ETHICON Wound Closure Suture Products ETHICON...rapidly. Ophthalmology. Fast Absorbing Gut for...
Transcript of ETHICON Wound Closure Suture Products ETHICON...rapidly. Ophthalmology. Fast Absorbing Gut for...
© 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
(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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