Absorbable & Non Absorbable Sutures Manufacturer & Supplier

Universal Sutures is the surgeons' choice for secure & Safe wound closure

Quality sutures define us. They rather differentiate us in the market. Because we believe that when it comes to surgery nothing can be left to chance and there can be no room for compromises either.

Strength

Any surgical suture-needle combination and all sutures comply with international standards which are at least 1.1 times the USP standards for tensile strength & needle pull.

Advantages

All surgical sutures are attached to drilled end ribbed needles for better grip in needle holder during surgery.

Our Mission

Develop and commercialize surgical sutures comply with official regulations and requirements of our customers, with an optimal price-quality ratio.

Technology

World class manufacturing and packaging equipment and sophisticated processes designed and operated by our competent and devoted staff.

Quality

We are committed to the manufacture and commercialization of surgical sutures that comply with the regulations and satisfy the needs of our clients, through a quality management system.

Our View

To be leaders in the manufacture and commercialization of surgical sutures and absorbable sutures within the national and International market.

Sutures and Ligatures

Sutures are sterile, surgical strands or threads used to sew or approximate damaged body tissues together after an injury or to repair cuts (lacerations). Sutures when used to tie blood vessels to arrest bleeding are referred as “Ligatures”. Sutures also are used to close incisions from surgery.

Application generally involves using a needle with an attached length of a particular thread. A number of type suture materials and various kinds of needles have been developed over it’s millennia of history. Surgical knots are applied to secure the suture in position till complete healing happens.

Materials of composition

Application generally involves using a needle with an attached length of a particular thread. A number of type suture materials and various kinds of needles have been developed over it’s millennia of history. Surgical knots are applied to secure the suture in position till complete healing happens.

Suture threads are made from numerous materials. The original sutures were made from biological materials, such as Catgut suture, composed of purified connective tissue, mostly Collagen, derived from sub-mucosal fibrous layers of sheep or goat intestine and Silk suture, composed of an organic protein called fibroin, derived from the domesticated species of Bombyx mori, commonly known as “Silk bees”, of the family, Bombycidae.

Suture threads are made from numerous materials. The original sutures were made from biological materials, such as Catgut suture, composed of purified connective tissue, mostly Collagen, derived from sub-mucosal fibrous layers of sheep or goat intestine and Silk suture, composed of an organic protein called fibroin, derived from the domesticated species of Bombyx mori, commonly known as “Silk bees”, of the family, Bombycidae.

Most modern sutures are synthetic which include the absorbable sutures, composed of the polymers, Polyglycolic acid, Polyglactin 910 (90% Glycolide and 10% Lactide), Poliglecaprone 25, Polydioxanone as well as the non-absorbables Nylon, Polyester and Polypropylene

Classification of sutures:

Sutures may be classified as either absorbable (naturally, bio-degradable, in the body) or non-absorbable. Catgut sutures get degraded in the body tissues at the site of implantation by enzymatic hydrolysis by the enzyme “Protease” and the process is referred as “Proteolysis”. Synthetic absorbable sutures get hydrolysed into its simpler monomers and get absorbed. Selection of the absorbable sutures depends on tensile strength retention property and absorption pattern of the suture. Based on the severity of the wound, conditions of the patient (malnourished, diabetic, elder population, pediatric, obese patients etc) suture with appropriate tensile strength period and absorption period, is selected from the absorbable sutures category

Depending on the composition of the suture material, the degradation process or the tensile strength retention period can vary from ten days to eight weeks. Synthetic absorbable sutures are used in patients who cannot return for suture removal, or when the surgery is performed in internal body tissues. In both cases, they will hold the body tissues together long enough to allow complete healing but will disintegrate so that they do not leave foreign material or require further procedures. Initially, there is a foreign body reaction to the material, which is transient. After complete resorption only connective tissue will remain. Occasionally, absorbable sutures can cause inflammation and be rejected by the body rather than absorbed.

In the non-absorbable sutures category, Silk sutures, Polyamide sutures, Polypropylene sutures, Polyester sutures and Stainless Steel wires are available. Stainless steel sutures are generally used in orthopedic, sternum closure procedures. Nylon and Polypropylene are monofilament sutures and so claimed to be devoid of interstices while Silk and Polyester sutures, being braided ensure better knot holding capacity.

Polypropylene sutures and Polyester sutures are more preferred when “Permanent – stay” suture materials are preferred as these sutures are totally inert and compatible with the body tissues. Polypropylene and Polyester sutures are preferred in neurological procedures, ophthalmic, cardiac surgery. Silk sutures, being composed of proteinous fibres, fibroin, get digested by the body tissues over a period of time. Polyamide sutures are not suitable when the retention of tensile strength is required for a longer period. Silk and Polyamide sutures are used for general closure, preferably as skin closure sutures.

Characteristic features of an ideal sutures:

An ideal suture should be uniform in diameter, uniform in tensile strength, smooth to feel and strong enough to hold tissue securely (Knot security) but flexible enough to be knotted. They must be compatible with body tissues, hypoallergenic. Surgical sutures are produced sterile. More commonly surgical sutures are sterilized by “Ethylene Oxide” gas.

Atraumatic Needles:

The sutures are dispensed most of the times, attached with an atraumatic needle (eyeless needle) Atraumatic needles have largely replaced eyed needled for the reasons, listed below:

  1. Suture is crimped with the needle and therefore unthreading can never happen.
  2. Less trauma as it leaves smaller holes at the site of implantation than while sewing with sutures attached with eyed needle.
  3. The patient gets new and sharp needle every time. Chances of contamination with another patient’s blood is not there as the needled suture can be used for only once in one patient.
  4. With atraumetic needles, a suture can be attached with two needles at both the ends, (double armed needles), may be with two different needles or needles of the same type.

Atraumatic needles are made using Stainless Steel wires of SS 400 series grade or SS 300 series grade. Needles can be shaped Straight, 3/8 Circle (referred in the trade as “Curved”, Half circle and 5/8 circle. The types of the needles could be round bodied, cutting, reverse cutting, taper cut and blunt. The different shapes of the needles could made in different types also. For example Half circle needle can be made as round bodied, cutting, reverse cutting, taper cut or blunt.

Needles vary in length, depending on the metric size of the sutures. For example, Size 1 sutures are generally attached with 50 mm, 45 mm or 40 mm needles, Size 0 sutures are supplied with 45 mm, 40 mm, 35 mm and 30 mm needles. Occasionally needle of lower or higher length also could be used than the normal length for certain specific reasons.

Needles should be sharp enough to complete the suture, It should be hard but not brittle. It should have smooth surface to glide through the tissues smoothly.

Product codes:

In the trade, suture-needle combination is identified by product code number. A particular product code number refers to a particular suture material of particular metric size and particular length with a particular length/shape/and type of needle. In each product, many product codes are produced and made available for trade.

Packing:

All sutures range of products are sterilized by Ethylene Oxide and the sutures are therefore packed in seal proof packs to prevent contamination post sterilization activities. All sutures range of products are dispensed in dozens packing in pre-printed cartons. Suture products are to be stored at temperature less than 30°C, protected from sunlight and moisture.