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Discover our groundbreaking advances in wound care technology and industry-leading solutions for burn treatment and complex wounds.
Discover our groundbreaking advances in wound care technology and industry-leading solutions for burn treatment and complex wounds.
From March 26 to 28, PolyMedics Innovations will participate in the Conference of the European Wound Management Association (EWMA. The conference will focus on the theme: “Moving towards excellence in wound management by breaking frontiers and silos.”
Great potential for PLAs
PMI and their clinical partners will present about a dozen case studies on the successful application of Polylactid Acids (PLAs) in treating various types of (chronic) wounds and deep dermal burns.
Diabetic foot and chronic ulcers
Several studies will be looking into diabetic foot ulcers as well as chronic ulcers. In the study “Effectiveness of Polylactic Acid (PLA) Matrix for Diabetic Foot Ulcer (DFU) Closure” by Jose Ramirez-Garcialuna and Brock Liden, it evaluates the efficacy of PLA matrices compared to collagen dressings for DFU healing. Their study illustrates that PLA matrices show potential as an effective treatment for DFUs with better outcomes compared to standard collagen dressings.
Deep facial burns
PLAs are also effective for deep facial burns, as the study “USE OF POLYLACTIC ACID DERMAL MATRICES APPLICATION IN THIRD DEGREE FACIAL BURN” lays out. They support wound healing due to their adherence and degradation properties, allowing re-epithelialization without additional dressings. The same is true for treating paediatric burns, as the study “PROCESS DESCRIPTION OF THE APPLICATION OF POLYLACTIC ACID (PLA) MEMBRANES IN CHILDREN WITH FACIAL BURNS” describes.
Another split-plot study of a patient with a full-thickness burn, compares PLA and cadaveric grafts (ABSTRACT ID EP0776). The study concludes that PLA dressings support structured healing with reduced inflammation compared to cadaveric grafts, making them an effective alternative for severe burns.
Key Benefits of PLAs
Overall, studies suggest that lactate supports the healing process by promoting angiogenesis and stimulating the reconstruction of the (epi-)dermis by:
Lactic acid with an acidity constant (pkA) of 3.83 is able to lower the pH value. It is known that lowering the pH value accelerates wound healing by triggering the following effects:
Meet PMI at EWMA in Barcelona Booth #63
PMI looks forward to welcoming visitors to their booth and to exchanging experiences and getting feedback from medical personnel. Like the bilingual conference itself, the PMI team will be at least English- and Spanish-speaking.
Please take the chance to see poster presentations and abstracts that PMI presents at EWMA.
TAKING A STRIDE TO IMPROVE WOUNDS THROUGH A NOVEL CARE PATHWAY
Date: Wednesday, 26 March, 12:42 – 12:45 CET, E poster screen 4
Author: Jose Ramirez-Garcialuna, Brock Liden
Aim: Presents an integrated surgical approach to managing DFUs.
Method: Incorporates infection management, wound bed optimization, and biomechanical correction in a structured pathway.
Key Points: High wound closure rate (90% within 20 weeks).Significant reduction in recurrence (<5%) and amputation rates (50%
decrease).
Conclusion: STRIDE enhances healing and limb preservation through comprehensive care.
EFFECTIVENESS OF POLYLACTIC ACID (PLA) MATRIX FOR DIABETIC FOOT ULCER (DFU) CLOSURE
Date: Wednesday, 26 March, 17:15 – 17:23 CET, Room 133 and 134
Author: Jose Ramirez-Garcialuna, Brock Liden
Aim: Evaluate the efficacy of PLA matrices compared to collagen dressings for DFU healing.
Method: Interim analysis of a randomized clinical trial with 50 patients, divided into PLA-treated and collagen-treated groups. Primary outcomes included time to wound closure and healing rate over 12 weeks. Secondary measures assessed multispectral imaging, histology, and biomarkers.
Key Points: PLA-treated wounds closed faster (median 9 weeks vs. 17 weeks for collagen). Higher healing rate in PLA group (84% vs. 32% at 12 weeks).
Enhanced oxygenation, angiogenesis, and immune modulation were observed in PLA-treated wounds.
Conclusion: PLA matrices show potential as an effective treatment for DFUs with better outcomes compared to standard collagen dressings.
EFFICACY OF SYNTHETIC POLYLACTIC ACID MATRIX FOR THE CLOSURE OF COMPLEX WOUNDS WITH EXPOSURE OF FASCIA, PERITENDON, OSTEOSYNTHESIS MATERIAL AND PERIOSTEUM.
