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Mechanical Closure Devices and MHRS

MIRUS Hemorrhoids Stapler (2 rows & 3 Rows) ...07

MIRUS Ligation Clip | Titanium ...08

MIRUS Ligation Clip | Titanium - Appliers ...09

MIRUS Ligation Clip | Titanium - V-Shape Clips ...10

MONIK Trocar ...11

MONIK Long Trocar ...12

ELIRO Trocar ...13

ELIRO KIT ...14

MIRUS Skin Stapler ...15

MIRUS Linear Cutter ...16

MIRUS Circular Stapler (2 Rows & 3 Rows) ...17

MIRUS Linear Stapler (Without Dial) ...18

MIRUS Linear Stapler (With Dial) ...19

MIRUS Endoscopic Linear Cutter ...20

MIRUS Endo Cutter with Trio Reload ...21

MIRUS Powered Endo Cutter ...23

Mesic Ultrasonic Surgical System ...27

MHRS - Meril Hernia Repair Solution ...31


Wing Nut
Non-detachable Anvil Suture Conduits • For opening and closing the stapler

External Diameter Size


Safety Lock

Firing Handle

Housing Tissue Compression Indicator


• Bigger housing (14cc) accommodates • Shows level of compression which
maximum prolapsed piles mass and needs to be applied for proper B
delivers optimum resection shaped staple line formation
• The markings indicate the depth of • Range of compression (closed staple height)
insertion and help ensure that the staple offers varied range of tissue accommodation
line is formed above dentate line • Orange indicator in the green zone
suggests stapler is ready to be red

• Transparent Purse • Circular Anal Dilator • Obturator • Suture Threader • Filaprop for Purse String
String Suture Anoscope (CAD) Suturing (Polypropylene)
with the Markings

Product Specication Chart


Meril Code External No. of Staple Closed Staple
Diameter (mm) Rows Quantity Height (mm)

Two Rows
MPPH32 32 2 32 0.75 -1.6
MPPH34 34 2 32 0.75 - 1.6

Three Rows Revolutionary Approach


MPPH34R3 34 3 48 0.75 - 1.6
One of a kind 3 ROW Stapler
MPPH36R3 36 3 48 0.75 - 1.6
for MIPH and Stapled Transanal Rectal Resection (STARR)
Offers better security and superior hemostasis

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Meril Endo-Surgery Product Catalogue | 09
TM

Ligation Clip | Titanium


V-Shape Ligation Clip

VMLT-100 VMLT-200
80
VMLT-0 VMLT-
300
0
T-06
VML VM
LT-
400

VTOA-15/20/28

VTEA-00300/00400

Product Code Clip Size Clip/Cartridges Cartridges /Box Clips/Box


VMLT-060 Micro 6 20 120
VMLT-080 Small 6 20 120
VMLT-100 Small-Medium 6 20 120
VMLT-200 Medium 6 20 120
VMLT-300 Medium-Large 6 20 120
VMLT-400 Large 6 20 120

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Op cal Entry
(Available in 10,15mm)
Optical Entry:
Ÿ Enables visualization of tissue
layers during insertion Obturator Locking Mechanism
Ÿ Makes the first entry safe
Durable Primary Seal
BIRD WING TIP (BWT)
Bladeless Design: Internal Secondary Seal
Ÿ Low insertion force
Ÿ Separates rather than cuts along
tissue fibers, pushing
tissue and vessels away Smaller
wound defect
Ÿ Low port site herniation rate

Durable Primary Seal:


Ÿ Able to withstand pressure and
Thread Design for
Clear Cannula

long lasting performance


Ÿ Accommodates a wide range of Enhanced Stability
instrument sizes

Internal Secondary Seal:


Ÿ Facilitates small specimenretrieval,
Hernia mesh introduction and
Laparoscopic suturing

BWT Design

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Trocar size - 12mm

Optical entry Bird Wing Tip (BWT) Primary Seal Secondary Seal

• Optical Entry:
Op cal entry with
scope grip ¶ Enables visualization of tissue layers during
(Available in 12 mm) insertion
Obturator locking ¶ Makes the first entry safe
mechanism
• BIRD WING TIP (BWT)
Durable primary seal
Bladeless Design:
Internal secondary seal
¶ Low insertion force
¶ Separates rather than cuts, along tissue
fibers, pushing tissue and vessels away
¶ Smaller wound defect
¶ Low port site herniation rate

