Precision excision and tissue preservation

Optimize debridement efficiency and help promote wound closure across a variety of wound types^1-7

The VERSAJET^◊ II Hydrosurgery System uses a razor-thin saline jet for precise debridement^1-3 in one easy-to-use tool.^1,7 Performing the task of multiple instruments^8,9, the VERSAJET II System may streamline and reduce debridement procedures^1,8,10-13 across various OR and outpatient wound types.^1,3,14

See the VERSAJET  II System in action >

Precision and preservation to facilitate wound closure^1-7

	Precision excision and rapid evacuation of non-viable tissue, right to the wound margin.1-3
	Preserves healthy tissue to offer a clean, smooth wound bed4-7, ideal for preparing skin grafts7,15 and reducing bacterial burden.1-3,7,16
	Potential to reduce the number of required procedures1 and equipment needs.8,9
	Demonstrated an estimated $1,900 per-patient saving through routine use1 in a 62-person study, with hospital length of stay up to 3 days shorter.*1,10-12

View the evidence on how VERSAJET II may improve outcomes and efficiencies > 

Potential to save time and money through routine use ^1,8,10-13

As part of routine clinical practice, the VERSAJET II System has demonstrated time and potential budgetary efficiencies^1,8,10-13, and potential to reduce equipment needs, compared to traditional debridement methods^8,9:

- Fewer instruments: performs the task of a scalpel, vacuum, irrigation, forceps and pick-ups.^8,9
- Fewer procedures: A 62-patient study demonstrated a statistical reduction in the number of required procedures to achieve wound closure.¹
- More efficient*: Capable of offering precise debridement in one pass.**¹⁰ Other methods of debridement may be required for certain types of eschar or necrotic tissue.⁹

Evidence in Focus: seeking efficiency and change in chronic wound management >

Move from traditional tools to intuitive technology

Compare existing debridement solutions with the precision, preservation and streamlined capabilities of the VERSAJET II System.

Arrange for a Smith & Nephew representative to contact me

VERSAJET is intended primarily for use in the operating room environment.  Only the 45 degree VERSAJET II Exact hand pieces (66800041 and 66800042) are suitable for use outside the operating room.  Attention to universal infection control procedures should be applied when using the device outside the operating room.

Warning: This device should be used with particular care in patients with hemophilia or other blood clotting disorders and in patients receiving anti-coagulant medication.
For detailed product information, including indications for use, contraindications, precautions and warnings, please consult the product’s applicable Instructions for Use (IFU) prior to use.

VJWE2-18525-0419

References

1) Granick, MS et al. Efficacy and Cost Effectiveness of a High-Powered Parallel Waterjet for Wound Debridement. Wound Repair & Regeneration, 2006. 14, 394-397.
2) Granick, MS et al. Toward a common language: Surgical Wound Bed Preparation and Debridement. Wound Repair & Regeneration, 2006. 14, S1-S10.
3) Cubison CS et al. Dermal preservation using the VERSAJET Hydrosurgery System for Debridement of Paediatric Burns. Burns, 2006. 32, 714-720.
4) Matsumura H et al. The Estimation of Tissue Loss During Tangential Hydrosurgical Debridement. Ann Plast. Surg, 2012. 69, 521-525.
5) Gurunluoglu R. Experiences with Waterjet Hydrosurgery System in Wound Debridement. World J. Emerg. Surg. 2007. 2, 10.
6) Gravante G, Delogu D, Esposito G & Montone A. VERSAJET hydrosurgery versus classic escharectomy for burn debridement: a prospective randomised trial. J. Burn Care Res. 2007. 720-4.
7) McCardle JE. VERSAJET Hydroscalpel: Treatment of Diabetic Foot Ulceration. British Journal of Nursing, 2006. 15, Tissue Viability Supplement.
8) Caputo W et al. A prospective Randomised Controlled Clinical Trial Comparing Hydrosurgery Debridement with Conventional Surgical Debridement in Lower Extremity UIcers. International Wound Journal, 2008. No. 2, 228-294.
9) Rennekampff HO et al. Debridement of Burn Wounds with a Water Jet Surgical Tool. Burns, 2006. 32, 64-69.
10) Mosti G et al. The Debridement of Chronic Leg Ulcers by Means of a New Fluidjet-Based Device. Wounds, 2006. 18, 227-237.
11) Mosti G et al. The Debridement of Hard to Heal Leg Ulcers by Means of a New Device Based on Fluidjet Technology. International Wound Journal, 2005. 307-314.
12) Murray F. The Impact of the VERSAJET Hydrosurgery System on Number of Procedures and Length of Inpatient Episodes. Presented at EWMA, Glasgow, 2007.
13) Granick M et al. Clinical and Economic Impact of Hydrosurgical Debridement on Chronic Wounds. Wounds, 2006. 18(2), 35-39.
14) McAleer JP et al. A Prospective Randomized Study Evaluating the Time Efficienciy of the VERSAJET Hydrosurgery System and Traditional Wound Debridement, 2005. Presented at ACFAS Conference. Data on file.
15) Vanwijck R et al. Immediate Skin Grafting of Sub-Acute and Chronic Wounds Debrided by Hydrosurgery. J. Plast. Reconstr. Aesthet. Surg. 2010. 63, 544-9.
16) Granick MS, Tenenhaus M, Knox KR, Ulm JP. Comparison of Wound Irrigation and Tangential Hydrodissection in Bacterial Clearance of Contaminated Wounds: Results of a Randomised, Controlled Clinical Study. Ostomy. Wound. Manage. 2007. 53, 64-6, 68-70, 72.

