*StayGuard™ Surgical Sutures are CE, ISO, USFDA certified.

**StayGuard™ Surgical Sutures are manufactured in our facilities located in China, India and USA.

(choose the specifications you require below)

Type:

Chromic Catgut (SSR-01A);Plain Catgut (SSR-02A);Polyglycolic Acid (PGA) (SSR-03A);Rapid Polyglycolic Acid (PGAR) (SSR-04A);Polyglactin 910 (PGLA) (SSR-05A);Polydioxanone (PDS) (SSR-06A);Poliglecaprone 25 (MO) (SSR-07A);Silk (SSR-08N);Nylon (SSR-09N);Polypropylene (SSR-10N);Polyester (SSR-11N)Stainless Steel Wire (SSR-12T)

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Product Information

AdvaCare is a CE, ISO and USFDA manufacturer of surgical sutures.

Surgical sutures are employed by doctors to seal openings or lesions in tissue elicited by surgery or an injury. Sutures are applied with a needle and thread – similar to sewing a clothes hem, the needle is pressed into and pulled through the flesh, stitching the 2 edges of the wound together, bringing and securing them together. A surgical knot is commonly used to lock the suture in place once the stitching is complete.

In some procedures, suturing is intended to be permanent. However, in the vast majority of cases, suturing is a temporary solution to allow time for a wound or lesion to heal. Different areas of the body heal at varying rates, and sutures are removed accordingly. Facial lesions tend to heal rapidly, approximately 3-5 days, whereas limbs take much longer, approximately 10-14 days.

Sutures are removed once the wound has sufficiently healed, and does not require the aid of the stitches to hold it closed. Forceps are normally used to hold the suture thread still whilst they are cut using scissors or another type of bladed instrument.

Medical professionals such as doctors, surgeons and nurses will apply the smallest suture that will securely close the wound, in order to put as little pressure as possible on the surrounding tissue. It is an important balance to strike between making sure the suture is secure enough and minimizing strain on the tissue.

Absorbable sutures are sutures which are not removed; instead they are naturally degraded and absorbed by the body. They are mainly used for wounds in internal body tissue, or for patients who are unable to return to get the original sutures removed. It can take anywhere between 10 days and 8 weeks for the sutures to be degraded. Processes such as hydrolysis and proteolytic enzymatic degradation are the driving reactions between the breaking down of the suture material.

The range offered by AdvaCare includes 12 different suture materials, 7 of which are absorbable and 5 which are not. Sutures are gamma sterilized and are packaged in moisture resilient material. They are explored in further detail below. The non-absorbable sutures tend to be significantly less expensive than the absorbable variants. The most expensive sutures are the absorbable polydioxanone and poliglecaprone, and the cheapest are the non-absorbable silk, nylon, polyester and polypropylene.

PRODUCT SERIES

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CHROMIC CATGUT

Made from collagen, this catgut has more benefits compared to a regular catgut, naturally absorbed by the human body in 90 days.

  • Composed of collagen;
  • Absorbable suture material;
  • Naturally absorbed by the body in approximately 90 days.
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PLAIN CATGUT

Similar properties to Chromic Catgut, however this suture has a shorter absorption time, making it suited to situations that demand rapid wound closure.

  • Absorbable suture material;
  • Naturally absorbed by the body in approximately 70 days.
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POLYGLYCOLIC ACID (PGA)

Polyglycolic Acid (PGA) sutures are synthetic surgical sutures characterized by exceptional tensile strength and in-vivo inertness.

  • Synthetic material;
  • Outstanding tensile strength;
  • Absorbable suture material.
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RAPID POLYGLYCOLIC ACID (PGAR)

Intended to be used in soft tissues where only short-term wound support is required, and where rapid absorption of the suture is needed.

  • Used in soft tissue, where the sound is stiched shut for a short period of time;
  • Absorbable suture material - absorbed rapidly.
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POLYGLACTIN 910 (PGLA)

PGLA suture is suitable for cases in which a predictable absorption and good tensile strength are needed; the suture holds its tensile strength for approximately two or three weeks in the tissue.

  • This suture is selected when predictable absorption is required;
  • High level of tensile strength – this suture retains its tensile strength for approximately 2-3 weeks;
  • Absorbable suture material.
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POLYDIOXANONE (PDS)

Polydioxanone sutures is a monofilament material which can be used in all future sizes. This kind of material is particularly useful when an extended wound support is desirable.

  • Versatile and monofilament suture;
  • High level of tensile strength – this suture retains its tensile strength for approximately 2-3 weeks;
  • Absorbable suture material.
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POLIGLECAPRONE 25 (MO)

This monofilament suture is used for soft-tissue approximation and ligation.

  • Monofilament suture;
  • Used for soft-tissue approximation and ligation;
  • Absorbable suture material.
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SILK

Silk Sutures are often used to secure drains during a surgery.

  • Effective suture at securing drains during a surgical orperaition;
  • Non-absorbable suture material.
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NYLON

Quite durable and is an important option in treating both internal and external wounds.

