Label: REVIVA-SIL- silicone gel pad kit

  • Category: MEDICAL DEVICE
  • DEA Schedule: None
  • Marketing Status: Exempt device

Drug Label Information

Updated February 7, 2024

If you are a consumer or patient please visit this version.

  • USES

    RevivaSil™ Gel-Pad Kit is intended for managing hypertrophic, hyperpigmented, and keloid scar tissue.

  • HOW SUPPLIED

    Non-sterile product is labeled as such and supplied in protective packaging and container.

  • POSSIBLE REACTIONS INCLUDE

    • Superficial maceration of the skin
    • Skin discoloration
    • Pruritus
    • Rash

    Rashes may occur on skin under gel-pad due to poor hygiene. Rashes may also result from wrapping gel-pad too tightly around skin. Stop use and ask a doctor if gel-pad is applied properly and skin irritation still occurs.

    Discoloration of skin covered by gel-pad may temporarily occur in patients with darker complexions.

    Do not use creams, lotions, sun block, or other silicone products on your skin when wearing gel-pad. Only apply gel-pad to clean, bare skin.

  • PRECAUTIONS

    Do not apply to open wounds or third degree burns. Never use on a sutured wound until sutures have been removed or when any dermatological conditions disrupt the skin (such as a rash or burn). In rare instances, silicone sheets may cause a rash on the skin. This condition may result from improper cleansing of the scar area where the gel-pad has been applied. Stop use and ask a doctor if product is applied properly and skin irritation still occurs. Persons with dermatological disorders should contact their doctor prior to using this product.

  • DIRECTIONS FOR USE

    Image

    1)
    Wash your hands and the scar area with soap and water. Dry thoroughly.
    2)
    Cut the RevivaSil™ Gel-Pad to fit the scar area as needed, so that the edges extend at least 1/4" beyond the scar on all sides.
    3)
    Gently peel the gel-pad from the Mylar release strip (it is normal for small bits of the gel to remain on the Mylar release strip). Do not discard the Mylar release strip.
    4)
    Place the sticky side of the gel-pad directly onto the scar. For best results, wear the gel-pad 8-12 hours per treatment (12 hours is recommended). Wait 8-12 hours without use before next treatment.
    5)
    After removal of the gel-pad, apply 1-2 drops of Reviva-E™ onto the scar; massage gently until absorbed. Repeat as needed.
    6)
    When not wearing the gel-pad, place the gel-pad (sticky side) back onto the Mylar release strip. Place the gel-pad back into the original pouch for protection.
    7)
    When the sticky side of the gel-pad appears dirty or worn, use your finger to gently wash the gel-pad with soap and water, as needed. Rinse with water and allow to air dry. The stickiness will return once dry. Do not fold while washing or drying.

    * Proper use, and gentle care of the gel-pad will be re-usable up to eight (8) days.

  • SPL UNCLASSIFIED SECTION

    PRODUCT FACTS

  • DESCRIPTION

    Active ComponentPurpose
    Patented Silicone Gel Matrix PadSkin Scar Treatment

  • COMPONENTS

    Silicone Gel Matrix Pad (3'' X 5.5'')

    Engineered as a self-adhesive pad; there is no need for additional wraps or taping. The non-sticky side is smooth and soft to prevent fabrics from adhering.

  • DIRECTIONS

    1)
    Wash your hands and the scar area with soap and water. Dry thoroughly.
    2)
    Cut the RevivaSil™ Gel-Pad to fit the scar area as needed, so that the edges extend at least 1/4" beyond the scar on all sides.
    3)
    Gently peel the gel-pad from the Mylar release strip (it is normal for small bits of the gel to remain on the Mylar release strip). Do not discard the Mylar release strip.
    4)
    Place the sticky side of the gel-pad directly onto the scar. For best results, wear the gel-pad 8-12 hours per treatment (12 hours is recommended). Wait 8-12 hours without use before next treatment.
    5)
    After removal of the gel-pad, apply 1-2 drops of Reviva-E™ onto the scar; massage gently until absorbed. Repeat as needed.
    6)
    When not wearing the gel-pad, place the gel-pad (sticky side) back onto the Mylar release strip. Place the gel-pad back into the original pouch for protection.
    7)
    When the sticky side of the gel-pad appears dirty or worn, use your finger to gently wash the gel-pad with soap and water, as needed. Rinse with water and allow to air dry. The stickiness will return once dry. Do not fold while washing or drying.
  • PRECAUTIONS

