epicite® BALANCE
Hydroactive wound dressings for chronic and complex wounds
epicite® BALANCE: HYDRO-ACTIVE WOUND DRESSINGS
FOR EFFECTIVE TREATMENT OF CHRONIC & SLOW-HEALING WOUNDS
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.
ADVANTAGES OF EPICITE® BALANCE WOUND DRESSINGS MADE FROM BIOSYNTHETIC CELLULOSE
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
OUR PRODUCTS
epicite® BALANCE is available in three practical sizes, allowing flexible use depending on the wound area and treatment requirements. Each size is supplied in packs of ten, ensuring efficient handling and consistent quality.
epicite® BALANCE
4cm X 6cm
10 Pcs
Item no.: 18494830
epicite® BALANCE
10cm X 10cm
10 Pcs
Item no.: 18494847
epicite® BALANCE
15cm X 20cm
10 Pcs
Item no.: 18494876
APPLICATION AREAS
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.
HOW IT WORKS: 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
BIOSYNTHETIC CELLULOSE –
A UNIQUE WOUND DRESSING MATERIAL
A – Product Image
B – Scanning Electron Microscopy (SEM)
1K Magnification
B – Scanning Electron Microscopy (SEM)
10K Magnification
C – Illustration
The Biosynthetic Cellulose wound dressing epicite® BALANCE (A) is composed of an ultra-fine, homogenous, three-dimensional cellulose fiber network, as shown through 1K and 10K magnifications (B). This structure creates a high surface area-to-volume ratio.
The cellulose fibers are highly hydrophilic, meaning they attract and bind water molecules (C, depicted as blue dots). This ensures that the spaces between the fibers are filled with water.
The combination of the fine fiber network and its water-attracting properties enables the material to store large amounts of water, making it ideal for maintaining a moist wound environment and promoting optimal healing conditions.
APPLICATION
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CASE REPORTS WITH EPICITE® BALANCE
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
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
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
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