments