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Wound Closure

Wound Closure Overview

Knotless Tissue Control

Skin Adhesives

Sutures

Needles & Other

Wound Closure Overview

Innovative technology to optimize healing

Every type of tissue, whether skin, fascia, or organ has its own specialized function and needs. The Ethicon Wound Closure Portfolio lets surgeons match the specific wound healing needs of each tissue type to the appropriate closure device, giving surgeons and patients the right solutions for the right procedures. While there are differences in tissue healing profiles and types of wound closure devices, for optimal patient outcomes, every Ethicon Wound Closure Device:

  • Provides strength and support to maintain tissue integrity
  • Minimizes risk factors for infection to enhance healing and reduce excess scarring170,171
  • Minimizes tissue trauma172

For more than 80 years, Ethicon has provided clinicians with quality tools that they trust to facilitate excellent surgical outcomes and to enhance patients’ lives worldwide.

STRATAFIX™ Knotless Tissue Control Devices

STRATAFIX Spiral

With significantly more points of fixation than tradition sutures, STRATAFIX™ Knotless Tissue Control Devices provide a combination of consistent control, security, and efficiency.

Plus Antibacterial Sutures

Plus Antibacterial

Plus Antibacterial Sutures are the only commercially available sutures with antibacterial protection.

DERMABOND® Portfolio

DERMABOND boxes

The products in the DERMABOND® Portfolio are supported by more clinical evidence, outcomes data and publications than any other topical skin adhesive.1

EVERPOINT® Cardiovascular Needles

EVERPOINT Needle

EVERPOINT® Cardiovascular Needle offers the latest breakthrough in CV Needle penetration with a sharper, stronger, more bend-resistant needle.

Knotless Tissue Control

Pioneering surgical advances to enhance safety and control

At Ethicon, we believe in pioneering surgical advances so that patients can live longer, healthier lives. Today, STRATAFIX™ Knotless Tissue Control Devices – a portfolio of products with unique anchoring technology to maintain wound closure without knots – enable surgeons to easily manage tension and control wound edge approximation to optimize healing.

With significantly more points of fixation than traditional sutures, STRATAFIX Knotless Tissue Control Devices provide a combination of consistent control, security, and efficiency.

Available in a variety of sizes and lengths, STRATAFIX Knotless Tissue Control Devices address surgeons’ wound closure needs across multiple procedures and surgical specialties.

STRATAFIX Spiral
Skin Adhesives

The DERMABOND Portfolio: Redefining skin closure with adhesives

Secure skin closure is an integral part of nearly every surgical procedure. Ethicon has pioneered advances in skin closure that enable surgeons to minimize tissue trauma, optimize healing and improve patient outcomes.

The healing process is enhanced when a skin closure device:

  • Provides the strength to maintain skin edges so that they remain approximated and level
  • Distributes tension along the entire incision, adding uniform strength to the incision and preventing skin gaps from forming when the skin is stressed
  • Creates a strong, flexible barrier to prevent bacteria from entering the incision until the epidermis has fully healed

To meet these needs, Ethicon offers the DERMABOND® Portfolio, which provides strong, protective, and efficient closure.1,192,193,194 The products in the DERMABOND Portfolio are supported by more clinical evidence, outcomes data, and publications than any other topical skin adhesive1 demonstrating Ethicon’s commitment to advancing surgical care.

DERMABOND ADVANCED® Topical Skin Adhesive DERMABOND ADVANCED

DERMABOND ADVANCED® Topical Skin Adhesive features a patented, thicker formula with a unique blend of plasticizers and an initiator for precise control.

DERMABOND® Mini Topical Skin Adhesive DERMABOND Mini

DERMABOND® Mini Topical Skin Adhesive offers fast closure and provides a protective barrier that adds strength and inhibits bacteria.

DERMABOND PRINEO® Skin Closure System DERMABOND PRINEO

DERMABOND PRINEO® Skin Closure System is a unique two-part skin closure system with topical skin adhesion for strength and microbial protection, and flexible, self-adhesive mesh for excellent approximation and healing.

Sutures

Addressing a risk factor for surgical site infection through suture technology

The Ethicon Suture Portfolio offers surgeons solutions to enhance wound healing and improve patient outcomes by addressing a risk factor associated with surgical site infections (SSIs).

SSIs account for 37% of all hospital-acquired infections in surgical patients.178 Changing demographics, including rising rates of obesity and diabetes, are increasing patients’ risk for SSIs.179,180,181 In addition to doubling the risk of patient mortality, SSIs can increase treatment costs by up to $40,000 per patient and can increase fivefold the likelihood a patient is readmitted to the hospital.178,182,183,184

Wound closure provides an opportunity to address the controllable risks of SSIs, including bacterial colonization of the suture and entry of bacteria into the wound after surgery.179,185

Synthetic Absorbable Sutures

Plus Antibacterial Sutures

Plus Antibacterial

Plus Antibacterial Sutures are the only commercially available sutures with antibacterial protection. A range of Plus Sutures are available for skin and fascial tissue repair.

