Technology
DURAMESH™ - The First and Only Mesh Suture
Suturable Mesh combines the desirable principles of a mesh repair with the placement precision of a suture
Technology
DURAMESH™ - The World's First and Only Mesh Suture
Suturable Mesh combines the desirable principles of a mesh repair with the placement precision of a suture
Overview
Each Duramesh™ device is comprised of 12 or 18 individual polypropylene sutures. The proprietary braiding pattern and composition give Duramesh™ its structure, strength, and elasticity.
The filaments of the outer shell are loosely braided to create a macroporous cylindrical mesh structure with USP-compliant suture tensile strength. This airy cylindrical shell establishes the structural foundation for the Duramesh™ hollow core.
The resulting structure is a hollow, cylindrical mesh scaffold that is strong, has a large surface area to diffuse tension at the suture-tissue interface, is elastic to absorb and counteract tension placed on tissues, and is airy to allow rapid and complete tissue integration throughout the implant. These innovative design features combined serve to reduce the incidence of suture pull-through and facilitate a strong, durable repair.
A Best of Both Worlds Solution - Suturable Mesh
Suturable Mesh combines the desirable principles of a mesh repair with the placement precision of a suture.
At implantation, the Duramesh™ technology solves a critical problem: suture pull-through caused by concentrated tension at two failure points - along the suture line and at the suture-tissue interface.
Inevitably, when newly sutured tissues are subjected to tension, Duramesh™ absorbs tension (due to its elasticity) and diffuses it (due to its greater surface area) to minimize suture pull-through.
It is the world's only device that both approximates tissue and permits ingrowth for a stronger, earlier repair.3
Tension Absorption and Distribution - elongation and flattening along the suture line
When subjected to tension at implantation, Duramesh™ elongates and flattens like a ribbon/mesh strip to absorb and distribute this tension along the suture line. Each passage of Duramesh™ along the suture line distributes tension among 12 to 18 filaments versus the one filament of a standard suture.4
Innovative Design to Distribute Forces
Duramesh's patented design has more surface area than standard sutures to distribute forces and reduce suture pull-through.1
Tension Diffusion - diffusing tension at the suture-tissue interface
Duramesh™ comes into contact with more tissue surface area than a standard suture. At the suture tissue interface, Duramesh’s greater surface area diffuses tension along a larger area of tissue. This diffusion reduces tension-induced tissue trauma and minimizes the potential for suture pull-through at a single concentrated pressure point as is known to occur with standard suture.
After implantation, the Duramesh™ technology continues to mitigate suture pull-through by allowing fibrovascular tissue to form around its filaments and in its hollow core integrating the Duramesh™ device into surrounding tissue to minimize suture pull-through.
Allows Tissue Incorporation2
Duramesh's filaments flatten parallel to the incision, and its open-walled, hollow core design allows tissue incorporation into the device during healing.
Suture Integration - providing a scaffold for fibrovascular tissue to form during healing
Duramesh™ is the first and only hollow macroporous suture and thereby allows rapid and complete fibrovascular integration of the suture into surrounding tissue. The zone of fibrovascular tissue formation is larger with Duramesh™ providing a stronger hold with Duramesh™ than with standard suture.1,3
References
1. Experimental Study of the Characteristics of a Novel Mesh Suture
G A Dumanian, A Tulaimat, Z P Dumanian, Experimental study of the characteristics of a novel mesh suture, British Journal of Surgery, Volume 102, Issue 10, September 2015, Pages 1285–1292, https://doi.org/10.1002/bjs.9853
2. Suturable Mesh Demonstrates Improved Outcomes over Standard Suture in Porcine Laparotomy Closure Model
Dumanian GA. Suturable Mesh Demonstrates Improved Outcomes over Standard Suture in a Porcine Laparotomy Closure Model. Plast Reconstr Surg Glob Open. 2021 Oct 15;9(10):e3879. doi: 10.1097/GOX.0000000000003879. PMID: 34667699; PMCID: PMC8519206.
3. An In Vivo Comparison: Novel Mesh Suture Versus Traditional Suture-Based Repair in a Rabbit Tendon Model
Janes LE, Mioton LM, Fracol ME, Ko JH. An In Vivo Comparison: Novel Mesh Suture Versus Traditional Suture-Based Repair in a Rabbit Tendon Model. J Hand Surg Glob Online. 2021 Nov 19;4(1):32-39. doi: 10.1016/j.jhsg.2021.10.003. PMID: 35415598; PMCID: PMC8991626.
4. Internal Product Testing
Overview
Each Duramesh™ device is comprised of 12 or 18 individual polypropylene sutures. The proprietary braiding pattern and composition give Duramesh its structure, strength, and elasticity.