Date: Thursday, 27 March, 12:00 – 12:08 CET, Room 118 and 119
Author: Mario Aurelio Martínez-Jiménez, Jose Ramirez-Garcialuna, Ana Lorena Novoa-Moreno, Natalia Sanchez-Olivo, Víctor Manuel Loza González
Aim: Assess the effectiveness of PLA matrices for complex wounds involving exposed fascia, peritendon, osteosynthesis material, and periosteum.
Method Study of 19 patients (ages 18–92) with complex wounds lasting over a month. Conditions included diabetic foot, post-surgical dehiscence, trauma, pressure ulcers, and failed graft integration.
Key Points: Mean wound closure time was 9.36 weeks (range: 2–12 weeks). Re-epithelialization was achieved in 17 patients; 2 patients required additio-
nal graft preparation.
Conclusion: PLA matrices effectively facilitate wound closure with practical use, showing good adhesiveness and controlled degradation.
PLA USE IN PYODERMA GANGRENOSUM WITH INCREASED TEMPERATURE AND OXYGENATION
Date Thursday, 27 March, 13:12 – 13:15 CET, E poster screen 3
Author: Mario Aurelio Martínez-Jiménez, Jose Ramirez-Garcialuna, Brock A. Liden, Ana Lorena Novoa-Moreno, Víctor Manuel Loza González,
Samuel Kolosovas-Machuca
Method:Case of a 48-year-old female with a full-thickness ulcer treated with weekly PLA dressings for 6 weeks, monitored using thermography and
near-infrared spectroscopy.
Key Points: Significant wound closure by week 12, with temperature differences normalizing between the wound and healthy skin. Improved oxygenation
levels were observed, aligning with wound healing.
Conclusion: PLA dressings are effective in managing pyoderma gangrenosum, promoting granulation, re-epithelialization, and overall healing.
USED POLYLACTIC ACID DERMAL MATRICES APPLICATION IN THIRD DEGREE FACIAL BURN
Date: Thursday, 27 March, 13:21 – 13:24 CET, E poster screen 2
Author: Mario Aurelio Martínez-Jiménez, Jose Ramirez-Garcialuna, Víctor Manuel Loza González
Method: Case of a 43-year-old man with deep facial burns treated using PLA after debridement, without any gauze or additional bandages, during a
6-week hospital stay.
Key Points: PLA application showed good adherence, facilitated re-epithelialization, and required minimal manipulation. The patient had good cosmetic and functional outcomes with no long-term sequelae.
Conclusion: PLA dermal matrices are effective for deep facial burns, supporting wound healing due to their adherence and degradation properties,
allowing re-epithelialization without additional dressings.
ANTIMICROBIAL EFFECT OF PLA WOUND CLOSURE MATRICES
Date Friday, 28 March, 12:51 – 12:54 CET, E Poster Screen 3
Author: Jose Ramirez-Garcialuna, Brock Liden
Aim: Investigate antimicrobial properties of PLA matrices for chronic wound treatment.
Method: In-vitro analysis on human skin infected with MRSA and Pseudomonas, and a clinical trial on 20 patients with diabetic foot ulcers treated with
PLA or collagen. Bacterial load and cytokine analysis were performed.
Key Points: PLA significantly reduced Pseudomonas counts. Elevated angiogenic factors and tissue repair markers in PLA-treated areas. Clinical trials
showed decreased bacterial load at week 4 in PLA-treated wounds.
Conclusion: PLA matrices reduce bacterial bioload and promote tissue repair, making them a viable option for infected wounds.
POLYLACTIC ACID DERMAL SUBSTITUTE IN CHRONIC ULCERS
Date: Friday, 28 March, 13:00 – 13:03 CET, E poster screen 2
Author: Stefania Chiarenza
Aim: Investigate the efficacy of a polylactide/trimethylene carbonate/caprolactone copolymer in porous foam as a dermal substitute for
chronic ulcers.
Method: Study of 115 patients (ages 57–87) with chronic lower limb ulcers of varying etiologies (e.g., traumatic, vascular, pressure, autoimmune).
PLA was applied post-surgical debridement without fixation devices, followed by twice-weekly check-ups for 6-8 weeks.
Key Points: In 60.9% of cases, the dermal substitute remained stable for 2-4 weeks; early degradation or perilesional maceration was noted in larger
wounds. Improvement in the lesion base and re-epithelialization observed in 80% of wounds smaller than 100 cm². Significant pain reduction was reported, aiding in the suspension of pain therapy.
Conclusion: The PLA-based dermal substitute effectively promotes healing in chronic ulcers, with good handling, conformability, and long-term benefits.
