Titanised mesh implants for urogynaecology Transvaginal multi-arm meshes Incontinence tapes Instruments Laparoscopic meshes
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1 Quality and Experience Titanised mesh implants for urogynaecology Transvaginal multi-arm meshes Incontinence tapes Instruments Laparoscopic meshes 1
2 Titanised Mesh Implants for Urogynaecology Treatment of genital prolapse with TiLOOP multi-arm meshes Surgical treatment with mesh implants can be discussed if your patients have a severe or recurrent prolapse, high psychologigal strain or a high demand for anatomically stable repair. TiLOOP transvaginal meshes are particularly suitable for pelvic floor reconstruction. Improved quality of life 1,2 Anatomically excellent reconstruction 2 Low relapse rate 1 Possibility of total repair General Benefits Improved quality of life In one of the most comprehensive prospective studies in the area of pelvic floor reconstruction using transvaginal mesh implants (n = 292), a significant permanent improvement in the quality of life, particularly with regard to the much-discussed topic of sexuality, was demonstrated by the previous product. 1,2 More on the study: Reduced risk of inflammation Compared to simple polypropylene, the hydrophilic, titanised surface represents a lower risk of inflammation and therefore less scar formation. 4 By urogynaecologists, for urogynaecologists All TiLOOP mesh implants were developed together with urogynaecologists and are 100% Made in Germany. Safe and guideline-based As a 6-arm mesh, with additional apical fixation in the sacrospinal ligaments, the TiLOOP PRO PLUS A offers a safe, guideline-based descensus therapy. 3 Unique PLUS-System With the PLUS-System, which consists of a catheter and snares, the mesh arms can be positioned atraumatically and adjusted bi-directionally: the best prerequisites for tension and fold-free insertion of the mesh. TiLOOP Instruments PLUS Snare Catheter Animation PLUS-System 2
3 Titanised Mesh Implants for Urogynaecology General Details Macroporous: 1 or 3 mm pore size Light: 24 or 35 g/m² Monofilament fabric Atraumatic, laser-cut edges Non-resorbable Knowledge In addition to the skills of the surgeon, the quality of the mesh material determines the quality of a lasting and anatomically stable descensus repair. TiLOOP mesh implants are made of Type 1a polypropylene mesh (macroporous & monofilament) with a titanised, hydrophilic surface. Compared to simple polypropylene, this offers a number of advantages, which are already known in the use of titanised mesh implants for hernia surgery, such as: better cell growth 5 lower risk of inflammation 4 less scarring 6 less shrinkage of the mesh 4 Higher cell vitality through titanisation 100 Increased cell vitality of fibroblasts through polypropylene surface titanisation Cell vitality in % (Control = 100 %) Polypropylene Titanised polypropylene Lehle et al. FORBIOMAT II. 2002,
4 Transvaginal Multi-Arm Meshes TiLOOP PRO PLUS Anterior The TiLOOP PRO PLUS A Transvaginal Descensus Repair System is suitable for the anterior elevation of the pelvic floor (cystocele; vaginal prolaps). The PLUS-System and the hydrophilic, titanised surface of the mesh make it unique. 3 mm Pore Dimensions 91 mm 52 mm 81 mm Arcus tendineus 30 mm Arcus tendineus Technical Data Pore size: 3 mm Weight: 24 g/m² Needle to be ordered separately: TiLOOP Instruments PLUS (REF ) Ligamentum sacrospinale TiLOOP PRO PLUS Anterior Indication Content PU REF Cystocele 1 x 6-arm mesh, 6 x catheters, 6 x snares
5 Transvaginal Multi-Arm Meshes TiLOOP PRO PLUS Posterior The TiLOOP PRO PLUS P Transvaginal Descensus Repair System is suitable for the posterior elevation of the pelvic floor (rectocele or enterocele). The PLUS-System and the hydrophilic, titanised surface of the mesh make it unique. Dimensions 30 mm Ligamentum sacrospinalea Technical Data Pore size: 3 mm Weight: 24 g/m² Needle to be ordered separately: TiLOOP Instruments PLUS (REF ) 50 mm M. Puborectalis TiLOOP PRO PLUS Posterior Indication Content PU REF Enterocele, rectocele 1 x 4-arm mesh, 4 x catheters, 4 x snares
6 Transvaginal Multi-Arm Meshes TiLOOP PRO PLUS Total The TiLOOP PRO PLUS T Transvaginal Descensus Repair System is suitable for the total elevation of the pelvic floor in total pelvic organ prolapse. The PLUS-System and the hydrophilic, titanised surface of the mesh make it unique. 3 mm Pore Dimensions 71 mm 52 mm 181 mm Arcus tendineus 30 mm Arcus tendineus 20 mm Ligamentum sacrospinale Technical Data Pore size: 3 mm Weight: 24 g/m² Needle to be ordered separately: TiLOOP Instruments PLUS (REF ) M. Puborectalis TiLOOP PRO PLUS Total Indication Content PU REF Total prolapse 1 x 8-arm mesh, 8 x catheters, 8 x snares
