ETHICON Division
Ethicon’s innovative portfolio has over a thousand products in the areas of wound closure and tissue management, women’s health and urology, bleeding management and biosurgicals, aesthetic medicine and preeminent hernia, ENT and cardiovascular solutions. Ethicon is the partner of choice for health care professionals and providers across the world and touches the lives of 11 million patients on an average in a year.
Sutures
Sutures: ABSORBABLE
ETHICON PRODUCTS SUTURES:
Coated VICRYL™ Plus Antibacterial (polyglactin 910) Suture:
Coated VICRYL Plus Antibacterial (Polyglactin 910) Suture is a synthetic absorbable, sterile, surgical suture composed of a copolymer made from 90% glycolide and 10% L-lactide.
The suture contains Irgacare MP (triclosan), a broad-spectrum antibacterial agent.
Coated VICRYL Plus Antibacterial Suture is indicated for use in general soft tissue approximation and/or ligation, except for ophthalmic, cardiovascular and neurological tissues.
MONOCRYL™ Plus Antibacterial (poliglecaprone 25) Suture:
CMONOCRYL Plus Antibacterial (poliglecaprone 25) monofilament suture is a monofilament synthetic absorbable surgical suture prepared from a copolymer of glycolide and epsilon-caprolactone. The suture contains Irgacare MP (triclosan), a broad-spectrum antibacterial agent.
MONOCRYL Plus Antibacterial sutures are indicated for use in general soft tissue approximation and/or ligation, but not for use in cardiovascular or neurological tissues, microsurgery or ophthalmic surgery.
PDS™ Plus Antibacterial (polydioxanone) Suture:
PDS Plus Antibacterial (polydioxanone) monofilament synthetic absorbable suture is prepared from the polyester, poly (p-dioxanone). The suture contains Irgacare MP (triclosan), a broad-spectrum antibacterial agent.
PDS Plus Antibacterial sutures are indicated for use in soft tissue approximation, including use in pediatric cardiovascular tissue where growth is expected to occur and ophthalmic surgery (other than contact with cornea and sclera). PDS Plus Antibacterial suture is not indicated in adult cardiovascular tissue, microsurgery, and neural tissue. These sutures are particularly useful where the combination of an absorbable suture and extended wound support (up to six weeks) is desirable.
Coated VICRYL™ RAPIDE (polyglactin 910) Suture:
Coated VICRYL RAPIDE (polyglactin 910) suture is a synthetic absorbable sterile surgical suture composed of a copolymer made from 90% glycolide and 10% L-lactide. Although this suture is a synthetic absorbable suture, its performance characteristics are intended to model the performance of collagen (surgical gut) suture.
Coated VICRYL RAPIDE synthetic absorbable suture is indicated only for use in superficial soft tissue approximation of the skin and mucosa, where only short term wound support (7-10 days) is required. Coated VICRYL RAPIDE suture is not intended for use in ligation, ophthalmic, cardiovascular or neurological procedures.
Coated VICRYL™ (polyglactin 910) Suture:
Coated VICRYL (polyglactin 910) suture is a synthetic absorbable sterile surgical suture composed of a copolymer made from 90% glycolide and 10% L-lactide.
Coated VICRYL suture is indicated for use in general soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular and neurological tissues.
MONOCRYL™ (poliglecaprone 25) Suture:
MONOCRYL (poliglecaprone 25) suture is a monofilament synthetic absorbable surgical suture prepared from a copolymer of glycolide and epsilon-caprolactone.
MONOCRYL sutures are indicated for use in general soft tissue approximation and/or ligation, but not for use in cardiovascular or neurological tissues, microsurgery or ophthalmic surgery.
PDS™ II (polydioxanone) Suture:
PDS II (polydioxanone) monofilament synthetic absorbable suture is prepared from the polyester, poly (p-dioxanone).
PDS sutures are indicated for use in soft tissue approximation, including use in pediatric cardiovascular tissue where growth is expected to occur and ophthalmic surgery. PDS suture is not indicated in adult cardiovascular tissue, microsurgery and neural tissue. These sutures are particularly useful where the combination of an absorbable suture and extended wound support (up to six weeks) is desirable.
Surgical Gut Suture - Chromic:
Surgical gut suture is an absorbable, sterile surgical suture composed of purified connective tissue (mostly collagen) derived from either the serosal layer of beef (bovine) or the submucosal fibrous layer of sheep (ovine) intestines. Surgical gut sutures are available in plain or chromic. Chromic gut is processed to provide greater resistance to absorption.
Surgical gut suture is indicated for use in general soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular and neurological tissues.
Surgical Gut Suture – Plain:
Surgical gut suture is an absorbable, sterile surgical suture composed of purified connective tissue (mostly collagen) derived from either the serosal layer of beef (bovine) or the submucosal fibrous layer of sheep (ovine) intestines. Surgical gut sutures are available in plain or chromic. Chromic gut is processed to provide greater resistance to absorption.
