Aqualuna Aqua

Device Description

The Hyaluronan Soft Tissue Filling Gel, trade name: Aqualuna Aqua, is for single use composed of a 1 ml colourless, transparent, sterile, implantable dermal filler gel containing 12 mg/ml cross-linked sodium hyaluronate (biofermentation) and 3 mg/ml lidocaine hydrochloride presented in a non-invasive, sterilized, and with measuring function syringe, which contains a glass barrel and is closed with a tip cap on the luer lock fitting and a plunger stopper with a backstop and plunger rod.
It has a temporary aesthetic purpose (Non-medical purpose) and is used on facial dermal tissue to correct forehead wrinkles.
The gel is supplied in a 1 mL syringe which is the sterile barrier system. The gel is sterilized by moist heat. The syringe containing the sterile gel is assembled with plunger rod and backstop and corresponds to the injection device. The prefilled syringe is packed with two CE marked 30G needles in a blister package.

Intended purpose

Correct forehead wrinkles

Targeted population

Adults, both men and women, with mild to severe forehead wrinkles

Intended User

Only to be administered by appropriately trained healthcare professionals who are qualified or accredited in accordance with national law.

Performance

On average, with 1 mL injected into forehead in one session, 93% of subjects are improved in correction of forehead wrinkles at 6 months (clinical study results obtained with the Wrinkle Severity Rating Scale Response Rate).
Lidocaine, which has been added into Hyaluronan Soft Tissue Filling Gel, relieves the pain of the patients during the injection.

Lifetime

The product will eventually be completely degraded in human body, and the expected absorption time in vivo is 6 months.

The warnings and pre-cautions

Do not resterilise.
Do not re-use (to avoid infection).
Do not use if package is damaged.
Product is only for intradermal injection. Do not inject intravenously.
Only to be administered by appropriately trained healthcare professionals who are qualified or accredited in accordance with national law.
Do not use after expiry date.
The aseptic operating procedures for surgical treatment should be strictly followed in the process of injection and local disinfection of injection site is required to avoid infections.
Do not expose the injection site to extreme temperatures (e.g. high temperatures such as sunbathing or extremely cold environments) and avoid massage and facial mask care within 7 days following the implantation by injection.
Patients who are using substances that affect platelet function, such as aspirin and non-steroidal anti-inflammatory drugs may, as with any injection, experience increased bruising or bleeding at injection sites.
Lidocaine should be used with caution in patients with epilepsy, renal or liver insufficiency, block of cardiac conduction system, patients with reduced cardiovascular function, or with bradycardia.
Lidocaine should be used with caution in patients receiving other local anaesthetics or agents structurally related to amide-type local anaesthetics e.g. certain anti-arrhythmics, since the systemic toxic effects can be additive.

The contra-indications

Product should not be used in persons who are less than 18 years old.
Product should not be used in patients allergic to hyaluronic acid or with a history of severe allergic reactions.
Do not use in patients with known hypersensitivity to lidocaine and amide-type local anaesthetics.
Product should not be used in patients with bleeding disorders (i.e. coagulopathy), patients receiving any thrombolytic agent, anticoagulant or platelet aggregation inhibitor within two weeks and in menstruating, pregnant or lactating women.
Product should not be used on or around damaged or inflamed skin due to skin disease, infection or similar conditions.
Product should not be used together with any other implantable or injectable product within 6 months.
Product should not be used in patients who undergo laser treatment, chemical peeling or any skin-irritating therapies before confirmed fully skin healing or within 1 month after implantation of this product to avoid possible inflammatory reactions.

Additional information

Considering the composition of Aqualuna Aqua, there is no warning, precaution and/or measure to be taken as regards the exposure to reasonably foreseeable external influences or environmental conditions, such as magnetic fields, external electrical and electromagnetic effects, electrostatic discharge, radiation associated with diagnostic or therapeutic procedures.

Draft - Summary of Safety and Clinical Performance_Aqualuna Aqua