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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 18 Inch Suture 1-Needle 30 mm Length 3/8 Circle Precision Point - Reverse Cutting Needle - 673H</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 18 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - C012D</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 1 30 Inch Suture 1-Needle 36.4 mm Length 1/2 Circle Taper Point Needle - K845H</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 18 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - C026D</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 18 Inch Suture 1-Needle 26 mm Length 3/8 Circle Reverse Cutting Needle - 1588H</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 18 Inch Suture 1-Needle 26 mm Length 3/8 Circle Reverse Cutting Needle - 685G</image:caption>
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  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 18 Inch Suture 1-Needle 30 mm Length 3/8 Circle Reverse Cutting Needle - 677G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 18 Inch Suture 1-Needle 30 mm Length 3/8 Circle Reverse Cutting Needle - 677G</image:caption>
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  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 18 Inch Suture 1-Needle 36 mm Length 1/2 Circle Taper Point Needle - C022D</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 18 Inch Suture 1-Needle 36 mm Length 1/2 Circle Taper Point Needle - C022D</image:caption>
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  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 20 Inch Suture 1-Needle 22 mm Length 1/2 Circle Taper Point Needle - 413H</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 20 Inch Suture 1-Needle 22 mm Length 1/2 Circle Taper Point Needle - 413H</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 24 Inch Suture Double-Armed 26 mm Length 1/2 Circle Taper Point Needle - K533H</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 30 Inch Suture 1-Needle 17 mm Length 1/2 Circle Taper Point Needle - K873H</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 30 Inch Suture 1-Needle 30 mm Length 3/8 Circle Reverse Cutting Needle - 679H</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 30 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Cut Needle - K964H</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 30 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - K833H</image:caption>
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  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 30 Inch Suture 1-Needle 30 mm Length 3/8 Circle Precision Point - Reverse Cutting Needle - 486H</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 30 Inch Suture 1-Needle 30 mm Length 3/8 Circle Precision Point - Reverse Cutting Needle - 486H</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 30 Inch Suture 1-Needle 17 mm Length 3/8 Circle Taper Point Needle - K883H</image:caption>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 30 Inch Suture 1-Needle 60 mm Length Straight Conventional Cutting Needle - 623H</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 30 Inch Suture 1-Needle 60 mm Length Straight Conventional Cutting Needle - 623H</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 30 Inch Suture 1-Needle 36 mm Length 1/2 Circle Reverse Cutting Needle - 443H</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 - 0 30 Inch Suture 1-Needle 36 mm Length 3/8 Circle Reverse Cutting Needle - 1689H</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 30 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - C016D</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 2 30 Inch Suture 1-Needle 36.4 mm Length 1/2 Circle Taper Point Needle - K846H</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 18 Inch Suture 1-Needle 17 mm Length 1/2 Circle Taper Point Needle - C053D</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 18 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - C013D</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 18 Inch Suture 1-Needle 19 mm Length 3/8 Circle Precision Point - Reverse Cutting Needle - 1679H</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 18 Inch Suture 1-Needle 22 mm Length 1/2 Circle Reverse Cutting Needle - 632G</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 18 Inch Suture 1-Needle 22 mm Length 1/2 Circle Taper Point Needle - M3T</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 18 Inch Suture 1-Needle 22 mm Length 1/2 Circle Taper Point Needle - C003D</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 18 Inch Suture 1-Needle 24 mm Length 3/8 Circle Reverse Cutting Needle - 1684G</image:caption>
