B. Braun Sutures Suture materials for veterinary surgerydiagsa.co.za/wp-content/uploads/current/BBraun Vet Sutures.pdf · 9 + Based on decades of research and development, B. Braun

B. Braun SuturesSuture materials for veterinary surgery

B. Braun Vet Care GmbH

Veterinary Expertise by B. Braun and Aesculap

2

Closure Technology

3

Table of contents

Page

Safil®Quick

Monosyn®

Safil®Violet

Non-absorbable meshes

Steelex®

Silkam®

Dagrofil®

Premilene®

Dafilon®

Supramid®

Synthofil®

MonoPlus®

Absorbable meshes

Catgut®Plain

Catgut®Chrom

Suture material packaging 4

Pharmacopoeia 6

Needle-thread combinations 7

Needles for veterinary surgeryEasyslide – the special atraumatic needle 8

Needle characteristics and B. Braun needle nomenclature 9

Knot types and knot technique 10

Tissue-specific recommendations for usersOverview 11

Indications 12

Suture size 14

Absorbable sutures16

18

22

26

70

72

Non-absorbable sutures

30

32

34

36

38

40

42

Dental sutures 44

Ophthalmic sutures 54

Sutures for Equine surgery 64

Cassette packs 66

Meshes

76

78

Tissue adhesive 82

Surgical needles 84

Practical accessories 88

4

Suture material -the complete range for veterinary surgery

Non-absorbablesutures

Absorbable sutures

Steelex®

Polyglycolic acid

Glyconate

Polyglycolic acid

short-term

mid-term

mid-termSafil®Violet

Monosyn®

Safil®Quick

Stainless steel, polyfil

Absorption time

Silkam® Silk, polyfil, coated

Dagrofil® Polyester, polyfil, uncoated

Synthofil® Polyester, polyfil, coated

Supramid® Polyamide, pseudo-monofil

Dafilon® Polyamide, monofil

Premilene® Polypropylene, monofil

Natural collagen mid-termCatgut®Chrom

Natural collagen short-termCatgut®Plain

Poly-p-dioxanone long-termMonoPlus®

5

Meshes

Premilene® Mesh Optilene® Mesh

Polypropylene

Safil® Mesh

Polyglycolic acid

Safil® Mesh bag

Polyglycolic acid Polypropylene

6

DDP – the user friendly direct-dispense packaging

Suture material packaging

Cassette packs

Cassette packs■ Comfortable and easy handling of suture materials of any

required length

Sutures without needle (precuts)■ Easy, kink- and knot-free dispensation of individual sutures

“thread by thread”

Needle-thread combinations■ Direct and precise gripping of the needle,

with the needle holder

DDP (Direct Dispense Packaging)■ Clearly labelled product information ■ Easy product identification■ Double sterile packaging with transparent outer pell-pack■ Tearing-off opening system, indicated by coloured arrows

7

Product name

Suture description

Needle code and illustration

Suture length

Suture size

Article number/ordering number

Marked tearing point

Batch number

Expiry date: year and month

Contents/foils per pack

Package labelling

1

2

3

4

5

6

7

8

9

10

9864 5 7

123

94 6 85 101 2 3

8

■ Thread diameter■ Knot tensile strength■ Linear tensile strength

The European Pharmacopoeia (EP) uses the metric system (referred to as »metric«) for classifying the suture size. All figures are in 1/10 mm. The figures represent the lower limits.The effective diameter of a suture mostly exceeds this value,usually in the upper reaches of tolerance range of each suture.

Pharmacopoeia

Size designation for surgical suture materials

American Pharmacopoeia

Suture materials absorbable and nonabsorbable

USP size

11-0

10-0

9-0

8-0

7-0

6-0

5-0

4-0

3-0

2-0

2-0

0

1

2

3+4

5

6

7

8

European Pharmacopoeia

Suture materials absorbableand nonabsorbable

metric size

0,1

0,2

0,3

0,4

0,5

0,7

1

1,5

2

2,5

3

3,5

4

5

6

7

8

9

10

Suture Diameter

mm-range

mm

0,010-0,019

0,020-0,029

0,030-0,039

0,040-0,049

0,050-0,069

0,070-0,099

0,100-0,149

0,150-0,199

0,200-0,249

0,250-0,299

0,300-0,349

0,350-0,399

0,400-0,499

0,500-0,599

0,600-0,699

0,700-0,799

0,800-0,899

0,900-0,999

1,000-1,099

The pharmacopoeia defines the minimum requirements on suture materials:

American Pharmacopoeia

Catgut

USP size

7-0

6-0

5-0

4-0

3-0

3-0

2-0

0

1

2

3

4

5

6

9

+Based on decades of research and development, B. Braun is offering a wide range of suture materials that are perfectly suited to the requirements of todays veterinary surgery.

B. Braun Vet Care recommends the use of atraumatic needle-thread combinations:

B. Braun atraumatic needle-thread combinations excel by theirlasting quality and a precise finish. Thanks to the smooth transi-tion between needle and suture, the suture canal is minimized to the size defined by the needle, while micro tissue ruptures areavoided.

Needle-threadcombinations

- - - -

+ + + + + +

-AtraumaticNeedle-thread combinations

■ minimal wound trauma■ solid union of needle and thread■ smooth transition between needle and thread■ always a new, sterile and sharp needle■ no time-consuming threading■ needle and suture sizes adjusted to individual indications

Traumatic needles

■ wound trauma due to double thread suture■ suture damaged when being clamped in the spring eye■ no firm seating of the suture in the spring eye■ time-consuming threading of the suture into the normal eye

10

Easyslide – the special atraumatic needle

Needles for veterinary surgery

a = angle degreesb = needle lengthc = cord lengthd = needle diameterr = radius

High-quality stainless steel- series 300■ result of extensive research and clinical experience

High bending breaking resistance■ highly smooth surface finish■ flattened needle body to prevent needle rotation

in the needle holder

Laser-drilled ends■ optimal atraumatic

needle-thread transition

1. The first letter defines needle curvature:

H = 1/2 circleD = 3/8 circleV = 1/4 circleP = progressive/asymptoticG = straight

2. The second letter defines needle body:

R = round-body needleS = cutting needleL = Lancet (spatula) needle

3. Special needle variants aremarked by a third letter:

C = short cutting tipM = micro pointMP= precision pointT = trocar pointm = micro needle

4. The number defines thestraightened length of theneedle, in mm.

5. The letter “s“ behind thenumber - heavy bodied needle

B. Braun needle nomenclature

11

Important needles and needle code descriptions

HLm = 1/2 circle, micro lancetDLm = 3/8 circle, micro lancetPLm = progressive/asymptotic,

micro lancetVLM = 1/4 circle, micro point

Lancet (spatula) needle

This needle is a further development of the spatula needle. The danger of an unintentional injury of deeper tissue-layers is significantly reduced by the special shaped lancet tip.

Reverse cutting needle

Needle with a triangular cross section and an apex cuttingedge on the outside of the needle curvature. This point ensures easy initial penetration.

HRT = 1/2 circle; round body, trocarDRT = 3/8 circle; round body, trocar

Round bodied needle with trocar point

Needle with strong cutting point of four edges that blendinto a round tapered body. This needle ensures good penetration in tough tissues with minimum tissue trauma.

Round bodied needle

The round body of this needle is tapered to a fine needle tip, thus ensuring tissue-preserving penetration. The needle body is flattened to prevent the needle from rotating in the needle holder. This needle is designed for soft tissues.

HR = 1/2 circle; round bodyDR = 3/8 circle; round body

HS = 1/2 circle, cuttingDS = 3/8 circle, cuttingGS = straight, cutting

DSMP = 3/8 circle, cutting,precision point

1 = 1 opposite application (square knot = weaver’s knot)

1 x 1 non-opposite application (so-called granny knot)

12

Knot types

Knot types and knot technique

1 = 1

1 = 1 = 1

2 = 1

1 x 1

1 x 1 x 1

2 x 1

Knot technique

right

right■ The square knot, weaver’s knotis a reliable knot and locks most closely.This knot is suitable for ligatures and canalso be applied as a slip knot.

