TiLENE. Plug Set Titanized Polymers. Surgical Technique

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1 Titanized Polymers Surgical Technique

2 The only Plug Implant with a Titanium Coating Excellent biocompatibility through a unique combination of a compound material with a covalent bonded titanium layer and a lightweight open porous mesh structure Fast and flexible placement due to innovative self-forming plug design Large-pore and light-weight mesh Optimized biocompatibility through unique titanized surface

3 Step One Grasp the inner leafs of the. Step Two Gently place the mesh into the center of the defect then pull back slightly seating the outer mesh against the posterior wall of the defect. The TiLENE surgical techniques are utilized by Dr. German Berbel D.O. Biomet as the manufacturer of this device, does not practice medicine and does not recommend this device or technique. Each surgeon is responsible for determining the appropriate device and technique to utilize on each individual patient. The described techniques are for indirect inguinal hernia repair. The techniques presented herein are for informational purposes only and the decision of which technique to use in a particular surgical application should be made by the surgeon based on the individual facts and circumstances of the patient and previous surgical experience.

4 Step Three Allow the inner leafs to expand in the defect. Trim the inner leafs if less mesh is required. Step Four Suture the inner leafs into the defect sides. Step Five An onlay patch is used to reinforce the potentially weakened indirect space. Secure the tails of the patch loosely around the spermatic cord with 1 or 2 tacking sutures.

5 Another Technique Used: Step One Fold the mesh in half with the inner leafs inside then fold the mesh into a quarter shape. Step Two If needed place a suture through the side of the plug to hold the mesh in place. Insert the plug into the defect. The sides of the inner leafs can be sutured into the defect sides. An onlay patch is placed on the anterior surface of the posterior wall of the inguinal canal; the patch opening is placed around the spermatic cord.

6 Ordering Information Description Sizes (Ø) small 5cm c (Ø) medium 7cm (Ø) large 9cm Ø a TiLENE Onlay Patch TiLENE Onlay Patch TiLENE Onlay Patch (a) 4.5cm (b) 9cm (c) 1cm b light 5 g/m 2 strong 65 g/m 2 Description Sizes PU REF small: Ø 5 cm medium: Ø 7 cm large: Ø 9 cm TiLENE ; TiLENE Onlay Patch light small: Ø 5 cm TiLENE ; TiLENE Onlay Patch light medium: Ø 7 cm TiLENE ; TiLENE Onlay Patch light large: Ø 9 cm TiLENE ; TiLENE Onlay Patch strong small: Ø 5 cm TiLENE ; TiLENE Onlay Patch strong medium: Ø 7 cm TiLENE ; TiLENE Onlay Patch strong large: Ø 9 cm

7

8 Exclusive Distributor: Biomet Biologics Manufactured by: Certified by: ISO 1485 : 200 GfE Medizintechnik GmbH Hoefener Strasse Nuremberg, Germany Phone: +49 (0) Fax +49 (0) info@gfe-medical.com Consult product labels and inserts for any indications, contraindications, hazards, warnings, cautions and instructions for use. PFM Medical, Inc. does not recommend any specific surgical techniques for any of the applications that the may be used. The surgical technique should be made by the surgeon. Tilene is a trademark of GB Medizintechnik GmbH. All trademarks herein are the property of Biomet, Inc. or its subsidiaries unless otherwise indicated. This material is intended for the sole use and benefit of the Biomet Biologics sales force and physicians. It is not to be redistributed, duplicated or disclosed without the express written consent of Biomet. For product information, including surgical techniques, indications, contraindications, warnings, precautions and potential adverse effects, see the Biomet Biologics website at P.O. Box 587, Warsaw, IN x Biomet Orthopedics biomet.com Form No. BBI REV01510

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