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  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 18 Inch Suture 1-Needle 24 mm Length 3/8 Circle Reverse Cutting Needle - 684G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 18 Inch Suture 1-Needle 24 mm Length 3/8 Circle Reverse Cutting Needle - 684G</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 18 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - C0135</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 18 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - M13T</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 24 Inch Suture Double-Armed 17 mm Length 1/2 Circle Taper Point Needle - K572H</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 30 Inch Suture 1-Needle 17 mm Length 3/8 Circle Taper Point Needle - K882H</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 30 Inch Suture 1-Needle 17 mm Length 1/2 Circle Taper Point Needle - K872H</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 30 Inch Suture 1-Needle 30 mm Length 3/8 Circle Reverse Cutting Needle - 675H</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 30 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - K832H</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 30 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - C017D</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 3 - 0 30 Inch Suture 1-Needle 60 mm Length Straight Conventional Cutting Needle - 622H</image:caption>
    </image:image>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 12 Inch Suture 1-Needle 12 mm Length 3/8 Circle Taper Point Needle - 7734G</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 12 Inch Suture Double-Armed 13 mm Length 3/8 Circle Reverse Cutting Needle - 735G</image:caption>
    </image:image>
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  <url>
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    <changefreq>daily</changefreq>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 13 mm Length 3/8 Circle Precision Point - Reverse Cutting Needle - 641G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 13 mm Length 3/8 Circle Precision Point - Reverse Cutting Needle - 641G</image:caption>
    </image:image>
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  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 13 mm Length 1/2 Circle Taper Point Needle - C084D</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 13 mm Length 1/2 Circle Taper Point Needle - C084D</image:caption>
    </image:image>
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  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 13 mm Length 1/2 Circle Taper Point Needle - N267H</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 13 mm Length 1/2 Circle Taper Point Needle - N267H</image:caption>
    </image:image>
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  <url>
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    <changefreq>daily</changefreq>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 13 mm Length 3/8 Circle Reverse Cutting Needle - 789G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 13 mm Length 3/8 Circle Reverse Cutting Needle - 789G</image:caption>
    </image:image>
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  <url>
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    <changefreq>daily</changefreq>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 17 mm Length 1/2 Circle Reverse Cutting Needle - 734G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 17 mm Length 1/2 Circle Reverse Cutting Needle - 734G</image:caption>
    </image:image>
  </url>
  <url>
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    <changefreq>daily</changefreq>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 17 mm Length 1/2 Circle Taper Point Needle - C054D</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://serfinitymedical.com/products/kcm23-perma-hand-suture-with-needle-nonabsorbable-coated-black-suture-braided-silk-size-4-0-18-inch-suture-1-needle-16-mm-length-12-circle-reverse-cutting-needle-1687g-3022</loc>
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    <changefreq>daily</changefreq>
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      <image:loc>https://cdn.shopify.com/s/files/1/0246/1030/8171/products/3022_205c793d-6771-402f-bd31-24cee7ef688b.jpg?v=1673447503</image:loc>
      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 16 mm Length 1/2 Circle Reverse Cutting Needle - 1687G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 16 mm Length 1/2 Circle Reverse Cutting Needle - 1687G</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://serfinitymedical.com/products/kcm23-perma-hand-suture-with-needle-nonabsorbable-coated-black-suture-braided-silk-size-4-0-18-inch-suture-1-needle-19-mm-length-38-circle-precision-point-reverse-cutting-needle-1677g-3015</loc>
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    <changefreq>daily</changefreq>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 19 mm Length 3/8 Circle Precision Point - Reverse Cutting Needle - 1677G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 19 mm Length 3/8 Circle Precision Point - Reverse Cutting Needle - 1677G</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://serfinitymedical.com/products/kcm23-perma-hand-suture-with-needle-nonabsorbable-coated-black-suture-braided-silk-size-4-0-18-inch-suture-1-needle-17-mm-length-38-circle-taper-point-cutting-needle-k945g-224276</loc>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 17 mm Length 3/8 Circle Taper Point Cutting Needle - K945G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 17 mm Length 3/8 Circle Taper Point Cutting Needle - K945G</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://serfinitymedical.com/products/kcm23-perma-hand-suture-with-needle-nonabsorbable-coated-black-suture-braided-silk-size-4-0-18-inch-suture-1-needle-19-mm-length-38-circle-precision-cosmetic-conventional-cutting-prime-needle-1984g-152462</loc>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 19 mm Length 3/8 Circle Precision Cosmetic - Conventional Cutting PRIME Needle - 1984G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 19 mm Length 3/8 Circle Precision Cosmetic - Conventional Cutting PRIME Needle - 1984G</image:caption>
