A Clinical Evaluation of a Honey Impregnated Dressing at Removing Necrotic Tissue From Chronic Wounds

Inclusion Criteria: * Male or female at least 18 years of age * Subject has a qualified chronic foot or ankle wound, sized 1cm2 to 25 cm2 for ≥ 4 weeks in duration * Must have necrotic tissue at least 25% of wound area * The wound type matches one of the indicated wounds listed on the product labeling: * Leg ulcers * Pressure ulcers * Diabetic foot ulcers * First and second degree burns * Surgical wounds * Trauma wounds * Subject has adequate circulation as demonstrated by biphasic or triphasic Doppler waveform, consistent with adequate blood flow, within 3 months prior to study enrollment. If monophasic on exam, the non-invasive tests must display Ankle Brachial Index over 0.8 and no worse than mild disease on segmental pressures. * Subject is likely to be compliant with instructions for case, such as following institutional standard of care directions, offloading, and keeping the wound area protected from environmental contaminants * Type I/II diabetic subjects that meet the following criteria: * Random blood glucose is less than 450 mg/dL within 30 days of the screening visit Exclusion Criteria: * Subject has a known sensitivity or allergy to honey based products, bee venom, or other ingredients in product * The subject is breastfeeding, pregnant, or has intentions of becoming pregnant during the course of their study participation * Wound duration ≥ 52 weeks * The subject has a prognosis that indicated unlikely survival past the study period * The subject is currently receiving dialysis * Gangrene is present in the target wound * Patient's wound is infected * The subject's diagnosis indicates third degree burns * The subject has received any treatment prior to study enrollment that may, in the opinion of an Investigator, affect the outcome of the study * In the opinion of an Investigator, the subject is otherwise not suitable for study participation, such as the subject is likely to be non-compliant with study requirements