Complete Sutures Range

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Evan Marshall
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1 Complete Sutures Range

2 Complete Sutures Range

3 Table of contents About Us 5 Q-close s 6 Points 7 Curvature 8 8 Q-close s 9 Synth Fast Mono 4 Synth 8 PD Synth 6 Silk 3 Nylon 34 Bond 38 PolyP 4 Associated Wound Closure Products 46 Surgical Mesh Products 47 Complete Sutures Range 3

4 About us We are one of the largest global suture manufacturers with over years experience in producing high quality wound closure products. Q-close is excited to be bringing our suture and wound closure range to Europe in 6 and look forward to serving and working with our customers across the region. Quality. Superior design, materials and manufacturing deliver the confidence you expect from the products you need. Q-close EXPERT tools and expert team provide all the required support when you need it, making us easy to partner with. Commitment. We listen, assess and constantly seek to improve our products and services to support you in delivering your patient and management objectives. Our Q-close team is expert and we have a Q-close EXPERT tool kit to match, delivering best value today and tomorrow. Innovation. Unique and speciality products deliver the performance and convenience you need. Q-close EXPERT provides the accurate information you need, assisting you with clinical choice and management efficiency. 4 Complete Sutures Range

5 Q-close s Strength, Stability, Precision and Reliability The high quality needles in our comprehensive Q-close suture range allow the surgeon to select the needle geometry and point most appropriate for the tissue being sutured. Our needles are manufactured to offer maximum strength, stability, precision and reliability. Highest Grade Alloy % Tested Q-close Technology ULTRAPASS Coating Superior Geometry Highest Grade Alloy All of our needles are manufactured with bend-resistant 3 Series stainless steel making them the strongest needles possible, and offering greater control and precision during surgery. ULTRAPASS Coating Every needle in the Q-close suture range is coated with ULTRAPASS, a unique formulation of medical grade silicone. ULTRAPASS needles are designed so that the needle penetrates easily and consistently during repeated passage through tissue, thereby reducing force required and minimising tissue trauma. Superior Geometry Q-close needles are manufactured with square-body geometry wherever possible in order to provide additional strength, and increased stability in the needle holder. Complete Sutures Range 5

6 Q-close s % Tested for Superior Strength of Attachments Q-close is committed to delivering sutures of the highest quality. Each and every one of our needled sutures is pull tested to ensure the strength and security of needle attachment to suture thread. The superior strength of our needle attachments are significantly above industry requirements: Q-close vs. British Pharmacoepia 6 requirements * Q-close Maximum BREAK LOAD (NEWTONS) Q-close Average Q-close Minimum BP 6 Average Limit BP 6 Individual Limit USP USP USP - USP 3- USP 4- * SOURCE: Independent testing of the minimum breaking load of sutures, measured using SMTL test method TM-37 (Reports 6/53/ to 6/53/; data on file) 6 Complete Sutures Range

7 Points Blunt Tip Q-close Blunt Tip needles are designed for safety. Their design enables penetration of tough tissue but not skin, and as such our Blunt Tip needles reduce the risk of glove puncture and needlestick injury. The Blunt Tip of these needles dissect rather than cut tissue, also making them ideal for suturing friable tissue, such as the liver or kidneys. Taper Point Q-close Taper Point needles gradually taper from the body of the needle to form a sharp point. This profile allows for gentle and easy separation of fibrous tissues, and minimises tissue trauma. Q-close Taper Point needles are also available as Black needles where enhanced visibility is required against tissue or blood. Taper Cutting Q-close Taper Cutting needles taper from the body and end with a short cutting tip. This design gives greater initial penetration through tougher tissues, whilst minimising tissue trauma in the same manner as a Taper Point needle. Trocar Point Q-close Trocar Point needles have a strong cutting head which allows for powerful penetration in tough tissues. The edges of the needle tip are sharpened to enable a cutting action, with the smallest hole possible in order to minimise tissue trauma. Reverse Cutting Q-close Reverse Cutting needles have a triangular cross section with the cutting edge on the outside edge of the needle curve, which gives the needle greater strength and resistance to bending. Q-close PRECISION Reverse Cutting needles have a thinner, sharper tip giving greater penetration and precise control in surgery. Conventional Cutting Q-close Conventional Cutting needles have a triangular cross section with the cutting edge on the inside edge of the needle curve. Q-close PRECISION Conventional Cutting needles have a thinner, sharper tip giving greater penetration and precise control in surgery. Complete Sutures Range 7

