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Get more from your suture with STRATAFIX™ Knotless Tissue Control Devices
More efficiency and consistency compared to traditional suturing techniques with no need to tie knots1,2
More strength* and security than traditional sutures2-6
28% reduction in surgical site infection risk demonstrated in a meta-analysis with the use of triclosan-coated sutures7†‡§
More efficiency and consistency‖
With no need to tie knots, STRATAFIX™ can close substantially faster than interrupted suturing. In THAs, for example, a retrospective study showed time savings of 22 minutes!1,2,8¶
Bidirectional devices allow 2 clinicians to close. And with multiple points of fixation, STRATAFIX™ distributes tension evenly for consistent control.1,2,4
More strength* and security
STRATAFIX™ anchor technology locks into position with each pass and prevents loosening of the device.
STRATAFIX™ Symmetric PDS™ Plus Knotless Tissue Control Device provides 39% greater holding strength than coated VICRYL® (polyglactin 910) Suture, and is the only barbed suture appropriate for closing high-tension areas such as fascia.3,9-13
Help reduce risk factors associated with SSIs
STRATAFIX™ are the only commercially available barbed sutures with Plus Antibacterial Technology, proven in vitro to kill bacteria on the suture associated with SSI.14,15**
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
* Refers to STRATAFIX Symmetric PDS Plus Device only.
† In a meta-analysis that included 21 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.
‖ Compared to traditional sutures.
¶ Based on retrospective analysis of 5,958 total hip arthroplasties from the Premier Perspective® Hospital Database, p<0.05.
**In an animal model.
1. 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.
2. 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.
3. Nonnenman H. 100326296: Time zero tissue holding - Competitive claims comparisons for STRATAFIX Knotless Tissue Control Devices vs various products. 2015. Ethicon, Inc.
4. 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.
5. 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.
6. Eickmann T, Quane E. Total knee arthroplasty closure with barbed sutures. J Knee Surg. 2010;23(3):163-167.
7. Johnston S, Sutton N. Retrospective, observational study using the Premier® Perspective Hospital Database. Stratafix & Prineo Study. 2017. Ethicon, Inc.
8. 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.
9. 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 days. July 7, 2010. Ethicon, Inc.
10. 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. July 15, 2011. Ethicon, Inc.
11. Ethicon study AST-2011-0341. Performance testing of DOLFIN PDS PLUS size 3-0 suture–tissue holding 10 cm incision. August 22, 2011. Ethicon, Inc.
12. 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 7±1 days following closure of the ventral abdominal wall in a rabbit model. August 8, 2011. Ethicon, Inc.
13. Performance testing of STRATAFIX Symmetric PDS Plus Size 0 & 1 Devices – initiation strength in porcine tissue. AST-2013-0603. Ethicon, Inc.
14. Ming X, Rothenburger S, Yang D. In vitro antibacterial efficacy of Monocryl Plus Antibacterial Suture (poliglecaprone 25 with triclosan). Surg Infect (Larchmt). 2007;8(2):201-207.
15. 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.
16. 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. August 24, 2012. Ethicon, Inc.