DynaMesh®-IPOM
DynaMesh®-IPOM and DynaMesh®-IPOM visible implants are intended for the surgical treatment of epigastric hernias, umbilical or incisional hernias, and the treatment of parastomal hernias following ostomy surgery, and permanently bridge and reinforce the soft tissue of the abdominal wall in the area of the abdominal wall defect.
DynaMesh®-IPOMProduct RangeUse and PropertiesVideosFurther Product Information
DynaMesh®-IPOM and DynaMesh®-IPOM visible implants are primarily made of polyvinylidene fluoride (PVDF).
The mesh implants are warp-knitted using coloured and uncoloured polyvinylidene fluoride (PVDF) monofilaments and uncoloured polypropylene (PP) monofilaments.
Positioning
DynaMesh®-IPOM and DynaMesh®-IPOM visible implants have a parietal side and a visceral side. The parietal side is identified by the green filament ends and consists of PVDF on the surface and a small proportion of PP, whereas the visceral side consists of PVDF on the surface.
The mesh implant must be placed in such a way that the green filament ends are always oriented towards the abdominal wall. At the same time, the mesh implant must be oriented so that the green filament ends are cranial or caudal.
Intraoperative view
Cutting/overlapping
When cutting, care must be taken to ensure that the parietal side of the device can still be identified without any doubt. With epigastric hernias, umbilical and parastomal hernias following ostomy surgery, it is crucial to overlap the hernia orifice, whereas with incisional hernias it is crucial to overlap the scar tissue.
For further information on cutting/overlapping, please refer to the instructions for use.
| DynaMesh®-IPOM |  |
d 12 cm round | IP070012F1/F3 |
| DynaMesh®-IPOM |  |
07 cm x 06 cm | IP070706F1/F5 |
| DynaMesh®-IPOM | |
10 cm x 15 cm | IP071015F1/F3 |
| DynaMesh®-IPOM | |
15 cm x 15 cm | IP071515F1/F3/F5 |
| DynaMesh®-IPOM | |
15 cm x 20 cm | IP071520F1/F3/F5 |
| DynaMesh®-IPOM | |
15 cm x 40 cm | IP071540F1 |
| DynaMesh®-IPOM | |
20 cm x 20 cm | IP072020F1 |
| DynaMesh®-IPOM | |
20 cm x 25 cm | IP072025F1 |
| DynaMesh®-IPOM | |
20 cm x 30 cm | IP072030F1/F3 |
| DynaMesh®-IPOM | |
28 cm x 37 cm | IP072837F1 |
| DynaMesh®-IPOM | |
30 cm x 30 cm | IP073030F1 |
| DynaMesh®-IPOM | |
30 cm x 45 cm | IP073045F1 |
| DynaMesh®-IPOM visible | |
d 12 cm round | IP080012F1/F3 |
| DynaMesh®-IPOM visible | |
07 cm x 06 cm | IP080706F5 |
| DynaMesh®-IPOM visible | |
10 cm x 15 cm | IP081015F1 |
| DynaMesh®-IPOM visible | |
15 cm x 15 cm | IP081515F1/F3 |
| DynaMesh®-IPOM visible | |
15 cm x 20 cm | IP081520F1/F3 |
| DynaMesh®-IPOM visible | |
20 cm x 20 cm | IP082020F1 |
| DynaMesh®-IPOM visible | |
20 cm x 25 cm | IP082025F1 |
| DynaMesh®-IPOM visible | |
20 cm x 30 cm | IP082030F1/F3 |
| DynaMesh®-IPOM visible | |
28 cm x 37 cm | IP082837F1 |
| DynaMesh®-IPOM visible | |
30 cm x 30 cm | IP083030F1 |
| DynaMesh®-IPOM visible | |
30 cm x 45 cm | IP083045F1 |
| FX = X unit(s)/box (e.g. F3 = 3 unit(s)/box) | |||
| size: laterolateral x craniocaudal |
| Product | DynaMesh®-IPOM (1) DynaMesh®-IPOM visible (2) |
| Surgical Treatment | Umbilical Hernias / Epigastric Hernias / Incisional Hernias / Parastomal Hernias |
| Surgical Approach | Minimally Invasive / Open |
| Mesh Position | Intraperitoneal* according to the intraperitoneal onlay mesh technique (IPOM). |
| Fixation | Suture / Tacks / No Fibrin Glue |
| Green Filament Ends |  |
| Visible Technology |  (1) /  (2) |
| Materials | – Polyvinylidene fluoride (PVDF) (CAS 24937-79-9) > 85% (w/w) (1) (2) – Polypropylene (PP) (CAS 9003-07-0) < 13% (w/w) (1) (2) – Phthalocyanine green (CAS 1328-53-6) < 1% (w/w) (1) (2) – Triiron tetraoxide (CAS 1317-61-9) < 1% (w/w) (2) |
| Polymers (Monofilament) | PVDF, PP |
| Biocompatibility |
[TR1] |
| Ageing Resistance |
[2A, 5VIT, 27A, 52VIT, 93A, 101] |
| Tear Propagation Resistance |
[TR62] |
| Effective Porosity |
High effective porosity reduces inflammation and the risk of excessive scar formation. [103P, TR64] |
| Klinge’s Mesh Classification | Class 1a [102P, TR64] |
| * In particular cases with an extraperitoneal mesh position in which there is a risk of contact between the mesh implant and the intestine, the device may also be placed extraperitoneally in onlay, sublay and/or preperitoneal mesh position. |
|
Applies to all product sizes |
|
Does not apply |
| [#] | Reference “#” (see “References”) |
| [TR#] | Internal test report (see “internal test report references”) |
| Limitations | “A” animal trial, “B” bench test, “VIT” in-vitro trial, “P” published results based on the analysis of human mesh explants, “PB” published results mainly based on bench tests |
DynaMesh®-IPOM and DynaMesh®-IPOM visible implants have a parietal side and a visceral side. The parietal side is identified by green filament ends and consists of PVDF on the surface and a small proportion of PP, whereas the visceral side consists of PVDF on the surface.