    Do not apply to open wounds or third degree burns. Never use on a sutured wound until sutures have been removed or when any dermatological conditions disrupt the skin (such as a rash or burn). In rare instances, silicone sheets may cause a rash on the skin. This condition may result from improper cleansing of the scar area where the gel-pad has been applied. Stop use and ask a doctor if product is applied properly and skin irritation still occurs. Persons with dermatological disorders should contact their doctor prior to using this product.

  • PRINCIPAL DISPLAY PANEL - Kit Label

    TRIFLUENT
    PHARMA®

    RevivaSil™
    GEL-PAD KIT

    QUESTIONS OR COMMENTS:
    CALL (210) 944-6920

    MANUFACTURED FOR:
    Trifluent Pharma, LLC
    San Antonio, TX 78213

    MADE IN THE U.S.A.
    540-01 REV02 12-22-2023

    CONTAINS:
    FOUR (4) SILICONE GEL-PADS (3" X 5.5") (NON-STERILE)
    ONE (1) REVIVA-E™ SOLUTION – 0.5 FL. OZ. (15 mL)

    PRODUCT SHOULD BE ADMINISTERED UNDER THE
    SUPERVISION OF A LICENSED MEDICAL PRACTITIONER
    (CONTENTS NOT FOR INDIVIDUAL SALE OR DISTRIBUTION)

    NDC 73352-540-01

    PRINCIPAL DISPLAY PANEL - Kit Label
  • PRINCIPAL DISPLAY PANEL - 15 mL Bottle Label

    ADMINISTERED BY PRACTITIONER

    TRIFLUENT
    PHARMA®

    Reviva-E™

    SCAR THERAPY
    SOLUTION WITH VITAMIN E

    0.5 FL OZ (15 mL)

    PRINCIPAL DISPLAY PANEL - 15 mL Bottle Label
  • INGREDIENTS AND APPEARANCE
    REVIVA-SIL 
    elastomer, silicone, for scar management kit
    Product Information
    Product TypeMEDICAL DEVICEItem Code (Source)NHRIC:73352-540
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NHRIC:73352-540-011 in 1 BOX
    Quantity of Parts
    Part #Package QuantityTotal Product Quantity
    Part 14 POUCH
    Part 21 BOTTLE, DROPPER 15 mL
    Part 1 of 2
    REVIVASIL 
    elastomer, silicone, for scar management patch
    Product Information
    Route of AdministrationTOPICAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    DIMETHICONE (UNII: 92RU3N3Y1O) (DIMETHICONE - UNII:92RU3N3Y1O) DIMETHICONE12 h
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    11 in 1 POUCH; Type 4: Device Coated/Impregnated/Otherwise Combined with Drug
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    EXEMPT DEVICEMDA12/25/2023
    Part 2 of 2
    REVIVA-E 
    elastomer, silicone, for scar management solution/ drops
    Product Information
    Route of AdministrationTOPICAL
    Inactive Ingredients
    Ingredient NameStrength
    DIMETHICONE 100 (UNII: RO266O364U)  
    CYCLOMETHICONE 5 (UNII: 0THT5PCI0R)  
    CYCLOMETHICONE 4 (UNII: CZ227117JE)  
    DIMETHICONOL (40 CST) (UNII: 343C7U75XW)  
    TOCOPHEROL (UNII: R0ZB2556P8)  
    BUTYLENE GLYCOL (UNII: 3XUS85K0RA)  
    PROPYLENE GLYCOL (UNII: 6DC9Q167V3)  
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    115 mL in 1 BOTTLE, DROPPER; Type 0: Not a Combination Product
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    EXEMPT DEVICEMDA12/25/2023
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    EXEMPT DEVICEMDA12/25/2023
    Labeler - Trifluent Pharma LLC (117167281)