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CICA-CARE

Scar Management

Overview

Description

CICA-CARE Adhesive Gel Sheet for Scar Care: CICA-CARE is a patented technically advanced form of silicone gel sheet for scar care.


Features

  • Self-adhesive silicone gel layer
  • Reusable
  • Non-adherent outer silicone membrane


Benefits

Improves the Appearance of Scars
CICA-CARE has been medically proven in patient trials to be effective, flattening, softening and fading red and raised scars, both old and new in up to 90% of cases.

Easy to Use
The CICA-CARE adhesive gel sheet is soft, comfortable and simple to apply. It can be cut to size to fit most scars. Durable and reusable, it can be used day or night.

Self Adhesive
The skin contact side of CICA-CARE is self adhesive, while the upper side is a strengthening non-adhesive silicone membrane. Therefore secondary fixation may not be required, making the product more user friendly, and can lead to higher patient compliance.

Durable
The silicone membrane and gel combination make CICA-CARE more durable and less likely to “crumble” in comparison to other silicone gel sheets.

Conformable
CICA-CARE is a very conformable silicone gel sheet. Because it is self-adhesive, CICA-CARE can be easily used in many awkward anatomical locations, including earlobes and sternal areas.

Reusable
One piece of CICA-CARE can be easily washed and reused. Once it becomes difficult to clean, a new piece should be used. This usually occurs after a 28 day interval.

Cost Effective
CICA-CARE is durable and reusable. Each cut piece lasts up to 28 days in use, making it a cost effective regime.


Indications

CICA-CARE is designed for use:

  • in the management of both existing and new hypertrophic and keloid scars (red and raised).
  • as a preventative therapy on closed wounds to prevent hypertrophic and keloid scars (red and raised).


Contraindications / Precautions

CICA-CARE is contra-indicated for patients with complicating medical factors which would make them unable to use the dressing properly and in patients with dermatological conditions which disrupt the integrity of the skin in areas of coverage. Do not use on open or infected wounds. Do not use on skin currently affected by acne.

Follow instructions for use carefully.

Do not use unless skin surrounding the scar or closed wound is normal. Do not use with ointments or creams under the gel sheet. In some patients a rash has been observed on the scar and surrounding skin. Should a rash occur, reduce CICA-CARE therapy time to 12 hours on, 12 hours off. If the rash persists discontinue use and consult your physician or medical advisor.

On surgical incisions, use CICA-CARE only after sutures have been removed.


Ordering information

Catalogue#

Size

Units

66250707

12cm x 15cm

10 sheets

66250706

12cm x 15cm

1 sheet

66250704

12cm x 6cm

1 sheet

66320703

12cm x 6 cm (consumer Packaging)

1 sheet

How to Use

Step 1
Wash hands before and after use.

Gently clean the scar and surrounding skin with a mild soap and rinse in clean warm water.

Thoroughly dry the scar and surrounding skin.

Remove gel sheet from tray.

Step 2
Cut gel sheet, to fit scar size, with a small overlap over the surrounding skin.

Step 3
Apply gel sheet, adhesive side to the scar, without stretching.  If necessary a light bandage or tape such as OPSITE Flexifix can be used to keep CICA-CARE* in place. For first two days use CICA-CARE for 4 hours per day.

For next two days use CICA-CARE for 8 hours per day.  Continue to increase wear time by 2 hours per day until a minimum of 12 hours per day is reached. If possible CICA-CARE should be worn 24 hours per day.

Step 4
Wash CICA-CARE, the scar and surrounding skin, at least once a day with mild soap and rinse in clean warm water. Dry with a cloth towel.

Step 5
When CICA-CARE begins to wear or cleaning is difficult, it should be replaced. This usually occurs after 14-28 day intervals. When used correctly the best results are seen after 2-4 months.

Clinical Support

Paper title: CICA-CARE gel sheeting in the management of hypertrophic scarring.

Author: Carney SA, Cason CG, Gowar JP, Stevenson JH, McNee J, Groves AR, Thomas SS, Hart NB, Auclair P.

Reference: Burns (1994); 20:163-167

Study abstract: A prospective, controlled clinical trial was undertaken to assess the efficacy and safety of two types of silicone gel, SILASTIC Gel Sheeting (SGS) and CICA-CARE, in the management of hypertrophic scars. Forty-two patients were randomly assigned to SGS and CICA-CARE groups and their hypertrophic scars were divided into treated and control areas. Extensometric measurements were made at monthly intervals for 6 months and significant improvement of the treated areas relative to the control areas was observed. The two gels were not significantly different in efficacy or safety, but CICA-CARE, being more adhesive and more conformable than SGS, has advantages in ease of use and patient acceptability.

