EpiFix® Dehydrated Human Amnion/Chorion Membrane Allograft
EpiFix® Dehydrated Human Amnion/Chorion Membrane Allograft is intended for homologous use in the treatment of acute and chronic partial- and full-thickness wounds to modulate inflammation, enhance healing and reduce scar tissue formation.
• Composed of human amnion and chorion membranes that comprise the innermost layer of the placenta and line the amniotic cavity
• Mutiple layers, inlcuding a single layer of epithelial cells, a basement membrand and an avascular connective tissue matrix
• Contains essential wound healing growth factors
• Modulates inflammation and reduces scar tissue formation
• Platelet derived growth factor A and B promotes cell proliferation in connective tissue
• Epidermal growth factor promotes proliferation of epithelial cells
• Transforming growth factor promotes normal wound healing
• Fibroblast growth factor promotes cellular proliferation
• Stores at ambient conditions for up to five years
• Available in multiple sizes
EpiFix® is intended for homologous use in the treatment of acute and chronic wounds to provide a barrier, modulate inflammation, enhance healing and reduce scar tissue formation.
EpiFix® should not be used on (1) areas with active or latent infection and/or (2) a patient with a disorder that would create an unacceptable risk of post-operative complications.
EpiFix® allografts remain suitable for transplantation in an unopened, undamaged package, under proper storage conditions.
Please inspect the integrity of the package upon receipt. If package and contents appear defective or damaged in any way, immediately contact the distributor.
This allograft is intended for single-patient use only. Discard all unused material.
The procedure should be performed by an authorized medical professional.
Strict donor screening and laboratory testing, along with dedicated processing and sterilization methods, are employed to reduce the risk of any disease transmission. However, as with all biological implants, an absolute guarantee of tissue safety is not possible. This allograft has the potential to transmit infectious disease to the recipient.
The reaction of the body to any biological implant is not completely understood.
Caution should be used when treating patients with a known sensitivity to aminoglycoside antibiotics.
Discard all damaged, mishandled or potentially contaminated tissue.
This product has not been tested in combination with other products.
Do not re-sterilize.
As with any procedure, the possibility of infection exists.
Proprietary processing and validated sterilization methods are employed to eliminate potential deleterious components of the allograft. However, as with all biological implants, the possibility of rejection exists.
Any adverse reactions, including the suspected transmission of disease attributable to this allograft, should be reported immediately to MiMedx®.
EpiFix® allografts should be stored in a clean, dry environment at ambient conditions.
EpiFix® allografts have a five year shelf life. Check the label for the expiration date.
1. Koob TJ, Lim JJ, Massee M, et al. Angiogenic properties of dehydrated human amnion/chorion allografts: therapeutic potential for soft tissue repair and regeneration. Vasc Cell. 2014 May 1;6:10.
2. Koob TJ, Lim JJ, Massee M, Zabek N, Denozière G. Properties of dehydrated human amnion/chorion composite grafts: Implications for wound repair and soft tissue regeneration. J Biomed Mater Res B Appl Biomater. 2014 Aug;102(6):1353-62.
3. Maan ZN, Rennert RC, Koob TJ, Januszyk M, Li WW, Gurtner GC. Cell recruitment by amnion chorion grafts promotes neovascularization. J Surg Res. 2015 Feb; 193(2):953-62.
|Assigned HCPCS code||●|
|Shelf life greater than 2 years|
|Shelf life limited||●|
|Indicated for acute wounds||●|
|Indicated for chronic wounds||●|
|Indicated for diabetic ulcers|
|Indicated for pressure ulcers|
|Indicated for surgical wounds|
|Indicated for third-degree burns|
|Indicated for venous ulcers|
|Contact manufacturer for usage guidelines||●|
|Educational Material Available||●|
|Free Samples/Trials Available||●|
|Published Clinical Article Available||●|
Moderate/Highly Exudating Wounds
Non/Minimally Exudating Wounds
Preparation, Reconstitution and Surgical Use:
Prior to implantation, carefully follow the EpiFix® allograft preparation steps below using aseptic technique:
Wound Bed Preparation
Ensure the wound is free from clinical sign of infection. Prepare wound bed as needed.
Removing EpiFix® from Packaging
The outer peel pouch is not sterile. The inner pouch that contains EpiFix® is sterile (unless the pouches are damaged or compromised).
Carefully open the peelable corner of the outer pouch and extract the inner pouch using aseptic technique. Ensure the inner pouch does not come in contact with any portions of non-sterile surface of the outer pouch.
Using aseptic technique, slowly peel a corner of the inner peel pouch and allow the authorized medical professional to grasp EpiFix® with fingers or non-toothed, sterile forceps.
Use EpiFix® promptly after opening the inner, sterile pouch.
Pleases take great care when removing EpiFix® from the internal pouch. EpiFix® is thin and extremely lightweight.
In a dry state, use sterile dry scissors to cut EpiFix® to fit within the wound margins. It is acceptable to overlap the wound margins with EpiFix® by 1mm. If needed, EpiFix® can be fenestrated to accommodate wounds that produce copious amounts of exudate.
EpiFix® can be applied wet or dry.
EpiFix® can be hydrated while on the wound site with sterile saline solution. Simply apply several drops of sterile solution to EpiFix®. During and following hydration, the embossment on EpiFix® will begin to fade.
EpiFix® Orientation & Application
EpiFix® should be placed on the wound site, using the orientation of the embossment lettering as a guide. Proper orientation of EpiFix® can be noted when the embossment nomenclature reads correctly from left to right.
Absorbable, non-absorbable suture material and/or tissue adhesives can be used to fixate EpiFix® to the wound site.
EpiFix® is compatible with offloading/compression/negative pressure therapies.
EpiFix® can be used in conjunction with hyperbaric oxygen therapy.
Re-application of EpiFix®
It is recommended that EpiFix® grafts are applied weekly until wound epithelialization is achieved. However, clinician discretion should be used based on patient and wound condition/progress. It is clinically acceptable to apply EpiFix® on a biweekly basis if desired.
EpiFix® should be covered with a non-adherent contact layer.
EpiFix® should not be disturbed, if possible, for several days or before the next application, if needed.
If an infection occurs at the graft site, treat infection per institution’s protocol.
EpiFix® requires a moist wound environment. Use appropriate moisture management dressings for the wound type and treatment ideology.
MiMedx Group, Inc. is a leading biopharmaceutical company developing and marketing regenerative and therapeutic biologics utilizing human placental tissue allografts with patent-protected processes for multiple sectors of health care.