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Phasix™ ST Mesh

Fully Bioresorbable Scaffold Featuring Proven Sepra^® Technology

Overview
Products & Accessories
EIFU & Resources
Reimbursement

Designed for a strong repair enables functional tissue remodeling

Phasix™ ST Mesh combines two market-leading technologies into one product: monofilament resorbable Phasix™ Mesh and a proven hydrogel barrier based on Sepra® technology. While the monofilament mesh supports functional healing and a strong repair, the hydrogel barrier minimizes tissue attachment to the visceral side of the mesh for intraabdominal placement.¹

These meshes are available in different shapes, such as round, rectangle, and square.

For high-risk/comorbid patients, surgeons have had to choose between permanent synthetic meshes and biologic grafts—and their inherent pros and cons. Synthetic meshes can have complications that lead to mesh removal or reoperation, while biologic grafts can have accelerated degradation in the presence of bacteria which may lead to mesh failure.

Phasix™ ST Mesh handles, sutures and fixates like a synthetic mesh, while exhibiting the remodeling characteristics of a biologic mesh. It facilitates trocar deployment during laparoscopic placement.

The ST hydrogel barrier

Minimizes risk of tissue attachment
Has over 10 years of clinical application
Resorbs in 30 days
15 clinical studies

The Phasix™ ST Mesh is a biologically derived scaffold with a hydrogel barrier for intraabdominal placement. It has been designed to provide the repair strength of a synthetic mesh and the remodeling characteristics of a biologic.

The Phasix™ ST Mesh does the following:

Handles, sutures and fixates like a synthetic mesh
Facilitates trocar deployment during laparoscopic placement
Its longitudinal stripes aid with orientation and visibility during placement

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Surgical Education Events

MATERIAL STRUCTURE¹

Monofilament mesh designs have been shown more biocompatible and less susceptible to bacterial adherence and colonization.

REPAIRS HERNIAS¹

The open monofilament mesh structure provides early integration and repair strength.¹

REMODELS ISSUES OVER TIME¹

Vascular integration and incorporation continues, with abundant mature collagen at 52 weeks. Gradually transfers load to native tissue over time.¹

VERSATILE TECHNIQUES¹

Phasix™ ST Mesh may be placed in either an intraabdominal or preperitoneal position after primary hernia defect closure. Primary hernia defect closure should be achieved prior to placing the mesh.

HERNIA DEFECT CLOSURE

Hernia defect closure can be achieved through an open or minimally invasive approach (i.e., laparoscopic, robotic). Recent studies suggest potential advantages of defect closure include:

• Decreased “dead” space, which can reduce the risk of postoperative seromas

• May contribute to restoration of a functional abdominal wall

• May reduce postoperative bulging at the hernia defect site

PROMISING RESULTS IN THE PRESENCE OF BACTERIA

Phasix™ ST Mesh has not been shown to break down in the presence of bacteria—maintaining 100% of its strength at 56 days —unlike biologic grafts which demonstrate accelerated degradation in the presence of bacteria.

As shown in the graphic below, there was no presence of bacterial colonization observed in Phasix Mesh™ or Phasix™ ST Mesh 7 days post-inoculation in preclinical testing. The other side of this graph shows the presence of abscess (white material) observed SurgiMend® , Strattice™, Bio - A®, and OviTex™. Other observed indications of bacterial colonization included swelling, presence of fluids, and thickened capsule tissue.

1. Deeken CR, Matthews BD. “Characterization of the mechanical strength, resorption properties, and histologic characteristics of a fully absorbable material (Poly-4-hydroxybutyrate-Phasix™ Mesh) in a porcine model of hernia repair.” ISRN Surgery 2013; 1-12. RPT3807332.

2. DeMeester, Steven R, et al. Combination of surgical technique and bioresorbable mesh reinforcement of the crural repair leads to low early hernia recurrence rates with laparoscopic paraesophageal hernia repair. J Gastrointest Surg. 2020

Indications

Phasix™ ST Mesh is indicated for use in the reinforcement of soft tissue, where weakness exists, in procedures involving soft tissue repair, such as for the repair of hernias, including hiatal hernias.

Contraindications

Because Phasix™ ST Mesh is fully resorbable, it should not be used in repairs where permanent wound or organ support from the mesh is required.

Warnings

Device manufacture involves exposure to tetracycline hydrochloride and kanamycin sulfate. The safety and product use for patients with hypersensitivities to these antibiotics is unknown. Use of this device in patients with known allergies to tetracycline hydrochloride or kanamycin sulfate should be avoided.

Ensure proper orientation; the coated side of the prosthesis should be oriented against the bowel or sensitive organs.

Do not place the uncoated mesh side against the bowel. There is a risk for adhesion formation or erosions when the uncoated mesh side is placed in direct contact with the bowel or viscera. (Reference Surface Orientation section.)

The safety and effectiveness of Phasix™ ST Mesh in bridging repairs has not been evaluated or established. The use of any synthetic mesh or patch in a contaminated or infected wound could lead to fistula formation and/or extrusion of the mesh and it is not recommended.

