Three patients with non-healing wounds of the feet had been treated 2-7 mo. with conventional treatments prior to being seen in an outpatient wound clinic.

# 1- 92 y/o with rheumatoid arthritis, long term steroidal therapy. Wound on (L) lateral foot measuring 1 x .6 cm depth 2 cm.

# 2- 72 y/o with insulin dependent diabetes. Wound (L) great toe .6 x .8 cm depth .4 cm.

# 3- 49 y/o non-compliant insulin dependent diabetic with a wound on the (R ) great toe .4 x .5 cm with undermining of .1 and .3 cm.

Enhanced healing was needed for these non-healing wounds. A non-macerating moist wound product that stimulated tissue growth was needed. These outpatients needed a product that was easy to use.

The wounds were cleansed daily and Medical Hydrolysate of Type I Collagen (hyCURE® SMART GEL™) was placed on the wound bed and covered with an appropriate secondary dressing.

All wounds healed within 77 days. The Medical Hydrolysate of Type I Collagen (hyCURE® SMART GEL™) promoted and enhanced wound healing in these problematic wounds.

The Collagen product (hyCURE® SMART GEL™) promoted the healing process of 3 compromised clients, diabetics – steroid use, and elderly. The indication is wound healing can occur under poorly nurtured conditions, presumably because the Collagen gel (hyCURE® SMART GEL™) not only supplies a Collagen matrix but also nutrients including readily available short chain polypeptides and amino acids (building blocks) to the wound bed. Additional case studies of similarly compromised patients will be necessary to confirm this observation.