NUROLON Nylon |
Braided |
Violet |
Long-chain aliphatic |
Progressive |
Gradual |
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Suture |
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Green |
polymers |
hydrolysis |
encapsulation |
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Nylon 6 or Nylon 6,6. |
may result in |
by fibrous |
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Undyed |
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gradual loss |
connective |
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of tensile |
tissue. |
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(Clear) |
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strength over |
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time. |
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MERSILENE |
Braided |
Green |
Poly (ethylene |
No |
Gradual |
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Polyester Fiber Suture |
Monofilament |
Undyed |
terephthalate). |
significant |
encapsulation |
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change |
by fibrous |
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(White) |
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known to |
connective |
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occur in vivo. |
tissue. |
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ETHIBOND EXCEL |
Braided |
Green |
Poly (ethylene |
No |
Gradual |
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Polyester Fiber Suture |
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Undyed |
terephthalate) coated |
significant |
encapsulation |
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with polybutilate. |
change |
by fibrous |
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(White) |
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knownto |
connective |
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occur in vivo. |
tissue. |
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PROLENE |
Monofilament |
Clear |
Isotactic crystalline |
Not subject to |
Nonabsorbable. |
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Polypropylene Suture |
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Blue |
stereoisomer of |
degradation |
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polypropylene. |
or weakening |
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by action of |
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tissue |
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enzymes. |
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PRONOVA* Poly |
Monofilament |
Blue |
Polymer blend of |
Not subject to |
Nonabsorbable. |
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(hexafluoropropylene- |
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poly (vinylidene |
degradation |
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VDF) Suture |
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fluoride) and poly |
or weakening |
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(vinylidene fluoride- |
by action of |
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co- |
tissue |
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hexafluoropropylene). |
enzymes. |
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Trademarks of ETHICON, INC. are capitalized |
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Nonabsorbable Sutures
Page 2
By U.S.P. definition, "nonabsorbable sutures are strands of material that are suitably resistant to the action of living mammalian tissue. A suture may be composed of a single or multiple filaments of metal or organic fibers rendered into a strand by spinning, twisting, or braiding. Each strand is substantially uniform in diameter throughout its length within U.S.P. limitations for each size. The material may be uncolored, naturally colored, or dyed with an F.D.A. approved dyestuff. It may be coated or uncoated; treated or untreated for capillarity."
TISSUE |
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FREQUENT |
HOW |
COLOR |
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CONTRAINDICATIONS |
CODE OF |
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REACTION |
USES |
SUPPLIED |
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PACKETS |
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Acute |
Should not be used in |
General soft |
9-0 thru 5 |
Light Blue |
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inflammatory |
patients with known |
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tissue |
with and |
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reaction |
sensitivities or allergies to |
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approximation |
without |
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silk |
and/or |
needles, and |
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ligation, |
on LIGAPAK |
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including |
dispensing |
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cardiovascular, |
reels |
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opthalmic and |
4-0 thru 1 |
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neaurological |
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procedures. |
with |
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CONTROL |
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RELEASE |
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needles |
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Minimal |
Should not be used in |
Abdominal |
10-0 thru 7 |
Yellow- |
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acute |
with and |
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patients with known |
wound |
Ochre |
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inflammatory |
without |
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sensitivities or allergies to |
closure, hernia |
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reaction |
316L stainless steel, or |
repair, sternal |
needles |
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constituent metals such as |
closure and |
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chromium and nickel. |
orthopaedic |
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procedures |
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including |
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cerclage and |
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tendon repair. |
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Minimal |
Should not be used where |
General soft |
11-0 thru 2 |
Mint |
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acute |
with and |
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permanent retention of |
tissue |
Green |
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inflammatory |
without |
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tensile strength is |
approximation |
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reaction |
required. |
and/or |
needles |
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ligation, |
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including use |
