ETHICON Wound Closure Suture Products ETHICON · Surgical Suture Needles Needle Shapes ¼ Circle...
Transcript of ETHICON Wound Closure Suture Products ETHICON · Surgical Suture Needles Needle Shapes ¼ Circle...
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© 2004
ETHICON Wound Closure Suture Products
International Market
Development
ETHICONWound Closure Suture Products
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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
(Representative Product Box)
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
(Representative Product Box)
Characteristics PROLENE Suture
Material Polypropylene
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 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
(Representative Product Box)
Characteristics Surgical Gut Suture - Chromic
Material Beef Serosa or Sheep Submucosa
Natural / Synthetic Natural
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
(Representative Product Box)
Characteristics Coated VICRYL RAPIDE
Suture Material Polyglactin 910. Copolymer of 90%
glycolide and 10% L-lactide
Natural / Synthetic Synthetic
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
(Representative Product Box)
Characteristics ETHIBOND Excel Suture
Material Polyester / Dacron
Natural / Synthetic Synthetic
Construction Braided Non-Absorbable Coating Polybutilate
Color Green and White Available Size Range 5 through 7/0 Strength Retention Profile Indefinite
Absorption Time Non-absorbable suture is encapsulated in tissues
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
(Representative Product Box)
Characteristics MERSILENE Suture
Material Polyester / Dacron
Natural / Synthetic Synthetic
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 Time Non-absorbable suture is encapsulated in tissues
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
(Representative Product Box)
Characteristics MONOCRYL Suture
Material Poliglecaprone 25 (copolymer of glycolide and e-Caprolactone)
Natural / Synthetic Synthetic
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
(Representative Product Box)
Characteristics Coated VICRYL Suture
Material Polyglactin 910 (copolymer of glycolide and lactide)
Natural / Synthetic Synthetic
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
(Representative Product Box)
Characteristics ETHILON Nylon Suture
Material Nylon 6
Natural / Synthetic Synthetic
Construction Monofilament Non-Absorbable Coating Not Coated
Color Black, Green and Clear Available Size Range 2 through 11/0 Strength Retention Profile Approximately 20% loss per year.
Absorption Time Non-absorbable suture is encapsulated in tissues
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
(Representative Product Box)
Characteristics NUROLON Braided Nylon
Suture Material Nylon 6
Natural / Synthetic Synthetic
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 Time Non-absorbable suture is encapsulated in tissues
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.
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Monofilament
(Representative Product Box)
Characteristics Coated VICRYL Suture
Material Polyglactin 910 (copolymer of glycolide and lactide)
Natural / Synthetic Synthetic
Construction Monofilament Absorbable Coating Not Coated
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 Time Absorbed in 56 – 70 days, 63 days on average
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
Material Polyglactin 910 (copolymer of glycolide and lactide)
Natural / Synthetic Synthetic
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 Time Absorbed in 56 – 70 days, 63 days on average
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
(Representative Product Box)
Characteristics Surgical Steel Suture
Material 316L Stainless Steel
Natural / Synthetic Metal Alloy
Construction Monofilament Non-Absorbable Coating Not Coated
Color Metallic Silver Available Size Range 7 – 10/0 Strength Retention Profile
Indefinite
Absorption Time Non-absorbable suture is encapsulated in tissues
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
(Representative Product Box)
Characteristics PERMA-HAND Silk Suture
Material Natural protein fibre of raw silk spun by silkworms
Natural / Synthetic Natural
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
(Representative Product Box)
Characteristics PDS II Suture
Material Polydioxanone
Natural / Synthetic Synthetic
Construction Monofilament Absorbable Coating Not Coated
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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