» Human Fibroblast-Derived Temporary Skin Substitute is a nonliving monolayer skin substitute derived from neonatal foreskins. It is composed of fibroblasts, an extracellular matrix, and a nylon mesh bonded to a transparent, semi-permeable silicone membrane. Human fibroblasts are seeded onto the nylon mesh. The fibroblasts proliferate within the nylon mesh and secrete human dermal collagen, matrix proteins, growth factors, and cytokines. Following freezing, no cellular metabolic activity remains; however, the tissue matrix and bound growth factors remain. Human Fibroblast-Derived Temporary Skin Substitute does not contain macrophages, lymphocytes, blood vessels, hair follicles, muscle fibers, or keratin. The fibroblast-cell banks, from which Human Fibroblast-Derived Temporary Skin Substitute is derived, test negative for human and animal viruses and retroviruses and are also tested for normal cell morphology, human karyology, and isoenzymes. Maternal blood sera are tested for evidence of infection with human immunodeficiency virus types 1 and 2, hepatitis B and C viruses, syphilis, and human T-lymphotropic virus type 1 and is found negative for the purpose of donor selection. Reagents used in the manufacture of Human Fibroblast-Derived Temporary Skin Substitute are tested and found free from viruses, retroviruses, endotoxins, and mycoplasma before use. Human Fibroblast-Derived Temporary Skin Substitute is manufactured with sterile components under aseptic conditions within the final package. All materials derived from bovine sources originate from countries free of bovine spongiform encephalopathy. During subsequent screening of the fibroblast cell strain at various stages in the manufacturing process, testing for these same viruses, as well as Epstein-Barr virus and human T-lymphotropic virus type 2, is carried out and found to be negative. The final product tests negative for the presence of mycoplasma.