国: マルタ
言語: 英語
ソース: Medicines Authority
HUMAN FIBRINOGEN; APROTININ; HUMAN THROMBIN; CALCIUM CHLORIDE DIHYDRATE
Baxter Healthcare Limited
B02BC
HUMAN FIBRINOGEN; APROTININ; HUMAN THROMBIN; CALCIUM CHLORIDE DIHYDRATE
SOLUTION FOR SEALANT
HUMAN FIBRINOGEN 455 mg; APROTININ 1500 KIU/ml; HUMAN THROMBIN 2500 IU; CALCIUM CHLORIDE DIHYDRATE 200 mmol
POM
ANTIHEMORRHAGICS
Authorised
Fibrin Sealant VH S/D 500 IU Frozen AT/H/0317/001/II/044/G 1/29 PACKAGE LEAFLET: INFORMATION FOR THE USER TISSEEL - SOLUTIONS FOR SEALANT Human fibrinogen, human thrombin, synthetic aprotinin, calcium chloride dihydrate READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU START USING THIS MEDICINE BECAUSE IT CONTAINS IMPORTANT INFORMATION FOR YOU. – Keep this leaflet. You may need to read it again. – If you have any further questions, ask your doctor or pharmacist. – If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4. WHAT IS IN THIS LEAFLET 1. What TISSEEL is and what it is used for 2. What you need to know before you use TISSEEL 3. How to use TISSEEL 4. Possible side effects 5. How to store TISSEEL 6. Contents of the pack and other information 1. WHAT TISSEEL IS AND WHAT IT IS USED FOR WHAT TISSEEL IS TISSEEL is a two-component tissue sealant, consisting of two solutions, the sealer protein solution and the thrombin solution. Tisseel contains fibrinogen and thrombin. These are two blood proteins which are important for blood coagulation. When these proteins are mixed during application, they form a clot at the application site. The clot formed by TISSEEL is very similar to the clot formed in normal blood coagulation. It is degraded in the same way as an endogenous (body’s own) clot and does not leave any residue. A synthetic protein (synthetic aprotinin) is added, to extend the life of the clot and to prevent premature degradation. WHAT TISSEEL IS USED FOR TISSEEL is used as a supportive treatment when conventional surgical methods appear to be insufficient: - to improve hemostasis - as tissue glue, to improve wound healing or to seal sutures in vascular surgery and in the gastrointestinal tract. - for tissue gluing, e.g. for attaching skin grafts. TISSEEL is also effective in patients who are treated with the coagulation-inhibiting preparation heparin. Fibrin Sealant VH S/D 500 IU Frozen AT/H/0317/001/II/044/ 完全なドキュメントを読む
SUMMARY OF PRODUCT CHARACTERISTICS 1. NAME OF THE MEDICINAL PRODUCT TISSEEL – Solutions for sealant 2. QUALITATIVE AND QUANTITATIVE COMPOSITION COMPONENT 1: SEALER PROTEIN SOLUTION Human fibrinogen (as clottable protein) 91 mg 1 /ml Aprotinin (synthetic) 3000 KIU 2 /ml Excipient(s) with known effect: Polysorbate 80 0.6 – 1.9 mg/ml COMPONENT 2: THROMBIN SOLUTION Human thrombin 500 IU 3 /ml Calcium chloride dihydrate 40 mol/ml 1, 2 or 5 ml sealer protein solution (with synthetic aprotinin) and 1, 2 or 5 ml thrombin solution (with calcium chloride dihydrate) combine to make 2, 4 or 10 ml ready-to-use fibrin sealant solution. After mixing 1 ml 2 ml 4 ml 10 ml COMPONENT 1: SEALER PROTEIN SOLUTION Human fibrinogen (as clottable protein) Synthetic Aprotinin 45.5 mg 1500 KIU 91mg 3000 KIU 182 mg 6000 KIU 455 mg 15000 KIU COMPONENT 2: THROMBIN SOLUTION Human thrombin Calcium chloride dihydrate 250 IU 20 μmol 500 IU 40 μmol 1000 IU 80 μmol 2500 IU 200 μmol TISSEEL contains Human Factor XIII co-purified with Human Fibrinogen in a range of 0.6 - 5 IU/ml. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Solutions for sealant 1 Contained in a total protein concentration of 96 – 125 mg/ml 2 1 EPU (European Pharmacopoeia Unit) corresponds to 1800 KIU (Kallidinogenase Inactivator Unit) 3 Thrombin activity was determined using the current WHO Standard for thrombin. The frozen solutions are colorless to pale yellow, opalescent; After thawing, they are colorless to pale yellow. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Supportive treatment where standard surgical techniques appear insufficient (see point 5.1) For improvement of hemostasis As a tissue glue to improve wound healing or to support sutures in vascular surgery and in gastrointestinal anastomoses. For tissue sealing, to improve adhesion of the separated tissue (e.g. tissue flaps, grafts, split skin grafts [mesh grafts]). The efficacy in fully heparinized patients has been proven. 4.2 POSOLOGY AND METHOD OF ADMINIS 完全なドキュメントを読む