Surgical gut suture is indicated for use in general soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular and neurological tissues.
Sutures: NON-ABSORBABLE
ETHICON PRODUCTS SUTURES:
PRONOVA™ Poly (hexafluoropropylene-VDF) Suture:
PRONOVA Suture is specially engineered to deliver the outstanding performance required to meet the demands of today's cardiovascular and vascular surgery procedures.
PRONOVA Suture (clear or pigmented) is a nonabsorbable, sterile surgical suture made from polymer blend of polyvinylidene fluoride and polyvinylidene fluoride-co- hexafluoropropylene. The suture is available in pigmented blue to enhance visibility.
ETHIBOND EXCEL™ Polyester Suture:
A nonabsorbable, braided, sterile, surgical suture composed of Poly (ethylene, terephthalate). It is prepared from fibers of high molecular weight, long-chain, linear polyesters having recurrent aromatic rings as an integral component.
It is uniformly coated with polybutilate or poly {oxy-1, 4 butanediyloxy (1, 6 -dioxo-1, 6 hexanediyl)}. The highly adherent coating is a relatively nonreactive nonabsorbable compound which acts as a lubricant to mechanically improve the physical properties of the uncoated suture by improving handling qualities as contrasted to the braided, uncoated fiber. The suture is braided for optimal handling properties, and dyed green for enhanced visibility in the surgical field.
ETHILON™ Nylon Suture:
A nonabsorbable, sterile, surgical, monofilament suture composed of the long- chain, aliphatic polymers Nylon 6 and Nylon 6.6. ETHILON suture is dyed black or green to enhance visibility in tissue. It is also available undyed (clear).
MERSILENE™ Polyester Fiber Suture:
MERSILENE polyester suture is a nonabsorbable, braided, sterile, surgical suture composed of Poly (ethylene terephthalate).
CNUROLON™ Nylon Suture:
NUROLON Sutures are composed of tightly braided filaments and are coated to improve handling characteristics. Available in white or dyed black, NUROLON Sutures look, feel and handle like silk.
PERMA-HAND™ Silk Suture:
A nonabsorbable, sterile, surgical suture composed of anorganic protein. The sutures are processed to remove the natural waxes and gums, dyed black and coated with a special wax mixture.
PROLENE™ Polypropylene Suture:
PROLENE Suture is indicated for use in general soft tissue approximation and/or ligation, including use in cardiovascular, ophthalmic and neurological procedures.
Surgical Stainless Steel Suture:
A nonabsorbable, sterile surgical suture composed of 316L stainless steel. Surgical stainless steel suture is available as a monofilament. Indicated for use in abdominal wound closure, hernia repair, sternal closure and orthopaedic procedures including cerclage and tendon repair.
Sutures: BY NEEDLE TYPE
Mesh
Mesh: HERNIA REPAIR
ETHICON PRODUCTS HERNIA REPAIR:
ETHICON PHYSIOMESH™ Flexible Composite Mesh:
ETHICON PHYSIOMESH™ Flexible Composite Mesh is a sterile, low profile, flexible composite mesh designed for the repair of hernias and other fascial deficiencies.
The mesh product is composed of a nonabsorbable, macroporous polypropylene mesh laminated between two polyglecaprone-25 films. An undyed polydioxanone film provides the bond between the polyglecaprone-25 film and polypropylene mesh. The polypropylene component is constructed of knitted filaments of extruded polypropylene. An additional dyed (D&C Violet No. 2) polydioxanone film marker has been added for orientation purposes.
PROCEED™ Surgical Mesh:
PROCEED™ Surgical Mesh is a sterile, thin, flexible laminate mesh designed for the repair of hernias and other fascial deficiencies.
The mesh product is composed of an oxidized regenerated cellulose (ORC) fabric, and PROLENE™ Soft Mesh, a nonabsorbable polypropylene mesh, which is encapsulated by a polydioxanone polymer. The polypropylene mesh side of the product allows for tissue ingrowth, while the ORC side provides a bioresorbable layer that physically separates the polypropylene mesh from underlying tissue and organ surfaces during the wound-healing period to minimize tissue attachment to the mesh. The polydioxanone provides a bond to the ORC layer.
PVP™ Device:
PROCEED™ Ventral Patch (PVP) is a sterile, self-expanding, partially absorbable, flexible laminate mesh device designed for the repair of hernias and other fascial deficiencies such as those caused by trocar use.
The mesh patch is comprised of multiple layers of absorbable and nonabsorbable materials, laminated together with an absorbable polydioxanone polymer and is available in different sizes.
ULTRAPRO™ Partially Absorbable Lightweight Mesh:
ULTRAPRO™ Mesh is manufactured from approximately equal parts of absorbable poliglecaprone-25 monofilament fiber and non-absorbable polypropylene monofilament fiber.
