Editor's Note: This interview took place at SAWC Fall 2023.

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Transcript

Good morning, I'm Dr. Haresh Kane, MD, CWSP, founder and CEO of Kane Wound Care. We are the largest provider of mobile wound care services in New Jersey and we're based in Princeton, New Jersey. My name is Krista Maglione, NP. I'm a nurse practitioner with Kane Wound Care. Good morning. I'm Dr. Michael Jensen, MD, CWSP. I'm the Chief Medical Officer for Kane Wound Care.

Why were you interested in an alternative to sharp debridement for Pseudomonas biofilm management?

Pseudomonas is in a significant amount of the wounds that we see and it prolongs wound healing times. Traditionally, we use sharp debridement to help eliminate it, however, it's not uncommon for patients to complain of pain with the sharp debridement even after you're giving them proper analgesia, so the benefit of non-contact ultrasound is really that it's non -contact and relatively painless for the patient.

How did you learn about ultrasound therapy with saline mist for biofilm management?

Something that I've been studying and looking at over the last 20 years, non -contact, low-frequency, ultrasound energy, it's been on the market for almost 30 years now and it's been in our space, kind of in the periphery, if you will. It's historically been used in wound care centers.

No one ever had the bright idea of actually bringing it to the post -acute world, hence why our organization is so amazing. We have this idea that we can mobilize it, we can bring it to our patients who are many times bound to the nursing home and are unable to go to a wound care center because of transportation challenges.

So, it's an incredibly effective treatment that utilizes electrical chemical transduction phenomenon, which is basically converting electrical energy to mechanical energy. In essence, it's like throwing a rock in a very still lake. And you see these beautiful ripples that kind of go throughout the wounds and create this beautiful healing process and allows beautiful healing cells to migrate to the wound bed. And a process that we think is very beautiful, of course. We're biased and we love what we do. So yeah, we're really excited about the potential that this could provide to our patients and their challenging wounds, as Krista mentioned.

Did your findings surprise you?

Our findings showed that pseudomonas can be eliminated with non-contact ultrasound. However, that's not really what surprised me most. I was more surprised about how using the technology affected my relationship with the patient. Instead of seeing patients just one day a week, I was now seeing them for an additional 2-3 visits each week. So I got to really know them on a more personal level and was able to individualize my plan of care from there.

What advice would you give wound care professionals interested in using this therapy?

I would tell them to get excited about it, because once you start bringing this into your facilities, you're going to have other members of the care team approach you about it. ID is going to come up to you, your PCPs, your DONs. They're all going to want to know about it, and it's going to increase the dialogue between all the different disciplines.

And also, too, patient family members who may traditionally kind of shy away from wanting to hear about the wound or see the wound, they're going to have a rejuvenated interest in it. And so you're going to be doing a lot of education, not just on how the device works, but also the wound healing process with all the different members.