DURACARE - POLYPROPYLENE SUTURE

Duracare is the brand name of polypropylene sutures manufactured by Dolphin Sutures. Polypropylene sutures are monofilament sutures of an isotactic crystalline stereoisomer of polypropylene, a synthetic linear polyolefin. Polypropylene sutures are non-absorbable and provide permanent wound support.

Polypropylene sutures are blue colored for easy identification during surgery. Polypropylene sutures have excellent tensile strength and are used for orthopaedic, plastic and micro surgeries, general closure and cardiovascular surgeries. Polypropylene sutures are popularly known as Prolene sutures.

Polypropylene sutures elicit minimal tissue reaction and do not cause tissue rupture or support infection. Polypropylene sutures are available in blue colour.

Material	Polypropylene
Coating	Uncoated
Colour	Blue
Absorption	Non Absorbable
Sizes	8-0, 7-0, 6-0,5-0,4-0,3-0,2-0,0,1,2
Tissue Reaction	Grade-1, Reactivity - Slight
Applications	General Closure, Ophthalmic, Cardiovascular, Orthopaedic, Plastic and Micro

Features
- Polypropylene suture is a monofilament and synthetic non-absorbable suture.
- Monofilament Polypropylene sutures are available from U.S.P. size 2 to size 5-0 for general surgery. Suture is available in blue colour.
- Polypropylene sutures are composed of polymers made from 100% homo polymer of polypropylene.
- Polypropylene sutures are used for permanent fixtures, cardiovascular surgery and plastic surgery.
Advantages
- Duracare sutures pass through tissues easily and knotting is very easy.
- Duracare sutures exhibit very less tissue adherence.
- Duracare sutures are inert and tissue reaction is almost negligible.
- Duracare sutures have good knot security and easy knot placement.
- Duracare sutures are available with needles made from 300 series alloy steel for superior strength, sharpness and performance.
- Duracare sutures have excellent tensile strength and the suture does not elongate while knotting, which is ideal for knot security.

Models

CODE NO.	NEEDLE PROFILE	NEEDLE LENGTH	SUTURE LENGTH	SUTURE SIZE
FS 878	3/8 circle reverse cutting	12mm	45cm	6-0
FS 880	3/8 circle reverse cutting	12mm	70cm	5-0
FS 881	3/8 circle round body	16mm	70cm	5-0
FS 882	3/8 cir Round Body & reverse cutting (Double Arm)	16mm	70cm	5-0
FS 849	1/2 circle round body	16mm	70cm	4-0
FS 870	3/8 circle cutting	16mm	70cm	4-0
FS 835	1/2 circle taper cutting (Double Arm)	17mm	70cm	4-0
FS 887	1/2 circle round body	20mm	70cm	3-0
FS 018	3/8 circle cutting	22mm	80cm	3-0
FS 822	1/2 circle round body (Double Arm)	25mm	70cm	3-0
FS 825	1/2 circle round body	25mm	90cm	3-0
FS 017	3/8 circle cutting	22mm	80cm	2-0
FS 807	1/2 Circle taper cutting	25mm	70cm	2-0
FS 877	1/2 circle taper cutting (Double Arm)	25mm	90cm	2-0
FS 841	1/2 circle round body	30mm	90cm	2-0
FS 805	1/2 circle taper cutting	25mm	70cm	0
FS 824	1/2 circle round body (Double Arm)	26mm	90cm	0
FS 830	1/2 circle round body (heavy)	30mm	90cm	0
FS 842	1/2 circle round body	30mm	90cm	0
FS 840	1/2 circle round body (heavy)	30mm	90cm	1
FS 843	1/2 circle round body (heavy)	40mm	100cm	1
FS 883	1/2 circle reverse cutting (heavy)	45mm	100cm	1
TS 878	3/8 circle reverse cutting	12mm	45cm	6-0
TS 880	3/8 circle reverse cutting	12mm	70cm	5-0
TS 881	3/8 circle round body	16mm	70cm	5-0
TS 882	3/8 cir Round Body & reverse cutting (Double Arm)	16mm	70cm	5-0
TS 849	1/2 circle round body	16mm	70cm	4-0
TS 870	3/8 circle cutting	16mm	70cm	4-0
TS 835	1/2 circle taper cutting (Double Arm)	17mm	70cm	4-0
TS 887	1/2 circle round body	20mm	70cm	3-0
TS 018	3/8 circle cutting	22mm	80cm	3-0
TS 822	1/2 circle round body (Double Arm)	25mm	70cm	3-0
TS 825	1/2 circle round body	25mm	90cm	3-0
TS 017	3/8 circle cutting	22mm	80cm	2-0
TS 807	1/2 Circle taper cutting	25mm	70cm	2-0
TS 877	1/2 circle taper cutting (Double Arm)	25mm	90cm	2-0
TS 841	1/2 circle round body	30mm	90cm	2-0
TS 805	1/2 circle taper cutting	25mm	70cm	0
TS 824	1/2 circle round body (Double Arm)	26mm	90cm	0
TS 830	1/2 circle round body (heavy)	30mm	90cm	0
TS 842	1/2 circle round body	30mm	90cm	0
TS 840	1/2 circle round body (heavy)	30mm	90cm	1
TS 843	1/2 circle round body (heavy)	40mm	100cm	1
TS 883	1/2 circle reverse cutting (heavy)	45mm	100cm	1

