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  1. Home
  2. Products
  3. STRATAFIX™ Knotless Tissue Control Devices

STRATAFIX™ Knotless Tissue Control Devices

STRATAFIX™ Knotless Tissue Control Devices

A broad portfolio to meet your wound closure needs. Two innovative product families provide versatility and a unique combination of benefits.

STRATAFIX™ Knotless Tissue Control Devices with Plus Antibacterial technology (triclosan) are proven in vivo to kill bacteria on the suture known to be associated with SSIs,1,2,3*+ and provide the wound-holding strength of interrupted suturing.4-13

STRATAFIX™ Spiral Knotless Tissue Control Devices - A broad range of unidirectional and bidirectional devices offer the smooth glide of a traditional suture.5,8-12

STRATAFIX™ Symmetric PDS™ Plus Knotless Tissue Control Devices – the only barbed closure device that provides strong, secure closure appropriate for high-tension areas, such as fascia.4,14-18

Product Catalogue
Instructions for Use

Please refer to the package insert and other labeling for a complete list of indications, contraindications, precautions and warnings.

Find Out More
Why not when you can use STRATAFIX?

IMAGES

Why not when you can use STRATAFIX?

Features & Benefits

25% greater than looped PDS, 39% greater than interrupted coated vicryl

More Strength‡

STRATAFIX™ Symmetric PDS Plus Devices demonstrated superior tissue holding strength compared to interrupted technique with Coated VICRYL®(polyglactin 910) Suture, continuous technique with PDS®||(polydioxanone) Suture, and V-Loc™ 180 wound closure device.4‡‡§

Compare the Strength
STRATAFIX barbed suture have barbs that are uniquely designed for a secure hold and consistency

More 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.19,20 ||

A meta-analysis demonstrated a 28% reduction in SSI risk with the use of triclosan-coated sutures

More Protection

STRATAFIX™ Plus Knotless Tissue Control Devices have been shown in vitro to inhibit bacterial colonisation of the suture for 7 days or more,1,3 for protection against the most common organisms associated with surgical site infections (SSIs)1,3.

Experience the Plus
Video 1 of 3

Resources

STRATAFIX™ Technique Symmetric PDS Initiation Technique
Now Playing

STRATAFIX™ Technique Symmetric PDS Initiation Technique

00:37

STRATAFIX™ Technique Symmetric PDS Alternative Initiation Technique
Now Playing

STRATAFIX™ Technique Symmetric PDS Alternative Initiation Technique

00:36

STRATAFIX™ Technique Symmetric PDS Termination Technique
Now Playing

STRATAFIX™ Technique Symmetric PDS Termination Technique

00:36

Supporting Documentation

Product Support

STRATAFIX™ Spiral Plus Brochure

Download PDF

STRATAFIX™ Portfolio Visual Aid

Download PDF

STRATAFIX™ Symmetric Brochure

Download PDF

STRATAFIX™ Symmetric Technique Guide

Download PDF

STRATAFIX™ and Prineo Brochure

Download PDF

References

*Refers to STRATAFIX™ Symmetric PDS™ Plus Knotless Tissue Control Device only.
†Based on retrospective analysis of 5,958 cases from the Premier Perspective® Hospital Database.
‡In an ex vivo model.
§Superior to VICRYL and PDS in fascia. Superior to V-Loc in subcutaneous tissue.
||Conclusions of suture tension and outcomes based on animal model.
¶In a meta-analysis of 21 Randomised Controlled Trials (RCTs), 6462 patients, 95% CI: (14, 40%), P<0.001.
#All triclosan-coated sutures in these RCTs were Ethicon Plus Antibacterial Sutures (MONOCRYL® Plus Antibacterial [poliglecaprone 25] Suture, Coated VICRYL® Plus Antibacterial [polyglactin 910] Suture, and PDS® Plus Antibacterial [polydioxanone] Suture).
**Meta-analysis only included traditional (non-barbed) sutures.
††In vivo.
‡‡In vitro.
§§Staphylococcus aureus, Staphylococcus epidermidis, Methicillin-resistant S. aureus (MRSA), Methicillin-resistant S. epidermidis (MRSE), Escherichia coli, Klebsiella pneumoniae.
||||Refers only to STRATAFIX™ Symmetric PDS™ Plus, STRATAFIX™ Spiral PDS™ Plus and STRATAFIX™ Spiral MONOCRYL™ Plus.