■ The granny knottends to loosening, is unreliable and istherefore not recommended, generally.

■ The surgical knotis used very often and is indicated especially when a suture is applied under tension.Not suitable for ligatures!

■ A slip knotshould be applied when the first loop ofthe knot slips open and needs retighteningwith the subsequent loop. This appliesespecially when tying knots in deeper lay-ers. For this technique monofilament su-tures should be used, preferably.

wrong

right

Guidelines for correct „knotting”

Do not position the knot directly above the edge of the wound, but adjacent to it,if possible.

Avoid friction damage to the suture whentying the knot!

The simplest knot (for any given material)is always the best!

The finished knot must be tight enoughthat any later shift of the knot is so prevented.

Avoid tissue strangulation(risk of tissue necrosis)!

The first knot is the crucial one! Any subsequent knots are only to secure thefirst knot.

Apply as many securing knots as necessary, but as few as possible (minimum 3 securing knots).

Always tie the knot as small as possibleand keep the suture ends as short as possible!

right wrong

13

Overview

Tips and tricks for wound closure

Early wound healing, short-term preservation of tensile strength required, rapid absorption

Monofil thread; absorbable suture material with medium loss of tensilestrength (no suture removal)

Soft, rubbery tissue; tissue-preservingmonofil thread; no sawing effect; no capillarity, to avoid provoking fistulaformation

Monofil suture material; pH-independent degradation profile

Suture material with short to medium lossof tensile strength and excellent handlingproperties

High blood perfusion, but not very stress-resistant; should be severed bluntly and adapted loosely when sutured

Extremely poor blood perfusion; monofil,long-term absorbable suture material; always apply away from muscle tissue (to avoid possible loosening of the suture)

Strong, long-term support of wound healing required

Livelong weak spot, longterm suture material with high initial tensile strengthor non-absorbable suture/Meshes

Slow healing process; longterm suture material with high initialtensile strength

Strong, long-term support of wound healing required

Adaptive sutures only, in most cases; always to be reinforced by osteosynthesis

Safil®Quick

Safil®Quick

Monosyn®

Monosyn®

Monosyn®

Monosyn®

Monosyn®

MonoPlus®

Monosyn®

MonoPlus®

MonoPlus®

MonoPlus®

MonoPlus®

Dafilon®

Synthofil®

Synthofil®

Steelex®

Steelex®

Premilene®

Premilene®

Premilene®

Non-absorbablesutures

Absorbablesutures

Tissue-specific recommendations for users

MonoPlus®

MonoPlus®

MonoPlus®

Tissue types Minimum requirements Suture material holding forces (50% loss of tensile strength in this many days)

Mucosa 3 - 5

Skin 7 - 12

Intestines 7 - 14

Bladder 7 - 14

Uterus 10 - 16

Muscle > 18

Abdominal wall/Linea alba > 18

Fascias > 18

Hernias > 35

Tendons/ligaments > 35

Joint capsule > 35

> 35 -Bone non-absorbable MonoPlus®

14

50 % retention tensile strength

Short-term absorbable

Mid-term absorbable

Long-term absorbable

Recommendations on using absorbable and non-absorbable sutures

Absorbable sutures

Tissue-specific recommendations for users

SkinSubcutisMucosaSmall intestineColonBladder (infected)Ureter/UrethraUterus Ligature ovaryLigature generalMuscleAbdominal wall/Linea albaHerniasFasciasTendonsLigamentsJoint capsuleOrthopaedicsBlood vesselsNervesDentalEye lidEye

Safil® Quickpolyfil

Polyglycolic acidMg++ coated

++

+ +0---

+ +------------

+ + +0

Monosyn®

monofilGluconate

+ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++------0-

+ ++ +0

Safil®

polyfilPolyglycolic acidGlyconate coated

++ ++++

0/-0+00

+ ++ +-0-++-0-+

+ ++ +

MonoPlus®

monofilPoly-p-dioxanone

+ +00

+ ++ ++ ++0

+ ++ ++ ++ ++

+ ++ ++ ++ ++ ++ +++00

Indications

DAYSAYS71818DAYSAYSDAYSAYS1414

DAYSAYS3535

Catgut® Plainmonofil

Natural collagen

0------00-----------0 0-

DDAYSAYSAYS77

Catgut® Chrommonofil

Natural collagenChrome treated

00--0--+ 000

0/-------0-- --

++ very good + good 0 suitable - unsuitableMaterial of choice

181818DDAYSAYSAYS

15


Product

SkinSubcutisMucosaSmall intestineColonBladder (infected)Ureter/UrethraUterus Ligature ovarLigature generalMuscleAbdominal wall/Linea albaHerniasFasciasTendonsLigamentsJoint capsuleOrthopaedicsBlood vesselsNervesDentalEye lidEye

Premilene®

monofilPolypropylene

+ +-

+ +++

+ ++ +-

+ ++ ++

+ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ ++ +

Supramid®

pseudo-monofilPolyamide

+ +-

+ +++++-

+ ++ +++

+ ++-+++--+0-

Synthofil®

polyfilPolyester coated

+-+00+--+++

+ ++ ++ +++

+ +++++0-

Dagrofil®

polyfil Polyester

+-+00+--+++

+ ++ ++ ++++++++0-

Steelex®

polyfil Stainless

steel

+ +--++++---0

+ ++ ++

+ ++ ++

+ +-----

Silkam®

polyfil Silk

0-0000--000000000000

++00

Indications

++ very good + good 0 suitable - unsuitableMaterial of choice

Dafilon®

monofil Polyamide

+ +-

+ +++++-

+ ++ ++++++++++++

+ ++ +

16

Indications

5/0 4/0 3/0 2/0 0 1 21 1,5 2 3 3,5 4 5

Skin

Subcutis

Mucosa

Small intestine

Colon

Bladder

Ureter/Urethra

Uterus

Ligature ovar

Ligature general

Muscle

Abdominal wall/Linea alba

Hernias

Fascias

Tendons

Ligaments

Joint capsule

Orthopaedics

Blood vessels

Nerves

Dental

Eye lid

Thread gauges USP metric

Tissue-specificrecommendations

Thread gauge recommendations for dogs

Recommendations

17

Indications

Thread gauge recommendations for cats

Thread gauges USP metric

5/0 4/0 3/0 2/0 0 1 21 1,5 2 3 3,5 4 5

Skin

Subcutis

Mucosa

Small intestine

Colon

Bladder

Ureter/Urethra

Uterus

Ligature ovar

Ligature general

Muscle

Abdominal wall/Linea alba

Hernias

Fascias

Tendons

Ligaments

Joint capsule

Orthopaedics

Blood vessels

Nerves

Dental

Eye lid

Recommendations

Safil® QuickQuick and smooth

Absorbable sutures

18

■ Excellent handling■ Safety during the critical wound healing phase■ Quickly absorbed by the body■ Degradation profile equivalent to catgut plain

Safil® Quick description

Structure PolyfilamentBraidedCoated

Chemical composition Polyglycolic acidMagnesium stearate coated Gamma-irradiated

Colour Undyed

Knot tensile strength retention 7 days p.i. 50 %14 days p.i. 15 %18 days p.i. 0 %

Mass absorption 42 days

Indications ■ Mucous membranes■ Gynaecology ■ Dental

Contra-indications Indications that require permanent support by implantation of mid-term or non-absorbable suture material

Recommended knot technique 2 = 1 = 1 = 11 = 1 = 1 = 1

Even 7 days after its implantation, Safil® Quick still supportswound healing with 50 % of its initial tensile strength.

Complete mass absorption in 42 days.