8 Curvature curvature is important in relation to how easy it is to reach the tissue being sutured. For example, tissue in deep and confined spaces will require a greater curvature to assist the clinician in getting the required access. Q-close needles come in a range of shapes to support clinical need. 3/8 CIRCLE / CIRCLE 5/8 CIRCLE J SHAPE COMPOUND CURVE STRAIGHT length is measured in millimetres and represents the distance measured along the needle from the needle point to the opposite end. When selecting needle size, it is important to choose a needle with sufficient length to pass through the tissue being sutured, and to be able grasp the needle at entry and exit points. NEEDLE POINT NEEDLE ATTACHMENT NEEDLE LENGTH 8 Complete Sutures Range

9 PERMA Q-close Suture s MULTIFILAMENT For easy handling and secure knot tying COATED For smooth passage through tissue and easy knot tie MONOFILAMENT For smooth passage through tissue UP TO DAYS WOUND SUPPORT 5 6 ABSORBABLE ABSORBABLE UP TO 4 DAYS WOUND SUPPORT UP TO 4 UP TO DAYS WOUND DAYS SUPPORT WOUND SUPPORT 5 UP TO 8 DAYS WOUND SUPPORT OVER 4 DAYS WOUND SUPPORT 5 NON-ABSORBABLE NON-ABSORBABLE PROLONGED TENSILE STRENGTH retention in tissue PERMANENT PROLONGED TENSILE STRENGTH retention in tissue PERMANENT TENSILE STRENGTH retention in tissue PERMANENT PERMANENT TENSILE STRENGTH retention in tissue PERMA Complete Sutures Range 9

ABSORBABLE SURGICAL SUTURE BRAIDED AND COATED POLYGLACTIN 9 UP TO 4 DAYS WOUND SUPPORT polymer Structure Suture type Coating Polyglactin 9 (9% glycolide and % lactide) Multifilament, braided

10 ABSORBABLE SURGICAL SUTURE BRAIDED AND COATED POLYGLACTIN 9 UP TO 4 DAYS WOUND SUPPORT polymer Structure Suture type Coating Polyglactin 9 (9% glycolide and % lactide) Multifilament, braided Synthetic, Absorbable Polyglactin 37 (3% glycolide and 7% lactide) and calcium stearate Undyed Gauge sizes available U.S.P. 6/ to (Metric.7 to 3.5) Tensile strength retention Days post implantation: 7 days Approximate % of tensile strength retained: 5% Mass absorption Sterilisation method Indications By hydrolysis. Absorption is essentially complete by 4 days. Ethylene oxide Q-close Synth Fast is indicated for use in general soft tissue approximation where only short term wound support is required and where rapid absorption of the suture would be beneficial. Due to the rapid absorption profile, Q-close Synth Fast is useful for skin closure, particularly in paediatric surgery, episiotomies, circumcision and closure of oral mucosa. ABSORBABLE MULTIFILAMENT For easy handling and secure knot tying COATED For smooth passage through tissue and easy knot tie Complete Sutures Range

11 / Circle Taper Point 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) 7mm 75cm Undyed QSF969U mm 75cm Undyed QSF974U 3mm 75cm Undyed QSF975U 4mm 9cm Undyed QSF977U / Circle Taper Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) 35mm 9cm Undyed QSF96U QSF963U cm Undyed QSF948U 4mm 9cm Undyed QSF946U 45mm 9cm Undyed QSF945U 5/8 Circle Taper Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) 7mm 75cm Undyed QSF98U Complete Sutures Range

12 3/8 Circle Reverse Cutting PRECISION 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) mm 45cm Undyed QSF93U QSF95U 3mm 45cm Undyed QSF43U 9mm 75cm Undyed QSF9U QSF93U 6mm 75cm Undyed QSF93U QSF933U 36mm 75cm Undyed QSF938U 3/8 Circle Reverse Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) 6mm 75cm Undyed QSF96U 9mm 45cm Undyed QSF93U 75cm Undyed QSF93U 6mm 75cm Undyed QSF94U QSF94U 3/8 Circle Conventional Cutting PRECISION 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) 6mm 75cm Undyed QSF98U QSF99U / Circle Conventional Cutting PRECISION 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) mm 45cm Undyed QSF96U QSF97U Complete Sutures Range

