Why Mesh Matters Product Specifications As a leader in soft tissue repair, Covidien delivers the right balance of properties for the right procedures with the goal of improving patient outcomes. Our certified team of Soft Tissue Repair Specialists is committed to helping doctors advance innovation in hernia repair. Proven Reperitonealization Better Tissue Integration Minimized Tissue Attachment 2D zone 3D zone Pore size (mm): 1.9 x 1.7 1.8 x 1.5 Thickness (mm): 0.3 1.2 Surface density (g/m2): 32 78 Parietex™ Parastomal Mesh Balance of Properties Offers Improved Biocompatibility • Optimal Porosity: Monofilament composition offers superior porosity, reducing bridging fibrosis, which may support patient comfort. Parietex™ Parastomal Mesh Re-ordering Code Indication Size PCOPM15H35 Direct Ostomies 15 cm/35 mm Shape Monofilament polyester. Minimizes attachments. Procedural-specific design. Hydrophilic material absorbs • Monofilament Polyester: Hydrophilic material works with the body’s natural systems to improve tissue integration while reducing negative foreign material response. Hydrophobic material repels PCOPM15H50 Direct Ostomies 15 cm/50 mm PCOPM15 Indirect Ostomies 15 cm with central band PCOPM20 Indirect Ostomies 20 cm with central band • 3D/2D Monofilament Construction. IMPORTANT: Please refer to the package insert for complete instructions, contraindications, warnings and precautions. 3D fabric COVIDIEN, COVIDIEN with logo and TM marked brands are trademarks of Covidien AG and its affiliate. © 2008 Covidien AG or its affiliate. All rights reserved. 2D fabric STMK18BR08-00553 • Resorbable Collagen: Proprietary film on mesh limits attachments. For more information or to set up a product demonstration, contact your local Covidien Surgical Device Specialist or call Customer Service at 1-800-722-8772. 150 Glover Avenue Norwalk, CT 06856 1-800-722-8772 [t] 1-888-636-1002 [f] www.covidien.com Innovative Solutions for Parastomal Hernia Repair Parietex™ Parastomal Mesh is the only monofilament polyester mesh for parastomal hernia repair available. Designed for both direct and indirect techniques, Parietex™ Parastomal Mesh is designed with input from surgeons and with patient comfort in mind. Procedural-Specific Designs With Proven Pre-Clinical Advantages • Works with the body’s natural systems to improve tissue integration while reducing negative foreign material response. • Offers superior porosity, reducing bridging fibrosis, which may support patient comfort. Minimizes Attachments For Indirect Techniques • Dual-sided central band protects the viscera on one side and the bowel and newly formed ostomy on the other. • Lateral sides of the mesh are coated on one side to protect the viscera and to allow tissue ingrowth on the uncoated side. • Coated outside diameter protects against adhesion to the underlying viscera. 2D Monofilament Polyester • ParietexTM Parastomal Mesh fixed to porcine abdominal wall with absorbable tacks (AbsorbaTackTM 5mm Fixation Device). Monofilament Polyester • Fast, strong tissue integration of ParietexTM Parastomal Mesh, when combined with the AbsorbaTackTM fixation device, results in reduced foreign material for improved patient comfort. 3D Monofilament Polyester Operative Postoperative—1 Week • No adhesion to the dual-coated 2D portion that protects the viscera and the newly formed ostomy. • Integration starts on the uncoated parietal side of the mesh. • No adhesion after 1 week on the coated visceral side of the mesh. • There are no adhesions to the absorbable tacks (AbsorbaTackTM 5mm Fixation Device). 1 – Hydrophilic Absorbable Film: Studies report that the ideal adhesion prevention barrier is resorbable, not permanent.* New Mesothelium layer forms in 5 to 8 days* when the mesothelial cells are in contact with the film, they proliferate. Interperitoneal Cavity ADHESION-FREE 1 1 2 1 1 1 1 4 3 2 ADHESION-FREE POCKET 3 For Direct Techniques Abdominal Wall • Mesh is fully coated on one side to protect the viscera while the uncoated abdominal side promotes fast tissue ingrowth. • Coated inside diameter protects against adhesion to the newly formed ostomy while the coated outside diameter protects against adhesion to the underlying viscera. Procedural-Specific Design • Polyester material and knit design promote fast tissue ingrowth, flexibility and biocompatibility. • Designed for procedures where fast tissue ingrowth and protection against adhesion are needed for the specific anatomy. • Available in a full range for direct and indirect techniques. 3D mesh construction: 2 –Monofilament Polyester (PET) superficial thread 3 –Monofilament Polyester (PET) deep threads Active tissue ingrowth: 3D polyester mesh enhances ingrowth Postoperative—1 Month • The 2D band has little to no connective tissue ingrowth between the abdominal wall and the mesh. • The uncoated side of the 3D lateral wings are fully integrated into the abdominal wall. • No adhesion after 1 month on the coated visceral side of the mesh. • There are no adhesions to the absorbable tacks (AbsorbaTackTM 5mm Fixation Device). 2D mesh construction: 4 – Monofilament Polyester (PET) threads * Differentiated tissue ingrowth 1 – Continuous neo-peritoneum: Neo-peritoneum is highly vascularized, covered by mesothelium. Interperitoneal Cavity 1 3 ADHESION-FREE 2 2 1 ADHESION-FREE 3 3 1 2 4 4 1 Light connected tissue ingrowth Abdominal Wall 3D mesh construction: 2 – Monofilament Polyester mesh superficial threads 3 – Monofilament Polyester mesh deep threads 2D mesh construction: 4 – Monofilament Polyester mesh