Ethicon Perma-Hand Silk 4-0 Suture | PS-2 Precision Needle | A186H
The Ethicon A186H represents the gold standard in surgical handling. Composed of high-quality organic protein (fibroin), this black braided silk suture is globally recognized for its unmatched "hand"—providing surgeons with a level of tactile feedback and knot security that synthetic materials rarely achieve.
As a Perma-Hand™ product, these sutures undergo a proprietary de-gumming process to remove natural waxes and are subsequently coated with a special wax or silicone to ensure smooth, atraumatic passage through the most delicate tissues.
Key Specifications
Manufacturer: Ethicon (Johnson & Johnson)
Product Code: A186H
Suture Size: 4-0
Length: 30 inches (75 cm)
Material: Black Braided Silk
Type: Non-Absorbable (Natural Protein)
Needle Type: PS-2 (Precision Point Reverse Cutting)
Needle Geometry: 19mm, 3/8 Circle Curvature
Quantity: Box of 36
Expiration: December 31, 2028 (12-31-2028)
Technical & Clinical Advantages
Superior Knot Security: Silk is famous for "holding its own." Once a knot is thrown, the natural friction of the braided silk fibers ensures the knot remains locked in place, providing absolute confidence in critical ligations.
Refined Handling Characteristics: The braiding process yields a suture that is exceptionally supple and easy to maneuver. This allows for precise "fine-tuning" of tension during soft tissue approximation.
PS-2 Precision Needle: The "Precision Point" (PS) needle is specifically engineered for cosmetic-level results. It maintains superior sharpness throughout multiple passes, significantly reducing tissue "drag" and preventing edge trauma.
Coated for Atraumatic Flow: Despite its braided structure, the specialized coating ensures that the A186H glides through the dermis and subcutaneous layers with minimal resistance, mimicking the smoothness of a monofilament.
Deep Black Pigmentation: The intense black dye provides a sharp visual contrast against various skin tones and surgical fields, facilitating fast and accurate stitch placement.
Ideal Applications
Plastic & Reconstructive Surgery: Fine skin closures and subcutaneous approximation where handling precision is paramount.
Dermatology: Secure closure of excisions and skin grafts.
General Surgery: Ligation and soft tissue approximation where a natural, high-security suture is preferred.
Oral Surgery: Frequently used for mucosal closures due to its comfort and ease of knotting.
Condition & Quality Assurance
Status: NEW — Factory Sealed Overstock.
Integrity: The box is still contained within its original OEM plastic shrink-wrap. This secondary barrier ensures the box has never been breached and the sterile internal packets have been protected from humidity and airborne contaminants since leaving the factory.
Reliable Inventory: With an expiration date at the end of 2028, this box offers years of shelf stability for both high-volume clinics and emergency surgical supplies.
Authenticity: Genuine Ethicon (Johnson & Johnson) medical-grade inventory.
Shipping & Handling
Secure Logistics: Shipped in a reinforced outer carton to preserve the integrity of the needle points and ensure the box arrives in factory-perfect condition.
Fast Dispatch: Ships within 1 business day.
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Return Policy
7 Day Return Policy. Customer must pay the return shipping costs when returning a product. Items are sold as-is. Returns or refunds are not available unless explicitly stated.