13 3/8 Circle Conventional Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) 6mm 75cm Undyed QSF94U QSF95U / Circle Conventional Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) mm 45cm Undyed QSF935U 5/8 Circle Conventional Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) 6mm 75cm Undyed QSF99U Straight Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) 3mm 45cm Undyed QSF99U 45mm 45cm Undyed QSF939U 6mm 75cm Undyed QSF943U QSF944U Non-d 5cm Undyed lengths - (Metric 3.) QSF5U Complete Sutures Range 3

14 ABSORBABLE SURGICAL SUTURE MONOFILAMENT POLIGLECAPRONE 5 UP TO DAYS WOUND SUPPORT polymer Structure Suture type Poligecaprone 5 (copolymer of glycolide and caprolactone) Monofilament Synthetic, Absorbable Violet or Undyed Gauge sizes available U.S.P. 5/ to (Metric. to 5.) Tensile strength retention Days post implantation: 7 days 4 days Approximate % of tensile strength retained: 5% % Mass absorption Sterilisation method By hydrolysis. Absorption is essentially complete between 9 and days. Ethylene oxide Indications Q-close Mono sutures are indicated for use in general soft tissue approximation. ABSORBABLE MONOFILAMENT For smooth passage through tissue 4 Complete Sutures Range

15 3/8 Circle Taper Point 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 7mm 75cm Violet QM548 / Circle Taper Point 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 7mm 75cm Violet QM435 QM437 mm 75cm Violet QM66 QM66 QM66 6mm 75cm Violet QM447 QM448 6mm Black 75cm Violet QM664 QM665 3mm 75cm Undyed QM43U 75cm Violet QM QM44 QM44 36mm 75cm Violet QM463 4mm 75cm Violet QM758 QM759 45mm 9cm Violet QM77 / Circle Taper Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 6mm 75cm Undyed QM439U QM43U 36mm 75cm Violet QM488 QM489 Complete Sutures Range 5

16 3/8 Circle Reverse Cutting PRECISION 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 3mm 45cm Undyed QM3U 6mm 45cm Undyed QM4U QM5U 9mm 45cm Undyed QM6U QM7U 6mm 75cm Undyed QMU QM3U 3/8 Circle Reverse Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 6mm 45cm Undyed QMU 9mm 75cm Undyed QM9U QMU QMU 6mm 75cm Undyed QM36U QM37U / Circle Reverse Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 36mm 75cm Violet QM6 QM6 Straight Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 6mm 75cm Undyed QM65U QM65U 6 Complete Sutures Range

17 Non-d 5cm Violet lengths 3- (Metric.) QM - (Metric 3.) QM3 QM4 (Metric 4.) QM5 (Metric 5.) QM6 Non-d 5cm Violet suture dispensing reel 3- (Metric.) QM Complete Sutures Range 7

18 ABSORBABLE SURGICAL SUTURE BRAIDED AND COATED POLYGLACTIN 9 UP TO 8 DAYS WOUND SUPPORT polymer Structure Suture type Coating Polyglactin 9 (9% glycolide and % lactide) Multifilament, braided Synthetic, Absorbable Polyglactin 37 (3% glycolide and 7% lactide) and calcium stearate Violet or Undyed Gauge sizes available U.S.P. 6/ to, and 6 (Metric.7 to 5., and 8.) Tensile strength retention Mass absorption Sterilisation method Indications Days post implantation 4 days days 8 days Approximate % of tensile strength retained 75% 5% 5% By hydrolysis. Absorption is essentially complete between 56 and 7 days. Ethylene oxide Q-close Synth is indicated for use in general soft tissue approximation and or ligation. ABSORBABLE MULTIFILAMENT For easy handling and secure knot tying COATED For smooth passage through tissue and easy knot tie 8 Complete Sutures Range

