PremiCron. The polyester suture generation designed for Cardiovascular Surgery Non-absorbable, braided and coated suture made of polyester.

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1 PremiCron The polyester suture generation designed for Cardiovascular Surgery Non-absorbable, braided and coated suture made of polyester Sutures

2 PremiCron The polyester suture generation designed for Cardiovascular Surgery Passion for Cardiovascular Surgery An increasingly ageing population combined with more complex and difuse cardiac disease means there are more challenging cardiac cases in daily practice. For that reason B. Braun is coitted to providing you with the highest standards of quality and innovative surgical products sharing with you the same Passion for Cardiovascular Surgery. Designed for the most demanding surgical indications PremiCron is a non-absorbable braided suture made of polyester and uniformly silicone coated with all required features for heart valve and annuloplastic ring implantation. Main indications: Cardiovascular surgery Heart valve replacement Annuloplastic ring implantation Also indicated in: General surgery

3 A braided thread structure designed for high resistance and reliable knotting For high resistance and reliable knotting PremiCron s braided thread structure is designed with a central core covered by several small compact braids of polyester ilaments for high resistance and reliable knotting, with an excellent handling. PremiCron sutures are coated with silicone to decrease surface friction for an easy knot run down and atraumatic suturing of the cardiac tissue. Central braided core Central core covered by several small compact braids coated with silicone for a secure and atraumatic knotting. Silicone coating To provide a smooth surface for easy knot run down and atraumatic suturing. Passion for Cardiovascular Surgery

4 PremiCron OVAL Pledgets Superior anatomical adaptability and conformity with less foreign material Superior conformity to valve contour tissue Avoidance of overlapping efect Less foreign material Oval pledget design for cardiac valve surgery The selected geometry ofers high anatomical adaptability and conformity. Reduce overlapping efect Bio-prosthetic and mechanical valve suture with pledgets are placed with little to no space between the sequential horizontal mattress sutures. For that reason oval pledgets, without corners, reduce the overlapping problem and in consequence the over inlaatory response as a defense reaction to foreign material.

5 Firm and soft pledgets Firm and soft PTFE pledgets: Firm Compact PTFE pledget for valve and ring replacement Soft Soft pledgets are also made of % PTFE and laser cut with increased porosity Higher lexibility than irm pledgets with similar resistance Advantages Superior conformity to the tissue Pledgets Firm Soft Material % PTFE % PTFE Thickness. +/-.. +/-. Firm: Compact PTFE pledget. Soft: Superior lexibility with secure resistance properties for superior conformity to valve tissue. Flexibility 6 mn mn Bridge 8.6 kg 7. kg rupture Design Pledgets Pledgets Pledgets Pledgets x 6 x x 6 x Pledgets Pledgets Pledgets 9 x 9 x 6 x 7 Passion for Cardiovascular Surgery

6 PremiCron CV Pass, Cardiovascular needle design Precise penetration Exclusive stainless steel series laser drilled silicone coated needles which have speciic tip and body design for Cardiovascular Surgery indication. Non-relective cardiovascular black needles: CV Pass Easyblack Speciic tip design for cardiac surgery for precise e and smooth penetrations Taper Point Short Cutting Tip Black needles avoid glare efect for higher precision and superior visual comfort during your procedure. Black needles are identiied by a b. Excellent needle to thread ratio Smooth and atraumatic penetrations Silicone coating to ease penetrations Semi square body design for a better stability in the needle holder 6

7 Speciic cardiac valve needle design Intra-annular technique Special curvature for valve replacement PremiCron ofers several needle-thread combinations for heart valve repair and replacement, covering speciic requirements depending whether supra-annular or intraannular positioning of the valve prosthesis. Supra-annular technique Intra-annular prosthesis positioning Needle curvature < 8 Needle range: HR8, HR, HR7 HRC8, HRC, HRC7 Supra-annular prosthesis positioning Needle curvature > 8 Needle range: HR7, HR, HR6 HRC7, HRC, HRC6 Speciic cardiovascular needle tip design for a precise and smooth penetration. Taper point Finest tip design for Cardiac Surgery to reduce tissue trauma. Short cutting point Superior penetration for calciied tissues without being atraumatic. Passion for Cardiovascular Surgery 7