MONOCRYL Plus

MONOCRYL® Plus Antibacterial (poliglecaprone 25) Suture is ideal for subcuticular skin closures.172

PDS® Plus Antibacterial (polydioxanone) Suture is specifically designed for secure fascial closure in multiple patient types.172

Coated VICRYL® Plus Antibacterial (polyglactin 910) Suture is indicated for use in general soft tissue approximation and/or ligation, except for ophthalmic, cardiovascular and neurological tissue.172

MONOCRYL® (poliglecaprone 25) Suture is indicated for use in general soft tissue approximation and/or ligation, but not for use in cardiovascular or neurological tissues, microsurgery or ophthalmic surgery.172

PDS® II (polydioxanone) Suture is indicated for use in soft tissue approximation, including use in pediatric cardiovascular tissue where growth is expected to occur and in ophthalmic surgery. It is not indicated for adult cardiovascular tissue, microsurgery and neural tissue.172

Coated VICRYL® (polyglactin 910) 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.172

VICRYL RAPIDE™ (polyglactin 910) Suture is a synthetic absorbable suture with performance characteristics of a collagen (surgical gut) suture. It is indicated only for use in superficial soft tissue approximation of the skin and mucosa.172

Natural Absorbable Sutures

Surgical Gut Suture (Plain and Chromic) is indicated for use in general soft tissue approximation and/or ligation, including ophthalmic procedures, but not for use in cardiovascular and neurological tissues.

Fast Absorbing Surgical Gut Suture is a fast absorbing surgical gut suture intended for dermal (skin) suturing only.

Synthetic Non-absorbable Sutures

PROLENE® Polypropylene Suture has been trusted by cardiovascular surgeons for more than 40 years. It is indicated for use in general soft tissue approximation and/or ligation, including cardiovascular, ophthalmic, and neurological procedures.172

ETHIBOND EXCEL® Polyester Suture is the gold standard in cardiovascular surgery. Braided for optimal handling properties, it is indicated for use in general soft tissue approximation and/or ligation, including cardiovascular, ophthalmic, and neurological procedures.172,219

NUROLON® Nylon Suture is indicated for use in general soft tissue approximation and/or ligation, including use in cardiovascular, ophthalmic, and neurological procedures.172

ETHILON® Nylon Suture is indicated for use in general soft tissue approximation and/or ligation, including use in cardiovascular, ophthalmic, and neurological procedures.172

MERSILENE® Polyester Fiber Suture is braided to provide precise, consistent suture tension. It is indicated for use in general soft tissue approximation and/or ligation, including use in cardiovascular, ophthalmic, and neurological procedures.172

PRONOVA® Poly (hexafluoropropylene-VDF) Suture is indicated for use in general soft tissue approximation and/or ligation, including use in cardiovascular, ophthalmic, and neurological procedures. The lack of adherence facilitates use as a pull-out suture.172

Natural Non-Absorbable Sutures

PERMA-HAND® Silk Suture is indicated for use in general soft tissue approximation and/ligation, including use in cardiovascular, ophthalmic, and neurological procedures.172

Surgical Stainless Steel Suture is indicated for use in abdominal wound closure, hernia repair, stema closure, and orthopaedic procedures including cerclage and tendon repair.172

Needles & Other
EVERPOINT Needle

Enhancing efficiency and performance with technology

Ethicon needle technology and suture assist devices help surgeons achieve the best possible patient outcomes.176 Key benefits for patients and surgeons include enhanced safety and efficiency, increased performance and optimized healing.

EVERPOINT® Cardiovascular Needle is a significant advance from stainless steel needles, providing a sharper, stronger, more bend-resistant needle to meet the demands of today’s cardiovascular interventions.1,176

ETHICON™ Suture Needles are available in more than 200 types allowing surgeons great flexibility in selecting the most appropriate needle for the tissue being repaired.

MULTIPASS® Needles combine three proprietary technologies to ensure superior strength, tissue penetration, and control; pass after pass.172

ETHIBOND EXCEL Polyester Suture ENDOSUTURE ENDO-HOLDER Cannula

ETHIBOND EXCEL® Polyester Suture and ENDOSUTURE ENDO-HOLDER™ Cannula is a needle/suture combination that facilitates knot-tying and pushing knots in laparoscopic procedures.

LAPRA-TY Absorbable Suture Applier LAPRA-TY Absorbable Suture Clips

LAPRA-TY® Suture Applier is a reusable device for anchoring and securing each end of a single strand of 2-0, 3-0 or 4-0 Coated VICRYL® (polyglactin 910) Suture for soft tissue approximation.

The LAPRA-TY® Suture Applier is compatible with LAPRA-TY® Suture Clip.

Suture Assistant

ETHICON ENDO-SURGERY Suture Assistant simplifies laparoscopic suturing by eliminating a time-consuming step: knot tying.

ENDOLOOP Ligature

ENDOLOOP® Ligature speeds up almost any ligation procedure by facilitating the ligation of pedicles in laparoscopic procedures.

ENDOKNOT Suture

ENDOKNOT® Suture includes the ETHIBOND EXCEL® Polyester Suture, the Coated VICRYL Suture and the PDS® II (polydioxanone) Suture. Each features a plastic tube with a scored end that acts as a handle for increased control.

ENDOPATH Needle Holder and ENDOPATH Self-Righting Needle Holder

ENDOPATH® Needle Holder offers absolute precision and ease of use. The ENDOPATH Needle Holder automatically orients needles vertically, providing needle and suture manipulation in one instrument.

Coated VICRYL Suture

Port Closure Needle provides rapid, simple closure of fascial defects in abdominal wall and are designed to make closing trocar wounds easier and more secure.

PROXIMATE PX Fixed-Head Skin Stapler

PROXIMATE® Fixed-Head Skin Stapler delivers rectangular, stainless steel staples for routine wound closure.

The PROXIMATE Rotating-Head Skin Stapler

PROXIMATE® Rotating Head Skin Stapler delivers rectangular, stainless steel staples for routine wound closure and feature a 360° rotating head for improved visibility and access.