ANTIBACTERIAL SUTURES

Dolphin Sutures manufactures antibacterial polyglactin 910 suture with triclosan coating to help fight SSIs. Petcryl Plus is the brand name of triclosan coated Polyglactin 910 sutures.

SSIs are most common healthcare associated infections worldwide and they increase morbidity and mortality in surgical patients and represent a financial burden to healthcare systems. In fact, SSIs are the leading infection in the general population in countries with limited resources, affecting up to two thirds of operated patients and with a frequency up to nine times.

MaterialCo-polymer of 90% Glycolide and 10% of L-lactide
CoatingPoly (glycolide-Co-L-Lactide) & calcium stearate with Triclosan.
ColourUndyed and Violet
AbsorptionHydrolysis
Sizes6-0,5-0,4-0,3-0,2-0,0,1,2,3,4
Tissue ReactionGrade-1, Reactivity - Slight
ApplicationsGeneral Closure, Obstetrics/Gynacology and Gastro-intestinal Tract Surgery

910 catalog Dolphin SuturesIFU Dolphin Sutures

  • Features

    • Polyglactin 910 suture is a synthetic, braided and coated absorbable suture & antibacterial.
    • Polyglactin 910 sutures are available from U.S.P. size 2 to size 6-0.
    • Polyglactin 910 sutures are composed of copolymers made from 90% glycolide and 10% L-lactide.
    • Polyglactin 910 sutures are coated with equal parts of a copolymer of lactide and glactide with calcium stearate.
    • Polyglactin 910 sutures absorb by simple hydrolytic mechanism and absorption is predictable.
    • Polyglactin 910 suture retains approximately 50% of the tensile strength after 5 days and 0% after 10 -14 days and the suture is essentially absorbed within 35-42 days.
  • Advantages

    • Petcryl 910 sutures is specially coated with Poly (glycolide-Co-L-lactide) in order to create a smoother suture that will pass through tissue easily and since the suture is undyed & violet  it can be easily visible during suturing.
    • Petcryl 910 sutures have good knot security and it has easy knot placement.
    • Petcryl 910 sutures are available with needles made from 300 series alloy steel for superior strength, sharpness and performance.
    • Petcryl 910 sutures absorbs quickly, hence it is ideal in cases where short term tissue approximation is required.
  • Models

    CODE NO.NEEDLE PROFILENEEDLE LENGTHSUTURE LENGTHSUTURE SIZE
    AB 24933/8 circle reverse cutting12mm45cm5-0
    AB 24943/8 circle reverse cutting12mm45cm4-0
    AB 24433/8 circle cutting Prime16mm45cm4-0
    AB 23041/2 circle round body20mm70cm4-0
    AB 24371/2 circle round body20mm70cm3-0
    AB 24721/2 circle cutting22mm90cm3-0
    AB 24043/8 circle cutting26mm90cm2-0
    AB 23171/2 circle round body30mm90cm2-0
    AB 23451/2 circle round body40mm90cm2-0
    AB 28251/2 circle reverse cutting (heavy)23mm45cm0
    AB 23381/2 circle round body30mm90cm0
    AB 23461/2 circle round body40mm90cm0
    AB 21801/2 circle taper cutting (heavy) & 1/2 circle round body (heavy)40mm180cm1
    AB 23471/2 circle round body (heavy)40mm90cm1
    AB 2347+1/2 circle round body (heavy)40mm115cm1
    AB 2347 CT1/2 circle round body CT (heavy)40mm45cm1
    AB 2347 RJ1/2 circle round body65mm120cm1
    AB 23641/2 circle taper cutting (heavy)40mm90cm1
    AB 24211/2 circle reverse cutting (OS)40mm90cm1
  • Packing

    • Polyglactin sutures are individually packed in a primary medical grade paper folder
    • Individually packed sutures are then packed in a tear-open or peel-open aluminum foil, with less than 300ppm moisture
    • Aluminum foils are further packed in a secondary medical grade paper pouch laminated with polyester laminated poly film
    • Sutures are further packed in small cartons made from premium 320 GSM Cyber XLPac in 12 suture pack
    • Boxes are further laminated in tamper proof film to protect it from dirt/dust
    • Further, the sutures are packed in an export worthy 7 ply master carton which can accommodate 100 boxes ( 70 x 30 x 30 cms) – weighing up to 9 to 10kg and 200 boxes ( 70 x 29 x 59 cms) – weighing up to 18kg
  • Usage

    PETCRYL® Plus suture is a braided coated synthetic sterile Polyglactin 910 surgical suture. It is composed of a copolymer made from 90% Glycolide and 10% L – Lactide.

    PETCRYL® Plus sutures are coated with a mixture containing equal parts of copolymer of glycolide and Lactide (Polyglactin 370) and Calcium Stearate.

    Polyglactin 910 co-polymer and Polyglactin 370 with Calcium Stearate exhibit non-antigenic, non-pyrogenic and elicit only a slight tissue reaction during absorption.

    PETCRYL® Plus sutures are dyed by adding D & C Violet No. 2 (Colour Index No. 60725) during polymerization. PETCRYL® Plus sutures are also available in undyed form.

