Guided Debridement with the MolecuLight i:X™

Clinical Synopsis: Patient treated their diabetic foot ulcer with an over-the-counter antibiotic ointment for two months prior to seeking treatment from a wound care practitioner. Patient understanding of bacteria, infections, and the pathway to amputation was lacking. The patient was shown images of their wound throughout the MolecuLight i:X guided debridement process. The simple image colour scheme (green = tissue, red = bacteria) facilitated patient education and emphasized the importance of regular debridement in a clinic setting.

Standard Imaging ModeTM Case-Study-0045-Standard-Imaging-Mode---Heavy-callus-pre-debridement Case-Study-0045-Standard-Imaging-Mode-Initial-debridement Case-Study-0045-Standard-Imaging-Mode-Wound-debrided-under-MolecuLight-iX
Fluorescence Imaging ModeTM

Heavy callus pre-debridement, no red (bacterial) fluorescence observed
Heavy callus pre-debridement, no red (bacterial) fluorescence observed

Initial debridement revealed red (bacterial) fluorescence
Initial debridement revealed red (bacterial) fluorescence

Wound debrided under MolecuLight i:X guidance until red (bacterial) fluorescence signal no longer detected
Wound debrided under MolecuLight i:X guidance until red (bacterial) fluorescence signal no longer detected

Wound Etiology
  • Diabetic foot ulcer, >2 months without treatment
Anatomical Location
  • Toe on left foot
Patient Demographics
  • Male, 57 years old
Patient-Related Challenges
  • Lack of patient awareness, delay of treatment
  • Improper footwear, lack of offloading
  • Rapid callus build-up requires frequent debridement
Patient’s General Care Paradigm
  • Weekly debridement
  • Antimicrobial foam
  • Offloading
  • Local wound care
Clinician Stated Utility of the MolecuLight i:X
  • Increase patient awareness of their condition
  • Guided debridement
Images provided by Rose Raizman, RN-EC, MSc, Scarborough & Rouge Hospital, ON, Canada
MolecuLight Clinical Case 0045.