{"product_id":"promogran-prisma-rope-dressing","title":"PROMOGRAN PRISMA Rope Dressing","description":"\u003cdiv style=\"font-family: Arial, sans-serif; max-width: 800px; margin: 0 auto; color: #333;\"\u003e\n\n  \u003ch1 style=\"background-color: #cc0000; color: #fff; padding: 15px; text-align: center; font-size: 20px;\"\u003e\n    3M Promogran Prisma Rope — ORC + Collagen + Silver for Deep Tunneling Wounds, Biodegradable\n  \u003c\/h1\u003e\n\n  \u003cp style=\"font-size: 15px; line-height: 1.6;\"\u003e\n    \u003cstrong\u003eThe same clinically proven ORC + collagen + silver technology as Promogran Prisma Matrix — in a rope format that delivers it deep into tunneling wounds, sinus tracts, and undermined cavities where a flat dressing cannot reach.\u003c\/strong\u003e Promogran Prisma Rope is a sterile rope configuration of the Promogran Prisma Matrix composite — the same 55% collagen, 44% ORC, and 1% silver-ORC formulation that has demonstrated 3.4 times greater odds of wound closure in meta-analysis, now in a form that can be loosely packed into deep wound tracts where the ORC component inactivates elevated MMPs at the wound base, collagen provides scaffolding for granulation tissue from the deepest point of the wound outward, and ionically bound silver delivers an antibacterial barrier across the full depth of the tract. On contact with wound exudate, the rope transforms into a soft, conformable, biodegradable gel that fills and adapts to the irregular geometry of the wound cavity — no gaps, no dead space. The biodegradable gel is progressively absorbed into the wound tissue, so residual dressing does not need to be removed at the next change.\n  \u003c\/p\u003e\n\n  \u003cp style=\"font-size: 15px; line-height: 1.6;\"\u003e\n    ✔ Rope Format — Packs Into Tunneling Wounds, Sinus Tracts \u0026amp; Undermined Cavities    ✔ Same ORC + Collagen + Silver as Promogran Prisma Flat Matrix    ✔ Inactivates MMPs at the Wound Base — Removes the Stall Mechanism From Depth    ✔ Biodegradable Gel — Fills the Cavity, No Removal Required at Dressing Change    ✔ Antibacterial Barrier — Silver-ORC at Full Wound Depth\n  \u003c\/p\u003e\n\n  \u003chr\u003e\n\n  \u003ch2 style=\"background-color: #f5f5f5; padding: 10px; border-left: 4px solid #cc0000;\"\u003eProduct Details\u003c\/h2\u003e\n  \u003ctable style=\"width: 100%; border-collapse: collapse; margin-bottom: 20px;\"\u003e\n    \u003ctr style=\"background-color: #f9f9f9;\"\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; width: 40%; text-align: left;\"\u003eManufacturer\u003c\/th\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eSolventum (Formerly 3M \/ Systagenix \/ KCI)\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eItem Number\u003c\/th\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eMA057\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr style=\"background-color: #f9f9f9;\"\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eFormat\u003c\/th\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eRope — sterile, for packing tunneling wounds, sinus tracts, and undermined cavities\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eComposition\u003c\/th\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003e55% Collagen, 44% ORC, 1% Silver-ORC (25% w\/w ionically bound silver) — same as Promogran Prisma flat matrix\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr style=\"background-color: #f9f9f9;\"\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eORC Technology\u003c\/th\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eAbsorbs and inactivates MMPs and elastases at the wound base — removes the biochemical stall mechanism from deep wound areas\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eSilver\u003c\/th\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eIonically bound silver-ORC — antibacterial barrier against common wound pathogens across full wound depth\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr style=\"background-color: #f9f9f9;\"\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eGel Formation\u003c\/th\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eTransforms into soft conformable biodegradable gel on contact with exudate — fills and adapts to irregular wound geometry\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eBiodegradable\u003c\/th\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eYes — gel absorbs progressively into the wound, residual dressing does not need to be removed at changes\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr style=\"background-color: #f9f9f9;\"\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eChange Frequency\u003c\/th\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eEvery 24–72 hours depending on exudate level — daily for heavily exuding or infected wounds, up to 72 hours for moderate wounds\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eSecondary Dressing\u003c\/th\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eRequired — semi-occlusive or non-occlusive secondary dressing fixed with non-irritating tape\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr style=\"background-color: #f9f9f9;\"\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eMRI Safety\u003c\/th\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eMRI Unsafe — contains silver, remove before MRI examination\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eSterility\u003c\/th\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eSterile — 5 