    PETCRYL® Plus sutures are available in range of gauge sizes and lengths, non needled or attached to stainless steel needles of varying types, sizes and shapes. The needles are attached permanently to the suture. Entire details of the product range are available in the catalogue.

    PETCRYL® Plus complies with the “Absorbable Surgical Suture” requirements as per the United States Pharmacopoeia (U.S.P).

    INDICATIONS
    Petcryl® 910 suture is indicated for use in general soft tissue approximation and/or ligation, including use in ophthalmic surgery, peripheral nerve anastomosis and microsurgery for vessels less than 2 mm diameter. The safety and effectiveness of PETCRYL® Plus sutures in cardiovascular tissue have not been established.

    SELECTION CRITERIA

    PETCRYL® Plus sutures should be selected and implanted depending on the patient’s condition, surgical experience, surgical technique and wound size.

    PERFORMANCE

    PETCRYL® Plus suture leads to ingrowth of fibrous connective tissue due to minimal initial inflammatory tissue reaction. PETCRYL® Plus gradually loses tensile strength and is finally absorbed by hydrolytic process. During hydrolysis, the co-polymer degrades to glycolic and lactic acids which are then absorbed and metabolized in the body. Absorption begins as a loss of tensile strength followed by a loss of mass. Absorption pattern for suture when tested on rats:-

    Approx 94.1 % of the tensile strength at 7 days,

    Approx 74.9 % of tensile strength at 14 days,

    Approx 49.1 % tensile strength after 21 days and

    Approx 26.7 % tensile strength after 28 days.

    ADVERSE REACTIONS

    Adverse reaction, associated with the use of the device include transitory local irritation at the wound site, transitory inflammatory foreign body response, erythema and induration during the absorption process of subcuticular sutures. Like all foreign bodies, PETCRYL ® Plus suture may enhance an existing infection.

    CONTRAINDICATIONS
    Petcryl® Plus suture, being absorbable, should not be used where extended approximation of tissues under stress is required. The use of this suture is contraindicated in patients with known sensitivities or allergies to Polyglactin, polyglycolide co lactide, calcium stearate.

    WARNINGS

    1. Surgeons should be familiar with surgical procedures and techniques involving absorbable sutures before employing PETCRYL® Plus suture for wound closure, as the risk of wound dehiscence may vary with the site of application and the suture material used.
    2. In surgery of the urinary or biliary tract, care should be taken to avoid prolonged contact of this or any other suture with salt solution, to prevent calculus formation.
    3. This suture many be inappropriate in patients suffering from conditions which may delay wound healing e.g., patient that are elder, malnourished or depilated. As this is an absorbable suture, the use of supplemental non-absorbable suture should be considered by the surgeon in the close of the abdomen, chest, joints or other sites subjects to expansion or requiring additional support.
    4. For single use only. Do not reuse, reprocess or re-sterilize. Reuse, reprocessing or re‐sterilization may compromise the structural integrity of the device and/ or lead to device failure which, in turn, may result in patient injury or illness.
    5. Reuse, reprocessing or re‐sterilization may also create a risk of contamination of the device and/or cause patient infection or cross‐infection, including, but not limited to, the transmission of infectious disease(s) from one patient to another.
    6. Contamination of the device may lead to injury, or illness.

    PRECAUTIONS

    1. Acceptable surgical practice should be followed for the management of contaminated or infected wounds.
    2. Skin sutures which must remain in place longer than 7 days may cause localized irritation and should be snipped off or removed as indicated.
    3. Under some circumstances, notably orthopaedic procedures, immobilization of joints by external support may be employed at the discretion of the surgeon.
    4. Consideration should be taken in the use of absorbable sutures in tissues with poor blood supply as suture extrusion and delayed absorption may occur.
    5. Subcuticular sutures should be placed as deeply as possible to minimize the erythema and induration, normally associated with the absorption process.
    6. When handling this or any other suture, care should be taken to avoid damage from handling. Avoid crushing or crimping damage due to application of surgical instruments such as forceps or needle holders.
    7. Care should be taken to avoid damage while handling surgical needles. Grasp the needle in an area, one third (1/3) to one half (1/2) of the distance from the attachment end to the point.
    8. Grasping in the point area could impair the penetration performance and cause fracture of the needle.
    9. Grasping at the butt or attachment end could cause bending or breakage.
    10. Reshaping the needles may cause them to loose strength and make less resistant to bending and breaking.
    11. Users should exercise caution when handling surgical needles to avoid inadvertent needle stick injury. Discard the needles after use.

    STERILITY

    PETCRYL® Plus sutures are sterilized by ethylene oxide. Do not re – sterilize! Do not use if package is opened or damaged! Discard opened unused sutures.

    STORAGE

    Recommended storage condition 10oC-35°C, away from moisture and direct heat. Do not use after expiry date.

    DISPOSAL

    Discard used sutures and needles contaminated with blood in the container meant infectious waste. Unused expired pouches should be incinerated.

    ifu Dolphin Sutures

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