  • Durable suture, for strong, secure stitch;
  • Used in internal and external wound stitching;
  • Non-absorbable suture material.
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POLYPROPYLENE

Polypropylene sutures are useful for cases in which high resistance and low loss of tensile strength are required.

  • Highly resistant;
  • Retains tensile strength;
  • Non-absorbable suture material.
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POLYESTER

Well indicated for use in general soft tissues approximation and/or litigation thanks to their optimal handling properties.

  • This type of suture has prime handling properties;
  • Non-absorbable suture material.
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STAINLESS STEEL WIRES

Indicated for use in abdominal wound closure, hernia repair, sternal closure and orthopedic surgery.

  • Highly resistant;
  • Used predominantly for abdominal wounds, hernia repair, sternal closure and orthopedic surgery;
  • Non-absorbable suture material.

NEEDLE TYPE

Each suture material can be administered with a variety of needles. Needles are distinguished by the shape and structure of the needle body and point, and the way in which they penetrate the tissue.

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  • Round Bodied (Taper Point): Rounded, smooth needle, sleekly tapered to a point. Ideal for tissue that is easily penetrated, such as blood vessels.
  • Curved Cutting (Regular Cutting): Triangular needle, sharp cutting edge on interior curve. Ideal for penetrating thick, tougher tissue like skin.
  • Reverse Cutting: Similar to cutting needle, however cutting edge is located on the exterior. This type of needle is stronger than regular cutting needles and has a lower risk of damaging surrounding tissue. They are used in surgery’s such as cosmetic surgery where penetration power and minimizing collateral damage is crucial.
  • Tapercut: Body of the needle is round, but culminates into a triangular cutting point. Primarily used when dealing with hard to penetrate, tough tissue, like connective tissue.
  • Blunt Taper Point: Needle point is blunted, and is used for sewing friable tissue. They are also designed to prevent accidental puncturing of the needle, which can have severe consequence on the victim.
  • Micro-Point Spatula Curved: Needle is flat, with a cutting edge. It is suited for use in ophthalmic surgery.

NEEDLE SHAPE

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ADDITIONAL INFORMATION

Benefits of Surgical Sutures:

  • Wide variety of materials, each one catering to the different needs of the wound;
  • Absorbable sutures are broken down by the body, eliminating the need to remove them after the wound has healed;
  • Protects the recipient of the sutures from contracting infections due to gamma sterilization of the sutures;
  • Easily disposed, low risk of transferring contaminants since they are single use. Once they have been removed/absorbed, they are discarded;
  • Securely closes a wound or lesion to allow and accelerate the healing process;
  • Different types of needles can be used with each suture, depending on the requirements of the procedure and the medical professional’s’ decision;
  • Relatively inexpensive;
  • Sutures are durable and secure in order to sustain closure of lesion for extended periods of time.

Usage
Correct suture material and needle type must be taken into consideration when performing a procedure. If the wrong suture is used, for example a non-absorbable one when an abosbable one should have been used, could have detrimental consequences.

A needle attached with the suture is loaded into a needle holder, and the point is embedded into the flesh. The needle is pushed along a bath that follows the curvature of the needle itself until it surfaces from the flesh, and is drawn through. The suture must be administered carefully to avoid indenting the skin, hudering blood circulation and subsequently increasing the risk of infection or scarring. A surgical knot is used to secure the suture, to prevent the stitching from becoming undone.

It is imperative that sutures are not used if the packaging or seal is compromised. Evidence of this may suggest tampering or loss of sterility. Sutures are gamma radiated to ensure sterility, and it is imperative they remain in that state. If one should come across sutures inside compromised packaging, the correct course of action is to dispose of it quickly and safely.

Precautions

  • It is of utmost importance that sutures are not reused. Once used, the device is not fit to be salvaged for further used, as sterilization cannot be retained. Re-using sutures can result in infections being transmitted, putting both the health practitioner and patient at risk;
  • Must prepare the sutures for use in a clean, sterile environment, absent of bodily fluids or other sources of contamination;
  • Sterile gloves must be worn when applying the sutures;
  • Promptly and safely dispose of any sutures that have touched a potentially contaminated surface;
  • Correct material must be selected according to procedure – if for example internal tissue needs to be stitched up, the absorbable sutures should be opted for, as the body will degrade them, eliminating the need to remove them at a later date;
  • Care must be taken when selecting the correct needle – If rough tissue such as skin is being penetrated, a cutting edge needle should be chosen over a tapered, smooth needle;
  • Needle stick injuries (accidental puncturing of needles) can be dangerous, and extreme care must be taken to ensure it does not happen. It can cause diseases to be spread and contracted, such as HIV and Hepatitis B.

Materials
Surgical sutures are manufactured using a variety of materials. The sutures in the range offered by AdvaCare come in absorbable and non-absorbable materials. The absorbable sutures are made of Catgut, Polydioxanone, Polyglycolic Acid, Polyglyactin 910, Poliglecaprone 25 or Repaid Polyglycolic Acid. The non-absorbable materials offered are Silk, Nylon, Polyester and Polypropylene.

The most common absorbable specification is Chromic Catgut, and the most common non-absorbable specification is Silk.

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