    </image:image>
  </url>
  <url>
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    <changefreq>daily</changefreq>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 19 mm Length 3/8 Circle Reverse Cutting Needle - 683G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 19 mm Length 3/8 Circle Reverse Cutting Needle - 683G</image:caption>
    </image:image>
  </url>
  <url>
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    <changefreq>daily</changefreq>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 24 mm Length 3/8 Circle Reverse Cutting Needle - 629G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 24 mm Length 3/8 Circle Reverse Cutting Needle - 629G</image:caption>
    </image:image>
  </url>
  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 22 mm Length 1/2 Circle Taper Point Needle - C004D</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 22 mm Length 1/2 Circle Taper Point Needle - C004D</image:caption>
    </image:image>
  </url>
  <url>
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    <lastmod>2026-07-21T10:55:26-07:00</lastmod>
    <changefreq>daily</changefreq>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - C014D</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - C014D</image:caption>
    </image:image>
  </url>
  <url>
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    <changefreq>daily</changefreq>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - C0145</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - C0145</image:caption>
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  </url>
  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture Double-Armed 12 mm Length 3/8 Circle Taper Point Needle - 709H</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture Double-Armed 12 mm Length 3/8 Circle Taper Point Needle - 709H</image:caption>
    </image:image>
  </url>
  <url>
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    <changefreq>daily</changefreq>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture Double-Armed 13 mm Length 3/8 Circle Reverse Cutting Needle - 783G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 18 Inch Suture Double-Armed 13 mm Length 3/8 Circle Reverse Cutting Needle - 783G</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 24 Inch Suture Double-Armed 17 mm Length 1/2 Circle Taper Point Needle - K571H</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 30 Inch Suture 1-Needle 17 mm Length 1/2 Circle Taper Point Cutting Needle - K952H</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 30 Inch Suture 1-Needle 12 mm Length 3/8 Circle Taper Point Needle - K891H</image:caption>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 18 Inch Suture 1-Needle 16 mm Length 3/8 Circle Precision Cosmetic - Conventional Cutting PRIME Needle - 1925G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 18 Inch Suture 1-Needle 16 mm Length 3/8 Circle Precision Cosmetic - Conventional Cutting PRIME Needle - 1925G</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 30 Inch Suture 1-Needle 17 mm Length 3/8 Circle Taper Point Needle - K881H</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 30 Inch Suture 1-Needle 17 mm Length 1/2 Circle Taper Point Needle - K871H</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 30 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - C018D</image:caption>
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  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 30 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - K831H</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 30 Inch Suture 1-Needle 26 mm Length 1/2 Circle Taper Point Needle - K831H</image:caption>
    </image:image>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 4 - 0 30 Inch Suture 1-Needle 60 mm Length Straight Conventional Cutting Needle - 621H</image:caption>
    </image:image>
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  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 18 Inch Suture 1-Needle 13 mm Length 1/2 Circle Taper Point Needle - N266H</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 18 Inch Suture 1-Needle 13 mm Length 1/2 Circle Taper Point Needle - N266H</image:caption>
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  <url>
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      <image:loc>https://cdn.shopify.com/s/files/1/0246/1030/8171/products/476632_ppkgleft.jpg?v=1673447511</image:loc>
      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 18 Inch Suture 1-Needle 13 mm Length 3/8 Circle Precision Point - Reverse Cutting Needle - 640G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 18 Inch Suture 1-Needle 13 mm Length 3/8 Circle Precision Point - Reverse Cutting Needle - 640G</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 18 Inch Suture 1-Needle 16 mm Length 3/8 Circle Reverse Cutting Needle - 1678H</image:caption>