Precision debridement across various wound types

Demonstrated performance for different patient profiles and wound types^1-7

The VERSAJET^◊ II is suitablefor the following wounds and procedures:

Burn injuries

Suitable for mid-dermal and deep partial thickness burns of varied etiology*, to clear and prepare the site for flaps and grafts.⁶

Use the VERSAJET II System to help:
- Manage necrosis and preserve viable tissue with depth control.^3,6
- Access potentially difficult or sensitive anatomical areas in pediatric and adult patients.^3,6
- Removes contaminants that may cause infection.^3,6-11
- Tangentially incise, for immediate or staged closure.^3,6
- Facilitated the usage and adherence of biological dressings in a case study.^3,6

Watch: The treatment of burn and chronic wounds with the VERSAJET II System and NPWT >

Trauma wounds

Debridement and evacuation of large areas of non-viable tissue, such as road rash and embedded debris.

Use the VERSAJET II System to help:
- Open fractures and evulsions, de-gloving and crushing injuries and by removing contaminants that may cause infection.^3,6-11
- Preserve viable tissue, even in cavities and contoured wounds.^4-7
- potentially reduce serial debridement procedures and length of stay.¹ 

Watch: Treatment of large trauma wounds with NPWT and the VERSAJET II System > 

Orthopaedic surgery**

Selective debridement of soft tissue and metal debris to facilitate help revision and wound closure.^1-3

Use the VERSAJET II System to help:
- Remove bone and metal fragments from peri-implant tissue.²
- One-stage revision, potentially reducing further surgery.⁸

Watch: The VERSAJET II System in foot and ankle surgery > 

Plastic reconstruction

Prepare a clean, even wound bed for skin graft or flap preparation.^1-3,12

Use the VERSAJET II System to help:
- Exfoliative disorders, pressure ulcers and abscesses by removing non-viable tissue.^2,12
- Reduce bacteria and other inhibitory elements.^3,6-11
- Achieve fewer serial debridement procedures, potentially reducing wound closure time and length of stay.¹
- Helps provide a clean wound bed for other treatments, such as NPWT.^2,12

Chronic wounds

Remove non-viable tissue and barriers to wound closure and prepare wounds for other treatments such as NPWT.^8,13,14

Use the VERSAJET II System to help:
- Venous or arterial ulcers, diabetic foot ulcers and pressure ulcers, by removing non-viable tissue.^8,13,14
- Create a clean wound bed ready for grafts and synthetic dressings.^1-3,8,13,14
- Reduce bacterial burden and inhibitory elements.^3,6-11

Watch: Expert wound panel discussion, featuring the VERSAJET^◊II System >

For further help in reducing surgical site complications

Prophylactic use of the PICO^◊ Single Use Negative Pressure Wound Therapy (SNPWT) has demonstrated potential to reduce surgical site complications such as infection and dehiscence.¹⁵

Contact us for further information or product guidance. 

Helping you get CLOSER TO ZERO^◊ delay in wound healing.

*other methods of debridement may be required for certain types of eschar or necrotic tissue, such as full thickness
**Precaution: When used on wounds where bone, tendon or other hard tissue may be encountered during the debridement procedure, excessive spraying and/or misting may occur due to the interruption of the stream of sterile saline by hard tissues.

Warning: This device should be used with particular care in patients with hemophilia or other blood clotting disorders and in patients receiving anti-coagulant medication.

For detailed product information, including indications for use, contraindications, precautions and warnings, please consult the product’s Instructions for Use (IFU) prior to use.

