4D Dome
The 4DDOME® is a novel design semi-resorbable plug and patch preperitoneal repair of inguinal and femoral hernias. The structurally strong, dome-shaped plug is made of 90% resorbable poly-L-lactic acid (PLLA) and 10% non-resorbable polypropylene. The onlay patch is constructed with the same materials in a 75%/25% ratio.
Videos
4D DOME Implantation
Case Studies
- A New Partially Resorbable Proshthesis 4DDome for Inguinal Hernia Repair .2 MB PDF
- Use of Light, Partially Absorbable Mesh in Open Inguinal Hernia Repair Reduces Post-Operative Pain and Complications .4 MB PDF
- Expanded Clinical Experience with 4DDome Composite Prosthesis In Elective Open Inguinal Herniorraphy .1 MB PDF
- Prospective Randomized Evaluation of a new Composite Mesh (4DDome) As Compared to Conventional Mesh (Perfix Plug): A One Year Clinical Evaluation. .2 MB PDF
- The new 4DDome: An Original Light and Partially Absorbable Composite Mesh for Hernia Repair .5 MB PDF
Advantages
Anatomic
- Pushes back the abdominal pressure and protects the hernia orifice.2
- 4DDOME®: architectural structure to support a maximum pressure with a minimum amount of material.2
- The tensile strength of 4DDOME® is superior to the physiological strength of the abdominal wall (16 N/cm), thus, the 4DDOME® is safe and effective for hernia repair.3
Atraumatic
- Tension free.
- Minimum dissection.
- Quick recovery.2
Semi-resorbable
- Small quantity of material.
- Less than 0.1 g material left after resorption.
Cost-effective
- Local anesthesia.
- Suitable for outpatient use.
- Quick intervention and short hospitalization.
Material
- The 4DDOME® is constructed of 10% non resorbable light polypropylene and 90% resorbable poly-L-lactic acid (PLLA).
- The onlay patch is knitted with 25% non resorbable light polypropylene and 75% resorbable PLLA.
Indications
The 4DDOME® is indicated for abdominal reinforcement including inguinal and femoral hernias.
Product Codes
| Item # | Description | QTY/UOM |
|---|---|---|
| SMS24PS59P | 4D Dome Small w/ 5.2 x 9 cm Onlay Patch | 1 |
| SMS30PM59P | 4D Dome Medium w/ 5.2 x 9 cm Onlay Patch | 1 |
| SMS38PL59P | 4D Dome Large w/ 5.2 x 9 cm Onlay Patch | 1 |
| SMS24PS613P | 4D Dome Small w/ 6 x 13.5 cm Onlay Patch | 1 |
| SMS30PM613P | 4D Dome Medium w/ 6 x 13.5 cm Onlay Patch | 1 |
| SMS38PL613P | 4D Dome Large w/ 6 x 13.5 cm Onlay Patch | 1 |
| SMS24FS | 4D Dome Sizer Small | 1 |
| SMS30FM | 4D Dome Sizer Medium | 1 |
| SMS38FL | 4D Dome Sizer Large | 1 |
- In vivo evaluation of a new composite mesh (10% polypropylene/90% poly-L-lactic acid) for hernia repair. Tanaka K, J Mater Sci Mater Med. 2007.
- The new 4DDome prosthesis: an original light and partially absorbable composite mesh for hernia repair. Leroy JL, Hernia. 2006.
- The lightweight and large porous mesh concept for hernia repair. Bernd Klosterhalfen, Karsten Junge. Expert Rev. Med. Devices (2005).
CAUTION: Federal Law (USA) restricts this device to sale by or on the order of a physician. Refer to package insert with the product for complete instructions for use, contraindications, potential adverse effects, warnings and precautions prior to using this product.
