Take Control of Your Hernia Repair.

*Publications available upon request. Results and experience may vary by patient.

1. https://www.medstarhealth.org/blog/hernia-mesh-and-no-mesh-repairl
2. https://pubmed.ncbi.nlm.nih.gov/35044431/
3. https://pages.clevelandclinic.org/hernia-index.html 
4. https://my.clevelandclinic.org/health/diseases/15757-hernia
5. Pluta RM, Burke AE, Golub RM. Abdominal Hernia. JAMA.2011;305(20):2130. https://jamanetwork.com/ journals/jama/fullarticle/900171. 
6. Rather, Abdominal Hernias: Practice Essentials, Background, Anatomy. Medscape. March 16, 2023. https://www.medscape.com/answers/189563-45214/what-are-the-sex-relateddemographics-for-abdominal-inguinal-hernias. 
7. Symons, J. What is a Hernia? Types of Hernias & Risk Factors. Stamford Health. October 2, 2018. https://www.stamfordhealth.org/healthflash-blog/surgery/ hernia-types-risk-factors/. 
    

Your doctor will give you a patient implant card for the Phasix™ Mesh. Please keep this card somewhere safe and easy to find. The mesh implant information may be helpful for your future medical care. INDICATIONS: Phasix™ Mesh is used to reinforce (support) soft tissue, where weakness exists, in patients having surgery on their belly, to change the way their body looks or works, or for rebuilding their tissue (otherwise known as abdominal, plastic, and reconstructive surgery). For example, Phasix™ Mesh could be used for ventral (near your belly) hernia repair or to help support your surgical wound. Phasix™ Mesh is also used to prophylactically (preventatively) reinforce surgical incisions. DEVICE MODELS:1190616G, 1190820G, 1190830G, 1190845G, 1191025G, 1191040G, 1191530G, 1192030G, 1192040G, 1193045G, 1190200G, 1190300G, 1190400G, 1190500G, 1190808G, 1190816G, 1191010G, 1191020G, 1191525G, 1192020G, 1192540G, 1193030G, 1193535G, 1194040G, 1194545G, 1190011G, 1190100G, 1195050G. IMPLANT MATERIAL: Phasix™ Mesh is made of poly-4-hydroxybutyrate (100%), that goes away slowly over time and is made from natural materials. PURPOSE Phasix™ Mesh is a sterile (germ-free) implant. It is a mesh implant used to fix soft tissue defects, like hernias or damage to the soft parts of your belly from trauma, illness, or prior surgeries, in adults. Phasix™ Mesh is also used to reinforce surgical incisions in adults. WARNINGS AND PRECAUTIONS The safety and usefulness of Phasix™ Mesh has not been evaluated in: • Pregnant or breastfeeding women • Infants or children • Neurologic procedures or tissues (brain, spinal cord, and nerves) • Cardiovascular tissue (heart or blood vessels) • Breast reconstructive surgeries The safety and effectiveness of Phasix™ Mesh in the proximity of (near) existing or excised (removed) cancer has not been established. POTENTIAL ADVERSE REACTIONS (UNFAVORABLE) 1. Adhesions: Adhesions form when internal scar tissue joins tissues together that are not usually joined. Adhesions to the bowel (the intestine) may lead to bowel obstruction (blockage). This can cause the need for multiple invasive procedures, prolonged hospitalization, long-term nursing care, intravenous nutrition, and/or staged surgery to fix the bowel. 2. Allergic reaction: If you are allergic to tetracycline hydrochloride or kanamycin sulfate (antibiotics used to treat bacterial infections), please tell your doctor. An allergic reaction to the mesh may be difficult to diagnose after surgery due to distracting pain, fever, and use of sedatives and narcotics. These symptoms, if not recognized as an allergic reaction, may result in additional diagnostic and invasive procedures, which may include the need for reoperation or explanting (removing) the mesh. 3. Mesh erosion: Erosion is the mesh rubbing against nearby soft tissue, and may result in the need for multiple invasive procedures, prolonged hospitalization, long-term nursing care, intravenous nutrition, and/or staged surgery to fix the bowel (or another organ). This may be followed by a hernia repair. 4. Fistula formation: A fistula is an abnormal connection or passageway between an organ, vessel, or tissue. Fistula formation may result in the need for multiple invasive procedures, prolonged hospitalization, long-term nursing care, intravenous nutrition, and/or staged surgery to address the bowel (or another organ). This may be followed by a hernia repair. 5. Hematoma: An accumulation of blood. 6. Hemorrhage: Loss of blood. 7. Surgical site infection: An infection localized at the surgical site may require oral or intravenous antibiotics and/or may result in additional diagnostic and invasive procedures, including the chance for reoperation and/or mesh removal. 8. Inflammation: Swelling, redness, heat, and/or pain produced in an area of your surgery. 9. Mesh extrusion: Mesh poking through the skin. 10. Mesh migration: Mesh moves from where your doctor placed it during surgery. 11. Pain: There is a possibility of pain which may affect quality of life and everyday functions, such as driving, walking up the stairs, and/or dressing oneself. Pain may continue and may require a second operation to remove the mesh. 12. Recurrence: Return or reappearance of your hernia or soft tissue defect. 13. Reoperation: If you require another operation in your belly before the Phasix™ Mesh has gone away, the mesh may need to be removed and may make that operation last longer. 14. Seroma: An accumulation and pocket of clear fluid. This may result in unscheduled drainage or reoperation. 15. Wound dehiscence: Your skin breaks open along the line where your belly was sewn closed after surgery. This may lead to exposure of the mesh to the open air, which may result in additional complications including an unscheduled re-operation.

