Advanced solutions for peripheral nerve surgery. For the protection of compressed, scarred or partially injured nerves. Integra’s Ultra Pure Collagen™ technology. Biocompatible and completely resorbable. Minimizes potential for neuroma formation. NeuraGen nerve guide For the repair of completely severed nerves. NeuraGen nerve guide For the REPAIR of completely severed nerves. NeuraGen Nerve Guide An efficient alternative to nerve graft or direct suture: • The level of functional recovery achieved with the NeuraGen Nerve Guide is equivalent to direct suture repair (animal trials) and is stable over long time periods (3 to 4 years).2 • In animal trials, there were no episodes of compression neuropathy reported with other more rigid or non biodegradable materials.5 • Isolates and provides an environment for the extension of axons and growth of Schwann cells that are the elements responsible for functional recovery following nerve injury.2,3,7 • Absorption process is complete and operates via normal metabolic pathways. In these studies, there was no reported scar tissue or inflammatory response to this material.3,4 The results of the animal study demonstrated that the complete resorption of the collagen nerve guide minimized the possibility of nerve entrapment and thereby degradation of the repair. • Provides a protective environment for axonal regrowth across the nerve gap2,7 • Minimal potential for scar formation, encapsulation and nerve entrapment • Semi-permeable, Type I collagen tube for peripheral nerve repair2,7 • Open collagen structure facilitates suture placement For the PROTECTION of compressed, scarred or partially injured nerves. NeuraWrap Nerve Protector • Designed to provide an interface between the nerve and the surrounding tissue. • Remains in place during the active phase of tissue healing and is completely resorbed after tissue response has resolved. • Porous outer layer comprises a tubular matrix that mechanically resists compression from surrounding tissue and excludes scar tissue ingrowth. • Semi-permeable inner membrane allows passage of small molecules (i.e. water, ions, metabolites, nutrients), but prevents the escape of endogenous growth factors (i.e. Nerve Growth Factor).1 For intact nerves that are compressed, scarred or partially injured: • Protects the neural environment • Isolates nerve tissue during the healing process1 • Collagen structure retains suture1 • Recovers and maintains closure once placed around the nerve Integra Regenerative Product Innovation Timeline 1970–1980’s 1994 1996 2001 2002 2004 Collagen Matrix Development ORTHOPEDIC SURGERY BURN SURGERY NeuraGen™ Nerve Guide PLASTIC and RECONSTRUCTIVE NeuraWrap™ Absorbable Collagen Sponge with Bone Growth Factor PLASTIC and RECONSTRUCTIVE NeuraGen nerve guide NeuraGen NeuraGen Ordering Information nerve guide NeuraWrap Ordering Information DIAMETER (mm)* CATALOG NUMBER SIZE PNG130 1.5mm (ID) x 3cm (length) PNG220 2mm (ID) x 2cm (length) PNG230 2mm (ID) x 3cm (length) PNG320 3mm (ID) x 2cm (length) NW320 3mm (ID) x 2cm (length) PNG330 3mm (ID) x 3cm (length) NW340 3mm (ID) x 4cm (length) PNG420 4mm (ID) x 2cm (length) PNG430 4mm (ID) x 3cm (length) PNG520 5mm (ID) x 2cm (length) NW520 5mm (ID) x 2cm (length) PNG530 5mm (ID) x 3cm (length) NW540 5mm (ID) x 4cm (length) PNG620 6mm (ID) x 2cm (length) PNG630 6mm (ID) x 3cm (length) PNG720 7mm (ID) x 2cm (length) NW720 7mm (ID) x 2cm (length) PNG730 7mm (ID) x 3cm (length) NW740 7mm (ID) x 4cm (length) NW1020 10mm (ID) x 2cm (length) NW1040 10mm (ID) x 4cm (length) 2cm SIZE NeuraWrap not available in 1.5mm diameter NeuraWrap not available in 2mm diameter NeuraWrap not available in 4mm diameter NeuraWrap not available in 6mm diameter NeuraGen not available in 10mm diameter Products available in the following lengths: *Lengths not available in all diameters. CATALOG NUMBER 3cm 4cm ADVERSE EVENTS Possible complications can occur with any peripheral nerve surgical procedure including pain, infection, decreased or increased nerve sensitivity, and complication associated with the use of anesthesia. Advanced solutions for peripheral nerve surgery. Integra LifeSciences Corporation 311 Enterprise Drive Plainsboro, NJ 08536 www.Integra-LS.com 609-275-0500 (outside USA) 609-275-5363 (fax) Customer Service 800-997-4868 (USA and Canada) 800-654-2873 (USA and Canada) REFERENCES 1 Data on file, Integra LifeSciences 2 Archibald, S.J., Shefner, J., Krarup, C., and Madison, R.D. Monkey median nerve repaired by nerve graft or collagen nerve guide tube. J. Neurosci. 1995; 15(5):4109-4123. 3 Archibald, S.J., Krarup, C., Shefner, J., Li, S.T. and Madison, R.D. Collagen-based nerve guide conduit for peripheral nerve repair: and electrophysiological study of nerve regeneration in rodents and non-human primates. J. Comp. Neurol.1991;306(4):685-696. 4 Li, S.T., Archibald, S.J., Krarup, C., and Madison, R. Peripheral Nerve repair with collagen conduits. Clinical Materials. 1992;9:195-200. 5 Mackinnon, S.E., Dellon, A.L., Hudson, A.R. and Hunter, D.A. A primate model for chronic nerve compression. J.Reconstr.Microsurg. 1985;1:185-194. 6 Lundborg, G. Nerve Injury and Repair. 1988. New York: Churchill Livingstone. 7 Archibald, S.J., Krarup, C., and Madison, R.D. Factors that influence peripheral nerve regeneration: eletrophysiological study of the monkey median nerve. Annals of Neurology. 2002;51(1):69-81. NeuraGen Nerve Guide, NeuraWrap Nerve Protector, Ultra Pure Collagen and the Integra wave logo are trademarks of Integra LifeSciences Corporation. ©2005 Integra LifeSciences Corporation. All rights reserved. Printed in U.S.A. NS926-08/05
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