NuShield

complete

RETAINS ALL native LAYERS

proven

NuShield® is a complete, multi-layered dehydrated placental allograft that provides a protective barrier

NuShield hand

NOVEL PRESERVATION METHOD

RETAINS NATIVE 
TISSUE COMPOSITION

NuShield® provides a protective barrier and the LayerLoc preservation method retains:

  • All native amnion and chorion layers with the spongy later intact
  • The extracellular matrix (ECM) scaffold
Placental tissue processing workflow

*Vancomycin and gentamicin are used during tissue processing. Caution should be exercised on patients with known sensitivity or allergies to these or any of the processing agents listed in the Instructions for Use.

NuShield retains all native amnion and chorion layers, including the spongy layer, and may be used as a protective barrier

Native tissue vs NuShield histology

randomized controlled trial

evidence

for protective barrier use

Cazzell SM, et al

Prospective, multicenter, randomized controlled trial in diabetic foot ulcers (DFUs); N=218

  • 15 centers
  • Patients with Type I or II diabetes with a DFU of 6 weeks duration or longer that was unresponsive to SOC
  • DFU could extend into dermis, subcutaneous tissue, tendon, capsule, bone, or joint

RESULTS

frequency of wound closure*

When NuShield was used as a protective barrier as part of the course of wound management

Increasing trend statistics

When NuShield was used as a protective barrier as part of the course of wound management

48%

Greater probability of wound closure

84 days

Median time to wound closure§
SOC failed to attain this endpoint at 12 weeks

* Estimated frequency of wound closure based on Cox adjusted survival data.

Debridement, infection management, wound cleaning, dressings, and offloading.

Probability of wound closure based on Cox regression hazard ratio.

§ Time to wound closure evaluated using the Kaplan-Meier method.


DFU=diabetic foot ulcer; SOC=standard of care

Change from baseline wound area

When NuShield was used as a protective barrier as part of the course of wound management

Wound area change from baseline

PROPORTION OF SUBJECTS
ACHIEVING ≥40% WOUND CLOSURE

When NuShield was used as a protective barrier as part of the course of wound management

Stratum 1: DFUs <4cm2

Stratum 2: DFUs ≥4cm2

Wound area change from baseline Wound area change from baseline

real-world

evidence

for protective barrier use

Caporusso J, et al

In real-world patients (retrospective case series), NuShield® was used as a protective barrier in a wide variety of wounds (N=50), including:

  • Venous leg ulcers (VLUs); n=14
  • Diabetic foot ulcers (DFUs); n=24
  • Other wounds (pressure ulcers, nonhealing surgical, ischemic, mixed etiology, and nonhealing amputation); n=12

RESULTS

Median time to wound closure

When NuShield was used as a protective barrier as part of the course of wound management

Median time to wound closure by wound type
Median time to wound closure Median time to wound closure

Estimated median time to wound closure for all wounds from a Cox regression model with terms for age, sex, wound type, wound duration, baseline wound area, and duration in clinic. Test of equality over strata: P=0.071 (Wilcoxon).

PERCENTAGE OF WOUNDS CLOSED BY WEEK

When NuShield was used as a protective barrier as part of the course of wound management

Percentage of wounds closed by week
56% of wounds

achieved complete
closure at 16 weeks

73% of wounds

achieved complete
closure at 24 weeks

Of those wounds that did not achieve wound closure, 9 (18%) had >90% wound closure, and 8 (16%) had wound closures ranging from 60% to 90% by the last observation.

* All wounds include DFUs, VLUs, and other wounds.

Other includes 3 pressure injuries, 4 nonhealing surgical, 1 ischemic, 1 mixed etiology, 1 nonhealing  amputation, and 1 not identified.

Estimated frequency of wound closure for all wounds from a Cox regression model with terms for age, sex, wound type, wound duration, baseline wound area, and duration in clinic. Test of equality over strata: P=0.071 (Wilcoxon).

VERSATILE PROTECTIVE BARRIER

from head to toe

  • NuShield® protects wounds, providing an optimal environment for healing
  • May be used in a variety of wound types, including those with exposed bone or tendon
  • 5-year shelf life at room temperature streamlines logistics and preparation time
  • Available in a range of sizes allowing flexibility when fitting a wound and thus minimizing wastage
Wide range of wounds
NuShield® Dehydrated Placental Allograft
Product
Number
Product
Description
Total Size
(cm2)
Billable
Units
HCPCS
Code
UPC/GTIN
NO-1160c1.6cm disc1.6 disc2Q416000857877005160
NO-12502.5x2.5cm6.257Q416000618474000565
NO-13203.2x3.2cm10.2411Q416000857877005429
NO-13503.5x3.5cm12.2513Q416000618474000572
NO-14404x4cm1616Q416000857877005054
NO-14504.5x4.5cm20.2521Q416000618474000589
NO-16506.5x6.5cm42.2543Q416000618474000596

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Please refer to the NuShield instructions for use for usage and safety information.

References:

Data on File, Organogenesis Inc. Supporting information available upon request.