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| Name | How I use Stratafix Spiral, Karl Miller M.D. |
| Video Uploader | Video From Karl Miller, MD, FACS |
| Upload Date | This Video Uploaded At 06-10-2022 12:34:16 |
| Video Discription | Offers greater strength & security of interrupted closure, without knots IFU: https://hostedvl106.quosavl.com/qb/ Disclosure: Karl Miller, Prof of Surgery is part time Chief Medical Officer for Johnson & Johnson Middle East STRATAFIX™ Spiral PDS™ Plus Device is designed to be used in continuous suture patterns. STRATAFIX™ Spiral PDS™ Plus Device is intended to be used without anchoring knots to begin or terminate the device line. Use as required per surgical procedure. 1.Secure the fixation loop portion to robust tissue by taking a bite in the designated tissue, passing the needle through the loop and pulling tautly around the anchoring tissue. 2. After Spiral PDS™ Plus Device is anchored into the tissue, grasp the strand and approximate tissue to the desired tension. Bites, or passes through the tissue, can be taken in a continuous suturing technique to approximate the wound. Care should be taken to utilize the Spiral PDS™ Plus Device on the barbed segments only. Do not attempt to approximate wounds using the non-barbed segment near the needle, as the barbs are required for successful wound approximation with the Spiral PDS™ Plus Device. 3.a. To complete the closure in subcuticular closure, take at least one pass in the reverse direction. Then pass the needle across the incision and take a split thickness bite perpendicular to the incision and exit the skin. b. To complete the closure in all other tissue layers, take at least two passes in the reverse direction to complete the closure. 4. Then gently pull on the free end of the device and cut flush with the surface of the tissue. To remove the entire Spiral PDS™ Plus Device: Cut the Spiral PDS™ Plus Device at the end anchored with the loop, and then pull the distal end to remove the device. |
| Category | Science & Technology |
| Tags | barbed suture | Intestine defect closure | Stratafix | Stratafix spiral | Scenario planning |
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