TiLOOP® Clip


The TiLOOP® Clip mesh implant is used for colposacropexy in cases of vaginal prolapse. Thanks to its outstanding biocompatibility, it enables better quality of life and shorter convalescence.


Benefits

Outstanding biocompatibility  The mesh implant is titanised, very lightweight and hydrophilic and thus outstandingly biocompatible.

Excellent quality of life combined with shorter convalescence  Outstanding biocompatibility keeps inflammation rates, shrinkage and migration to a minimum and ensures shorter convalescence. The implant is not recognized as a foreign body, and postoperative pain is prevented.

Globally unique technology  The nanotechnological finishing process for the covalent bonding of polypropylene and the titanium-dioxide surface is patented and thus completely unique.

Details

  • Laser-cut edges
  • Large-pore structure
  • Monofilament fabric

Tech. Data

  • Tension-free titanised polypropylene mesh implant for defect-specific pelvic floor reconstruction (colposacropexy for vaginal prolapse)
  • Material: polypropylene with covalently bonded, titanised surface
  • Thickness of titanisation layer: approx. 30–50 nm
  • Fabric: knitted monofilament fibres
  • Edging: laser cut, rounded
Characteristics

extralightlight
Weight16 g/m235 g/m2
Strength (DIN EN ISO 5084)0,20 mm0,30 mm
Pore size≥ 1 mm≥ 1 mm
Fibre diameter30 dtex (65 µm)58 dtex (90 µm)
Porosity 2D73 %61 %
Porosity 3D91 %87 %
Physiological elasticity at 16 N23 %20 %
Tensile strength (grab test)37 N61 N
Sizes (mm)
abcd
1005015052

Practice

Implantation

Abdominal colposacropexy with mesh interposition is a standard procedure in the treatment of vaginal stump prolapse. Thorough preparation of the vaginal stump is essential for a good long-term result.

The anterior vaginal wall should always be prepared ventrally and dorsally to a length of at least 3-4 cm prior to fixation. Fixation occurs on the vagina using absorbable material and approx. 2 cm below the promontory on the ligamentum flavum using non-absorbable suture material.

Knowledge

Titanisation

Chemical vapour deposition (CVD) is a process for the metallisation of complex components while at the same time achieving strong bonds. However, as this process involves temperatures in excess of 150°C, it is not an option for many prosthetic materials which would not be shape retentive at such temperatures (e.g. polypropylene).

For that reason, the titanisation of plastic implants takes place at low temperatures using a special plasma-coating process known as PACVD (plasma-activated chemical vapour deposition).

Plasma is the term used for an excited (ionised) gas. In that stage, atoms/molecules are highly energetic. However, plasma is not hot. In everyday life, we are familiar with plasma in fluorescent tubes. The electrically charged gas components emit light as the result of their highly energetic state, but the fluorescent tube remains cold.

In the titanisation process, gaseous titanium is introduced into the coating chamber as a precursor. By adding energy in form of plasma, the precursor is split into individual ionised atoms. These ionised titanium atoms have free electrons at their surfaces.

In addition to the precursor, the plasma also excites the surfaces of the plastic implants with the result that their surfaces also have free electrons. The ionised titanium atoms come into contact with the ionised surface of the implant resulting in the formation of covalent bonds with the free electrons. Covalent bonds are seen as the strongest of chemical bonds; the titanium is thus almost permanently bonded to the plastic.

This process creates a composite material whose surface is coated with an ultra-thin, approx. 30–50 nm (1 nanometre = 1 millionth of a millimetre), highly biocompatible layer of titanium. The coating is so thin that it appears to be transparent and is also highly flexible.

Because the titanium precursor is introduced in gaseous form, it reaches all parts of the plastic implant. As the result, the entire surface, including gaps in between complex shapes, is completely and evenly titanised.

Manufacturer

pfm medical titanium gmbh

Südwestpark 42

90449 Nürnberg, Germany

Ordering Information

TiLOOP® Clip
REFWeightSizeMaterialPU
600047816 g/m2, extralight10 x 15 cmtitanized polypropylene3
600047935 g/m2, light10 x 15 cmtitanized polypropylene3