Absorbable Suture
Non-Absorbable Suture
Plain Catgut
Plain is an absorbable suture made by twisting together strands of purified collagen taken from bovine intestines. The natural plain thread is precision ground in order to achieve a monofilament character and treated with a glycerol containing solution. Plain is absorbed by enzymatic degradation.
Composition: Plain Catgut
Tensile strength: Strength retention for at least 21 days
Structure: Twisted
Origin: Bovine serosa surface finish
Type of Absorption: Enzymatic digestion complete by 70 days
Loos of Tensile Strength: 7 to 10 days
Thread color: Straw
Sterilization: Gama Radiation
Packing: Plain sutures are available in U.S.P sizes 3 (7 metric) through 6 – 0 (1 Metric). In one, two or three dozen boxes.
Advantages: Very high knot-pull tensile strength Good knot security due to special Excellent handling features
Indications: It is indicated for use in general approach of soft tissues and/or ligature. Gastrintestinal, General Closure / Gynecology / Obstetrician, Urology, Skin Closure, Ophthalmology.
Contraindications: It is not recommended to be used in procedures where it is required a minimum tissue reaction.
Precautions: Special precautions should be taken in patients with cancer, anemia and malnutrition conditions. They tend to absorb the sutures at a higher rate. Cardiovascular surgery, due to the continued heart contractions. It is absorbed much faster when used in the mouth and in the vagina, due to the presence of microorganisms.
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Chromic Catgut Absorbable Sutures
Chromic is an absorbable suture made by twisting together strands of purified collagen taken from bovine intestines. Due to undergoing a ribbon stage chromicisation, the Chromic offers roughly twice the stitch holding time of plain catgut. The natural chromic thread is precision ground in order to achieve a monofilament character and treated with a glycerol containing solution. Chromic is absorbed by enzymatic degradation.
Composition: Natural purified collagen
Treatment: Treatment with chromic salt to delay its absorption.
Structure: Twisted
Origin: Bovine serosa
Type of Absorption: Enzymatic digestion complete in 70 days
Loos of Tensile Strength: 7 to 21 days
Thread color: Mustard
Sterilization: Gama Radiation
Packing: Chromic sutures are available in U.S.P sizes 3 (7 metric) through 6 – 0 (1 Metric). In one, two or three dozen boxes.
Advantages: Very high knot-pull tensile strength Good knot security due to special surface finish Improved smoothness due to the dry presentation of the thread Excellent handling features
Indications: It is indicated for use in general approach of soft tissues and/or ligature. Gastrintestinal, General Closure / Gynecology / Obstetrician, Urology, Skin Closure, Ophthalmology.
Contraindications: It is not recommended to be used in procedures where it is required a minimum tissue reaction.
Precautions: It is absorbed much faster when used in the mouth and in the vagina, due to the presence of microorganism. Cardiovascular surgery, due to the continued heart contractions. Special precautions should be taken in patients with cancer, anemia and malnutrition conditions. They tend to absorb this suture at a higher rate.
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Vertcryl Coated Braided PolyGlycolic Acid Absorbable Sutures
Braided synthetic absorbable sutures made of polymers of polyglycolic acid and coated with Polycaprolacton and Calcium Stearate, non collagen and biocompatible
Composition:Polyglycolic Acid
Coating:Coated with Polycaprolacton and Calcium Stearate
Structure: Braided
Origin: Synthetic
Type of Absorption: Absorption by hydrolysis complete between 60 & 90 days. Always predictable and reliable
Loss Of Tensile Strength: 80 ٪ at two weeks and in excess of 30٪ at three weeks post-implant
Thread color: Violet or Undyed-Beige
Sterilization: Ethylene Oxide (EO).
Packing: PGA sutures are available in U.S.P sizes 2(5 metric) through 8 – 0 (0.4 Metric). And in one, two or three dozen boxes.
Advantages: High initial tensile strength Guaranteed holding power through the critical wound healing period Smooth passage through tissue Easy handling Excellent knotting ability Secure knot tying
Indication: It is indicated for use in soft tissue approximation or ligation and ophthalmic surgery, but not in cardiovascular or neural tissue. Gastrintestinal, General Closure / Gynecology / Obstetrician, Urology, Skin Closure, Ophthalmology, Orthopedic.
Contraindication: It is contraindicated when extensive approach of the tissue should be maintained (Under tension), and where there is the lingering contact with saline solution.
Precautions: Special precautions should be taken in elderly patients and patients with history of anemia and malnutrition conditions. As with any suture material, adequate knot security requires the accepted surgical technique of flat and square ties.
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PDV Monofilament Polydioxanon Synthetic absorbable sutures
Monofilament, synthetic, absorbable sutures made of Poly (p-dioxanon), non collagen and biocompatible
Composition: Poly (p-dioxanon)
Coating: Uncoated
Structure: Monofilament
Origin: Synthetic
Type of Absorption: Absorption by hydrolysis complete Around 180 days. Always predictable and reliable
Loss Of Tensile Strength: 74 ٪ at two weeks and in excess of 40٪ at 60 days post-implant
Thread color: Violet or Undyed-Beige
Sterilization: Ethylene Oxide (EO).
Packing: Polydioxanon sutures are available in U.S.P sizes 3(6 metric) through 8 – 0 (0.4 Metric). And in one, two or three dozen boxes.
