Ethicon C004D 4-0 PERMA HAND BLACK 8X18" SH-1 CR, Box of 12

Ethicon PERMA-HAND® Silk 4-0 Suture | C004D | 22mm SH-1 Taper | 8 x 18" Strands | BX/12

The Ethicon C004D is a high-performance, non-absorbable surgical suture crafted from premium braided silk. This specific Size 4-0 configuration is a clinical favorite for delicate soft tissue approximation, particularly in vascular and bowel surgery where a small diameter and superior knot security are paramount.

The "C" prefix denotes a Control Release (CR/Pop-off) multipack. Each foil packet contains eight (8) individual 18-inch strands, each armed with an SH-1 (Small Half-Circle) taper point needle. This "8-pack" design is engineered for surgical efficiency, allowing the scrub tech to provide multiple sutures in rapid succession during complex procedures like valve repairs or bowel anastomoses without opening multiple individual packets.

Key Specifications

• Manufacturer: Ethicon (Johnson & Johnson)

• Brand: PERMA-HAND®

• Model / REF: C004D

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

• Configuration: 8 Strands per Packet (Multipack)

• Length: 18 Inches (45 cm) per strand

• Material: Braided Surgical Silk

• Color: Black (Logwood dyed for high contrast)

• Needle: 22mm SH-1 (Small Half-Circle)

• Needle Point: Taper Point (Atraumatic round-bodied)

• Quantity: Box of 12 Packets (96 total sutures)

Technical & Clinical Advantages

• SH-1 Taper Point Precision: The SH-1 is one of the most versatile needles in surgery. The taper point is designed to "separate" tissue fibers rather than cut them, making it the gold standard for delicate cardiovascular, biliary, and gastrointestinal tissues where leaking must be avoided.

• Control Release (CR) "Pop-Off" Technology: These needles are designed to be "pulled off" with a quick tug of the needle driver once the stitch is placed. This eliminates the need for surgical scissors to cut the suture, significantly speeding up the closure of long internal lines.

• Superior "Tie-Down" Security: Braided silk offers a unique "mechanical lock." In Size 4-0, it provides a smooth passage through tissue while ensuring knots stay seated exactly where the surgeon places them—critical for maintaining tension in deep anatomical structures.

• Multipack Efficiency: By providing 8 sutures in a single sterile field, the C004D reduces waste and "open-time," helping the surgical team maintain a streamlined and organized back table.

• Low-Reflective Visibility: The deep black dye provides an excellent visual reference against red or pink tissue, which is essential when working under high-intensity OR lights or surgical loupes.

Condition & Quality Assurance

• Status: New – Factory Sealed.

• Integrity: This item is securely contained within its original, undamaged manufacturer's packaging. All 12 packets are factory-sealed, ensuring absolute sterility and consistent needle-to-suture attachment strength.

• Professional Standards: With over 25 years of experience in hospital materials, Primis Medical ensures all Ethicon inventory is inspected for lot-specific viability and storage compliance.

Shipping & Handling

• Secure Logistics: Shipped in reinforced packaging to prevent crushing of the SH-1 needles and to protect the sterile foil seals during transit.

• Fast Dispatch: Ships within 1 business day.