Your doctor will give you a patient implant card for the Phasix™ ST Mesh. Please keep this card somewhere safe and easy to find. The mesh implant information may be helpful for your future medical care. INDICATIONS Phasix™ ST Mesh is used to reinforce (support) soft tissue, where weakness exists, in patients having surgery on their belly, to change the way their body looks or works. For example, hernia repair near your belly (sometimes called a ventral hernia), or hernia repair when the upper part of your stomach bulges through the large muscle that separates your belly and your chest (your diaphragm), sometimes called a hiatal hernia. DEVICE MODELS 1200008G, 1200011G, 1200015G, 1201325G, 1201020G, 1201010G, 1200710G, 1201015G, 1201520G, 1202025G, 1202530G, 1203035G IMPLANT MATERIAL The Phasix™ ST Mesh is co-knitted using poly-4-hydroxybutyrate (P4HB, < 60%) and polyglycolic acid (PGA, < 15%) fibers. The PGA surface is coated with a bioresorbable, chemically modified sodium hyaluronate (HA), carboxymethylcellulose (CMC) and polyethylene glycol (PEG) based hydrogel (HACMC < 10%, PEG < 20%). The mesh contains D&C Violet No. 2 (< 0.1%) colorant, which is found in the PGA. PURPOSE The Phasix™ ST Mesh is a germ-free (sterile) implant. It is a mesh implant used to fix soft tissue defects, like hernias in adults. WARNINGS AND PRECAUTIONS The safety and usefulness of Phasix™ ST Mesh has not been evaluated in: • Pregnant or breastfeeding women • Infants or children (pediatric use) • Brain, spinal cord and nerves (neural tissue) • Heart or blood vessels (cardiovascular tissue) POTENTIAL ADVERSE (UNFAVORABLE) REACTIONS 1. Adhesions: Adhesions are internal scar tissue that join tissues together that are not usually attached to each other. Adhesions to the bowel (for example, your small intestine) may lead to bowel obstruction (blockage), which may result in the need for multiple invasive procedures, prolonged hospitalization, long-term nursing care, intravenous nutrition, and/or staged surgery to fix the bowel. 2. Allergic reaction: If you are allergic to tetracycline hydrochloride (an antibiotic used to treat bacterial infections) or kanamycin sulfate (an antibiotic used to treat bacterial infections), please tell your doctor. Allergic reaction to the mesh may be difficult to diagnose after surgery due to distracting pain, fever, and use of sedatives and narcotics. These symptoms, if not recognized as an allergic reaction, may result in additional diagnostic and invasive procedures, which may include the need for reoperation or removing (explanting) the mesh. 3. Erosion of the mesh into an organ: Erosion (mesh wearing into the organ) may result in the need for multiple invasive procedures, prolonged hospitalization, long-term nursing care, intravenous nutrition, and/or staged surgery to fix the bowel (or another organ). This may be followed by a hernia repair. 4. Fistula formation: A fistula is an abnormal connection or passageway between an organ, vessel, or tissue. Fistula formation may result in the need for multiple invasive procedures, prolonged hospitalization, long-term nursing care, intravenous nutrition, and/or staged surgery to address the bowel (or another organ). This may be followed by a hernia repair. 5. Hematoma: An accumulation of blood. 6. Hemorrhage: Loss of blood. 7. Infection of the surgical site: Infection of the surgical site may require oral or intravenous antibiotics and/or may result in additional diagnostic and invasive procedures, including the chance for reoperation and/or mesh removal. 8. Inflammation: Swelling, redness, heat, and/or pain produced in an area of your surgery. 9. Mesh extrusion: Mesh poking through the skin. 10. Mesh migration: Mesh moves from where your doctor placed it during surgery. 11. Pain: There is a possibility of pain which may affect quality of life and everyday functions, such as driving, walking up the stairs, and/or dressing oneself. Pain may continue and may require a second operation to remove the mesh. 12. Recurrence: Return or reappearance of your hernia or soft tissue defect. 13. Reoperation: If you require another operation in your belly before the Phasix™ ST Mesh has gone away, the mesh may need to be removed and may make that operation last longer. 14. Seroma: An accumulation and pocket of clear fluid. This may result with the need for unscheduled drainage or reoperation. 15. Possible complications in hiatal hernia repair may include erosion of mesh into your esophagus requiring reoperation and difficulty swallowing due to build-up of scar tissue after surgery.