Collagen Wound Dressings - Biostep, Puracol, HeliPlug, Santyl
Collagen wound dressings for stalled chronic wounds - Smith & Nephew Biostep Collagen Matrix (2x2, 4x4), Medline Puracol Collagen Wound Dressing (2x2, 4 inch x 4 1/4), Integra HeliPlug (1cm x 2cm) and Helicote (1 inch square) collagen plugs, plus Smith & Nephew Collagenase Santyl ointment (15gm and 30gm tubes) for enzymatic debridement. Sterile, ships within 24 hours. Wholesale case pricing for hospitals, wound care centers and long-term care facilities.
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Collagen Dressings for Stalled Chronic Wounds
Collagen wound dressings target a specific clinical situation: chronic wounds that have stalled despite standard advanced wound care. The mechanism involves collagen as a sacrificial substrate for elevated matrix metalloproteinases (MMPs) - enzymes that accumulate in chronic wound beds and degrade extracellular matrix components, preventing wound bed progression. Topically applied collagen provides a substrate for MMP activity, allowing endogenous wound bed components to support healing rather than being degraded. The catalog covers sheet collagen dressings for surface wounds, plug formats for deep wounds and tunneled sinus tracts, and Collagenase Santyl topical ointment for enzymatic debridement of necrotic wound beds.
Collagen Products Available
- Smith & Nephew Biostep Collagen Matrix - Sheet collagen dressing for chronic wounds. Available in 2x2 inch and 4x4 inch standard sizes plus additional configurations. Used for diabetic foot ulcers, venous ulcers and pressure injuries with stalled wound bed progression.
- Medline Puracol Collagen Wound Dressing - Bovine collagen wound dressing in 2x2 inch (5/bx, 10 bx/cs) and 4 inch x 4 1/4 inch (5/bx, 6 bx/cs) formats. Standard sheet collagen for chronic wound applications.
- Integra HeliPlug - Collagen plug format for deep wounds, tunneled wounds and sinus tracts. 1cm x 2cm plug size, 10 ea/bx, 5 bx/cs. The plug format addresses wound geometry that sheet collagen cannot reach.
- Integra Helicote - 1 inch square collagen wound dressing, 10/bx, 5 bx/cs. Small-format collagen for focal wound application.
- Smith & Nephew Collagenase Santyl Ointment - Topical enzymatic debridement ointment, available in 15gm and 30gm tube formats. Used for chemical debridement of necrotic tissue, eschar and slough in chronic wounds where surgical debridement is not appropriate.
Collagen Formats by Wound Geometry
| Format | Wound Geometry | Stocked Products |
|---|---|---|
| Sheet collagen (small) | Small surface wounds, focal chronic wounds | Biostep 2x2, Puracol 2x2, Helicote 1x1 |
| Sheet collagen (standard) | Standard chronic wound coverage, DFU, pressure injuries | Biostep 4x4, Puracol 4x4.25 |
| Plug collagen | Deep wounds, tunneled wounds, sinus tracts | HeliPlug 1cm x 2cm |
| Topical enzymatic ointment | Necrotic wound beds requiring debridement | Collagenase Santyl 15gm, 30gm |
When Collagen Dressings Are Used
Collagen dressings are not first-line wound care - they are specialty products used in defined clinical situations after standard advanced wound care has not produced wound bed progression. The typical clinical decision point is a chronic wound that has been managed with appropriate primary dressings (foam, alginate, silver/antimicrobial as indicated) for 2-4 weeks without measurable wound bed improvement. At that point, collagen dressings are introduced to address the elevated MMP environment that may be preventing progression. Clinical applications include diabetic foot ulcers with adequate vascular supply, chronic venous leg ulcers, pressure injuries with viable wound beds, and complex surgical wounds with delayed closure.
