ytesonhuong chi-phau-thuat-b.braun-dafilon
TRANSCRIPT
Sutures
Dafilon®
Non-absorbable suture for skin closure
Non-absorbable synthetic monofilament suture made of polyamide
2
Comparative adherence of S. aureus and E. Coli to different sutures. Adherence to nylon = 1 unit
In vitro adherence assays revealed remarkable variations in the affinity of bacteria to sutures: nylon sutures bound the least bacteria, while bacterial adherence to braided sutures is five to eight folds higher4.
Dafilon®
The Monofilament Advantage
1. Less infection promoting effect Monofilament sutures are much less prone to potenti-ating infections than multifilament sutures2 because of:
z Sutures of monofilament structure are believed to be a relatively safe material since it has lower bacterial infiltration rates than sutures of multi- filament structure3. 10
8
6
4
2
Adhe
renc
e in
dex
(Uni
ts)
Comparative adherence of S. Aureus and E. Coli to di�erent sutures.
Adherence to nylon = 1 unit
Mono�lament Nylon
Braided Silk
Braided PGA
S. Aureus E. Coli
Suture materials
Da�lon® Ethilon® (Ethicon)
USP
0.040
0.035
0.030
0.025
0.020
0.015
0.010
0.005
0.000
Kgf
Da�lon® – Tissue Drag5:To determine the required strength to pass a suture thread through a tissue, pulling it out, after being stitched on a tissue simulator.
2/0 3/0 4/0 5/0 6/0
Da�lon® Ethilon® (Ethicon)
USP
4.00
3.50
3.00
2.50
2.00
1.50
1.00
0.50
0.00
Kgf
Da�lon® – Knot Strength6:Determined over a simple knot formed by placing one end of a suture held in the right hand over the other end held in the left hand, passing one end over the suture and through the loop so formed and pulling the knot tight.
2/0 3/0 4/0 5/0 6/0
0.024
0.035
0.018
0.024
0.011 0.0110.013
0.018
0.007
0.011
3.96
2.312.16
1.44
1.05 0.95 0.86 0.73
0.31 0.26
Dafilon® helps to reduce bacterial adherence
Surgical site infections may increase a patient`s hos-pital stay by seven to ten days1, increasing direct cost of hospitalization.Bacterial adherence to suture materials plays a signifi-cant role in the induction of surgical infection, it is im-portant to choose the right material to reduce this risk.
Taking The Monofilament Advantage of our suture portfolio combined with the benefits of non-absorb-able monofilaments, Dafilon® will become the precise option to provide reliability and good cosmetic results.
The main advantages of using a monofilament suture are:z Less infection promoting effectz More gentle pass through the tissuez Reliable Knotting
3
10
8
6
4
2
Adhe
renc
e in
dex
(Uni
ts)
Comparative adherence of S. Aureus and E. Coli to di�erent sutures.
Adherence to nylon = 1 unit
Mono�lament Nylon
Braided Silk
Braided PGA
S. Aureus E. Coli
Suture materials
Da�lon® Ethilon® (Ethicon)
USP
0.040
0.035
0.030
0.025
0.020
0.015
0.010
0.005
0.000
Kgf
Da�lon® – Tissue Drag5:To determine the required strength to pass a suture thread through a tissue, pulling it out, after being stitched on a tissue simulator.
2/0 3/0 4/0 5/0 6/0
Da�lon® Ethilon® (Ethicon)
USP
4.00
3.50
3.00
2.50
2.00
1.50
1.00
0.50
0.00
Kgf
Da�lon® – Knot Strength6:Determined over a simple knot formed by placing one end of a suture held in the right hand over the other end held in the left hand, passing one end over the suture and through the loop so formed and pulling the knot tight.
2/0 3/0 4/0 5/0 6/0
0.024
0.035
0.018
0.024
0.011 0.0110.013
0.018
0.007
0.011
3.96
2.312.16
1.44
1.05 0.95 0.86 0.73
0.31 0.26
2. Improved wound healing, due to the smooth passage through the tissue:
10
8
6
4
2Ad
here
nce
inde
x (U
nits
)
Comparative adherence of S. Aureus and E. Coli to di�erent sutures.
