Timesh provides experienced surgeons and their patients with the highest quality synthetic products; in other words, implants with best possible bio-compatibility and lowest possible foreign body reactions. for inguinal and incisional hernia repair

Based on the surgical treatment of hernias, i.e. soft tissue reinforcement with mesh implants, a large number of applications opens up in modern surgery, in which the use of titanized synthetic materials promises significant improvements in medical care and above all patient comfort.

Thanks to the latest achievements in nanotechnology, a large variety of synthetic materials can be coated with covalent layers of titanium. Titanium is not the only option for coating materials, other metals such as iridium and silver can also be used in these nanotechnology processes.

Using coated synthetic implants reduces foreign body reactions remarkably, thus offering new prospects to modern medicine!

Application
TiMESH® is intended for various indications regarding the use of soft tissue reinforcement implants, e.g. surgical reinforcement of inguinal and incisional hernia.

Design
TiMESH® is specially designed for:
- all state-of-the-art mesh-surgery techniques
- epigastric, hiatus, inguinal, incisional, prastomal and umbilical hernia repair
- peritoneal use
- intraperitoneal use

TiMESH® with the patented titanized surface provides an excellent biocompatibility and an outstanding body compatibility.

Material
- Titanzed polypropylene
- Pore Size less than 1mm " Laser-cut edges
- Tensile strength greater than 16N/cm

With a weight of only 16 g/m², TiMESH® meets the high standards of modern, patient-oriented hernia surgery.

Implantation procedure
For inguinal hernia treatment TiMESH® can be used in both:
- Open (e.g. after Lichtenstein etc.) and
- Laparoscopic implantation (e.g. TAPP, TEP).

For incisional hernia treatment TiMESH® can be implanted as follows:
- in the peritoneum
- between the abdominal wall and the peritoneum
- before the deep muscle layer

The outstanding effectiveness of titanized polypropylene in hernia surgery has been demonstrated in more than 175,000 operations worldwide.

Application
The tension-free TiLOOP® Four pelvic floor mesh is used to stabilize and elevate cystoceles or in the event of vaginal stump prolapse.

Design
TiLOOP® Four is specially designed for surgical treatment of complex cystocele defects.
TiLOOP® mesh implants were developed to meet and exceed the requirements of surgical meshes in the fields of urology, gynaecology and surgery.

Material
- Titanzed polypropylene
- Pore Size less than 1mm
- Laser-cut edges
- Tensile strength greater than 16N/cm
- Prothetic Mesh
- Monofile Fiber

With an ultra light weight of only 16 g/m², TiLOOP® Four meets the high standards of modern, patient-oriented surgery.

Implantation procedure
The tension-free TiLOOP® Four pelvic floor mesh is used to stabilise and elevate cystoceles or in the event of vaginal stump prolapse. A longitudinal incision is made in the anterior vagina and free preparation is performed of the vaginal wall up to the vaginal stump. The pararectal space is visualized up to the ischial spine. The needles are inserted at the anterior upper edge and the lower anterior edge of the obturator foramen and the arms on both sides are then guided under digital monitoring.

TiLOOP® Four is fixed to the needle and the anchor introduced. This procedure is performed on both sides. TiLOOP® Four is fixed to the base of the vagina. The vagina is closed and tension-free elevation is then performed.

The outstanding effectiveness of titanized polypropylene in surgery has been demonstrated in more than 175,000 hernia operations worldwide.

Promit is used to diminish the chance of patients suffering a severe allergic reaction to dextran-based fluids such as Dextran 40 or Dextran 70. When given before a dose of these fluids, Promit dramatically reduces the chance of the patient suffering a severe reaction. There is only approximately a 1/27,000 chance of a reaction happening when Promit is used.

The principle of the SOPHY® valve resides in the variation in pressure exerted on a ball by a semi-circular spring at various points along its circumference. The spring is attached to a magnetic rotor whose position can be non-invasively altered using an adjustment magnet. A series of indentations allows a variety of positions to be selected, each position representing a different pressure setting.

The valve's ball-in-cone mechanism maintains the selected pressure constant without significant drift through the time.

Major assets
- Wide range of pressure setting (8 positions from 30 to 200 mm H2O)
- Non-invasive operating pressure adjustment
- Direct operating pressure reading thanks to a dedicated interactive system