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
The Problem
Sutures can cut through otherwise intact tissue due to the presence of a sharp leading edge - described as "suture pull-through" or "cheese-wiring" - leading to repair failure.
Meshes better distribute forces to limit tissue tearing, but they introduce their own complications, such as chronic pain, adhesions, fistulas, migration, and infection.
A device is needed that both distributes forces without introducing mesh-related complications.
Sutures Can Cut Intact Tissue
Sutures under tension can cut through the very tissues they approximate leading to dehiscence and hernia formation, two serious and life-threatening surgical complications encountered in deep tissue closure.
Close with Confidence
Duramesh™ is the first and only closure device that facilitates tissue approximation and incorporation to help surgeons close with confidence.
Duramesh™ applies the simple concepts of force distribution and tissue incorporation to address the problem of suture pull-through.
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. It is the world's only device that both approximates tissue and permits ingrowth for a stronger, earlier repair.3
Strong from the Start
Minimize suture pull-through from the start by distributing tension along the incision line.2
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 Unlike standard sutures, Duramesh flattens to better distribute forces at the suture-tissue interface.2
Stronger over Time
Allow rapid tissue incorporation through the hollow wall and core to minimize migration for a durable repair.1,3
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.
Same Suturing Technique
Keep known surgical techniques with sizing equivalent to standard suture.
Handle like a suture with running or interrupted technique, and tie at least 4 alternating throws for knot security.
Laparotomy with
Duramesh™ Mesh Suture
A Stronger, Earlier Repair3
Repairs with Duramesh revealed less gap formation and more intact repairs in comparison to conventional sutures in an in-vivo rabbit tendon model. Duramesh repairs were twice as strong as standard suture at two weeks.
A Strong Early Repair3
Duramesh™ minimizes gap formation and allows for tissue ingrowth and implant incorporation.
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.
Sutures Can Cut Intact Tissue
Sutures under tension can cut through the very tissues they approximate leading to dehiscence and hernia formation, two serious and life-threatening surgical complications encountered in deep tissue closure.
The Problem
Sutures can cut through otherwise intact tissue due to the presence of a sharp leading edge - described as "suture pull-through" or "cheese-wiring" leading to repair failure.
Meshes better distribute forces to limit tissue tearing, but they introduce their own complications, such as chronic pain, adhesions, fistulas, migration, and infection.
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.
It is the world's only device that both approximates tissue and permits ingrowth for a stronger, earlier repair.3
Close with Confidence
Duramesh™ is the first and only closure device that facilitates tissue approximation and incorporation to help surgeons close with confidence.
Duramesh™ applies the simple concepts of force distribution and tissue incorporation to address the problem of suture pull-through.
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
Strong from the Start
Minimize suture pull-through from the start by distributing tension along the incision line.2
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.
Stronger Over Time
Allow rapid tissue incorporation through the hollow wall and core to minimize migration for a durable repair.1,3
Same Suturing Technique
Keep known surgical techniques with sizing equivalent to standard suture.
Handle like a suture with running or interrupted technique, and tie at least 4 alternating throws for knot security.
Laparotomy with
Duramesh™ Mesh Suture
A Strong Early Repair3
Duramesh™ minimizes gap formation and allows for tissue ingrowth and implant incorporation in tendon repair.
A Stronger, Earlier Repair3
Repairs with Duramesh revealed less gap formation and more intact repairs in comparison to conventional sutures in an in-vivo rabbit tendon model. Duramesh repairs were twice as strong as standard suture at two weeks.
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.