19 / Circle Blunt Tip 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 36mm 75cm Violet QS985 36mm 9cm Violet QS995 4mm 75cm Violet QS989 4mm 9cm Violet QS997 45mm 9cm Violet QS998 QS999 48mm 9cm Violet QS99 3/8 Circle Taper Point 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 7mm 45cm Violet QS74 Complete Sutures Range 9

20 / Circle Taper Point 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 3mm 45cm Undyed QS98U QS98U 7mm 75cm Violet QS5 QS6 mm 75cm Violet QS3 QS4 6mm 75cm Violet QS QS 3mm 75cm Violet QS3 QS36 QS38 QS3 3mm 75cm Violet QS5 QS6 36mm 75cm Violet QS4 QS4 4mm 75cm Violet QS5 QS54 4mm 75cm Violet QS3 QS3 9cm Violet QS43 5cm loop Violet QS37 45mm 75cm Violet QS45 QS46 48mm 75cm Violet QS5 QS5 9cm Violet QS45 5/8 Circle Taper Point 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 36mm 75cm Violet QS6 Complete Sutures Range

21 J Taper Point 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 3mm 75cm Violet QS 36mm 75cm Violet QS QS6 3/8 Circle Taper Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 7mm 75cm Undyed QS84U QS85U QS86U Complete Sutures Range

22 / Circle Taper Cutting 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 6 (Metric 8.) mm 75cm Violet QS88 6mm 75cm Violet QS8 QS8 6mm () 75cm Violet QS35 3mm 75cm Violet QS36 QS36 QS36 36mm 75cm Violet QS363 QS364 9cm Violet QS46 QS463 QS464 36mm 4mm 75cm Violet QS365 QS357 9cm Violet QS465 75cm Undyed QS9U QS9U 75cm Violet QS368 9cm Violet QS466 QS467 QS468 4mm 75cm Undyed QS94U QS95U QS96U 75cm Violet QS37 QS373 45mm 75cm Violet QS377 QS378 45mm 75cm Violet QS375 QS376 48mm 75cm Violet QS4G 5/8 Circle Taper Cutting 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 6 (Metric 8.) 7mm 75cm Undyed QS8U Complete Sutures Range

23 J Taper Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 3mm 75cm Violet QS335 3/8 Circle Reverse Cutting PRECISION 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) mm 45cm Undyed QS5U QS5U 3mm 45cm Undyed QS494U 9mm 45cm Undyed QS54U QS55U QS56U 6mm 45cm Undyed QS55U QS5U 75cm Undyed QS56U QS57U Compound Curve Reverse Cutting PRECISION 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 6mm 45cm Undyed QS436U QS437U 3/8 Circle Reverse Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 3mm 45cm Violet QS59 9mm 45cm Undyed QS95U 45cm Violet QS386 6mm 45cm Violet QS388 75cm Undyed QS89U 36mm 75cm Violet QS39 45mm 75cm Violet QS8 Complete Sutures Range 3

24 / Circle Reverse Cutting 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 6 (Metric 8.) mm 75cm Violet QS87 4mm 75cm Violet QS3 QS3 9cm Violet QS4 QS4 48mm 75cm Violet QS95 QS96 9cm Violet QS496 QS497 3/8 Circle Conventional Cutting PRECISION 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 6 (Metric 8.) 6mm 45cm Undyed QS55U QS56U QS57U 9mm 45cm Undyed QS5U QS5U 75cm Undyed QS57U QS57U 6mm 45cm Undyed QS5U QS53U 75cm Undyed QS58U QS58U QS58U 36mm 75cm Undyed QS53U 3/8 Circle Conventional Cutting 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 6 (Metric 8.) 6mm 75cm Violet QS44 QS443 QS444 / Circle Conventional Cutting 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 6 (Metric 8.) mm 45cm Undyed QS74U 45cm Violet QS47 QS47 5/8 Circle Conventional Cutting 5- (Metric.) 4-3- (Metric.) - (Metric3.) (Metric 4.) (Metric 5.) 6 (Metric 8.) 6mm 75cm Undyed QS73U 4 Complete Sutures Range

