INTENDED USE
Used to provide pubourethral support for the treatment of
urinary incontinence resulting from hypermobility or intrinsic
sphincter deficiency. STRATASIS® Urethral Sling is
intended for implantation to reinforce soft tissues where
weakness exists.
This device is supplied sterile in peel-open packages and is
intended for one-time use.
CAUTION: Federal (U.S.A.) law restricts this device to sale
by or on the order of a physician.
CONTRAINDICATIONS:
This device is derived from a
porcine source and should not be used in patients with
known sensitivity to porcine material.
PRECAUTIONS:
• Do not resterilize. Discard all open and unused portions of STRATASIS.
• Device is sterile if the package is dry, unopened and undamaged.
Do not use if the package seal is broken.
• Discard device if mishandling has caused possible damage
or contamination, or if the device is past its expiration date.
• Ensure that device is rehydrated prior to securing the device to
the surgical site with sutures, staples, or other fasteners.
• Device performance has not been evaluated with suture spacing
greater than 2 mm.
• Ensure that all layers of STRATASIS are secured when fastening
the device to the surgical site.
• Excess tension on the device may cause urinary retention in the
device recipient when being treated for urinary incontinence.
POTENTIAL COMPLICATIONS:
The following
complications are possible with the use of surgical graft
materials. If any of these conditions occur, the device
should be removed.
• Infection
• Acute or Chronic inflammation (Initial application of surgical graft
materials may be associated with transient, mild, localized inflammation.)
• Allergic reaction
STORAGE:
This device should be stored in a clean, dry
location at room temperature.
STERILIZATION:
This device has been sterilized with
ethylene oxide. Do not resterilize.

NOTE: STRATASIS sheets have a microscopically rough
and smooth side. With hole in upper right hand corner,
rough side of the sheet is facing up. The functional
difference between sides is minimal, but cell culture studies
suggest that epithelial cell growth is moderately favored on
the smooth side.
SUGGESTED INSTRUCTIONS FOR USING STRATASIS
These recommendations are designed to serve only
as a general guideline. They are not intended to supersede
institutional protocols or professional clinical judgment
concerning patient care.
NOTE: Always handle sheets using aseptic technique, minimizing contact with latex gloves.
Required Materials
• A sterile dish (kidney dish or other bowl)
• Sterile forceps
• Rehydration fluid: at least 50 ml of room temperature sterile saline
or sterile lactated Ringer’s solution for each STRATASIS.
- Using aseptic technique, remove the STRATASIS inner
pouch from its outer bag, and place the inner pouch in
the sterile field.
- Open the inner pouch carefully, and aseptically remove
the STRATASIS with the sterile forceps.
- Place the STRATASIS into the sterile dish in the sterile
field.
- Add to the dish at least 50 ml of the rehydration fluid for
each STRATASIS.
- Allow STRATASIS to rehydrate for at least ten minutes.
- Prepare the surgical site using standard surgical
techniques.
- Using aseptic technique, trim the STRATASIS to fit the
surgical site. (Note: An alternative method is to cut the
STRATASIS to size prior to rehydration. If this method is
selected, be sure to rehydrate the STRATASIS prior to
securing the device into place. See step 5.)
- Using aseptic technique, transfer the STRATASIS to the
surgical site and secure the device into place, avoiding
excess tension.
(Note: Surgical experience indicates that securing
STRATASIS with close tissue approximation produces
better outcomes.)
- Complete the surgical procedure.
- Discard any unused portions of the STRATASIS.
MECHANICAL PROPERTIES
The nominal properties for STRATASIS are listed below:
| Nominal
Thickness (mm) |
0.42 |
|
| Suture Retention Strength* |
775 ± 196g
1.7 ± 0.4 lb |
|
| Burst
Force** |
12.9 ± 3.1
kg
28 ± 6.8 lb |
|
* 5-0 suture with 2 mm bite depth
** 9.5 mm diameter sphere

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