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in |
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cardiovascular, |
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ophthalmic |
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and |
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neurological |
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procedures. |
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Minimal |
Should not be used where |
General soft |
6-0 thru 1 |
Mint |
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acute |
permanent retention of |
tissue |
with and |
Green |
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inflammatory |
tensile strength is |
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approximation |
without |
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reaction |
required. |
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and/or |
needles |
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ligation, |
4-0 thru 1 |
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including use |
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in |
with |
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cardiovascular, |
CONTROL |
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ophthalmic |
RELEASE |
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and |
needles |
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neurological |
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procedures. |
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Minimal |
None known. |
General soft |
6-0 thru 5 |
Turquoise |
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acute |
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tissue |
with and |
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inflammatory |
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approximation |
without |
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reaction |
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and/or |
needles |
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ligation, |
10-0 and 11-0 |
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including use |
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in |
for opthalmic |
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cardiovascular, |
(green |
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ophthalmic |
monofilament) |
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and |
0 with |
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neurological |
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CONTROL |
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procedures. |
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RELEASE |
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needles |
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Minimal |
None known. |
General soft |
7-0 thru 5 |
Orange |
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acute |
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tissue |
with and |
|
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inflammatory |
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approximation |
without |
|
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reaction |
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and/or |
needles |
|
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ligation, |
4-0 thru 1 |
|
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including use |
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including use |
with |
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in |
CONTROL |
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cardiovascular, |
RELEASE |
|
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ophthalmic |
needles |
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and |
various sizes |
|
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|
neurological |
|
||
|
|
procedures. |
attached to |
|
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|
|
TFE polymer |
|
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|
|
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pledgets |
|
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|
|
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|
|
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Minimal |
None known. |
General soft |
6-0 thru 2 |
Deep Blue |
|
acute |
|||||
|
tissue |
(clear) with |
|
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inflammatory |
|
|
|||
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approximation |
and without |
|
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reaction |
|
|
|||
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and/or |
needles |
|
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|||
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ligation, |
10-0 thru 8-0 |
|
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including use |
|
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in |
and 6-0 thru 2 |
|
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cardiovascular, |
(blue) with |
|
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ophthalmic |
and without |
|
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and |
needles |
|
|
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neurological |
0 thru 2 wuth |
|
|
|
|
procedures. |
|
||
|
|
CONTROL |
|
||
|
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|
||
|
|
|
RELEASE |
|
|
|
|
|
needles |
|
|
|
|
|
various sizes |
|
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|
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attached to |
|
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|
|
TFE polymer |
|
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|
|
|
pledgets |
|
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|
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Minimal |
None known. |
General soft |
6-0 through 5- |
Royal |
|
acute |
|
tissue |
0 with |
Blue |
|
inflammatory |
|
approximation |
TAPERCUT* |
|
|
reaction |
|
and/or |
surgical |
|
|
|
|
ligation, |
needle |
|
|
|
|
including use |
8-0 through 5- |
|
|
|
|
in |
|
||
|
|
cardiovascular, |
0 with taper |
|
|
|
|
ophthalmic |
point needle. |
|
|
|
|
and |
|
|
|
|
|
neurological |
|
|
|
|
|
procedures. |
|
|
|
|
|
|
|
|
Trademarks
The following are trademarks of ETHICON, INC.:
ATRALOC surgical needle
Coated VICRYL (polyglactin 910) suture
Coated VICRYL RAPIDE (polyglactin 910) suture CONTROL RELEASE needle/needle suture
CS ULTIMA ophthalmic needle ETHALLOY needle alloy
ETHIBOND EXCEL polyester suture capitalized ETHICON sutures or products
ETHILON nylon suture LIGAPAK dispensing reel MERSILENE polyester fiber suture MICRO-POINT surgical needle
MONOCRYL (poliglecaprone 25) suture NUROLON nylon suture
PANACRYL braided synthetic absorbable suture P PRIME needle
PC PRIME needle PS PRIME needle
PDS II (polydioxanone) suture PERMA-HAND silk suture PROLENE polypropylene suture
PRONOVA poly (hexafluoropropylene-VDF) suture RELAY suture delivery system
SABRELOC spatula needle TAPERCUT surgical needle VICRYL (polyglactin 910) suture VISI-BLACK surgical needle