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 in a holistic approach 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.
Multicenter, Randomized Controlled Clinical Investigation Evaluating a Unique Micro Water Jet
Technology Device Versus Standard Debridement in the Treatment of Diabetic Foot
David G. Armstrong,DPM, MD, PhD1,Marissa J. Carter, PhD, MA2, Charles M. Zelen,DPM, FACFAS,FACFAOM4
1Division of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA; 2Strategic Solutions,
Inc, Cody, WY; 3Professional Education and Research Institute, Roanoke,VA
Flexible, handy, economic
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 and biofilm, removes foreign bodies from acute wounds and is ideally suited for efficient irrigation of 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. The treatment can be carried out without general anesthesia, no or local anesthesia is sufficient. Prescribed by a physician, a wound care specialist can perform the debridement, with this sophisticated and minimally invasive technique, without any assistance. Instead of just performing a dressing change, the wound can be debrided* at the same time. The pressure intensity setting at the device, the distance and angle between the wound and the jet, as well as the speed 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 aerosols.
The debridement is continued until all extinct tissue is 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. Any time, micro water jet debridement is being applied, mircobleeding might occur. 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.
Types of wounds
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 or skin substitutes
- Stimulating renewal of stagnant wound healing
- High-pressure irrigation and cleansing
- Removal of foreign bodies
- Venous and arterial leg ulcers
- Diabetic foot syndrome
- Infected acute wounds
- Burn wounds
Areas of application
debritom+ is used for the following areas of application:
- Out-patient wound care facilities
- Nursing homecare centers
- Ambulatory surgical wound care centers
- Patient rooms bedside
- Emergency ward
Health Center Fricktal, Laufenburg (Switzerland)
The debritom+ is very efficient, I can make the debridements faster and they "last longer". The patients are enthusiastic about it. Good acceptance, even without analgesia / anesthesia. I'm not giving Debby anymore.
Dr. med. Simeon Berov, Chief Physician Surgery
Obwalden Hospital Cantonal, Sarnen (Switzerland)
Debridement with the debritom+ is, in our experience, one of the most efficient methods for wound cleansing. It helps to significantly reduce the pain during the treatment.
Irma Britschgi, Head of the Outpatient Wound Care Center
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.
White Paper - Efficacy of weekly debridement (pdf, 1.5 MB)
White Paper - Pain and the chronic wound (pdf, 2.2 MB)
White Paper - Understanding Biofilm: Treatments & Controversies (pdf, 1.4 MB)
White Paper - Best practice debridement and the impact of COVID-19 (pdf, 672 KB)
White Paper - The value of a good debridement (pdf, 787.1 KB)
Retrospective clinical application observation of the Obwalden cantonal hospital (2017) (pdf, 888.7 KB)
Retrospective clinical application observation of the Obwalden cantonal hospital (2014) (pdf, 5.2 MB)
Call for study participants
If you are a physician or wound care professional and are interested in conducting a study, please do not hesitate to contact us.
Course of wound healing
Case study shows the speed to healing following treatment with debritom+
Amputation is not the only option
New Therapies for the Treatment of Diabetic Foot Ulcers: Updated Review of Clinical Trials
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.
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.
debritom+ in clinical use
Operation and working parameters
debritom+ application on wound
- 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 pressures 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 debritom+, accessories and consumables
Prices are quoted per piece (not per packaging unit), excluding VAT and excluding transport
Subject to errors
Instruction for use
Swiss Medical Technology:
The micro water jet technology has been developed and manufactured in Switzerland
As a Swiss company we have 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.