Balanced Salt

B. Braun Medical Inc.

Balanced Salt Solution Sterile Irrigating Solution

FULL PRESCRIBING INFORMATION: CONTENTS*

• BALANCED SALT DESCRIPTION
• CLINICAL PHARMACOLOGY
• BALANCED SALT INDICATIONS AND USAGE
• WARNINGS
• PRECAUTIONS
• BALANCED SALT ADVERSE REACTIONS
• BALANCED SALT DOSAGE AND ADMINISTRATION
• HOW SUPPLIED
• STORAGE
• PRINCIPAL DISPLAY PANEL - 500 mL Label

FULL PRESCRIBING INFORMATION

BALANCED SALT DESCRIPTION

Balanced Salt Solution Sterile Irrigating Solution is a sterile balanced salt solution, each mL containing sodium chloride (NaCl) 0.64%, potassium chloride (KCl) 0.075%, calcium chloride dihydrate (CaCl₂·2H₂O) 0.048%, magnesium chloride hexahydrate (MgCl₂·6H₂O) 0.03%, sodium acetate trihydrate (C₂H₃NaO₂·3H₂O) 0.39%, sodium citrate dihydrate (C₆H₅Na₃O₇·2H₂O) 0.17%, sodium hydroxide and/or hydrochloric acid (to adjust pH), and water for injection.

The pH is approximately 7.0.

The osmolality is approximately 300 mOsm/Kg.

CLINICAL PHARMACOLOGY

Balanced Salt Solution Sterile Irrigating Solution is an isotonic solution for use in irrigating tissues of the eyes.

BALANCED SALT INDICATIONS AND USAGE

For use as an extraocular and intraocular irrigating solution during ocular surgical procedure involving perfusion of the eye with an expected maximum duration of less than 60 minutes.

WARNINGS

• NOT FOR INJECTION OR INTRAVENOUS INFUSION.
• Do not use unless product is clear, seal is intact and container is undamaged.
• Do not use if product is discolored or contains a precipitate.
• SINGLE patient use only. The contents of this bottle should not be used in more than one patient.
• The use of additives with this solution may cause corneal decompensation.
• This solution contains no preservative, unused contents should be discarded.

PRECAUTIONS

Open under aseptic conditions only.

Studies suggest that intraocular irrigating solutions which are iso-osmotic with normal aqueous fluids should be used with caution in diabetic patients undergoing vitrectomy since intraoperative lens changes have been observed.

There have been reports of corneal clouding or edema following ocular surgery in which Balanced Salt Solution Sterile Irrigating Solution was used as an irrigating solution.

BALANCED SALT ADVERSE REACTIONS

Irrigation or any other trauma may result in corneal swelling or bullous keratopathy.

Post-operative inflammatory reactions as well as incidents of corneal edema and corneal decompensation have been reported.

BALANCED SALT DOSAGE AND ADMINISTRATION

The irrigating solution should be used according to standard format for each surgical procedure. Note: Use an administration set with an air-inlet in the plastic spike since the bottle does not contain a separate airway tube. Follow directions of the particular administration set to be used. Remove the aluminum tab. Clean and disinfect the rubber stopper by using a sterile alcohol wipe. Insert the spike aseptically into the bottle through the target area of the rubber stopper. Allow the fluid to flow and remove air from the tubing before irrigation begins.

HOW SUPPLIED

Balanced Salt Solution Sterile Irrigating Solution is supplied in a glass bottle using a gray butyl stopper and aluminum closure with a tear tab.

STORAGE

Store at 20–25°C (68–77°F). Excursions permitted to 15–30°C (59–86°F). [See USP Controlled Room Temperature.] Protect from freezing.

Rx Only

Issued: November 2009

B. Braun Medical Inc.
Irvine, CA 92614-5895 USA
Made in USA

Y36-002-712

PRINCIPAL DISPLAY PANEL - 500 mL Label

Balanced Salt Solution

Sterile Irrigating Solution

NDC 0264-2514-10
REF S2514-10

500 mL

NOT FOR I.V. USE
SINGLE USE ONLY

B. Braun Medical Inc.
Irvine, CA 92614-5895 USA
Made in USA