19

Safil® Quick USP metric

Length 5/0 4/0 3/0 2/0 0 1 2Needles cm 1 1,5 2 3 3,5 4 5

1/2 circle round-bodied needle

HR 17 70 C0046012 C0046013 C004601417 mm

HR 22 70 C0046029 C0046030 C004603122 mm

1/2 circle reverse cutting needle

HS 18 45 C004622618 mm

HS 23 45 C0046229 C004623023 mm


DS 16 70 C0046212 C0046213 C004621416 mm

DS 19 45 C0046220 C004622119 mm

DS 19 70 C0046420 C0046421 C004642219 mm

DS 24 45 C0046535 C004653624 mm

DS 24 70 C0046234 C0046235 C0046236 C004623724 mm

3/8 circle reverse cutting needle with precision tip

DSMP 13 45 C0046619 C004662013 mm

DSMP 19 70 C0046529 C0046530 C004653119 mm

DSMP 24 70 C0046657 C004665824 mm

C = box of 36 B = box of 24 G = box of 12

Monosyn®

the new standard in soft-tissue surgery

Absorbable sutures

20

■ Broad spectrum of indications■ pH-independent degradation■ Excellent knot-pull tensile strength■ Ideal for ligatures

Monosyn® description

Ideal degradation profile and excellent knot security through a combination of soft amorphous and hard crystalline substances.

Structure MonofilamentUncoated

Chemical composition Glyconate (Glycolid, trimethylene carbonate, ε-caprolacton)

Colour Violet


Mass absorption 60 - 90 days

Indications ■ Skin■ Mucous membranes■ Subcutis■ Gastro-intestinal■ Urology■ Ligatures■ Castration■ Muscle

Contra-indications Indications that require permanent support by implantation of long-term or non-absorbable suturematerial


21

Monosyn® USP metric


1/2 circle round bodied needle

HR 17 70 C0022003 C0022004 C002200517 mm

HR 22 70 C0022014 C0022015 C002201622 mm

HR 26 70 C0022024 C0022025 C0022026 C0022027 C0022028 C002202926 mm

HR 26s 70 C0022084 C0022085 C0022086 C0022087 C0022088 C002208926 mm

HR 37 70 C0022045 C0022046 C0022047 C0022048 C002204937 mm

HR 40s 70 C0022066 C0022067 C0022068 C002206940 mm

HR 48 90 C0022076 C0022077 C0022078 C002207948 mm

1/2 circle round bodied needle with trocar point

HRT 17 70 C0022323 C0022324 C002232517 mm

HRT 26 70 C0022304 C0022305 C0022306 C002230726 mm

HRT 37 70 C0022316 C0022317 C002231837 mm

HRT 40 90 C0022527 C002252840 mm

HRT 48 90 C002233348 mm

Absorbable sutures

22




DRT 18 70 C0022343 C002234418 mm

DRT 22 70 C0022354 C002235522 mm

DRT 26 70 C0022365 C002236626 mm

DRT 32 70 C0022377 C002237832 mm


HS 26 70 C0022236 C002223726 mm

HS 26s 70 C0022241 C0022242 C002224326 mm

HS 37s 70 C0022247 C0022248 C002224937 mm


DS 16 45 C002241916 mm

DS 19 45 C002250419 mm

DS 19 70 C0022204 C002220519 mm

DS 24 70 C0022215 C0022216 C002221724 mm

DS 30 70 C0022231 C0022232 C002223330 mm

23



Pre-cuts

3 x 45 C0020005 C0020006 C0020007 C0020008

5 x 70 C0020025 C0020026 C0020027 C0020028

140 C0020035 C0020036 C0020037 C0020038


24

Safil® Violetgentle, strong, safe and versatile

Absorbable sutures

■ Glyconate coated■ Excellent knoting ability■ Easy handling■ Universal application

Safil® Violet description

Smooth passage through tissueStrong in tensile strengthVersatile in application.


Chemical composition Polyglycolic acid 100 %Glyconate coated

Colour Violet



Indications ■ Subcutis■ Abdominal wall closure■ Muscle■ Gynaecology■ Gastro-intestinal■ Ophthalmology

Contra-indications Indications that require permanent support by implantation of long-term or non-absorbable suture material


25

Safil® Violet USP metric



HR 17 70 C1048012 C1048013 C1048014 C1048015

17 mm

HR 17s 70 C1048113 C104811417 mm

HR 22 70 C1048029 C1048030 C1048031 C104803222 mm

HR 26s 70 C1048089 C1048090 C1048091 C1048092 C104809326 mm

HR 30 70 C1048046 C1048047 C1048048 C1048049 C104804530 mm

HR 37s 70 C1048094 C1048095 C1048096 C1048097 C104809837 mm

HR 40s 90 C1048467 C1048556 C1048557 C104855840 mm

HR 43 70 C1048946 C1048947 C104894843 mm

HR 48 70 C1048099 C1048060 C1048061 C1048062 C104806348 mm

HR 48 90 C1048560 C1048561 C1048562 C104856348 mm

HR 60 70 C1048066 C104806860 mm


26

Absorbable sutures


Length 5/0 4/0 3/0 2/0 0 1 2Needles cm 1 1,5 2 3 3,5 4 51/2 circle round bodied needle, loop

HR 40s Loop 150 B104835040 mm

HR 65 Loop 240 B104893065 mm


HRT 17 70 C1048312 C1048313 C1048314 C1048315 C104831617 mm

HRT 22 70 C1048329 C1048330 C1048331 C104833222 mm

HRT 26 70 C1048341 C1048342 C104834326 mm

HRT 37s 90 C1048532 C1048533 C1048534 C104853537 mm

HRT 48 90 C1048502 C104850348 mm

1/2 circle round bodied needle with trocar point, loop

HRT 43s Loop 150 B1048356 B104835743 mm

HRT 48 Loop 150 B104837048 mm


HS 15 45 C1048203 C104820415 mm

HS 21 45 C1048225 C104822621 mm

HS 26 70 C1048241 C1048242 C104824326 mm

HS 26s 70 C1048290 C104829126 mm

27


Length 5/0 4/0 3/0 2/0 0 1 2Needles cm 1 1,5 2 3 3,5 4 51/2 circle reverse cutting needle

HS 37s 90 C1048596 C1048582 C1048583 C104859937 mm

HS 48 90 C1048461 C1048462 C104846348 mm


DS 12 45 C1048207 C104820812 mm

DS 16 45 C1048212 C1048213 C104821416 mm

DS 19 45 C1048219 C1048220 C104822119 mm

DS 19 70 C1048419 C1048420 C1048421 C104842219 mm

DS 24 70 C1048234 C1048235 C1048236 C104823724 mm

DS 30 70 C1048246 C1048247 C1048248 C104824930 mm

3/8 circle reverse cutting needle with precision point

DSMP 19 70 C1048823 C104882419 mm

DSMP 24 70 C1048864 C104886524 mm

Pre-cuts

3 x 45 C1038624 C1038625 C1038626 C1038627 C1038629 C1038630

2 x 70 C1038404 C1038405 C1038406 C1038407 C1038409 C1038410

140 C1038204 C1038205 C1038207 C1038208 C1038209 C1038210

28

MonoPlus®

if healing takes time

Absorbable sutures

■ Long-term tensile strength for safewound adaptation

■ No capillarity■ Atraumatic passage through tissue■ Excellent handling due to high flexibility■ High knot safety

MonoPlus® description

The flexibility, which is better than the industry standard,was achieved through short-chain bonding of thedioxanone molecules.

