V-Loc™ Wound Closure Device

Deliver Superior Patient Outcomes*, 1-15

We believe in solid evidence

Backed by over ten years of clinical data and experience†,29

With its unique, dual-angle barb design, the V-Loc™ wound closure device is proven to improve patient outcomes*,3,16-18, while saving you time and money3,4,16-22

V-Loc™ Wound Closure Device

The V-Loc™ wound closure device is a revolutionary technology. Its uni-directional barbs close wounds securely without the need to tie knots.

  • Reduces the amount of suture material in the body due to the absence of knots16
  • Eliminates knots and consequently, the potential risks of knot-related complications2,31
  • Evenly distributes tension along the wound11,25
  • Resists migration and maintains tension of the suture line29
  • Delivers uncompromised tensile strength and improved wound healing with less ischemia2,26-28
  • May reduce surgical difficulty and minimally invasive surgery*,1,2,29

V-Loc™ 90 Reference Guide

V-Loc™ 180 Reference Guide

V-Loc™ PBT Reference Guide

Why V-Loc™?

Suture Strength

The security of the barbed suture starts with the strength of the material.30

Barb Security

The unique dual angle barbs with greater tissue holding force.30

Anchor Security

solid foundation is one of the critical factors in wound closure.30

Discover the Value of 
V-Loc™ Wound Closure Device

Reduce time*,3,4,16-22
Improve patient outcomes*,3,16-18
Save money*,3,4,16-22

* as compared to conventional sutures

Gynecology

Discover the benefits the V-Loc™ Wound Closure Device can bring you in GYN Surgery.

C-Section

Discover the benefits the V-Loc™ Wound Closure Device can bring you for C-Section.

Plastics/Breast

Discover the benefits the V-Loc™ Wound Closure Device can bring you in Plastic Surgery.

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V-Loc™ Procedural Guide
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References

† V-Loc™ device launched in 2009.

*As compared to conventional sutures.

