MonoPlus THE LONG-TERM OPTION FOR SLOW HEALING Synthetic long-term absorbable monofilament suture made of polydioxanone
MonoPlus THE LONG-TERM OPTION FOR SLOW HEALING 2
A COMPLETE RANGE OF BENEFITS B. Braun offers a comprehensive synthetic absorbable monofilament portfolio that provides solutions according to surgeon s requirements for the different surgical layers: THE MONOFILAMENT ADVANTAGE The main advantages of using monofilament sutures: The monofilament sutures appear to have the lowest infection promoting effects (, 2). % initial tensile strength Monosyn Quick 5 % 6-7 days % 4-2 days Compared with braided multifilament sutures, absorbable monofilaments exhibit less tissue drag and cause less tearing because of their smooth surfaces. Monosyn 5 % 4 days % 28 days MonoPlus 5 % 28-35 days % days Monomax 5 % days % 8 days 8 days 28 days days 8 days Figure : Tensile strength retention of the B. Braun synthetic monofilament sutures Monosyn Quick: Short term absorbable suture for fast healing tissues. Monosyn : Mid term absorbable suture for soft tissue approximation. MonoPlus : Long term absorbable suture designed for slow healing tissues. Monomax : Extra long term absorbable suture specially engineered for abdominal wall closure. 3
MonoPlus THE LONG-TERM OPTION FOR SLOW HEALING Available with and Easyblack needles. RacePack Packaging coming soon. 4
THE BENEFITS OF MonoPlus Prolonged tensile strength retention (5 % to % of tensile strength retained at 28 days) (4, 5). Negligible infection promoting effect (7, 8). MonoPlus degradation profile designed to an extended wound support of more than 4 weeks (5, 6). MonoPlus degradation profile designed to an extended wound support (5). INDICATIONS (6) MonoPlus is indicated for use in general soft tissue approximation: Specially in cases where an extended wound support of more than 4 weeks is desirable. Paediatric cardiovascular surgery. For the suturing of autologous peripheral vessels. 5
MonoPlus THE LONG-TERM OPTION FOR SLOW HEALING 6
PRODUCT OVERVIEW Structure Monofilament MonoPlus Colour Chemical composition Sizes Knot tensile strength retention Mass absorption Sterilisation Violet Polydioxanone USP 2 (metric 5) - 7/ (metric.5) 28 days postimplantation Degradation by hydrolysis within 8-2 days Ethylene oxide 7
MonoPlus NEEDLE-THREAD COMBINATIONS Needle 7/ (.5) (.5) 3/ 3/8 circle round bodied needle 2xDR 8 C2474 DR C2498 C2 DR b C24 2xDR C248 C24982 C2482 DR 2 C249 C22 C23 C24 2xDR 2 C2482 C2483 C2484 DR 3b C248 2xDR 3b C24224 DR 5 C223 C224 C225 2xDR 5 C24823 C24824 C24825 DR 8 C232 C233 C234 DR 8 4 C229 2xDR 8 C24833 C24834 DR 22 C237 C227 8
Needle 7/ (.5) (.5) 3/ 3/8 circle round bodied needle 2xDR 22 C24837 DR 26 C24989 /2 circle round bodied needle 2xHR 6 C245 2xHR C24843 2xHR 3ff C24847 HR 3 4 x C242 C242 C243 C243 C2487 C244 C244 2xHR 3 C2462 C2463 HR 3ss C2425 C2426 C2427 HR 7 C242 C243 C24889 C244 C24424 C245 HR 7b 4 x C25 C26 C22 HR 7 take off 4 x C249 2xHR 7 C2463 C24443 C2464 C24444 9
MonoPlus NEEDLE-THREAD COMBINATIONS Needle 7/ (.5) (.5) 3/ /2 circle round bodied needle HR 7s C2429 C243 C2432 HR 2 C24679 C2468 HR 22 4 x C2433 C2434 C247 C2435 C2436 HR 22b 4 x C222 C226 C23 HR 22 take off 4 x 4 x C24764 C248 C24765 2xHR 22 C24634 C24238 C24635 C24239 2xHR 22b 75 C23 HR 22s C24 C2446 C2447 HR 26 C24433 C2424 C24434 C2425 C24435 C2426 C24436 C2427 HR 26b 4 x C247 C25 C248 C25 HR 26 take off 4 x 4 x C24774 C24724 C24775 C24725 C24776 2xHR 26 3 2 C2499 C24624 C24437 C24625 C24438 C2462 C24626 C2444 C Box of 36 units B Box of 24 units G Box of 2 units M Box of 6 units
Needle 7/ (.5) (.5) 3/ /2 circle round bodied needle HR 26s C2485 C2486 C2443 C2487 C2488 C248 HR 3 C2434 C24439 C2435 C2444 C2436 C2437 C2438 HR 3 5 C24968 loop 2xHR 3 C249 HR 37 C2444 C24 C2446 C24447 C24448 2xHR 37 C24644 C24639 C24646 HR 37s C2455 C24 C2456 C2457 C242 C2458 C243 HR 4 C244 C248 HR 4s C2466 C24466 C2467 C24467 C2468 C24468
MonoPlus NEEDLE-THREAD COMBINATIONS Needle 7/ (.5) (.5) 3/ /2 circle round bodied needle HR 4s C2466 C24466 C2467 C24467 C2468 C24468 HR 43s C244 C2442 HR 48 C2463 C2478 5/8 circle round bodied needle FR 26 C27 C2492 C24 2xFR 26 C24835 C24836 C24936 C24937 FR 26s C24 2xFR 36 C2478 Straight round bodied needle GR 9 3 2 C24247 C242 C24253 GR 9b 2 C273 GR 9 loop 4 C2424 C2424 2 C Box of 36 units B Box of 24 units G Box of 2 units M Box of 6 units
