STRATAFIX™ Spiral Knotless Tissue Control Device

STRATAFIX Spiral & Spiral Plus Knotless Tissue Control Devices offer a broad range of unidirectional and bidirectional devices, offers the smooth glide of a traditional suture.1-5


Features & Benefits

  • STRATAFIX Spiral Barbed Suture Tissue Holding Strength

    More Security*

    Offers greater strength & security of interrupted closure, without knots1-11 STRATAFIX™ offers superior tissue holding strength compared to PDS™ loop continuous technique, VICRYL® interrupted technique, and V-LOC 180.1

  • STRATAFIX Barbed Suture Tension Control

    More Consistency*

    More consistent tension control and approximation during closure1-5,12-13* The unique anchor design delivers multiple points of fixation that help maintain approximation along the suture line during closure1-5,12-13* and when compared to traditional sutures, STRATAFIX™ Knotless Tissue Control Devices help surgeons to easily manage tension and control approximation during closure.1,2,4

  • STRATAFIX Barbed Suture Time Savings

    More Efficiency1-5,14-16*

    More efficient than continuous or interrupted suturing1-5,13* STRATAFIX™ Knotless Tissue Control Devices are more efficient because they do not knot, they eliminate the need for an assistant to follow the suture line (no need to hold the tension after each bite) and they allow for potentially less time under anesthesia.14,15

  • STRATAFIX Barbed Suture Plus Antibacterial

    Plus Antibacterial Technology17

    STRATAFIX™ the only barbed suture with antibacterial protection. Three globally recognized health organizations (CDC, WHO, ACS & SIS) have recently added triclosan-coated sutures to their surgical site infection (SSI) prevention guidelines. STRATAFIX™ Knotless Tissue Control Devices with Plus Antibacterial Technology are designed to address a known risk factor for SSIs.17

  • STRATAFIX Barbed Suture Broad Portfolio

    The Most Comprehensive Portfolio

    Multiple anchor designs provide more versatility.17 STRATAFIX™ Symmetric is the only barbed suture that provides strong, secure closure appropriate for high-tension areas, such as fascia.6-10,17 STRATAFIX™ Spiral & Spiral Plus offers a broad range of unidirectional and bidirectional devices,  offers the smooth glide of a traditional suture.1-5



STRATAFIX Benefits Overview in Spinal Fusion (S. Shah)
STRATAFIX Benefits Overview in Spinal Fusion (S. Shah)
STRATAFIX Advantages in Robotic Prostactetomy (J.H. Witt)
STRATAFIX Advantages in Robotic Prostactetomy (J.H. Witt)
STRATAFIX Portfolio:  Ethicon's Barbed Sutures Benefits Overview
STRATAFIX Portfolio: Ethicon's Barbed Sutures Benefits Overview

Supporting Documentation

Product Support

STRATAFIX™ Portfolio Product Catalog


SSI Infographic

STRATAFIX Competitive Comparison for Barbed Sutures

STRATAFIX Knotless Tissue Control Devices Premier Data in Total Hip Arthroplasty

STRATAFIX Knotless Tissue Control Device Randomized Control Trial in Total Knee Arthroplasty

STRATAFIX Product and Procedure Compendium


*Compared to traditional sutures.

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. Eickmann T, Quane E. Total knee arthroplasty closure with barbed sutures. J Knee Surg. 2010;23(3):163-167. 

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. 100326296: Time Zero Tissue Holding - Competitive Claims Comparisons for STRATAFIX Knotless Tissue Control Devices vs Various Products. 2015.

7. Performance Testing of STRATAFIX SYMMETRIC PDS PLUS Size 0 & 1 Devices – Initiation Strength in Porcine Tissue. AST-2013-0603. 

8. AST-2013-0056 Performance Testing of STRATAFIX Symmetric PDSSize2-0 suture device for Tissue Holding Strength with Multiple Incision Defects to Measure Gapping.

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. Approved on July 7, 2010. 

10. Ethicon Performance Evaluation Memo AST-2012-0510. Performance Testing of STRATAFIX Symmetric Size 2-0 suture device for Tissue Holding Strength with an Incision Defect to Measure Gapping. Dated December 3, 2012. 

11. 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. Approved on August 24, 2012. 

12. Rodeheaver GT, Piñeros-Fernandez A, Salopek LS, et al. Barbed sutures for wound closure: in vivo wound security, tissue compatibility and cosmesis measurements. In: Transactions from the 30th Annual Meeting of the Society for Biomaterials; Mount Laurel, NJ; p. 232. 6.

13. Warner JP, Gutowski KA. Abdominoplasty with progressive tension closure using a barbed suture technique. Aesthet.
Surg J. 2009;29(3):221-225.

14. Smith EI, DiSegna ST, Shukla PY, Matzkin EG. Barbed Versus Traditional Sutures: Closure Time, Cost, and Wound Related Outcomes in Total Joint Arthroplasty. J Arthroplasty. 2014;29:283-287. 

15. Morgan-Ortiz F, Contreras-Soto JO, Lopez Zepeda MA, Soto-Pineda JM, Peraza-Garay FJ. Comparison Between Unidirectional Barbed and Polyglactin 910 Suture in Vaginal Cuff Closure in Patients Undergoing Total Laparoscopic Hysterectomy. Surg Technol Int XXIII. 2013;23:143-148.

16. Maheshwari AV, Naziri Q, Wong A, Burko I, Mont MA, Rasquinha VJ. Barbed Sutures in Total Knee Arthroplasty: Are These Safe, Efficacious, and Cost-Effective? J Knee Surg. 2015;28:151-156.

17. STRATAFIX Symmetric PDS Plus Knotless Tissue Control Device. Instructions for Use. Ethicon, Inc.

For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.