Advantages: High initial tensile strength Guaranteed holding power through the critical wound healing period Smooth passage through tissue Easy handling Excellent knotting ability Secure knot tying
Indication: It is indicated for use in soft tissue approximation or ligation and ophthalmic surgery, Gastrointestinal, General Closure / Gynecology / Obstetrician, Urology, Skin Closure, Orthopedic, cardiovascular
Contraindication: It is contraindicated when extensive approach of the tissue should be maintained (Under tension), and where there is the lingering contact with saline solution.
Precautions: Special precautions should be taken in elderly patients and patients with history of anemia and malnutrition conditions. As with any suture material, adequate knot security requires the accepted surgical technique of flat and square ties.
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Silk Coated Braided Non-absorbable sutures
Silk is a surgical suture, non absorbable, natural, multifilament, made of an Organic protein called fibroin. The silicon coating treatment and the new braiding technique render this silks’ surface smooth and uniform to facilitate its handling.
Composition: Organic protein called fibroin
Coating: Wax and Silicone
Structure: Braided or Twisted
Origin: Silkworm larval cocoons
Type of Absorption: Non-Absorbable
Loos of Tensile Strength: Around 1 year
Thread color: Black
Sterilization: Radiation or Ethylene Oxide (EO).
Packing: Silk sutures are available in U.S.P sizes 2 (5 metric) through 6 – 0 (0.7 metric). And in one, two or three dozen boxes.
Advantages: Excellent handling properties Good knot security
Indications: General soft tissue approximation and/ or ligation Ophthalmology OB/GYN Neurosurgery
Contraindications: This suture being non absorbable is not recommended in Urology procedures due to the salt solutions found in the urinary tract which may result in calculus formation.
Precautions: Its use for an indefinite period of time has been replaced for Synthetic sutures.
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Polyester Coated Braided Non-Absorbable Sutures
Polyester is surgical multifilament twisted, siliconized, non absorbable,synthetic suture made of polymer of polyethylene terephthalate ( polyester).
Composition: Polyethylene terephthalate
Coating: Silicone
Structure: Braided
Origin: Synthetic
Type of Absorption: Non-Absorbable (encapsulated by the organism)
Loos of Tensile Strength: Keep its tensile strength indefinitely
Thread color: Green or white
Sterilization: Radiation or Ethylene Oxide (EO).
Packing: Polyester sutures are available in U.S.P sizes 2 (5 metric) through 6 – 0 (0.7 metric). And in one, two or three dozen boxes .
Advantages: Good knot-pull tensile strength Long term tensile strength retention Excellent knot security Good tissue compatibility
Indications: Cardiovascular surgery Ophthalmic surgery Neurosurgery
Contraindications: Not known
Precautions: As with any suture material, adequate knot security requires the accepted surgical technique of flat and square ties with additional throws.
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Vertpro Monofilament Polypropylene Non-absorbable Sutures
Polypropylene is a synthetic, non-absorbable, monofilament made of polymers of isostatic polypropylene with a high tensile strength. The suture is pigmented blue to enhance visibility.
Composition:Isotactic crystalline stereoisomer of polypropylene
Coating:Uncoated
Structure: Monofilament
Origin: Synthetic
Type of Absorption: Non-Absorbable (encapsulated by the organism)
Loss Of Tensile Strength: Keep its tensile strength indefinitely
Thread color: Blue
Sterilization: Ethylene Oxide (EO).
Packing: Polypropylene sutures are available in U.S.P sizes 2 (5 metric) through 7 – 0 (0.5 Metric). And in one, two or three dozen boxes.
Advantages: High tensile strength, Secure knot holding, Smooth tissue passage ,Excellent tissue compatibility .
Indication:All procedures that require the use of a non-absorbable synthetic suture with a high tensile strength. Skin Closure Plastic surgery, Ophthalmic and Neurosurgery Cardiovascular surgery
Contraindication:Not known
Precautions: Adequate knot security requires the accepted surgical technique of flat, square ties of single suture strands. The use of additional throws is appropriate when knotting this type of suture.
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Nylon Monofilament Polyamide Non-absorbable sutures
Nylon is a surgical suture, non-absorbable made of polyamide (long aliphatic polymer chain of 6 Nylon or Nylon 6.6). It can be presented as a monofilament or braided.
Composition: Polyamide
Coating: Uncoated
Structure: Monofilament or braided
Origin: Synthetic
Type of Absorption: Non-absorbable
Loos of Tensile Strength: Around 5 year
Thread color: Blue, Black, or Undyed
Sterilization: Radiation or Ethylene Oxide (EO).
Packing: Nylon sutures are available in U.S.P sizes 2(5 metric) through 10 – 0 (0.1 Metric). in one, two or three dozen boxes.
Advantages: Good knot-pull tensile strength, Secure knot holding, Smooth tissue passage, Good tissue compatibility
Indications: For all procedures that require a suture with a great tensile strength during the healing period. Skin Closure, Cuticular, General Closure,Vascular. Plastic surgery Ophthalmic surgery
Contraindications: This type of suture is not recommended for procedures that involve internal tissues that can later difficult the removing of the knotting.
Precautions: As with any suture material, adequate knot security requires the accepted surgical technique of flat and square ties with additional throws.
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