Collagen Matrix for Hernia Repair for Hernia Repair Proven Strength Integration Lasting Repair Clinical Data Source & Processing Product Options

IMPORTANCE OF STRENGTH SurgiMend® is offered in thickness of 1mm, 2mm, 3mm and 4mm. Even at 1mm thickness, SurgiMend has been shown to have the strongest uniaxial tensile strength when compared to other major competitors.1 Uniaxial Tensile Stress (Mpa) Surgisis®, SurgiMend Stra ice™, XenMatrix™ AlloMax™ Biodesign® Firm X-Thick AlloDerm® Peri-Guard® CollaMend™ CollaMend Permacol™ FM An MD Anderson study comparing mechanical properties of ADMs derived from bovine and porcine dermis found 3mm and 4mm thick SurgiMend: Tear Resistance • To be as strong as the stainless steel suture2 ® Strattice™ •...

INTEGRATION & REVASCULARIZATION SurgiMend is rapidly revascularized to support tissue building and healing for prolonged reinforcement.5,6 11 ½ Months: Revascularized SurgiMend 11 ½ months after hernia repair in a patient undergoing a subsequent procedure unrelated to the original hernia repair. Photo Credit: Simone, M.V. New York: Columbia Presbyterian Hospital 6 Months: Revascularized SurgiMend 6 months after incisional hernia repair in a patient with Crohn’s disease during re-exploration for a second procedure unrelated to the original hernia repair. Photo Credit: Rivadeneira DE. Smithtown...

LONG LASTING HERNIA REPAIR8-10 A persistent, thick, well-vascularized connective tissue was imaged more than two years post-operatively in SurgiMend reinforced hernia repairs.11 Flank Hernia Ventral Hernia SurgiMend (appears white) All photos courtesy of Dr. Adelman BFC only reinforced Repair only control *BFC: Bovine Fetal Collagen • Demonstrated maintenance of hernia reinforcement strength in a small animal model through 1 year6 • Persistence of a host cell populated, well vascularized, connective tissue in a small animal model, consistent with clinical CT patient imaging6 Reprinted from Journal...

STRONG CLINICAL DATA Numerous retrospective clinical studies have reported on hernia repair outcomes with SurgiMend reinforcement. Low hernia recurrence was shown with the use of SurgiMend. A complex abdominal wall reconstruction study by MD Anderson found a 0% vs 10% intraoperative device failure rate when comparing SurgiMend acellular dermal matrix to a porcine acellular dermal matrix.8

PROPRIETARY SOURCE AND PROCESSING The only biologic mesh composed of fetal or neonatal bovine dermal collagen, SurgiMend consists of an array of distinct interwoven collagen fibers with ample porosity to allow for rapid cell repopulation and vascularization.1,5,6,15 • bundance of Type III Collagen (20-30%)16-20 A • ype III Collagen is the first type of collagen T synthesized during both embryonic development and wound healing16-20 Manufactured from fetal or neonatal bovine dermis using a patented processing method that: REMOVES cells, lipids, carbohydrates, and other constituents that can induce...

2.0 1.0 FLEXIBLE OPTIONS TO MEET PATIENTS NEEDS SurgiMend is offered in 1.0mm, 2.0mm, 3.0mm, and 4.0mm thicknesses, providing surgeons with the widest flexibility to choose the most appropriate device thickness, strength, and size for each procedure, technique, and patient. • ver 65 sizes and configurations O • Sizes up to 25cm x 40cm The biological make-up of bovine dermis, including its inherent collagen fiber architecture, make SurgiMend particularly strong.1,2,3,15 SurgiMend hydrates rapidly in room temperature saline. Trimming can be done in both its dry and hydrated state. Once fully hydrated,...

SurgiMend is an acellular dermal tissue matrix derived from bovine dermis. The device is supplied sterile in a variety of sizes to be trimmed by the surgeon to meet the individual patient’s needs. CAUTION: FEDERAL LAW (USA) RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN. Indications SurgiMend is intended for implantation to reinforce soft tissue where weakness exists and for the surgical repair of damaged or ruptured soft tissue membranes. SurgiMend is specifically indicated for: • Plastic and reconstructive surgery • Muscle flap reinforcement • ernia repair including abdominal,...