25 Straight Cutting 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 6 (Metric 8.) 6mm 75cm Undyed QS77U QS78U 75cm Violet QS45 Non-d Non-d Non-Need led 5cm Violet lengths Pre-cut Violet suture lengths 5cm Violet suture dispensing reel 4- QS3 6 x 5cm lengths x 5cm lengths 3- (Metric.) QS3 3- (Metric.) QS4 4- QS43 - (Metric 3.) QS - (Metric 3.) QS5 3- (Metric.) QS34 QS44 QS QS6 - (Metric 3.) QS35 QS45 (Metric 4.) QS (Metric 4.) QS7 QS36 QS46 (Metric 5.) QS8 (Metric 4.) QS37 QS47 Complete Sutures Range 5

26 ABSORBABLE SURGICAL SUTURE MONOFILAMENT POLYDIOXANONE OVER 4 DAYS WOUND SUPPORT polymer Structure Suture type Polydioxanone Monofilament Synthetic, Absorbable Violet Gauge sizes available U.S.P. 5/ to (Metric. to 4.) Tensile strength retention Days post implantation: 4 days 8 days 4 days Approximate % of tensile strength retained: 8% 7% 4% Mass absorption Sterilisation method By hydrolysis. Absorption is essentially complete within 6 months. Ethylene oxide Indications Q-close PD Synth monofilament synthetic absorbable sutures are indicated for use in all types of soft tissue approximation. These sutures are particularly useful where the combination of an absorbable suture and extended wound support (up to six weeks) is desirable. ABSORBABLE MONOFILAMENT For smooth passage through tissue 6 Complete Sutures Range

27 / Circle Blunt Tip 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 3mm 75cm Violet QPD959 45mm 9cm Violet QPD965 48mm 5cm loop Violet QPD966 QPD967 3/8 Circle Taper Point 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 7mm 75cm Violet QPD77 Complete Sutures Range 7

28 / Circle Taper Point 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 3mm 45cm Violet QPD 3mm 75cm Violet QPD 7mm 9cm Violet QPD9 mm 75cm Violet QPD5 QPD6 6mm 75cm Violet QPD4 QPD5 3mm 75cm Violet QPD3 QPD3 QPD33 QPD QPD 3mm 9cm Violet QPD34 4mm 75cm Violet QPD33 9cm Violet QPD34 45mm 9cm Violet QPD48 48mm 9cm Violet QPD54 5cm loop Violet QPD6 QPD6 J Taper Point 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 35mm 75cm Violet QPD9 8 Complete Sutures Range

29 / Circle Taper Cutting 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 6mm 75cm Violet QPD84 QPD85 36mm 75cm Violet QPD38 9cm Violet QPD38 QPD35 4mm 9cm Violet QPD366 45mm 9cm Violet QPD385 48mm 9cm Violet QPD396 J Taper Cutting 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 3mm 75cm Violet QPD333 QPD334 / Circle Reverse Cutting 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) mm 75cm Violet QPD86 4mm 9cm Violet QPD34 48mm 9cm Violet QPD99 Complete Sutures Range 9

NON-ABSORBABLE SURGICAL SUTURE BLACK BRAIDED SILK PROLONGED TENSILE STRENGTH retention in tissue composition Structure Suture type Coating Silk (composed of an organic protein called fibroin, which

30 NON-ABSORBABLE SURGICAL SUTURE BLACK BRAIDED SILK PROLONGED TENSILE STRENGTH retention in tissue composition Structure Suture type Coating Silk (composed of an organic protein called fibroin, which is derived from the domesticated species Bombyx mori of the family Bombycidae). Multifilament, braided Natural, Non-absorbable Bees Wax Black Gauge sizes available U.S.P. 5/ to (Metric. to 4.) Tensile strength retention Mass absorption Prolonged tensile strength retention. While Q-close Silk is not absorbed, progressive degradation of the proteinous silk fibres in vivo may result in gradual loss of the tensile strength over a period of time. Sterilisation method Indications Ethylene oxide Q-close Silk is indicated for use in soft tissue approximation and or ligation. NON-ABSORBABLE MULTIFILAMENT For easy handling and secure knot tying COATED For smooth passage through tissue and easy knot tie 3 Complete Sutures Range