Needle 7/ (.5) (.5) 3/ Straight round bodied needle 2xGR 9 C24984 C24985 2xGR 65 C24895 C24896 C24897 C24898 Hook round bodied needle JR 3s 2 C2469 C24 Ski Needle round bodied needle SKR 26 3 2 C2465 C24649 C2466 C24664 SKR 26b 2 C272 SKR 26 4 C2465 C2466 loop 3/8 circle round bodied needle with short cutting point 2xDRC 8 C2423 DRC C2422 C24222 2xDRC C2472 C24722 DRC 2 C24232 C24233 2xDRC 2 C24732 C24733 DRC 8 C24243 3
MonoPlus NEEDLE-THREAD COMBINATIONS Needle 7/ (.5) (.5) 3/ /2 circle round bodied needle with short cutting point 2xHRC 7 C24 HRC 26 C24498 HRC 48 C2426 Progressive curved round bodied needle with short cutting point PRC 24 2 C2485 Hook round bodied needle with short cutting point JRC 3s C2468 C24928 /2 circle round bodied needle with trocar point HRT 3 C24282 HRT 7 C24283 C24284 C24285 C24286 HRT 22 C24294 C24295 HRT 26 C2434 C2435 C2436 C2437 2xHRT 26 C2465 C246 C Box of 36 units B Box of 24 units G Box of 2 units M Box of 6 units 4
Needle 7/ (.5) (.5) 3/ /2 circle round bodied needle with trocar point HRT 3 C243 HRT 37 C2436 C27 C28 HRT 37s C2432 C24322 C2488 C24323 HRT 4 C243 HRT 4s C2 C246 HRT 43s C24352 C24353 HRT 48 C24332 C24333 /2 circle round bodied needle with blunt point HRN 3 C245 HRN 35 C2444 5
MonoPlus NEEDLE-THREAD COMBINATIONS Needle 7/ (.5) (.5) 3/ /2 circle round bodied needle with blunt point HRN C2446 HRN 5 C2448 /2 circle round bodied needle with protection point HRB 37s C24462 HRB 48 C2488 3/8 circle reverse cutting needle DS 2 C2493 DS 6 C235 C246 C239 DS 9 C248 C2475 C249 C236 C242 C29 DS 24 C24 C24 C22 C249 DS 3 C2499 C24992 C298 DS 39 C238 6 C Box of 36 units B Box of 24 units G Box of 2 units M Box of 6 units
Needle 7/ (.5) (.5) 3/ 3/8 circle reverse cutting needle 2xDS 39 C24976 /2 circle reverse cutting needle HS 5 C2479 HS 8 C2473 HS 23 C24 HS 23ss C248 HS 26s 2 C2485 C249 C2423 C2486 C247 C2428 C2487 C248 C242 C2488 HS 3 C2484 C2495 HS 37 C244 C245 C246 HS 37s 2 C2456 C244 C2457 C245 C2422 C2458 C246 C243 HS 4 C247 C248 7
MonoPlus NEEDLE-THREAD COMBINATIONS Needle (.5) 3/ 2 (5) /2 circle reverse cutting needle HS 4s C242 C2422 C26 HS 4s 5 C24966 loop HS 48 C2427 C2422 C2428 2xHS 48 C2463 Straight reverse cutting needle 2xGS C24994 C24995 GS 6 C24 C2489 2xGS 6 C2486 3/8 circle reverse cutting needle with precision point DSMP C2476 C2477 DSMP 3 C2447 C2496 C248 DSMP 6 C2494 C249 C Box of 36 units B Box of 24 units G Box of 2 units M Box of 6 units 8
REFERENCES Needle (.5) 3/ 2 (5) 3/8 circle reverse cutting needle with precision point DSMP 3 C2447 C2496 C248 DSMP 6 C2494 C249 DSMP 9 C24 C247 C249 C245 C24965 DSMP 24 C249 C24983 C243 C24986 C242 C24988 /2 circle reverse cutting needle with precision point HSMP 5 C2492 Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection 999. Hospital Infection Control Practices Advisory Coittee. Infect Control Hosp Epidemiol. 999;2:25-78. Choi HJ, Chae HD. Comparison of E. Coli infiltration between new synthetic absorbable sutures. J Korean Surg Soc. 29;77:-6. Im JN, Kim KJ, Kim HK, Lee KY, Park WH. Characteristics of Novel Monofilament Sutures Prepared by Conjugate Spinning. 27;83:499-54. Hayes M. Practical skin cancer surgery. Chatswood, NSM: Elsevier Australia; 24. (5) Data on file Evaluation of Knot Pull Tensile Strength Degradation after subcutaneous Implantation carried out by NAMSA on behalf of AAG. (6) IFU MonoPlus. (7) Data on file Acute Intracutaneous reactivity_lab nº99c243. (8) Data on file Evaluation of suture Absorption and Degradation Following Muscle Fascia Implantation carried out by NAMSA on behalf of AAG. 9
Distributed by: B. Braun Surgical, S.A. Carretera de Terrassa, 2 89 Rubí Spain Phone +34 93 586 62 Fax +34 93 588 96 www.bbraun.com AESCULAP a B. Braun brand Aesculap AG Am Aesculap-Platz 78532 Tuttlingen Germany Phone +49 746 95- Fax +49 746 95-26 www.aesculap.com Manufacturer acc. to MDD 93/42/EEC B. Braun Surgical, S.A. Carretera de Terrassa, 2 89 Rubí Spain The main product trademark Aesculap and the product trademarks Monomax, MonoPlus, Monosyn and RacePack are registered trademarks of B. Braun Melsungen AG and its subsidiaries. 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. B252 8/X/4