Wound

MariGen®

Fish skin application used to support tissue regeneration and healing chronic wounds.

Kerecis MariGen is intact fish-skin for the management of chronic wounds such as diabetic wounds, pressure ulcers, vascular ulcers, and draining wounds commonly treated in hospital-based outpatient departments.

MariGen is intact fish skin which is used to support tissue regeneration in surgical, traumatic, and chronic wounds.3 Because there is no known risk of viral or prion disease transfer from North Atlantic cod to humans, the fish skin only needs mild processing with our proprietary method.2 This process preserves the skin’s natural qualities2, including: its three-dimensional structure, mechanical properties, molecular organization, and composition.1-4 MariGen promotes healing with minimal impairment of functionality and positive cosmetic outcomes.4 The product is homologous to human skin1 and when applied to damaged tissue, such as a chronic wounds, provides the perfect environment to support the body’s own cells to regenerate tissue.5-12

MariGen Benefits

Provides a natural microbial barrier⁽¹⁾, protecting against environmental insults
Preserves the structure and porosity of the fish skin graft⁽¹⁾, ideal for cellular ingrowth1,10
Adheres to wounds in a variety of shapes and sizes, including mobile joints
Resists shearing forces, allowing early physiotherapy⁽¹⁰⁾
Supports the restoration of the skin’s pigmentation, while minimizes scarring⁽⁴⁾⁽⁶⁾⁽¹⁰⁻¹²⁾⁽¹⁾

MariGen Product Variations

MariGen

Standard

Intact fish skin which is used to support tissue regeneration in surgical, traumatic, and chronic wounds.3

Description & Sizing
SKU
Total Units
16 mm, diameter circular
50200S16B0D
2
1.75 x 1.75 cm
50200S00B0D
4
3 x 3.5 cm
50200S01B0D
11
3 x 7 cm
50200S02B0D
21
5 x 7 cm
50200S05B0D
35
7 x 7 cm
50200S04B0D
49
7 x 10 cm
50200S03B0D
70
MariGen

Micro

Intact fish skin that has been fragmented. It offers more surface area than the non-fragmented version, and is designed to adhere to, and fill, deep wound spaces and irregular geometries.

Description & Sizing
SKU
Total Units
4 cm²
50200P00B0D
4
8 cm²
50200P01B0D
8
19 cm²
50200P02D0D
19
38 cm²
50200P04D0D
38
MariGen

Fenestrated

The pre-fenestrated version of MariGen facilitates easy and effective drainage of excess exudate, while still allowing the fish skin to maintain total contact with the wound bed.

Description & Sizing
SKU
Total Units
3 x 3.5 cm, fenestrated
50200F01B0D
11
3 x 7 cm, fenestrated
50200F02B0D
21
7 x 10 cm, fenestrated
50200F03B0D
70
MariGen

Expanse

2:1 pre-meshed intact fish skin graft for supporting healing and tissue regeneration of chronic wounds. MariGen Expanse is specially designed to expand to cover wounds of 100 cm2 and larger that are treated in an out-patient care setting.

Description & Sizing
SKU
Total Units
2 x 2 cm
50200N42B0D
4
3 x 3 cm
50200N43B0D
9
4 x 4 cm
50200N44B0D
16
7 x 8 cm
50200N11B0D
56
8 x 10 cm
50200N13B0D
80

Indications

  • Partial and full thickness wounds
  • Pressure ulcers
  • Chronic vascular ulcers
  • Diabetic ulcers
  • Trauma wounds, including abrasions, lacerations and skin tears
  • Surgical wounds, including donor site/grafts, post-Mohs surgery, post-laser surgery, podiatric, wound dehiscence
  • Draining wounds

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From the town of Isafjordur in northwest Iceland, Kerecis develops, manufactures, and sells patented fish skin soft tissue regeneration products that have regulatory approval in the United States, Europe and several other jurisdictions.

Important Information

This website and its content is not intended to provide diagnosis, treatment, or medical advice. Products, services, information, and other content provided on this website, including information provided directly or through links to third-party websites, are for informational purposes only. Information on this website should not be considered a substitute for professional advice from a healthcare provider. Always consult with a physician or other healthcare professional regarding any medical or health-related diagnosis or treatment options.

Products and their variations may not be available in all countries and could be known under different trade names. Products, product names, indications, and claims vary by jurisdiction. Always verify with your local healthcare professional and consult the printed package information before use. Information on this website may not be current and might not reflect the latest product labeling - please refer to latest IFU's on the website. For questions about product availability, please contact your Kerecis representative or use the contact form on our website.

