VeraPlug™ is Designed to provide a simple and effective treatment for chronic dry eye.
Choose the sterile preloaded configuration for the ultimate in convenience or nonsterile bulk for increased value.
PUNCTAL OPENING | VERAPLUG™ SIZE |
---|---|
0.4mm to 0.6mm | Small |
0.6mm to 0.7mm | Medium |
0.7mm to 0.8mm | Large |
0.8mm to 1.0mm | X-Large |
VeraPlugTM - Instructions For Use - Please always refer to the insert in the box for latest information
Description
The VeraPlugTM punctal occluder is designed to provide reduction or elimination of tear drainage through the inferior or superior puncta, thus maintaining lubricating tears on the surface of the eye. Each VeraPlugTM punctal occluder is molded from medical grade silicone. The VeraPlugTM is available in four sizes (small, medium, large and x-large) and is packaged sterile, two per box. Each occluder is sterile, preloaded on an inserter.
Indications for Use
The VeraPlugTM is for use in patients with dry eye syndromes.
Contraindications
Contraindications include, but are not limited to, eye infections, sensitivity or allergies to the occluder material and/or materials used in the manufacture of the device, blockage/infection of the lacrimal systems, inflammation of the eyelid, and epiphora.
Precautions
The VeraPlugTM may enhance the e ect of some ocular medications in the eye. Depending on the type of medication being used the dose may need to be altered accordingly. If the patient experiences irritation, infection or epiphora after the insertion of the VeraPlug,TM the occluder should be removed.
Potential Adverse Events
The following complications may occur:
Product Features
Each box contains two individually packaged sterile VeraPlugTM punctal occluders preloaded on inserters for single use only. The VeraPlugTM is manufactured from implant grant silicone.
Proper Sizing
The VeraPlugTM punctal occluder is available in four sizes: small, medium, large and x-large. To determine the proper size, begin with the smallest VeraPlugTM gauge (0.5mm) and insert the head of the gauge into the punctal opening. The gauge should fit snugly with a small amount of resistance. If the gauge enters the punctal opening with no resistance, the next larger size gauge should be tried in the same manner. Repeat this process until the proper size VeraPlugTM is determined based on the sizing chart shown.
Insertion
Anesthetize the area of the punctum with a topical anesthetic placed in the conjunctival sac.
Apply a drop of saline solution or artificial tears onto the VeraPlugTM to help ease insertion.
Position the insertion instrument by placing the forefinger on the release button of the inserter and placing the occluder end of the insertion instrument over the patient's (superior or inferior) punctum.
Vertically insert the VeraPlugTM by positioning the occluder into the punctum until the cap is flush with the punctal opening. FIGURE A
When the occluder is properly seated, depress the release button and withdraw the insertion instrument. FIGURE B
Verify that the occluder is properly placed by confirming that the cap is flush with the punctal opening. FIGURE C After insertion, monitor the placement and integrity of the occluder to determine if/when the occluder may need to be replaced.
Removal
Should removal be indicated, grasp the vertical shaft of the occluder underneath the exposed cap with sterile forceps. Gently pull upward until the plug is removed. FIGURE D
Sterilization
VeraPlugTM sterile preloaded punctal occluders are o ered in individual trays, two per box. The date of expiration should be confirmed prior to use. If the expiration date has lapsed the occluder should be discarded.
Storage
Store at room temperature.
Warnings
The VeraPlugTM punctal occluder is intended for single use. Do not reuse. If the sterile packaging is damaged or opened sterility is not guaranteed and the VeraPlugTM should be discarded. U.S. federal law restricts the sale of this device by or on the order of a physician.
Documentation
Each box contains Instructions for Use and two labels for your ease and convenience.
Note: All products sold on Accuspire.com should be used by qualified clinician and and should be purchased by or on order of a qualified clinician.
Interesting Historical Information
Interesting Facts About Punctal Plugs
1. Pre-Loaded Convenience: The pre-loaded design offers a ready-to-use solution, reducing preparation time and ensuring sterility during insertion. It simplifies the procedure for clinicians and enhances patient comfort.
2. Material Variety: Punctal plugs are often made from biocompatible materials such as silicone, collagen, or thermodynamic polymers, which ensure safety and effectiveness while accommodating different durations of use (temporary or permanent).
3. Minimally Invasive: This device offers a non-surgical, reversible option for treating dry eye, making it a preferred alternative to more invasive procedures like punctal cauterization.
4. Custom Sizes: Pre-loaded plugs are available in various sizes to fit the anatomy of different patients’ puncta, ensuring optimal retention and therapeutic benefits.
5. Applications Beyond Dry Eye: While primarily used for dry eye, punctal plugs are also utilized in managing post-surgical conditions, such as LASIK-induced dry eye, and in patients with autoimmune disorders.
Historical Information About Punctal Plugs
1. Origins of Punctal Occlusion: The concept of blocking tear drainage to treat dry eye dates back to the early 20th century. Initially, techniques like sutures or cauterization were used to close the puncta permanently.
2. Invention of Punctal Plugs: The first punctal plugs were introduced in the 1970s as a temporary and less invasive alternative to permanent occlusion. Early designs used basic materials and required manual loading onto applicators.
3. Pre-Loaded Innovation: The pre-loaded sterile punctal plug emerged in the late 20th century, representing a significant advancement in ease of use, sterility, and precision. This innovation reduced procedural variability and improved outcomes.
4. FDA Approval and Global Use: Punctal plugs gained FDA approval in the 1980s and have since become a standard treatment option worldwide for managing moderate to severe dry eye symptoms.
5. Evolving Designs: Modern punctal plugs are the result of continuous refinement. Designs have evolved to include dissolvable plugs (e.g., made of collagen) for temporary occlusion and "smart" plugs that respond to temperature changes for better customization.
6. Impact of Dry Eye Awareness: The growing recognition of dry eye as a significant health issue in the late 20th and early 21st centuries drove innovations in punctal plug technology, making it a cornerstone in ophthalmic treatment.
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