AQUACEL® Ag Ribbon Dressing with Strengthening Fibers and Ionic Silver
AQUACEL® Ag Ribbon Dressing with Strengthening Fibers and Ionic Silver features Hydrofiber® technology - a unique gelling technology exclusive to ConvaTec. Soft, non-woven ribbon dressing can be used on acute and chronic wounds.
• Supports wound healing by providing a moist wound environment
• Protects periwound skin
• Helps reduce pain in situ and on dressing removal
• Provides rapid and sustained antimicrobial activity against MRSA and VRE, in vitro
• Aids in removing necrotic material from the wound without damaging newly formed tissue
Under the supervision of a health care professional, AQUACEL® Ag Ribbon Dressing with Strengthening Fibers and Ionic Silver may be used for the management of: wounds as an effective barrier to bacterial penetration to help reduce infection; partial-thickness (second-degree) burns; diabetic foot ulcers, leg ulcers, (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology) and pressure ulcers/sores (partial- and full-thickness); surgical wounds left to heal by secondary intention such as dehisced surgical incisions and donor sites; surgical wounds that heal by primary intent such as dermatological and surgical incisions (e.g., orthopedic and vascular); traumatic wounds; wounds that are prone to bleeding, such as wounds that have been mechanically or surgically debrided; oncology wounds with exudate, such as fungoides-cutaneous tumors, fungating carcinoma, cutaneous metastasis, Kaposi's sarcoma, and angiosarcoma; management of painful wounds; management of infected wounds.
AQUACEL® Ag Ribbon Dressing with Strengthening Fibers and Ionic Silver should not be used on individuals who are sensitive to or who have had an allergic reaction to the dressing or its components.
Caution: Sterility is guaranteed unless pouch is damaged or opened prior to use. Single use only.
During the body's normal healing process, non-viable tissue is removed from the wound (autolytic debridement), which could initially make the wound appear larger. If the wound continues to grow larger after the first few dressing changes, consult a healthcare professional. The wound should be inspected during dressing changes. Consult a health care professional if you see a) signs of infection (increased pain, increased redness, wound drainage), b) bleeding, c) a change in wound color and/or odor, d) irritation (increased redness and/or inflammation), e) maceration (skin whitening), f ) hypergranulation (excessive tissue formation), g) sensitivity (allergic reaction), h) no signs of healing.
If you have difficulty removing the dressing, it should be soaked with water or sterile saline until it removes easily. (For partial-thickness burns, please refer to the Partial Thickness Burns section of this package insert).
AQUACEL® Ag Ribbon Dressing with Strengthening Fibers and Ionic Silver is not compatible with oil-based products, such as petrolatum.
Secondary dressings should be used as stated in the DIRECTIONS FOR USE Section.
Because AQUACEL® Ag Ribbon Dressing with Strengthening Fibers and Ionic Silver provides a moist environment that supports the growth of new blood vessels, occasionally the delicate newly formed blood vessels may produce a blood stained wound fluid.
When used in second degree burns, adherence of the dressing over joints could interfere with movement. In AQUACEL® Ag Ribbon Dressing with Strengthening Fibers and Ionic Silver clinical trials in second degree burns, this was, however, not shown to have any effect on the range of motion after healing was complete.
The ribbon dressing can be cut, if required prior to use, across the narrower dimension of the ribbon. Cutting along the longer dimension of the ribbon should not be performed.
This wound dressing should not be used with other wound care products, other than those listed in DIRECTIONS FOR USE Section without first consulting a health care professional.
In addition, for leg ulcers, (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology), diabetic ulcers, pressure ulcers/sores, partial-thickness (second-degree burns), donor sites and surgical, oncology or traumatic wounds left to heal by primary or secondary intention:
- Treatment of wounds listed above should be under the supervision of a healthcare professional.
- Appropriate supportive measures should be taken where indicated (e.g. use of graduated compression bandaging in the management of venous leg ulcers or pressure relief measures in the management of pressure ulcers, systemic antibiotics and frequent monitoring in the treatment of wound infection, control of blood glucose for diabetic ulcers, etc.).
- For oncology wounds, a secondary dressing of high absorbency may be required.
- In cavity wounds, the ribbon dressing may be used to pack the wound. For wounds such as fistulae and sinus tracts, employ appropriate techniques during the insertion and removal of the dressing.
