5

Selection and use of surgical needles

ADVANCED

NEEDLE

COATING

ALLOY*INTELLIGENT

GEOMETRY

6

Easy penetration of

dense tough tissue

TAPERCUT

Needles

CC

Needles

VISI-BLACK

Needles

Consistency pass

after pass

Taper Point

Needles

Gentle separation

of fibrous tissue

Easy penetration of

calcified coronary

tissues

A fitting choice for

vascular surgery

Visibility is their

strength

For confined access

procedures

Excellence in skin

closure

Improving

safety

PRIME

Needles

MULTICURVE

Needles

HEMO-SEAL

Needle Sutures

ETHIGUARD Blunt

Point Needles

Taper Point

CC

CALCIFIEDCORONARY

CALCIFIEDCORONARY

A Unique Needle Range

7

Superior Resistance To Bending1

Ben

d M

om

en

t (n

=cm

)

5

4

3

2

Conventional

Alloy Needles

ETHALLOY

Needles

+40%

Swage

Needle Point Needles can taper to a point or have cutting edges.

Taper Ratio

Needle Body

Ribs In larger needles there is a ribbed section to

provide a secure grip.

Square Body Needles can also have a square body for increased

strength.

Swage A hole is drilled into the end of the wire and the

needles the needles are laser drilled which

8

1/4 Circle 3/8 Circle 1/2 Circle 5/8 Circle

J Shape Compound Curve Straight

Needle ShapeThe choice of needle shape is frequently governed by the accessibility of the tissue to

required. The basic shapes involved are:

9

Whereas for muscle or fascia heavier wire

Round Bodied needles

is possible. After the passage of the needle, the tissue closes tightly round the suture

TAPERPOINT Needle

the needle holder in this area confers extra stability on

sutures. Taper Point needles are available in a range of wire

tissue in gastrointestinal or vascular procedures whereas

TAPERPOINT Plus

than a conventional round shape.

the conventional round bodied cross section. This design

tissue layers.

visibility against tissue and where blood is present in the

10

ETHIGUARD Blunt Point Needle

the ETHIGUARD Needle can also be used for suturing

friable tissue such as the liver.

Blunt Point Needle

friable tissue such as the liver.

CC NeedleThe unique point design of the CC Needle provides

this needle is particularly secure in the needle holder.

TAPERCUT Needle

11

Reverse Cutting NeedleThe body of this needle is triangular in cross section,

havingthe apex cutting edge on the outside of the needle

particularlyincreases its resistance to bending.

TROCAR POINT NeedleBased on the traditional TROCAR POINT, this needle has a

body.The design of the cutting head ensures powerful

penetration,even when deep in dense tissue.

.

12

Cutting Needles

PRIME and PRIME MULTIPASS needles

with an exclusive needle tip design. The cross sectional

control.

A square body on the needle greatly increases needle

holder. PRIME needles are available with either a reverse

advanced MULTIPASS needle coating technology.

Cutting Needles

Conventional Cutting NeedleThis needle has a triangular cross section with the apex

of the triangle on the inside of the needle curvature.

The effective cutting edges are restricted to the front

body which continues for half the length of the needle.

Reverse Cutting NeedleThe body of this needle is triangular in cross section,

having the apex cutting edge on the outside of the

needle and particularly increases its resistance to

bending.

SUPERIOR RESISTANCE

TO BENDING800

700

500

400

300

200

PENETRATION

1. pass 10. pass 20. pass Average

250

200

150

100

50

0

1313

Spatula Needle

considerably less force to penetrate corneal scleral tissue

of the of the cornea and the real possibility of reduced

Spatula Needle

produce superb penetration characteristics. In addition,

the square body greatly increases resistance to bending

the needle at the correct angle for secure accurate suture

Spatula Needle

needle to penetrate between the layers of scleral or

corneal tissue.

14

SPATULATEDNeedle

needles, this is designed for scleral suturing which

of cut out or cut down by a third edge is essential.

