Product details
Details:
Soft, but firm macroporous slingWith integrated sutures for two-way tension adjustment up to five days after implantationCounteract difficult cases of persisting incontinence or urinary retention post-operatively with no reintervention!
Produktmerkmale
Customised treatment for female SUI
Adjustability – the added extra
There is a delicate balance between incontinence, continence and obstruction, and calculating the required degree of tension presents a challenge to even the most experienced surgeon. The A.M.I. TOA (Trans Obturator Adjustable) and TVA (Trans Vaginal Adjustable) Slings are equipped with two groups of integrated sutures, which are left outside the skin following surgery and enable optimal fine-tuning of tension up to five days post-operatively, with active participation from the patient. One group of sutures can be pulled down to reduce tension if there are signs of urinary retention, while the other can be pulled up to increase tension if incontinence persists. Once the appropriate adjustments have been made, the sutures are removed. The option of post-operative adjustment has been proven particularly effective for high-risk groups (e.g. combined SUI and voiding dysfunction), severe SUI or patients in whom previous suburethral sling implantation has failed.
The evidence
Results from a total of 501 patients in six different studies (see literature overview):
Adjustment was necessary in 27.3%.
90.4% of the patients were completely dry.
The erosion rate was very low at just 1.0%.
Sling features
Soft, but low-elastic monofilament polypropylene mesh which is firm enough lengthwise to provide the necessary support
Large-sized pores that allow seamless tissue integration
PE sleeve covering the mesh to facilitate less traumatic placement
Tools of the trade
A.M.I. offers tunnellers with two different diameter sizes – 4 mm and 3 mm (Slimline). The A.M.I. tunnellers are made of high-grade materials, with ergonomically-designed handles to fit comfortably in the surgeon’s hand. The flattened, spatula-shaped, rounded tip design allows smooth tissue and good instrument control during penetration. All tunnellers feature a flattened tip for slightly wider dissection to better accommodate the sling’s shape. A.M.I. reusable tunnellers are available for all commonly used tunnelling techniques.
Order Code |
Product |
Technical Details |
TVA5021

|
A.M.I. TVA Sling
Sling for treatment of SUI, designed for implantation using the transvaginal retropubic approach.
Equipped with sutures for post-operative tension adjustment |
Polypropylene mesh sling with PE sleeve
Total length of sling: 450 mm
Adjustment sutures (per side):
3 upwards, 2 downwards
1 sling, delivered sterile |
TOA5121

|
A.M.I. TOA Sling
Sling for treatment of SUI, designed for implantation using the transobturator approach.
Equipped with sutures for post-operative tension adjustment |
Polypropylene mesh sling with PE sleeve
Total length of sling: 450 mm
Adjustment sutures (per side):
3 upwards, 2 downwards
1 sling, delivered sterile |
TVA5030

|
A.M.I. TVA Tunneller
Reusable instrument for transvaginal retropubic approach |
Materials:
Stainless steel, silicone
Total length: 316 mm
Length of handle: 127 mm
Diameter: 4 mm
1 instrument, delivered non-sterile
steam autoclavable |
TOA5130

|
A.M.I. TOA Tunneller
Reusable instruments (left and right) with a helical shape for transobturatoric approach |
Materials:
Stainless steel, silicone
Total length: 244 mm
Length of handle: 127 mm
Diameter: 4 mm
2 instruments (l. & r.)
delivered non-sterile
steam autoclavable |
TOA5140

|
A.M.I. TOA Tunneller Universal
Reusable instruments (left and right) for inside-out transobturatoric approach |
Materials:
Stainless steel, silicone
Total length: 225 mm
Length of handle: 127 mm
Diameter: 4 mm
2 instruments (l. & r.),
delivered non-sterile,
steam autoclavable |
TVA5040

|
A.M.I. TVA Tunneller Slimline
Reusable instrument for transvaginal retropubic approach |
Materials:
Stainless steel, silicone
Total length: 316 mm
Length of handle: 127 mm
Diameter: 3 mm
1 instrument, delivered non-sterile,
steam autoclavable |
TOA5170

|
A.M.I. TOA Tunneller Slimline
Reusable instruments (left and right) with a helical shape for transobturatoric approach |
Materials:
Stainless steel, silicone
Total length: 244 mm
Length of handle: 127 mm
Diameter: 3 mm
2 instruments (l. & r.)
delivered non-sterile
steam autoclavable |
TOA5180

|
A.M.I. TOA Tunneller Universal Slimline
Reusable instruments (left and right) for inside-out transobturatoric approach |
Materials:
Stainless steel, silicone
Total length: 225 mm
Length of handle: 127 mm
Diameter: 3 mm
2 instruments (l. & r.)
delivered non-sterile,
steam autoclavable |
|