SYLKE® Adhesive Wound Closure

Device Description
Sylke® Adhesive Wound Closure is a single use, sterile, woven silk mesh coated with a long lasting, pressure-sensitive adhesive.

How Supplied
Each sterile wound closure is provided in an individually packaged pouch, with a liner covering the adhesive until the wound closure is ready for use. Each wound closure is provided as a 32 cm by 2.5 cm strip, allowing use on a variety of wound lengths and for any excess to be trimmed away.

Intended Use
Sylke® Adhesive Wound Closure is indicated for use as a topical wound closure device in the treatment and coverage of simple lacerations, cuts, puncture wounds, and post-surgical wounds. Sylke® Adhesive Wound Closure may be used in conjunction with skin sutures to assist in the closure of skin edges. Sylke® Adhesive Wound Closure is designed for wear for two weeks with regular bathing.

Contraindications
Infected Wounds: Sylke® Adhesive Wound Closure is contraindicated for use on infected wounds. Signs of infection may include: pus, pain, warmth, redness, swelling, and/or fever. If any signs of infection are present, seek medical attention.
Dirty Wounds: Sylke® Adhesive Wound Closure is contraindicated for use on dirty wounds. Wounds must be thoroughly cleansed and free of dirt, debris, and any foreign objects prior to application.
High-Tension Wounds: Sylke® Adhesive Wound Closure is contraindicated for use in high-tension wounds without the support of additional skin closure devices i.e. sutures.
Actively Bleeding Wounds: Sylke® Adhesive Wound Closure is contraindicated for use on wounds that are actively bleeding.

Warnings
Areas with Inadequate Adhesion: Do not use Sylke® Adhesive Wound Closure on areas where adhesion cannot be obtained. Potential causes of inadequate adhesion are presence of exudate, skin oils, moisture, or areas containing dense hair such as the scalp.
Mucosal Surfaces: Do not use Sylke® Adhesive Wound Closure on mucosal surfaces including lips or inside the mouth.
Near Eyes: Do not use Sylke® Adhesive Wound Closure near the eye or over eyelids.
Intimate Areas: Do not use Sylke® Adhesive Wound Closure on intimate areas.
Adhesive Removal: Sylke® Adhesive Wound Closure is made with a long-lasting adhesive and is intended to be worn for two weeks with regular bathing. Early removal of Sylke® Adhesive Wound Closure may result in skin stripping, pain, and/or redness to the underlying skin. Sylke® Adhesive Wound Closure may be soaked in warm salt water or dabbed with a rubbing alcohol-soaked cotton ball to soften the adhesive and aid in early removal.
Signs of Infection: If signs of infection are present around the wound covered by Sylke® Adhesive Wound Closure, remove the wound closure and contact a medical professional.
Subsurface Use: Sylke® Adhesive Wound Closure should not be used below the skin surface.
Package Integrity: Do not use Sylke® Adhesive Wound Closure if the sterile package is damaged or compromised.
Immersion in Water: Do not swim or otherwise immerse the wound in water for prolonged periods. Immersing the Sylke Adhesive Wound Closure in water will cause the bandage to lose adhesion.

Application
Sylke® Adhesive Wound Closure should only be used on clean, dry wounds when the skin edges of the wound are closely positioned without effort. Examine environment where Sylke® Adhesive Wound Closure will be handled and applied and ensure the absence of visible dirt or contaminants.
To Apply Sylke® Adhesive Wound Closure:
Prepare the Wound: Thoroughly cleanse and dry wound to prepare skin for proper adhesion of Sylke® Adhesive Wound Closure to the wound edges.
Open Packaging: Open sterile pouch. Remove Sylke®Adhesive Wound Closure strip from pouch.
Expose Adhesive: Grasp strip and remove pre-slit 1” tab to expose adhesive layer.
Position the Strip: Position exposed adhesive portion at least 1 cm over the end of the wound and press gently to ensure full adhesion to skin.
Apply Over Wound: Remove liner while guiding and gently pressing adhesive strip over the length of the wound until at least 1 cm of Sylke® extends over the edge of the wound. If length of the wound exceeds length of Sylke® Adhesive Wound Closure, repeat previous steps with additional devices.
Trim Excess: Trim excess dressing with clean scissors.
Secure: Press gently to secure.
Instructions for Wear
Avoid Water Exposure: Do not swim or fully submerge the wound while wearing Sylke® Adhesive Wound Closure. Doing so will affect adhesion qualities of the Wound Closure.
Maintain Cleanliness: Keep wound clean and free of dirt and debris. Dirt trapped in the Sylke® Adhesive Wound Closure may cause irritation or infection.
Monitor for Issues: Contact a medical professional if signs of infection or irritation are present.
Duration of Use: Remove the Sylke® Adhesive Wound Closure after 14 days.

Removal Instructions
Lift Edge: Gently lift the edge of Sylke® Adhesive Wound Closure at one end of the wound.
Peel Away: Slowly peel Sylke® Adhesive Wound Closure away from skin along the line of the wound. Use other hand to stabilize the wound to decrease tension as the Sylke® Adhesive Wound Closure strip is peeled off.
Soften Adhesive if Needed: If Sylke® Adhesive Wound Closure does not easily remove from skin, dab the strip edges with rubbing alcohol from a cotton ball or alcohol wipe.
Discard: Once fully removed, discard the used wound closure. Do not reuse or resterilize the device.
Clean Residue: Any residual adhesive and/or dried wound exudate can be gently cleaned from the skin with warm soapy water. If residue remains, an alcohol pad may be used to loosen adhesive remnants.

Storage
Recommended storage conditions:
Below 30°C, 86°F
Away from moisture, direct heat, and direct light
Do not use after expiration date.

Sterility
Sylke® Adhesive Wound Closure is sterilized by ethylene oxide gas. Do not resterilize. Do not use if package is opened or damaged. Do not use if Sylke® Adhesive Wound Closure strip is damaged or discolored. Discard any unused material.

Manufacturer Information
Sylke, Inc.
4150 Regents Park Row, Ste 300
La Jolla, CA 92037