• Durable Primary Seal:


¶ Able to withstand pressure along with a long
150mm clear cannula

lasting performance
¶ Accommodates a wide range of instrument
Thread design for
enhanced stability
sizes

• Internal Secondary Seal:


¶ Facilitates small specimen retrieval, Hernia
mesh introduction and Laparoscopic suturing

• Reducer :
BWT Design ¶ Facilitates use of 5mm instrument during the
surgery

Code Product Description Type Sleeve


MNLS-12 Bladeless Trocar, 12mm diameter, 150mm Length Stability

Indications :
Monik Long Sleeve Trocars for BariatricSurgery and Robotic Surgery as Opticalport or Working Port.
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Tissue Separating Flap:
Ÿ Bladeless tip with tissue
separating flap Ergonomic Design
Ÿ Low Insertion force with simple
twisting motion
Ÿ Separates rather than cuts along
tissue fibers, pushing
tissue and vessels away Durable Primary Seal
Ÿ Contributes to faster tissue healing
Internal Secondary Seal
Ÿ Makes the first entry safe

Durable Primary Seal:


Ÿ Able to withstand pressure
andlong lasting performance
Ÿ Maintains insuffalation while
accomodating a wide range of
100mm Cannula

instrument sizes

Internal Secondary Seal: Thread Design for


Ÿ Facilitate small specimen retrieval, Enhanced Stability
Hernia mesh
introduction and Laparoscopic
suturing

Tissue Separa ng Flap

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Trocar-Kit sizes - 5mm, 10mm & 12mm

¶ Bladeless Trocars with Tissue Separating Flap


¶ One stop solution for all Laparoscopic cases
¶ Common Trocar set for Basic Cases – Lap Chole, Appendectomy, TLH, Hernia repair, etc.
¶ Less Inventory
¶ Self Sealing Trocars
¶ Disposable Solutions and Economical Solution

PACKING OBTURATOR

SLEEVES/CANNULA SLEEVES/CANNULA

Code Description Type


ELR0505 Two 05mm*100mm SLEEVE/CANNULA and one 05mm OBTURA
TOR 5MM TROCAR-KIT

ELR1010 Two 10mm*100mm SLEEVE/CANNULA and one 10mm OBTURA


TOR 10MM TROCAR-KIT

ELR1212 Two 12mm*100mm SLEEVE/CANNULA and one 12mm OBTURA


TOR 12MM TROCAR-KIT

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& MSSP35

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New knife with every reload

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II Rows for better and Stainless steel anvil shaft with Also available in
secure hemostasis longer purse tying area III Rows for superior hemostasis

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Disposable loading unit

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Tissue thickness present a unique challenge when stapling laproscopically. Endocutters are designed to
mitigate the forces placed on them during ring based on tissue thicknesses in order to provide consistent
staple formation and transect intended tissues. However, as tissue thickness varies across the body, we
need One solution across a broad range of tissue thicknesses and simplifying the cartridge selection
process with optimal compression has been a critical need for many surgeons.

Meril Endo-Surgery introduces Endoscopic LinearCutter with

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One Solution
Across a broad range of tissue thicknesses

Meril Endo-Surgery Product Catalogue | 21


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POWERED ENDOSCOPIC
LINEAR CUTTER AND RELOADS
Powered Stapling System comes with better Holding Capacit & Greater Flexibility

When Balance induces Victory , Flexibility needs to be a part of your Story


, a reliable partner compliments
you in the hours that you strived, Lets welcome Powered Stapling System
which is Amazingly Agile

60 0

PERFECT GRIP MAX R EACH EASE IN USE

A proud product of MERIL

MIRUS POWERED STAPLING SYSTEM FLEXIBLE AND AGILE

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Tissue Thickness presents a unique
challenge when stapling laparoscopically.
Powered Endocutters are designed to
mitigate the force placed on them during
firing based on the tissue thicknesses in
order to provide Optimal compression,
Consistent staple formation, Transect
intended tissues with Stability,Agility and Control.