8 PremiCron Product overview Structure Polyilament, braided and coated Colour Chemical composition Coating Origin Sizes Type of absorption Indication Sterilization or white Polyester Silicone Synthetic USP 6/ (.7 metric) to USP (7 metric) Non-absorbable Cardiovascular surgery General surgery DDP* without Pledgets: gaa irradiation DDP* with Pledgets: ethylene oxide MLP*: ethylene oxide * DDP: Direct Dispense Packaging **MLP: Multipack Packaging 8

9 Needle-thread combination PremiCron 6/ / / / angle diameter cm microns colour.7. /. / circle lancet needle with micro-point μ G6 xvlm 8 μ G7 G7 μ G76 / circle round bodied needle xhr f C6 HR C68 C69 C6 xhr C669 HR C679 C69 C6 C6 C6 C6 xhr HR 7 x M6699 C68 C68 C68 C6 C6 C6 C66 C Box of 6 units B Box of units G Box of units M Box of 6 units 9

10 PremiCron Needle-thread combination 6/ / / / cm colour.7. /. / circle round bodied needle HR 7 Take of x C68 C68 C6 C67 C68 C6 C7 C67 C68 C6 C686 C66 C77 C76 xhr 7 x M678 8 x x 8 x M77 M776 M78 8 x M7776 C6 C6 xhr 7b C67 Pledgets x Soft 8 x x 8 x x 8 x M7 M7 M79 M7 M7 = /

11 Needle-thread combination PremiCron 6/ / / / cm colour.7. /. / circle round bodied needle xhr 8 xhr 8 x 8 x x 8 x M778 M79 M7 M776 Pledgets x Soft 8 x M79 8 x HR M C6 C6 C66 C67 C Box of 6 units B Box of units G Box of units M Box of 6 units

12 PremiCron Needle-thread combination 6/ / / / cm colour.7. /. / circle round bodied needle xhr xhr b x 8 x 8 x 8 x 8 x 8 x x 8 x x 8 x C67 C67 C67 C67 C67 C67 C7 B778 M77 M76 M77 M7867 C66 C66 C69 M78 M77 M769 M76 M7 = /

13 Needle-thread combination PremiCron / / / /. cm colour. / circle round bodied needle xhr ss x C676 B679 Take of xhr C698 HR 6 8 x C6 C6 C6 M7 C66 C6 C67 C6 C68 C68 C678 C68 G76 C679 C686 C789 C786 C687 C787 xhr 6 C69 C696 x 8 x 8 x 8 x 8 x C76 M77 M77 M77 M776 M777 C Box of 6 units B Box of units G Box of units M Box of 6 units

14 PremiCron Needle-thread combination / / / /. cm colour. / circle round bodied needle xhr 6 x x 8 x 8 x M7 M7766 M77 M79 C6 C6 xhr 6b C67 8 x x 8 x x 8 x M7 M787 M799 M79 M7 HR 6s C6 C6 C6 B6 HR 6s Take of x C67 B69 HR 6ss Take of x B6 xhr 7 8 x M78 = /

15 Needle-thread combination PremiCron / /. cm colour 6 7 / circle round bodied needle HR HR 7 xhr 7 C66 C67 C68 C69 C6 C66 C67 C68 C69 C6 C686 C687 C6 HR 7s HR 7s xhr 7s Take of x 6 C666 C667 C667 B677 C668 C677 C669 C69 C68 HR C67 C697 B6 B6 B68 HR 8 C698 C68 C68 B68 B78 HR 8 x B66 B67 Take of C Box of 6 units B Box of units G Box of units M Box of 6 units

16 PremiCron Needle-thread combination 7/ 6/ / / cm colour..7. / /. /8 circle round bodied needle xdr 8 C68 C78 xdr C687 DR C6 xdr C68 C68 C68 C689 C78 C78 C69 DR C6 C6 DR 8 C6 C6 6 = /

