HOLD FAST
WITH EVERY PASS
ETHICON INTRODUCES NEW
STRATAFIX™ SPIRAL KNOTLESS TISSUE CONTROL DEVICES
KNOTLESS TISSUE CONTROL DEVICE
Can the wound closure
experience be improved?
Optimal wound healing requires strong and secure wound closure
• Closure must be strong enough to maintain appropriate tension and approximation throughout healing5
• Successful outcomes are related to obtaining consistent tension at each layer5
Interrupted suturing techniques may
provide excellent strength and security
but require several knots, which may be
associated with knot-related
complications9
• Interrupted closures increase the time of the procedure and patient’s exposure to anesthesia6,7
• Fewer points of fixation may make it more difficult to
consistently distribute tension across the closure,
leaving gaps in the approximation
KNOTLESS TISSUE CONTROL DEVICE
Continuous suturing with a traditional
suture is more efficient than interrupted
techniques, but can be compromised with
a break in the suture6-8
• Because traditional sutures may loosen following each
pass, continuous techniques require an assistant to
follow the suture to maintain tension and approximation
The goal of closure is to combine the
efficiency of continuous suturing with the
strength and security of interrupted suturing.
Secure every pass with NEW
STRATAFIX™ Spiral Knotless Tissue Control Devices
Ethicon introduces STRATAFIX™ Spiral Devices—a portfolio of products with unique anchoring technology that provides a
combination of more consistent control,* security, and more efficiency* during closure1-4
• The anchors are formed from within the device in a spiral pattern. The bidirectional technology is appropriate for several
closure techniques10
More consistent tension control and approximation with each pass*
• Unique anchor design provides multiple points of fixation along the suture line, allowing tension on the suture to be
maintained during closure
• Compared to traditional sutures, STRATAFIX™ Spiral Devices enable surgeons to easily manage tension and control
approximation with each pass
Strength and security of interrupted suturing without knot-related complications2-4,11
• Anchors running along the length of STRATAFIX™ Spiral Devices provide secure fixation, eliminating the need for knots
• In preclinical studies, cutting the STRATAFIX™ Spiral Device did not result in tissue separation2,4,12
More efficient than continuous suturing*
• No need for an assistant to follow the suture
• With equal strength and security, STRATAFIX™ Spiral Devices can close wounds substantially faster than using an
interrupted technique2-4,13-17
*Compared to traditional sutures.
With significantly more points of fixation than traditional sutures,
STRATAFIX™ Spiral Devices give surgeons more consistent tension
control over every pass, and combine the strength and security of
interrupted closure with more efficiency than continuous closure.1-4
KNOTLESS TISSUE CONTROL DEVICE
A comprehensive portfolio for multiple
surgical applications
Ethicon offers STRATAFIX™ Spiral Knotless Tissue Control Devices
in short-term, long-term, and nonabsorbable polymers
KNOTLESS TISSUE CONTROL DEVICE
Available in a portfolio of sizes and lengths, with multiple needle types, to address the needs of
multiple procedures, including open, laparoscopic, and robotic
KNOTLESS TISSUE CONTROL DEVICE
KNOTLESS TISSUE CONTROL DEVICE
The STRATAFIX™ Spiral Device portfolio will continue
to grow to provide the most appropriate choice for
your procedures.
KNOTLESS TISSUE CONTROL DEVICE
Stratafix Needles
Catalogue
TAPERPOINT NEEDLE
This point profile is engineered to provide easy penetration of
intended tissues. Forceps flats are formed in an area half way
between the point and the attachment. Positioning the needle holder
in this area confers extra stability on the needle being held, aiding
precise placement of the sutures. Taper Point needles are available
in a range of wire diameters and the finer diameters can be used for
softer tissue in gastrointestinal or vascular procedures whereas
heavier diameters are required for tougher tissue such as muscle.
TAPERCUT NEEDLE
This needle combines the initial penetration of a cutting needle
with the minimized trauma of a round bodied needle. The cutting
tip is limited to the point of the needle, which then tapers out to
merge smoothly into a round cross section.
REVERSE CUTTING NEEDLE
The body of this needle is triangular in cross section, having the
apex cutting edge on the outside of the needle curvature. This
improves the strength of the needle and particularly increases its
resistance to bending.
Spiral PDO
KNOTLESS TISSUE CONTROL DEVICE
KNOTLESS TISSUE CONTROL DEVICE
Loss of tensile strength
27% to 14 days
90-120 days
Absorption time
16x16
16x16
12
12
Bidirectional spiral • clear
Bidirectional spiral • clear
RESERVE
CUTTING
MH
mm 36
0
0
14x14
36x36
1
1
12
12
Bidirectional spiral • clear
Bidirectional spiral • clear
CONFIGURATION
CODE
1
1
1
1
1
1
12
12
12
12
12
12
Bidirectional spiral • clear
Bidirectional spiral • clear
SXMD2B405
SXMD2B404
SXMD2B407
SXMD2B406
SXMD2B409
SXMD2B408
FS-1
3-0
3-0 30x30
1
12
Bidirectional spiral • clear
SXMD2B410
FS
4-0
3-0
3-0 30x30
2-0 14x14
1
1
12
12
Bidirectional spiral • clear
Bidirectional spiral • clear
SXMD2B413
SXMD2B411
3-0
2-0 30x30
1
12
Bidirectional spiral • clear
SXMD2B412
1
12
Bidirectional spiral • clear
SXMD2B414
SXMD2B400
SXMD2B401
3/8
PACKAGE
3-0
7x7
2-0
7x7
3-0 14x14
2-0 14x14
3-0 30x30
2-0 30x30
SXMD2B403
SXMD2B402
FS-2
2-0
2-0
SIZE
length.