Structure Monofilament Uncoated

Chemical composition Poly-p-dioxanone

Colour Violet



Indications ■ Abdominal wall closure■ Fascias■ Orthopaedics■ Gastro-intestinal■ Hernias■ Vascular surgery

Contra-indications Indications that require permanent support by implantation of non-absorbable suture material


29

MonoPlus® USP metric



HR 17 70 C0024013 C0024014 C002401517 mm

HR 22 70 C0024133 C0024134 C0024135 C002413622 mm

HR 26 70 C0024024 C0024025 C0024026 C002402726 mm

HR 26s 70 C0024085 C0024086 C0024087 C002408826 mm

HR 30 70 C0024034 C0024035 C0024036 C0024037 C002403830 mm

HR 37s 70 C0024055 C0024056 C0024057 C002405837 mm

HR 40s 90 C0024467 C0024468 C002446940 mm

HR 48 90 C0024077 C0024078 C002407948 mm

1/2 circle round bodied needle, loop

HR 40s Loop 150 C0024567 B002456840 mm

HR 48 Loop 150 C0024090 B002409148 mm

HR 65 Loop 150 C002409465 mm

HR 76 Loop 150 B002409876 mm

Absorbable sutures

30


Length 5/0 4/0 3/0 2/0 0 1 2

Needles cm 1 1,5 2 3 3,5 4 5


HRT 17 70 C0024283 C0024284 C0024285 C002428617 mm

HRT 22 70 C0024294 C002429522 mm

HRT 26 70 C0024305 C002430626 mm

HRT 30 70 C002431130 mm

HRT 37 90 C0024517 C002451837 mm

HRT 40s 90 C0024545 C002454640 mm

HRT 43s 90 C0024352 C002435343 mm

HRT 48 90 C0024332 C002433348 mm

1/2 circle round bodied needle with trocar point, loop

HRT 40s Loop 150 C0024342 B002434340 mm

HRT 43 Loop 150 B002434743 mm

HRT 48 Loop 150 C0024394 B002439348 mm

HRT 48 Loop 200 B002439248 mm

31




HS 23ss 70 C002410823 mm

HS 26s 70 C0024185 C0024186 C0024187 C002418826 mm

HS 37 90 C0024104 C0024105 C002410637 mm

HS 37s 70 C0024156 C0024157 C002415837 mm

HS 40s 90 C0024121 C002412240 mm

HS 40 90 C0024117 C002411840 mm

HS 48 90 C0024127 C002412848 mm


32

Premilene®

Polypropylene of highest quality and grade


■ Sustained high tensile strength■ High knot safety■ Optimal handling ■ Excellent passage through tissue■ Excellent tissue compatibility

Premilene® description

The non-absorbable monofilament for awide spectrum of indications.

Structure MonofilamentNon-absorbable

Chemical composition Polypropylene

Colour Blue

Indications ■ Skin■ Intracutaneous■ Vascular surgery■ Hernias■ Tendons/ligaments■ Nerves■ Ophthalmology

Contra-indications None known

Recommended knot technique 2 = 1 = 1 = 1 = 11 = 1 = 1 = 1 = 1

33

USP metricPremilene®


Length 5/0 4/0 3/0 2/0 0 1 2Needles cm 1 1,5 2 3 3,5 4 51/2 circle round bodied needle

HR 17 75 C0090012 C0090013 C009001417 mm

HR 26 75 C0090040 C0090041 C0090042 C0090043 26 mm

HR 40 100 C009010040 mm

1/2 circle round bodied needle, Loop

HR 65 240 B009567465 mm Loop1/2 circle round bodied needle with trocar point

HRT 17 75 C0090312 C009031317 mm

HRT 26 75 C0090341 C0090342 C009034326 mm


HS 26 75 C0090269 C0090270 C009027126 mm


DS 19 45 C0090219 C0090220 C009022119 mm

DS 19 75 C0090519 C0090520 C009052119 mm

DS 24 45 C0090434 C0090435 C009043624 mm

DS 24 75 C0090234 C0090235 C0090236 C009023724 mm

DS 30 75 C0090246 C0090247 C009024830 mm


DSMP 19 75 C0090673 C009067419 mm

DSMP 24 75 C0090680 C0090681 C009068224 mm

34

Dafilon® (Nylon)Skin closure – safe, good and inexpensive


■ Good knot-pull tensile strength■ Smooth passage through tissue■ Good histocompatibility■ High knot safety■ “Gold standard” in ophthalmology (Nylon)

Dafilon® description

The good histocompatibility is of particular advantage forskin closure and in ophthalmology.

Structure MonofilamentPseudo-non-absorbable

Chemical composition Polyamide

Colour BlueBlack (Nylon)

Mass absorption 2 - 4 years

Indications ■ Skin (intra, sub, skin)■ Ophthalmology (see chapter “Ophthalmology suture materials”)

Contra-indications Indications where sustained stability of the suture is essential (> 2 years)

Recommended knot technique 2 = 1 = 1 = 1 = 11 = 1 = 1 = 1 = 1

35

Dafilon® USP metric



HS 26 90 C0932957 C093496826 mm

HS 30 75 C093503430 mm

HS 48 75 C093262048 mm


DS 16 45 C0932124 C0932132 C093214016 mm

DS 19 45 C0932191 C0932205 C0932213 C093222119 mm

DS 19 75 C0935190 C0935204 C093521219 mm

DS 24 45 C0932345 C0932353 C093236124 mm

DS 24 75 C0935344 C0935352 C0935360 C093537924 mm

DS 30 75 C0935468 C0935476 C0935484 C093549230 mm

DS 39 75 C0932540 C0932558 C0932566 C093257439 mm


DSMP 19 75 C0936731 C093674019 mm

DSMP 24 75 C0936812 C093682024 mm

Straight cutting needle

GS 60 75 C0932655 C093266360 mm

36

Supramid®

flexible, strong, reliable


■ No capillarity■ High knot safety■ Smooth passage through tissue■ Tissue-preserving

Supramid® description

Exceptional handling qualities due to combinedbenefits of monofil and polyfil threads.

Structure Pseudo-monofilamentPseudo-non-absorbable

Chemical composition Polyamide 6.6 – thread corePolyamide 6 - sheath

Colour BlackWhite

Mass absorption 2 - 4 years

Indications ■ Skin (intra, sub, skin)■ Hernias■ Ligatures

Contra-indications Indications where sustained stability of thesuture is essential (> 2 years)


37

Supramid® USP metric


Length 5/0 4/0 3/0 2/0 0 1 2Needles cm 1 1,5 2 3 3,5 4 51/2 circle reverse cutting needle, black

HS 15 45 C0712035 C0712043 C071205115 mm

HS 21 45 C0712248 C0712256 C071226421 mm

HS 26 75 C0712418 C0712426 C071243426 mm

1/2 circle reverse cutting needle, white

HS 30 75 C069268930 mm

HS 40s 120 C069477040 mm

HS 48 75 C069285948 mm

3/8 circle reverse cutting needle, black

DS 19 45 C0712191 C0712205 C0712213 C071222119 mm

DS 19 75 C0714208 C071421619 mm

DS 24 45 C0712345 C0712353 C0712361 C071237024 mm

DS 24 75 C0714356 C071436424 mm

DS 30 45 C0712469 C0712477 C071248530 mm

DS 39 75 C0712540 C0712558 C0712566 C071257439 mm

Pre-cuts, black

5x45 C0216445 C0216453 C0216461 C0216470

150 C0212067 C0212075 C0212091 C0212105

38

Synthofil®

braided polyester in B. Braun quality


■ High knot-pull tensile strength■ Excellent knot security■ Good histocompatibility■ Sustained tensile strength

Synthofil® description

The special coating significantly reduces the riskof tissue damage during suture passage.


Chemical composition PolyesterPolyethylene/vinyl acetate coated

Colour Green

Indications ■ Hernias■ Fascias■ Abdominal wall■ Skin

Contra-indications none known


39

Synthofil® USP metric




HS 15 45 C0812030 C0812048 C081205615 mm

HS 21 45 C0812250 C081226921 mm

HS 26 75 C0812412 C0812420 C081243926 mm

HS 37s 75 C0812501 C081297837 mm


DS 19 45 C0812196 C0812200 C0812218 C081422919 mm

DS 19 75 C0815209 C081421019 mm

DS 24 75 C0812340 C0812358 C0812366 C081237424 mm

DS 30 75 C0812471 C0812480 C081249830 mm

DS 39 75 C0812579 C0812587 C0812595 C081260939 mm

Pre-cuts

3x45 C0316237 C0316245 C0316253 C0316261 C0316270 C0316296 C0316300

2x75 C0314056 C0314064 C0314072 C0314099 C0314102

150 C0312053 C0312061 C0312070 C0312096 C0312100

40

Dagrofil®the low-price polyester suture


■ High tensile strength■ Sustained tensile strength■ High knot safety

Dagrofil® description

Proven quality.

