Tissue Reinforcement Solutions

Tissue Reinforcement Solutions

Tissue Reinforcement Solutions Confidence in your hands One source for all your surgical mesh needs. One source for all your surgical mesh needs. Contact your local ETHICON Products representative for information on our physiologically-matched range of lightweight meshes and hernia devices or other Contact your local ETHICON Products representative for information Tissue Reinforcement Solutions. You can also visit our website at www.ethiconproducts.co.uk. on our physiologically-matched range of lightweight meshes and hernia devices or other Tissue Reinforcement Solutions. You can also visit our website at www.ethiconproducts.co.uk. 1

Tissue Reinforcement Solutions Confidence in your hands One source for all your surgical mesh needs PROLENE mesh Clinically-proven polypropylene mesh for the repair of abdominal wall fascial defects VYPRO mesh Pliable lightweight multifilament mesh for incisional hernia repair VYPRO II mesh Lightweight multifilament mesh for open & laparoscopic inguinal hernia repair ULTRAPRO mesh Lightweight monofilament mesh for abdominal wall reinforcement PROCEED Surgical Mesh Multi-layer tissue separating mesh for open & laparoscopic incisional hernia repair PROLENE 3D Patch One-piece low-profile hernia device for the repair of small abdominal wall hernias PROLENE Hernia System Unique 3-in-1 hernia device for the combined anterior & posterior repair of groin hernias VICRYL mesh Absorbable mesh for temporary wound or organ support MERSILENE mesh Pliable polyester mesh for the repair of abdominal wall fascial defects 2

PROLENE* Hernia System Polypropylene Mesh Unique 3-in-1 hernia device for the combined anterior & posterior repair of groin hernias Available in three sizes Product Code - PHSM Onlay Patch Connector Underlay Patch (Medium) Width 1.77 (4.5cm) 3.94 (10cm) 0.75 (1.91cm) Height 0.50 (1.27cm) 2.95 (7.5cm) Product Code - PHSL Onlay Patch Connector Underlay Patch (Large) Width 1.77 (4.5cm) 3.94 (10cm) 0.75 (1.91cm) Height 0.50 (1.27cm) 3.94 (10cm) Product Code - PHSE Onlay Patch Connector Underlay Patch (Extended) Width 2.16 (5.5cm) 4.92 (12.5cm) 0.75 (1.91cm) Height 0.50 (1.27cm) 3.94 (10cm) All three sizes are packed in flat, easy-to-store boxes with patient tracking labels. Innovative three-in-one design 1. Onlay Patch Provides a patch for the floor of the inguinal canal providing the security of conventional mesh repair techniques. 2. Connector Sits in internal ring or defect. Secures overlay patch to underlay for security. 3. Underlay Patch Should be deployed, pre-peritoneally, after insertion to provide a posterior repair. 3

PROLENE* 3D Patch Polypropylene Mesh One-piece low-profile hernia device for the repair of small abdominal wall hernias Available with either Medium or Large underlay Product Code - 3DPM (Medium) Only Patch Underlay not deployed Underlay deployed 12.5cm 5.5cm 3.5cm 1.9cm 3.5cm Product Code - 3DPL (Large) Only Patch Underlay not deployed Underlay deployed 12.5cm 5.5cm 4.8cm 2.3cm 5cm Pre-shaped overlay to accomodate cord-structures Product Code - P3DPM (Medium) Only Patch with pre-shaped overlay Underlay not deployed Underlay deployed 12cm 5.5cm 3.5cm 1.9cm 3.5cm Product Code - P3DPL (Large) Only Patch with pre-shaped overlay Underlay not deployed Underlay deployed 12cm 5.5cm 4.8cm 2.3cm 5cm All three sizes are packed in flat, easy-to-store boxes with patient tracking labels. 4

ULTRAPRO* mesh A partly absorbable lightweight monofilament mesh composed of approximately equal parts of: PROLENE* non-absorbable polypropylene MONOCRYL* absorbable poliglecaprone Mass of ULTRAPRO* (permanent polypropylene) is just 28g/m 2 compared to 80-85g/m 2 for PROLENE* mesh More than 60% less remaining foreign body meterial permanently implanted Area weight Thickness Pore size Pmax mmhg Tension % strength @ 16 N/cm PROLENE* 80-85g/m 2 0.6mm 1-2mm 1650 8% ULTRAPRO* 1 28g/m 2 0.5mm 3-4mm 525 17.5% Excellent handling characteristics MONOCRYL* poliglecaprone fibres used to stiffen the mesh structure for easier handling during the operation ULTRAPRO* mesh can be easily cut to shape Code UMS3 UMP3 UMN3 UMM3 UMT1 UML1 Dimensions 6cm x 11cm 10cm x 12cm 10cm x 15cm 15cm x 15cm 15cm x 30cm 30cm x 30cm 1. Polypropylene part remaining after absorption. 5