31 3/8 Circle Taper Point 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 7mm 75cm Black QSK8 QSK8 mm 75cm Black QSK98 / Circle Taper Point 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 7mm 75cm Black QSK49 QSK46 mm 75cm Black QSK86 QSK87 6mm 75cm Black QSK7 QSK7 3mm 75cm Black QSK7 QSK33 QSK34 3mm 75cm Black QSK3 36mm 75cm Black QSK83 QSK38 4mm 75cm Black QSK84 3/8 Circle Reverse Cutting PRECISION 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 9mm 45cm Black QSK56 6mm 45cm Black QSK5 QSK5 36mm 75cm Black QSK54 Complete Sutures Range 3

32 3/8 Circle Reverse Cutting 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 3mm 45cm Black QSK 75cm Black QSK8 9mm 45cm Black QSK9 6mm 45cm Black QSK8 QSK 36mm 75cm Black QSK66 QSK67 45mm 75cm Black QSK78 3/8 Circle Conventional Cutting PRECISION 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 6mm 45cm Black QSK5 QSK5 QSK5 3/8 Circle Conventional Cutting 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 6mm 75cm Black QSK 6mm 38cm Black QSK4 4mm cm Black QSK59 6mm 75cm Black QSK6 8mm 75cm Black QSK6 9mm cm Black QSK79 QSK79 QSK793 9mm with 4mm retention tubing x 5cm Black QSK93 3 Complete Sutures Range

33 / Circle Conventional Cutting 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) mm 45cm Black QSK77 Straight Cutting 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) 55mm cm Black QSK75 6mm 75cm Black QSK9 75mm cm Black QSK766 QSK767 Non-d Non-d 8cm Black lengths Pre-cut Black suture lengths - (Metric 3.) QSK4 3 x 6cm lengths QSK5 (Metric 4.) QSK5 (Metric 4.) QSK6 Complete Sutures Range 33

34 NON-ABSORBABLE SURGICAL SUTURE MONOFILAMENT POLYAMIDE PROLONGED TENSILE STRENGTH retention in tissue polymer Polyamide 6 and Polyamide 6/6. Structure Suture type Monofilament Synthetic, Non-absorbable Black or Blue Gauge sizes available U.S.P. 6/ to (Metric.7 to 5.) Tensile strength retention Mass absorption Sterilisation method Indications Prolonged tensile strength retention. While it is not absorbed, progressive hydrolysis of Q-close Nylon in vivo may result in gradual loss of tensile strength over a period of time. Ethylene oxide Q-close Nylon is indicated for use in soft tissue approximation and or ligation. NON-ABSORBABLE MONOFILAMENT For smooth passage through tissue 34 Complete Sutures Range

35 / Circle Blunt Tip 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 48mm 5cm loop Black QN9 / Circle Taper Point 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 3mm cm Black QN45 4mm cm Black QN46 QN47 5cm loop Black QN4 48mm 5cm loop Black QN4 QN48 3/8 Circle Reverse Cutting PRECISION 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 3mm 45cm Black QN85 QN85 6mm 45cm Black QN86 45cm Black QN68 9mm 45cm Blue QN6 QN6 75cm Blue QN69 6mm 45cm Blue QN65 75cm Blue QN685 QN66 3/8 Circle Reverse Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 9mm 45cm Blue QN9 6mm 45cm Blue QN 45mm cm Black QN36 Complete Sutures Range 35

36 / Circle Reverse Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 4mm cm Black QN37 48mm cm Black QN38 3/8 Circle Conventional Cutting PRECISION 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 6mm 45cm Black QN65 QN854 45cm Blue QN66 9mm 45cm Blue QN855 QN856 6mm 45cm Black QN859 3/8 Circle Conventional Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 4mm 45cm Blue QN86 9mm cm Blue QN95 QN96 QN97 QN98 9mm 75cm Black QN89 9mm with 4mm retention tubing x 5cm Black QN797 Straight Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 55mm cm Blue QN76 6mm 75cm Blue QN88 36 Complete Sutures Range

