STRATAFIX™ Symmetric PDS™ Plus Knotless Tissue Control Device

STRATAFIX™ Symmetric is the only barbed suture that provides strong, secure closure appropriate for high-tension areas, such as fascia.1-6

STRATAFIX™ Symmetric PDS™ Plus

Features & Benefits

STRATAFIX Barbed Suture Strength Compared to V-LOC

More Security*

Offers greater strength & security of interrupted closure, without knots1-5, 7-12 STRATAFIX™ offers superior tissue holding strength compared to PDS™ loop continuous technique, VICRYL® interrupted technique, and V-LOC 180.1

STRATAFIX™ Symmetric PDS™ Plus Knotless Tissue Control Device Card

More Consistency*

More consistent tension control and approximation during closure8-14* The unique anchor design delivers multiple points of fixation that help maintain approximation along the suture line during closure8-14* and when compared to traditional sutures, STRATAFIX™ Knotless Tissue Control Devices help surgeons to easily manage tension and control approximation during closure.8,9,11

STRATAFIX Barbed Suture Orthopedic Benefits

More Efficiency8-12,15-17*

More efficient than continuous or interrupted suturing8-14* 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.15,16

STRATAFIX Barbed Suture Plus Antibacterial

Plus Antibacterial Technology6

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.6

STRATAFIX Barbed Suture Broad Portfolio

The Most Comprehensive Portfolio

Multiple anchor designs provide more versatility.6 STRATAFIX™ Symmetric is the only barbed suture that provides strong, secure closure appropriate for high-tension areas, such as fascia.1-6 STRATAFIX™ Spiral & Spiral Plus offers a broad range of unidirectional and bidirectional devices, offers the smooth glide of a traditional suture.8-12


STRATAFIX™ Symmetric PDS™ Plus Knotless Tissue Control Device
STRATAFIX Symmetric PDS Plus Technique Demonstration
STRATAFIX Symmetric in Open Hartman's Reversal fascia closure (S. Narayanan)
STRATAFIX™ Symmetric PDS™ Plus compared to Traditional Suture and V-Loc™
STRATAFIX Symmetric Benefits in a Total Hip Arthroplasty (R. Nunley)
STRATAFIX sutures used in multiple layers in a Myomectomy (J. Kondrup)
STRATAFIX Symmetric benefits in a Robotic Hernia Repair (T. Singh)
STRATAFIX Symmetric vs Traditional Suture Video
STRATAFIX Benefits Overview in Spinal Fusion (S. Shah)

Supporting Documentation

Product Support

STRATAFIX™ Portfolio Product Catalog

STRATAFIX Competitive Comparison for Barbed Sutures

STRATAFIX Symmetric PDS Plus Brochure

ETHICON Wound Closure Competitive Performance Testing

Ethicon: Surgical Site Infections and Triclosan Coated Sutures

STRATAFIX Needles and Trocar Chart

STRATAFIX Product and Procedure Compendium


*Compared to traditional sutures.

1. 100326296: Time Zero Tissue Holding - Competitive Claims Comparisons for STRATAFIX Knotless Tissue Control Devices vs Various Products. 2015.

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

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

4. 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. 

5. 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. 

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

7. 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. 

8. 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. 

9. 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. 

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

11. 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.

12. 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. 

13. 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.

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

15. 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. 

16. 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.

17. 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.

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