PROCEED* Surgical Mesh Multi-layer tissue separating mesh for open & laparoscopic incisional hernia repair Features a thin, bioresorbable fabric layer that effectively separates its strong, supportive mesh from underlying tissue and organs. A composite of proven products from ETHICON, PROCEED* Surgical Mesh addresses the issues of tissue attachment, infection, and sub-optimal handling that remain potential problems with currently available tissue separating meshes. Properties PROLENE* Soft Mesh - Designed for strength, durability, and adaptibility Oxidized regenerated cellulose (ORC) fabric - Minimizes tissue attachment Absorbable polydioxanone (PDS) - Bonds the ORC to the mesh PROCEED* Surgical Mesh Code PCDM1 PCDG1 PCDH1 PCDJ1 PCDT1 PCDW1 PCDL1 Dimensions 15cm x 15cm square 15cm x 20cm Oval 20cm x 25cm Oval 20cm x 30cm Rectangular 26cm x 34cm Oval 25cm x 35.5cm Rectangular 30.5cm x 30.5cm Square 6

VYPRO* II mesh Lightweight multifilament mesh for open & laparoscopic inguinal hernia repair VYPRO* II mesh is a partly absorbable lightweight multifilament mesh, composed of approximately equal parts of: PROLENE* non-absorbable polypropylene. VICRYL* absorbable polyglactin. For all tension-free inguinal hernia repair techniques. Easy to cut, manipulate and place. Multidirectional flexibility and permanent stability in one. More than 60% less foreign body material compared to PROLENE* mesh. Long-lasting mutual integration achieved with improved connective scar tissue formation compared to small pore meshes. Traditional polypropylene mesh. 90 days post-implantation. Fold development (in-vivo study) Lightweight VYPRO* II mesh. 90 days post-implantation. Fold-free incorporation (in-vivo study) Code PVM2S3 PVM2P3 PVM2N3 PVM2M3 Dimensions 6cm x 11cm 12cm x 10cm 15cm x 10cm 15cm x 15cm 7

VYPRO* mesh Pliable lightweight multifilament mesh for incisional hernia repair VYPRO mesh is placed preperitoneally as a sublay. Direct contact between the mesh and intraperitoneal structures must be avoided by using intact peritoneum. external oblique muscle internal oblique muscle transversus abdominis muscle rectus muscle fascia transversalis VYPRO* mesh peritoneum rectus muscle Code PVML1 PVMM1 PVMN1 Dimensions 30cm x 30cm 15cm x 15cm 10cm x 15cm VYPRO* mesh is available in several sizes. The size of the implant should allow for a 5cm overlap of the fascial defect on all sides. 8

ETHICON Tissue Reinforcement Products PROLENE Mesh Knitted Polypropylene Fibre Code Description PML1 30cm x 30cm 1 sheet per box PMM3 15cm x 15cm 3 sheets per box PMN3 15cm x 10cm 3 sheets per box PMR3 15cm x 7.5cm 3 sheets per box PMS3 6cm x 11cm 3 sheets per box VICRYL Mesh Synthetic Absorbable Undyed Knitted Mesh Code Description VM94 VM95 VM102 VM106 21.5cm x 26.5cm 26.5cm x 34cm Renal prosthesis 18cm x 10cm Splenic prosthesis 26cm x 30cm 1 sheet per box VM94 21.5cm x 26.5cm VM102 Renal prosthesis 18cm x 10cm VM106 Splenic prosthesis 26cm x 30cm MERSILENE Mesh Interlocked Polyester Fibre Code TS54S Description 30cm x 30cm 1 sheet per box 9

ETHICON Tissue Reinforcement Products PDS Plates PDS Plates (poly-p-dioxanone) Synthetic absorbable implant for orbital floor repair Code Description Description Presentation ZX3 ZX4 ZX5 ZX6 PDS Plate PDS Plate PDS Plate PDS Plate 0.25mm x 30mm x 0.25mm 40mm x 30mm x 40mm 0.5mm x 30mm x 40mm 0.5mm x 30mm x 40mm 0.25mm x 40mm x 0.25mm 50mm x 40mm x 50mm 0.5mm x 40mm x 0.50mm x 40mm x 50mm 3 packs per box 3 packs per box 3 packs per box 3 packs per box ZX7 ZX8 PDS Plate with perforations 0.15mm x 30mm x 0.15mm 40mm x 30mm x 40mm PDS Plate with perforations 0.15mm x 40mm x 0.15mm 50mm x 40mm x 50mm 3 packs per box 3 packs per box ZX3 0.25mm x 30mm x 40mm ZX4 0.5mm x 30mm x 40mm ZX5 0.25mm x 40mm x 50mm ZX6 0.5mm x 40mm x 50mm ZX7 0.15mm x 30mm x 40mm with perforations ZX8 0.15mm x 40mm x 50mm with perforations VICRYL MEMBRANE Absorbable Periodontal Membrane Absorbable VICRYL membranes for guided tissue regeneration. Code Description VPM2940 VPM2942 VPM2945 VPM2950 VPM2952 5mm Buccal/Lingual membrane with one VICRYL Ligature 8mm Buccal/Lingual membrane with one VICRYL Ligature 5mm Interproximal membrane with two VICRYL Ligatures 10mm x 20mm membrane 30mm x 35mm membrane VPM2940 VPM2942 VPM2945 VPM2950 VPM2952 10

Capitalised product names are trademarks of ETHICON. 21 08 2004