VJWE2-18525-0419

References

1) Granick, MS et al. Efficacy and Cost Effectiveness of a High-Powered Parallel Waterjet for Wound Debridement. Wound Repair & Regeneration, 2006. 14, 394-397.
2) Granick, MS et al. Toward a common language: Surgical Wound Bed Preparation and Debridement. Wound Repair & Regeneration, 2006. 14, S1-S10.
3) Cubison CS et al. Dermal preservation using the VERSAJET Hydrosurgery System for Debridement of Paediatric Burns. Burns, 2006. 32, 714-720.
4) Matsumura H et al. The Estimation of Tissue Loss During Tangential Hydrosurgical Debridement. Ann Plast. Surg, 2012. 69, 521-525.
5) Gurunluoglu R. Experiences with Waterjet Hydrosurgery System in Wound Debridement. World J. Emerg. Surg. 2007. 2, 10.
6) Gravante G, Delogu D, Esposito G & Montone A. VERSAJET hydrosurgery versus classic escharectomy for burn debridement: a prospective randomised trial. J. Burn Care Res. 2007. 720-4.
7) McCardle JE. VERSAJET Hydroscalpel: Treatment of Diabetic Foot Ulceration. British Journal of Nursing, 2006. 15, Tissue Viability Supplement.
8) Mosti G et al. The Debridement of Chronic Leg Ulcers by Means of a New Fluidjet-Based Device. Wounds, 2006. 18, 227-237.
9) Liu J, Ho JH, Chukwu C, Krol J and Galiano RD. Comparing the Hydrosurgery System to Conventional Debridement Techniques for the Treatment of Delayed Healing Wounds: A Prospective, Randomised Clinical Trial to Investigate the Clinical Efficacy and Cost-Effectiveness. 22nd Annual Meeting of the Wound Heal. 2012, 12-48.
10) Granick MS, Tenenhaus M, Knox KR, Ulm JP. Comparison of Wound Irrigation and Tangential Hydrodissection in Bacterial Clearance of Contaminated Wounds: Results of a Randomised, Controlled Clinical Study. Ostomy. Wound. Manage. 2007. 53, 64-6, 68-70, 72.
11) Schwatz J, Lantis JC, Gendics CAE. Surgical Debridement Alone Does Not Adequately Reduce Planktonic Bioburden in Chronic Lower Extremity Wounds. 23rd Annual Meeting of the Wound Healing Society. SAWC Spring / WHS Joint Meeting; Silver (25th) Anniversary of the Wound Healing Society Col. 13-50, 2013.
12) Vanwijck R et al. Immediate Skin Grafting of Sub-Acute and Chronic Wounds Debrided by Hydrosurgery. J. Plast. Reconstr. Aesthet. Surg. 2010. 63, 544-9.
13) Mosti G et al. The Debridement of Hard to Heal Leg Ulcers by Means of a New Device Based on Fluidjet Technology. International Wound Journal, 2005. 307-314.
14) Caputo W et al. A prospective Randomised Controlled Clinical Trial Comparing Hydrosurgery Debridement with Conventional Surgical Debridement in Lower Extremity UIcers. International Wound Journal, 2008. No. 2, 228-294.
15) Strugala V and Martin R. Meta-analysis of comparative trials evaluating a prophylactic single-use negative pressure wound therapy system for the prevention of surgical site complications. Surgical Infections Vol 18 Number 07 (2017). DOI: 10.1089/sur.2017.156. 810-819.

Application and guidance

Understanding set-up, usage and servicing of the VERSAJET^◊ II System

The VERSAJET II System is accompanied by a suite of videos and guides to help set-up, maintain and use hydrosurgical debridement.

Information, set-up and servicing

• Equipment Setup (MP4, 42MB)
• How to use (MP4, 25MB)
• Troubleshooting  (MP4, 36MB)
• Overview (PDF)
• Precise Excision Info Sheet (PDF)
• Set-up Guide (PDF)

View more practical application videos >

Wound-specific guidance videos

Burn Therapy

• 3rd Degree Abrasions (MP4, 6.01 MB)
• Advanced Facial Melanoma (MP4, 7.29 MB)
• Avulsion Injury (MP4, 20.83 MB)
• Necrotic Open Wound (MP4, 7.49 MB)
• Paraplegic Sacral Ulcer (MP4, 18.39 MB)
• Supramalleolar Ulcer (MP4, 5.92 MB)

Orthopedics & Trauma

• Abscess Intermedullary (MP4, 32.37 MB)
• Ankle Open Fracture (MP4, 7.00 MB)
• Circular Saw Injury (MP4, 3.79 MB)
• De-Gloving Injury (MP4, 23.31 MB)
• Infected Femoral Fracture (MP4, 7.87 MB)
• Pediatric Foot Crush (MP4, 5.15 MB)
• Trauma Lower Extremity (MP4, 7.47 MB)
• Upper Extremity Osteomyelitis (MP4, 15.39 MB)

Plastic Surgery

• 3rd Degree Abrasions (MP4, 6.02 MB)
• Advanced Facial Melanoma (MP4, 7.93 MB)
• Avulsion Injury (MP4, 20.83 MB)
• Necrotic Open Wound (MP4, 7.49 MB)
• Paraplegic Sacral Ulcer (MP4, 18.39 MB)
• Supramalleolar Ulcer (MP4, 5.92 MB)

Chronic Wounds

• Decubitus Ulcers (MP4, 32.09 MB)
• Foot Ulcer (MP4, 6.47 MB)
• Heel (MP4, 9.94 MB)
• Lower Extremity Ulcer (MP4, 6.73 MB)
• Multiplanar Wound (MP4, 29.92 MB)
• Pressure Wounds (MP4, 8.39 MB)
• Skin Ulcers (MP4, 6.04 MB)
• Vascular Leg Ulcers (MP4, 5.98 MB)

Contact us for further product information and guidance.

Helping you get CLOSER TO ZERO^◊ delay in wound healing.

Warning: This device should be used with particular care in patients with hemophilia or other blood clotting disorders and in patients receiving anti-coagulant medication.

For detailed product information, including indications for use, contraindications, precautions and warnings, please consult the product’s Instructions for Use (IFU) prior to use.

VJWE2-18525-0419