Cellulose (Oxidized Regenerated)U.S. Brand Names: Surgicel�(r); Surgicel�(r) Fibrillar; Surgicel�(r) NuKnit
Synonyms: Absorbable Cotton; Oxidized Regenerated Cellulose
Generic Available: No
Use: Hemostatic; temporary packing for the control of capillary, venous, or small arterial hemorrhage
Use - Dental: To control bleeding created during a dental procedure
Pregnancy Risk Factor: No data reported
Contraindications: Hypersensitivity to any component of the formulation; implantation into bone defects; hemorrhage from large arteries; nonhemorrhagic oozing; use as an adhesion product
Warnings/Precautions: Pain, numbness, or paralysis have been reported if used near a bony or neural space and left inside patient; use minimum amount necessary to achieve hemostasis. Remove as much of agent as possible after hemostasis is achieved. Do not leave in a contaminated or infected space. Always remove completely following hemostasis if applied in proximity to foramina in bone, areas of bony confine, the spinal cord or optic nerve and chasm; product may swell and exert unwanted pressure. The material should not be moistened before insertion since the hemostatic effect is greater when applied dry. The material should not be impregnated with anti-infective agents. Its hemostatic effect is not enhanced by the addition of thrombin.
Adverse Reactions: Frequency not defined. Central nervous system: Headache Respiratory: Nasal burning or stinging, sneezing (rhinological procedures) Miscellaneous: Encapsulation of fluid, foreign body reactions (with or without) infection Postmarketing and/or case reports: Numbness, pain, paralysis
Drug Interactions: No data reported
Stability: Store at controlled room temperature. Inactivated by autoclaving; do not resterilize. Do not use if package is damaged. Do not reuse after opening.
Mechanism of Action: Cellulose, oxidized regenerated is saturated with blood at the bleeding site and swells into a brownish or black gelatinous mass which aids in the formation of a clot. When used in small amounts, it is absorbed from the sites of implantation with little or no tissue reaction. In addition to providing hemostasis, oxidized regenerated cellulose also has been shown in vitro to have bactericidal properties.
Pharmacodynamics/Kinetics: Absorption: 7-14 days
Dosage: Minimal amounts of the fabric strip are laid on the bleeding site or held firmly against the tissues until hemostasis occurs; remove excess material
Dental Health: Effects on Dental Treatment: No significant effects or complications reported
Dental Health: Vasoconstrictor/Local Anesthetic Precautions: No information available to require special precautions
Dosage Forms: Fabric, fibrous: Surgicel�(r) Fibrillar: 1" x 2" (10s) 2" x 4" (10s) 4" x 4" (10s) Fabric, knitted: Surgicel�(r) NU-KNIT: 1" x 1" (24s) 1" x 31/2" (10s) 3" x 4" (24s) 6" x 9" (10s) Fabric, sheer weave: Surgicel�(r): 1/2" x 2" (24s) 2" x 3" (24s) 2" x 14" (24s) 4" x 8" (24s)
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