Integra LifeSciences Sutures, Coated, Braided Silk, Non-Absorbable - Manual

COATED, BRAIDED SILK SUTURE
NONABSORBABLE SURGICAL SUTURES, U.S.P.
Description
SILK is nonabsorbable sterile, surgical suture composed of an organic protein called fibroin. This protein is derived
from the domesticated species Bombyx mori (B. mori) of the family Bombycidae. SILK sutures are processed
to remove the natural waxes and gums. SILK suture is dyed black and coated uniformly with silicone to reduce
capillarity, and to increase surface lubricity, to enhance handling, ease passage through tissue and knot run-down
properties. SILK sutures are dyed black with Logwood extract to enhance visibility in tissue.
SILK meets all requirements established by the United States Pharmacopeia (U.S.P.) for Nonabsorbable Surgical
Suture.
Indications
SILK is indicated for use in general soft tissue approximation and/or ligation, including’ use in cardiovascular,
ophthalmic and neurological procedures.
Actions
SILK elicits an acute inflammatory reaction in tissues, which is followed by gradual encapsulation of the suture
by fibrous connective tissue. While SILK is not absorbed, progressive degradation of the proteinaceous silk fiber
in-vivo may result in gradual loss of all of the suture’s tensile strength within one year.
Contraindications
The use of this suture is contraindicated in patients with known sensitivities or allergies to silk. Due to the gradual
loss of tensile strength, which may occur over prolonged periods in-vivo, SILK should not be used where permanent
retention of tensile strength is required, as in fixation of vascular prostheses.
Warnings
Do not resterilize. Discard open, unused sutures.
Prolonged contract of this or any other suture with salt solutions, such as those found in urinary or biliary tracts,
may result in calculus formation.
Users should be familiar with surgical procedures and techniques involving nonabsorbable sutures before
employing SILK for wound closure, as risk of wound dehiscence may vary with the site of application and the suture
material used.
As any foreign material in the presence of bacterial contamination may enhance bacterial infectivity, acceptable
surgical practice must be followed with respect to drainage and closure of infected or contaminated wounds.
Instructions for Use