Structure PolyfilamentBraidedUncoated

Chemical composition Polyester

Colour Green

Indications ■ Hernias■ Fascias■ Abdominal wall■ Skin

Contra-indications none known

Recommended knot technique 2 = 1 = 1 = 1 1 = 1 = 1 = 1

41

Dagrofil® USP metric



HR 22 75 C0840297 C0840300 C084031922 mm

HR 26 75 C0840416 C0840424 C084043226 mm

HR 30 75 C0840467 C0840475 C0840483 C084055630 mm


HS 30 75 C0842257 C084226530 mm

HS 37 75 C084228137 mm


DS 19 45 C0842192 C0842206 C084221419 mm

DS 24 75 C0842354 C084236224 mm

DS 30 75 C0842478 C0842486 C084249430 mm

DS 39 75 C0842583 C084259139 mm

Pre-cuts

3x45 C0346250 C0346268 C0346276 C0346292 C0346306

2x75 C0344060 C0344079 C0344095 C0344109

150 C0342068 C0342076 C0342092 C0342106


42

Silkam®

gentle and well-tried


■ Good knot security■ Comfortable handling

Silkam® description

Silk threads will lose tensile strength during their progressive degradation in the body.

Structure PolyfilamentBraidedCoated, pseudo-nonabsorbable

Chemical composition SilkWax and silicone coating

Colour BlackWhite (see cassette packs)

Indications ■ Dental

Contra-indications Indications where sustained stability of the suture is essential

Recommended knot technique 2 = 1 = 1 = 1 1 = 1 = 1 = 1

43

Silkam® USP metric




HR 22 75 C0760293 C0760307 C076031522 mm

HR 26 75 C0760404 C0760412 C0760420 C0760439 C076044726 mm


HS 21 45 C0762245 C0762253 C076226121 mm

HS 26 75 C0762407 C0762415 C0762423 C076243126 mm

HS 37s 75 C0764388 C0762970 C076439637 mm


DS 19 45 C0762199 C0762202 C0762210 C076222919 mm

DS 19 75 C0765198 C0765201 C0765210 C076522819 mm

DS 24 75 C0762350 C0762369 C076237724 mm

DS 39 75 C0762598 C0762601 C0762610 C076262839 mm

DS 48 75 C0762814 C0762776 C076278448 mm


DSMP 19 45 C076669019 mm

DSMP 24 45 C076627524 mm

44

Steelex®

the universal steel suture


■ Maximum tensile strength■ Good knot security■ Excellent histocompatibility

Steelex® description

The suture for orthopaedic surgery.

Structure PolyfilamentTwisted(monofilament, see cassette packs)

Chemical composition Stainless steel

Colour Metallic

Indications ■ Orthopaedics■ Tendons■ Ligaments■ Abdominal wall closure■ Sternum sutures■ Skin

Contra-indications Allergies against components of stainless steel


45

USP metricSteelex®


HS 26 45 G061241326 mm


DS 19 45 G061219719 mm

DS 24 45 G0612340 G061235924 mm

DS 30 45 G061247230 mm


Dental sutures

46

In recent years there has been a continuous development of operating techniques in oral surgery. For operations where non-absorbable suture materials were used, previously, there arehigh-quality synthetic absorbable B. Braun sutures available now.

For efficient and safe oral surgery, B. Braun also offers a range of needles that are perfectly adapted for the respective suturematerial.