Meril Endosurgery Introduces “MIRUS


Powered Endoscopic Linear cutter with
Reloads” with the great technical advantages
for critical needs of many surgeons.

Rotating Knob
Articulation Joint
Blade reverse
Articulation Knob switch
Cartridge Anvil release
button
Shaft

FiringTrigger
Battery
Close Handle

Non Slip Anvil Handle

Safety
Switch

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RELOADS COLOUR

Grey White Blue

Gold Green Black

TECHNICAL ADVANTAGES

THE DESIGN OF 60° DESIGNED SAFETY


ARTICULATION ANGLE STAPLE FORMATION PROTECTION
The design of 60° articulation The innovative 6 rows To prevent ring by mistake
angle, guarantees the operation stair - stepping, design staple
of the low and ultra low rectal formation offers a superior
cancer resection hemostatic effect

NON-SLIP BATTERY CARTRIDGE


TECHNOLOGY MOTIVATED REMOVER
Non-slip Anvil to avoid Brings more stable operation An assisting Tool
tissue slippage

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CODES DESCRIPTION

MEC60-280 MIRUS POWER ENDOCUT


TER 60mm SMALL

MEC60-340 MIRUS POWER ENDOCUT


TER 60mm MEDIUM

MEC60-440 MIRUS POWER ENDOCUT


TER 60mm LARGE

MEC45-280 MIRUS POWER ENDOCUT


TER 45mm SMALL

MEC45-340 MIRUS POWER ENDOCUT


TER 45mm MEDIUM

MEC45-440 MIRUS POWER ENDOCUT


TER 45mm LARGE

MECRW-6025 POWER ENDOCUT


TER RELOAD 60-25 - WHITE

MECRB-6035 POWER ENDOCUT


TER RELOAD 60-35 - BLUE

MECRGD-6038 POWER ENDOCUT


TER RELOAD 60-38 - GOLD

MECRG-6041 POWER ENDOCUT


TER RELOAD 60-41 - GREEN

MECRT-6044 POWER ENDOCUT


TER RELOAD 60-44- BLACK

MECRW-4525 POWER ENDOCUT


TER RELOAD 45-25 - WHITE

MECRB-4535 POWER ENDOCUT


TER RELOAD 45-35 - BLUE

MECRG-4541 POWER ENDOCUT


TER RELOAD 45-41 - GREEN

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TM

Ultrasonic Energy Solution with Quality,


Durability and Versatility

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Enhanced Safety

Lateral thermal damage


5 mm

4 mm

3 mm

2 mm
No electricity passes Can be used in patients
1 mm through the patient with cardiac pacemaker

0 1 2 3 4 5 6 7 8 9 10
Time/s

Minimal lateral thermal tissue damage, safe No electricity passes through the patient,
operation in important organs. Decrease avoiding neuromuscular stimulation and safe for
probability of intraoperative ligation and use in patients with the cardiac pacemaker .
reduce blood loss.

High-performance compression energy

Display/Touch Screen

- Safe: controlled energy orientation at the instrument tip


- Time saving: cutting and coagulation with a single instrument
- Precise: effective dissection and haemostatic sealing with high
tactile feedback

Power On/O ffSwitch Connector/Instrument Receptacle

Multi-functionality

Clip Applier Grasper

Scissors Coagulator Dissector

Ultrasonic scalpel has multiple functions such as hemostasis, cutting, grasping, dissection, etc.
So it can reduce the intraoperative replacement of instruments and shorten the operation time.

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Precise Operation, Easy Handling
Curved Shears With Ergonomic Handle--PR14/PR23/PR36/PR45

06. Shaft:14cm/23cm/36cm/45cm 05. 3600 Shaft Rotation Wheel

04. Max Hand Control Button


03. Min Hand Control Button
08. Tissue Pad

09. Jaw

01. Grip Housing


02. Trigger

07. 15mm Active


Curved Blade
Areas of application.
• General Surgery • Gynaecology
Steps to use • Upper Gastrointestinal • Urology
• Colorectal • Thoracic Surgery
1. Close the Trigger and hold • HPB
2. Activate (by MIN/ MAX hand button/footswitch) • Bariatric Surgery

Advantage

Soft Rubber

The process of shaft rotation wheel, control button and The instrument with gripping force cushion and
trigger are using soft rubber. The streamline ergonomic auditory feedback to guarantee for the reliable
design of grip housing, holding operation is comfortable. working.