  1. Ming X, Rothenburger S, Nichols MM. In vivo and in vitro antibacterial efficacy of PDS plus (polidioxanone with triclosan) suture. Surg Infect (Larchmt). 2008;9(4):451-457.
  2. Storch ML, Rothenburger S, Jacinto G. Experimental efficacy study of coated VICRYL plus antibacterial suture in guinea pigs challenged with staphylococcus aureus. Surg Infect (Larchmt). 2004;5(3):281-288.
  3. Ming X, Rothenburger S, Yang D, In vivo antibacterial efficacy of MONOCRYL plus antibacterial (poliglecaprone 25 with triclosan). Surg Infect (Larchmt). 2007; 8(2):201-207.
  4. Nonnenmann H. 100326296: Time Zero Tissue Holding - Competitive Claims Comparisons for STRATAFIX Knotless Tissue Control Devices vs Various Products. 2015. Ethicon, Inc.
  5. Ethicon study 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. Approved on August 24, 2012.
  6. Ethicon, Inc. AST-2013-0056 Performance testing of STRATAFIX Symmetric PDS size 2-0 suture device for tissue holding strength with multiple incision defects to measure gapping. Ethicon, Inc.
  7. Ethicon performance evaluation memo AST-2012-0510. Performance testing of STRATAFIX Symmetric size 2-0 suture device for tissue holding strength with an incision defect to measure gapping. December 3, 2012. Ethicon, Inc.
  8. Vakil JJ, O'Reilly MP, Sutter EG, Mears SC, Belko SM, Khanuja HS. Knee arthrotomy repair with a continuous barbed suture: a biomechanical study. J Arthroplasty. 2011;26(5):710-713.
  9. Eickmann T, Quane E. Total knee arthroplasty closure with barbed sutures. J Knee Surg. 2010;23(3):163 167.
  10. 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.
  11. Moran ME, Marsh C, Perrotti M. Bidirectional-barbed suture knotless running anastomosis v classic Van Velthoven suturing in a model system. J Endourol. 2007;21(10):1175-1178.
  12. 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.
  13. Warner JP, Gutowski KA. Abdominoplasty with progressive tension closure using a barbed suture technique. Aesthet Surg J. 2009;29(3):221-225.
  14. Ethicon study 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, version 1. Approved on July 15, 2011. Ethicon, Inc.
  15. Ethicon study AST-2011-0341. Performance testing of DOLFIN PDS Plus size 3-0 suture—tissue holding 10 cm incision. Approved on August 22, 2011. Ethicon, Inc.
  16. Ethicon study 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 day. Approved on July 7, 2010. Ethicon, Inc.
  17. Ethicon study 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  ±1 days following closure of the ventral abdominal wall in a rabbit model. Approved on August 8, 2011. Ethicon, Inc.
  18. Performance Testing of STRATAFIX SYMMETRIC PDS Plus size 0 & 1 Devices – Initiation strength in porcine tissue. AST-2013-0603. Ethicon, Inc.
  19. 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.
  20. Höer 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):218-223.
  21. de Jonge SW, Atema JJ, Solomkin JS, Boermeester MA. Meta-analysis and trial sequential analysis of triclosan-coated sutures for the prevention of surgical-site infection. Br J Surg. 2017;104(2):e118-e133. doi:10.1002/bjs.10445.

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This website is not owned by Johnson & Johnson (New Zealand) Ltd, and we do not review or control the content of this website. Products discussed on this website may not be approved for use or may be approved for different indications in your country. Before using any medical device, review all relevant Instructions for Use, Package Inserts or Summary of Product Characteristics. We do not endorse the use or promotion of unapproved products or indications. Any demonstrations of approved medical devices should be considered as information only and are not a surgical training guide.

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