- SPL UNCLASSIFIED SECTION
- INTENDED USE OF THE DEVICE
- CONTRAINDICATIONS
- HOW SUPPLIED
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WARNINGS AND PRECAUTIONS
WARNINGS, PRECAUTIONS, ADVERSE REACTIONS:
Possible complications include:
• Superficial maceration of the skin • Skin discoloration
• Sheeting tack and thickness vary • Rash
• Pruritus (itching skin)Rashes may occur on skin under gel sheet due to poor or insufficient
hygiene. Rashes may also result from wrapping gel sheet too tightly
around skin. Should a rash or irritation of skin occur, stop use for a
minimum 12 hours or until irritation subsides. If rash persists, discontinue
use and contact a physician.Discoloration of skin covered by gel sheeting may temporarily occur in
patients with darker complexions.Do not use creams, lotions, sun block, or other silicone products on your
skin when wearing silicone gel sheeting. Only apply gel sheeting to clean,
bare skin.In case of consumption seek professional assistance or contact a
Poison Control Center immediately at 1-800-222-1222. -
INDICATIONS & USAGE
DIRECTIONS FOR USE:
1) Wash your hands and the scar area with soap and water. Dry thoroughly.2) Measure the Visilage Rx Silicone Gel-Pad® to fit the scar area so that the
edges of the gel-pad extend at least 1/4” beyond the scar on all sides. Cut as
needed.3) Gently peel the gel-pad from the mylar release strip (it is normal for small
bits of the gel to remain on the mylar release strip). Do not discard the mylar
release strip.4) Place the sticky side of the gel-pad directly onto the scar. For best results,
wear the pad 8-12 hours per treatment. Wait 8-12 hours without use before
next treatment.5) When not wearing the gel-pad, place the gel-pad (sticky side) back onto
the mylar release strip. Place the gel-pad back into the original pouch for
protection.6) When the sticky side of the gel-pad appears dirty or worn, use your fingers
to gently wash the gel-pad with anti-bacterial soap and water as needed. Rinse
with water and allow to air dry. The stickiness will return once dry. Do not fold
while washing or drying.* Gel-Pad will last eight (8) days with proper use and gentle care.
-
PRECAUTIONS
PRECAUTIONS:
Do not apply to an open wound or second/third degree burns. Never use on a sutured
wound until sutures have been removed. In rare instances, silicone sheets may cause
a rash on the skin. This condition may result from improper cleansing of the scar
area where the silicone pad has been applied. If this product is applied properly and
skin irritation still occurs, discontinue use and consult your physician. Persons with
dermatological disorders should contact their physician prior to using this product. -
Principal Display Panel
VIVERA®
PHARMACEUTICALSVISILAGE RX®
SILICONE GEL-PADBY PRESCRIPTION ONLY
VIVERA®
PHARMACEUTICALSNDC# 72380-101-10
VISILAGE RX®
SILICONE GEL-PADLOT NO.:
EXPIRATION:MEDICAL-GRADE SILICONE GEL MATRIX
US PATENT # 6,572,878
15 DAY SUPPLY - TWO (2) GEL-PADS - 2” x 5.5” (NON-STERILE)6 16728 00067 5
DIRECTIONS FOR USE:
1) Wash your hands and the scar area with soap and water. Dry thoroughly.2) Measure the Visilage Rx Silicone Gel-Pad® to fit the scar area so that the
edges of the gel-pad extend at least 1/4” beyond the scar on all sides. Cut as
needed.3) Gently peel the gel-pad from the mylar release strip (it is normal for small
bits of the gel to remain on the mylar release strip). Do not discard the mylar
release strip.4) Place the sticky side of the gel-pad directly onto the scar. For best results,
wear the pad 8-12 hours per treatment. Wait 8-12 hours without use before
next treatment.5) When not wearing the gel-pad, place the gel-pad (sticky side) back onto
the mylar release strip. Place the gel-pad back into the original pouch for
protection.6) When the sticky side of the gel-pad appears dirty or worn, use your fingers
to gently wash the gel-pad with anti-bacterial soap and water as needed. Rinse
with water and allow to air dry. The stickiness will return once dry. Do not fold
while washing or drying.* Gel-Pad will last eight (8) days with proper use and gentle care.
PRECAUTIONS:
Do not apply to an open wound or third degree burn. Never use on a sutured
wound until sutures have been removed. In rare instances, silicone sheets
may cause a rash on the skin. This condition may result from improper
cleansing of the scar area where the silicone pad has been applied. If this
product is applied properly and skin irritation still occurs, discontinue use and
consult your physician. Persons with dermatological disorders should contact
their physician prior to using this product.KEEP OUT OF THE REACH OF CHILDREN.
FOR EXTERNAL USE ONLY.STORE AT 20°-25°C (68° TO 77°F); KEEP AWAY FROM HEAT AND PROTECT
FROM FREEZING.VIVERA®
PHARMACEUTICALSMANUFACTURED FOR:
VIVERA PHARMACEUTICALS, INC.
4533 MACARTHUR BLVD. #5049
NEWPORT BEACH, CA 92660MADE IN USA
THIS PACKAGE IS MADE FROM
RECYCLABLE MATERIALS.US PATENT # 6,572,878
04000-03-P-BOX
REV20190114↓Pouch Label↓
↓Patient Insert↓
Visilage Rx® Silicone Gel-Pad by Vivera Pharmaceuticals, Inc.
res
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INGREDIENTS AND APPEARANCE
VISILAGE RX SILICONE GEL-PAD
elastomer, silicone, for scar managementProduct Information Product Type MEDICAL DEVICE Item Code (Source) NHRIC:72380-101 Packaging # Item Code Package Description Marketing Start Date Marketing End Date 1 NHRIC:72380-101-10 2 in 1 BOX 1 1 in 1 POUCH; Type 0: Not a Combination Product Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date premarket notification K001608 12/01/2018 Labeler - Vivera Pharmaceuticals, Inc. (081244342) Registrant - Vivera Pharmaceuticals, Inc. (081244342)