Under the supervision of a health care professional, AQUACEL® Ribbon Dressing with Strengthening Fibers may be used for the management of wounds as an effective barrier to bacterial penetration to help reduce infection; partial-thickness (second-degree) burns; diabetic foot ulcers, leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology) and pressure ulcers/injuries (partial- and full-thickness); surgical wounds left to heal by secondary intention such as dehisced surgical incisions and donor sites; surgical wounds that heal by primary intent such as dermatological and surgical incisions (e.g., orthopedic and vascular); traumatic wounds; wounds that are prone to bleeding, such as wounds that have been mechanically or surgically debrided; oncology wounds with exudate, such as mycosis fungoides (cutaneous T-cell lymphoma) tumors, fungating carcinoma, cutaneous metastasis, Kaposi's sarcoma and angiosarcoma; painful wounds; infected wounds.

AQUACEL® Ribbon Dressing with Strengthening Fibers should not be used on individuals who are sensitive to or who have had an allergic reaction to the dressing or its components.

Sterility is guaranteed unless pouch is damaged or opened prior to use. Single use only.
During the body's normal healing process, non-viable tissue is removed from the wound (autolytic debridement), which could initially make the wound appear larger. If the wound continues to grow larger after the first few dressing changes, consult a health care professional. The wound should be inspected during dressing changes. Consult a health care professional if you see (a) signs of infection (increased pain, increased redness, wound drainage),( b) bleeding, (c) a change in wound color and/or odor, (d) irritation (increased redness and/or inflammation), (e) maceration (skin whitening), (f) hypergranulation (excessive tissue formation), (g) sensitivity (allergic reaction), (h) no signs of healing.
If you have difficulty removing the dressing, it should be soaked with water or sterile saline until it removes easily. (For partial-thickness burns, please refer to the Partial-Thickness Burns section of the package insert).
AQUACEL® Ribbon Dressing with Strengthening Fibers is not compatible with oil-based products, such as petrolatum.
Secondary dressings should be used as stated in the DIRECTIONS FOR USE section.
Because AQUACEL® Ribbon Dressing with Strengthening Fibers provides a moist environment that supports the growth of new blood vessels, occasionally the delicate newly formed blood vessels may produce a blood stained wound fluid.
When used in second-degree burns, adherence of the dressing over joints could interfere with movement. In AQUACEL® Hydrofiber® Wound Dressing clinical trials in second-degree burns, this was, however, not shown to have any effect on the range of motion after healing was complete.
The ribbon dressing can be cut, if required prior to use, across the narrower dimension of the ribbon. Cutting along the longer dimension of the ribbon should not be performed.
This wound dressing should not be used with other wound care products, other than those listed in the DIRECTIONS FOR USE section without first consulting a health care professional.
For leg ulcers, (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology), diabetic ulcers, pressure ulcers/injuries, partial-thickness (second-degree) burns, donor sites and surgical, oncology or traumatic wounds left to heal by primary or secondary intention:
Treatment of wounds listed above should be under the supervision of a health care professional.
Appropriate supportive measures should be taken where indicated (e.g., use of graduated compression bandaging in the management of venous leg ulcers or pressure relief measures in the management of pressure injuries, systemic antibiotics and frequent monitoring in the treatment of wound infection, control of blood glucose for diabetic ulcers, etc.).
For oncology wounds, a secondary dressing of high absorbency may be required.
In cavity wounds, the ribbon dressing may be used to pack the wound.
For wounds such as fistulae and sinus tracts, employ appropriate techniques during the insertion and removal of the dressing.
In partial-thickness (second-degree) burns, consider alternative(surgical) procedures if the wound has not re-epithelialized after 14 days.
AQUACEL® Ribbon Dressing with Strengthening Fibers is not intended for use as a surgical sponge.
The use of AQUACEL® Ribbon Dressing with Strengthening Fibers has not been studied in wounds due to herpes simplex or impetigo.