
Step 1 of 4
Step 1. Prepare the field
Locate the bleeding source. Use only dry gloves and instruments — premature contact with fluid triggers gelling and reduces effectiveness.
- Suction or pat-dry the field with gauze before application
- Pick the size: 5×5 cm for dentistry / dermatology, 10×5 cm for ENT / trauma, 10×20 cm for the operating field

Step 2 of 4
Step 2. Take the material
Open the sterile package with dry hands or a dry instrument. Hold the material by its corner only — do not touch the working surface.
- Do not use saline-wet instruments
- Use an opened sheet immediately — re-sterilisation is not possible

Step 3 of 4
Step 3. Place on the source
Cover the bleeding site with the dry material, overlapping the wound edges by 5–10 mm. For cavity bleeding — pack the cavity with a rolled strip.
- In a tooth socket — place a rolled strip, bite down on a gauze tampon
- In the nose — insert a strip in the anterior part, press firmly with the ala
- On parenchyma — place over the source; multiple sheets can be combined

Step 4 of 4
Step 4. Maintain pressure for 2 minutes
2-minute compression — the material gels and forms a physical barrier in this window. For heavy bleeding or anticoagulated patients, extend to 5 minutes.
- Don't peek — breaking contact interrupts clot formation
- If bleeding persists — add a second sheet on top of the first
Important
Don't remove the material after application
BloodSTOP iX® fully resorbs. Forced removal destroys the clot and triggers rebleeding. If residue needs to be cleared — rinse with dry gauze or saline without pressure.
- Don't pull, don't scrub, don't use forceps
- Gel residue rinses off with saline in seconds
Tip
Patients on anticoagulants
BloodSTOP iX® works in patients on warfarin, DOACs (dabigatran, apixaban, rivaroxaban), heparin, and antiplatelets (aspirin, clopidogrel). Dose adjustment or holding the drug before a minor procedure is usually unnecessary — follow your local protocol.
- If INR > 3.5 or clinically significant bleeding — add a second sheet and 5-minute compression