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Table 2 The grading system for intracutaneous (intradermal) reactions

From: ISO 10993 biological evaluation of novel hemostatic powder – 4SEAL®

Reaction

Numerical grading

Erythema and eschar formation

 No erythema

0

 Very slight erythema (barely perceptible)

1

 Well defined erythema

2

 Moderate erythema

3

 Severe erythema (beet redness) to eschar formation preventing grading of erythema

4

Oedema formation

 No oedema

0

 Very slight oedema (barely perceptible)

1

 Well defined oedema (edges of area well defined by define raising)

2

 Moderate oedema (edges raised approximately 1 mm)

3

 Severe oedema (raised more than 1 mm and extended beyond exposure area)

4