In an industry that has been plagued by product recalls, the medical devices built at Ethicon San Lorenzo, a Johnson & Johnson company based in Puerto Rico, stand apart. In the plant's 24-year history, there has never been a product recall. And given the volume of producing 110 million units yearly of non-absorbable sutures with over 2,500 SKUs, that is no small feat. Additionally the plant manufactures topical skin adhesive Dermabond, polypropylene meshes (used for hernia reparation) and Surgicel (blood clot-inducing material). "Our quality record is due to the desire of all employees to get it right the first time," explains Adnyl Grovas, QA director. The plant's metrics bear this out. Since 2008 non-conformances have been reduced 50% while human error has decreased by 60%, contributing to an overall 98% rate of the products manufactured being correct the first time.