(cm)
4-0
3-0
4-0
3-0
4-0
3-0
PRECISION POINT
mm 19
1/2
GAUGE
USP
core suture
prior to
anchoring
suture
after
anchoring
1
1
CODE
pieces
per box
3-0
2-0
CONFIGURATION
suture
per piece
4-0
3-0
PACKAGE
CURVATURE
SIZE
length.
(cm)
pieces
per box
RB-1
mm 17
GAUGE
USP
suture
per piece
TAPERPOINT
core suture
prior to
anchoring
suture
after
anchoring
CURVATURE
KNOTLESS TISSUE CONTROL DEVICE
Bidirectional spiral • clear
Bidirectional spiral • clear
Bidirectional spiral • clear
Bidirectional spiral • clear
3/8
SIZE
length.
(cm)
4-0
3-0 30x30
PACKAGE
pieces
per box
PS-1
mm 24
GAUGE
USP
suture
per piece
PRECISION
POINT
core suture
prior to
anchoring
suture
after
anchoring
CURVATURE
mm 24
1
12
CONFIGURATION
Bidirectional spiral • clear
CODE
mm 26
SXMD2B150
CP-2
mm 26
1/2
2-0
0
14x14
Loss of tensile strength
70%-40% to 6 weeks
Spiral PDO
120-180 days
Absorption time
10x10
14x14
1
1
12
12
Bidirectional spiral • violet
2-0
2-0
0
2-0
2-0
0
0
0
0
1
0
0
1
1
7x7
14x14
14x14
24x24
36x36
24x24
30x30
1
1
1
1
1
1
1
12
12
12
12
12
12
12
Bidirectional spiral • violet
Bidirectional spiral • violet
SXPD2B406
SXPD2B407
SXPD2B409
SXPD2B408
SXPD2B412
SXPD2B410
SXPD2B411
CT-3
0
1
14x14
1
12
Bidirectional spiral • violet
SXPD2B404
CT-1
1
1
1
2
2
2
14x14
24x24
30x30
1
1
1
12
12
12
Bidirectional spiral • violet
Bidirectional spiral • violet
SXPD2B401
SXPD2B402
SXPD2B403
MO-4
1
2
36x36
1
12
Bidirectional spiral • violet
SXPD2B400
CTX
1
2
36x36
1
12
Bidirectional spiral • violet
SXPD2B405
MH
mm 36
Bidirectional spiral • violet
Bidirectional spiral • violet
Bidirectional spiral • violet
Bidirectional spiral • violet
Bidirectional spiral • violet
Bidirectional spiral • violet
SXPD2B413
SXPD2B414
mm 22
mm 36
Bidirectional spiral • violet
mm 36
mm 48
V-4
GAUGE
USP
SIZE
length.
(cm)
PACKAGE
CONFIGURATION
CODE
pieces
per box
0
0
TAPERCUT
suture
per piece
CODE
core suture
prior to
anchoring
suture
after
anchoring
CONFIGURATION
CURVATURE
length.
(cm)
PACKAGE
pieces
per box
SIZE
2-0
2-0
SH
mm 26
1/2
GAUGE
USP
suture
per piece
TAPERPOINT
core suture
prior to
anchoring
suture
after
anchoring
CURVATURE
KNOTLESS TISSUE CONTROL DEVICE
4-0
3-0 24x24
1
12
Bidirectional spiral • violet
SXPD2B426
4-0
4-0
3-0 14x14
3-0 24x24
1
1
12
12
Bidirectional spiral • violet
SXPD2B425
SXPD2B424
mm 17
3/8
V-26
mm 26
Bidirectional spiral • violet
Loss of tensile strength
70%-40% to 6 weeks
Spiral PDO
120-180 days
FS-2
mm 19
3/8
FS
mm 26
SIZE
length.