Products are derived from fish sources and should not be used in patients with a known allergy to fish or sensitivity to fish products. Note that fish allergy is distinct from shellfish allergy. SurgiClose Silicone and Shield products contain silicone and are not suitable for patients with silicone sensitivity. SurgiBind is not indicated for procedures requiring load-bearing support, such as hernia repair, for intraperitoneal organ contact, or where a bridging effect is needed. SurgiBind Tendon Protect is not indicated to replace or repair the damaged tendon or to reinforce the strength of any tendon repair. Always follow the product’s labeling for indications and contraindications.

A surgeon must always rely on their professional clinical judgment when deciding whether to use a specific product for a patient. Kerecis does not dispense medical advice and strongly recommends that surgeons be adequately trained in the use of its products before employing them in surgical procedures. The information provided on this website is intended to demonstrate the product offerings and should not replace the package insert, product label, or instructions for use. For regulatory and medical practice reasons, product availability may vary by market. Contact your Kerecis representative for further clarification.

1

Magnusson, S. et al. Regenerative and Antibacterial Properties of Acellular Fish Skin Grafts and Human Amnion/Chorion Membrane: Implications for Tissue Preservation in Combat Casualty Care. Mil. Med. 182, 383–388 (2017).

2

Baldursson, B. T. et al. Healing rate and autoimmune safety of full-thickness wounds treated with fish skin acellular dermal matrix versus porcine small-intestine submucosa: a non-inferiority study. Int. J. Low. Extrem. Wounds 14, (2015).

3

Magnusson, S. et al. Decellularized fish skin: characteristics that support tissue repair. Laeknabladid 101, 567–573 (2015).

4

Alam, K. & Jeffery, S. L. A. Acellular Fish Skin Grafts for Management of Split Thickness Donor Sites and Partial Thickness Burns: A Case Series. Mil Med. 184(Suppl 1):16-20 (2019).

5

Pujji, O. & Jeffery, S. L. A. Safe burn excision prior to military repatriation: an achievable goal? BMJ Military Health.164: 358-359 (2018).

6

Shupp, J. W. et al. Fish Skin Compared to Cadaver Skin as a Temporary Covering for Full Thickness Burns: An Early Feasibility Trial. Poster presented at: AMUS 2020 Annual Meeting (2020).

7

Badois, N. et al., Acellular fish skin matrix on thin-skin graft donor sites: a preliminary study. J Wound Care 28. 624–628 (2019).

8

Kirsner, R. S. et al. Fish skin grafts compared to human amnion/ chorion membrane allografts: A double-blind, prospective, randomized clinical trial of acute wound healing. Wound Repair Regen. 28, 75–80 (2020).

9

Lantis, J.C, 2nd, et al. Final efficacy and cost analysis of a fish skin graft vs standard of care in the management of chronic diabetic foot ulcers: a prospective, multicenter, randomized controlled clinical trial. Wounds. 35(4): 71-79 (2023).

10

Wallner, C. et al. A Comparison of Intact Piscine Skin, Split-thickness Skin Graft, and Lactic Acid Membrane in Treating Superficial and Deep Burn Wounds Following Enzymatic Debridement, J Burn Care Res. 42 (Suppl 1): 125-126 (2021).

11

Stone, R. 2nd, et al. Omega-3 Rich Fish Skin Grafts Reduce Donor Skin Requirements for Full Thickness Burns. J. Burn Care Res. 39, S234–S235 (2018).

12

Stone, R. 2nd, et al. Accelerated Wound Closure of Deep Partial Thickness Burns with Acellular Fish Skin Graft. Int J Mol Sci. 2021;22(4):1590 (2021).

13

Evangelatov, A., & Pankov, R. The evolution of three-dimensional cell cultures towards unimpeded regenerative medicine and tissue engineering. In Andrades, J. A. [Ed.] Regenerative medicine and tissue engineering. IntechOpen (2013).

14

Wang, Y. et al. Burn injury: challenges and advances in burn wound healing, infection, pain and scarring. Advanced drug delivery reviews, 123, 3-17 (2018).

Kerecis is pioneering the use of fish skin and fatty acids in the globally expanding field of cellular therapy.
Kerecis is part of Coloplast, the leading global supplier of intimate healthcare products.
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