ULTRAPRO ADVANCED™ Macroporous Partially Absorbable Mesh
Built on the proven technology of ULTRAPRO™ Macroporous Partially Absorbable Mesh1, ULTRAPRO ADVANCED™ is designed to help optimize patient outcomes2,3and ease of use4,5 in inguinal and ventral hernia repair. Physiologically designed for comfortable healing6-8, it features a unique knitted mesh construction to promote good tissue ingrowth/integration.9A
About this device
ULTRAPRO ADVANCED™ Mesh is comprised of approximately equal parts of absorbable poliglecaprone 25 monofilament fiber and nonabsorbable polypropylene monofilament fiber. The polymer of the undyed and dyed polypropylene fiber is identical to the material used for dyed/undyed PROLENE™ Polypropylene Suture. The poliglecaprone 25 copolymer is identical to the material used in MONOCRYL™ Suture. After absorption of the poliglecaprone 25 component, only the polypropylene mesh remains. The remaining polypropylene mesh stretches to a greater degree perpendicular to the blue stripes.10
Specialties
Hernia
Procedures
Inguinal and ventral hernia repairs
Features & benefits
Exceptional handling
ULTRAPRO ADVANCED is designed with increased initial stiffness for easier handling.4B The mesh springs open when passed through a trocar in laparoscopic repairs for easier handling and placement.5
Strength & performance
Balanced strength for strong and lasting repair.4 ULTRAPRO ADVANCED™ Mesh has high suture pullout and tensile strength and withstands ~2x maximum intra-abdominal pressure.4,11C
Comfortable healing
In two studies from the International Hernia Mesh Registry (IHMR), patients receiving hernia repair with ULTRAPRO™ Mesh reported significant improvement in pain and movement limitations from baseline at one year postsurgery.2,3DE
Supporting documentation
Related products
PROCEED™ Surgical Mesh
Mesh optimized for strength and performance are critical for Intraperitoneal only mesh repair (IPOM) procedures. Trusted by surgeons for over a decade,A PROCEED™ Surgical Mesh is a macroporous, partially absorbable, tissue-separating mesh, combining large-pore mesh knitted with monofilament fibers and natural, absorbable tissue separating technology.1,2B
.png?width=3840&quality=90&format=webp)
SECURESTRAP™ Absorbable Strap Fixation Device
Tissue capture, penetration and holding strength at multiple deployment angles are important factors when selecting a fixation device for hernia repair. SECURESTRAP™ Absorbable Strap Fixation Device is a market leading fixation device1A designed for acute holding strength at various deployment angles.2,3
SECURESTRAP™ Open Absorbable Strap Fixation Device
SECURESTRAP™ Open Absorbable Strap Fixation Device is the first absorbable fixation device purposefully designed for the unique challenge of open ventral hernia repair.1 It features a low profile design to reduce exposure to viscera.2 Each strap, from the first to the last, deploys with a similar force — providing the reliability you need.3
References
A. Evidence shown in an animal model.
B. 34% stiffer in transverse direction and 144% stiffer in longitudinal direction.
C. “As received” mesh = mesh with the absorbable component.
D. Data from a prospective, longitudinal study of 470 patients receiving laparoscopic hernia repair with ULTRAPRO™ Flat Mesh from the IHMR (96.6% inguinal, 3.4% other).
E. Data from a prospective, longitudinal study of 151 patients receiving open hernia repair with ULTRAPRO™ Flat Mesh from the IHMR (53.0% ventral/incisional, 39.7% inguinal, 7.3% other).
- Orenstein SB, Saberski ER, Kreutzer DL, Novitsky YW. Comparative analysis of histopathologic effects of synthetic meshes based on material, weight, and pore size in mice. J Surg Res. 2012;176(2):423-429.
- Tollens T, Bringman S, Romanowski C, Jones P, McRoy L. Laparoscopic macroporous partially absorbable flat mesh—12 month outcomes from the IHMR. Poster presented at: 15th Annual Hernia Repair; March 13-16, 2013; Orlando, FL.
- Berrevoet F, Tollens T, Romanowski C, Jones P, McRoy L. Open macroporous partially absorbable flat mesh—12 month outcomes. Poster. presented at: 15th Annual Hernia Repair; March 13-16, 2013; Orlando, FL.
- Vailhe E. Report for 510k testing for ETHICON ULTRAPRO ADVANCED, Version 1 (AST-2014-0415, technical report). Ethicon, Inc.
- Deichmann T. Ethicon, Inc. Handling and design characteristics of flat mesh prototypes study report. 2013.
- Förstemann T, Trzewik J, Holste J, et al. Forces and deformations of the abdominal wall—a mechanical and geometrical approach to the linea alba. J Biomech. 2011;44(4):600-606.
- Junge K, Klinge U, Prescher A, Giboni P, Niewiera M, Schumpelick V. Elasticity of the anterior abdominal wall and impact for reparation of incisional hernias using mesh implants. Hernia. 2001;5(3):113-118.
- Ethicon, Inc. A. Vailhe E. Report for 510k testing for ETHICON ULTRAPRO ADVANCED, Version 1 (AST-2014-0415, technical report).
- Shnoda P. Ethicon, Inc. Final Report. PSE Accession No. 14-0094, Project No. 14795. February 26, 2015.
- ULTRAPRO ADVANCED™ Macroporous Partially Absorbable Mesh Instructions for Use. Ethicon, Inc.
- Cobb WS, Burns JM, Kercher KW, Matthews BD, Norton HJ, Heniford BT. Normal intraabdominal pressure in healthy adults. J Surg Res. 2005;129(2):231-235.
Clinical and technical support is available 24/7 at 1-877-ETHICON (384-4266)
The third-party trademarks used herein are trademarks of their respective owners.
For complete indications, warnings, precautions, and adverse reactions, please reference full package insert.
US_SRG_HERN_220819.1