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lmpax™ Dual-Layer Membrane

Case presented by Jacob Fassman, DPM; Podiatrist Foot and Ankle; Colorado Colorado Springs, CO

A 74 YEAR OLD MALE with a history al diabetes, GERO, COPD, hypertension, atrial fibrillation, and hypercholesterolemia presented for an urgent visit due to eft lower extremity ulcerations. The patient has a history of venous insufficiency and venous ulcerations .

Location : Left leg

Wound type : Venous ulcer

Weeks to Resolution : 4

Total number of Zenith applications : 3

Size: (A) 6x 4.5 x 0.1 cm1(8) 2.5x 3x 0.1 cm

INlTIAL VISIT Incision, draining, and debridement, with lmpax to be applied at next follow-up

Size: (A)6x4.5x0.1 cm1/(B) 2.5 x 3x0.1 cm

WEEK 1 After sharp excisional debridement, application of 4x8cm lmpax

Size: (A) 3 x 1.8 x 0.1 cm I Volume reduced: 80%

Size: (B) 2.5 x 2x0.1 cm I Volume reduced: 33.3%

WEEK 2 Patient tolerating Impax well; a second 4x 8 cm lmpox is applied

Size: (A) Wound resolved

Size: (B) 1.5 x 1 x 0.1 cm I Volume reduced: 70%

WEEK 3 Patient is improving; a third 4 x 4 cm Impax is applied, after which wounds are completely healed at fourth week follow-up

Results of this case study are provided by a qualified healthcare clinician. Results may vary. 27CS1-0623 REV A

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