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EvolutHA and EvolutHA X: injectable medical devices for clinics

EvolutHA · Caromed Italia · manufactured by Italfarmacia s.r.l., Rome

Injectable medical device · intradermal

EvolutHA and EvolutHA X — only at BC

Two formulations with hyaluronic acid and amino acids for intradermal microinjection. EvolutHA also contains choline, EvolutHA X antioxidants. Here you can see what sets them apart, and what the instructions for use say about how to use them.

EvolutHA (3x5ml) from Caromed Italia – box and three vials
2 formulationsEvolutHA and EvolutHA X
CE 0373CE-marked medical device1,2
3 × 5 mlvials per pack
BC Exclusiveonly available through BC Nordic

What it is

One base, two formulations.

According to the instructions for use, EvolutHA and EvolutHA X are a filling and modelling solution for the dermal matrix: a sterile, pyrogen-free, injectable medical device for intradermal microinjection that is slowly degraded after implantation.1,2 Both are based on hyaluronic acid and amino acids. The difference lies in what they contain in addition.

BothHyaluronic acid

Sodium hyaluronate is the base of both formulations.

BothAmino acids

Glycine, L-serine, L-alanine, L-proline, L-lysine and L-cysteine. EvolutHA X also contains L-leucine and L-valine.

EvolutHACholine

Choline bitartrate is part of the composition.

EvolutHA XAntioxidants

Reduced glutathione and sodium ascorbyl phosphate are part of the composition.

The composition is taken from the manufacturer’s instructions for use.1,2

The range

Two products, one method of use.

Both are supplied as 3 × 5 ml vials, with an implant card and self-adhesive labels for traceability.

Comparison

The differences, side by side.

The table is based on the instructions for use.1,2

EvolutHAEvolutHA X
Based onHyaluronic acid, amino acids and cholineHyaluronic acid, amino acids and antioxidants
CholineYes, choline bitartrateNo
AntioxidantsNoYes, reduced glutathione and sodium ascorbyl phosphate
Amino acidsGlycine, L-serine, L-alanine, L-proline, L-lysine, L-cysteineGlycine, L-serine, L-alanine, L-proline, L-lysine, L-cysteine, L-leucine, L-valine
IndicationPrevention and treatment of skin and epidermal damage such as pigmentation and dehydrationPrevention and treatment of skin damage caused by free radicals, and treatment of skin damage such as pigmentation and dehydration
AdministrationIntradermal microinjection into the superficial layers of the dermisIntradermal microinjection into the superficial layers of the dermis
Dose and intervalMax. 5 ml per treatment session, one session every 30 daysMax. 5 ml per treatment session, one session every 30 days
Supplied as3 × 5 ml vials3 × 5 ml vials
Basic UDI-DI805571533ITF00493805571533ITF0038Z

The full composition, contraindications and side effects are listed in the instructions for use for each product.

How to choose

Choose by indication.

The method of use is the same. The choice of product is the practitioner’s clinical judgement, in line with the instructions for use.1,2

EvolutHA

When the indication is pigmentation and dehydration

The formulation with choline. Indicated for the prevention and treatment of skin and epidermal damage such as pigmentation and dehydration.1

EvolutHA X

When the indication also covers free radicals

The formulation with antioxidants. Indicated for the prevention and treatment of skin damage caused by free radicals, and the treatment of skin damage such as pigmentation and dehydration.2

Use

How the instructions for use describe the treatment.

The steps below are an excerpt. Read the full instructions for use before the first treatment.1,2

1

Before treatment

  • Go through the contraindications with the patient.
  • Disinfect the treatment area thoroughly. The instructions for use for EvolutHA X mention povidone-iodine or a chlorhexidine-based disinfectant.

2

Injection

  • Intradermal microinjection into the superficial layers of the dermis.
  • Max. 5 ml per treatment session.
  • Qualified medical personnel only.

3

After treatment

  • Next treatment no earlier than 30 days later.
  • Use the implant card and the self-adhesive labels in the pack for traceability.

Dose and interval1,2

5 mlmax. per treatment session
30 daysbetween treatments
3 × 5 mlper pack

Before you treat

Contraindications.

Excerpt from the instructions for use.1,2 See the instructions for use for the full list of contraindications, precautions and side effects.

Do not use

  • In blood vessels.
  • At the same time as chemical peels, laser or dermabrasion.
  • In case of infection or inflammation in the treatment area.
  • In pregnant or breastfeeding women or in children.

Remember

  • Only qualified medical personnel may administer the products.
  • Disinfect the treatment area thoroughly before injection.
  • Stay within max. 5 ml per session and one session every 30 days.
  • Read the full instructions for use before the first treatment.

Questions and answers

What clinics ask about EvolutHA.

What is the difference between EvolutHA and EvolutHA X?

Both are based on hyaluronic acid and amino acids. EvolutHA also contains choline. EvolutHA X instead contains the antioxidants reduced glutathione and sodium ascorbyl phosphate, and has a broader indication that also covers skin damage caused by free radicals.

What is the indication?

EvolutHA is indicated for the prevention and treatment of skin and epidermal damage such as pigmentation and dehydration. EvolutHA X is indicated for the prevention and treatment of skin damage caused by free radicals, and for the treatment of skin damage such as pigmentation and dehydration.

How are the products administered?

By intradermal microinjection into the superficial layers of the dermis, after thorough disinfection of the treatment area. The maximum dose is 5 ml per treatment session, with one session every 30 days. Only qualified medical personnel may administer the products.

Can EvolutHA be combined with a chemical peel or laser?

Not at the same time. The instructions for use state that the products must not be used at the same time as chemical peels, laser or dermabrasion.

When must the products not be used?

Among other things, not in blood vessels, in case of infection or inflammation in the treatment area, or in pregnant or breastfeeding women and children. See the instructions for use for the full list.

Are the products CE-marked?

Yes. EvolutHA and EvolutHA X are CE-marked medical devices with notified body 0373. The manufacturer is Italfarmacia s.r.l., Rome, under the Caromed Italia brand.

How is traceability ensured?

Each pack contains an implant card and self-adhesive labels. The summary of safety and clinical performance (SSCP) is available in Eudamed under the product’s Basic UDI-DI.

EvolutHA in your clinic.

Prices and ordering for verified clinics.

Sources
  1. Italfarmacia s.r.l. (Caromed Italia). EVOLUTHA – instructions for use, rev. 00, 02/2024. CE 0373, Basic UDI-DI 805571533ITF00493. Published by the manufacturer.
  2. Italfarmacia s.r.l. (Caromed Italia). EVOLUTHA X – White & Bright Edition – instructions for use, rev. 00, 02/2026. CE 0373, Basic UDI-DI 805571533ITF0038Z. Published by the manufacturer.
EvolutHA and EvolutHA X are CE-marked medical devices. For professional use only.