(cm)
5-0
4-0
4-0
3-0
2-0
3-0
2-0
4-0
3-0
3-0
7x7
7x7
14x14
2-0 14x14
0 14x14
2-0 24x24
0 24x24
PACKAGE
pieces
per box
PRECISION POINT
GAUGE
USP
suture
per piece
RESERVE
CUTTING
Absorption time
care suture
prior to
anchoring
suture
after
anchoring
CURVATURE
KNOTLESS TISSUE CONTROL DEVICE
1
1
1
12
12
12
CONFIGURATION
CODE
STRATAFIX™ Spiral Knotless Tissue Control Devices
Ethicon introduces STRATAFIX™ Spiral Devices—a comprehensive portfolio of devices with unique anchoring technology for
multiple surgical applications
Bidirectional spiral • violet
Bidirectional spiral • violet
Bidirectional spiral • violet
1
1
1
1
12
12
12
12
Bidirectional spiral • violet
Bidirectional spiral • violet
Bidirectional spiral • violet
Bidirectional spiral • violet
SXPD2B421
SXPD2B422
SXPD2B423
SXPD2B417
SXPD2B418
SXPD2B419
SXPD2B420
CP-2
0
1
1
2
24x24
24x24
1
1
12
12
Bidirectional spiral • violet
OS-6
1
1
2
2
24x24
30x30
1
1
12
12
Bidirectional spiral • violet
mm 36
Bidirectional spiral • violet
SXPD2B200
SXPD2B201
OS-8
1
2
36x36
1
12
Bidirectional spiral • violet
SXPD2B202
mm 26
Secure every pass with NEW
Bidirectional spiral • violet
Consistency
More consistent tension
control and approximation
during closure*
Security
Strength and security of
interrupted suturing without
knot-related complications2-4,11
Efficiency
More efficient than
continuous suturing*
Available in short-term, long-term, and nonabsorbable polymers ina portfolio of sizes and lengths, with multiple needle types
SXPD2B415
SXPD2B416
1/2
mm 40
*Compared to traditional sutures.
KNOTLESS TISSUE CONTROL DEVICE
A comprehensive portfolio for multiple surgical applications.
With significantly more points of fixation than traditional sutures, STRATAFIX™ Spiral Devices give surgeons more consistent
tension control over every pass and combine the security and strength of interrupted closure with more efficiency than
continuous closure.1-4
For more information, contact your Ethicon representative. / For complete product details, see Instructions for Use.
References:
1. Data on file, Ethicon, Inc: STRATAFIX Knotless Tissue Control Devices Claims List SFX-463-12, Claim #2. 2. Moran ME, Marsh C, Perrotti M. Bidirectional-barbed sutured
knotless running anastomosis v classic Van Velthoven suturing in a model system. J Endourol. 2007;21(10):1175-1178. 3. Rodeheaver GT, Pineros-Fernandez A, Salopek
LS, et al. Barbed sutures for wound closure: in vivo wound security, tissue compatibility and cosmesis measurements. In: Transactions from the 30th Annual Meeting of the
Society for Biomaterials; Mount Laurel, NJ; p. 232. 4. Vakil JJ, O’Reilly MP, Sutter EG, Mears SC, Belkoff SM, Khanuja HS. Knee arthrotomy repair with a continuous barbed
suture: a biomechanical study. J Arthroplasty. 2011;26(5):710- 713. 5. Dubay DA, Franz MG. Acute wound healing: the biology of acute wound failure. Surg Clin North Am.
2003;83(3):463-481. 6. Boutros S, Weinfeld AB, Friedman JD. Continuous versus interrupted suturing of traumatic lacerations: a time, cost, and complication rate
comparison. J Trauma Injury Infect Crit Care. 2000;48(3):495-497. 7. Seiler CM, Bruckner T, Diener MK, et al. Interrupted or continuous slowly absorbable sutures for closure
of primary elective midline abdominal incisions: a multicenter randomized trial (INSECT: ISRCTN24023541). Ann Surg. 2009;249(3):576-582. 8. Wong NL. Review of
continuous sutures in dermatologic surgery. J Dermatol Surg Oncol. 1993;19:923-931. 9. Sissener T. Suture patterns. Comp Anim. 2006;11:14-19. 10. Data on File, Ethicon,
Inc.: 3-0 STRATAFIX Spiral PGA-PCL Knotless Tissue Control Device CAD drawings. 11. Data on file, Ethicon, Inc: STRATAFIX Knotless Tissue Control Devices Claims List
SFX-463-12, Claim #11. 12. Data on file, Ethicon, Inc: STRATAFIX Knotless Tissue Control Devices Claims List SFX-463-12, Claim #38. 13. Data on file, Ethicon, Inc:
STRATAFIX Knotless Tissue Control Devices Claims List SFX-463-12, Claim #12. 14. Eickmann T, Quane E. Total knee arthroplasty closure with barbed sutures. J Knee Surg.
2010;23(3):163-167. 15. Einarsson JI, Chavan NR, Suzuki Y, Jonsdottir G, Vellinga TT, Greenberg JA. Use of bidirectional barbed suture in laparoscopic myomectomy:
evaluation of perioperative outcomes, safety, and efficacy. J Minim Invasive Gynecol. 2011;18(1):92-95. 16. Levine BR, Ting N, Della Valle CJ. Use of a barbed suture in the
closure of hip and knee arthroplasty wounds. Orthopedics. 2011;34(9):e473-e475. doi: 10.3928/01477447-20110714-35. 17. Warner JP, Gutowski KA. Abdominoplasty
with progressive tension closure using a barbed suture technique. Aesthet Surg J. 2009;29(3):221-225.
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