Integra DuraGen · 9 - Sade et al What is DuraGen ® Matrix An Investment in Data ... Only Integra...

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Limit uncertainty with the most studied and proven collagen-based dural grafts Integra ® DuraGen ® Dural Regeneration Matrix

Transcript of Integra DuraGen · 9 - Sade et al What is DuraGen ® Matrix An Investment in Data ... Only Integra...

Limituncertaintywiththemoststudiedandprovencollagen-basedduralgrafts

Integra® DuraGen®

DuralRegenerationMatrix

“The Fibroblasts Use the PoresontheMatrixtoLay Down Endogenous Collagen.By6-8Weeks,theCollagen

Matrix(DuraGenMatrix)is Resorbed and is IntegratedtotheEndogenousDuraMater.The CompactStructure

ofthe(Other) Xenogenic MaterialsMayLimit the Fibroblast MigrationtotheEdgesortotheSutureHoles.

TheseProcessesdo not Constitute anIdeal SituationwithRegardstotheSealing QualityoftheMaterial.”

-Sadeetal 9

What is DuraGen® Matrix

An Investment in DataPatient outcomes are very important to you and your patients—DuraGen Matrix has more published

clinical data than any other collagen-based dural graft.

DuraGen matrix is one of the safest and most effective onlay grafts for the restoration and repair of dura mater. Itisconformableandcontoursinstantlyandeffectively

tothecomplex,moistsurfacesofthebrainandspinalcord,

rapidlysupportingtheformationofabiologicalsealtoprotect

againstCSFleakage.

The DuraGen Matrix Difference

10

5

00 Studies

1 Study0 Studies

10 Studies

Date:AsofJanuary1,2012

Integra Stryker Medtronic Codman

Integra® DuraGen® MatrixUnsurpassedClinicalData

Study NameAuthorDuraGenPatients Studied Procedure Type

The DuraGen Matrix Studies

Collagenmatrixindecompressivehemicraniectomy

ThesestudiesrepresenttheuseofDuraGenmatrixwithouttheuseofduralsealants.

ExperiencewithacellularhumanduraandbovinecollagenmatrixforduraplastyafterposteriorfossadecompressionforChiarimalformations

PosteriorFossaDecompression

Danishetal1

Horaczeketal3

EndoscopicTransnasalCraniotomy

Closureoflargeskullbasedefectsafterendoscopictransnasalcraniotomy

Harveyetal2

Collagenmatrixduraplastyforcranialandspinalsurgery:aclinicalandimagingstudy

Narotametal7

PosteriorFossaCraniectomy,LumbarLaminectomy,SupratentorialCraniotomy

DecompressiveHemicraniectomy,Cranioplasty

Efficacyandsafetyofacollagenmatrixforcranialandspinalduralreconstructionusingdifferentfixationtechniques

TOTAL:

Stendeletal10

CranialandSpinalProcedures

Collagenmatrixduraplastyforposteriorfossasurgery:evaluationofsurgicaltechniquein52adultpatients

Narotametal8 PosteriorFossaSurgery

Duralaugmentation:PartI–Evaluationofcollagenmatrixallograftsforduraldefectaftercraniotomy

Litvacketal5

FrontalCraniotomy,Suboccipital/RetrosigmoidCraniotomy,TemporalCraniotomy

Non-watertightduralreconstructioninmeningiomasurgeryresultsin439consecutivepatientsandareviewoftheliterature

Sadeetal9

IntracranialMeningiomaResection

Collagenmatrix(DuraGen)induralrepair:analysisofanewmodifiedtechnique

Narotametal6

SpinalSurgery

Duralreconstructioninmeningiomasurgery

18

56

30

79

1,453

112

52

320

439

110

237Leeetal4

IntracranialMeningiomaResection

Over 1,400 Patients in 10 Published Clinical Studies

•0%Foreignbodyresponse•1.9%Infectionrate•2.1%Leakagerate

DuraGen Dural Regenerative Matrix

•MadefromUltraPureCollagen™

•Preciselyengineeredporosityforcomplete andnaturalrepair

•Superiorconformability

1 Million Dural Grafts and Counting

10 Million Collagen Implants and Counting

OnlyIntegraDuraGengraftprovidestheconfidenceofutilizingaduralmatrixwhichhasbeenimplantedoveronemilliontimes.

Ourleadingtechnologycollagenproductshavebeenimplantedover10milliontimesinavarietyofproceduresthroughouttheworld.

Summary outcome statistics derived from the following 1o clinical studies:1. DanishSF,etal.ExperiencewithacellularhumanduraandbovinecollagenmatrixforduraplastyafterposteriorfossadecompressionforChiarimalformations. JNeurosurgPediatrics.2006;104:16-20.

2. HarveyRJ,etal.Closureoflargeskullbasedefectsafterendoscopictransnasalcraniotomy.JNeurosurg.2009;111:271-329.

3. HoraczekJA,etal.Collagenmatrixindecompressivehemicraniectomy.OperativeNeurosurgery.2008;63:ONS176-81.

4. LeeJH,etal.Duralreconstructioninmeningiomasurgery.In,LeeJH(ed):Meningiomas:Diagnosis,TreatmentandOutcome.London:Springer,2009,pp619–624

5. LitvackZN,etal.Duralaugmentation:PartI:evaluationofcollagenmatrixallograftsforduraldefectaftercraniotomy.Neurosurgery.2009;65:890-897.

6. NarotamPK,etal.Collagenmatrix(DuraGen)induralrepair:analysisofanewmodifiedtechnique.SPINE.2004;292:861-2867.

7. NarotamPK,etal.Collagenmatrixduraplastyforcranialandspinalsurgery:aclinicalandimagingstudy.JNeurosurg.2007;106:45–51.

8. NarotamPK,etal.Collagenmatrixduraplastyforposteriorfossasurgery:evaluationofsurgicaltechniquein52adultpatients.JNeurosurg.2009;111:380-386.

9. SadeB,etal.Non-watertightduralreconstructioninmeningiomasurgery:resultsin439consecutivepatientsandareviewoftheliterature.Clinicalarticle. JNeurosurg.[epubaheadofprintAugust13,2010.DOI:10.3171/2010.7.JNS10460]

10. StendelR,etal.Efficacyandsafetyofacollagenmatrixforcranialandspinalduralreconstructionusingdifferentfixationtechniques. JNeurosurg.2008;109:215-221.

MedtronicStudy:Parker,etal:ComplicationsfollowingdecompressionofChiarimalformationTypeIinchildren:duralgraftorsealant?JNeurosurg.Pediatrics2011;8:177-183.

DuraGen,DuraGenPlus,IntegraandtheIntegralogoareregisteredtrademarksofIntegraLifeSciencesCorporationintheUnitedStatesand/orothercountries.©2012IntegraLifeSciencesCorporation.Allrightsreserved.PrintedintheUSA.3KNS5156-1/12

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Integra® DuraGen® MatrixUnsurpassedClinicalData