STRATAFIX Spiral Knotless Tissue Control Device

With significantly more points of fixation than traditional sutures, STRATAFIX™ Knotless Tissue Control Devices provide a combination of more security, more consistency, and more efficiency.^1-10

Features & Benefits

Efficiency

STRATAFIX™ Knotless Tissue Control Devices can close wounds substantially faster than using an interrupted technique.¹¹

Strength

STRATAFIX™ Symmetric PDS™ Plus Knotless Tissue Control Device provides greater holding strength than traditional sutures and can be used to close in high-tension areas, such as fascia.^{6, 12-16, *}

Consistency

With significantly more points of fixation than traditional sutures, STRATAFIX™ makes it easier to manage tension on every pass; appropriate tension leads to better wound healing, a prerequisite for good cosmesis.^17-19

STRATAFIX with Plus Suture Technology

Triclosan-coated sutures have been shown in multiple meta-analyses to reduce the risk of SSIs by 28%.^20-22

Disclaimer: The petri dish image is for illustrative purposes only, zone of inhibition testing results can vary.

References

* Conclusions derived from pre-clinical data

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.
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.
Eickmann T, Quane E. Total knee arthroplasty closure with barbed sutures. J Knee Surg. 2010;23(3):163‐167.
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.
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.
Ethicon 100326296 Time Zero Tissue Holding ‐ Competitive Claims Comparisons for STRATAFIX™ Knotless Tissue Control Devices vs Various Products. May 2015. Data on File.
Ethicon, AST‐2012‐0331. Tissue gapping under tension of porcine cadaveric skin incisions closed with Stratafix™ Spiral in comparison to Monocryl™ in both interrupted and continuous stitching patterns. August 2012. Data on File.
Ethicon, AST‐2013‐0603 Performance Testing of STRATAFIX™ SYMMETRIC PDS™ PLUS Size 0 & 1 Devices – Initiation Strength in Porcine Tissue. April 2014. Data on File.
Ethicon, AST‐2012‐0510. Ethicon Performance Evaluation Memo. Performance Testing of STRATAFIX™ Symmetric Size 2‐0 suture device for Tissue Holding Strength with an Incision Defect to Measure Gapping. Dec 2012. Data on File.
Ethicon, AST‐2013‐0056 Performance Testing of STRATAFIX™ Symmetric PDS™ Size2‐0 suture device for Tissue Holding Strength with Multiple Incision Defects to Measure Gapping. April 2013. Data on File.
Greenberg J, Goldman R. Barbed Suture: A Review of the Technology and Clinical Uses in Obstetrics and Gynecology. Rev Obstet Gynecol. 2013;6(3‐4):107‐115.
Ethicon, AST‐2011‐0210. Study to evaluate the tissue holding performance at time zero of DOLFIN PDS™ PLUS barbed suture sizes 1 and 2‐0 vs dyed PDS™ II Plus suture sizes 1 and 2‐0 in a continuous stitch pattern—Project DOLFIN 11822. July 2011. Data on File.
Ethicon, AST‐2011‐0341. Performance testing of DOLFIN PDS™ PLUS size 3‐0 suture—tissue holding 10 cm incision. August, 2011. Data on File.
Ethicon, PSE 09‐0204, project number 11822. Exploratory histological and biomechanical evaluation of DOLFIN following closure of the ventral abdominal wall in a porcine model at 7±1 days.July 2010. Data on File.
Ethicon, PSE 10‐0012, project number 11822. Model development: histological and biomechanical evaluation of 3‐0 DOLFIN barbed suture prototypes, 3‐0 Quill suture, and 3‐0 V‐loc suture at 7±1 days following closure of the ventral abdominal wall in a rabbit model. August 2011. Data on File.
Ethicon, AST‐2013‐0603. Performance Testing of STRATAFIX™ SYMMETRIC PDS™ PLUS Size 0 & 1 Devices – Initiation Strength in Porcine Tissue. April 2014. Data on File.
Burgess LP, Morin GV, Rand M, Vossoughi J, Hollinger JO. Wound healing. Relationship of wound closing tension to scar width in rats. Arch Otolaryngol Head Neck Surg. 1990;116(7):798‐802.
Höer JJ, Junge K, Schachtrupp A, Klinge U, Schumpelick V. Influence of laparotomy closure technique on collagen synthesis in the incisional region. Hernia. 2002;6(3):93‐8.
Hoer J, Klinge U, Schachtrupp A, Töns C, Schumpelick V. Influence of suture technique on laparotomy wound healing: an experimental study in the rat. Langenbecks Arch Surg. 2001;386(3):218‐23.
de Jonge S, Atema J, Solomkin J and Boermeester M, Meta‐ Analysis and trial sequential analysis of triclosan‐coated sutures for the prevention of surgical‐ site infection. 2017; BJS 104 e118‐e133.
Wang ZX, Jiang CP, Cao Y, Ding YT. Systematic review and meta‐analysis of Triclosan‐coated sutures for prevention of surgical‐site infection. 2013; 100:465‐474.
Edmiston CE, Daoud FC, Leaper D. Is there an evidence‐based argument for embracing an antimicrobial (Triclosan)‐coated suture technology to reduce the risk for surgical‐site infections? A meta‐ analysis. 2013; 154: 89‐100
Vito De Blasi, Olivier Facy, Martine Goergen, Virginie Poulain, Luigi De Magistris, Juan Santiago Azagra. Barbed versus usual suture for closure of the gastrojejunal anastomosis in laparoscopic gastric bypass: a comparative trial. Obesity Surgery. 2013 Jan;23(1):60-3. doi: 10.1007/s11695-012-0763-4.
Nicholas T Ting, Mario M Moric, Craig J Della Valle, Brett R Levine. Use of knotless suture for closure of total hip and knee arthroplasties: a prospective, randomized clinical trial. The Journal of arthroplasty. 2012 Dec;27(10):1783-8. doi: 10.1016/j.arth.2012.05.022.

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