Adherence to nylon = 1 unit
Mono�lament Nylon
Braided Silk
Braided PGA
S. Aureus E. Coli
Suture materials
Da�lon® Ethilon® (Ethicon)
USP
0.040
0.035
0.030
0.025
0.020
0.015
0.010
0.005
0.000
Kgf
Da�lon® – Tissue Drag5:To determine the required strength to pass a suture thread through a tissue, pulling it out, after being stitched on a tissue simulator.
2/0 3/0 4/0 5/0 6/0
Da�lon® Ethilon® (Ethicon)
USP
4.00
3.50
3.00
2.50
2.00
1.50
1.00
0.50
0.00
Kgf
Da�lon® – Knot Strength6:Determined over a simple knot formed by placing one end of a suture held in the right hand over the other end held in the left hand, passing one end over the suture and through the loop so formed and pulling the knot tight.
2/0 3/0 4/0 5/0 6/0
0.024
0.035
0.018
0.024
0.011 0.0110.013
0.018
0.007
0.011
3.96
2.312.16
1.44
1.05 0.95 0.86 0.73
0.31 0.26
3. Reliable Knotting
4
Dafilon®
Your reliable partner for skin closure
Skin Closure
USP 11/0USP 2/0
Plastic and ReconstructiveSurgery Ophtalmic Surgery Orthopaedics
USP 8/0
The ideal suture is the one off ering the exact properties that the surgeon needs at each moment. In plastic and reconstructive surgery, the treatment of skin closure is essential to achieve the best results and patient sa-tisfaction.
Thread handling and knotting are fundamental elements for skin approximation. Dafi lon®, our non-absorbable synthetic monofi lament suture made of polyamide, gives reliability in all these properties.
5
5
z Wide range of USP´sz Wide needle-thread combinationsz Diff erent thread colours
z The wide range of thread sizes (USPs) combined with our new Dermaslide® needle conform the excellent character of this suture.
Dafi lon® manages to combine the two advantages that make it an exceptional thread for skin closure:
z Smooth passage through the tissue5
z Less infection promoting eff ect2
z Ease of removal that improves the process of stitch extraction
6
Dafilon® is indicated for all cutaneous and intradermal surgical procedures that require precise cosmetic results.
Dafilon® is the unique B. Braun non-absorbable mono-filament suture that is available in undyed.
Dafilon®
Smoothness and flexibility for impressive cosmetic results
Strong
Dafilon® enhances the wound healing process, avoiding the risk of wound dehiscence due to:
z The strength of the threadz The impressive knot security
Smoothness
Dafilon® has a soft surface and a homogeneous diameter that permits an easy and smooth passage through the tissue:
z Highly atraumaticz Avoids the risk of inflammatory reactions
Manageable
Due to its handling features, Dafilon® is for surgeons who are searching for:
z Adaptability to all kinds of wound edgesz Good flexibility that allows for an enhanced skin closure without any tissue strangulationz Good cosmetic results through a good vascularization
7
For outstanding cosmetic resultsDS DSMPDermaslide® New
Needle Generation (DGMP)
The ideal suture is a needle-thread combination that offers high performance to the surgeon for the desired indication.For this reason, B. Braun has gone a step further by offer-ing a totally innovative plastic surgery needle to combine with Dafilon®.
The ideal needle for the gentle Dafilon®.
z The DS needle was our first proposal indicated for skin closure.z It is our traditional reverse cutting needle with extensive experience in the market: more than 15 million units delivered around the world annually.
From our first reverse cutting to the outstanding Dermaslide® needle:
z Made from 300 series steelz Continuous sharpnessz Flattened body prevents rotating in the needle holder
The reverse cutting needle tip with progressive micropoint enhances it so that every puncture is made with:z High precisionz High depth control
The flattened and engraved body of the Dermaslide® needle provides: z Outstanding stability of the needle holder.z Impressive glide pass through the tissue.