Packing
- Polypropylene 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
- 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
Duracare®
STERILE NON-ABSORBABLE MONOFILAMENT POLYPROPYLENE SURGICAL SUTURE U.S.P
DESCRIPTION
Duracare^® suture is a monofilament synthetic non – absorbable, sterile surgical suture composed of an isotactic crystalline stereoisomer of polypropylene, a synthetic linear polyolefin. The molecular formula is (C₃H₆)_n.
Duracare^®is dyed with [Phthalocyaninato(2-)] copper, usfda approval number §74.3045.
Duracare^® sutures are available in range of gauge sizes and lengths, attached to stainless steel needles of varying types, sizes and shapes. The needles are attached permanently to the suture. Entire detail of the product range is contained in the catalogue.
Duracare^®complies with the “Non Absorbable Surgical Suture” requirements as per the United States Pharmacopeia (U.S.P).
INTENDED USE
Duracare® suture is suitable for use in general soft tissue approximation and/or ligation. Excluding use in cardiovascular, ophthalmic and neurological procedures.
SELECTION CRITERIA
The suture should be selected and implanted depending on patient’s condition, surgical experience, surgical technique, and wound size. Normally the skin sutures are removed within 30 days depending on wound condition. The decision of doctor is final in removing the skin sutures.
PERFORMANCE
Duracare^® suture elicits a minimal initial inflammatory reaction in tissues which is followed by gradual encapsulation of the suture by fibrous connective tissue. Duracare^® suture is not absorbed nor is it subjected to degradation or weakening by the action of tissue enzymes. Due to its relative biological inertness it is recommended for use where the least possible suture reaction is desired. As a mono – filament it has been successfully employed in surgical wound which subsequently become infected or contaminated where it can minimize later sinus formation and suture extrusion. Its lack of adherence to tissue Duracare^® is effective as a pull out suture.
CONTRAINDICATIONS
The use of this suture is contraindicated in patients with known sensitivities or allergies to polypropylene.
WARNINGS
1. Surgeons should be familiar with surgical procedures and techniques involving non-absorbable sutures before employing Duracare^®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. 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.
4. 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.
5. Contamination of the device may lead to injury, illness of the patient.
PRECAUTIONS
1. Acceptable surgical practice should be followed for the management of contaminated or infected wounds.
2. In handling this suture material, care should be taken to avoid damaging the surface of the material with surgical instruments as this could lead to fracture of the material in use.
3. Avoid crushing or crimping damage due to surgical instruments such as forceps or needle holders.
4. Adequate knot security requires the standard surgical technique of flat and square ties with additional throws as indicated by surgical circumstances and the experience of the surgeon.
5. The use of addition throws is particularly appropriate when knotting Mono filament polypropylene sutures.
6. Care should be taken to avoid damage while handling surgical needles. Grasp the needle in an area of one third (1/3) to one half (1/2) of the distance from the attachment end to the sharp point.
7. Grasping in the sharp point area could impair the penetration performance and cause fracture of the needle.
8. Grasping at the butt or attachment end could cause bending or breakage.
9. Reshaping the needles may cause them to loose strength and make less resistant to bending and breaking.
10. Users should exercise caution when handling surgical needles to avoid inadvertent needle stick injury.
11. Discard the used needles appropriately.
ADVERSE REACTIONS
Adverse reactions associated with the use of Duracare® include transitory local irritation at the wound site or transitory inflammatory foreign body response. Like all foreign bodies Duracare® may potentate an existing infection.
STERILITY
Duracare® 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 10^oC-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.