Clinisut CliniMonoQ Monofilament Synthetic Absorbable Sutures

Description
CliniMono Q is A synthetic absorbable sterile surgical suture composed of poly (glycolide-co-caprolactone) monofilament (PGCL).
CliniMono Q sutures are only available undyed.

CliniMono Q sutures are rapidly absorbed synthetic suture when compared to CliniSolv.
CliniMono Q meets all the requirements established by the B.P., U.S.P. and the E.P.

indications
CliniMono Q is indicated for superficial soft tissue approximation and/or ligation, but not for the use in cardiovascular and neurological
surgery or ophthalmic procedures.

Actions
CliniMono Q elicits a minimal acute inflammatory reaction in tissues, which is followed by encapsulation of the suture by fibrous
connective tissue. Tensile strength is progressively lost at more rapid rate than with conventional monofilament. CliniMono Q(2USP)
retains approximately 68-78% of its original strength at 7 days post-implantation .Absorption is complete within 90days.
Contra-indications
This suture, being absorbable, should not be used where extended approximation of tissue is required.

Warning
Before employing CliniMono Q sutures, users should be familiar with surgical procedures and techniques relating to synthetic absorbable
sutures and wound closure. Depending on the site of application, there is a risk of wound dehiscence. This risk is variable.

In elderly,malnourished or debilitated patients or in those where wound healing is delayed due to their condition, the use of CliniMono Q may not be indicated. CliniMono Q, being an absorbable suture, may need the additional support of non-absorbable sutures when closing sites prone to expansion, stretching or distortion.

Precautions
Localized irritation may result if skin sutures remain in place for longer than one week and in these cases snipping off/removal is advised.
In tissues with poor blood supply, it must be borne in mind that delayed absorption may occur when employing absorbable sutures.
During handling, crushing or crimping damage must be avoided when using instruments such as needle holders or forceps. Adequate
knot security requires the accepted practice of flat, square ties with additional throws as warranted by the surgical circumstances and
the experience of the surgeon. To avoid damage to needle points and swage areas, grasp the needle in an area one-third (1/3) to onehalf(1/2) of the distance from the swaged end to the point. Reshaping needles may cause them to loose strength and be less resistant to
bending and breaking. Users should exercise caution when handling surgical needles to avoid inadvertent needle sticks. Discard used
needles in “sharps” container.
Sterility
CliniMono Q sutures are sterilized by ethylene oxide gas. Do not use if package is opened or damaged. Discard opened unused sutures.

Storage
Recommended storage condition: 15⁰Cto 30⁰C, away from direct heat. Do not use after expiry date.
Adverse Reactions
Potential Adverse effects
 Infection
 Dehiscence with need for retreatment
 Acute inflammation

These reactions may occur in patients who are hypersensitive to the materials
Adverse reactions associated with the use of this device include wound dehiscence, failure to provide sufficient wound support in closure
of sites where expansion, distension or stretching occur, failure to provide adequate wound support in elderly, malnourished or
debilitated patients or in patients suffering from conditions which may delay wound healing. Localized irritation may occur when skin
closures are left in place for more than 1 week. Broken needles may result in extended or additional surgeries or residual foreign bodies.
Inadvertent needle sticks with contaminated surgical needles may result in transmission of blood-borne pathogens.
How supplied
CliniMono Q synthetic absorbable monofilament suture is available in sizes 6/0 through 2, undyed. The suture is supplied attached to
various needle types in boxes of one dozen.