Ethicon Perma-Hand Silk A186H Suture - Size 4-0, 30" Black Braided, PS-2 Needle (Box of 36)

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.