7 Transvaginal Multi-Arm Meshes TiLOOP Total 6 The TiLOOP Total 6 transvaginal 6-arm mesh is suitable for both anterior (cystocele, vaginal prolaps) and posterior defects (enterocele, rectocele). The PLUS-System and the hydrophilic, titanised surface of the mesh make it unique. 1 mm Pore Dimensions 25 mm 20 mm TiLOOP 6, small Technical Data Pore size: 1 mm Weight: 35 g/m² Needle to be ordered separately: TiLOOP Instruments PLUS (REF ) 70 mm 52 mm 75 mm 100 mm TiLOOP Total 6, medium TiLOOP Total 6 Version Content PU REF TiLOOP Total 6 PLUS, small 1 x 6-arm mesh, 6 x catheters, 6 x snares TiLOOP Total 6 PLUS, medium 1 x 6-arm mesh, 6 x catheters, 6 x snares TiLOOP Total 6, small 1 x 6-arm mesh TiLOOP Total 6, medium 1 x 6-arm mesh
8 Transvaginal Multi-Arm Meshes TiLOOP Total 4 The TiLOOP Total 4 transvaginal 4-arm mesh is suitable for both anterior (cystocele, vaginal prolaps) and posterior defects (enterocele, rectocele). The PLUS-System and the hydrophilic, titanised surface of the mesh make it unique. 1 mm Pore Dimensions 100 mm 61 mm 52 mm Technical Data Pore size: 1 mm Weight: 35 g/m² Needle to be ordered separately: TiLOOP Instruments PLUS (REF ) 95 mm TiLOOP Total 4 Version Content PU REF TiLOOP Total 4 PLUS 1 x 4-arm mesh, 4 x catheters, 4 x snares TiLOOP Total 4 1 x 4-arm mesh
9 Incontinence Tapes Incontinence Tapes The titanised vaginal tape mesh implants TiLOOP Tape (high elasticity) and TiLOOP Ausf. Kompetenz (low elasticity) are used to treat female stress incontinence. They are placed suburethrally and free of tension. Any retropubic/retrosympheseal (TVT) and transobturator (TVT-O) technique can be applied. Benefits Based on the patient, you can choose from two degrees of elasticity: TiLOOP Tape has a higher elasticity and TiLOOP Ausf. Kompetenz has a lower elasticity. Technical Data Pore size: 1 mm Weight: 35 g/m² TiLOOP Incontinence Tapes Version Dimensions Elasticity PU REF TiLOOP Tape 1,5 cm x 50,0 cm high TiLOOP Ausf. Kompetenz 1,5 cm x 50,0 cm low
10 Instruments TiLOOP Instruments TiLOOP Instruments are used in the application of urogynaecological TiLOOP mesh implants for the restoration of urinary continence and defect-specific pelvic floor reconstruction. The instruments are environment friendly - they can be re-sterilised and are supplied non-sterile. TiLOOP Instruments PLUS The catheters of the TiLOOP PLUS Descensus Repair System are positioned within the appropriate structures of the pelvic floor with the aid of the TiLOOP Instruments PLUS. TiLOOP Retrosympheseal Needle Applicator With the aid of the TiLOOP Retrosympheseal Needle Applicator, the arms of the transvaginal multi-arm mesh can be pulled through the appropriate structures within the pelvic floor. TiLOOP Transobturatoric Applicator Set With the aid of the TiLOOP Transobturatoric Applicator Set, the arms of urogynaecological meshes can be pulled through the foramen obturatum. TiLOOP Transobturatoric Needle Applicator With the aid of the TiLOOP Transobturatoric Needle Applicator, the arms of urogynaecological meshes can be pulled through the foramen obturatum. TiLOOP Instruments Version PU REF TiLOOP Instruments PLUS TiLOOP Retrosympheseal Needle Applicator TiLOOP Transobturatoric Applicator Set TiLOOP Transobturatoric Needle Applicator
11 Laparoscopic Meshes Overview: pelvic floor reconstruction with laparoscopic TiLOOP meshes pfm medical offers a broad range of meshes for laparoscopic or open surgical techniques. Version Mesh blank Sacrocolpopexy Lateral suspension Mutiple application Dimensions (cm) Weight (g/m 2 ) PU REF TiLOOP EndoPLUS 20 x TiLOOP KES I 16 x TiLOOP KES II 16 x TiLOOP Hatzinger 21 x TiLOOP Honneck 21 x TiLOOP EndoREX 20 x TiLOOP Clip 10 x x TiLOOP Dubuisson 41,5 x TiLOOP EndoLAS 41,5 x TiLOOP EndoLIFT 49,5 x 1,8/0, TiLOOP Fix 41,5 x 1, ,5 x 1, TiLOOP EndoPRO 20,5 x x TiLOOP Mesh 10 x x x
12 Titanised Mesh Implants for Urogynaecology Video Workshops Literature 1. C. Fünfgeld et al. Zystozelenkorrektur mit alloplastischen Netzen. Frauenarzt, 56 (2015), Nr. 12, J. Farthmann et al. Improvement of pelvic floor-related quality of life and sexual function after vaginal mesh implantation for cystocele: primary endpoint of a prospective multicentre trial. Arch Gynecol Obstet Jul; 294(1): doi: /s Epub 2016 Jan DGGG-Leitlinie: Descensus genitalis der Frau. AWMF-Leitlinien-Register Nr. 015/ Scheidbach et al. In vivo studies comparing the biocompatibility of various polypropylene meshes and their handling properties during endoscopic total extraperitoneal (TEP) patchplasty. Surg Endosc (2004) 18: Lehle K., Lohn S. Verbesserung des Langzeitverhaltens von Implantaten und anderen Biomaterialien auf Kunststoffbasis durch plasmaaktivierte Gasphasenabscheidung (PACVD), Abschlussbericht Forschungsverbund Biomaterialien (FORBIO- MAT II), , Scheidbach et al. Influence of Titanium Coating on the Biocompatibility of a Heavyweight Polypropylene Mesh. Eur Surg Res 2004;36: Contact Should you have any questions our Customer Solutions Team is happy to advise you. service@pfmmedical.com +49 (0) (0) Distributor: pfm medical ag Wankelstraße Köln Germany Certified according to DIN EN ISO Manufacturer: pfm medical titanium gmbh Südwestpark Nürnberg Germany Your information source for the products of pfm medical ag PB4002EN/ (01) ( 10)
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