nahtmaterial info 2#4b86b9 - resorba

Suture Manual

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1

Introduction

Principles

Surgical needles

Sutures

Manufacture and packaging

Organisational aids

Requirements for anideal suture:

The optimum use of anyparticular suture is determinedby its:

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RESORBA

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The development of surgical suture

revisited

3000 BC

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1900 - 1600 BC

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1 19 1

A journey into the history of surgical sutures1100 BC

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19

500 BC

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460 BC - 199 AD

1 9 199

625 - 690

1732

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1827 - 1912

1 191

1 1 9

1868

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E

1900

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1908

19 1 -19 9

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1931

1939

Until 1960

Since 1960

1968

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1

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- - -

Pseudo-absorbable

ong term woun su ort

RESORBA

i term woun su ort

RESORBA

hort term woun su ort

-

Historical classificationaccording to raw materialsNatural starting materials:

Synthetic starting materials:

-

Modern classificationaccording to absorptioncharacteristicsNon-absorbable

Monofilament material

RESORBA

Multifilament material

RESORBA

Properties

Absorbablematerial:

Non-absorbablematerial:

Characteristics ofabsorption

O O A A RESORBA O RESORBAS S

AbsorptionAbsorbable sutures

RESORBA

RESORBA

Non-absorbable sutures

1

Absorption time

Disintegration

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Dissolution

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-

-

-

-

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1

1 1 9

RESORBA

RESORBA

8

Thread structure

Monofilament

Coated or pseudo-monofilament

Multifilament coated

Multifilament

A

A

RESORBA

RESORBA

ESORBA

RESORBA

Tissueacceptance

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-

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-E

Tissue acceptance, usingPGA ® as example

Degree of tissue reaction

7 days postoperative 14 days postoperative

Thread table

1 1 - 19

- 9

- 9

- 9

- 9

- 99

1 1 - 1 9

1 1 - 199

- 9

- 99

- 9

- 99

- 99

- 99

- 99

- 99

- 99

9 9 - 999

Synt

h. m

onof

ilam

ent

RESO

RBA

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1 1

Diameter of sutures

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-

RESO

RBA

- - - - - - - - - -

- - - - - - - 1 - - -

- - - - - - - 9- - -

- - - - - - - - - -

- - - - - - - - - -

- - - - - - - - - -

- - - - - - - - - -

- - - - - - - - - -

- - - - - - - - - -

- - - - - - - - - -

- - - - - - - - - -

1 1 1 1 1 1 1 1 1 1

- - -

- - - - -

- - - - - - - -

- - - - - - - -

- - -

- - -

- - -

- - -

- 9 - -

9 - 1 9 - -

1 - 199 - -

- 9 - -

- 9 - -

- - -

- 99 - -

- 99

- 1 1

1- 1 -

- - -

- - -

- - -

- - -

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-

-

-

-

-

-

-

-

-

-

1

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

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1

-

-

-

-

1 1 -1 99 - - - - - - - - - - - - --

Requirements on the tensile strength according to Ph.Eur.*

Tensile strength ofsurgical suture

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-

RESO

RBA-

1 -

1 1 1

1

1

1 9 9

9 1 1

1 - -

1

9 9

- -

- -

- -

RESO

RBA

- 1 - - 1 - -

Needle shapes

Needle characteristics

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- -

- -

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4. Round-bodied cutting needle= RT

1 - -

6. Round-bodied needle = R- 1 - -

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5. Blunt, round-bodied needle = RN1 - - -

1. Spatula needle = P1 - - 1 -

-

Cross-section and point of the needle

2. Reverse cutting needle = S1 - - -1

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-

3. Inner cutting needle = S1 - -

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Needle codeletter: defines theneedle curvature

-1 -

-1 -

letter: defines the shape ofthe needle body and point

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3.+4. letters: define special formsof the needle body and point

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Numbers define the length of theneedle when straight (length ofneedle curvature) in mm

Control releaseneedles

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H R X 30

Table of materials

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RESORBA -

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1 -

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1 -

9 -

RESORBA --

GLYCOLON®

Properties:

• high tear resistance

• e cellent knot securit

• atraumatic tissue assage

onofilament, fast absorbable suture

ɛ-

-

-

-

-

- - -

- -1

-

- - -

-

-

-

PGA TM

ultifilament, fast absorbable suture

RESORBA

1

-

-

- -

-

- - -

-

resoquick

Properties

• er su le

• er high tensile strength

• minimal tissue reaction

• smooth assage throughtissue

• high knot securit

RESORBA

-

1

- -

-

- - -

-

Multifilament, medium-term absorbable suture

PGA ®

Properties:


• goo han ling


• atraumatic tissue assage


RESORBA

-

RESORBA -

RESORBA

1 RESORBA

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8

onofilament, long term a sor a le suture

ro erties

• er high tensile strength


• smooth assage throughtissue

• ro ust an high knotsecurit

RESORBA -

-

RESORBA

- 1

RESORBA

-

- -

-

- - -

Non-absorbable suture

MOPYLEN®

-

-

-

-

-

-

-

- - -

Properties:


• consistentl high tearresistance

• e cellent tissue assage

• h ro ho ic

• non ageing

Properties:

RESOPREN®

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-

-

-

- - -


Information that is applicable to all thesynthetic sutures described:

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1

RESORBA

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1


POLYESTER

-

-

- -

-

- -

-1

- - -

-

Properties:

• er high tear resistance


• high knot securit

SUPOLENE

-

- -

-


- -

-

- - -

-

Properties:


• e cellent tissue assage,no sawing effect

• er e en an smoothsurface ro erties


-

-

- -1

-

- - -

-


NYLON

- -

1

-

-

- -

-

- - -

Properties:

• a o e a erage softnessan su leness

• su erior han ling anknotting ro erties

• no ca illarit


RESOLON®

SUPRAMID


Properties:

• a o e a erage softness an su leness

• su erior han ling an knotting ro erties

• no ca illarit


-

-

- -

-

ɛ-

Special feature

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-

-

-

- -

-

- - -

-


Properties:

• very supple

• excellent knotting properties


• minimal sawing effect

SILK

-

-

-

-

1 - -

-

- - -

-


STAINLESSSTEEL

-

- -

-9

- - -

-

Properties:

• high, unchanging tear resistance

• no stretching


• no wicking effect

Using PGA ® as an example (multifilament, braided suture made from 100% polyglycolic acid)

Manufacture of surgical suture

R

Final testing

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DryingRESORBA

Sterilization

Assembly/packing

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Testing of material- All surgical sutures are manufactured

and tested according to the stipulatedlegal regulations, which are:

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14.6.1998,

-CE marking,

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RESORBA

Multifunctional primary packet

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Peel-eco-pack-

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Peelable outer wrapping

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Sterile hand-over in the shortest

time

Less packing material

Environmentally friendly

Easy handling

Memory effect

Separate withdrawal

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eco-pack

9

Peel-eco-pack

1 -

A combination of peelable outer wrapping and multifunctional primary packet

Single pack/needle-threadcombination

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Multipack

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Pre-cut suturesSingle pack/needle-thread combi-nation

Primary packet with foam for micro- and ophthalmic surgery

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1 -

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Micro-Pack

Multi-L-Pack

- -

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Types of packaging

Dispenser packaging

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Ligature pack

Set pack

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Special orders

Suture-Box

New symbols used on the packaging

Absorbable suture material

Nonabsorbable suture material

RESORBA

RESORBA

RESORBA

RESORBA

Explanation of symbols used for the chemical compositionof synthetic sutures

RESORBA

- -PGA-PCL

PGA

PGA

PP

PVDF

PET

PET

PA

Explanation of symbols

PA

PA

RESORBA -PDO

Did you know?A short lesson in symbols used for medical products

How to hold theneedle

Stretching the thread

9

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LOT

STERILE EO

STERILE R

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Instrument knots

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1- 1 1

1- 1 1

RESORBA Medical GmbHTel: 8 Fax: 8 Email: www.resorba.com

2019. Resorba is a registered trademark and company of Advanced Medical Solutions Ltd.1

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nahtmaterial info 2#4b86b9 - resorba

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