Precise Assembly
Tactile & auditory feedback, easy to precise assembly
.

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MESICTM Technical Specications
Technical data summary
Line frequency 50/60Hz
Mains voltage 100-240V--(±10%)
Main fuse T5AH 250 V(quantity:2)
Max.power consumption 150VA
Widthxheightxdepth 350x355x136mm
Weight 7.6kg
Display LCD, 7"
Classi cation according to EC Directive 93/42/EEC Ilb
Protection class according to EN 60601-1 I
Type according to EN 60601-1 CF
Output frequency 55.5±0.5KHz
Output power 35watts Maximum

Ambient conditions for storage and transport


Temperature - 35°C to + 54°C
Relative humidity 10% to 80%
Atmospheric pressure 70 kPa to 106 kPa
Ambient conditions for operation
Temperature + 15°C to + 27°C
Relative humidity 30% to 75%
Atmospheric pressure 70 kPa to 106 kPa

MESICTM Ordering Informations


Description Code
14 cm disposable Shear MUS14
23 cm disposable Shear MUS23
36 cm disposable Shear MUS36
45 cm disposable Shear MUS45

Handpiece

Description Code
Handpiece/Transducer(reusable) MUHP-01

Generator
Description Code
Generator MUGEN-01

Optional accessories
Description Code
Footswitch MUFS-02

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For a Secure Fixation
TM
FILAPROP MESH
Polypropylene Mesh
Advantages

• Rounded Mesh Edges


• Unique Interlocking Knitting
• Extensibility Across X & Y Axis

INDICATIONS
• Open & laparoscopic Inguinal Hernia Repair
• Open Ventral Hernia Repair
• Fascial Deficiencies

Parameter
Material Polypropylene

Absorption Profile Non Absorbable

Pore size 1.0 mm -1.2mm


Weight 100 gsm

Burst strength 106.30 N/cm2

Thickness 0.48 mm

AVAILABLE SIZES IN CMS 5 x 10* 6 x 11 7.6 x 15 10 x 15


* Available with Filaprop Mesh
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Gentle yet Secure Fixation
TM
FILAPROP MESH Soft
Soft
Polypropylene Soft Mesh
Advantages

• Offers Soft Feel, Elasticity, Excellent Strength


• More Flexible Than Conventional Polypropylene Mesh
• Rounded Mesh Edges
• Unique Interlocking Knitting
• Extensibility Across X & Y Axis

INDICATIONS
• Open and Laproscopic Inguinal Hernia Repair
• Open Ventral Hernia Repair

Parameter
Material Polypropylene

Absorption Profile Non Absorbable

Pore size 0.8 mm -1.0 mm


Weight 45 gsm

Burst strength 81.29 N/cm2

Thickness 0.34 mm

12 x 15 12 x 18 15 x 30 15 x 15 15 x 20 30 x 30

Meril Endo-Surgery Product Catalogue | 32


TM
MERIGROW MESH
Polypropylene Macroporous Light Weight Mesh

Advantages

• Bigger Pore Size For Faster Tissue Growth


• More flexible than conventional Polypropylene Mesh
• Blue line for orientation (Merigrow 50 X 50)
• Rounded mesh edges
• Unique interlocking knitting
• Extensibility across X & Y axis

The Ideal

Optimum Combination of Strength & Elasticity

Pore size (2.3mm - 1.5mm)


(1) (2)
• Large pores allow faster & better soft tissue ingrowth , lower foreign body reaction ,
(1)
resulting in formation of flexible scar.
• Large pores allow infiltration by macrophages, fibroblasts, blood vessels, collagen and
(9)
monocytes, reducing chances of mesh infection.