  1. Kim JH, Byun SW, Song JY, Kim YH, et al. Barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure. Medicine (Baltimore). 2016;95(39):e4981. 
  2. Fouda, U. M., Elsetohy, K. A. & Elshaer, H. S. Barbed Versus Conventional Suture: A Randomized Trial for Suturing the Endometrioma Bed After Laparoscopic Excision of Ovarian Endometrioma. J. Minim. Invasive Gynecol. 2016; 23(6), 962–8. 
  3. Tillmanns TD, Mabe A, Ulm MA, Lee D, et al. Vaginal Cuff Closure in Robotic Hysterectomy: A Randomized Controlled Trial Comparing Barbed Versus Standard Suture. Journal of Gynecologic Surgery. 2016;32(4):215-219. 
  4. Song T, Kim TJ, Kim WY, Lee SH. Comparison of barbed suture versus traditional suture in laparoendoscopic single-site myomectomy. Eur J Obstet Gynecol Reprod Biol. 2015;185:99-102. 
  5. Bautista T, Shabbir A, Rao J, So J, Kono K, Durai P. Enterotomy closure using knotless and barbed suture in laparoscopic upper gastrointestinal surgeries. Surg Endosc. 2015;30(4):1699-1703. doi:10.1007/s00464-015-4395-3 
  6. Bracale U, Merola G, Cabras F, Andreuccetti J, Corcione F, Pignata G. The Use of Barbed Suture for Intracorporeal Mechanical Anastomosis During a Totally Laparoscopic Right Colectomy: Is It Safe? A Retrospective Nonrandomized Comparative Multicenter Study. Surg Innov. 2018;25(3):267-273. doi:10.1177/1553350618765871 
  7. Rajih E, Meskawi M, Alenizi A et al. Long-term urinary functional outcome of vesicourethral anastomosis with bidirectional poliglecaprone (Monocryl®) vs. barbed polyglyconate suture (V-LocTM 180) in robot-assisted radical prostatectomy. Canadian Urological Association Journal. 2019;14(3). doi:10.5489/cuaj.5959 
  8. Ye J, Zhang S, Tian X, Wang G, Zhao L, Ma L. Knotless retroperitoneoscopic nephron-sparing surgery for small renal masses: Comparison of bipolar sutureless technique and barbed suture technique. Journal of International Medical Research. 2018;46(4):1649-1656. doi:10.1177/0300060518760737 
  9.  Radford A, Turner A, Ashraf J, Subramaniam R. Robotic Pyeloplasty in Children: A “Barbed” Shortcut. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2018;28(4):486-489. doi:10.1089/lap.2017.0494 
  10. Chihara N, Suzuki H, Sukegawa M et al. Absorbable barbed suture device for laparoscopic peritoneal closure after hernia repair via the transabdominal preperitoneal approach: A single‐center experience with 257 cases. Asian J Endosc Surg. 2018;12(2):162-166. doi:10.1111/ases.12626 
  11. Koide S, Smoll NR, Liew J, Smith K, et al. A randomized 'N-of-1' single blinded clinical trial of barbed dermal sutures vs. smooth sutures in elective plastic surgery shows differences in scar appearance two-years post-operatively. J Plast Reconstr Aesthet Surg. 2015;68(7):1003-1009. 
  12. Kim T, Park J, Jeong S et al. Feasibility of a novel laparoscopic technique with unidirectional knotless barbed sutures for the primary closure of duodenal ulcer perforation. Surg Endosc. 2018;32(8):3667-3674. doi:10.1007/s00464-018-6099-y 
  13. Liu J, Bardawil E, Zurawin R et al. Robotic Single-Site Sacrocolpopexy with Retroperitoneal Tunneling. JSLS. 2018;22(3):e2018.00009. doi:10.4293/jsls.2018.00009 
  14. Bai Y, Pu C, Yuan H et al. Assessing the Impact of Barbed Suture on Vesicourethral Anastomosis During Minimally Invasive Radical Prostatectomy: A Systematic Review and Meta-analysis. Urology. 2015;85(6):1368-1375. doi:10.1016/j.urology.2015.02.033 
  15. Wang M, Mu X, Yang F, Niu Y, Xing N. Self-retaining barbed suture reduces warm ischemia time during laparoscopic partial nephrectomy. Minimally Invasive Therapy & Allied Technologies. 2018;27(5):272-277. doi:10.1080/13645706.2018.1438473
  16. Cong L, Li C, Wei B, Zhan L, et al. V-Loc 180 suture in total laparoscopic hysterectomy: a retrospective study comparing Polysorb to barbed suture used for vaginal cuff closure. Eur J Obstet Gynecol Reprod Biol. 2016;207:18-22.
  17. Zhou Y, Guthrie G, Chuang A, Faro JP, et al. Unidirectional barbed suture versus interrupted vicryl suture in vaginal cuff healing during robotic-assisted laparoscopic hysterectomy. J Robot Surg. 2014;8(3):201-5.
  18. Tinelli R, Litta P, Angioni S, Bettocchi S, et al. A multicenter study comparing surgical outcomes and ultrasonographic evaluation of scarring after laparoscopic myomectomy with conventional versus barbed sutures. Int J Gynaecol Obstet. 2016;134(1):18-21.
  19. Tsafrir Z, Palmer M, Dahlman M, Nawfal AK, et al. Long-term outcomes for different vaginal cuff closure techniques in roboticassisted laparoscopic hysterectomy: A randomized controlled trial. Eur J Obstet Gynecol Reprod Biol. 2017;210:7-12.
  20. Brown DN, Gobern JM. Unidirectional Barbed Suture for Vaginal-Cuff Closure in Laparoscopic and Robotic Hysterectomy. Journal of Gynecologic Surgery. 2016;32(3):167-172.
  21. Huang MC, Hsieh CH, Su TH, Chen CP, et al. Safety and efficacy of unidirectional barbed suture in mini-laparotomy myomectomy. Taiwan J Obstet Gynecol. 2013;52(1):53-6
  22. Nawfal AK, Eisenstein D, Theoharis E, Dahlman M, et al. Vaginal cuff closure during robotic-assisted total laparoscopic hysterectomy: comparing vicryl to barbed sutures. JSLS. 2012;16(4):525-9.
  23. Baseline strength comparison of Medtronic V-Loc™ device 90 size 2-0 and Stratafix™* Spiral size 2-0. January 2014. Data on file.
  24. Quarterly IMS, November 2013.
  25. Zaruby J, Gingras K, Taylor J, Maul D. An in vivo comparison of barbed suture devices and conventional monofilament sutures for cosmetic skin closure: biomechanical wound strength and histology. Aesthet Surg J. 2011;31(2):232-40.
  26. Sato M, Matsumura H, Gondo M, Shimada K, et al. Flexor tendon repair with barbed suture: an experimental study. Eur J Orthop Surg Traumatol. 2014;24(8):1421-4. 
  27. Sull A, Inceoglu S, August A, Gregorius S, et al. Comparison of Barbed Sutures in Porcine Flexor Tenorrhaphy. Hand (N Y). 2016;11(4):475-478. 
  28. Brown, S. Utilization of a Porcine Model to Demonstrate the Efficacy of an Absorbable Barbed Suture for Dermal Closure, UTSW, June 2009.
  29. Alessandri F, Remorgida V, Venturini PL, Ferrero S. Unidirectional barbed suture versus continuous suture with intracorporeal knots in laparoscopic myomectomy: a randomized study. J Minim Invasive Gynecol. 2010;17(6):725-9.
  30. Based on internal test report# RE00186732, Medtronic vs Ethicon Barbed Suture Benchtop Test Evaluation. January 2019.
  31. Krishnamoorthy B, Shepherd N, Critchley WR, Nair J, Devan N, Nasir A et al. A randomized study comparing traditional monofilament knotted sutures with barbed knotless sutures for donor leg wound closure in coronary artery bypass surgery. Interact CardioVasc Thorac Surg 2016;22:161–7