SeraSeal on Venous Bleeding

SeraSeal® is a new technical product for professional use. Physicians have been taught to deal with bleeding in traditional ways. SeraSeal® is not traditional. It introduces new ways of controlling bleeding. Properly applied, SeraSeal® reliably arrests venous bleeds instantly.

Simply apply drops of liquid from the SeraSeal® injectable vial with a tuberculin syringe, with or without the needle, an eye dropper, pipette or even a fiber optic-guided catheter at the source of bleeding. Observe the same principles with other delivery methods, such as spray, foam, bandages and swabs (soon to be available).

RECOGNIZING THE CLOTTING EVENT is easy – and very important. The clot actually takes place when you see the blood color change to bright red. This is the indicator that you should stop applying SeraSeal® . Any SeraSeal® applied after the color changes to bright red is wasted.

OBSERVING AND TREATING THE SOURCE OF BLEEDING is very important, too. For an incision, the correct technique for applying the liquid is a continuous bead from one end of the cut to the other, and from bottom to top. This arrests all the bleeding below view, as well as at the observable surface. If necessary, after applying SeraSeal® deep in the wound, apply an additional bead at the surface.

LEAVE IT ALONE! Clots formed with SeraSeal® are like ordinary blood clots, except, as the name suggests, they form much faster. Minutes are reduced to seconds. But lapse of time remains important for the fibrinogen strands to crosslink and tighten. With SeraSeal®, this process just takes about 60 seconds, and strengthens with additional time.

Resisting the temptation to touch the clot remains the single most difficult non-action for traditionally-trained physicians. Even with a Wortham Laboratories representative in surgery with them – urging them to leave the clot untouched for at least 60 seconds – many physicians instinctively continue to dab at the clot. Dabbing invariably dislodges the clot and restarts the bleeding, which requires re-application of SeraSeal® . Without exception, any dissatisfaction with SeraSeal®’s performance can be traced back to this failure to leave the clot undisturbed for at least 60 seconds or not applying SeraSeal® at the source of bleeding.

When you are doing a procedure, 60 seconds is a long time to stand around waiting for a clot to form. So we recommend A LEAPFROG TECHNIQUE. When you have applied SeraSeal® and identified the blood color shift to bright red, move on to another part of the procedure. After 60 seconds or more, come back to the SeraSeal® site and inspect it for untreated bleeding. This reduces the temptation to dab at the clot while fibrinogen strands crosslink, and your procedure is not delayed while waiting for the clot to strengthen. Once you have confirmed that all bleeding has been arrested, you can then confidently resume the other parts of the procedure.