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NUROLON Nylon

Braided

Violet

Long-chain aliphatic

Progressive

Gradual

Suture

 

Green

polymers

hydrolysis

encapsulation

 

 

Nylon 6 or Nylon 6,6.

may result in

by fibrous

 

 

Undyed

 

gradual loss

connective

 

 

 

of tensile

tissue.

 

 

(Clear)

 

 

 

 

strength over

 

 

 

 

 

 

 

 

 

 

time.

 

 

 

 

 

 

 

MERSILENE

Braided

Green

Poly (ethylene

No

Gradual

Polyester Fiber Suture

Monofilament

Undyed

terephthalate).

significant

encapsulation

 

 

change

by fibrous

 

 

(White)

 

known to

connective

 

 

 

 

occur in vivo.

tissue.

 

 

 

 

 

 

ETHIBOND EXCEL

Braided

Green

Poly (ethylene

No

Gradual

Polyester Fiber Suture

 

Undyed

terephthalate) coated

significant

encapsulation

 

 

with polybutilate.

change

by fibrous

 

 

(White)

 

knownto

connective

 

 

 

 

occur in vivo.

tissue.

 

 

 

 

 

 

PROLENE

Monofilament

Clear

Isotactic crystalline

Not subject to

Nonabsorbable.

Polypropylene Suture

 

Blue

stereoisomer of

degradation

 

 

 

polypropylene.

or weakening

 

 

 

 

 

by action of

 

 

 

 

 

tissue

 

 

 

 

 

enzymes.

 

 

 

 

 

 

 

PRONOVA* Poly

Monofilament

Blue

Polymer blend of

Not subject to

Nonabsorbable.

(hexafluoropropylene-

 

 

poly (vinylidene

degradation

 

VDF) Suture

 

 

fluoride) and poly

or weakening

 

 

 

 

(vinylidene fluoride-

by action of

 

 

 

 

co-

tissue

 

 

 

 

hexafluoropropylene).

enzymes.

 

 

 

 

 

 

 

Trademarks of ETHICON, INC. are capitalized

 

 

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

 

FREQUENT

HOW

COLOR

 

CONTRAINDICATIONS

CODE OF

REACTION

USES

SUPPLIED

 

 

 

 

 

PACKETS

Acute

Should not be used in

General soft

9-0 thru 5

Light Blue

inflammatory

patients with known

 

tissue

with and

 

reaction

sensitivities or allergies to

 

approximation

without

 

 

silk

and/or

needles, and

 

 

 

 

 

 

ligation,

on LIGAPAK

 

 

 

including

dispensing

 

 

 

cardiovascular,

reels

 

 

 

opthalmic and

4-0 thru 1

 

 

 

neaurological

 

 

 

procedures.

with

 

 

 

 

CONTROL

 

 

 

 

RELEASE

 

 

 

 

needles

 

 

 

 

 

 

Minimal

Should not be used in

Abdominal

10-0 thru 7

Yellow-

acute

with and

patients with known

wound

Ochre

inflammatory

without

sensitivities or allergies to

closure, hernia

 

reaction

316L stainless steel, or

repair, sternal

needles

 

 

constituent metals such as

closure and

 

 

 

chromium and nickel.

orthopaedic

 

 

 

 

procedures

 

 

 

 

including

 

 

 

 

cerclage and

 

 

 

 

tendon repair.

 

 

 

 

 

 

 

Minimal

Should not be used where

General soft

11-0 thru 2

Mint

acute

with and

permanent retention of

tissue

Green

inflammatory

without

tensile strength is

approximation

 

reaction

required.

and/or

needles

 

 

 

 

 

 

ligation,

 

 

 

 

including use

 

 

 

 

in

 

 

 

 

cardiovascular,

 

 

 

 

ophthalmic

 

 

 

 

and

 

 

 

 

neurological

 

 

 

 

procedures.

 

 

 

 

 

 

 

Minimal

Should not be used where

General soft

6-0 thru 1

Mint

acute

permanent retention of

tissue

with and

Green

inflammatory

tensile strength is

 

approximation

without

 

reaction

required.

 

and/or

needles

 

 

 

 

 

 

ligation,

4-0 thru 1

 

 

 

including use

 

 

 

in

with

 

 

 

cardiovascular,

CONTROL

 

 

 

ophthalmic

RELEASE

 

 

 

and

needles

 

 

 

neurological

 

 

 

 

procedures.

 

 

 

 

 

 

 

Minimal

None known.

General soft

6-0 thru 5

Turquoise

acute

 

tissue

with and

 

inflammatory

 

 

 

approximation

without

 

reaction

 

 

 

and/or

needles

 

 

 

 

 

 

ligation,

10-0 and 11-0

 

 

 

including use

 

 

 

in

for opthalmic

 

 

 

cardiovascular,

(green

 

 

 

ophthalmic

monofilament)

 

 

 

and

0 with

 

 

 

neurological

 

 

 

CONTROL

 

 

 

procedures.

 

 

 

RELEASE

 

 

 

 

 

 

 

 

needles

 

 

 

 

 

 

Minimal

None known.

General soft

7-0 thru 5

Orange

acute

 

tissue

with and

 

inflammatory

 

 

 

approximation

without

 

reaction

 

 

 

and/or

needles

 

 

 

 

 

 

ligation,

4-0 thru 1

 

 

 

including use

 

 

 

including use

with

 

 

 

 

 

 

in

CONTROL

 

 

 

cardiovascular,

RELEASE

 

 

 

ophthalmic

needles

 

 

 

and

various sizes

 

 

 

neurological

 

 

 

procedures.

attached to

 

 

 

 

TFE polymer

 

 

 

 

pledgets

 

 

 

 

 

 

Minimal

None known.

General soft

6-0 thru 2

Deep Blue

acute

 

tissue

(clear) with

 

inflammatory

 

 

 

approximation

and without

 

reaction

 

 

 

and/or

needles

 

 

 

 

 

 

ligation,

10-0 thru 8-0

 

 

 

including use

 

 

 

in

and 6-0 thru 2

 

 

 

cardiovascular,

(blue) with

 

 

 

ophthalmic

and without

 

 

 

and

needles

 

 

 

neurological

0 thru 2 wuth

 

 

 

procedures.

 

 

 

CONTROL

 

 

 

 

 

 

 

 

RELEASE

 

 

 

 

needles

 

 

 

 

various sizes

 

 

 

 

attached to

 

 

 

 

TFE polymer

 

 

 

 

pledgets

 

 

 

 

 

 

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

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