SILASTIC is a Trade Mark of Dow Corning

Paper title: Comparison of two types of silicone gel sheets
Author: Donald L

Reference: Australian/New Zealand Burns Association. Issue no. 16, 14 August 1995, page 10-11

Study abstract: To determine whether there is a difference in (a) durability, (b) complications, (c) effectiveness between traditionally used SPENCO silicone gel sheets compared with CICA-CARE gel sheets in the treatment of hypertrophic and keloid scars.

SPENCO is a Trade Mark of Spenco Medical Corporation

Paper title: Silicone gel in scar treatment

Author: K J Quinn

Reference: Burns (1987) 13, S33-S40
Study abstract: The purpose of the study was to determine whether silicone gel (SILASTIC Gel Sheeting) reduces hypertrophic scarring, and to investigate its mode of action and any other possible applications. Silicone gel was applied to 125 patients with 129 hypertrophic keloid scars. Scar improvement was rated after two months on the basis of texture (measured by an extensometer), colour and thickness. There was an improvement in one or two of these criteria in 65 cases and in all three in 10 cases, while 37 patients did not return for follow-up. Adverse events noted were pruritis and rash, which could be eliminated with daily or more frequent washing of scar and gel. In three cases, tissue breakdown occurred, and it is recommended by the author that the gel should not be applied until epidermal healing is complete, and that the important of frequent washing of the scar and gel should be emphasised to patients.
The possible modes of action of silicone gel have been investigated, and it has been concluded that pressure, temperature, oxygen tension and occlusion are not involved. The possibility of formation of a water reservoir in the stratum corneum has been suggested, and it has been shown that a silicone liquid is leached from the gel, although whether this penetrates the stratum corneum is not known. The mechanical properties of silicone gel have also been investigated, and it was shown that the material has similar extensibility to skin, that it is inert and impermeable to the micro-organisms tested, and that it has a water vapour transmission rate approximately half that of skin.

The author describes her experience of the use of silicone gel in five patients with unhealed burn wounds. The results in this small series indicated that silicone gel is easy to apply and comfortable, and may be beneficial in partial thickness burn wounds.

FAQs

Frequently asked questions about CICA-CARE

What if a rash appears on the treated area?

In some patients, a rash has been observed on the covered skin. This has been attributed to the product being applied with pressure too tightly or to poor hygiene. Should a rash appear, reduce CICA-CARE therapy time to 12 hours on 12 hours off. If the rash persists discontinue use and consult a physician.

Can CICA-CARE be used on surgical incisions?

Use CICA-CARE on surgical incisions only after sutures have been removed and the site is fully healed. Follow acclimatization and washing procedures carefully.

Can CICA-CARE be used on children?

CICA-CARE is only recommended for use on young children when used in combination with an appropriate secondary retention dressing (a light elastic conforming bandage or tape such as OPSITE Flexifix or PRIMAFIX).

Are these dressings suitable for all patient populations?

Yes, CICA-CARE dressings are suitable for adult, bariatric, paediatric and neonatal populations.

Can creams and ointments be used under CICA-CARE?

Do not use creams and ointments under the gel sheet as they may interfere with the performance of the product.

When does CICA-CARE need to be replaced?

When CICA-CARE begins to deteriorate or cleaning is difficult, it should be replaced. This usually occurs at 14-28 day intervals. Shorter lifetime may be experienced if the scar is situated over a joint or in an area subject to constant abrasion.

What is the length of treatment time?

The total therapy time should be in the range of 2 to 4 months.

Can CICA-CARE be worn several months? How long will it take for the scar to get better?

Yes, CICA-CARE can be worn for several months. When used correctly, best results are seen after 2 - 4 months treatment time but the outcome can vary from person to person and from scar to scar.

Is this product latex-free?

The CICA-CARE product line does not contain latex in either the component formulation, finished product or the packaging.

Can CICA- CARE be cut?

Yes, CICA- CARE can be cut without losing its functionality or integrity.

How do I get the dressing to stay in place?

Although self-adhesive, in high friction areas, CICA-CARE may also be held in place by a light elastic conforming bandage or tape such as OPSITE Flexifix or PRIMAFIX.

How soon can CICA-CARE be used after an injury?

CICA-CARE may be used on any old or new closed wounds, including red or raised scars resulting from surgical incisions such as cesarean sections, cosmetic surgery or accidental injury such as burns and cuts. Always ensure that the wound is fully closed before using CICA-CARE. Do not use on open wounds, infected wounds, scabs, or over stitches.

Can CICA-CARE us used concomitantly with vitamin E?

Yes, there is no contraindication to use CICA-CARE concomitantly with vitamin E.

Can CICA-CARE be used under a binder despite the warning not to hold the silicone gel sheet too tightly against the scar?

Yes, CICA-CARE can be used under a binder unless this situation leads to irritation of the scar and the surrounding area.

Can CICA-CARE be cut and joined together in case of a big scar?

Yes, the scar may require more than one piece cut from the CICA-CARE sheet and should be placed edge to edge rather than overlapping each other.

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