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A New Therapy for Difficult Wounds

Treatment with EmoLED is indicated for acute and chronic lesions such as leg ulcers (venous, mixed, and arterial), surgical separation, inflammatory ulcers (vasculitis), post-traumatic ulcers, scleroderma ulcers, neuro-ischemic ulcers of the diabetic foot, compression and skin. Graft ulcers in patients over 16 years of age.
Except for neoplastic lesions and lesions in patients with porphyria, there are no particular restrictions on the type of skin lesions that can be treated with EmoLED. No side effects were found in the treatment and no adverse events related to the use of the device occurred.
EmoLED treatment is done in addition to the standard treatment and is done at the dressing change.

Clinical course of vasculitic ulcer treated with EmoLED by two consecutive applications (120 seconds) twice a week for 4 weeks; ulcer persistence: one year. Religious V et al. Blue light emission in the treatment of hard-to-heal wounds. G Ital Dermatol Venereol, 2020.

Basis

2 Weeks

3 Weeks

5 Months (Track)

Clinical course of acral ulcer in a patient with scleroderma treated with EmoLED for 60 seconds once a week for 14 weeks. Scleroderma Unit, AOU San Luigi Gonzaga, Orbassano (Product trial 1851).

Basis

4 Weeks

6 Weeks

14 Weeks

Clinical course of a deep burn treated with EmoLED for 60 seconds twice a week, subjected to rejected autologous grafts, for a total of 4 treatments. Burns Center - Ospedale Maurizio Bufalini, Cesena (Product trial 1911).

Basis

2 Weeks

3 Weeks

5 Months (Track)

Therapeutic Effects

When applied at least once a week, EmoLED has been found to be effective in reducing wound healing time, inflammation, and pain.
Clinical observations, particularly in venous ulcers and vasculitis, found a significant reduction in pain after four weeks of treatment; this corresponds to the appearance of clinical signs of overcoming inflammatory stasis and reactivating the healing process. In a clinical study (Blue Light for Ulcer Reduction, 2019) on ulcers of various etiologies, predominantly venous, EmoLED treatment resulted in a significant reduction in the surface area of ulcers treated within 10 weeks.
Wound healing begins when the perilesional tissue heals by epithelial margin advancement (edge effect) and as a result, there is a reduction in ulcer sizes, which are key indicators of healing outcome in various types of wounds.

Progression of venous leg ulcer treated with EmoLED. Source: Patient (cod.608), Blue Light for Ulcer Reduction Study (BLUR). 2019.
ClinicalTrials.gov, Identifier: NCT04018924.

Recommended Exposure and Administration

The recommended standard treatment regimen is at least one EmoLED treatment per week after wound cleansing. For some lesion types (pressure ulcer, diabetic foot ulcer and inflammatory ulcer), twice weekly treatment is recommended following wound cleansing.
The standard treatment time with EmoLED is 60 seconds per affected area; A 120-second treatment per lesion is recommended for diabetic foot and vasculitic ulcers. The area of interest of EmoLED therapy is the wound bed and the skin around the lesion. In case of partial overlap of the treated areas, there are no further risks from overdose or contraindications.

TYPE OF SKIN LESION EXPOSURE TIME
 FREQUENCY OF ADMINISTRATION
VASCULAR ULCER (VENOUS, ARTERIAL AND MIXED) 60 seconds Once weekly
POST-TRAUMATIC
ULCERS		 60 seconds Once weekly
SURGICAL DEHISCENCE 60 seconds Once weekly
PRESSURE ULCERS 60 seconds Twice weekly
DIABETIC FOOT ULCERS 120 seconds Twice weekly
VASCULITIC ULCERS 120 seconds Twice weekly
SCLERODERMA ULCERS 60 seconds Once weekly
ACUTE LESIONS (SKIN GRAFT) 60 seconds Once weekly

References:

Dini V et al. Blue light emission in the management of hard-to-heal wounds. Giornale italiano di dermatologia e Venereologia 2020;155 doi: 10.23736/S0392-0488.20.06691.

Vernaci M, Vernaci PP. Contribution of photonic therapies to the healing process of chronic wounds: case studies. Wounds International 2020, Volume 11 Issue 4.

De Nigris P. et al. La Fotobiomodulazione con luce blu nella terapia delle ulcere dei pazienti sclerodermici. Poster, XV Congresso Nazionale AIUC, 2019.

Marchelli M et al. Photobiomodulation with Blue Light in non-healing wounds: case series evaluation. Wounds International 2019, Volume 10 Issue 3, pag 63-67.

Mosti G, Gasperini S. Observations made on three patients suffering from ulcers of the lower limbs treated with Blue Light. Chronic Wound Care Management and Research, Volume 2018:5, pag 23-38; https://doi.org/10.2147/CWCMR.S172060.

Orlandi C, Purpura V, Melandri D. Blue Led Light in Burns: A New Treatment’s Modality. J Clin Investigat Dermatol. 2021, 9(2):5

Khoo V B, Soon S, Yap C J, et al. Use of Blue Light in the Management of Chronic Venous Ulcer in Asian Patients: A Case Series. 2021, Cureus. 2021, Sep 04, 13(9): e17703. doi:10.7759/cureus.17703

Fraccalvieri M, Amedeo G, Bortolotti P, et al. Effectiveness of Blue light photobiomodulation therapy in the treatment of chronic wounds. Results of the Blue Light for Ulcer Reduction (B.L.U.R.) Study. Italian Journal of Dermatology and Venerology. 2021, Sep 09. DOI: 10.23736/S2784-8671.21.07067-5.

 

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