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  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 18 Inch Suture 1-Needle 19 mm Length 3/8 Circle Reverse Cutting Needle - 682G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 18 Inch Suture 1-Needle 19 mm Length 3/8 Circle Reverse Cutting Needle - 682G</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 18 Inch Suture 1-Needle 8 mm Length 1/2 Circle Taper Point Needle - N271H</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 24 Inch Suture Double-Armed 17 mm Length 1/2 Circle Taper Point Needle - K570H</image:caption>
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  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 24 Inch Suture Double-Armed 17 mm Length 3/8 Circle Taper Point Needle - K580H</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 24 Inch Suture Double-Armed 17 mm Length 3/8 Circle Taper Point Needle - K580H</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 30 Inch Suture 1-Needle 12 mm Length 3/8 Circle Taper Point Needle - K890H</image:caption>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 30 Inch Suture 1-Needle 17 mm Length 1/2 Circle Taper Point Needle - K870H</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 30 Inch Suture 1-Needle 17 mm Length 1/2 Circle Taper Point Needle - K870H</image:caption>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 18 Inch Suture 1-Needle 19 mm Length 3/8 Circle Precision Point - Reverse Cutting Needle - 1676G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 5 - 0 18 Inch Suture 1-Needle 19 mm Length 3/8 Circle Precision Point - Reverse Cutting Needle - 1676G</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 12 Inch Suture 1-Needle 13 mm Length 3/8 Circle Taper Cut Needle - 7729G</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture 1-Needle 10.5 mm Length 3/8 Circle Reverse Cutting Needle - 786G</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture 1-Needle 12 mm Length 3/8 Circle Taper Point Needle - 707G</image:caption>
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  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture 1-Needle 13 mm Length 3/8 Circle Reverse Cutting Needle - 1639G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture 1-Needle 13 mm Length 3/8 Circle Reverse Cutting Needle - 1639G</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture 1-Needle 16 mm Length 3/8 Circle Reverse Cutting Needle - 1675H</image:caption>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture 1-Needle 9.3 mm Length 3/8 Circle Taper Point Needle - K802H</image:caption>
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  <url>
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    <changefreq>daily</changefreq>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture Double-Armed 10.5 mm Length 3/8 Circle Reverse Cutting Needle - 780G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture Double-Armed 10.5 mm Length 3/8 Circle Reverse Cutting Needle - 780G</image:caption>
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  <url>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture Double-Armed 13 mm Length 3/8 Circle Reverse Cutting Needle - 714G</image:caption>
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  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture Double-Armed 6.5 mm Length 3/8 Circle Micropoint - Spatula Needle - 1732G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture Double-Armed 6.5 mm Length 3/8 Circle Micropoint - Spatula Needle - 1732G</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture Double-Armed 8 mm Length 1/2 Circle Reverse Cutting Needle - 765G</image:caption>
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  <url>
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      <image:loc>https://cdn.shopify.com/s/files/1/0246/1030/8171/products/3063_ppkgleft.jpg?v=1673447519</image:loc>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture Double-Armed 8 mm Length 1/4 Circle Spatula Needle - 1780G</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture Double-Armed 8 mm Length 3/8 Circle Reverse Cutting Needle - 769G</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 18 Inch Suture Double-Armed 9.3 mm Length 3/8 Circle Taper Point Needle - K801H</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 6 - 0 30 Inch Suture 1-Needle 12 mm Length 3/8 Circle Taper Point Needle - K889H</image:caption>
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  <url>
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      <image:title>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 7 - 0 18 Inch Suture Double-Armed 6.5 mm Length 3/8 Circle Micropoint - Spatula Needle - 7733G</image:title>
      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 7 - 0 18 Inch Suture Double-Armed 6.5 mm Length 3/8 Circle Micropoint - Spatula Needle - 7733G</image:caption>
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  <url>
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      <image:caption>Perma-Hand - Suture with Needle Nonabsorbable Coated Black Suture Braided Silk Size 7 - 0 18 Inch Suture Double-Armed 8 mm Length 1/2 Circle Reverse Cutting Needle - 766G</image:caption>
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      <image:title>Permalux - Dinner Napkin Burgundy 100% Spun Polyester - X61-2020BU</image:title>
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