Weight (55 gsm)


• Light weight causes less foreign body reaction(4), causing less fibrosis and chances of nerve
entrapment. (1,5) This results in better tissue incorporation, increased compliance of the
(9)
prosthesis and decreased patient discomfort and pain.
(1,3,6)
• Light weight induces less formation of seroma.

AVAILABLE SIZES IN CMS 6 x 11 7.6 x 15 10 x 15

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Elasticity (25%) and memory
(2)
• Large pores with light weight increase elasticity and reduce memory , which allows ease of
handling during procedure
• Merigrow shape is adaptable in nature and has multidirectional elasticity which matches to
abdominal wall dynamics as closely as possible and returns back to its original shape.

Burst Strength (98 N/cm2)


• Maximum intra abdominal pressure 24 kPa (2.4 N/cm2)
• Stronger tensile strength allows greater support to tissues during changing intra abdominal
pressures.(1)

INDICATIONS
• Open & laparoscopic inguinal hernia repair
• Open Ventral Hernia repair
• E-TEP procedure
• Merigrow 50 X 50 : TAR procedure

Parameter
Material Polypropylene

Absorption Profile Non Absorbable

Pore size 2.3 mm - 1.5 mm


Weight 55 gsm

Burst strength 98.06 N/cm2

Thickness 0.60 mm

EHS Guildelines 2014 Inguinal repair


EHS Guidelines 2015 Abdominal wall repair
Herniasurge 2018

12 x 15* 12 x 18 15 x 15 15 x 20 30 x 30 50 x 50

Meril Endo-Surgery Product Catalogue | 34


INTRODUCING

50X50
TRULY LARGEST MACROPOROUS

TM
MERIGROW MESH
Polypropylene MacroporousLight Weight Mesh

INDICATIONS
Transversus Abdominis Release (TAR)
Complex Ventral Hernia Repair
Big Incisional Hernia Repair
Obese Hernia Repair
An Intraperitoneal Mesh
TM
MERINEUM MESH
Tissue Separating Dual Layer Mesh
Polylactide-caprolactone / Polypropylene Mesh

Composition:

• Non-Absorbable Polypropylene Macroporus mesh with


• Absorbable Polylactide-caprolactone, anti-adhesive barrier
.

Superior Barrier
Maximum Protection

Blue Lines
4 Unique Features • Improved visibility
Multiple Benets • Ease of mesh distinguish during laparoscopy
• Ease of mesh orientation

Well Proportioned
Drainage Hole
• Ensure seroma drainage in time
• Facilitates fibroblast growth
• Ease of taking transfascial suture

Synthetic Absorbable
Anti-adhesive Barrier
• Strong barrier - More resistant to damage
during deployment through trocar
• Protection against adhesion formation
during critical period
• PLCL barrier resorbs between 90-120 days

Transparent Barrier

• Ease of defect overlap


• Facilitates visualization of underlying
tissue and vessel.

Meril Endo-Surgery Product Catalogue | 35


Designed for
Superior Surgical Outcomes
• Polypropylene- • 40 yrs of proven results in strong Hernia Repair
The Most Reliable Choice • Inert polymer for minimal risk of infection

• Improved Macro-porosity • Faster tissue in-growth


• Minimize granuloma bridging
• Rapid abdominal wall integration

• The ‘F’ Factor • Easy to identify visceral side


• Ease of mesh orientation from the centre

• Light Weight • Superior handling and easy to use


• Flexibility – maximum patient comfort
• Minimal mesh shrinkage Vs heavy weight mesh

PLCL DEGRADATION STUDY


Swine Abdominal Cavity Implantation Study*
Objective of Study:
To estimate the complete absorption period for PLCL

Observations:
1. The surface and structure of PLCL film is complete and without obvious degradation pore in a week
after implantation of composite mesh.
2. When implanted after a month, the PLCL film has been covered completely by the pseudo peritoneum,
the film is still integrate but it became brittle and can be removed after stripping the tissue.
3. PLCL film was completely degraded after 3 months of implantation.
Percentage or residual mass

110% Residual mass


100%

90%

80% Testing result of mass loss


after vivo degradation
70%

60%

50%
0 5 10 15 20 25 30
Degradation time (week)