Indication

Surgery on the hard palate and in the oral cavity

Flap operations Periodontal surgeryInterdental gaps

Oral microsurgery

Recommended needle

HS needle

DS needle

DSMP needle

GR needle

HRT needle

DRT needle

HRC needle

PRCm needle

DSMP needle

DRC needle

DLm needle

50 % retention tensile strengthRecommended suture

MonoPlus®

Safil®Violet

polyfil

monofil

polyfil

7 days

14 days

18 daysSafil®Violet

Monosyn®

Safil®Quick

monofil

polyfil

Synthofil® polyfil

Silkam® polyfil

non-absorbable

non-absorbable

Monosyn® monofil 14 days

Premilene® monofil

Silkam® polyfil

non-absorbable

non-absorbable

18 days

35 days

polyfil 7 daysSafil®Quick

Safil®Violet polyfil 18 days

MonoPlus® monofil 35 days

Premilene® monofil non-absorbable

47

Safil® Quick USP metric

Length 9/0 8/0 7/0 6/0 5/0 4/0 3/0Needles cm 0,3 0,4 0,5 0,7 1 1,5 2

3/8 circle reverse cutting needle, undyed

DS 12 70 C0046202 C0046203

12 mm

3/8 circle reverse cutting needle with precision point, undyed

DSMP 11 45 C0046607

11 mm

3/8 circle micro-lancet needle, green

2xDLm 6s 30 G0047622

6 mm

DLm 6s 30 G0047620 G00476216 mm

2xDLm 6s 45 G00477116 mm

Absorbable sutures

C = box of 36 G = box of 12

48


Länge 9/0 8/0 7/0 6/0 5/0 4/0 3/0Nadeln cm 0,3 0,4 0,5 0,7 1 1,5 2

1/2 circle round bodied needle with trocar point, violet

HRT 17 70 C0022322 C0022323 C0022324 C0022325

17 mm

HRT 26 70 C0022304 C0022305

26 mm


DS 12 70 C0023412 C0023413 C0023414

12 mm


DSMP 11 45 C0023642 C002364311 mm

DSMP 13 45 C0023602 C0023603 C002360413 mm

Absorbable sutures

Dental sutures

49

USP metric

Absorbable sutures



HRT 17 70 C1048312 C1048313 C1048314

17 mm

HRT 22 70 C1048329 C1048330

22 mm

1/2 circle reverse cutting needle, violet

HS 15 45 C1048203 C1048204

15 mm

HS 21 45 C1048225 C1048226

21 mm


DS 12 45 C1048206 C1048207 C1048208

12 mm

DS 16 45 C1048212 C1048213 C104821416 mm

DS 19 45 C1048219 C1048220 C104822119 mm


Safil® Violet

50

Dental sutures


Absorbable sutures


3/8 circle micro-lancet needle, violet

DLm 6 8 G1048611*

6 mm

DLm 6 15 G10486156 mm

DLm 6s 30 G10486206 mm

2xDLm 6 30 G1048702

6 mm

2xDLm 6s 30 G10487106 mm

2xDLm 6s 45 G10487116 mm

* monofil

51

MonoPlus®


USP metric

Absorbable sutures


Straight round bodied needle, violet

2xGR 19 45 C0024984 C0024985

19 mm


HRT 17 70 C0024283 C0024284 C0024285

17 mm

HRT 22 70 C0024294 C0024295

22 mm

3/8 circle round bodied needle with short cutting tip, violet

2xDRC 10 70 C0024721 C0024722

10 mm

DRC 12 70 C0024232 C0024233

12 mm

52

Dental sutures


Premilene® USP metric


1/2 circle round bodied needle with trocar point, blue

HRT 17 75 C0090312 C0090313

17 mm

HRT 22 75 C0090325 C0090326

22 mm


DRT 12 75 C0090306 C0090307

12 mm

DRT 18 75 C0090319 C0090320 C0090321

18 mm

1/2 circle round bodied needle with short cutting tip, blue

2xHRC 17 90 C0090570 C0090571

17 mm

2xHRC 22 90 C0090580 C0090581

22 mm

3/8 circle round bodied needle with short cutting tip, blue

2xDRC 10 75 C0090545 C0090546

10 mm

DRC 12 75 C0090550 C0090551

12 mm

53






DSMP 11 45 C0090606 C0090607 C0090608

11 mm

DSMP 13 45 C0090617 C0090618 C0090619 C0090620

13 mm

DSMP 16 45 C0090629 C0090630

16 mm

Progressive curved round bodied micro needle with short cutting tip, blue

2xPRCm 6 60 G00906986 mm

2xPRCm 10 75 G0090669 G009066810 mm

3/8 circle micro-lancet needle, blue

DLm 6s 15 G00905946 mm

2xDLm 6s 30 G0090597

6 mm

54

Synthofil® USP metric


1/2 circle reverse cutting needle, green

HS 15 45 C0812030 C0812048 C0812056

15 mm

HS 21 45 C0812250 C0812269

21 mm


DS 16 45 C0812129 C0812137

16 mm

DS 19 45 C0812196 C0812200 C0812218

19 mm

3/8 circle reverse cutting needle with precision point, white

2xDSMP 11 45 C0828165

11 mm


Dental sutures

55

Silkam® black USP metric



Straight round bodied needle, black

GR 19 45 C0761290

19 mm

1/2 circle round bodied needle with trocar point, black

HRT 17 75 C0763144

17 mm


HS 15 45 C0762032 C0762040 C0762059

15 mm

HS 21 45 C0762245 C0762253 C0762261

21 mm

HS 23 45 C0762300

23 mm


DS 12 45 C0765066 C0762075 C0762083 C0762091

12 mm

DS 16 45 C0762113 C0762121 C0762130 C0762148

16 mm

3/8 circle reverse cutting needle with precision point, black

DSMP 11 45 C0766070 C0766089

11 mm

DSMP 13 45 C0766186 C0766194 C0766208

13 mm


56

Ophthalmic sutures

Indication

Eyelid operations and operations close to the eye

Operations on the eye

50 % retention tensile strengthRecommended suture

polyfil

monofil

polyfil USP 4/0-8/0

7 days

14 days

18 daysSafil®Violet

Monosyn®

Safil®Quick


polyfil 7 daysSafil®Quick

monofil USP 10/0-9/0 18 daysSafil®Violet

Dafilon® monofil USP 4/0-6/0 non-absorbable

Dafilon® (Nylon) monofil USP 10/0-8/0 non-absorbable


Recommended needle

DRT needle

DS needle

DSMP needle

Lancet needles(Spatula needles):

HLm needle

DLm needle

VLm needle

PLm needle

Eye operation put particularly high demands on the quality of the suture material and the geometry of the needle.

To meet these requirements, B. Braun is producing a further development of the spatula needle – the lancet needle –especially for application in eye surgery.

57

Absorbable sutures(to avoid the risk of repeated anaesthesia)

for use on the conjunctiva, without application of tensile forces

for use on the eyelid

for use on the conjunctiva,with application of tensile force

for suturing the inner layers in cases of lid injury

for conjunctivoplasty, non perforating suture technique(in combination with lancet-needle)

Safil®Quick

Monosyn®

Safil®Violet

�

�

�

�

�


Premilene®

Dafilon® (Nylon)

excellent biocompatibility for the eye

Eyelid sutures following tumor operations, entropium, ectropium, canthoplasty

closure of corneal incisions in cases of phaco and cornea injuries

��

��

��

Tissue adhesive Corneal erosionVet-Seal �

58

Ophthalmic sutures

Safil® Quick

Absorbable sutures

USP metric

Length 10/0 9/0 8/0 7/0 6/0 5/0 4/0Needles cm 0,2 0,3 0,4 0,5 0,7 1 1,5

3/8 circle micro-lancet needle, undyed

2xDLm 6s 30 G0047622

6 mm

DLm 6s 30 G0047620 G0047621

6 mm

2xDLm 6s 45 G0047711

6 mm

1/4 circle lancet needle with micro point, green

VLM 10 45 G0047734

10 mm

3/8 circle round bodied needle with trocar point, undyed

DRT 12 70 C0046311

12 mm


DS 12 70 C0046202 C0046203

12 mm

Safil Quick®

59





HRT 17 70 C0022322 C0022323 C0022324

17 mm


DS 12 70 C0023412 C0023413 C0023414

12 mm


DSMP 11 45 C0023642 C0023643

11 mm

DSMP 13 45 C0023602 C0023603 C0023604

13 mm

60


Absorbable sutures

Ophthalmic sutures



DLm 6 8 G1048610* G1048611*

6 mm

DLm 6 15 G1048615

6 mm

DLm 6s 30 G1048620

6 mm

2xDLm 6 30 G1048702

6 mm

2xDLm 6s 30 G1048710

6 mm

2xDLm 6s 45 G1048711

6 mm


2xHLm 6 30 G1048715

6 mm

2xHLm 8 45 G1048966

8 mm

1/4 circle lancet needle with micro point, violet

2xVLM 8 45 G1048734 G1048735

8 mm

* monofil

61




HRT 17 70 C1048312 C1048313

17 mm

HRT 22 70 C1048329

22 mm


DS 9 45 C1048202

9 mm

DS 12 45 C1048206 C1048207 C1048208

12 mm

Absorbable sutures


62

Ophthalmic sutures




3/8 circle micro-lancet needle, blue

DLm 6s 15 G0090594

6 mm

2xDLm 6 30 G0090591

6 mm

2xDLm 6s 30 G0090596 G0090597

6 mm

63


USP metricPremilene®



2xDRT 12 75 C0090763

12 mm

DRT 12 75 C0090306 C0090307

12 mm

3/8 circle reverse cutting needle, blue

DS 12 45 C0090206 C0090207 C0090208

12 mm

DS 16 45 C0090211 C0090212 C0090213

16 mm

3/8 circle reverse cutting needle with precision point, blue

DSMP 11 45 C0090606 C0090607 C0090608

11 mm

DSMP 13 45 C0090617 C0090618 C0090619 C009062013 mm


64

Ophthalmic sutures

Dafilon® (Nylon) USP metric



3/8 circle micro-lancet needle, black

DLm 6 15 G1118722 G1118730

6 mm

DLm 6s 15 G1118781 G1118790 G1118579

6 mm

2xDLm 6 30 G1118706 G1118714

6 mm

2xDLm 6s 30 G1118765 G1118773

6 mm

DLm 6s 45 G1118854

6 mm

1/2 circle micro-lancet needle, black

HLm 6 15 G1118625 G1118633

6 mm

2xHLm 6 30 G1118609 G1118617

6 mm

Progressive curved micro-lancet needle, black

2xPLm 5 20 G1111922

5 mm

65

Dafilon® USP metric


3/8 circle reverse cutting needle, blue

DS 12 45 C0932060 C0932078 C0932086

12 mm

DS 16 45 C0932116 C0932124 C0932132

16 mm

3/8 circle reverse cutting needle with precision point, blue

DSMP 11 45 C0936022 C0936014

11 mm

DSMP 13 45 C0936081 C0936090 C0936103

13 mm



66

Suture for Equine surgery

Safil E and C description

The suture material of choice for equine surgery.


Chemical composition Polyglycolic acid 100 %Magnesium stearate coated

Colour Green USP 2 - USP 6



Indication ■ Abdominal wall closure■ Fascias■ Muscle■ Subcutaneous suture■ Caesarean section


Recommended knot technique 2=1=1=11=1=1=1

Safil® Equine-SetSafil® Caesarean-Set

Absorbable suture

■ Superb knot holding capability■ Excellent handling■ Excellent histocompatibility

67

G = box of 12

Safil® E-Set Green USP metric

Length 0 1 2 3-4 5 6 7Needles cm 3,5 4 5 6 7 8 9


HR 76 140 B0048080 B0048081

76 mm


HRT 48 140 B0048515

48 mm


HS 48 140 B0048142

48 mm

Safil® C-Set Green USP metric


Pre-Cuts

150 B0038711 B0038712 B0038713

Ligature reel

250 G0038724 G0038721 G0038722

200 G0038723

Reel

500 G0038230 G0038231 G0038232 G0038233

B = box of 24

68

Cassette packsAbsorbable sutures

■ Glyconate coated■ Excellent knot holding capability■ Excellent histocompatibility■ Universal application

Safil® C Violet description

Once opened, the content of the cassettes should be used within 6 months!