per box\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr style=\"background-color: #f9f9f9;\"\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eStorage\u003c\/th\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eBelow 25°C (77°F), away from direct light\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eHCPCS Code\u003c\/th\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eA6021\u003c\/td\u003e\n    \u003c\/tr\u003e\n  \u003c\/table\u003e\n\n  \u003chr\u003e\n\n  \u003ch2 style=\"background-color: #f5f5f5; padding: 10px; border-left: 4px solid #cc0000;\"\u003eIndicated For — Wound Types\u003c\/h2\u003e\n  \u003cul style=\"font-size: 15px; line-height: 1.8;\"\u003e\n    \u003cli\u003eTunneling wounds — the primary indication, wounds with narrow or deep tracts the flat matrix cannot access\u003c\/li\u003e\n    \u003cli\u003eSinus tracts requiring collagen ORC silver delivery at wound depth\u003c\/li\u003e\n    \u003cli\u003eUndermined wounds — broad shallow undermining where a rope can be packed along the undermined margins\u003c\/li\u003e\n    \u003cli\u003eDeep cavity wounds — pressure injuries, diabetic foot ulcers, and post-surgical cavities with significant depth\u003c\/li\u003e\n    \u003cli\u003eDiabetic foot ulcers with tunneling or undermining\u003c\/li\u003e\n    \u003cli\u003eVenous leg ulcers with cavity components\u003c\/li\u003e\n    \u003cli\u003ePressure injuries Stage 3–4 with depth\u003c\/li\u003e\n    \u003cli\u003ePost-surgical wounds healing by secondary intention with depth or tracking\u003c\/li\u003e\n    \u003cli\u003eAny wound where the flat Promogran Prisma Matrix cannot achieve full contact with the wound base\u003c\/li\u003e\n  \u003c\/ul\u003e\n  \u003cp style=\"font-size: 15px; line-height: 1.6;\"\u003e\u003cstrong\u003eContraindications:\u003c\/strong\u003e Not indicated for third-degree burns, wounds with necrotic tissue, or patients with known sensitivity to silver, ORC, or collagen. May be used on infected wounds only when proper medical treatment is addressing the underlying infection. MRI Unsafe — remove before MRI.\u003c\/p\u003e\n\n  \u003chr\u003e\n\n  \u003ch2 style=\"background-color: #f5f5f5; padding: 10px; border-left: 4px solid #cc0000;\"\u003eHow It Works — ORC + Collagen + Silver at the Wound Base\u003c\/h2\u003e\n\n  \u003cp style=\"font-size: 15px; line-height: 1.6;\"\u003e\n    Deep tunneling and cavity wounds present a specific clinical challenge that flat dressings cannot overcome — the wound base is inaccessible. Standard flat collagen dressings, foam dressings, and silver dressings all deliver their active components at the wound surface only. In tunneling wounds, the wound base — often the most active site of MMP overexpression, bacterial colonization, and stalled healing — receives no direct treatment from a surface-applied dressing. Promogran Prisma Rope solves this by delivering the complete Promogran Prisma ORC + collagen + silver composite directly to the wound base through the tunneling tract. Once packed loosely into the tract, the rope transforms on contact with wound exudate into a soft biodegradable gel that fills the irregular geometry of the tunnel — the ORC absorbs and inactivates MMPs throughout the full depth of the tract, the collagen provides scaffolding for granulation from the wound base outward, and the silver-ORC delivers its antibacterial barrier across the entire packed length. The biodegradable gel absorbs progressively into the wound tissue between dressing changes, so it does not need to be actively removed — simplifying the dressing change procedure for deep wound management.\n  \u003c\/p\u003e\n\n  \u003cul style=\"font-size: 15px; line-height: 1.8;\"\u003e\n    \u003cli\u003eRope format delivers ORC + collagen + silver to wound base in tunneling wounds — not just the surface\u003c\/li\u003e\n    \u003cli\u003eORC inactivates MMPs at depth — removes biochemical barrier to healing at the wound base\u003c\/li\u003e\n    \u003cli\u003eCollagen scaffolding supports granulation tissue from the deepest point of the wound outward\u003c\/li\u003e\n    \u003cli\u003eSilver-ORC provides antibacterial barrier across the full packed length of the tract\u003c\/li\u003e\n    \u003cli\u003eTransforms into biodegradable gel — fills tunnel geometry, no dead space between rope and wound wall\u003c\/li\u003e\n    \u003cli\u003eNo removal required — gel absorbed progressively into wound tissue between changes\u003c\/li\u003e\n    \u003cli\u003ePart of the Promogran Matrix Family — same 3.4x wound closure meta-analysis evidence base\u003c\/li\u003e\n    \u003cli\u003eSupports biofilm management — ORC + silver combination addresses both the biochemical and microbial barriers in chronic tunneling wounds\u003c\/li\u003e\n    \u003cli\u003eChange frequency adapted to wound condition — daily for heavy exudate or infection, up to 72 hours for moderate wounds\u003c\/li\u003e\n  \u003c\/ul\u003e\n\n  \u003chr\u003e\n\n  \u003ch2 style=\"background-color: #f5f5f5; padding: 10px; border-left: 4px solid #cc0000;\"\u003ePromogran Prisma Rope vs. Flat Matrix — Choosing the Right Format\u003c\/h2\u003e\n\n  \u003ctable style=\"width: 100%; border-collapse: collapse; margin-bottom: 20px;\"\u003e\n    \u003ctr style=\"background-color: #cc0000; color: #fff;\"\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left; width: 50%;\"\u003eChoose Prisma Rope (MA057) When:\u003c\/th\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eChoose Prisma Flat Matrix (MA028\/MA019) When:\u003c\/th\u003e\n    \u003c\/tr\u003e\n    \u003ctr style=\"background-color: #f9f9f9;\"\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eWound has a tunneling tract or sinus that a flat pad cannot reach\u003c\/td\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eWound surface is accessible and a flat pad achieves full wound bed contact\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eWound has significant depth or undermining requiring packing\u003c\/td\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eWound is shallow enough for full flat coverage\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr style=\"background-color: #f9f9f9;\"\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eStage 3–4 pressure injury with depth needing base-to-surface healing support\u003c\/td\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eStage 1–2 pressure injury or surface wound\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eDiabetic foot ulcer or venous ulcer with tunneling or undercut margins\u003c\/td\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eStandard flat ulcer without depth or tracking\u003c\/td\u003e\n    \u003c\/tr\u003e\n  \u003c\/table\u003e\n\n  \u003chr\u003e\n\n  \u003ch2 style=\"background-color: #f5f5f5; padding: 10px; border-left: 4px solid #cc0000;\"\u003eHow to Apply — Step by Step\u003c\/h2\u003e\n  \u003ctable style=\"width: 100%; border-collapse: collapse; margin-bottom: 20px;\"\u003e\n    \u003ctr style=\"background-color: #cc0000; color: #fff;\"\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left; width: 10%;\"\u003eStep\u003c\/th\u003e\n      \u003cth style=\"padding: 8px; border: 1px solid #ddd; text-align: left;\"\u003eAction\u003c\/th\u003e\n    \u003c\/tr\u003e\n    \u003ctr style=\"background-color: #f9f9f9;\"\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003e\u003cstrong\u003e1\u003c\/strong\u003e\u003c\/td\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003ePrepare wound per standard protocol — irrigate the tract with saline, debride accessible necrotic tissue\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003e\u003cstrong\u003e2\u003c\/strong\u003e\u003c\/td\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eCut the rope to the length of the wound tract if needed — do not overpack\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr style=\"background-color: #f9f9f9;\"\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003e\u003cstrong\u003e3\u003c\/strong\u003e\u003c\/td\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eIf wound is dry — moisten the rope with sterile saline before packing to initiate gel formation\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003e\u003cstrong\u003e4\u003c\/strong\u003e\u003c\/td\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eLoosely pack the rope into the wound tract — do not pack tightly, the gel needs room to expand and conform\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr style=\"background-color: #f9f9f9;\"\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003e\u003cstrong\u003e5\u003c\/strong\u003e\u003c\/td\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eEnsure a small tail of rope remains accessible at the wound opening — aids identification at next change\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003e\u003cstrong\u003e6\u003c\/strong\u003e\u003c\/td\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eCover with a semi-occlusive or non-occlusive secondary dressing — secure with non-irritating tape\u003c\/td\u003e\n    \u003c\/tr\u003e\n    \u003ctr style=\"background-color: #f9f9f9;\"\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003e\u003cstrong\u003e7\u003c\/strong\u003e\u003c\/td\u003e\n      \u003ctd style=\"padding: 8px; border: 1px solid #ddd;\"\u003eAt dressing change — residual gel in the wound does not need to be removed, apply fresh rope as directed\u003c\/td\u003e\n    \u003c\/tr\u003e\n  \u003c\/table\u003e\n\n  \u003chr\u003e\n\n  \u003ch2 style=\"background-color: #f5f5f5; padding: 10px; border-left: 4px solid #cc0000;\"\u003eWhy Buy From Medical Department Store?\u003c\/h2\u003e\n  \u003cul style=\"font-size: 15px; line-height: 1.8;\"\u003e\n    \u003cli\u003e30+ years serving home medical, wound care, and clinical supply customers\u003c\/li\u003e\n    \u003cli\u003e110% Low Price Guarantee — we beat any competitor's price\u003c\/li\u003e\n    \u003cli\u003eMedical supply specialists on the phone — not a call center\u003c\/li\u003e\n    \u003cli\u003eShips to all 50 states — 5 Southwest Florida locations for local pickup\u003c\/li\u003e\n    \u003cli\u003eFull-service medical supply store — Home Medical Equipment, Mobility, Respiratory \u0026amp; Beds\u003c\/li\u003e\n  \u003c\/ul\u003e\n  \u003cp style=\"font-size: 15px; line-height: 1.6;\"\u003eQuestions about Promogran Prisma Rope or any of our deep wound care products? \u003cstrong\u003e\u003ca href=\"tel:18662180902\"\u003eCall 1-866-218-0902\u003c\/a\u003e\u003c\/strong\u003e — our team is ready to help.\u003c\/p\u003e\n\n\u003c\/div\u003e\n","brand":"Solventum (Formerly 3M)","offers":[{"title":"Default Title","offer_id":63570447499633,"sku":"MA032","price":45.97,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0919\/6122\/9681\/files\/PROMOGRANPRISMARopeDressing.avif?v=1778167533","url":"https:\/\/www.medicaldepartmentstore.com\/products\/promogran-prisma-rope-dressing","provider":"Medical Department Store","version":"1.0","type":"link"}