Intact Fish Skin for Wound Healing

Managing challenging chronic and acute wounds
Our intact fish skin grafts for hospital outpatient departments, wound clinics, and physician offices have helped thousands of healthcare providers with some of their most challenging cases. Now covered for nearly 200 million Americans, Kerecis fish-skin grafts offer unmatched evidence, clinical outcomes, and reimbursement confidence.

The Only Intact Fish Skin Graft: Managing Challenging Chronic and Acute Wounds

Kerecis is the market leader in fish-skin based wound care, offering a natural, effective, and now widely reimbursed solution for chronic wounds.
Backed by robust clinical data including the landmark Odinn Study
Included in CMS LCDs for skin substitutes in the treatment of diabetic foot ulcers (DFUs)
Supported by a validated IFU allowing use over bone and tendon
FDA-cleared and available through both Medicare and commercial insurers like Cigna, Anthem, BCBS

Kerecis Shield® Products

Shield® is intact fish skin indicated for the management of chronic and acute wounds such as diabetic foot ulcer wounds, pressure ulcers, vascular ulcers, post-Moh’s surgical wounds, and draining wounds commonly treated in physician’s private offices.

The grafts contain fat, protein, elastin, glycans and other natural skin elements, and are fenestrated to allow adequate wound drainage for appropriate wound moisture at the wound bed. Shield products are integrated with a silicone contact layer to protect the wound and for added workflow efficiency.

Shield products are classified as medical devices, and consist of intact fish skin that has been processed using Kerecis’ proprietary EnviroIntact™ method. The products are not subject to the May 31, 2021, FDA 351 regulation.

Shield® Spiral

Shield Spiral features perforated fenestration marks cut in a spiral pattern specially designed for easy & flexible graft tailoring to accommodate a range of wound sizes and shapes.

Shield® Adhesive

Shield Adhesive is intact fish skin featuring an integrated silicone contact layer and border. It provides the optimal gentle adhesive while allowing for moisture control and protection of the fish skin graft.

Shield

Shield® Standard

Shield Standard features a borderless silicone contact layer protecting the 50 mm intact fish skin. It allows for cutting the fish skin and protective silicone to easily fit inside the wound edges and prevents the product from tenting over deeper wounds

Shield is super easy to bill using our A code… it’s easy to just stick, bandage, and go! In fact, we can see a couple more patients per day because of the time it saves us!

Natalie
, Physician Assistant in Florida

The Science Behind the Skin

Kerecis grafts have been the subject of 60+ peer-reviewed studies — including multiple randomized controlled trials — showing faster healing rates and superior clinical outcomes for chronic wounds.

Extensive Payer Coverage. Real-Time Eligibility Support.

Kerecis is currently covered by Anthem BCBS, Humana and now Cigna for the treatment of DFUs. With our Kerecis Current™ tool, clinicians can instantly confirm patient eligibility through their EMR systems — no guessing, no delays.

Key Reimbursement Highlights:

  • CMS LCDs remain active through January 2026
  • Kerecis MariGen® and Shield® are FDA-cleared for multiple wound types
  • Eligible for use in Part B and commercial plans nationwide
  • Use is considered reasonable and necessary under most LCDs and clinical documentation standards

Shield helps to protect the wound environment while speeding up the preparation and application process…

Benefits of using Kerecis Shield®

Known Challenges in Wound Care

Optimum application of biologic solutions is dependent on the right environment, including:

Timely Graft Removal. Biologics are highly active in the wound bed, so providers need to prevent the graft from getting stuck in a covering dressing, or being accidentally removed by someone on the care team.

Similarly, providers need to avoid the risk of exudate getting stuck under the graft or dressing: Diabetic Foot Ulcers (DFUs) and other lower extremity wounds may have increased exudate initially when biologic grafts are used, so ensuring the exudate doesn’t get trapped under the graft or dressing is essential for best outcomes.

Time is everything for healthcare providers. Gathering the ideal contact layer or covering dressing is not just time consuming, it can be infeasible in certain situations.

Shield use in Wound Management

The Solution: Shield is specially designed to help address these challenges.

A protective “shield” directly on the fish skin graft helps ensure the fish skin does not get stuck in covering dressings, and allow for optimal drapability so it conforms to the wound. The contact layer on Shield Adhesive helps keep the graft in place for the initial placement, then separate from the graft and allow for removal of the silicone without pulling away the graft.

Exudate management is the cornerstone of all good wound care. A silicone without proper exudate control could trap fluids and risk pooling of exudate, infections or hematomas forming. To help reduce this risk, Shield products have specially-designed fenestration lines in the fish skin graft, and extra large pores in the silicone. This allows for maximum fish skin contact with the wound, and maximum drainage while still providing protective coverage.

All included in a single product, Shield helps to protect the wound environment while speeding up the preparation and application process, helping to ensure patients get the best possible outcome from their fish skin graft application.

Learn about Shield Standard and Shield Adhesive

MariGen Application Guide

Indications Include

  • Diabetic Foot Ulcers (DFUs)
  • Venous Leg Ulcers (VLUs)
  • Pressure Ulcers
  • Surgical Wounds (post-Mohs, graft donor sites)
  • Full- and partial-thickness trauma wounds
  • Wounds with exposed bone and tendo

Leader in Clinical Studies

Final Efficacy and Cost Analysis of a Fish Skin Graft vs Standard of Care in the Management of Chronic Diabetic Foot Ulcers
Cost Effectiveness of Fish Skin Grafts Versus Standard of Care on Wound Healing of Chronic Diabetic Foot Ulcers: A Retrospective Comparative Cohort Study
Regenerative and Antibacterial Properties of Acellular Fish Skin Grafts and Human Amnion/Chorion Membrane: Implications for Tissue Preservation in Combat Casualty Care
Fish skin grafts compared to human amnion/chorion membrane allografts: A double-blind, prospective, randomized clinical trial of acute wound healing
Intact Fish Skin Graft to Treat Deep Diabetic Foot Ulcers: The Odinn Trial: Largest RCT ever done on DFUs with Exposed Bone or Tendon. Involved 255 patients at 15 care centers across four countries.

Heal Smarter. Choose Kerecis.

With unmatched clinical rigor, broad coverage, and fast access tools, Kerecis is the smarter choice for treating chronic wounds — today and tomorrow.

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. Some products also contain silicone and are not suitable for patients with silicone sensitivity. Certain products are not indicated for specific use cases, such as load-bearing repairs or intraperitoneal organ contact. 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.

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.
KM-23-0275.2