HOLD FAST WITH EVERY PASS

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1 HOLD FAST WITH EVERY PASS ETHICON INTRODUCES NEW STRATAFIX SPIRAL KNOTLESS TISSUE CONTROL DEVICES A comprehensive portfolio for multiple surgical applications. With significantly more points of fixation than traditional sutures, STRATAFIX Spiral Devices give surgeons more consistent tension control over every pass and combine the security and strength of interrupted closure with more efficiency than continuous closure. 1-4

2 Secure every pass with NEW STRATAFIX Spiral Knotless Tissue Control Devices Ethicon introduces STRATAFIX Spiral Devices a portfolio of products with unique anchoring technology that provides a combination of more consistent control, security, and more efficiency during closure 1-4 The anchors are formed from within the device in a spiral pattern. The bidirectional technology is appropriate for several closure techniques 1 With significantly more points of fixation than traditional sutures, STRATAFIX Spiral Devices give surgeons more consistent tension control over every pass, and combine the strength and security of interrupted closure with more efficiency than continuous closure. 1-4

3 More consistent tension control and approximation with each pass * Unique anchor design provides multiple points of fixation along the suture line, allowing tension on the suture to be maintained during closure Compared to traditional sutures, STRATAFIX Spiral Devices enable surgeons to easily manage tension and control approximation with each pass Strength and security of interrupted suturing without knot-related complications 1-4 Anchors running along the length of STRATAFIX Spiral Devices provide secure fixation, eliminating the need for knots In preclinical studies, multiple cuts to a STRATAFIX Spiral Device did not result in tissue separation 1,2,4 More efficient than continuous suturing * No need for an assistant to follow the suture With equal strength and security, STRATAFIX Spiral Devices can close wounds substantially faster than using an interrupted technique 1-4,10-13 *Compared to traditional sutures.

4 A comprehensive portfolio for multiple surgical applications Ethicon offers STRATAFIX Spiral Knotless Tissue Control Devices in short-term, long-term, and nonabsorbable polymers Long-term Spiral PDO Absorbs in days Short-term Spiral PGA-PCL Absorbs in days Nonabsorbable Spiral Polypropylene For more information, contact your Ethicon representative. For complete product details, see Instructions for Use. Johnson & Johnson AB References: 1. Data on file, Ethicon, Inc. 2. Moran ME, Marsh C, Perrotti M. Bidirectional-barbed sutured knotless running anastomosis v classic Van Velthoven suturing in a model system. J Endourol. 2007;21(10): Rodeheaver GT, Pineros-Fernandez A, Salopek LS, et al. Barbed sutures for wound closure: in vivo wound security, tissue compatibility and cosmesis measurements. In: Transactions from the 30th Annual Meeting of the Society for Biomaterials; Mount Laurel, NJ; p Vakil JJ, O Reilly MP, Sutter EG, Mears SC, Belkoff SM, Khanuja HS. Knee arthrotomy repair with a continuous barbed suture: a biomechanical study. J Arthroplasty. 2011;26(5): Dubay DA, Franz MG. Acute wound healing: the biology of acute wound failure. Surg Clin North Am. 2003;83(3): Boutros S, Weinfeld AB, Friedman JD. Continuous versus interrupted suturing of traumatic lacerations: a time, cost, and complication rate comparison. J Trauma Injury Infect Crit Care. 2000;48(3): Seiler CM, Bruckner T, Diener MK, et al. Interrupted or continuous slowly absorbable sutures for closure of primary elective midline abdominal incisions: a multicenter randomized trial (INSECT: ISRCTN ). Ann Surg. 2009;249(3): Wong NL. Review of continuous sutures in dermatologic surgery. J Dermatol Surg Oncol. 1993;19: Sissener T. Suture patterns. Comp Anim. 2006;11: Eickmann T, Quane E. Total knee arthroplasty closure with barbed sutures. J Knee Surg. 2010;23(3): Einarsson JI, Chavan NR, Suzuki Y, Jonsdottir G, Vellinga TT, Greenberg JA. Use of bidirectional barbed suture in laparoscopic myomectomy: evaluation of perioperative outcomes, safety, and efficacy. J Minim Invasive Gynecol. 2011;18(1): Levine BR, Ting N, Della Valle CJ. Use of a barbed suture in the closure of hip and knee arthroplasty wounds. Orthopedics. 2011;34(9):e473-e475. doi: / Warner JP, Gutowski KA. Abdominoplasty with progressive tension closure using a barbed suture technique. Aesthet Surg J. 2009;29(3): *Compared to traditional sutures.

5 Spiral PDO Needle Length Size * 19 mm, 3/8 Circle Reverse Cutting, FS-2 26 mm, 3/8 Circle Reverse Cutting, FS 26 mm, 1/2 Circle Reverse Cutting, CP-2 Reverse Cutting, OS-6 40 mm, 1/2 Circle Reverse Cutting, OS-8 7 cm x 7 cm SXPD2B421 SXPD2B cm x 14 cm SXPD2B cm x 14 cm SXPD2B417 SXPD2B cm x 24 cm SXPD2B419 SXPD2B cm x 24 cm SXPD2B415 SXPD2B cm x 24 cm SXPD2B cm x 30 cm SXPD2B cm x 36 cm SXPD2B mm, 3/8 Circle Tapercut, V-4 26 mm, 3/8 Circle Tapercut, V cm x 24 cm SXPD2B cm x 24 cm SXPD2B cm x 14 cm SXPD2B mm, 1/2 Circle Taper Point, CT-3 26 mm, 1/2 Circle Taper Point, SH Taper Point, MH Taper Point, CT-1 Taper Point, MO-4 48 mm, 1/2 Circle Taper Point, CTX 14 cm x 14 cm SXPD2B cm x 10 cm SXPD2B cm x 14 cm SXPD2B414 7 cm x 7 cm SXPD2B cm x 14 cm SXPD2B407 SXPD2B cm x 24 cm SXPD2B408 SXPD2B cm x 30 cm SXPD2B cm x 36 cm SXPD2B cm x 14 cm SXPD2B cm x 24 cm SXPD2B cm x 30 cm SXPD2B cm x 36 cm SXPD2B cm x 36 cm SXPD2B405 Spiral PGA-PCL Size * Needle Length mm, 3/8 Circle Reverse Cutting, FS-2 24 mm, 3/8 Circle Reverse Cutting, FS-1 26 mm, 3/8 Circle Reverse Cutting, FS 26 mm, 1/2 Circle Reverse Cutting, CP-2 7 cm x 7 cm SXMD2B405 SXMD2B cm x 14 cm SXMD2B407 SXMD2B cm x 30 cm SXMD2B409 SXMD2B cm x 30 cm SXMD2B150 SXMD2B cm x 14 cm SXMD2B cm x 30 cm SXMD2B413 SXMD2B cm x 14 cm SXMD2B mm, 1/2 Circle Taper Point, RB-1 Taper Point, MH 16 cm x 16 cm SXMD2B403 SXMD2B cm x 14 cm SXMD2B cm x 36 cm SXMD2B401

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