Ethicon PDS II Sutures USP 4-0, 3/8 Circle Prime Multipass - Z494H -12 Foils

This product is a sterile, synthetic, absorbable monofilament suture designed for tissue approximation. It is composed of polydioxanone polymer, a material known for its predictable absorption characteristics and tensile strength retention over time. The suture is undyed, which can be beneficial in certain surgical fields where color contrast is a consideration.

Its monofilament structure minimizes tissue drag and reduces the risk of bacterial harboring, contributing to a lower incidence of surgical site infections.

The suture functions by providing temporary wound support as tissues heal. Its absorbable nature means it is gradually broken down and eliminated by the body through hydrolysis over a period of approximately 180 to 210 days. This eliminates the need for suture removal, which can be advantageous in cases where patient compliance or access for removal is challenging.

The material offers significant tensile strength during the initial critical healing period, gradually decreasing as tissue strength is regained.

Key features of this suture include its USP 4-0 diameter, indicating a fine gauge suitable for delicate tissue repair. It is supplied with a 13mm, 3/8 circle Prime Multipass P-3 needle. The Prime Multipass designation suggests a needle designed for efficient passage through tissue with reduced effort.

The 3/8 circle curvature is a common geometry for accessing various anatomical depths and planes. The multipass capability of the needle allows for multiple throws with each pass through tissue, potentially streamlining the suturing process.

This suture is intended for use by trained medical professionals in a variety of surgical procedures where tissue approximation and temporary support are required. It is suitable for use in general surgery, plastic surgery, cardiovascular surgery, and gynecological procedures, among others. Its absorbable nature makes it particularly useful in situations where long-term suture presence is undesirable or impractical.

Patients undergoing procedures requiring internal tissue closure may benefit from the use of this absorbable suture, as it obviates the need for subsequent removal.

Typical applications include the approximation of soft tissues, ligation of blood vessels, and general wound closure. It is indicated for use in all situations requiring a slowly absorbable, sterile, synthetic suture. The undyed nature can be advantageous in procedures where visualization of the suture line is paramount, such as in reconstructive surgery or when operating on pigmented tissues.

The specific needle geometry and size are chosen by the surgeon based on the tissue type, depth, and the desired precision of the closure.

Important usage notes include maintaining aseptic technique throughout the handling and placement of the suture to prevent contamination. The suture should be handled with appropriate surgical instruments to avoid damage to the monofilament structure. While the suture provides tensile strength, it is essential to recognize that tissue strength is the primary determinant of wound integrity.

The absorption rate can be influenced by factors such as the patient's metabolic state and the local tissue environment. Surgeons should be aware of the suture's absorption profile when determining its suitability for a particular procedure and expected healing timeline.