Equicel

Equicel® is prepared by oxidising a suitable form of cellulose, natural cotton. This is followed by additional processes in order to obtain a pure and high-quality form of oxidised and regenerated cellulose. It is strong and although a slight discoloration may occur with age, this does not affect performance. Equicel is immediately available for use in the operating theatre and does not require any sterilisation by dry heat or autoclaving. Equicel can be sutured or cut without fraying. The products are double packed, double sterile. Due to its neutral pH, Equicel does not inactivate thrombin.

With Equicel, haemostasis is achieved within a few minutes. Once implanted into tissue, Equicel is fully resorbed, independent of the circumstances. In addition to its local haemostatic properties, Equicel is a proven bactericide in vitro against a wide range of gram positive and gram negative organisms including aerobes and anaerobes.

The main difference between Equitamp and Equicel is that Equitamp is made from viscose (a more velvet structure), whereas Equicel is made from cotton. Besides this, Equicel has a neutral pH, pH = 7.0, whereas Equitamp has an acidic pH value, pH = 5.5. – 6.0. Due to the immediate hemostatic effect of Equicel, Equicel can not be removed once the bleeding has stopped. Equitamp however, can be removed oncebleeding has stopped.

Indication

Equicel is used adjunctively in surgical procedures to assist in the control of capillary, venous, and small arterial haemorrhages when ligation or other conventional methods of control are impractical or ineffective. Equicel can be cut to size for use in endoscopic procedures. Equicel is also indicated for lumbar microdiscectomy. Both types of Equicel micro are suitable for microsurgery.

With Equicel, haemostasis is achieved within a few minutes. Equicel will achieve haemostasis quicker then Equitamp due to the fact that Equicel has a higher density and is thicker. For the same reasons, Equicel Silk will even achieve a quicker haemostasis time then normal Equicel, while Equicel Fibrillar has the quickest haemostasis time.

Equicel can be used in many areas of surgery, e.g. cardiovascular surgery, haemorrhoidectomy, implantation of vascular prostheses, biopsies, lung operations, surgery to the face and jaw, gastric resection, operations to the throat or nose, liver and gall bladder operations, gynaecological operations, thoracic and abdominal sympathectomies, neurosurgery, especially cerebral operations, thyroid operations, skin transplants, treatment of superficial injuries.

Equicel is indicated also for adjunctive use in dental applications to assist in the control of bleeding in exodontias and oral surgery. It may also be used to help achieve haemostasis after single or multiple tooth extractions, alveoloplasty, gingival haemorrhage, impactions, biopsies, and other procedures in the oral cavity.

In addition to its local haemostatic properties, Equicel is a proven bactericide in vitro against a wide range of gram positive and gram negative organisms including aerobes and anaerobes.

Indication Equicel Powder

Equicel sterile powder is indicated in cases where surgeons require a powder haemostatic agent instead of a gauze or sponge. Equicel powder has a strong haemostatic effect and has a high density.  The Equicel powder laparoscopic kit is available for use in laparoscopic procedures.

Haemostatic mechanism: When Equicel comes into contact with blood, it will absorb the blood and gradually swell, eventually dissolving into a gelatinous material. By briefly applying pressure at this point, the material will adhere to the wound, effectively sealing the ends of the venous capillaries and resulting in a mechanical haemostatic effect. The coagulation cascade is activated, transforming soluble fibrinogen into a net of insoluble fibrin which stops the bleeding. When implanted into tissue, Equicel is absorbed within 5 – 8 days. Equicel is completely bio-absorbable.

Mode of application

Equicel may be used in dry form or after immersion in physiological saline. Equicel must be pressed against the haemorrhage site. The gauze may remain in situ (after strict aseptic measures have been taken) and the wound may be closed since the gauze completely decomposes within a one week. Equicel does not provoke any harmful tissue reaction or any reaction of hypersensitivity. Due to its neutral pH, Equicel does not inactivate thrombin.

Mode of application Equicel Powder

Equicel sterile powder should not be saturated with sterile, isotonic sodium chloride solution (sterile saline). Equicel powder should be used dry. Equicel powder can be used straight out of the packaging and sprayed directly on the site where haemostasis is required or used directly in laparoscopic procedures.

Warning

When placed into cavities or closed tissue spaces, minimal preliminary compression is advised and care should be exercised to avoid overpacking (the gauze expands upon absorption of liquid). Equicel  may swell to its original size and absorbed fluids may increase the risk of nerve damage. For this reason, Equicel should not be used in eye surgery. Due to the fact that Equicel may form a nidus for infection, it must not be left in infected areas; it must be removed once bleeding has been controlled.

Keep dry Sterile Use only once Store under 30ºC Do not use when package has been opened or has been damaged.

Types of Equicel Packs