DemeDIOX

Polydioxanone (PX) — Synthetic Monofilament Absorbable Suture

Suture Material

What is Polydioxanone (PX)?

DemeDIOX is a POLYDIOXANONE monofilament synthetic absorbable suture prepared from the polyester, poly(p-dioxanone). Polydioxanone polymer has been found to be non-antigenic and elicits only a slight tissue reaction during absorption.

DemeTech's Polydioxanone is an absorbable, sterile, surgical suture ideal for internal tissues where a long-lasting, absorbable suture is preferable. As a synthetic material, it elicits less reactivity than natural absorbable sutures. DemeDIOX meets the requirements of the current edition of the United States Pharmacopeia.

Indicated for use in general soft tissue approximation, including use in pediatric cardiovascular tissue where growth is expected to occur, and ophthalmic surgery.

More Details
Poly(p-dioxanone)Polyester Monofilament
180–220Days — Complete Absorption
75–80%Tensile Strength at 2 Weeks
Violet / ColorlessAvailable Colours
How It Works

Actions in Tissue

Understanding how DemeDIOX Polydioxanone behaves once placed in the body

Two important characteristics describe the in vivo performance of absorbable sutures: tensile strength retention and absorption rate (loss of mass). DemeDIOX has been formulated to minimize the variability of these characteristics and to provide wound support through an extended healing period.

Data from implantation studies show that absorption is minimal until about the 90th post-implantation day, then essentially complete within 180–220 days — making DemeDIOX ideal where extended wound support is required.

01

Extended Wound Support

Absorption is minimal until approximately the 90th post-implantation day. Essentially complete within 180–220 days — particularly useful where extended wound support up to six weeks is desirable.

02

Reliable Tensile Strength

Clinical trials show ~75–80% of initial strength at 2 weeks, ~65–70% at 4 weeks, and ~55–60% at 6 weeks — a well-characterised, gradually declining profile through the healing period.

03

Hydrolytic Absorption

Absorption occurs by hydrolysis with minimal tissue reactivity. As a synthetic material, Polydioxanone elicits less reactivity than natural absorbable sutures throughout the absorption process.

Characteristics

DemeDIOX™ Quality Standards

DemeTech's Polydioxanone sutures provide extended wound support with consistent, predictable absorption

DemeTech's Polydioxanone suture is an absorbable, sterile, surgical suture composed of the polyester, poly(p-dioxanone). It has been found to be nonantigenic and elicits only minimal tissue reactivity during the absorption process. Clinical trials have shown ~75–80% of initial strength at 2 weeks, ~65–70% at 4 weeks, and ~55–60% at 6 weeks. Complete absorption is within 180–220 days. DemeDIOX is available in violet and colorless and is ideal for internal tissues where a long-lasting, absorbable suture is preferable.

1

Polyester Monofilament Structure

Prepared from the polyester poly(p-dioxanone), delivering smooth, consistent passage through tissue with a monofilament construction that minimises drag and tissue trauma.

2

Extended Tensile Strength Profile

Clinical trials confirm ~75–80% strength at 2 weeks, ~65–70% at 4 weeks, and ~55–60% at 6 weeks — providing reliable wound support through an extended healing period.

3

Nonantigenic & Low Reactivity

Polydioxanone polymer is non-antigenic and elicits only a slight tissue reaction during absorption — less reactivity than natural absorbable sutures, for a cleaner healing response.

4

Available in Violet & Colorless

Supplied in violet and colorless, giving surgeons the flexibility to select the most appropriate option for each clinical procedure.

5

Ideal for Internal Tissues

Particularly suited to internal tissues where a long-lasting, absorbable suture is preferable, including pediatric cardiovascular tissue where growth is expected and ophthalmic surgery.

6

Extended Absorption Window

Absorption is minimal until ~day 90 post-implantation, then complete within 180–220 days. Especially useful where the combination of absorbable suture and extended wound support (up to six weeks) is desirable.

Usage

Indications

  • DemeDIOX is available in violet and colorless and meets the requirements of the current edition of the United States Pharmacopeia.
  • Ideal for internal tissues where a long-lasting, absorbable suture is preferable. Indicated for general soft tissue approximation including pediatric cardiovascular tissue where growth is expected, and ophthalmic surgery.
  • As Polydioxanone is composed of synthetic materials, it elicits less reactivity than natural absorbable sutures. However, due to its prolonged absorption period, Polydioxanone may elicit some tissue reactivity.
  • The safety and effectiveness of POLYDIOXANONE sutures have not been established in neural tissue, adult cardiovascular tissue, or for use in microsurgery.
  • Under certain circumstances, notably orthopedic procedures, immobilization by external support may be employed at the discretion of the surgeon.
  • Do not re-sterilize.
  • Adverse effects: due to prolonged suture absorption, some irritation and bleeding has been observed in conjunctiva and mild irritation has been observed in the vaginal mucosa.
Safety

Precautions

  • The POLYDIOXANONE suture knots must be properly placed to be secure.
  • As with other synthetic sutures, knot security requires the standard surgical technique of flat and square ties with additional throws if indicated by surgical circumstance and the experience of the operator.
  • As with any suture, care should be taken to avoid damage when handling. Avoid the crushing or crimping application of surgical instruments, such as needle holders and forceps, to the strand except when grasping the free end of the suture during an instrument tie.
  • Conjunctiva and vaginal mucosal sutures remaining in place for extended periods may be associated with localized irritation and should be removed as indicated.
  • Sub-cuticular sutures should be placed as deeply as possible in order to minimize the erythema and induration normally associated with absorption.
  • Acceptable surgical practice should be followed with respect to drainage and closure of infected wounds.
Complete Range

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