IMPACT OF DIGITAL INFRARED THERMOGRAPHIC IMAGING FOR LIMB SALVAGE IN PATIENTS AT RISK OF LIMB AMPUTATION [PRESENTATION ID OP116]
Date Friday, 28 March, 14:45 – 14:53 CET, Room 133 and 134
Author: Víctor Manuel Loza González, Mario Aurelio Martínez-Jimenez, Natalia Sanchez-Olivo, Jose Luis Ramirez-Garcialuna, Eleazar Samuel
Kolosovas-Machuca
Method: Patients with MESS <7 or Wifi ≤4, recommended for amputation, underwent thermographic imaging on days 1, 5, and at 12 weeks if
salvaged. Temperature differences (ΔT) between injured and uninjured regions were analyzed.
Aim: To assess digital infrared thermography as an objective tool for evaluating limb viability and guiding salvage decisions.
Result Of 29 patients, 27 limbs were saved. Two groups emerged: ischemic (ΔT improved from -3.6°C to 0.12°C) and inflammatory (ΔT improved from
3.36°C to 0.36°C). The two amputated cases had worsening ΔT (<-5°C).
Conclusion: Thermography helps assess perfusion changes, supporting limb salvage decisions.
POLYLACTIC ACID MATRICES AS AN INNOVATIVE SOLUTION FOR COMPLEX PEDIATRIC HAND WOUNDS [Spanish] (Matrices de Ácido Poliláctico como Solución Innovadora para Heridas Complejas de Mano en Pediatría: Cicatrización Rápida y Control de Infecciones)
Date Wednesday, 26 March, available from 09:00 CET (e poster on display)
Author: Dr. Waldo Jimenez Valenzuela (Santo Domingo, Dominican Republic)
Method: Case reports on PLA application in pediatric patients with complex hand wounds.
Key Points: Minimal scarring and successful healing in 3 to 10 weeks. Reduced infection risks and hospital stays.
Conclusion: PLA is effective for pediatric wound management, aiding quick recovery.
PLA MEMBRANE FOR TREATING IMPETIGO [Spanish] (TRATAMIENTO DE IMPÉTIGO CON MEMBRANA DE ÁCIDO
POLILÁCTICO. PRUEBA DE CONCEPTO)
Date Wednesday, 26 March, available from 11:15 CET, (e poster on display)
Author: Mario Aurelio Martínez-Jimenez, Ana Lorena Novoa-Moreno, Natalia Sanchez-Olivo, Víctor Manuel Loza González, Arturo Ortiz-Alvarez, Jose
Ramirez-Garcialuna
Method: Case study of three adults with impetigo treated with PLA membranes for 21 days.
Key Points: Complete lesion healing within 7 days, with minimal post-inflammatory hyperpigmentation and no significant complications.
Thermography confirmed reduced temperature and inflammation.
Conclusion: PLA membranes are an effective and safe alternative for impetigo treatment.
USE OF POLYLACTIC ACID (PLA) DRESSINGS COMPARED TO CADAVERIC SKIN GRAFTS IN THE TREATMENT OF FULL-THICKNESS BURNS. HISTOLOGICAL ANALYSIS.
Date Wednesday, 26 March, available from 11:15 CET (e poster on display)
Author: MD Ana Lorena Novoa-Moreno, Jose Ramirez-Garcialuna, Mario Aurelio Martínez-Jiménez, Olga Johnson-Ponce, Víctor Manuel Loza González
Method Split-plot study of a patient with a full-thickness burn, comparing PLA and cadaveric grafts.
Key Points: PLA-treated areas showed better-organized keratinocyte progression, reduced inflammation, and improved fibroblast presence. Cadaveric grafts exhibited disorganized healing with more blood vessels but thicker layers.
SINGLE-APPLICATION PLA IN DIABETIC FOOT ULCERS (La Aplicación Única de Matrices de Ácido Poliláctico Promueve el Cierre
Sostenido de Úlceras de Pie Diabético: Serie de Casos)
Date: Wednesday, 26 March, available from 11:15 CET (e poster on display)
Author: Virginia Polanco
Method: Case series with six patients receiving a one-time PLA application after wound debridement.
Key Points: Effective wound closure achieved in 6 to 15 weeks.
Bioactive residue supported granulation and epithelium formation.
Conculsion: PLA matrices facilitate progressive healing and are suitable for outpatient treatment.
PROCESS DESCRIPTION OF THE APPLICATION OF POLYLACTIC ACID (PLA) MEMBRANES IN CHILDREN WITH FACIAL BURNS
Date: Wednesday, 26 March, available from 11:15 CET (e poster on display)
Author: Ana Lorena Novoa-Moreno, Jose Ramirez-Garcialuna, Mario Aurelio Martínez-Jiménez, Víctor Manuel Loza González, Natalia Sanchez-Olivo
Method: Descriptive study on pediatric patients with facial burns, treated with PLA membranes without additional bandages for outpatient care.