Reverse Cutting NeedleThe third cutting edge of this needle lies on the

the

below

The needle is held

securely in the

needle holder.

Suture is grasped

needle, pulling

strand taut.

1. 2. The needle is

released with a

straight tug of the

needleholder.

CONTROL RELEASE Needle Sutures

15

Use of Needle Holders

needle and in particular, distortion of the curvature.

Excessive force should not be applied when gripping the needle, particularly with Tungsten

Use of Surgical Needles

1 The force required to achieve passage of the needle through tissue should be applied in a

direction following the curvature of the needle.

1616

Needle NewGraphic

Taper Point

(Round Bodied)

Taper Point Plus

(modified point)

ETHIGUARD

Blunt Point Needle

Blunt Point

TAPERCUT Needle

CC Needle

TROCAR Point

Conventional Cutting

Reverse Cutting

PRIME Needle

Conventional Cutting

PRIME Needle

Reverse Cutting

CS ULTIMA

Spatula Needle

Spatula

1717

Plus Antibacterial Sutures

ETHICON developed VICRYL* Plus, MONOCRYL* Plus and PDS* Plus

Surgical Site Infections (SSIs).

ETHICON Plus Sutures contain IRGACARE* MP (triclosan),

an antibacterial technology that helps inhibit bacterial 1.

2.

response as traditional sutures 3.

4. The

4.

VICRYL* Plus, MONOCRYL* Plus and PDS* Plus Sutures with

5:

Staphylococcus aureus

Staphylococcus aureus (MRSA)

(MRSE)

MONOCRYL* Plus and PDS* Plus Sutures Sutures are also

effective against:

References:

S98.

18

AB

SOR

BA

BLE

SU

TUR

ESN

ON

AB

SOR

BA

BLE

SU

TUR

ES

* = Check the catalog for information on thinner sizes ** = Additional throws may be particularly appropriate when knotting any mono� lament material

ABSORBABLE SUTURES PHYSICAL COLOR REMAINING TENSILE STRENGTH ABSORPTION KNOT CHARACTERISTICS (% of the original strength) RATE TYING 1 w. 2 w. 3 w. 4 w. 6 w. VICRYL® Rapide Multi� lament, Violet 50% 0% Polyglactin 910 coated Undyed (5 days) (10-14 days) 42 days 1=1=1=1

MONOCRYL® Polyglecaprone 25 Mono� lament Violet 60% 30% 90 - 120 days

MONOCRYL® Plus Antibacterial Undyed 50% 20% 1=1=1=1**Polyglecaprone 25

VICRYL® (6-0 and larger*) Polyglactin 910 Multi� lament, Violet / 2=1=1 / VICRYL® Plus Antibacterial coated Undyed 75 % 50 % 25 % 56 - 70 days 1=1=1=1Polyglactin 910

PDS®II (3-0 and larger*) Mono� lament Violet /Polydioxanone Undyed 80 % 70 % 60 % 182 -238 days 1=1=1=1**

PDS* Plus Antibacterial

NONABSORBABLE PHYSICAL COLOR KNOTSUTURES CHARACTERISTICS TYING

PROLENE® 1=1=1=1/Polypropylene Mono� lament Blue / Undyed 2=1=1**

PRONOVA® 1=1=1=1/Poly(hexa! uoropropylene-VDF) Mono� lament Blue 2=1=1**

ETHIBOND® Multi� lament, 2=1=1 /Polyester coated Green / White 1=1=1=1*

MERSILENE®Polyester Multi� lament Green / White 2=1=1

ETHILON® 1=1=1=1/Polyamide Mono� lament Black / Blue 2=1=1**

NUROLON® Multi� lament, Black Polyamide coated 2=1=1

SILK Multi� lament Black/White/Blue 1=1=1=1

STEEL Mono� lament / Multi� lament Undyed 1=1=1=1