Ethicon A303H 4-0 PERMA HAND BLACK 12X30" TIE Box of 36

Ethicon PERMA-HAND® Silk 4-0 Ligation Ties | A303H | 12 x 30" Strands | Needleless | BX/36

The Ethicon A303H is a specialized, non-absorbable surgical ligation system designed for rapid vessel occlusion and deep tissue "ties." Unlike standard armed sutures, this Size 4-0 configuration is provided as Pre-Cut Ties (Non-Needled). It is a clinical staple in general, vascular, and thoracic surgery for the manual ligation of "bleeders" and the secure anchoring of soft tissue.

The "H" suffix denotes a high-efficiency multipack. Each sterile foil packet contains twelve (12) individual 30-inch strands of black braided silk. This high-density packaging is engineered for the "back-table," allowing the surgical technologist to provide multiple ties in rapid succession during a procedure without the overhead of opening individual packets.

Key Specifications

• Manufacturer: Ethicon (Johnson & Johnson)

• Brand: PERMA-HAND®

• Model / REF: A303H

• Suture Size: 4-0 (1.5 metric) — Fine-Diameter Precision Tie

• Configuration: 12 Strands per Packet (Needleless Ties)

• Suture Length: 30 Inches (75 cm) per strand

• Material: Braided Surgical Silk

• Color: Black (Logwood dyed for high contrast)

• Needle: NA (Non-Needled / Ligating Tie)

• Quantity: Full Box of 36 Packets (432 total ties)

Technical & Clinical Advantages

• Superior "Knot-Seat" Security: Braided silk is the gold standard for manual ligation. In Size 4-0, it provides a high coefficient of friction, ensuring that knots "lock" into place immediately upon tying—essential for the permanent occlusion of small vessels.

• Maximized Surgical Efficiency: By providing 12 pre-cut strands in a single sterile packet, the A303H significantly reduces "open-time" and waste. This configuration is ideal for complex dissections where dozens of small vessels require individual ligation.

• Atraumatic Handling: Because these are needleless ties, they are used for manual hand-tying or passed via a "tie-on-a-passer" (hemostat). This eliminates the risk of accidental needle sticks in the deep surgical field.

• Proprietary Silk Coating: Each 30-inch strand is treated with a specialized wax/silicone coating. This ensures the silk remains supple and "tangle-free" when pulled from the packet, while maintaining the classic silk "hand" that surgeons prefer for tactile feedback.

• Permanent Tissue Support: While silk is a natural proteinaceous fiber, it is classified as a non-absorbable suture. It provides the long-term structural integrity required for critical ligatures that must remain secure throughout the healing process.

Condition & Quality Assurance

• Status: New – Factory Sealed.

• Integrity: This item is securely contained within its original, undamaged manufacturer's packaging. All 36 multipackets are factory-sealed, ensuring 100% sterility and consistent tensile strength across all 432 strands.

• Professional Standards: With over 25 years of experience in Hospital Materials and Surgical Services, Primis Medical ensures all Ethicon stock is rigorously inspected for lot-specific viability and storage compliance.

Shipping & Handling

• Secure Logistics: Shipped in reinforced packaging to protect the sterile foil seals from compression or puncture during transit.

• Fast Dispatch: Ships within 1 business day.