Competitive Hernia Mesh

Question 1

What are the main competitive meshes for PCOx?

Answer 1

Bard Ventralight ST or Sepramesh IP,
Ethicon Physiomesh,
Atrium C-QUR

Question 2

What mesh competes with Symbotex?

Answer 2

Bard Composix L/P or E/X or Dulex,
Ethicon Proceed,
Atrium C-QUR Edge

Question 3

Name some competitive meshes indicated for laparoscopic ventral hernias.

Answer 3

Bard: Ventralight, Sepramesh, Composix, Dulex;
Ethicon: Physiomesh, Proceed;
Atrium C-QUR/Edge

Question 4

Name some of PCOOSX’ and SYMOS’ competitors for open ventral mesh.

Answer 4

Bard: Ventrio, Ventralight ST, Sepramesh IP, Composix L/P and E/X, Dulex.
Ethicon Physiomesh, Proceed.
Atrium: C-QUR TacShield/Edge

Question 5

What are Bard’s Onlay/Sublay/Underlay meshes?

Answer 5

Heavy: Marlex
Light: Bard Soft

Question 6

What are Ethicon’s Only/Sublay/Underlay meshes?

Answer 6

Heavy: Prolene
Light: Prolene Soft
Specialty Flat: Vicryl Mesh, Ultrapro flat sheet

Question 7

What are Atrium’s Onlay/Sublay/Underlay meshes?

Answer 7

Heavy: Prolite
Light: Prolite ULTRA

Question 8

What are PCOVP’s competitive umbilical meshes?

Answer 8

Bard: Ventralex/ST
Ethicon: PVP (Proceed Ventral Patch)
Atrium: C-QUR V-Patch

Question 9

Who is the mfr of 3DMax and what is it designed for?

Answer 9

Bard. It is 3D anatomically-shaped mesh for lap inguinal hernia. Bonus: Made of HW Polypropylene.

Question 10

What are Ethicon’s two lap inguinal hernia meshes?

Answer 10

Prolene flat sheet and

UltraPro flat sheet

Question 11

What are Atrium’s three meshes for lap inguinal hernia?

Answer 11

Prolite, C-QUR FX, Prolite ULTRA Flat Sheet

Question 12

What can you say about Perfix/Light Plug?

Answer 12

Bard’s plug & patch mesh. Comes in HW and LW PP options. Flower-shaped. Becomes a big ball of PP in the wound.

Question 13

What are Ethicon’s plug & patch options?

Answer 13

UHS UltraPro Hernia System,
PHS Prolene Hernia System,
UltraPro Plug

Question 14

What general categories of Lichtenstein meshes are available?

Answer 14

HW, LW, specialty flat, anatomical, self-fixating

Question 15

What competitive HW PP meshes are out there for Lichtenstein technique?

Answer 15

Marlex from Bard, Prolene from Ethicon, ProLite from Atrium

Question 16

What are Ethicon’s meshes for Lichtenstein?

Answer 16

Prolene, Prolene Soft, UltraPro Flat Sheet

Question 17

What pre-shaped mesh is available for surgeons for parastomal hernia (Covidien and competitive)?

Answer 17

Parietex Composite PCOPM (w/ or w/o stoma opening) from Covidien, and CK Parastomal Patch w/stomal opening from Bard

Question 18

What Covidien and competitor mesh compete for hiatal hernia?

Answer 18

Parietex Composite PCOH Horseshoe and Heart-shaped, and Bard’s CruraSoft anatomically-shaped

Question 19

What are Ethicon’s and Atrium’s parastomal and hiatal hernia meshes?

Answer 19

No pre-shaped mesh available…

Question 20

What is Ventralight ST’s design?

Answer 20

LW PP w/absorbable (PGA + CMC + HA)

Question 21

With Physiomesh recalled, what are my main two competitors for lap/open ventral hernia repair?

Answer 21

Atrium C-QUR and Bard Ventralight.

Question 22

What is the market presence of ePTFE as mesh material today?

Answer 22

Joel describes that it’s brilliant for adhesions, but allows so little in-growth that it is very rarely the choice for mesh. Polypropylene is effectively the default choice now.

Question 23

Who makes Proceed mesh and what is its design & application?

Answer 23

Ethicon makes Proceed for lap/open ventral hernia; it is LW PP w/absorbable PDS, ORC.

Question 24

What materials does Ethicon use for visceral barrier (absorbable)?

Answer 24

Monocryl, PDS, ORC

Question 25

What materials does Bard use for visceral barrier?

Answer 25

PGA, CMC, HA, PEG for absorbable;

ePTFE for permanent.

Question 26

What Gore product features on our competitor reference guide?

Answer 26

Gore Bio-Absorbable Plug (completely absorbable (PGA and TMC) pre-shaped plug) with HW PP patch.

Question 27

What is Atrium’s plug & patch product?

Answer 27

ProLoop, a LW PP plug and patch, as well as ProLite Self-Forming Mesh Plug (LW PP materials)