Ethicon DERMABOND PRINEO User Manual

Patient Selection
DO NOT use on patients with known hypersensitivity to cyanoacrylate, formaldehyde, benzalkonium chloride, or pressure-
sensitive adhesive. Use of DERMABOND™ PRINEO™ System on patients with hypersensitivity to one of these components
may lead to skin reaction. Do not use on mucosal surfaces or across mucocutaneous junctions (e.g., oral cavity, lips), or on
skin that may be regularly exposed to body luids or with dense natural hair (e.g., scalp).
Wound Preparation
The skin edges must be closely approximated prior to application of the mesh, so that
no signiicant manual approximation is required during mesh application. When used
in high-tension areas, ensure skin tension has been removed by application of another
wound-closure device (e.g., sutures or skin staples) prior to application of DERMABOND™
PRINEO™ System, or ensure that the area will be immobilized during the skin-healing period.
Mesh Application
Position the mesh so one half is on
either side of the incision, ensuring
that at least 1 cm of mesh extends
from each end of the incision. Press
gently to ensure intimate contact of
the mesh to the side of the incision.
Gently pull the mesh perpendicularly
over the incision while adjusting
with ingers or forceps to achieve
skin-edge approximation, and aix
the remainder of the mesh to the
other side of the incision.
Liquid Adhesive Application
Apply the liquid adhesive using
short strokes and moving from one
end of the mesh to the other, making
sure that the mesh is saturated as
the liquid adhesive is applied. Spread
the adhesive smoothly and evenly
over the entire length of the mesh
using the lexible applicator tip.
DO NOT APPLY A SECOND COAT.
Knee Application
During a total knee arthroplasty,
best practice is to apply the
DERMABOND™ PRINEO™ System
while the knee is at the same angle of
lexion as the joint capsule closure,
without relaxing the knee.
ODP
Quick Guide
Skin/Wound
Preparation
Mesh
Application
Liquid Adhesive
Application
Postoperative
Care
Removal
Instructions
DERMABOND™ PRINEO™ Skin Closure System (22 cm)
Device Performance
Quick Guide
1

Ethicon DERMABOND PRINEO Specifications

General

Brand	Ethicon
Model	DERMABOND PRINEO
Category	Medical Equipment
Language	English

Summary

Skin/Wound Preparation

Mesh Application

Step 1: Remove Mesh

Remove the mesh patch from its carrier and dispose of the carrier.

Step 2: Prepare Mesh

Flatten mesh patch and remove center paper liner with mesh side down.

Step 3: Orient Mesh

Hold mesh by backing paper, ensuring adhesive is on the mesh side.

Step 4: Position Mesh

Place mesh half on each side of incision, ensure 1cm extension, press gently.

Step 5: Finalize Mesh

Gently pull mesh perpendicularly, adjust, affix to other side, trim excess, remove backing.

Liquid Adhesive Application

Step 6: Activate Applicator

Activate the liquid adhesive applicator by twisting the purple dial until a snap.

Step 7: Initial Application

Position applicator tip, pinch tip, squeeze bulb once to fill with adhesive.

Step 8: Spread Adhesive

Spread adhesive smoothly and evenly over the entire mesh length.

Step 9: Edge Application

Apply adhesive slightly over mesh edges, cover surrounding skin, wipe excess.

Postoperative Care

Removal Instructions