Key points: Demonstrated reduced manipulation, effective healing, decreased infection risk, and improved pain management. The membrane‘s translucency allowed real-time monitoring of healing.
Conclusion: PLA membranes provide a beneficial and comfortable treatment for pediatric facial burns, ensuring effective wound management.
CLOSURE OF DIABETIC FOOT ULCER WITH POLYLACTIC ACID MEMBRANE GUIDED BY THERMOGRAPHIC IMAGING
Date: Wednesday, 26 March, available from 11:15 CET (e poster on display)
Author: Víctor Manuel Loza González
Method: Case of a 67-year-old woman with a diabetic foot ulcer monitored using thermography during PLA membrane treatment.
Key points: Thermography showed reduced temperature differences and inflammation, signaling progressive healing.
Conclusion: Thermography is an effective tool for monitoring the healing process in PLA-treated diabetic foot ulcers.
Our goal at Polymedics Innovations (PMI) is to achieve CO2-neutral production by 2030. This is in line with Germany’s objective of finding an equilibrium between its greenhouse gas emissions and their elimination.
Because that’s a big task – for us as a company and for Germany as a country – PMI is excited to receive the support provided by the KLIMAfit initiative. The aim of this programme, funded by the Baden-Württemberg Ministry of the Environment, is to introduce commercial enterprises to corporate climate protection and to support them in reducing their CO2 emissions. Work is carried out on a regional basis; one of these regional groups is KLIMAfit Esslingen, in which PMI is participating together with five other companies.
Our building features a photovoltaic system and geothermal heating, reducing energy consumption by 45% compared to conventional buildings. Enhanced insulation, optimized windows, and temperature-controlled shading contribute to this efficiency. The cleanroom is designed with energy-saving technologies, including waste heat recovery from production facilities.
In our first meeting early in 2024, we dealt with greenhouse gas balancing. This gave everyone a clear understanding of what we are talking about. Electricity, heat, and renewable energies were the focus in the second session. Our final group meeting focused on compensation measures. Mobility and Scope 3 emissions – pollutants not caused by the production company, but by their suppliers, customers, and other external stakeholders – have caused us to step back and look at our business from a global perspective. Mobility is part of our corporate culture. “We have an independent sales company in the USA and numerous employees,” explains our CEO Christian Planck. “We also sell our products in around 40 countries around the globe. Air travel is part of everyday working life.”
Despite this, we can still find ways to reduce our carbon footprint. For example, as many appointments as possible are being combined in order to reduce the number of air trips. Longer stays make more sense than several individual arrivals. Even seat spacing has an impact on the traveller’s carbon footprint. In other words, economy class beats business class.
“The heterogeneous project group of KLIMAfit shows each participant ‘best practice’ examples that we would not otherwise have available,” says PMI CEO Christian Planck, underlining one advantage of the KLIMAfit initiative.
He also points out the steps that PMI has already taken, referring to efficient use of energy required for electricity and heat: “In our company building, which was inaugurated in 2023, we have implemented measures for sustainable energy generation and energy efficiency.” For example, the PMI building in Kirchheim’s Hegelesberg has a photovoltaic system and is heated by geothermal energy. “The energy consumption required for our entire building is 45% lower than that of a conventional building,” explains Christian Planck. The higher thermal insulation, optimised windows, and temperature-controlled shading contribute to this. The cleanroom was also planned and implemented according to the latest energy findings – even the waste heat from the production facilities is recovered and reused.
20 years is a considerable period of time. If we take the human perspective, it’s the number of years that elapse from childhood to adulthood An incredibly long time from a child’s point of view, which seems to pass much faster later when we become parents ourselves. It’s all about perspective…
Dr. Carsten Krohn, Schwabing Clinic, Munich
We actually wanted to talk about SUPRATHEL®, our artificial skin substitute. For a medical product, 20 years is a lifetime: the world can change dramatically in two decades.
We – or more precisely SUPRATHEL® – can provide a good example: Carsten Krohn, head physician at the Center for Severely Burned Children at the Munich Schwabing Clinic, explains how burns were treated some 20 years ago: “At the beginning of my career, burns and scalds were still treated openly, meaning that the patients lay with their open wounds in a very warm, humid room. Because burns and especially dressing changes are extremely painful, patients were sedated. They also had to be isolated to prevent wound infections. It was a traumatic experience for the children, just as it was for their parents!”
