ethicon wound closure suture products ethicon · absorption time non-absorbable suture is...

© 2004

ETHICON Wound Closure Suture Products

International Market

Development

ETHICONWound Closure Suture Products

The ETHICON Wound Closure Products Information Booklet is provided by

ETHICON International Market Development

International Market

Development

TAPERCUT* Needle

Precision Point

Precision Cosmetic-

Conventional Cutting PRIME MICRO-POINT* Spatula Needle

Conventional Spatula

CS ULTIMA* Spatula Needle

VISI-BLACK* Needle

SABRELOC* Spatula Needle

MICRO-POINT*

Reverse Cutting Needle

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Surgical Suture Needles

Needle Shapes ¼ Circle ⅜ Circle ½ Curve

Needle Types Taper Point

Needle ETHIGUARD*

Blunt Point Needle

Conventional Cutting

Reverse Cutting

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½ Circle ⅝ Circle Straight

Contents

Page ABSORBABLE Sutures Surgical Gut Suture – Plain 2 Surgical Gut Suture – Chromic 3 Coated VICRYL* Rapide’ (polyglactin 910) Suture 4 MONOCRYL* (poliglecaprone 25) Suture 5 Coated VICRYL* (polyglactin 910) Suture 6 Coated VICRYL* Monofilament Suture 7 Coated VICRYL* Plus Antibacterial (polyglactin 910) Suture 8 PDS II* (polydioxanone) Suture 9 Wound Closure Chart 10 - 11

NON-ABSORBABLE Sutures PERMA-HAND* Silk Suture 12 Surgical Steel Suture 13 NUROLON* Braided Nylon Suture 14 ETHILON* Nylon Suture 15 MERSILENE* Polyester Fiber Suture 16 ETHIBOND* Excel Polyester Suture 17 PROLENE* Polypropylene Suture 18 PRONOVA* poly (hexafluoropropylene-VDF) Suture 19 Surgical Suture Needles 20 - 21 * Trademark

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Surgical Gut Suture - Plain

(Representative Product Box)

Characteristics Surgical Gut Suture - Plain

Material Beef Serosa or Sheep Submucosa

Natural / Synthetic Natural

Construction Virtual Monofilament Absorbable Coating Not Coated

Color Yellowish - Tan Available Size Range 3 – 7/0, Fast Absorbing Gut sizes 5/0 - 6/0 Strength Retention Profile Approximately 7 - 10 days post-op

Fast Absorbing Gut = Approximately 5 – 7 days post-op

Absorption Time Absorbed in 70 days, Fast Absorbing Gut in 21-42 days

Absorption Process Proteolytic enzymatic digestion Frequent Uses Ligation of superficial vessels; suture

subcutaneous and tissues that heal rapidly. Ophthalmology. Fast Absorbing Gut for external use only.

• Provides effective short-term wound support. • Consistently smooth strands allow for easy tie down,

minimizing fraying.

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PRONOVA Suture


Characteristics PRONOVA Suture

Material Polymer blend of poly (vinylidene fluoride) and poly (vinylidene fluoride-co- hexafluoropolypropylene)

Natural / Synthetic Synthetic

Construction Monofilament Non-Absorbable Coating Not Coated

Color Blue and Clear Available Size Range 2 through 10/0 Strength Retention Profile

Indefinite

Absorption Time Non-absorbable suture is encapsulated in tissues

Absorption Process Non-absorbable Frequent Uses Vascular anastomoses and general surgical

indications

• Less susceptible to handling damage than other monofilament sutures.

• Minimal package memory. • Strong, smooth monofilament suture.

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PROLENE Suture


Characteristics PROLENE Suture

Material Polypropylene



Color Blue and Clear Available Size Range 2 through 10/0 Strength Retention Profile Indefinite


Absorption Process Non-absorbable Frequent Uses General, plastic, cardiovascular surgery

and skin closure; ophthalmology • Unique CONTROLLED LINEAR ELONGATION gives the surgeon a “built-in” indicator of appropriate knot tension when tying. • Plastic knot deformity provides for secure surgical knots. • PROLENE suture is the most commonly used polypropylene

cardiovascular suture in the world.