37 Non-d Pre-cut Black suture lengths x cm lengths (Metric 4.) QN5 (Metric 5.) QN6 Complete Sutures Range 37

38 NON-ABSORBABLE SURGICAL SUTURE BRAIDED AND COATED POLYESTER PERMANENT TENSILE STRENGTH retention in tissue polymer Structure Suture type Coating Polyester Multifilament, braided Synthetic, Non-absorbable Silicone Green or White Gauge sizes available U.S.P. 5/ to, and 5 (Metric. to 5., and 7.) Tensile strength retention Mass absorption Sterilisation method Indications Permanent tensile strength retention. Q-close Bond is not absorbed, nor is it subjected to degradation or weakening by the action of tissue enzymes. Ethylene oxide Q-close Bond is indicated for use in soft tissue approximation and or ligation. NON-ABSORBABLE MULTIFILAMENT For easy handling and secure knot tying COATED For smooth passage through tissue and easy knot tie 38 Complete Sutures Range

39 3/8 Circle Taper Point 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 5 (Metric 7.) 3mm 75cm Green QB89 QB89 / Circle Taper Point 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 5 (Metric 7.) 7mm 6cm Green QB757 QB759 9mm Green QB76 6mm 75cm Green QB83 6mm 9cm Green QB767 cm Green QB55 3mm 75cm Green QB3 QB75 J Taper Point 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 5 (Metric 7.) 3mm 75cm Green QB69 3/8 Circle Taper Cutting 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 5 (Metric 7.) 7mm 75cm White QB93 Complete Sutures Range 39

40 / Circle Taper Cutting 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 5 (Metric 7.) 9cm Green QB934 QB935 QB936 QB937 7mm 7mm with 3mm x 3mm x.5mm pledget 7mm with 6mm x 3mm x.5mm pledget 6mm 9cm White QB95 QB97 x 75cm 5 5 x x White Green QBB5 x 75cm 5 x White 5 x Green x 75cm 5 x White 5 x Green QBB54 QBB55 9cm Green QB976 QB977 QB978 4 x 9cm Green QB977M 6mm with 6mm x 3mm x.5mm pledget 9cm Green QB977P 4 x 9cm Green QB4B77 6mm 9cm White QB987 x75cm 5 x White 5 x Green QBB7 6mm with 6mm x 3mm x.5mm pledget x75cm 5 x White 5 x Green QBB77 36mm 9cm Green QB95 45mm 75cm Green QB84 4 x 75cm Green QB843 48mm 75cm Green QB79 55mm 75cm Green QB845 4 x 75cm Green QB846 3/8 Circle Reverse Cutting PRECISION 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 5 (Metric 7.) 9mm 45cm Green QB58 4 Complete Sutures Range

41 / Circle Reverse Cutting 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 5 (Metric 7.) mm 75cm Green QB697 mm 9cm Green QB748 3/8 Circle Conventional Cutting 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 5 (Metric 7.) 9mm cm Green QB98 9mm with 4mm retention tubing x 5cm Green QB99 Non-d 8cm Green lengths (Metric 5.) QB56 Complete Sutures Range 4

42 NON-ABSORBABLE SURGICAL SUTURE MONOFILAMENT POLYPROPYLENE PERMANENT TENSILE STRENGTH retention in tissue polymer Structure Suture type Polypropylene Monofilament Synthetic, Non-absorbable Blue Ga vailable U.S.P. 6/ to (Metric.7 to 4.) Tensile strength retention Mass absorption Sterilisation method Indications Permanent tensile strength retention. Q-close PolyP is not absorbed, nor is it subjected to degradation or weakening by the action of tissue enzymes. Ethylene oxide Q-close PolyP is indicated for use in soft tissue approximation and or ligation. NON-ABSORBABLE MONOFILAMENT For smooth passage through tissue 4 Complete Sutures Range

43 / Circle Taper Point 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 7mm 9cm Blue QP556 QP557 QP558 mm 9cm Blue QP76 mm 75cm Blue QP77 6mm 9cm Blue QP5 QP5 3mm 75cm Blue QP95 3mm 9cm Blue QP56 3mm cm Blue QP43 4mm cm Blue QP434 QP4 Straight Taper Point 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 7mm 75cm Blue QP4 / Circle Taper Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 7mm 9cm Blue QP935 QP936 QP937 6mm 9cm Blue QP976 QP977 36mm cm Blue QP86 45mm cm Blue QP45 Complete Sutures Range 43