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Dafilon®
New Dermaslide® needle: a definitive choice for skin closure
z Excellent tissue penetrationz Sharpness after multiple stitchesz High stability for tissue passagez Outstanding bending strength resistance
Dermaslide® Penetration Performance7
0.3500
0.3000
0.2500
0.2000
0.1500
Forc
e [N
]
Stitch 1
0.2080
0.2180
Stitch 2
0.2330
0.2460
Stitch 4 Stitch 5 Stitch 6
0.2080
0.2180
Stitch 7
0.2330
0.2460
Stitch 8 Stitch 9 Stitch 10
DGMP (Dermaslide®) 19 mm
PS-2 MultiPass PRIME 19 mm
0.650
0.640
0.630
0.620
0.610
Forc
e [N
]
DSMP Penetration Performance11
DSMP PS-2
DSMP PS-2
10th punction
0.626
0.638
Stitch 3
DGMP (Dermaslide®) 19 mm PS-2 MultiPass PRIME 19 mm
0.3000
0.2500
0.2000
0.1500Stitch 1 Stitch 2 Stitch 3 Stitch 4 Stitch 5 Stitch 6 Stitch 7 Stitch 8 Stitch 9 Stitch 10
Forc
e [N
]
9
Product overview
Structure Monofi lament
Colour Blue, black or undyed
Chemical composition Polyamide
Coating Uncoated
Origin Synthetic
Sizes USP 11/0 (0.1 metric) to USP 2 (5 metric)
Type of absorption Non-absorbable
Sterilisation Gamma-irradiation / ethylene oxide(microsurgery 8/0 to 11/0)
10
Dafilon®
Needle-Thread combinations
C Box of 36 units B Box of 24 units G Box of 12 units M Box of 6 units
Needle Thread USP metric
length mm
length cmcolour
8/00.4
7/00.5
6/00.7
5/01
4/01.5
3/02
2/03
03.5
3/8 circle micro engraved needle with precision point
45Blue
C0933908
45Blue
C0933906 C0933903
4575Blue
C0933907C0933904 C0933902
75Blue
C0933905 C0933901
DGMP 11
DGMP 13
DGMP 16
DGMP 19
High Precision Micro Engraved Plastic Surgery Needle
11
Needle Thread USP metric
length mm
length cmcolour
8/00.4
7/00.5
6/00.7
5/01
4/01.5
3/02
2/03
03.5
3/8 circle reverse cutting needle with precision point
45Black
45Blue
C0977225C0930018
45Blue
C0936122
45Black
45Blue
4575
Undyed
C0977212
C0936022
C0916122 C0916022
C0936014
45Blue
4575
Undyed
C0936081
C0916081
C0936090
C0916133C0916033
C0936103
C0916134C0916034
4575Blue
4575
Undyed
C0936146C0936143
C0912242
C0936154C0936650
C0916143C0916043
C0936162
C0916144C0916044
4575Blue
4575
Undyed
C0936226 C0936227
C0912247
C0936235C0936731
C0916154C0916054
C0936243C0936740
C0916155C0916055
C0936251
C Box of 36 units B Box of 24 units G Box of 12 units M Box of 6 units
DSMP 7
DSMP 9
DSMP 11
DSMP 13
DSMP 16
DSMP 19
12
Dafilon®
Needle-Thread combinations
C Box of 36 units B Box of 24 units G Box of 12 units M Box of 6 units
Needle Thread USP metric
length mm
length cmcolour
6/00.7
5/01
4/01.5
3/02
2/03
03.5
14
25
3/8 circle reverse cutting needle with precision point
4575Blue
4575
Undyed
C0936280 C0936294C0936839
C0916308
C0936316C0936812
C0916165C0916065
C0936324C0936820
75Blue
C0936814
75Blue
C0932452 C0936952
75Blue
C0934570
3/8 circle reverse cutting needle
45Blue
C0932019 C0932020
45607590Blue
C0932060C0935042C0934061
C0932078C0935050C0934070C0934067
C0932086C0935069
45607590Blue
C0932116C0932108C0935115
C0932124
C0935123C0935254
C0932132
C0935131C0930165
C0932140
C0935107
457590Blue
C0932191C0935190C0935255
C0932205C0935204C0935220
C0932213C0935212C0935239
C0932221C0935213C0935247
C0935181
457590Blue
