DIRECTIONS FOR USE
Sterile technique should always be used to remove Sterile Compressed
Sponge from its packaging. Cut to the desired size, a piece of , either dry
or saturated with sterile, isotonic sodium chloride solution (sterile saline), can be applied
with pressure directly to the bleeding site.
When applied dry, a single piece should be manually applied to the
bleeding site, and held in place with moderate pressure until hemostasis results.
When used with sterile saline,should be first immersed in the solution and
then withdrawn, squeezed between gloved fingers to expel air bubbles, and then replaced
in saline until needed. The sponge should promptly return to its original size,
with slight expansion in thickness and shape in the solution. If it does not, it should be
removed again and kneaded vigorously until all air is expelled and it does expand to its
original size, with slight increases in thickness and shape when returned to the sterile
if used wet it may be blotted to dampness on gauze before application to the
bleeding site. It should be held in place with moderate pressure, using a pledget of cotton
or small gauze sponge until hemostasis results. Removal of the pledget or gauze is made
easier by wetting it with a few drops of sterile saline, to prevent pulling up the
which by then should enclose a firm clot.
Use of suction applied over the pledget of cotton or gauze to draw blood into the
is unnecessary, as will draw up sufficient blood by capillary
action. The first application of will usually control bleeding, but if not,
additional applications may be made. For additional applications, fresh pieces should
be used and prepared as previously described.
Use only the minimum amount of cut to appropriate size, necessary to
produce hemostasis. The sponge may be left in place at the bleeding site, when
necessary. Since sponge causes little more cellular reaction than does the blood clot,
the wound may be closed over it. Sponge may be left in place when applied to
mucosal surfaces until it liquefies.
For use with thrombin, consult the thrombin insert for complete prescribing
information and proper sample preparation.