Female urinary incontinence and pelvic floor descent
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illinOlUICiCh® Tailored Solutions iiylldlflCOll for Pelvic Floor Surgery Expert Technologies in PVDF Pelvic Floor

Tailored Solutions for Pelvic Floor Surgery Legal information © FEG Textiltechnik mbH Aachen, Germany Design: high standArt, Osnabrück - hsam.de Photography: Schubert Fotografie, Ladbergen Computer images: Jean Philipp Ihle, Leipzig Text: FEG + Peter Karl Müller, Münster Translation: mpü medpharm medtec biotec translations, Ulm Printed by: Druckerei Meyer, Osnabrück Date of publication: 01/07/2014

Expert Technologies in PVDF It all begins with a thread In the beginning, there was not just any thread but a filament made of PVDF*: tear-resistant, biocompatible and smooth. PVDF “naturally” supplies many of the properties characteristic of an ideal implant. However, the thread first has to be warp-knitted into a textile structure. Not just anyhow but tailor-made for the relevant indication. The right stitch makes the difference. Only through the right stitch can we achieve the “inner values” required, such as stability, elasticity and porosity. So the end result is not a “one fits all”...

It all begins with a thread 3 Our company: "Made in Germany" high-tech products 7 Our development: a specific solution for every indication 9 DynaMesh® products: Superior Textile Engineering 13 DynaMesh0 visible: a better internal view without risk 17 Implants for female urinary incontinence and pelvic floor descent DynaMesh ®-SIS soft 20 DynaMesh ®-SIS direct soft DynaMesh®-PRR soft DynaMesh ®-PRS soft 25 Standardised surgical method: "The CESA/VASA system" 27 Ligament augmentation with a system 32 Indication spectrum for the CESA/VASA system 34

What matters to you as a doctor Textile implants that deliver optimal and efficient patient care. Easy, rapid and uncomplicated handling during surgery. Surgical results that give doctor and patient lasting satisfaction. What matters to your patients Textile implants which are hardly perceptible, which provide freedom of movement without discomfort or restrictions and whose long-term functioning can be monitored postoperatively, thanks to visible technology, without further surgical procedures. Long-term solutions which mean they can live free of pain and discomfort. What matters to us as...

Tailored Solutions for Pelvic Floor Surgery Everything under one label We, FEG Textiltechnik mbH, have our company head office in the city of Aachen (North Rhine-Westphalia, Germany). We are the leading developer of textile implants, which we manufacture exclusively in Germany. They are distributed worldwide under the brand name DynaMesh® . Everything from a single source Whether it’s a matter of product development, manufacture, quality control, dispatch or advice, we undertake all production steps ourselves from spinning the filament (yarn) to final packaging. In this way, we achieve...

Our company “Made in Germany“ high-tech products Our range includes customised textile implants for urogynaecology. As part of this, we offer special textile implant structures for the surgical treatment of urinary incontinence and pelvic floor descent. Together with experienced surgeons, we organise seminars and workshops. You can find the latest information about workshops at: http://dyna-mesh.com/events/ Everything for the future Our high-performance Research and Development Department is working on the next generation of products today. In association with the world’s leading research...

Tailored Solutions for Pelvic Floor Surgery Restoring functionality Implants are designed to replace natural bodily functions that have been lost and in doing so to restore balance to destroyed physiology. Optimal patient safety Optimal patient comfort Porosity Understanding the problems To develop an optimal implant we need to ask ourselves a lot of questions. For example: In which part of the body will it be implanted? What functions does it have to fulfil? What static and dynamic stresses act on the implant? Relevant dynamometric measurements, discussions with surgeons and the expertise...

Our development A specific solution for every indication Finding individual solutions - avoiding the wrong path There is no such thing as a single textile structure for all indications – no “allrounder” for all cases (no “one fits all”). As every indication makes different demands of a textile implant, every indication needs its individual solution (a tailored approach). Adapting properties DynaMesh®products are not woven or conventionally knitted but warp-knitted*. This technology, unlike any other, makes it possible to make specific variations in the shape and structure of a textile...

Tailored Solutions for Pelvic Floor Surgery The filament (“yarn”) we spin from the high-tech polymer PVDF is the first guarantee of the high quality of DynaMesh®products: a filament with many positive “natural” properties. The textile structures warp-knitted from this are the second guarantee. Very high body compatibility PVDF filaments have excellent biocompatibility and reduce adverse foreign body reactions, such as scar contractions or pain. In addition, they are finer and smoother than conventional filaments. So PVDF is associated with substantially lower granuloma formation (scar...

DynaMesh® products Excellent properties High ageing resistance It is not just experience that shows that PVDF provides lasting success in many surgical disciplines. A long-term study over seven years has demonstrated that the condition of the PVDF surface remains unchanged. Thread and warp-knitted fabric remain stable and nothing becomes brittle [2]. A long-term trial (7 years): PVDF loses only 7.5% tensile strength PP loses 46.6% tensile strength Time of hydrolysis (years) 5. The residual tensile strength of PVDF and polypro- pylene sutures during the 7 years of exposure to hydrolytic With...