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Surgical Gut Suture - Chromic


Characteristics Surgical Gut Suture - Chromic

Material Beef Serosa or Sheep Submucosa


Construction Virtual Monofilament Absorbable Coating Chromic Salts to retard absorption

Color Natural Brown and Dyed Blue Available Size Range 3 – 7/0 Strength Retention Profile

Strength retention for approximately 21 – 28 days post-op

Absorption Time Absorbed in 90 days Absorption Process Proteolytic enzymatic digestion Frequent Uses Ligation of superficial vessels; suturing of

subcutaneous and other rapid healing tissues. Ophthalmology.

• TRU-GUAGING ensures consistent strand from batch to batch. • TRU-CHROMICIZING ensures consistent, predictable absorption. • Dyed blue for ophthalmic surgery.

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Coated VICRYL RAPIDE Suture


Characteristics Coated VICRYL RAPIDE

Suture Material Polyglactin 910. Copolymer of 90%

glycolide and 10% L-lactide


Construction Braided Absorbable Coating 50% Polyglactin 370 and 50% Calcium

Stearate Color Undyed – Natural Beige Available Size Range 1 through 5/0 Strength Retention Profile 50% of original strength remains @ 5 days

post-op 0% @ 14 days post-op

Absorption Time Completely absorbed in 42 days Absorption Process Hydrolysis Frequent Uses Superficial soft tissue approximation of the

skin and mucosa where short term wound support is required

• Provides effective short-term wound support. • Fastest absorbing synthetic absorbable suture available from

ETHICON. • Soft, comfortable suture in delicate tissues.

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ETHIBOND Excel Suture


Characteristics ETHIBOND Excel Suture

Material Polyester / Dacron


Construction Braided Non-Absorbable Coating Polybutilate

Color Green and White Available Size Range 5 through 7/0 Strength Retention Profile Indefinite


Absorption Process Non-Absorbable Frequent Uses General surgery, cardiovascular and plastic

surgery; retention

• ETHIBOND Excel suture is stronger than any other braided polyester suture.

• Superior pliability when compared to competitive products. • Coating has a natural affinity to the suture, will not “flake off”

like silicone coatings. • Unique polybutilate coating provides for optimal tie down.

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MERSILENE Suture


Characteristics MERSILENE Suture

Material Polyester / Dacron


Construction Braided and Monofilament Non-Absorbable Coating Not Coated

Color Green and White Available Size Range Braided 5 through 6/0

Monofilament 10/0 – 11/0 Strength Retention Profile

Indefinite


Absorption Process Non-Absorbable Frequent Uses General surgery, cardiovascular and plastic

surgery; retention

• EXCLUSIVE size 10/0 and 11/0 for ophthalmic surgery. • Outstanding strength and reliability. • White MERSILENE suture is the common suture of choice for

tendon surgery.

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MONOCRYL Suture


Characteristics MONOCRYL Suture

Material Poliglecaprone 25 (copolymer of glycolide and e-Caprolactone)


Construction Monofilament Absorbable Coating Not Coated

Color Undyed - Beige and Dyed - Violet Available Size Range 2 through 6/0 Strength Retention Profile

Undyed - 50-60% @ 7 days post-op 20-30% @ 14 days post-op Dyed - 60-70% @ 7 days post-op 30-40% @ 14 days post-op

Absorption Time Completely absorbed in 91-119 days Absorption Process Hydrolysis Frequent Uses General soft tissue approximation and/or

ligation.

• MONOCRYL suture is pliable and easy to handle and tie. • Provides effective short to medium-term wound support. • Excellent knot security for a monofilament suture.

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Coated VICRYL Suture


Characteristics Coated VICRYL Suture

Material Polyglactin 910 (copolymer of glycolide and lactide)


Construction Braided Absorbable Coating 50% Polyglactin 370 and 50% Calcium

Stearate Color Violet and Undyed – Natural Beige Available Size Range 3 through 8/0 Strength Retention Profile

75% of original strength @ 14 days post-op 50% of original strength @ 21 days post-op 25% of original strength @ 28 days post-op (Sizes 6/0 and larger)

Absorption Time Absorbed in 56 – 70 days, 63 days on average

Absorption Process Hydrolysis Frequent Uses General soft tissue approximation and/or

ligation, including use in ophthalmology

• Coated VICRYL suture is the most commonly used synthetic absorbable suture in the world.

• Easy, secure knot tying, as knots snug into place and hold tight.

• Unique 28-day Strength Retention claim. • Referenced in over 2000 clinical papers.