17 Needle-thread combination PremiCron 7/ 6/ / / cm colour..7. / /. /8 circle round bodied needle xdr 8 C686 C686 C686 C688 C688 8 x M7769 DR DR 6 xdr 6 cm colour C66 C67 C68 C66 / / / /. C67 C687. /8 circle round bodied needle DR C6 C6 C6 C68 C69 xdr 8 C68 C67 C Box of 6 units B Box of units G Box of units M Box of 6 units 7

18 PremiCron Needle-thread combination / / / /. cm colour. Round bodied ski needle SKR 9 SKR 6 Straight round bodied needle C6 C6 C66 C66 C6 C66 C69 GR 9 / circle round bodied needle with short cutting point C6 C6 C66 C77 xhrc 7 C6 C69 C68 C68 C6 x B78 Pledgets x Soft C66 C66 8 = /

19 Needle-thread combination PremiCron / / / /. cm colour. / circle round bodied needle with short cutting point x 8 x M79 M77 M8 xhrc 7 Pledgets x Soft 8 x x 8 x x 8 x x 8 x M778 M768 M77 M78 M789 M78 M78 M79 M76 C68 C66 C679 xhrc 7b Pledgets x Soft C668 C687 8 x x 8 x x 8 x M7 M77 M7 M79 M79 C Box of 6 units B Box of units G Box of units M Box of 6 units 9

20 PremiCron Needle-thread combination 6/ / / / cm colour.7. /. / circle round bodied needle with short cutting point xhrc 7b Pledgets x Soft x 8 x x 8 x M7 M77 M7 M76 C668 C666 Pledgets x Soft C67 xhrc 8 8 x C677 M798 8 x M78 8 x M786 Pledgets x Soft 8 x x 8 x M788 M78 M78 = /

21 Needle-thread combination PremiCron / / / /. cm colour. / circle round bodied needle with short cutting point C69 C696 C668 Pledgets x Soft C66 xhrc 8b C66 Pledgets x Soft 8 x x 8 x x 8 x x 8 x x 8 x M7 M77 M79 M78 M76 M777 M7 M789 M768 HRC C696 C69 x B7978 C Box of 6 units B Box of units G Box of units M Box of 6 units

22 PremiCron Needle-thread combination / / / /. cm colour. / circle round bodied needle with short cutting point C6 C66 C6 B6899 C7 xhrc xhrc b x x 8 x x x x 8 x x 8 x 8 x C68 M9 M766 M7 M799 M768 M767 M7 M786 M78 C666 C66 C66 M7 M77 M76 M78 M768 = /

23 Needle-thread combination PremiCron / / / /. cm colour. / circle round bodied needle with short cutting point xhrc b HRC 6 x 8 x x 8 x 8 x M7 M79 M78 M7 M79 xhrc 6 x x x 8 x x C6 C76 C69 C68 G76 C69 C6676 M77 M M77 M78 M79 M7686 M789 C Box of 6 units B Box of units G Box of units M Box of 6 units

24 PremiCron Needle-thread combination / / / /. cm colour. / circle round bodied needle with short cutting point xhrc 6 xhrc 6b x x 8 x 8 x 8 x 8 x x 8 x x 8 x M M766 M78 M C66 C66 C66 M76 M7 M7 M7 M77 C698 C668 M7687 M766 xhrc 7 x 8 x C6968 C66 M9 M78 = /

25 Needle-thread combination PremiCron / / / /. cm colour. / circle round bodied needle with short cutting point xhrc 7b C668 C666 C667 /8 circle round bodied needle with short cutting point 8 x x 8 x x 8 x M M777 M789 M78 M79 DRC C6 C66 C666 C676 xdrc 8 Pledgets x Soft x 8 x C666 M76 M7 x M76 C Box of 6 units B Box of units G Box of units M Box of 6 units

26 PremiCron Needle-thread combination 6/ / / / cm colour.7. /. /8 circle round bodied needle with short cutting point xdrc 8 Pledgets x Soft x 8 x x 8 x M79 M7 M M9 C66 xdrc 8b x 8 x x 8 x Hook curved round bodied needle with short cutting point C68 M7 M76 M7 M779 JRC s C6987 Progressive curved round bodied needle with short cutting point PRC C6 C699 / circle round bodied needle with trocar point HRT 7 C679 C68 6 = /

