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General Information

Table of Contents




Explanation of a Typical Selection And Page



ATRALOC Needle
The needle type and size/shape are shown only for needle/suture combinations. A repeated needle type (eg RB-1, RB-1) indicates a "double-armed" suture, that is, a suture with a needle attached to each end.

Needle Type/Needle Shape Symbol
Needle type and needle shape are shown in this subhead.

Material
Suture materials are designated by color and construction characteristics (eg Undyed Braided, Violet Braided, etc.)

Length
Suture length is shown in both inches and the approximate metric equivalent. Multi-strand means 3 or 8 strands per packet. These products are packaged 12, 24 or 36 packets per box.

The CR mark refers to control release needle sutures.

Product Name
Sutures and other ETHICON products are designated by trademarked and generic names.

Size
Suture size, denoting the diameter of the material, is in accordance with the United States Pharmacopeia (USP).

Needle Silhouette
Needle Silhouettes are shown in ACTUAL SIZE. The designated number above the needle, within the Needle Section, is the actual length measured in millimeters.

Code
Product codes ending in suffix G are packaged dozen packets to a box. Product codes ending in suffix H are packaged 3 dozen to a box. Product codes ending in suffix T are packaged 2 dozen packets to a box. In the few instances where no alphabetic suffix is in the product code, the number of packets per box is identified by a footnote. The number of strands per Multi-Strand packet appears on the left of suture length.

Needle Length
Needle length is the actual length measured in millimeters. Needle lengths can be found within the Needle Section and throughout the catalog to the right of the needle code. As a user you will find that many of these needle lengths have been rounded off. Recognize that the needles are not changing, but for consistency ETHICON has applied a rounding convention to all needle lengths. Due to timing differences, the box and label dimensions may not match the catalog exactly, but will be updated accordingly in the near future.

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About ATRALOC Needles



ATRALOC Needles are supplied in a variety of sizes, shapes and chord lengths. Surgeons should select the type of needle that, in their experience, is appropriate for the specific procedure and tissue.

Needle shapes are generally classified according to the degree of curvature of the body — 5/8, 1/2, 3/8, or 1/4

circle and straight — with taper, cutting, blunt points or TAPERCUT* Surgical Needle tips.

In general, the same size of needle may be made from finer gauge wire for use in soft or delicate tissues and from heavier gauge wire for use in tough or fibrosed tissues (the surgeon’s choice).

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The Major Characteristics of ATRALOC Needles are:



  1. They must be made from high quality stainless steel.
  2. They resist bending but are processed so that they will tend to bend before breaking.
  3. Taper points must be sharp and contoured for easy passage into tissues.
  4. Cutting points or edges must be sharp and free of burrs.
  5. On most ATRALOC Needles, a Super-Smooth finish is provided that permits the needle to penetrate and pass through with minimal resistance or drag.
  1. Ribbed needles — longitudinal ribs are provided on many ATRALOC Needles to increase the stability of the needle in the needleholder.
  2. The attachment of the needle to the suture material must be secure so that the needle will not separate from the suture material under normal use. An exception is the CONTROL RELEASE Needle suture principle, which facilitates fast separation of needle from suture when desirable.

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MULTIPASS* Needles

Elements of Needle Design

Needle design involves analyzing a surgical procedure and the density of the tissue involved in great detail. ETHICON engineers work continuously to improve upon their needle line.

The anatomy of the ideal surgical needle has three key factors that make up the ideal needle.
    - Alloy
    - Geometry - tip and body
    - Coating

The combination of these attributes is ETHICON MULTIPASS Needle Technology.

MULTIPASS Needles are the highest performing needles that ETHICON Products offers; a combination [or a balance] of three proprietary technologies ensure excellent strength, tissue penetration and control; pass after pass.

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CONTROL RELEASE Needle Sutures



Needle in holder
  1. The needle is held securely in holder. Suture is grasped securely just below needle, pulling strand taut.
Released needle
  1. The needle is released with a straight tug of the needleholder.

