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.

8

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

Aesculap AG | Am Aesculap-Platz | 78532 Tuttlingen | GermanyPhone +49 7461 95-0 | Fax +49 7461 95-2600 | www.aesculap.com

Aesculap – a B. Braun company