27 Needle-thread combination PremiCron / /. cm colour 6 7 / circle round bodied needle with trocar point HRT 7 C69 C69 x B677 HRT C6 HRT x B678 HRT 8 x G68 HRT x G67 C Box of 6 units B Box of units G Box of units M Box of 6 units 7

28 PremiCron Needle-thread combination 6/ / / / cm colour.7. /. /8 circle round bodied with trocar point xdrt 6 C67 8 x /8 circle round bodied needle with trocar and micro-point M777 DRTM 8 C668 / /. cm colour 6 7 / circle round bodied needle with sternum point HRS x B6766 HRS 8 x B6767 G67 HRS 6 x G67 8 = /

29 Needle-thread combination PremiCron 6/ / / / cm colour.7. /. / circle reverse cutting needle HS C697 C6 / / / cm colour / circle reverse cutting needle HS C699 C6 HS C6 HS ss C6 C6 C6 HS 6 HS HS 7 HS 7s C6 C6 C6 C6 C6 C6 C6 B6 C67 C67 C67 C667 C668 C669 HS C679 B68 C Box of 6 units B Box of units G Box of units M Box of 6 units 9

30 PremiCron Needle-thread combination / /. cm colour 6 7 / circle reverse cutting needle HS s C6 HS 8 C6 C676 B677 B699 HS 6 x G6 B69 6/ / / / cm colour.7. /. /8 circle reverse cutting needle DS DS 6 DS 9 C67 C67 C67 C676 C6 C677 C6 C6 C6 C66 C6 C6 C6 C6 C6 C797 DS C6 C689 C6 C6 C66 C67 C6 C68 C796 = /

31 Needle-thread combination PremiCron / /. cm colour 6 7 /8 circle reverse cutting needle DS DS DS 9 C6 C6 C6 C6 C68 C68 C68 C68 C69 C6 C6 C6 B6 DS 8 C6 C6 C6 DS 6 C678 B679 Straight reverse cutting needle GS GS 6 GS 6 C6 C66 C67 C68 C69 C6 C6 C6 C687 C688 C689 C Box of 6 units B Box of units G Box of units M Box of 6 units

32 PremiCron Needle-thread combination 6/ / / / cm colour.7. /. /8 reverse cutting needle with precision point xdsmp C7 DSMP C69 C786 C787 DSMP 9 G66 C796 C797 DSMP C797 = /

33 Needle-thread combination PremiCron Thread cm / /. / USP metric /. 6 Pre-cut sutures threads of cm x C C9 C9 C9 C9 C9 C96 C97 threads of cm x x C C C C C B B6 B threads of cm x threads of cm x C C6 C7 C8 B9 B B C 7 threads of cm 7 x C C threads of 6 cm x 6 C B threads of 6 cm x 6 Thread cm /. C C6 C7 / / USP metric. 6 7 Pre-cut sutures threads of cm x x C8 C8 C8 C8 C8 B8 B87 C7 C8 threads of cm x threads of cm x C9 C C B B C C B B C Box of 6 units B Box of units G Box of units M Box of 6 units

34 PremiCron Needle-thread combination Thread cm /. / / USP metric. 6 7 Pre-cut sutures thread of cm x C C6 C7 C8 C9 C C B thread of cm x Thread cm / /. / USP metric / C C C. 6 Ligature reels thread of cm Thread cm G G6 G6 G6 G6 G6 G6 G6 /. / / USP metric. 6 7 Ligature reels thread of cm G67 = /

35 Needle-thread combination PremiCron Pledgets FIRM Units / foil Code x x. 6 C x x. 6 C799 9 x x. 6 C799 Pledgets SOFT Units / foil Code x x. 6 C79 6 x x. 6 C799 9 x x. 6 C799 6 x 7 x. 6 C799 C Box of 6 units B Box of units G Box of units M Box of 6 units

36 B. Braun Surgical SA Carretera de Terrassa, 89 Rubí Spain Phone Fax Aesculap AG Am Aesculap-Platz 78 Tuttlingen Germany Phone Fax Subject to technical changes. All rights reserved. This brochure may only be used for the exclusive purpose of obtaining information about our products. Reproduction in any form partial or otherwise is not permitted. Aesculap a B. Braun company Brochure No. B6 //

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