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ETHILON* Nylon Suture


Characteristics ETHILON Nylon Suture

Material Nylon 6



Color Black, Green and Clear Available Size Range 2 through 11/0 Strength Retention Profile Approximately 20% loss per year.


Absorption Process Non-Absorbable Frequent Uses Skin closure: retention; Plastic surgery,

ophthalmology and microsurgery

• Pliabilised for ease of handling and tying. • Medical grade nylon is strongest available for sutures. • Attached to outstanding ETHICON Surgical needles.

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NUROLON Braided Nylon Suture


Characteristics NUROLON Braided Nylon

Suture Material Nylon 6


Construction Braided Non-Absorbable Coating Not Coated

Color Black Available Size Range 1 through 6/0 Strength Retention Profile

Approximately 20% loss per year


Absorption Process Non-Absorbable Frequent Uses Ligation and general closure; neurosurgery

• Nylon 6 is the strongest nylon available for medical use. • Available on CONTROL RELEASE* surgical needles. • Originally developed exclusively for the neurosurgeon as a

synthetic alternative to silk suture for use around the brain, but has been utilized in many other surgical specialties.

- 14 - Coated VICRYL Suture

Monofilament


Characteristics Coated VICRYL Suture




Color Violet and Undyed – Natural Beige Available Size Range 9/0 and 10/0 Strength Retention Profile

75% of original strength @ 14 days post-op 40% of original strength @ 21 days post-op


Absorption Process Hydrolysis Frequent Uses Ophthalmic and microsurgery indications

• Monofilament provides smooth passage through soft, delicate

tissues.

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Characteristics Coated VICRYL Plus Suture



Construction Braided Absorbable Coating Polyglactin 370 and IRGACARE MP

(triclosan) Color Violet and Undyed – Natural Beige Available Size Range 1 through 6/0 Strength Retention Profile

75% of original strength @ 14 days post-op 50% of original strength @ 21 days post-op 25% of original strength @ 28 days post-op


Absorption Process Hydrolysis Frequent Uses General soft tissue approximation and/or

ligation • Offers protection against bacteria colonization of the suture. • Suture contains IRGACARE MP, the purist form of the broad- spectrum antibacterial agent triclosan. • First and only anti-bacterial suture.

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Surgical Steel Suture


Characteristics Surgical Steel Suture

Material 316L Stainless Steel

Natural / Synthetic Metal Alloy


Color Metallic Silver Available Size Range 7 – 10/0 Strength Retention Profile

Indefinite


Absorption Process Non-Absorbable Frequent Uses Abdominal wall and skin closure; retention;

tendon repair; orthopaedic & neurosurgery. Sternum closure in cardiovascular surgery

• Wire is drawn at ETHICON to ensure highest quality product

from raw material to finished goods. • Available on unique CCS and CCS-1 sternum closure needles. • Packaged in multi-stand put-ups for user convenience and

minimal waste.

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PERMA-HAND Silk Suture


Characteristics PERMA-HAND Silk Suture

Material Natural protein fibre of raw silk spun by silkworms


Construction Braided Non-Absorbable Coating Bees wax

Color Black and White Available Size Range 5 through 9/0 Strength Retention Profile

Strength retention for approximately 1 year

Absorption Time Non-Absorbable Absorption Process Non-Absorbable Frequent Uses Ligation and general closure; general

surgery. Ophthalmology, plastic surgery and neurosurgery

• Slow controlled braiding for consistency of diameter smooth

easy passage through tissues. • All strands are de-gummed strength and consistency. • Silk is sourced from our own manufacturing plant at Johnson

& Johnson Medical in China.

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PDS II Suture


Characteristics PDS II Suture

Material Polydioxanone



Color Undyed Clear and Dyed Violet Available Size Range 2 through 9/0 dyed

1 through 7/0 undyed Strength Retention Profile

75% of original strength @ 2 weeks post-op 50% of original strength @ 4 weeks post-op 25% of original strength @ 6 weeks post-op

Absorption Time Absorbed in 180 – 210 days Absorption Process Hydrolysis Frequent Uses Soft tissue approximation, including use in

pediatric cardiovascular tissue where growth is expected to occur; ophthalmic surgery

• At 42 days post-op, PDS II suture has more than twice as

much strength as Maxon and Biosyn. • Smooth easy passage through tissues. • Less out-of-package memory than competition. • Outstanding pliability in a monofilament suture.

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