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We offer a wide line of surgical sutures that meet the highest quality standards, as well as the requirements of health institutions, contributing to the success of all types of surgical procedures.
We are a company specialized in the production and distribution of sutures, surgical needles and medical devices for periodic replacement. Our suture plant is recognized globally for the quality of its products, as well as the application and development of technology in its manufacturing; an unprecedented feat in the region.
Our unwavering interest in improving the efficiency in the manufacturing of surgical sutures, surgical needles and medical devices for use in surgical interventions, respiratory emergencies, low-temperature sterilization and other specialties, leads us to work under the premise of continuous improvement and innovation.
Along the same lines, we comply with the requirements of Good Manufacturing Practices and the international quality standards of ISO 9001 and ISO 13485, which has also led us to obtain FDA Cleared authorization to market our absorbable surgical sutures in the North American market.
This material addresses the need for a softer, more absorbable synthetic suture. It passes through tissue smoothly with minimal resistance. Polyglactin sutures facilitate easy handling, offering smooth knot glide and unmatched knot security. The suture is composed of a copolymer of lactide and glycolide (polyglactin 910), coated in equal parts with polyglactin 370 and calcium stearate.
After two weeks of implantation, approximately 79% of the tensile strength is maintained. For sizes 6-0 and larger, approximately 58% of the tensile strength is retained after three weeks, and 25% after four weeks. For sizes 7-0 and smaller, 57% is retained at three weeks. All original strength is lost by the fifth week post-implantation.
Polyglactin exhibits minimal absorption by hydrolysis up to 40 days, with almost complete absorption between 56 and 70 days. Lactic and glycolic acids are readily eliminated by the body, primarily in urine. Like uncoated sutures, polyglactin elicits only a mild tissue reaction. However, its safety and effectiveness in neuronal and cardiovascular tissues have not been established. Transcutaneous or conjunctival sutures left in place longer than seven days may cause localized irritation and should be removed as indicated. These sutures are available in violet-dyed braided strands and undyed natural strands in various lengths, with or without needles.
This synthetic monofilament represents a significant advancement in suture options. It combines a soft, flexible, single-strand construction with the ability to be fully absorbed by the body, providing prolonged wound support for up to six weeks. This extended support makes it ideal for tissues that heal slowly. Additionally, it causes only a mild tissue reaction, making this material suitable for many types of soft tissue surgery, including pediatric cardiovascular, orthopedic, gynecologic, ophthalmic, plastic, digestive, and colonic procedures.
Like other synthetic absorbable sutures, polydioxanone is absorbed by hydrolysis. Approximately 90% of its tensile strength is maintained after two weeks of implantation, 90% at four weeks, and 62% after six weeks. Absorption is minimal until approximately postoperative day 90 and is essentially complete within six months. However, the safety and effectiveness of polydioxanone sutures in microsurgery, neural tissue, and adult cardiovascular tissue have not been established. These sutures are available in violet and purple strands to enhance visibility.
This monofilament suture is characterized by superior flexibility, making it easy to handle and tie. Composed of a copolymer of glycolide and epsilon-caprolactone, it is virtually inert in tissue and absorbs predictably. It is ideal for procedures requiring high initial tensile strength that diminishes over two weeks, such as subcuticular closure and soft tissue approximation (excluding neural, cardiovascular, ophthalmic, and microsurgical applications).
Dyed (violet) poliglecaprone retains 60% to 70% of its strength at seven days and 30% to 40% at fourteen days; all strength is lost by day 28. Undyed (natural) poliglecaprone retains 50% to 60% at seven days and 20% to 30% at fourteen days, losing all strength by day 21. Absorption is complete between 91 and 119 days.
Chromic gut is treated with a chromium salt solution to resist the body’s enzymes, extending absorption time beyond 90 days. These sutures minimize tissue irritation, causing less reaction than plain surgical gut during the early stages of wound healing. Tensile strength is maintained for 10 to 14 days, with some measurable strength remaining for up to 21 days.
Plain gut is rapidly absorbed. Tensile strength is maintained for only 7 to 10 days after implantation, and absorption is complete within 70 days.
The surgeon may choose to use plain gut on tissues that heal quickly and require minimal support; for example, to ligate superficial blood vessels and suture subcutaneous fatty tissue. In addition, plain surgical gut may be subjected to a special heat treatment to accelerate strength loss and absorption.
This rapidly absorbed surgical gut is primarily used for epidermal suturing, where the sutures are only needed for five to seven days. However, these sutures have less tensile strength than similarly sized plain surgical gut according to USP standards. Finally, rapidly absorbed plain gut should not be used internally.
Nylon sutures are extruded as monofilament or non-capillary strands, featuring high tensile strength and extremely low reactivity. However, they degrade at a rate of 15% to 20% per year via hydrolysis. Sizes 7-0 and finer use medical-grade nylon 6-6, while larger sizes use nylon 6. Monofilament nylon has “memory,” tending to return to its straight state, thus requiring more knots than braided nylon. In moist conditions, it becomes more flexible. A “flexed” line (3-0 to 6-0) is available for plastic surgery to mimic braided handling. Fine sizes (9-0 and 10-0) are tinted black for visibility in microsurgery.
Surgical silk is the gold standard for handling. Filaments are twisted or braided, with braiding providing superior quality. Strands are dyed, cleaned, stretched, and coated with wax or silicone. Silk loses strength when wet and must be used dry. Although classified as non-absorbable, it loses most strength within one year and is usually undetectable after two years, behaving like a very slow-absorbing suture.
Widely used in cardiovascular and plastic surgery, polypropylene does not adhere to tissue, making it ideal for removable sutures. It is biologically inert and recommended for contaminated or infected wounds to minimize sinus formation or suture extrusion.
A braided, non-absorbable suture made of polyethylene terephthalate. It maintains tensile strength indefinitely and is used for permanent fixations and cardiovascular surgery. It is available in USP sizes 5 to 2-0 in green, white, or black.
– Dr. Jonathan Smith
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