Hydroactive Wound Dressing

epicite® balance

epicite® balance is an advanced wound dressing for the treatment of chronic and complex wounds. The dressing is made from a unique, nature-identical material: biosynthetic cellulose. The fine fiber network of biosynthetic cellulose creates an ideal moist wound environment, while absorbing up to 35%* more exudate than comparable products that are applied to the wound in a dry state. The external moisturization provided by epicite® balance supports wound bed preparation and stimulates autolytic debridement, thereby reactivating healing.

epicite® balance is produced in Germany using a fermentative process and renewable resources by JeNaCell - An Evonik company.

* Zahel P et al. (2022). Bacterial Cellulose – Adaptation of a Nature-Identical Material to the Needs of Advanced Chronic Wound Care. Pharmaceuticals 2022;15;683. DOI: 10.3390/ph15060683.

Improved wound healing with epicite® balance

Biosynthetic cellulose is a nature-identical, skin-friendly material with many benefits:

  • Supports wound bed preparation
  • Effectively removes slough, plaque and devitalized tissue
  • Reactivates healing of chronic and complex wounds
  • Re-balances a moist wound environment
  • Simultaneously absorbs wound exudate
Direct contact with the wound bed and covering with secondary dressing

Flexibly adjustable

Material can be cut to fit, it is easy to tamponade and is suitable for deep and fissured wounds.

Moisture donating

Removes plaque and stimulates autolytic debridement


Natural

Biosynthetic cellulose is a well-tolerated material


Time- and cost-effective

Low-pain dressing change and removal in one piece without leaving any residue; enables longer rest phases

Application of epicite® balance

epicite® balance can be used to treat chronic wounds with low to moderate exudate levels, such as:

  • Venous leg ulcers
  • Ulcus cruris venosum
  • Ulcus cruris mixtum
  • Diabetic foot ulcers
  • Pressure ulcers
  • Soft tissue lesions

The flexible, skin-friendly wound dressing allows for low-pain dressing changes without leaving any residue in the wound. epicite® balance is typically changed after 2 to 7 days, depending on the amount of exudate and the microbial load.

epicite® balance consists of a matrix of biosynthetic cellulose and more than 95% saline solution.

Frequently asked questions

Read our practical guide before using epicite® balance for the first time or if you have any questions. We have summarised your questions and the answers to them here.

Download FAQ here

Case reports

To see all the details of the case reports, please log in here as a healthcare professional.

Case Report Venous leg ulcer in post-thrombotic syndrome

This 45-year-old male patient presented to a specialized wound care center with a longstanding venous leg ulcer on his left leg following a deep vein thrombosis. He underwent placement of an inferior vena cava filter and was receiving NOACs, as well as antiretroviral HIV triple therapy.

Wound condition

  • Venous leg ulcer following deep vein thrombosis
  • Dry, scaly ulcer with intense hemosiderin-induced discoloration, fibrous tissue, and no exudation at the start of the observation period

Wound care

  • Primary dressing: epicite®
  • Secondary dressing: gauze bandages, later replaced by film dressing
  • Adjunctive therapy: compression therapy
  • Dressing change intervals: 2/week

Wound healing

  • Significant improvement within 3 weeks, with near-complete closure of the ulcer
  • Complete wound closure after 4 weeks, with softened peri-wound skin

Conclusion

  • Wound responded favorably to epicite® dressing despite the patient's complex medical condition
  • Moist environment created by epicite® likely facilitated the healing process, softening the hard, scaly tissue and supporting wound closure
Case Report Pressure ulcer stage IV

A 67-year-old male patient with advanced Parkinson's disease, dementia, and type 2 diabetes mellitus presented with a stage IV pressure ulcer at the sacrum in a severely reduced general condition. Due to the refusal of surgical debridement and hospitalization, palliative co-management was sought. The patient exhibited fever, apathy, and cachexia, accompanied by renal insufficiency and complete immobility.

Wound condition

  • Stage IV pressure ulcer
  • Pronounced necrotic tissue
  • Noticeable odor and heavy exudation

Wound care

  • Primary dressing: epicite®
  • Secondary dressing: absorbent compress
  • Adjunctive therapy: alternating pressure system, wound disinfection with octenidine, later hypochlorite wound irrigation solution
  • Dressing change intervals: daily

Wound healing

  • Effective softening and subsequent dissolution of necrotic tissue by epicite®
  • Reactivation of wound healing, followed by complete wound closure

Conclusion

  • Effective wound cleansing and odor control by epicite®
  • Positive healing progression to complete wound closure despite palliative care approach
Case Report Pretibial, arterial ulceration with exposed tendon

A 95-year-old female with a complex medical history including postinterventional peripheral arterial occlusive disease and heart failure presented with a pretibial ulceration, necessitating a tailored approach to wound care.

Wound condition

  • Pretibial ulceration on the right leg with exposed tibialis anterior tendon
  • Partially fibrinoid-necrotic tissue at the distal pole
  • Moderate exudation with no signs of inflammation

Wound care

  • Primary dressing: epicite®, loaded with polyhexanide, later hypochlorite-based solution
  • Secondary dressing: film dressing
  • Dressing change intervals: 2/week

Wound healing

  • Granulation tissue formation observed by day 4
  • Complete resolution of coatings and near-complete overgranulation of the tendon by day 8
  • No drying-out of the tendon observed
  • Antimicrobial treatment with hypochlorite-based solution initiated at day 8 due to signs of infection and inflammation

Conclusion

  • Effective and prolonged hydration of the tendon by epicite® led to rapid formation of new granulation tissue

Product information

Sterile, individually packed

Product

Size in cm

Pcs./Package

PZN

epicite® balance

4x6

10

18494830

epicite® balance

10x10

10

18494847

epicite® balance

15x20

10

18494876

Sample order and dispatch details

Please note that we only send product samples to health care professionals. If we have any questions about your sample order, we will contact you in advance. To order the product sample, please read and accept the data protection declaration of consent.

For further details or questions about epicite® balance, please send an e-mail to info-jenacell@evonik.com or call +49 3641 23501 0.

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Consent under data protection law

Sending the product sample order is free of charge for you. To complete the sample order, please read and accept the following "Data protection consent for sending product samples".

If you would like to remain in contact with us and receive exclusive information about new products and services in advance, please read and accept the "Data protection consent for promotional contact".

You can revoke your consent at any time (info-jenacell@evonik.com).

I agree that Evonik (Business Line Health Care), its subsidiary JeNaCell GmbH and its sales partners may process my details and personal data or contact details as well as information on my professional qualifications or employment relationship in order to advise me on the selection of the product sample by telephone or other means of communication and to provide me with the desired product sample. I may be contacted to clarify questions about the correct use of the product sample and to inquire about my satisfaction with the product sample. My declaration of consent can be revoked at any time (info-jenacell@evonik.com). My data will only be processed to the extent necessary to fulfill the respective purpose (purpose limitation).

I can obtain further information about the processing and protection of my data at https://corporate.evonik.com/en/footer-en/privacy-policy

I hereby declare that my details and personal data or contact details provided above, as well as information on my professional qualifications or my employment relationship, may be processed by Evonik (Health Care Business Line), its subsidiary JeNaCell GmbH and the relevant sales partner in order to contact me for marketing purposes about products or product-related events. For this purpose, my data may also be transmitted to service providers of Evonik. My declaration of consent can be revoked at any time (info-jenacell@evonik.com). My data will only be processed to the extent necessary to fulfill the respective purpose.

I can obtain further information about the processing and protection of my data at https://corporate.evonik.com/en/footer-en/privacy-policy

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