44 J Taper Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 3mm cm Blue QP8 / Circle Trocar Point 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 3mm cm Blue QP44 3/8 Circle Reverse Cutting PRECISION 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) mm 45cm Blue QP868 3mm 45cm Blue QP87 QP87 QP873 9mm 45cm Blue QP4 QP5 6mm 45cm Blue QP5 QP6 3/8 Circle Reverse Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 9mm 45cm Blue QP683 6mm 45cm Blue QP684 / Circle Reverse Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 48mm cm Blue QP Complete Sutures Range

45 3/8 Circle Conventional Cutting PRECISION 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 6mm 45cm Blue QP5 QP6 QP7 9mm 45cm Blue QP QP QP878 6mm 45cm Blue QP88 QP QP 3/8 Circle Conventional Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 6mm 75cm Blue QP549 9mm 9cm Blue QP87 Straight Cutting 6- (Metric.7) 5- (Metric.) 4-3- (Metric.) - (Metric 3.) (Metric 4.) (Metric 5.) 6mm Fine Wire 75cm Blue QP 6mm Fine Wire 75cm with beads & collars Blue QP3 6mm 75cm Blue QP63 75cm with beads & collars Blue QP3 75mm cm Blue QP5 Complete Sutures Range 45

46 Associated Wound Closure Products STERILE BONE WAX For the control of bleeding from bone surfaces. Composition: : Sterilisation method: Indications: A sterile mixture of White Bees wax, Hard Paraffin and Isopropyl Palmitate, a wax-softening agent Opaque Gamma irradiation For the control of bleeding from bone surfaces Product Code Packaging QW8 Sterile Bone Wax.5 gram tablet foil packs per box STERILISED UMBILICAL COTTON TAPE For tying off the umbilical cord of new born infants. Composition: : Sterilisation method: Indications: % cotton tape constructed by braiding cotton yarn White Gamma irradiation Used to tie off the umbilical cord of new born infants; and to suspend small structures and vessels Product Code Packaging QC75 Umbilical Cotton Tape 75cm x 3mm foil packs per box QC77 Umbilical Cotton Tape 75cm x 6mm foil packs per box 46 Complete Sutures Range

Surgical Mesh Products For laparoscopic and open surgery of the repair of hernia and other fascial deficiencies that require the addition of a reinforcing or bridging material to obtain the desired

Composition: : Sterilisation method: Indications: Monofilament polypropylene non-absorbable surgical mesh Undyed Ethylene oxide Used for the repair of hernia and other fascial deficiencies that

47 Surgical Mesh Products For laparoscopic and open surgery of the repair of hernia and other fascial deficiencies that require the addition of a reinforcing or bridging material to obtain the desired surgical outcome. Composition: : Sterilisation method: Indications: Monofilament polypropylene non-absorbable surgical mesh Undyed Ethylene oxide Used for the repair of hernia and other fascial deficiencies that require the addition of a reinforcing or bridging material to obtain the desired surgical result. MONOFILAMENT POLYPROPYLENE (UNDYED) NON-ABSORBABLE SURGICAL MESH Product Code Packaging QPML6 Monofilament Polypropylene Mesh 6cm x cm 6 sterile sheets per box QPML5 Monofilament Polypropylene Mesh 5cm x cm 3 sterile sheets per box LARGE PORE CONSTRUCTION & LIGHTWEIGHT MONOFILAMENT POLYPROPYLENE (UNDYED) NON-ABSORBABLE SURGICAL MESH Product Code Packaging QPMP6 QPMP5 Monofilament Polypropylene MeshPlus Monofilament Polypropylene MeshPlus 6cm x cm 5cm x cm 6 sterile sheets per box 3 sterile sheets per box MACRO PORE Complete Sutures Range 47

48 48 Complete Sutures Range

49 Complete Sutures Range 49

Clinisupplies Limited Tel: +44 () 8863 468 Qualitas House,

50 Clinisupplies Limited Tel: +44 () Qualitas House, Elmgrove Road, Harrow, Middlesex, HA RW CS857 v.3

Novosyn Quick Your fast and efficient solution for a better quality of life

Novosyn Quick Your fast and efficient solution for a better quality of life Fast absorbable braided and coated suture made of Polyglactin 910* Sutures * Novosyn Quick is a suture material produced from