This suture, being absorbable, should not be used where extended approximation of tissue is required.

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2 Description Characteristics Indications Contraindications Actions Tensile Strength Absorption Sterilization Packaging synthetic absorbable sutures are prepared from a synthetic polyester, GLYCOER * 631, composed of glycolide (60%), dioxanone (14%) and trimethylene carbonate (26%). The advanced extrusion process of the molecule of GYLCOER * 631 gives the suture: Excellent initial strength Excellent in-vivo strength over the critical wound healing period Excellent knot security inimal memory for handling ease synthetic absorbable sutures are indicated for use in general soft tissue approximation and/or ligation including use in ophthalmic surgery, but not for use in cardiovascular or neurological surgery. This suture, being absorbable, should not be used where extended approximation of tissue is required. synthetic absorbable sutures elicit a minimal acute inflammatory reaction in tissues, followed by gradual encapsulation of the suture by fibrous connective tissue. Progressive loss of tensile strength and eventual absorption of sutures occurs by means of hydrolysis, where the suture is broken down to glycolic acid, dioxanoic acid, propane diol and carbon dioxide which are subsequently absorbed and metabolized by the body. Subcutaneous tissue implantation studies in rats indicate tensile strength for sutures is approximately 75% of and EP minimum knot strength at two weeks and approximately 40% at three weeks post-implant. Absorption begins as a loss of tensile strength without appreciable loss of mass. Absorption of sutures is essentially complete between 90 and 110 days. Ethylene oxide sutures are available in and EP sizes 1 (4 metric) through 6-0 (0.7 metric). They are available undyed (natural) or dyed (violet). The sutures are supplied sterile, in pre-cut lengths or ligating reels; non-needled or affixed to various needle types, using both permanent and removable needle attachment techniques; in one, two or three dozen boxes.

3 NON-NEEDLE PRODUCTS PRE-CUT 3x18 Violet x18 Undyed x18 Violet STANDARD LENGTH 60 Violet REVERSE CUTTING 19 mm 30 Undyed 36 S-690 S-691 S Undyed 12 S-691-G S-822-G 30 Violet 36 S-791 C mm 30 Undyed 36 S-693 S Undyed 12 S-693-G S-823-G C mm 5x18 Violet 12 S-83-5x18 Undyed 12 S Violet 36 S-633 S-632 C-23 DERAX SURGALLOY Removable needles SA-1

4 REVERSE CUTTING 26 mm 30 Violet 36 C-879 C-546 GS Undyed 36 C-543 C Violet 36 C-816 C-817 GS Violet 36 C-221 C-222 GS mm 30 Undyed 36 C-581 HOS Violet 36 C Undyed 36 C Violet 36 C-547 HOS-11 SA-2 DERAX SURGALLOY Removable needles

5 REVERSE CUTTING 40 mm 5x18 Violet 12 C Violet 36 C-194 HOS-12 PREIU REVERSE CUTTING 11 mm 18 Undyed 12 S-3625 S-3626 P mm 18 Undyed 12 S-5688 S-5687 S-5690 P mm 18 Undyed 12 S-5624 S-5627 S Undyed 12 S-5637 S-5638 P-12 DERAX SURGALLOY Removable needles SA-3

6 PREIU REVERSE CUTTING 24 mm 18 Undyed 24 S Undyed 36 S Undyed 12 S-5678-G S-5679-G P-14 PREIU X-CUTTING 13 mm 18 Undyed 12 X-834 DX mm 18 Undyed 12 X-845 DX mm 18 Undyed 12 X-822 X-823 DX-19 CONVENTIONAL CUTTING 11 mm 18 Undyed 24 C-401 C-400 PC-13 CUTTING Straight 60 mm 30 Undyed 36 S-644 S-643 SC-2 SA-4 DERAX SURGALLOY Removable needles

7 TAPER POINT 13 mm 30 Violet 36 C-127 C-126 CV mm 30 Violet 36 U-986 G Undyed 36 U-886 CV mm 30 Violet 36 U-403 C-208 CV mm 30 Violet 36 U-201 U-202 U-203 U Undyed 36 U-213 U-214 U-215 CV-23 DERAX SURGALLOY Removable needles SA-5

8 TAPER POINT 22 mm 30 Violet 36 G Violet 36 G-291 G-282 CV mm 5x18 Violet 12 G-34- G Violet 36 G-181 G-324 G-183 5x30 Violet 12 G-181- G-182- CV mm 18 Undyed 36 S-432 S-431 CVF mm 30 Violet 36 C-882 C-883 C-884 C Undyed 36 C-830 C Violet 36 C-330 GS-22 5x18 Violet 12 C-9- C-10- C-11-5x18 Undyed 12 C Violet 36 C-810 C-811 C-812 C Undyed 36 C-842 C-843 C-844 C-845 5x30 Violet 12 C Violet 36 C-922 C-923 C-924 C Undyed 36 C-952 C-953 C-954 GS-21 SA-6 DERAX SURGALLOY Removable needles

9 TAPER POINT 54 Undyed 36 C-991 GS mm GS Violet 12 C-965-L C-967-L GS mm 30 Violet 36 C Violet 36 C-912 C-914 C Undyed 36 C-962 C-964 GS Violet 12 C-690-L C-976-L Undyed 12 C-990-L GS-25 5x18 Violet 12 C-30- C Violet 36 C-903 C-904 C Undyed 36 C-973 C-974 C-975 GS mm Violet 12 C-679-L Undyed 12 C-979-L Violet 12 C-680-L Undyed 12 C-980-L GS-26 DERAX SURGALLOY Removable needles SA-7

10 TAPER POINT 27 mm Violet 24 C-883-L HGS mm 5x18 Violet 12 C-90- HGS-20 5x18 Violet 12 C-100-5x18 Undyed 12 C Violet 36 C-239 HGS mm 5/8 Circle 27 mm 30 Violet 36 C-558 V mm GU-46 5x18 Violet 12 G-84- G-63-5x18 Undyed 12 G Undyed 36 G-321 G-322 G Violet 36 G-121 G-122 G mm V-20 5x30 Violet 12 G Violet 36 G Violet 36 G Violet 36 G-432 G-332 V-20 SA-8 DERAX SURGALLOY Removable needles

11 TAPER POINT 30 mm 30 Violet 36 G-222 G Violet 36 G-326 G-327 V mm 30 Violet 36 C-326 V Undyed 36 G-226 G-227 V-26 5/8 Circle 27 mm 30 Violet 36 U-879 U-878 U Undyed 36 U-979 U-978 U-977 GU-46 5/8 Circle 30 Violet 36 U-243 GU-45 DERAX SURGALLOY Removable needles SA-9

12 TAPER POINT 5/8 Circle 30 Violet 36 U-245 U Undyed 36 U-345 U-346 GU-45 BLUNT TAPER POINT 5x18 Violet 12 C-740- C Violet 36 C Undyed 36 C-967 BGS mm 36 Violet 36 C Undyed 36 C-961 BGS Violet 12 C-989-L C-988-L BGS-25 5x18 Violet 12 C-949- BGS-25 SA-10 DERAX SURGALLOY Removable needles

13 TAPERCUTTING 36 Violet 36 C-945 KV Violet 24 C-849-L C-940-L KV Violet 36 C-940 KV-40 DERAX SURGALLOY Removable needles SA-11