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Selection and Use of Needleholders



  1. The needleholder must be an appropriate size instrument for the size needle selected.
  2. It must be made from good quality steel with a secure jaw design.


    Grasped needle
  3. Needles should be grasped in an area about 1/3 to 1/2 of the distance from the swaged area to the point. Avoid placement on or near the swaged area.


    Needle in the needleholder's jaws
  4. The needle should be placed securely in the tip of the needleholder jaws.


    Do not damage taper points
  5. Do not damage taper points or cutting edges when using the needleholder to pull the needle out through the tissue. Grasp as far back as possible.
  6. When placing the needle in tissue, any force applied should be in the direction following the curve of the needle.
  1. Do not take excessively large bites of tissue with small needles.


    Do not force or twist the needle
  2. Do not force or twist the needle in an effort to bring the point out through the tissue – withdraw the needle and replace tissue.
  3. Do not force a dull needle through tissue – obtain a new one.
  4. Avoid using the needle to bridge or approximate tissues for suturing.
  5. If the needle is held too tightly in a sharp or hard jawed or defective needleholder, the needle may be damaged or notched in such a manner that it will have more of a tendency to bend or break on successive passes through tissue.


    Needle poiting in the right direction
  6. When the needle holder with needle is passed to the surgeon, the needle should be pointing in the right direction in which it will start to be used without need for readjustments.
  7. In some patients, the tissues may be tougher or fibrosed more than normal and require the use of a heavier gauge needle.
  8. In deep confined area, ideal positioning of the needle may not be possible. The surgeon should proceed with caution or use a heavier gauge needle

An ATRALOC Needle is an instrument that complements the surgeon’s skills. The variety of ETHICON needles offers the surgeon a choice of needles which are dependable for consistent quality and for practically all surgical applications.

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Steps to Create Performance



Controlled Manufacturing
ETHICON makes its own needle/sutures combinations. Each step, from raw material to finished needle, is carefully controlled for uniformly superior performance.

Conventional needle
Conventional needle

Micrograin Stainless Steel Needle


Super smooth
Super smooth

Strong, Sharp Micrograin Stainless Steel
ETHICON makes its needles from premium grade stainless steel formulated specifically for surgical use.


The ETHICON process controls the orientation of the micrograins so that ductility and strength are closely controlled – for strong needles that start sharp, and stay sharp, thus assuring easy passage through tissue.

Super-Smooth
Virtually all ATRALOC Needles have a micro-thin Super-Smooth finish that permits the needle to penetrate and pass through the toughest tissue with an almost fluid-like flow, with minimal resistance and virtually no drag, giving the surgeon a feeling of control.

Needle Swaging
Needles are permanently attached to the suture materials, eliminating the need for threading and providing a new, sharp needle each time. ATRALOC Needle swaging gives the surgeon a needle with an unbroken surface from end to end;without double strands, it draws through tissue easier and with less tissue trauma.

Ribbed for Security and Control
Longitudinal ribbing on the inside and outside curvatures of most needles has a cross-locking action in the needleholder, minimizing turning, rocking or twisting and thus providing unsurpassed needle control.

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Shapes

Needle Shapes

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Types



Taper Point Needle
For soft, easily penetrated tissues.
Needle Shapes

ETHIGUARD* Blunt Point Needle
Taper body. For blunt dissection and suturing friable tissue.
Needle Shapes

Conventional Cutting Needle
Two opposing cutting edges, with a third on inside curve. Change in cross-section from a triangle cutting tip to a flattened body.
Needle Shapes

Reserve Cutting Needle
Cutting edge on outer curve. For tough, difficult-to-penetrate tissues.
Needle Shapes

TAPERCUT* Needle
Cutting tip, taper body. For tough tissue, like two needles in one.
Needle Shapes

Precision Point Needle
For delicate plastic or cosmetic surgery. Cutting tip electropolished for added sharpness.
Needle Shapes

Precision Cosmetic-Conventional Cutting PRIME Needle
For delicate plastic or cosmetic surgery. Conventional cutting tip and PRIME geometry for increased sharpness.
Needle Shapes