The polymer of the undyed and dyed polypropylene fiber (phthalocyanineblue, Color Index No.: 74160) is identical to the material used for dyed / undyed PROLENE™ suture material. Poliglecaprone-25 fiber consists of a copolymer containing glycolide and ε-caprolactone; this copolymer is identical to the material used for MONOCRYL™ suture. After absorption of the poliglecaprone-25 component, only the polypropylene mesh remains.
The structure and size of this remaining mesh are optimally designed for the pysiological stresses of the abdominal wall.
ULTRAPRO™ Plug:
The ULTRAPRO™ PLUG device comprises a sterile, thermoformed, three-dimensional plug manufactured from Spacer Fabric material (three dimensional warp knitting technology) and a flat preshaped onlay patch.
The Spacer Fabric is composed of a non-absorbable mesh, manufactured from polypropylene monofilament fibers and a absorbable mesh, manufactured from poliglecaprone 25 monofilament fibers. Both parts are connected by poliglecaprone 25 monofilament fibers.
ULTRAPRO™ Hernia System:
The ULTRAPRO™ Hernia System (UHS) is a sterile, pre-shaped, three-dimensional device constructed of an undyed orlay patch (1) connected by a mesh cylinder (connector) (2) to an underlay patch (3), which is reinforced by a flat undyed absorbable film of Poliglecaprone-25 (MONOCRYL™). The underlay patch is marked with dyed polypropylene fibers to be clearly distinguishable from the onlay patch.
The onlay patch, connector and underlay patch are manufactured from approximately equal parts of absorbable Poliglecaprone-25 monofilament fiber and non-absorbable polypropylene monofilament fiber. The polymer of the undyed and dyed polypropylene fibers (phthalocyanine blue, Color Index No.: 74160) is identical to the material used for dyed /undyed PROLENE™ suture material. Poliglecaprone-25 fiber consists of a copolymer containing glycolide and ε-caprolactone.This copolymer is also used for MONOCRYL™ suture material. After absorption of the Poliglecaprone-25 components only the polypropylene mesh remains.
The structure and size of this remaining mesh are designed for the physiological stresses to which the abdominal wall is subject. The UHS is available in different sizes.
PROLENE™ Polypropylene Hernia System:
The PROLENE™ (Polypropylene) Hernia System is a sterile, pre-shaped, three dimensional device constructed of an onlay patch connected by a mesh cylinder to a circular underlay patch. The material is undyed PROLENE™ (Polypropylene) MESH constructed of knitted nonabsorbable polypropylene filaments.
PROLENE™ Polypropylene Mesh:
PROLENE™ polypropylene mesh is constructed of knitted filaments of extruded polypropylene identical in composition to that used in PROLENE™ Polypropylene Suture, Nonabsorbable Surgical Sutures, U.S.P. (ETHICON, LLC.).
The mesh is approximately 0.020 inches thick. This material, when used as a suture, has been reported to be non-reactive and to retain its strength indefinitely in clinical use.
PROLENE mesh is knitted by a process which interlinks each fiber junction and which provides for elasticity in both directions. This construction permits the mesh to be cut into any desired shape or size without unraveling. The fiber junctions are not subject to the same work fatigue exhibited by more rigid metallic meshes. This bi-directional elastic property allows adaption to various stresses encountered in the body.
PROLENE™ 3D Patch Polypropylene Mesh:
The PROLENE™ 3D Patch Polypropylene Mesh is a sterile three-dimensional device. The device is fabricated from PROLENE™ Polypropylene Mesh.
It consists of a flat mesh onlay patch secured to a formed expandable diamond-shaped mesh patch component. The expandable patch portion of the device is a hollow diamond shaped component that is deployed through the use of an integrated looped non-absorbable suture.
VICRYL™ (polyglactin 910) Woven Mesh:
VICRYL™ (polyglactin 910) woven mesh is prepared from a synthetic absorbable copolymer of glycolide and lactide, derived respectively from glycolic and lactic acids.
This tightly woven mesh is prepared from uncoated, undyed fiber identical in composition to that used in VICRYL™ (polyglactin 910) synthetic absorbable suture, which has been found to be inert, nonantigenic, nonpyrogenic and to elicit only a mild tissue reaction during absorption. VICRYL woven mesh is intended for use as a buttress to provide temporary support during the healing process.
MERSILENE™ Polyester Fiber Mesh:
MERSILENE™ Polyester Fiber Mesh is constructed from polyethylene terephthalate, the same material used to make MERSILENE™ Polyester Fiber Suture, Nonabsorbable Surgical Suture, U.S.P. (ETHICON, LLC.). MERSILENE Polyester Fiber Mesh affords excellent strength, durability and surgical adaptability, along with maximal porosity for necessary tissue ingrowth. The mesh is approximately 0.010 inches thick and is a highly flexible and compliant material.
MERSILENE mesh is knitted by a process which interlinks each fiber junction and which provides for elasticity in both directions. This construction permits the mesh to be cut into any desired shape or size without unraveling. The fiber junctions are not subject to the same work fatigue exhibited by more rigid metallic meshes. This bi-directional elastic property allows adaption to various stresses encountered in the body.