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Types of mesh and their manufacturers

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  • Types of mesh and their manufacturers

    I think that most people who have hernia repair do not realize the vast number of different types of mesh that are out there. Here is a Topic to try to show the number and variety, and the manufacturers, along with some of the industry consolidation that is happening. two of the big players in the field are now under new management, apparently. Bard Davol has been purchased by Becton Dickinson, and Covidien is now part of Medtronic.

    First a simple text list, with some comments. I'll add links about these companies in following posts.

    Medtronic - Recently purchased Covidien

    BD - Might stand for Bard Davol or Becton Dickinson. Bard Davol was purchased by Becton Dickinson

    Dynamesh Their mesh niche is a polyvinylideneflouride fiber mesh, PVDF. This is a fluoropolymer so should have the poorest tissue adhesion of three main types of thermplastic fiber. It's main quality is probably being different than the others. Market differentiation.

    Gore - Another fluorpolymer mesh. Polytetrafluorethylene. PTFE. An oddball product portfolio. their original products were of the same technology as their GoreTex fabric. They seem to be expanding in to PTFE fibers now.

    Ethicon - one of the originals in the field. They seem to be waffling between beong called Johnson & Johnson again or Ethcion. They are a subsidiary of Johnson & Johnson. One of the major drivers of mesh for hernia repair, with extensive influence in the conferences and the Guidelines development.

    Atrium - main claim to fame seems to be their Omega 3 oil coated hernia mesh. Apparently they have been purchased or their mesh division has, by Getringe. The Atrium products are not found on Getringe's main page but can be found using Google.

    Getinge - now handles Atrium products

    One brand, one source.
    Under the name Getinge we are now unifying our offering and combining all our brands.
    With brands like Maquet, Lancer, Atrium, Pulsion, Datascope, Getinge, Steritec, Stericool and Trans – just to name a few – the group has grown to become a global market leader in many healthcare and life science segments. We are now unifying our offering and combining all of our talent and resources under one brand.
    Last edited by Good intentions; 1 week ago.

  • #4
    Gore

    https://www.goremedical.com/products...ty%3AHernia&q=

    https://www.gore.com/

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    • #5
      Dynamesh

      https://en.dyna-mesh.com/groin-gb/

      https://en.dyna-mesh.com/catalogue-hernias-en/

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      • #6
        Here is one of the odder new products. Onflex, used in the Onstep procedure. Already replaced by "Modified Onflex".
        Apparently they didn't realize that the stiff ring around the device could poke people in sensitive areas. They somehow missed it in the extensive human-based product testing that must have been done before the product was released for usage in people..

        https://bdsurged.bd.com/videos/kugel...ng-onflex-mesh

        https://www.crbard.com/Davol/en-US/products/OnFlex-Mesh

        https://www.medline.com/product/Modi...D/Z05-PF165043
        Last edited by Good intentions; 1 week ago.

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        • #7
          Here is a scary looking device, from Getinge. A nasty looking plug. Imagine trying to peel all of those fibers back out of the tissue if there is a problem. Plugs are the only mesh device that the Guidelines recommend against. Since the Guidelines are all pro-mesh, that says something. This has to be the worst form of plug that could be imagined.

          http://www.atriummed.com/en/biosurge...66-PROLOOP.pdf

          This one is also fascinating because they don't even try very hard to explain its value. A single reference, about "Demonstrated stability".. From a 2011 paper. Amazing.

          * Mandai Y, Naito M, Hayashi T, Asano H, Ino H, Tsukuda K, Miyoshi S. Impact of endoscopic and histological evaluations of two different types of mesh plug for a groin hernia model. Surg Today. 2011 Nov;41(11):1512-8.

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          • #8
            Here's another Getinge product. Basically a copy of the 3D products but with a "light spray" of Omega 3 fatty acid.