Chemical composition Polyglycolic acid 100 %Gluconate coated

Colour Violet USP 4/0 - USP 1



Indication ■ Subcutis■ Abdominal wall closure■ Muscle■ Gynaecology■ Gastro-intestinal

Contra-indications Indications that require permanent support by implantation of long-term or non-absorbable suturematerial


Safil® Cassette VioletGentle, strong, safe and versatile

Small animals

Safil® C Violet USP metric

69

Length 5/0 4/0 3/0 2/0 0 1 2m 1 1,5 2 3 3,5 4 5

Cassette packs

15 F1038102 F1038103 F1038104 F1038105 F1038106

F = Cassette packs

70

Cassette packsAbsorbable sutures

Safil® C Green description

Once opened, the content of the cassette should beused within 6 months!


Chemical composition Polyglycolic acid 100 %Magnesium stearate coated

Colour Green USP 2 - USP 6



Indication ■ Caesarean section■ Abdominal wall closure■ Fascias■ Muscle■ Subcutaneous suture



Safil® Cassette Greenequivalent absorption time to catgut chrom

Large animals

■ High grade PGA■ Universal application■ Excellent histocompatibility■ Superb knot pull tensile strength

71

F = Cassette packs

Safil® C Green USP metric


Cassette packs

15 F0038107

25 F0038108 F0038109 F0038110

Cassette packsAbsorbable Sutures

Dispensed in any required length.

Structure MonofilamentTwisted

Chemical composition Natural purified collagen

Colour Natural beige

Knot tensile strength retention 7 - 10 days p.i. 50 %


Indications ■ Skin■ Ligature ovary■ Uterus

Contra-indications Indications that require permanent support by implantationof mid-term or non-absorbable suture material

Recommended fixation 2=1=1=11=1=1=1

Catgut® Plain

■ Safe■ Economical■ B. Braun quality

Catgut® Plain description

72

Natural absorbable suture made of pure collagen,manufactured from bovine intestine, from designated BSE free countries!

F = Cassette packs

73

Catgut® Plain USP metric

Length 4/0 3/0 2/0 0 1 2 3 4 5 6m 2 3 3,5 4 5 6 7 8 9 10

Cassette packs

100 F1144030 F1144049 F1144057

75 F1144065 F1144073

50 F1144081 F1144090

25 F1144103 F1144111 F1144120

Cassette packsAbsorbable Sutures


Structure MonofilamentTwistedTreated

Chemical composition Natural purified collagenChrome treated

Colour Brown

Knot tensile strength retention 14 - 18 days p.i. 50 %


Indications ■ Subcutis■ Ligature overy■ Uterus

Contra-indications Indications that require permanent support by implantationof long-term or non-absorbable suture material


Catgut® Chrom

■ Safe■ Economical■ B. Braun quality

Catgut® Chrom description

74

Natural absorbable suture made of pure collagen, manufactured from bovine intestine,from designated BSE free countries!

F = Cassette packs

75

Catgut® Chrom USP metric

Length 4/0 3/0 2/0 0 1 2 3 4 5 6m 2 3 3,5 4 5 6 7 8 9 10

Cassette packs

100 F1154036 F1154044 F1154052

75 F1154060 F1154079

50 F1154087 F1154095

25 F1154109 F1154117 F1154125

Supramid®, white

76

Cassette packsNon-absorbable sutures

■ Safe■ Comfortable■ Economical■ B. Braun quality


Dafilon®, blue USP metric

Length 4/0 3/0 2/0 0 1 2 3 5 6m 1,5 2 3 3,5 4 5 6 7 8

100 F1934040 F1934058 F1934066 F1934074

75 F1934082 F1934090

Supramid®, black USP metric

Length 4/0 3/0 2/0 0 1 2 3 5 6m 1,5 2 3 3,5 4 5 6 7 8

100 F1194038 F1194046 F1194054

75 F1194062 F1194070

50 F1194089 F1194097

25 F1194119

100 F1184040 F1184059

75 F1184067 F1184075

50 F1184083 F1184091

25 F1184113

77

F = Cassette packs

Steelex® (monofilament), metallic USP metric

Length 4/0 3/0 2/0 0 1 2 3 5 6m 1,5 2 3 3,5 4 5 6 7 8

50 F1614037 F1614045 F1614053 F1614061

25 F1614070 F1614088

20 F1614096

Silkam®, black

Dagrofil®, green USP metric

Length 4/0 3/0 2/0 0 1 2 3 5 6m 1,5 2 3 3,5 4 5 6 7 8

100 F1244043 F1244051

75 F1244060 F1244078

50 F1244086 F1244094

25 F1244116

Silkam®, white USP metric

Length 4/0 3/0 2/0 0 1 2 3-4 5 6m 1,5 2 3 3,5 4 5 6 7 8

100 F1124048 F1124056

75 F1124064 F1124072

50 F1124080 F1124099

25 F1124102 F1124110 F1124129

100 F1134035 F1134043 F1134051

75 F1134060 F1134078

50 F1134086 F1134094

25 F1134108 F1134116 F1134124

MeshesAbsorbable

78

Safil® MeshSafil® Mesh bagfor temporary wound and organ support

■ Ideal degradation profile■ High burst strength■ Very elastic and pliable■ No risk of late secondary infections

Safil® Mesh and Safil® Mesh bag description

Structure PolyfilamentMeshAbsorbableUncoated

Chemical composition Polyglycolic acid 100 %

Colour Undyed

Weight Safil® Mesh: 56 g/m2 Safil® Mesh bag: 43 g/m2

Pore size Safil® Mesh: 0,75 mm Safil® Mesh bag: 1,40 mm

Knot tensile strength retention 14 days p. i. 70 %18 days p. i. 50 %30 days p. i. 0 %

Mass absorption 60-90 days

Indication Safil® Mesh:

Temporary wound support

■ abdominal wall

■ chest wall

Complete degradation by hydrolysis within 60-90 days.

79

Safil® Mesh

Safil® Mesh and Safil® Mesh bag description

Indication Safil® Mesh bag:Organ stabilisation and haemostasis corpression in cases of trauma or operations■ Kidney

■ Spleen

Contra-indications Indications that require permanent support by implantationof non-absorbable suture material

Recommended knot technique 5 mm from the edge of the mesh with absorbable suture

Safil® Mesh bag

Size Content/Box Article no.

18 x 28 cm 1 piece 1065503

15 x 25 cm 1 piece 1065504

8 x 12 cm 3 pieces 1065508

5 x 6 cm 3 pieces 1065505

2 x 8 cm 3 pieces 1065502

Spleen 26 x 30 cm 1 piece 1065506

Kidney 8 x 15 cm 1 piece 1065507

MeshesNon-absorbable

80

Premilene® Meshthe classic polypropylene mesh

■ Non-absorbable■ Permanent form-stability■ Elastic■ Biocompatible■ Transparent

Premilene® Mesh description

Structure MonofilamentMeshNon-absorbable


Colour Undyed

Weight 82 g/m2

Thickness 0,48 mm

Pore size 0,8 mm

Indications ■ Hernia repair■ Reconstructive surgery

Contra-indications in infected regions

Recommended fixation 6,5 to 12,5 mm from the edge of the meshwith non-absorbable suture

For durable and tension-free hernia therapy.

81

Premilene® Mesh

Size Content/Box Article no.