The filaments of the outer shell are loosely braided to create a macroporous cylindrical mesh structure with USP-compliant suture tensile strength. This airy cylindrical shell establishes the structural foundation for the Duramesh™ hollow core.
The resulting structure is a hollow, cylindrical mesh scaffold that is strong, has a large surface area to diffuse tension at the suture-tissue interface, is elastic to absorb and counteract tension placed on tissues, and is airy to allow rapid and complete tissue integration throughout the implant. These innovative design features combined serve to reduce the incidence of suture pull-through and facilitate a strong, durable repair.
At implantation, the Duramesh™ technology solves a critical problem: suture pull-through caused by concentrated tension at two failure points - along the suture line and at the suture-tissue interface.
Inevitably, when newly sutured tissues are subjected to tension, Duramesh absorbs tension (due to its elasticity) and diffuses it (due to its greater surface area) to minimize suture pull-through.
At implantation, the Duramesh™ technology solves a critical problem: suture pull-through cased by concentrated tension at two failure points - along the suture line and at the suture-tissue interface. Inevitable, when newly sutured tissues are subjected to tension, Duramesh absorbs tension (due to its elasticity and diffuses it (due to its greater surface area) to minimize suture pull-through.
Tension Absorption and Distribution - elongation and flattening along the suture line
When subjected to tension at implantation, Duramesh elongates and flattens like a ribbon/mesh strip to absorb and distribute this tension along the suture line. Each passage of Duramesh along the suture line distributes tension among 12 to 18 filaments versus the one filament of a standard suture.4
Tension Diffusion - diffusing tension at the suture-tissue interface
Duramesh comes into contact with more tissue surface area than a standard suture. At the suture tissue interface, Duramesh’s greater surface area diffuses tension along a larger area of tissue. This diffusion reduces tension-induced tissue trauma and minimizes the potential for suture pull-through at a single concentrated pressure point as is known to occur with standard suture.2
After implantation, the Duramesh technology continues to mitigate suture pull-through by allowing fibrovascular tissue to form around its filaments and in its hollow core integrating the Duramesh device into surrounding tissue to minimize suture pull-through.2
Tension Diffusion - diffusing tension at the suture-tissue interface
Duramesh comes into contact with more tissue surface area than a standard suture. At the suture tissue interface, Duramesh’s greater surface area diffuses tension along a larger area of tissue. This diffusion reduces tension-induced tissue trauma and minimizes the potential for suture pull-through at a single concentrated pressure point as is known to occur with standard suture.
After implantation, the Duramesh technology continues to mitigate suture pull-through by allowing fibrovascular tissue to form around its filaments and in its hollow core integrating the Duramesh device into surrounding tissue to minimize suture pull-through.
Suture Integration - providing a scaffold for fibrovascular tissue to form during healing
Duramesh is the first and only hollow macroporous suture and thereby allows rapid and complete fibrovascular integration of the suture into surrounding tissue. The zone of fibrovascular tissue formation is larger with Duramesh providing a stronger hold with Duramesh than with standard suture.1,3
Suture Integration - providing a scaffold for fibrovascular tissue to form during healing
Duramesh is the first and only hollow macroporous suture and thereby allows rapid and complete fibrovascular integration of the suture into surrounding tissue. The zone of fibrovascular tissue formation is larger with Duramesh providing a stronger hold with Duramesh than with standard suture.1,3
References
1. Experimental Study of the Characteristics of a Novel Mesh Suture
G A Dumanian, A Tulaimat, Z P Dumanian, Experimental study of the characteristics of a novel mesh suture, British Journal of Surgery, Volume 102, Issue 10, September 2015, Pages 1285–1292, https://doi.org/10.1002/bjs.9853
2. Suturable Mesh Demonstrates Improved Outcomes over Standard Suture in Porcine Laparotomy Closure Model
Dumanian GA. Suturable Mesh Demonstrates Improved Outcomes over Standard Suture in a Porcine Laparotomy Closure Model. Plast Reconstr Surg Glob Open. 2021 Oct 15;9(10):e3879. doi: 10.1097/GOX.0000000000003879. PMID: 34667699; PMCID: PMC8519206.
3. An In Vivo Comparison: Novel Mesh Suture Versus Traditional Suture-Based Repair in a Rabbit Tendon Model
Janes LE, Mioton LM, Fracol ME, Ko JH. An In Vivo Comparison: Novel Mesh Suture Versus Traditional Suture-Based Repair in a Rabbit Tendon Model. J Hand Surg Glob Online. 2021 Nov 19;4(1):32-39. doi: 10.1016/j.jhsg.2021.10.003. PMID: 35415598; PMCID: PMC8991626.