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Table 2 Common polymeric-derived skin substitutes

From: Evaluating polymeric biomaterials to improve next generation wound dressing design

Product Name

Composition

Classification

Polymer Component(s)

Cellular Component(s)

Clinical Use(s)

Note(s)

Dermagraf®

Polyglactin Mesh

Allogeneic Neonatal Fibroblasts (Human)

Burns, Skin Grafting, Chronic Wounds

Improvements in wound healing time and graft success, shown to be less painful and easier to remove than allografts

Apligraf®

Bilayered Type I Collagen (Bovine)

Allogeneic Keratinocytes (Human) and Allogeneic Neonatal Fibroblasts (Human)

Burns, Skin Grafting, Chronic Wounds, Diabetic Ulcers, Epidermolysis Bullosa

Bilayered living skin equivalent, promotes cellular/tissue ingrowth

Orcel®

Bilayered Sponge of Type I Collagen (Bovine)

Superficial Allogeneic Keratinocyte Layer (Human) and Deep Allogeneic Fibroblast Layer (Human)

Chronic Wound, Skin Grafting

Bilayered living cellular matrix, often used as an overlay dressing on skin grafts to improve function and cosmesis

Hyalomatrix®

Bilayered Hyaluronan Scaffold, Outer Silastic Membrane

Autologous Fibroblasts (Human)

Burns, Chronic Wounds

Delivery of hyaluronan to wound bed, with a silicone membrane that acts as a temporary epidermal barrier

Stratagraft®

Bilayered Type I Collagen (Murine)

Superficial Allogeneic Keratinocyte Layer (Human) and Deep Allogeneic Fibroblast Layer (Human)

Burns, Skin Grafting, Chronic Wounds, Diabetic Ulcers,

Bilayered living skin equivalent, promotes cellular/tissue ingrowth

Biobrane®

Inner Nylon Mesh, Outer Silastic Membrane, Polypeptide Coating (Porcine)

N/A

Burns, Skin Grafting, Chronic Wounds

Shown to be particularly beneficial for pediatric populations

Integra®

Collagen (Bovine), Chondroitin-6-Sulphate (Bovine), Outer Silastic Membrane

N/A

Burns, Skin Grafting, Chronic Wounds, Other Soft Tissue Defects

Outer silastic membrane can peel away as dermis heals. Superior healing time relative to auto-/allo-/xeno-grafts

Matriderm®

Matrix of Type I Collagen (Bovine) and Elastin (Bovine)

N/A

Burns, Skin Grafting, Chronic Wounds

Matrix is structurally intact and promotes cellular/tissue ingrowth