MedPath

Balanced Salt

Sterile Irrigating Solution

Approved
Approval ID

74ab8883-0a5f-46b4-8998-9358f6fd4ef4

Product Type

HUMAN PRESCRIPTION DRUG LABEL

Effective Date

Mar 13, 2024

Manufacturers
FDA

B. Braun Medical Inc.

DUNS: 002397347

Products 1

Detailed information about drug products covered under this FDA approval, including NDC codes, dosage forms, ingredients, and administration routes.

Sodium Chloride, Potassium Chloride, Calcium Chloride, Magnesium Chloride, Sodium Acetate, and Sodium Citrate

PRODUCT DETAILS

NDC Product Code0264-1945
Application NumberANDA091387
Marketing CategoryC73584
Route of AdministrationIRRIGATION
Effective DateFebruary 22, 2022
Generic NameSodium Chloride, Potassium Chloride, Calcium Chloride, Magnesium Chloride, Sodium Acetate, and Sodium Citrate

INGREDIENTS (9)

MAGNESIUM CHLORIDEActive
Quantity: 0.3 mg in 1 mL
Code: 02F3473H9O
Classification: ACTIB
SODIUM ACETATEActive
Quantity: 3.9 mg in 1 mL
Code: 4550K0SC9B
Classification: ACTIB
SODIUM CHLORIDEActive
Quantity: 6.4 mg in 1 mL
Code: 451W47IQ8X
Classification: ACTIB
POTASSIUM CHLORIDEActive
Quantity: 0.75 mg in 1 mL
Code: 660YQ98I10
Classification: ACTIB
CALCIUM CHLORIDEActive
Quantity: 0.48 mg in 1 mL
Code: M4I0D6VV5M
Classification: ACTIB
SODIUM HYDROXIDEInactive
Code: 55X04QC32I
Classification: IACT
HYDROCHLORIC ACIDInactive
Code: QTT17582CB
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT
SODIUM CITRATEActive
Quantity: 1.7 mg in 1 mL
Code: 1Q73Q2JULR
Classification: ACTIB

Drug Labeling Information

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

LOINC: 51945-4Updated: 3/13/2024

PRINCIPAL DISPLAY PANEL - 500 mL Label

Balanced Salt Solution
****Sterile Irrigating Solution

NOT FOR INTRAVENOUS USE
********SINGLE USE ONLY

REF L2514

NDC 0264-1945-10

500 mL
****EXCEL® CONTAINER

Each mL contains sodium chloride (NaCl) 0.64%, potassium chloride (KCl) **0.075%,
** calcium chloride dihydrate (CaCl
**2
·2H2O) 0.048%, magnesium chloride**
hexahydrate (MgCl**2·6H2O) 0.03%, sodium acetate trihydrate (C2H3NaO2****·****3H2O)**
0.39%, sodium citrate dihydrate (C**6H
5Na3O7****·2H2O) 0.17%, sodium hydroxide**
****and/or hydrochloric acid (to adjust pH), and water for injection.

pH: approximately 7.0; Osmolality: approximately 300 mOsm/Kg

**WARNINGS:**NOT FOR INJECTION OR INTRAVENOUS INFUSION.
Do not use unless overwrap is intact, product is clear, seal is intact, and container is undamaged.
Do not use if product is discolored or contains a precipitate. Discard unused contents. Do not use
this container for more than one patient. See package insert.

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.

Not made with natural rubber latex, PVC or DEHP.

Rx only

Y94-003-436 LD-720-1

EXCEL is a registered trademark of B. Braun Medical Inc.

B. Braun Medical Inc.
Bethlehem, PA 18018-3524 USA
1-800-227-2862

![Y94-003-436](/dailymed/image.cfm?name=balanced-salt-solution-in- excel-1.jpg&id=776132)

Y94-003-436

INDICATIONS & USAGE SECTION

LOINC: 34067-9Updated: 4/15/2021

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.

ADVERSE REACTIONS SECTION

LOINC: 34084-4Updated: 4/15/2021

ADVERSE REACTIONS

Irrigation or any other trauma to the corneal endothelium 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.

SPL UNCLASSIFIED SECTION

LOINC: 42229-5Updated: 4/15/2021

B. Braun Medical Inc.

Bethlehem, PA 18018-3524 USA
1-800-227-2862

PRECAUTIONS SECTION

LOINC: 42232-9Updated: 4/15/2021

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.

DESCRIPTION SECTION

LOINC: 34089-3Updated: 4/15/2021

DESCRIPTION

Balanced Salt Solution Sterile Irrigating Solution is a sterile balanced salt solution in 500 mL single-dose EXCEL® flexible containers. Each mL contains 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.

The EXCEL® plastic container is made from a multilayered film. The solution contact layer is a rubberized copolymer of ethylene and propylene. The container is nontoxic and biologically inert. The container-solution unit is a closed system and is not dependent upon entry of external air during administration. The container is overwrapped to provide protection from the physical environment and to provide an additional moisture barrier when necessary.

Addition of medication should be accomplished using complete aseptic technique.

The closure system has two ports; the one for the administration set has a tamper evident plastic protector and the other is a medication addition site. Refer to the Directions for Use of the container.

CLINICAL PHARMACOLOGY SECTION

LOINC: 34090-1Updated: 4/15/2021

CLINICAL PHARMACOLOGY

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

WARNINGS SECTION

LOINC: 34071-1Updated: 4/15/2021

WARNINGS

  • NOT FOR INJECTION OR INTRAVENOUS INFUSION.

  • Do not use unless overwrap is intact, 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 container should not be used in more than one patient.

  • This solution contains no preservative, unused contents should be discarded.

DOSAGE & ADMINISTRATION SECTION

LOINC: 34068-7Updated: 4/15/2021

DOSAGE AND ADMINISTRATION

The irrigating solution should be used according to standard format for each surgical procedure. Follow directions of the particular administration set to be used. Allow the fluid to flow and remove air from the tubing before irrigation begins.

HOW SUPPLIED SECTION

LOINC: 34069-5Updated: 4/15/2021

HOW SUPPLIED

Balanced Salt Solution Sterile Irrigating Solution is supplied in sterile and nonpyrogenic 500 mL single-dose EXCEL® flexible containers with clear overwrap, 24 per case.

Not made with natural rubber latex, PVC or DEHP.

NDC

REF

Size

Balanced Salt Solution Sterile Irrigating Solution

0264-1945-10

L2514

500 mL

STORAGE AND HANDLING SECTION

LOINC: 44425-7Updated: 4/15/2021

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.

Revised: August 2021

EXCEL® is a registered trademark of B. Braun Medical Inc.

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