Luckily, SUPRATHEL® changed this regimen. Dr. Herbert Haller, for many years a senior physician at the Unfallkrankenhaus Accident Clinic in Linz, Austria, and director of its Burns Center, remembers how quickly this happened: “SUPRATHEL® made up to three dressing changes obsolete overnight.” He particularly points out the pain relief and the fact the artificial skin substitute can stay on the wound: “That was particularly beneficial in the treatment of children, who previously had to be sedated with opiates before changing a dressing.”
Dr. Herbert Haller, Accident Clinic, Linz
A revolution doesn’t need much time. SUPRATHEL®, however, also shows us something else: that a revolution can be long-lived, even in the field of medical technology.
Dr. Lars Kamolz, University Professor at the University of Graz, was one of the early users of SUPRATHEL®. For nearly 20 years, the Graz University Hospital has relied on SUPRTHEL® for treating 2a and 2b-degree burns. When asked what convinces him most about SUPRATHEL®, Dr. Kamolz answers: “I find the view over a period of time impressive. If a product is still in use after 20 years that is the greatest accolade. New materials come onto the market; competitors mount an attack. If a product succeeds in staying in the market as a standard, it is simply good.”
Dr. Matthias Rapp from the Center for Severe Burn Injuries at the Marienhospital in Stuttgart chooses a more numbers-based approach: “By using SUPRATHEL® we have been able to reduce by about two thirds the number of operations for second-degree burns.”
Dr. Lars Kamolz, University, Graz
Despite the continued success for SUPRATHEL®, we are not resting on our laurels. SUPRA SDRM®, for example, is a product that utilizes and expands upon the knowledge and experience gained in the development of SUPRATHEL®. SUPRA SDRM® has been found effective in treating difficult-to-heal wounds faster than current standard of care and has already brought back quality of life to many people.
Polylactic acid-based products (PLAs) such as SUPRATHEL® and SUPRA SDRM® are sought after for many applications due to their degradability and biocompatibility. PLAs are also suitable as a scaffold material for tissue engineering. Additionally, by shifting the pH of the wound bed from an alkaline to a neutral pH, our PLAs create an environment that is unsuitable for many pathogenic bacteria – allowing the wound healing process to accelerate and bring the patient back to a normal quality of life and productivity.
Dr. Matthias Rapp, Marienhospital, Stuttgart
What does “economy” mean? What does “industry” refer to? These terms are omnipresent in our everyday lives, we use them all the time. But let’s be honest: Could we explain the respective concept in a few sentences? And in such a way that even a primary school child understands?
The task definitely needs a bit of preparation – and a clear example. We have decided on an object that every child knows, usually better than the parents would like: the Kinder Joy surprise egg. In spring 2024, we used the toy-filled chocolate egg to explain to around 20 second-graders from the Schafhof primary school in Kirchheim/Teck what we do as a “company”. This is what the primary school pupils who visited us together with their teacher wanted to know.
Using the Kinder Joy example, we have illustrated the path of a product over its entire life cycle. A good product requires research and development. After all, the chocolate should taste delicious and not melt directly in the hands. Someone has to produce the chocolate, choose the toy that goes into the egg, and has to think about whether the child who unwraps it at the end will enjoy it. Someone then has to sell the Kinder Joy to supermarkets, another has to do the advertising.
After this insight, our little visitors were allowed to stroll through the building at PolyMedics Innovations and see what we produce; as we all know, these are not chocolate eggs. At the side of her father Christian Planck, Luise Planck guided her classmates through offices, the clean room, and the production of artificial skin substitute materials.
At the end of their afternoon, the kids were allowed to get active themselves: Together with their teacher and some skilled PMI colleagues, each child made their own lava lamp. And, of course, there was also a surprise egg for everybody to take home.
Christian Planck, CEO of PolyMedics Innovations, cherished the visit of the primary school pupils as a proud Dad – and way beyond. “We cannot take the education of our children, our young generation, seriously enough. We hope that with our practice-oriented afternoon we were able to convey an understanding of ‘business’, ‘companies’, and thus also of what mom and dad do every day. We would like to thank the Schafhof Elementary School and their staff and ours, who made her way to us with her class.”
We from PMI hosted the KLIMAfit event that dealt with mobility. The mayor of Kirchheim, Dr. Pascal Bader also took part and reported on the challenges of a town becoming more climate neutral. His insights made this meeting a highlight for us.
At the beginning of July, we’ll have an “audit”: the commission will check whether all documentation has been prepared correctly and measures have been derived.
Later in July, all the participants will receive a certificate of participation in this project. We’re looking forward to this event hosted by Heller Maschinenfabrik.