Conclusion:
Merineum Mesh residual content is more than 98% when 12 weeksost-Op.
P

*Data on File

Meril Endo-Surgery Product Catalogue | 36


Technical Specications

Structure : Knitted
Chemical composition : Polypropylene/Polylactide-caprolactone (PP/PLCL)

Pore Size : 1.8~2 mm


Weight : 185 gsm (Before Absorption of PLCL), 40 gsm (After Absorption of PLCL)

Thickness : 0.5-0.6 mm (Before Absorption of PLCL), 0.5 mm (After Absorption of PLCL)


Burst strength - Initial : 350 N
Burst strength - After PLCL absorption : 330 N
Type of absorption : Partially absorbable

Sterilization : Gamma Radiation

INDICATIONS
• Laparoscopic Ventral Hernia Repair
• Incisional Hernia Repair
• Parastomal Hernia Repair
• Umbilical Hernia Repair
• Peritoneal Defect Closure after T
umor Resection

Comprehensive Portfolio
To Meet Every Surgical Need

Product Code Shape Description

TSM715RE PP+PLCL (7.6cm*15cm rectangular)

TSM1015OV PP+PLCL (10cm*15cm oval)

TSM1515SQ PP+PLCL (15cm*15cm square)

TSM1520RE PP+PLCL (15cm*20cm rectangular)

TSM1520OV PP+PLCL (15cm*20cm oval )

TSM2025OV PP+PLCL (20cm*25cm oval)

TSM10D PP+PLCL (10D Circular)

TSM12D PP+PLCL (12D Circular)

TSM15D PP+PLCL (15D Circular)

TSM20D PP+PLCL (20D Circular)

Meril Endo-Surgery Product Catalogue | 37


Absorbable Mesh Fixation Device
TM
PROFOUND A
Poly(lactide-co-glycolide)

5 BENEFITS FOR SUPERIOR SURGICAL OUTCOMES

• Longer Spike For Permanent Fixation


• Screw Design With Sharp Exposed Tip For Minimal Tissue Damage
• Wide Proximal Wings To Hold Large Pore Size Mesh And Dual Layer Mesh
• Violet Spike Designed Speci cally o
T Optimize Visibility
• Needle Less Fixation

36cm

Tube diameter : 5 mm 3
5.08 mm 2
4.1 mm
5.1 mm
3.28 mm
1
1. Trigger 2. Handle 3. Shaft

PLGA DEGRADATION STUDY - RABBIT ABDOMINAL CAVITY IMPLANTATION STUDY*

Objective of the Study:


To ascertain the strength of spikes over 74 weeks time period.

Observations:
1.One week after surgery, the PLGA spikes were covered by peritoneal membrane.
2.No adhesion were observed between spikes and intestine, no intestinal obstruction were observed.
3.The spikes kept integrated when 26 weeks, and broken when 34 weeks, and solid body
disappeared when 44 weeks.
4.After 52 weeks spikes degradation products were found to be disappeared totally.

Conclusion:
1.The absorbable PLGA spikes can be kept integrated in the body until 26 weeks.
2.The spikes strength can be kept at least 12 weeks.

*Data on File

MFD15A 15 Absorbable Spikes


ORDERING INFORMATION
MFD30A 30 Absorbable Spikes

Meril Endo-Surgery Product Catalogue | 38


Non-Absorbable Mesh Fixation Device
TM
PROFOUND N
Titanium

5 BENEFITS FOR SUPERIOR SURGICAL OUTCOMES

• Trusted Helical Design Spike For Strong Hold


• Superior Titanium Alloy For Superior Fixation
• Comfortable Handle With Easy To Deploy Trigger
• Signi cantly Less Trigger Force Required
• Needle Less Fixation

36cm

Tube diameter : 5 mm 3

2
4 mm
3.8mm

1.Trigger 2.Handle 3.Shaft

MFD15N 15 Non-Absorbable Spikes


ORDERING INFORMATION
MFD30N 30 Non-Absorbable Spikes

Meril Endo-Surgery Product Catalogue | 39

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