2,5 x 10 cm 10 pieces 1064304

5 x 10 cm 10 pieces 1064312

7,5 x 15 cm 10 pieces 1064428

10 x 15 cm 10 pieces 1064490

5 x 30 cm 10 pieces 1064444

26 x 36 cm 5 pieces 1064460

7,5 x 7,5 cm 10 pieces 1064410

15 x 15 cm 10 pieces 1064436

30 x 30 cm 5 pieces 1064452

MeshesNon-absorbable

82

Optilene® Mesh Elasticthe elastic light-weight mesh

■ Non-absorbable ■ New honeycomb like structure■ All-round elasticity■ Highly flexible■ Transparent

Optilene® Mesh Elastic description

Structure MonofilamentMeshNon-absorbable


Colour Undyed

Weight 48 g/m2

Thickness 0,55 mm

Pore size 3,6 x 2,8 mm

Indications ■ Hernia repair■ Reconstructive surgery■ Incisional hernia

Contra-indications in infected regions

Recommended fixation 6,5 to 12,5 mm from the edge of the meshwith non-absorbable suture

Adapts to the natural anatomy.

83

Optilene® Mesh ElasticSize Content/Box Article no.

30 x 30 cm 5 pieces 1064900

15 x 15 cm 5 pieces 1064910

10 x 15 cm 5 pieces 1064920

7,5 x 15 cm 5 pieces 1064930

Tissue Adhesive

84

Vet-Seal®

suture-free wound closure

■ Effective protection against bacteria infection■ Wound healing without complications■ High mechanical strength■ Excellent cosmetic results■ Economical

Vet-Seal® description

Easy, fast and safe wound closure.

Structure Tissue adhesiveDyedSelf-dissolving

Chemical composition N-butyl-2-cyanoacrylat

Colour Green

Indications ■ Skin■ Mucosa in oral surgery■ Surgical incision■ Corneal erosion

Contra-indications Intra-corporal applicationInfected and deep puncture wounds.

Note Vet-Seal® can be removed from surgical instrumentswith acetone.

85

5 ampules of 3 ml 18554

Applications

Vet-Seal®, green

1 Remove cap and cut off tipbevel to give drop size needed.

2 Wound preparationWound must be dry and cleanPosition wound edges correctlyWounds under tension and wounds longerthan 2 cm require additional suture support.

3 Application of Vet-Seal®

Apply sparingly until a thin layer becomes visibleDo not apply Vet-Seal® into the wound!

4 Polymerization processHold wound edges in place for approximate 40-60 seconds

1

2

3

4

Content/Box Article no.

Surgical needles

86

3/8 circle needles

Length Round bodied needles Cutting needles

Needles Figure mm Needle code Article no. Needle code Article no.

3/8 circle needles, heavy needles000 102 DR 102 BL 058 N DS 102 BL 098 N

00 94 DR 94 BL 059 N DS 94 BL 099 N

0 85 DR 85 BL 060 N DS 85 BL 100 N

1 80 DR 80 BL 061 N DS 80 BL 101 N

2 73 DR 73 BL 062 N DS 73 BL 102 N

3 68 DR 68 BL 063 N DS 68 BL 103 N

4 63 DR 63 BL 064 N DS 63 BL 104 N

5 58 DR 58 BL 065 N DS 58 BL 105 N

6 54 DR 54 BL 066 N DS 54 BL 106 N

7 50 DR 50 BL 067 N DS 50 BL 107 N

8 46 DR 46 BL 068 N DS 46 BL 108 N

9 42 DR 42 BL 069 N DS 42 BL 109 N

10 38 DR 38 BL 070 N DS 38 BL 110 N

11 34 DR 34 BL 071 N DS 34 BL 111 N

12 30 DR 30 BL 072 N DS 30 BL 112 N

13 27 DR 27 BL 073 N DS 27 BL 113 N

14 23 DR 23 BL 074 N DS 23 BL 114 N

15 20 DR 20 BL 075 N DS 20 BL 115 N

16 18 DR 18 BL 076 N DS 18 BL 116 N

000

00

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

87

BL = box of 12

3/8 circle needles

Length

Needles Figure mm Needle code Article no.

3/8 circle reverse cutting needles, fine needles1 30 DS 30 BL 601 N

2 24 DS 24 BL 602 N

3 20 DS 20 BL 603 N

4 15 DS 15 BL 604 N

5 12 DS 12 BL 605 N

1

2

3

4

5

Surgical needles

88

1/2 circle needles

Length Round bodied needles Cutting needles

Needles Figure mm Needle code Article no. Needle code Article no.

1/2 circle needles, heavy needles

1 80 HR 80 BL 161 N HS 80 BL 201 N

2 73 HR 73 BL 162 N HS 73 BL 202 N

3 68 HR 68 BL 163 N HS 68 BL 203 N

4 63 HR 63 BL 164 N HS 63 BL 204 H

5 58 HR 58 BL 165 N HS 58 BL 205 N

6 54 HR 54 BL 166 N HS 54 BL 206 N

7 50 HR 50 BL 167 N HS 50 BL 207 N

8 46 HR 46 BL 168 N HS 46 BL 208 N

9 42 HR 42 BL 169 N HS 42 BL 209 N

10 38 HR 38 BL 170 N HS 38 BL 210 N

11 34 HR 34 BL 171 N HS 34 BL 211 N

12 30 HR 30 BL 172 N HS 30 BL 212 N

13 27 HR 27 BL 173 N HS 27 BL 213 N

14 23 HR 23 BL 174 N HS 23 BL 214 N

15 20 HR 20 BL 175 N HS 20 BL 215 N

16 18 HR 18 BL 176 N HS 18 BL 216 N

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

BL = box of 12

1/2 circle needles

000

00

0

1

2

3

4

5

00

0

1

2

3

4

5

1

2

3

4

5

6

7

8

89

Length

Needles Figure mm Needle code Article no.

1/2 circle round bodied needles

000 72 HR 72 BL 318 N

00 63 HR 63 BL 319 N

0 54 HR 54 BL 320 N

1 45 HR 45 BL 321 N

2 36 HR 36 BL 322 N

3 29 HR 29 BL 323 N

4 23 HR 23 BL 324 N

5 20 HR 20 BL 325 N

1/2 circle round bodied needles, fine needles

00 68 HR 68 BL 539 N

0 60 HR 60 BL 540 N

1 52 HR 52 BL 541 N

2 42 HR 42 BL 542 N

3 36 HR 36 BL 543 N

4 30 HR 30 BL 544 N

5 24 HR 24 BL 545 N

6 22 HR 22 BL 546 N

7 20 HR 20 BL 547 N

8 18 HR 18 BL 548 N

1/2 circle cutting needles, fine needles

1 30 HS 30 BL 611 N

2 24 HS 24 BL 612 N

3 19 HS 19 BL 613 N

4 15 HS 15 BL 614 N

5 12 HS 12 BL 615 N

90

Practical accessories

Suture rackthe efficient and clearly arranged storage device for suture boxes. Each suture depot tier holds 4 boxes.

Cassette packs holderfor the practical storage of cassette packs.

Holder for suture rackfor holding up to 10 suture racks in a clear arrangement(to be used as a wall-mounted or stand-up holder).

Product Ordering no.

Wall mounting 10 912 47


Suture depot tier 10 912 55


Box for 6 packs F 10 902 67

Box for 3 packs F 10 902 32

Brochure No. V 066 02

All rights reserved. Technical alterations are possible. This leaflet may be used for no other purposes than offering, buying and selling of our products. No part may be copied or reproduced in any form. In the case of misuse we retain the rights to recall our catalogues and pricelists and to take legal action.


Am Aesculap-Platz78532 TuttlingenTelefon +49 7461 95-1524Fax +49 7461 71512

www.bbraun-vetcare.de

0605/2/1


Documents

B. Braun Sutures Suture materials for veterinary surgerydiagsa.co.za/wp-content/uploads/current/BBraun Vet Sutures.pdf · 9 + Based on decades of research and development, B. Braun