Fibrin Sealant
Fibrin Glue · Tisseel · Evicel · Fibrin Glue Applicator
A two-part biologic glue: human fibrinogen levelfy-BRIN-uh-jen LEV-ulA blood test that measures fibrinogen, a protein made by the liver that the body turns into fibrin to form clots.Full entry in one syringe and human thrombinTHROM-binAn enzyme in the blood that turns fibrinogen into fibrin, the threads that hold a blood clot together.thromb/o clot-in substanceFull entry in the other. The two meet at the tip of a dual-syringe applicator (or spray tip) and set into a fibrin clot. Comes as a freeze-dried kit to reconstitute or as a frozen prefilled syringe to thaw.
On the table
What it does, the lengths it comes in and what experienced techs know about it.
What it’s for
Applied to tissue surfaces to stop oozing, bind tissues together, or seal air and blood leaks. Uses include lung air leaks, liver and spleenspleenAn organ in the upper left abdomen that filters the blood and helps fight infection.splen/o spleenFull entry surfaces that are hard to sutureSOO-cherA stitch, or the thread used to stitch, that holds the edges of a wound or incision together.Full entry , and vascular anastomosisuh-nas-tuh-MOH-sisA connection between two tube-shaped structures, such as two ends of bowel or two blood vessels, made by surgery or found naturally.Full entry (with sutures). Opened when the surgeon requests it.
Lengths and variants
Tisseel: freeze-dried kit or frozen prefilled syringe, in 2, 4 and 10 mL sizes. Evicel: kit of two frozen syringes (fibrinogen levelfy-BRIN-uh-jen LEV-ulA blood test that measures fibrinogen, a protein made by the liver that the body turns into fibrin to form clots.Full entry and thrombinTHROM-binAn enzyme in the blood that turns fibrinogen into fibrin, the threads that hold a blood clot together.thromb/o clot-in substanceFull entry ) with a spray applicator, 2, 4 and 10 mL total volumes.
What experienced techs know
What techs who reach for it every day know about it.Pro
Through the case
In the order you meet it: before, during and after the case.
- During the case
Caution
What not to do with it, and why.Pro
Know it on sight.
With Pro, for every instrument in the library. Cancel any time.
Or scrub in free: 5 questions a day.
On 14 setups
Every setup it is laid out on.
Every setup this instrument is laid out on, with photos of each table.
See ProKnow this instrument?
Send a clearer photo, another name it goes by, or a fix for this page.
2 sources
- Howe. Pharmacology for the Surgical Technologist. 5th ed. Chapter 9 (Medications That Affect Coagulation), p. 121
- Fuller. Surgical Technology: Principles and Practice. 8th ed. Chapter 12 (Perioperative Pharmacology), p. 236 and 238
The rest of this card is Pro.
The photos, the description, the uses and the lengths stay free. Pro opens the rest on every instrument: the 3D model, the notes from the table, where it is kept, every setup it is on, and practice.
Free, for good. No card.
- All 3,322 instrument cards
- Every General setup in full
- 5 exam questions a day
- Your own preference cards
Pass your exam. Know every case.
Everything in Free, plus:
- All 298 setups in every specialty: back table, Mayo and every step
- Practice that never runs out and full timed exams for the CST, TS-C, CRCST, CSPDT and CSFA, with the why behind every answer
- Flashcards on any tray, timed to come back before you forget
- Every instrument card in full: the 3D model, cautions, inspection, how to pass it
Cancel any time from your account. Not worth it? Email us within 30 days of a charge for a refund, one per customer. Refund policy
Pro is also in the CSTSetup app, on the same account. Already have Pro? Log in
Send a photo or a fix
A photo of it on your tray, a name your OR calls it, or anything wrong on this page. Your email is only used to credit you. Submissions stay private and are reviewed by our team; accepted ones earn a Contributor credit here.