MICRO-POINT* Surgical Needle (Spatula)
Thin, flat profile. Specially designed for ophthalmic anterior segment surgery.
Needle Shapes

Conventional Spatula Needle
Visibility of the point at bottom provides control of depth penetration.
Needle Shapes

ULTIMA* Needle (Spatula)
Reduced edge-angles provide better penetration. Readily facilitates knot rotation in ophthalmic surgery.
Needle Shapes

VISI-BLACK* Surgical Needle
Slim Taper point needles with a black finish for improved visibility and penetration.
Needle Shapes

SABRELOC* Needle (Spatula)
Side-cutting spatula shaped edges. For layers of scleral or corneal tissue. Spatulated needle point is centered for maximum needle stability in thin sclera. Four equidistant and properly defined edges provide greater control.
Needle Shapes

MICRO-POINT* Reverse Cutting Needle
Cutting edge on outer curve. Extremely smooth. Extremely sharp for ophthalmic surgery.
Needle Shapes

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Trademarks



ATRALOC Surgical Needle
CONTROL RELEASE Needle or Needle Suture
CR/

CS ULTIMA Ophthalmic Needles
DERMABOND ProPen Topical Skin Adhesive
DERMABOND ProPen XL
DERMABOND Topical Skin Adhesive
ETHALLOY Needle Alloy
ETHIBOND Extra Polyester Suture
ETHIBOND EXCEL Polyester Suture
ETHIGUARD Blunt Point Needle
ETHILON Nylon Suture
ETHI-PACK Pre-cut Sutures

HEMO-SEAL Needle Suture
HS

J-VAC Closed Wound Drainage System
J-VAC Bulb Suction Reservoir
J-VAC Reservoir
J-VAC Drainage Adapter
J-VAC Silicone Drains
LAPRA-TY Suture Clip
LIGAPAK Dispensing Reel
LIGAPAK Ligature
MERSILENE Polyester Fiber Suture
MERSILENE Polyester Fiber Mesh
MERSILENE Polyester Fiber Strip
MICRO-POINT Surgical Needle
MONOCRYL (poliglecaprone 25) Suture
MONOCRYL Plus Antibacterial (poliglecaprone 25) Suture
MULTIPLASS Needle
NUROLON Nylon Suture
PC PRIME Needle
PDS (polydioxanone) Suture
PDS II (polydioxanone) Suture

PDS Plus Antibacterial (polydioxanone) Suture
PERMA-HAND Silk Suture
PROCEED Surgical Mesh
PROLENE Polypropylene Hernia System
PROLENE Polypropylene Mesh
PROLENE Polypropylene Suture
PROLENE 3D Patch Polypropylene Mesh
PROLENE Soft Polypropylene Mesh
PRONOVA Poly (Hexafluoropropylene – VDF) Suture
PROXI-STRIP Skin Closure
PS PRIME Needle
PVP™ Device
RELAY Suture Delivery System
RELAY Suture Package
SABRELOC Spatula Needle
SUTUPAK Pre-cut Sterile Sutures
TAPERCUT Surgical Needle
ULTRAPRO Partially Absorbable Lightweight Mesh
ULTRAPRO Hernia System
VICRYL (polyglaction 910) Knitted Mesh
VICRYL (polyglaction 910) Woven Mesh
VICRYL (polyglaction 910) Mesh Bags
VICRYL (polyglaction 910) Perirenal Mesh Bag
VICRYL (polyglaction 910) Perisplenic Mesh Bag
VICRYL (polyglaction 910) Perihepatic Mesh Bags
VICRYL (polyglaction 910) Perihepatic Right Lobe Mesh Bag
VICRYL (polyglaction 910) Perihepatic Left Lobe Mesh Bag
Coated VICRYL (polyglaction 910) Suture
Coated VICRYL Plus Antibacterial (polyglaction 910) Suture
VICRYL RAPIDE (polyglaction 910) Suture
VISI-BLACK Surgical Needle
VB

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