Collagenase Santyl Enzymatic Debridement
Collagenase Santyl is functionally different from the other collagen products in this subcategory - it is a topical enzymatic debridement ointment rather than a wound dressing. The active ingredient (collagenase clostridium histolyticum) selectively digests denatured collagen in necrotic tissue without damaging viable wound bed. Used as an alternative or adjunct to surgical debridement in chronic wounds where serial sharp debridement is not appropriate, in patient populations where surgical debridement is contraindicated, or in wound care settings (outpatient clinics, home health) where surgical debridement equipment and procedures are not available. Available in 15gm tube for short-course use and 30gm tube for extended debridement courses.
Collagen wound dressings and Collagenase Santyl together represent the catalog options for managing stalled chronic wounds and enzymatic debridement. The Biostep and Puracol sheet products, HeliPlug plug format and Santyl ointment cover the full clinical range. Order at the best Wholesale Prices with MAP Medical.
Browse Related Categories
Collagen dressings are typically deployed after standard advanced wound care. Standard advanced wound dressings include foam dressings, alginate and gelling fiber dressings, silver antimicrobial dressings and hydrogel dressings. For more advanced reconstruction beyond collagen, see biological dressings and skin substitutes (Hyalomatrix). Collagen sheet dressings need a secondary cover dressing - typically a foam dressing or transparent film. Browse the full wound dressings catalog.
Top Collagen Products
- Smith & Nephew # 66800125 - Biostep Collagen Dressing, 4" x 4"
- Smith & Nephew # 66800124 - Biostep Collagen Dressing, 2" x 2"
- Smith & Nephew # 50484001030 - Collagenase Santyl Ointment, 30gm
- Integra # HE-CW100 - HeliPlug Collagen Plug, 1cm x 2cm, 10 ea/bx, 5 bx/cs
- Medline # PRC4022 - Puracol Bovine Collagen, 2" x 2", 5/bx, 10 bx/cs
Frequently Asked Questions
What are collagen wound dressings and how do they work?
Collagen wound dressings are sheet, plug or ointment products containing collagen for application to stalled chronic wounds. The mechanism involves collagen as a sacrificial substrate for matrix metalloproteinases (MMPs) - enzymes that accumulate in chronic wound beds and degrade extracellular matrix components, preventing wound bed progression. By providing a topical collagen substrate, the dressing redirects MMP activity away from endogenous wound bed components, supporting wound healing progression.
When should collagen dressings be used vs. other advanced dressings?
Collagen dressings are typically used after standard advanced wound care (foam, alginate, silver/antimicrobial as indicated) has not produced measurable wound bed progression over 2-4 weeks. The typical clinical applications are diabetic foot ulcers, chronic venous leg ulcers, pressure injuries with viable wound beds, and complex surgical wounds with delayed closure. Collagen is not first-line wound care - it is a specialty intervention for stalled wounds.
What is Collagenase Santyl ointment and how is it different from collagen dressings?
Collagenase Santyl is a topical enzymatic debridement ointment containing collagenase clostridium histolyticum - an enzyme that selectively digests denatured collagen in necrotic tissue without damaging viable wound bed. Unlike collagen sheet or plug dressings (which provide collagen as a substrate for MMP activity), Santyl uses collagenase to actively debride necrotic tissue. It is used as an alternative to surgical debridement in chronic wounds where sharp debridement is not appropriate or not available. Available in 15gm and 30gm tube formats.
Can hospitals and wound care centers order collagen products in bulk?
Yes. Collagen sheet dressings, HeliPlug, Helicote and Collagenase Santyl ointment are stocked in case quantities for hospital wound care centers, specialty chronic wound clinics, long-term care facilities running active chronic wound programs and licensed distributors. Biostep 4x4 (#66800125), Puracol formats and Santyl 30gm (#50484001030) are the most commonly stocked standing order SKUs. Contact our team for case pricing.
What collagen products should be in a wound care formulary?
A standard collagen formulary typically includes a sheet collagen line in 2x2 and 4x4 sizes (Biostep or Puracol), a collagen plug format (HeliPlug) for deep wounds and sinus tracts, and Collagenase Santyl ointment (15gm and/or 30gm) for enzymatic debridement applications. Facilities running active chronic wound and diabetic foot ulcer programs typically maintain higher collagen inventory levels than general medical units. Contact our team to build a collagen formulary matched to facility chronic wound program volume.