C0932317 C0932345C0935344C0935310
C0932353C0935352C0935328
C0932361C0935360C0935336
C0932370C0935379 C0935380
DS 9
DS 12
DS 16
DS 19
DS 24
DSMP 30
DSMP 39
DSMP 24
DSMP 24s
13
Needle Thread USP metric
length mm
length cmcolour
5/01
4/01.5
3/02
2/03
03.5
14
25
3/8 circle reverse cutting needle
457590Blue
C0932441C0932450
C0932469C0935468C0934410
C0932477C0935476C0935522
C0932485C0935484C0934391
C0932493C0935492C0934429
7590Blue
C0934780C0932809C0934801 C0934810
C0930095C0934836
457590Blue
C0932531 C0932540C0932545C0932558C0934569
C0932566C0934573
C0932574C0934577 C0934579
75100Blue
C0932850C0935859
7590100Blue
C0932582C0932784
C0934224
C0931640
100Blue
B0935890 B0935905 B0935913 B0935915 B0935914
50Black
5075100
3 x 50Blue
C0932272 C0932280
C0972650
C0932650C0931641
B0935910
1003 x 50
Blue
C0934916 C0934917 C0934909 C0934925G0930182
C0934933
C Box of 36 units B Box of 24 units G Box of 12 units M Box of 6 units
DS 30
DS 35
DS 45
DS 48
DS 39
DS 60
DS 76
DS 90
14C Box of 36 units B Box of 24 units G Box of 12 units M Box of 6 units
Dafilon®
Needle-Thread combinations
Needle Thread USP metric
length mm
length cmcolour
6/00.7
5/01
4/01.5
3/02
2/03
03.5
14
25
Straight cutting needle
90Blue
C0931056
45Blue
C0932736
7590Blue
C0935590 C0935603 C0935611C0935530C0935565 C0935573
7590Blue
75Undyed
C0932647 C0932655C0934658
C0912224
C0932663C0934690 C0934691
90Blue
C0935557 C0935646 C0935654 C0935735
75Blue
C0932710
GS 45
GS 60
GS 75
GS 40
GS 51
GS 65
Needle Thread USP metric
length mm
length cmcolour
8/00.4
7/00.5
6/00.7
5/01
4/01.5
3/02
2/03
03.5
1/2 circle reverse cutting needle with precision point
45Blue
C0932998
45Blue
45Undyed
C0936618
C0916618
C0936626
C0916626
C0935418
HSMP 12
HSMP 15
15
Notes
1 Iñigo JJ, Bermejo B, Oronoz B, et al. Surgical site infection is general surgery: 5-year analysis and assessment of the national nosocomial infection surveillance (nnis) index. Esp. 2006;79(4):224-30.2 Alexander JW, Solomkin JS, Edwards MJ. Updated Recommendations for Control of Surgical Site Infections. Annals of Surgery. 2011;253(6):1082-93. 3 Choi HJ, Chae HD. Comparison of E. coli infiltration between new absorbable sutures. J Korean Surg Soc. 2009;77(1):1-6.4 Katz S, Izhar M and Mirelman D. Bacterial Adherence to Surgical Sutures. Annals of Surgery. 1981;Volume:194,Issue:1:35-41.5 Data on file (PTR/02/FF/0531/JLT 23/01/06).6 Data on file (PTR/02/FF/0531/JLT 23/01/06).7 Data on file (2013), determined by Penetration measurement protocol SXMAD/05/A 20/03/06.
Brochure No. B62002 1114/1/1
Subject to technical changes. All rights reserved. This brochure may only be used for the exclusive purpose of obtaining information about our products. Reproduction in any form partial or otherwise is not permitted.
The product trademarks “Dafilon” and “Dermaslide” are registered trademarks of B. Braun Melsungen AG. “Ethilon” is a registered trademark of © Cilag AG, Schaffhouse, Switzerland.
B. Braun Surgical, S.A. | Carretera de Terrassa, 121 | 08191 Rubí | SpainPhone +34 93 586 6200 | Fax +34 93 699 6330 | www.bbraun.com
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Aesculap – a B. Braun company