Suture with Needle Perma-Hand™ Nonabsorbable Coated Black Suture Braided Silk Size 2-0 18 Inch Suture 1-Needle 26 mm Length 3/8 Circle Reverse Cutting Needle. • Perma-Hand is a nonabsorbable sterile surgical suture composed of an organic protein • The sutures are processed to remove the natural waxes and gums • Coated with a special wax mixture • Processed for optimum handling and knot security without excess capillarity