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STRATAFIX™ Knotless Tissue Control Devices
STRATAFIX™ is a portfolio of barbed sutures that deliver more efficiency, more strength,* and more consistency than traditional suture.1-3 Use the STRATAFIX™ Selection Guide to help you choose the right STRATAFIX™ for you.
Features & Benefits
STRATAFIX™ barbed sutures can close wounds substantially faster than using an interrupted technique.4 In Total Hip Arthroplasty, STRATAFIX™ was associated with significantly less time spent in the OR when compared to traditional sutures.5†
STRATAFIX™ Symmetric Devices provide superior tissue-holding strength compared to interrupted technique with Coated VICRYL® (polyglactin 910) Suture, continuous technique with PDS® II (polydioxanone) Suture, and V-Loc™ 180 Wound Closure Device.3‡§
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.6,7||
STRATAFIX™ Plus Knotless Tissue Control Devices have been shown in vitro to inhibit bacterial colonization of the suture for 11 days or more,9**††‡‡ for protection against the most common organisms associated with SSI.9§§||||
*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 Randomized 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 (nonbarbed) sutures.
§§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. 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, Belkoff SM, Khanuja HS. Knee arthrotomy repair with a continuous barbed suture: a biomechanical study. J Arthroplasty. 2011;26(5):710-713.
3. Nawrocki J. Time zero tissue holding - competitive claims comparisons for STRATAFIX Knotless Tissue Control Devices vs various products. 100326296. May 20, 2015. Ethicon, Inc.
4. Greenberg J, Goldman R. Barbed suture: a review of the technology and clinical uses in obstetrics and gynecology. Rev Obstet Gynecol. 2013;6(3-4):107-115.
5. Sutton N, Schmitz ND, Johnston SS. Comparing outcomes between barbed and conventional sutures in patients undergoing knee or hip arthroplasty. J Comp Eff Res. 2018;7(10):975-987. doi:10.2217/cer-2018-0047.
6. 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.
7. 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.
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. doi:10.1002/bjs.10445.
9. Bhende S, Burkley D, Nawrocki J. In vivo and in vitro antibacterial efficacy of absorbable barbed polydioxanone monofilament tissue control device with triclosan. Surg Infect (Larchmt) 2018;19(4):430-437.
© Ethicon US, LLC. 2019. 085133-171129
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
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Last updated February 20, 2019. The third-party trademarks used herein are trademarks of their respective owners. Data and usage fees may apply. See your carrier for more information.