If an infection develops, treat the infection aggressively. Consideration should be given regarding the need to remove the mesh. An unresolved infection may require removal of the mesh.

For hiatal hernia repair, the use of Phasix™ ST Mesh circumferentially around the esophagus is not recommended.

For hiatal hernia repair, the use of Phasix™ ST Mesh to bridge the hiatus is not recommended.

The safety and effectiveness of Phasix™ ST Mesh in the following applications has not been evaluated or established: Pregnant women, Pediatric use, Neural and Cardiovascular tissue.

Precautions

The safety and effectiveness of Phasix™ ST Mesh has not been evaluated in the presence of malignancies in the abdominopelvic cavity.

Adverse Reactions

In preclinical testing, Phasix™ ST Mesh elicited a minimal tissue reaction characteristic of foreign body response to a substance. The tissue reaction resolved as the mesh was resorbed. Possible complications may include, but are not limited to, seroma, adhesion, hematoma, pain, infection, inflammation, allergic reaction, hemorrhage, extrusion, erosion, migration, fistula formation, and recurrence of the hernia or soft tissue defect. Possible complications in hiatal hernia repair may include esophageal erosion and dysphagia related to crural fibrosis.

Please consult package insert for more detailed safety information and instructions for use.

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BD-76012

Sort by:

Phasix™ ST Mesh, Rectangle, 10 cm x 15 cm (4 in x 6 in)

SKU/REF 1201015
Phasix™ ST Mesh, Rectangle, 10 cm x 20 cm (4 in x 8 in)

SKU/REF 1201020
Phasix™ ST Mesh, Rectangle, 13 cm x 25 cm (5 in x 10 in)

SKU/REF 1201325
Phasix™ ST Mesh, Rectangle, 15 cm x 20 cm (6 in x 8 in)

SKU/REF 1201520
Phasix™ ST Mesh, Rectangle, 20 cm x 25 cm (8 in x 10 in)

SKU/REF 1202025
Phasix™ ST Mesh, Rectangle, 25 cm x 30 cm (10 in x 12 in)

SKU/REF 1202530
Phasix™ ST Mesh, Rectangle, 30 cm x 35 cm (12 in x 14 in)

SKU/REF 1203035
Phasix™ ST Mesh, Rectangle, 7 cm x 10 cm (3 in x 4 in)

SKU/REF 1200710
Phasix™ ST Mesh, Round, 11 cm (4.5 in)

SKU/REF 1200011
Phasix™ ST Mesh, Round, 15 cm (6 in)

SKU/REF 1200015
Phasix™ ST Mesh, Round, 8 cm (3 in)

SKU/REF 1200008
Phasix™ ST Mesh, Square, 10 cm x 10 cm (4 in x 4 in)

SKU/REF 1201010

Indications

Contraindications

Because Phasix™ ST Mesh is fully resorbable, it should not be used in repairs where permanent wound or organ support from the mesh is required.

Warnings

Ensure proper orientation; the coated side of the prosthesis should be oriented against the bowel or sensitive organs.

If an infection develops, treat the infection aggressively. Consideration should be given regarding the need to remove the mesh. An unresolved infection may require removal of the mesh.

For hiatal hernia repair, the use of Phasix™ ST Mesh circumferentially around the esophagus is not recommended.

For hiatal hernia repair, the use of Phasix™ ST Mesh to bridge the hiatus is not recommended.

The safety and effectiveness of Phasix™ ST Mesh in the following applications has not been evaluated or established: Pregnant women, Pediatric use, Neural and Cardiovascular tissue.

Precautions

The safety and effectiveness of Phasix™ ST Mesh has not been evaluated in the presence of malignancies in the abdominopelvic cavity.

Adverse Reactions

Please consult package insert for more detailed safety information and instructions for use.

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The BD Phasix™ Reimbursement Hotline is available to answer your questions.

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Indications

Contraindications

Because Phasix™ ST Mesh is fully resorbable, it should not be used in repairs where permanent wound or organ support from the mesh is required.

Warnings

Ensure proper orientation; the coated side of the prosthesis should be oriented against the bowel or sensitive organs.

If an infection develops, treat the infection aggressively. Consideration should be given regarding the need to remove the mesh. An unresolved infection may require removal of the mesh.

For hiatal hernia repair, the use of Phasix™ ST Mesh circumferentially around the esophagus is not recommended.

For hiatal hernia repair, the use of Phasix™ ST Mesh to bridge the hiatus is not recommended.

The safety and effectiveness of Phasix™ ST Mesh in the following applications has not been evaluated or established: Pregnant women, Pediatric use, Neural and Cardiovascular tissue.

Precautions

The safety and effectiveness of Phasix™ ST Mesh has not been evaluated in the presence of malignancies in the abdominopelvic cavity.

Adverse Reactions

Please consult package insert for more detailed safety information and instructions for use.

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The BD Phasix™ Reimbursement Hotline is available to answer your questions.

The hotline can be reached via phone or email.

(800)614-7965 | reimbursementsupport@bd.com

Any email or voice mail will be returned within 48 business hours. For information on physician billing, please contact your respective professional society.

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