Equimedical | Equitamp

Equitamp® is prepared by oxidising a suitable form of cellulose, pure viscose. 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.

Equitamp is immediately available for use in the operating theatre and does not require any sterilisation by dry heat or autoclaving. Equitamp can be sutured or cut without fraying. The products are double packed, double sterile.

Although Equitamp has a pH value just below neutral (pH = 7.0), the lower Equitamp pH value of pH = 5.5 – 6.0 has proven not to inactivate thrombin.

With Equitamp, haemostasis is achieved within a few minutes. Once implanted into tissue, Equitamp is fully resorbed, independent of the circumstances. In addition to its local haemostatic properties, Equitamp 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

Equitamp 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. Equitamp can be cut to size for use in endoscopic procedures.

With Equitamp, 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.

Equitamp 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.

Equitamp 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, Equitamp is a proven bactericide in vitro against a wide range of gram positive and gram negative organisms including aerobes and anaerobes.

Haemostatic Mechanism

When Equitamp 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, Equitamp should be absorbed within a maximum of 30 days. Under normal circumstances, Equitamp should be resorbed in 8 days. Equitamp is completely bio-absorbable

Mode of application

Equitamp may be used in dry form or after immersion in physiological saline. Equitamp 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.

Equitamp does not provoke any harmful tissue reaction or any reaction of hypersensitivity. Although Equitamp has a pH value just below neutral (pH = 7.0), the lower Equitamp pH value of pH = 5.5 – 6.0 has proven not to inactivate thrombin.

Equitamp can be discharged by natural means, for instance by the uterus, once haemostasis has been achieved due to the fact that haemostasis has been achieved and Equitamp can not adhere to any tissue as a result.

Bactericidal

En addition to its local haemostatic properties, Equitamp has been proven by an independent study to be bactericidal in vitro against a wide range of gram positive and gram negative organisms including the following emerging multi-drug resistant micro-organisms. A log 7 reduction of above mentioned micro-organisms was observed with usage of Equitamp after 24 hours.

Staphylococcus aureus meticylinooporny (MRSA)
Staphylococcus epidermidis meticylinooporny (MRSE)
Enterococcus faecalis oporny na wankomycynę (VRE)
Streptococcus pneumoniae penicylinooporny (PRSP)

However, Equitamp is not an alternative to specially designed systemically applied antimicrobial agents.

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). Equitamp may swell to its original size and absorbed fluids may increase the risk of nerve damage. For this reason, Equitamp should not be used in eye surgery. Due to the fact that Equitamp 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 Equitamp Packs

Oxidised regenerated cellulose with haemostatic effect, with a pH value of 4.0 – 4.5

Sterile
Open woven structure
Suitable for all types of surgery.
Shelf life 5 years from production
Fast haemostatic effect (2 to 4 minutes)
Fully resorbable by means of enzymatic resorption and hydrolysis
No tissue reaction and no hypersensitivity
Maximum tensile strength and easy to handle
Independently proven bactericidal against MRSA, MRSE, VRE and PRSP
Resorption time 4-6 days in contact with blood

Equitamp Regular
20x	1,25 x 5 cm	– ½” x 2”
20x	5 x 7,5 cm	– 2” x 3”
10x	10 x 7,5 cm	– 4” x 3”
10x	5 x 35 cm	– 2” x 14”
10x	10 x 20 cm	– 4” x 8”

Oxidised regenerated cellulose with haemostatic effect, with a pH value of 5.5 – 6.0

Sterile
Closed woven structure
Suitable for all types of surgery.
Shelf life 5 years from production
Fast haemostatic effect (2 to 4 minutes)
Huge haemostatic properties due to thicker tissue
Fully resorbable by means of enzymatic resorption and hydrolysis
No tissue reaction and no hypersensitivity
Maximum tensile strength and easy to handle
Independently proven bactericidal against MRSA, MRSE, VRE and PRSP
Resorption time 4-6 days in contact with blood

Equitamp Knitted version is 3 times thicker due to the exclusive production process, which offers maximum tensile strength. It can easily be cut, and can be used at many types of surgical procedures. Equitamp Knitted is indicated for all types of surgical procedures, but in specific for sternotomy, anastomosis, punctured wounds, splenorrhaphy, cholecystectomy and liver resection.

Equitamp Knitted
20x	2,5 x 2,5 cm
20x	5 x 7,5 cm
10x	10 x 7,5 cm
5x	15 x 23 cm

Oxidised regenerated cellulose with haemostatic effect, with a pH value of 3.0 – 4.0

Sterile
Non woven structure; 7 layers peelable
Suitable for all types of surgery.
Shelf life 5 years from production
Fast haemostatic effect (2 to 4 minutes)
Fully resorbable by means of enzymatic resorption and hydrolysis
No tissue reaction and no hypersensitivity
Good adhesion and easy to handle
Independently proven bactericidal against MRSA, MRSE, VRE and PRSP
Resorption time 4-6 days in contact with blood

Equitamp Fibrillar 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. Due to it’s easy usage, it’s suitable for endoscopic procedures. Equitamp Fibrillar is indicated for all types of surgical procedures, but in specific for craniotomy, laminectomy, functional endosopic sinus, carotid endarterectomy and partial nephrectomy.

Equitamp Fibrillar
10x	2,5 x 5,1 cm
5x	5,1 x 10,2 cm
5x	10,2 x 10,2 cm

Oxidised regenerated cellulose with haemostatic effect, with a pH value of 3.0 – 4.0

Sterile
Non woven structure; 3 layers
Suitable for all types of surgery.
Shelf life 5 years from production
Fast haemostatic effect (2 to 4 minutes)
Due to thinner version, extremely suitable for endoscopic procedures
Fully resorbable by means of enzymatic resorption and hydrolysis
No tissue reaction and no hypersensitivity
Good adhesion and easy to handle
Independently proven bactericidal against MRSA, MRSE, VRE and PRSP
Resorption time 4-6 days in contact with blood

Equitamp Fibrillar Thin 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. Due to it’s easy usage, it’s extremely suitable for endoscopic procedures.

Equitamp Fibrillar Thin
10x	2,5 x 5,1 cm
10x	5,1 x 10,2
5x	10,2 x 10,2