- In partial thickness (second degree) burns, consider alternate (surgical) procedures if the wound has not reepithelialized after 14 days.
- AQUACEL® Ag Ribbon Dressing with Strengthening Fibers and Ionic Silver is not intended for use as a surgical sponge.
- The use of AQUACEL® Ag Ribbon Dressing with Strengthening Fibers and Ionic Silver has not been studied in wounds due to herpes simplex or impetigo.
Store at room temperature (10°C-25°C, 50°F-77°F). Keep dry.
|Absorptive dressing format||●|
|Alginate dressing format|
|Antimicrobial effects up to 3 days|
|Antimicrobial effects up to 48 hours|
|Antimicrobial effects up to 7 days||●|
|Collagen dressing format|
|Composite dressing format|
|Contact layer dressing format|
|Foam dressing format|
|Gauze or non-woven dressing format|
|Hydrogel (amorphous) dressing format|
|Hydrogel (impregnated) dressing format|
|Hydrogel (sheet) dressing format|
|Impregnated dressing format|
|Moisture vapor permeable|
|Secondary dressing required||●|
|Sustained release formula|
|Wound filler dressing format|
|Educational Material Available||●|
|Free Samples/Trials Available||●|
|Published Clinical Article Available||●|
Moderate/Highly Exudating Wounds
Before applying the dressing, cleanse the wound area with an appropriate wound cleanser.
AQUACEL™ Ag Hydrofiber™ Dressing should overlap 1cm (1/2 inch) onto the skin surrounding the wound.
When using AQUACEL™ Ag Hydrofiber™ ribbon in cavity wounds, leave at least 2.5cm (1 inch) outside the wound for easy retrieval. Only pack deep wounds to 80%, as AQUACEL™ Ag Hydrofiber™ ribbon will expand to fill the wound space on contact with wound fluid.
In donor sites, AQUACEL™ Ag Hydrofiber™ Wound Dressing may be left in place for up to 14 days.
This primary dressing should be used with a secondary cover dressing. Apply the dressing to the wound and cover with a moisture retentive dressing (e.g. DuoDERM™, CarboFlex™, CombiDERM™), foam dressing, gauze, or other appropriate dressing. See individual cover dressing package inserts for complete instructions for use.
All wounds should be inspected frequently. Remove the AQUACEL™ Ag Hydrofiber™ Dressing when clinically indicated (i.e., leakage, excessive bleeding, increased pain) or after a maximum of seven days.
For partial-thickness burns (second-degree burns):
Before applying the dressing, cleanse the wound area with an appropriate wound cleanser.
The AQUACEL™ Ag Hydrofiber™ Dressing should overlap 5 cm (2 inches) onto the skin surrounding the burn or other adjacent AQUACEL™ Ag Hydrofiber™ Dressing.
The AQUACEL™ Ag Hydrofiber™ Dressing should be covered with sterile gauze and secured with medical tape or a retention bandage.
Remove the gauze cover dressing periodically and inspect the AQUACEL™ Ag Hydrofiber™ Dressing while it remains in place on the burn.
In this indication adherence to the wound bed of the AQUACEL™ Ag Hydrofiber™ Dressing is a desired characteristic.
Adherence of the dressing over joints could interfere with movement. In AQUACEL™ Hydrofiber™ Wound Dressing clinical trials in second degree burns this was not shown to have any effect on the range of motion after healing was complete.
Remove the AQUACEL™ Ag Hydrofiber™ Dressing when clinically indicated (e.g, excessive bleeding, clinical signs of infection).
For partial-thickness burns (second-degree burns), AQUACEL™ Ag Hydrofiber™ Dressing may be left in place for up to 14 days or until clinically indicated. If the burn is infected, frequent inspection of the wound may be necessary.
As the burn wound reepithelializes, the AQUACEL™ Ag Hydrofiber™ Dressing will detach or be easily removed.
For dry and minimally exuding wounds:
In addition to the directions above, place the AQUACEL™ Ag Hydrofiber™ Dressing in the wound and then wet with sterile saline over the wound area only. The vertical absorption properties of AQUACEL™ Ag Hydrofiber™ Dressing will help to maintain the moist area over the wound only and reduce the risk of maceration. Cover the dressing with a moisture retentive dressing such as DuoDERM™ Extra Thin to avoid drying out of the dressing and subsequent dressing adherence to the wound.