            "Polypropylene mesh with a light spray coating of Omega 3 fatty acid (O3FA) on the monofilaments,"

            Atrium originally polymerized the fatty acid but must have eventually realized that polymerizing the fatty acid converts it to a non-FDA-approved material. Somehow the FDA missed that point when they approved the first product which is the subject of several lawsuits.

            So now, instead, they are spraying a polypropylene mesh product, meant to be placed outside of the digestive system, but inside the body, with a food supplement, the actual Omega 3 fatty acid, meant to be digested by acids and enzymes of the digestive system. Very simplistic idea but somehow it's out there, being implanted in to people.

            http://www.atriummed.com/EN/Biosurge...9-CentriFX.pdf

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            • #9
              Unapproved, try again

              Here's another Getinge product. Basically a copy of the 3D products but with a "light spray" of Omega 3 fatty acid.

              "Polypropylene mesh with a light spray coating of Omega 3 fatty acid (O3FA) on the monofilaments,"

              Atrium originally polymerized the fatty acid but must have eventually realized that polymerizing the fatty acid converts it to a non-FDA-approved material. Somehow the FDA missed that point when they approved the first product which is the subject of several lawsuits.

              So now, instead, they are spraying a polypropylene mesh product, meant to be placed outside of the digestive system, but inside the body, with a food supplement, the actual Omega 3 fatty acid, meant to be digested by acids and enzymes of the digestive system. Very simplistic idea but somehow it's out there, being implanted in to people.

              http://www.atriummed.com/EN/Biosurge...9-CentriFX.pdf

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              • #10
                Dr. Earl, of HerniaTalk, is,or was, promoting the Omega 3 coating. Sorry Dr. Earle. The research behind the product seems very sketchy. How do "issues encountered during hernia surgery" relate to long-term results of the mesh implantation. Where is the data? Your statement seems to be hanging, alone, in the middle of the promotional literature. No reference indicated. There are no supporting references for any of the statements in the sales brochure.

                http://www.surgilife.gr/atrium/Atriu...esh-family.pdf

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                • #11
                  My larger posts are all getting blocked. I'll try again later.

                  Comment


                  • #12
                    I always learn something when I read your comments.
                    Note the mesh companies are not required to inform the patient nor the doctor if a mesh has been recalled.
                    If you try to use the FDA website to find out if your mesh has been recalled, the mesh is usually listed by product number and lot number.
                    What is the chance that anyone remembers the lot number of their mesh? Zero.
                    Also, the companies are not required to pay for the removal of a recalled mesh.
                    Please be an informed patient before you allow someone to put mesh in your body.
                    Regards.
                    Bill Brown MD

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                    • #13
                      Here's another Getinge product, from their Atrium purchase. Basically a copy of the other makers 3D products but with a "light spray" of Omega 3 fatty acid.

                      "Polypropylene mesh with a light spray coating of Omega 3 fatty acid (O3FA) on the monofilaments,"

                      Atrium originally polymerized the fatty acid, solidified it on the plastic mesh, but must have eventually realized that polymerizing the fatty acid converts it to a non-FDA-approved material. Somehow the FDA missed that point when they approved the first product which is the subject of several lawsuits.

                      So now, instead, they are spraying a polypropylene mesh product, meant to be placed outside of the digestive system, but inside the body, with a food supplement, the actual Omega 3 fatty acid, meant to be digested by acids and enzymes of the digestive system. Very simplistic idea but somehow it's out there, being implanted in to people.

                      http://www.atriummed.com/EN/Biosurge...9-CentriFX.pdf

                      Comment


                      • #14
                        It’s the perfect crime. Mesh can’t be seen (for the most part) once implanted and the medical professions (but a few ) will deny any symptoms are related or caused by the mesh. And no registry to track any complaints or failures.
                        the perfect crime and cover up.

                        Comment


                        • #15
                          Good intentions thanks for all the informative posts. Very nicely done. You make this a better forum because of your participation.
                          #ItsNotJustAHernia
                          www.BeverlyHillsHerniaCenter.com

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