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Medtronic / Covidien Products / Hernia Repair / ProGrip™ Self-Gripping Polypropylene Mesh

Overview

Bring ProGrip™ technology to your hernia repair procedures.

The resorbable polylactic acid (PLA) microgrips of ProGrip™ self-gripping polypropylene mesh provide a vast constellation of uniform fixation points across the entire mesh surface.†,‡,§,1

This technology supports good tissue integration,||,2 prevents the mesh from shifting during placement,¶,#,3 and facilitates easy positioning.3–5

Inguinal hernia repair benefits

  • Low recurrence rates and improved patient quality of life††,6–9
  • Significantly shorter procedure times than sutured mesh††,9–11
  • Lower pain scores and lower dosing of postoperative analgesics§,††,‡‡,11

Ventral hernia repair benefits

  • Five large sizes to fit all ventral hernia defects¶,#,§§,3,4,12
  • Reduced need for additional fixation,§,13 eliminating associated pain§,5,7–10,13–15
  • Faster mesh placement (including fixation) compared to flat sheet meshes¶,||||,3

Gain the confidence of a technology used, tested, and trusted globally.16–20

Ordering Information
Item number Description Dimensions Shape Side QUANTITY
PP1208DL ProGrip™ self-gripping polypropylene mesh 12 cm × 8 cm
(4.7 in × 3.0 in)		 Elliptical pre-cut with flap, marking Left 1
PP1208DR ProGrip™ self-gripping polypropylene mesh 12 cm × 8 cm
(4.7 in × 3.0 in)		 Elliptical pre-cut with flap, marking Right 1
PP1509G ProGrip™ self-gripping polypropylene mesh 15 cm × 9 cm
(6.0 in × 3.5 in)		 Rectangular N/A 1
PP1515G ProGrip™ self-gripping polypropylene mesh 15 cm × 15 cm
(5.9 in × 5.9 in)		 Square N/A 1
PP2015G ProGrip™ self-gripping polypropylene mesh 20 cm × 15 cm
(7.9 in × 5.9 in)		 Rectangular N/A 1
PP3020G ProGrip™ self-gripping polypropylene mesh 30 cm × 20 cm
(11.8 in × 7.9 in)		 Rectangular N/A 1
PP3030G ProGrip™ self-gripping polypropylene mesh 30 cm × 30 cm
(11.8 in × 11.8 in)		 Square N/A 1
PP4030G ProGrip™ self-gripping polypropylene mesh 40 cm × 30 cm
(15.7 in × 11.8 in)		 Rectangular N/A 1
Ordering Information
Item number Description Dimensions Shape Side QUANTITY
PP1208DL ProGrip™ self-gripping polypropylene mesh 12 cm × 8 cm
(4.7 in × 3.0 in)		 Elliptical pre-cut with flap, marking Left 1
PP1208DR ProGrip™ self-gripping polypropylene mesh 12 cm × 8 cm
(4.7 in × 3.0 in)		 Elliptical pre-cut with flap, marking Right 1
PP1509G ProGrip™ self-gripping polypropylene mesh 15 cm × 9 cm
(6.0 in × 3.5 in)		 Rectangular N/A 1
PP1515G ProGrip™ self-gripping polypropylene mesh 15 cm × 15 cm
(5.9 in × 5.9 in)		 Square N/A 1
PP2015G ProGrip™ self-gripping polypropylene mesh 20 cm × 15 cm
(7.9 in × 5.9 in)		 Rectangular N/A 1
PP3020G ProGrip™ self-gripping polypropylene mesh 30 cm × 20 cm
(11.8 in × 7.9 in)		 Rectangular N/A 1
PP3030G ProGrip™ self-gripping polypropylene mesh 30 cm × 30 cm
(11.8 in × 11.8 in)		 Square N/A 1
PP4030G ProGrip™ self-gripping polypropylene mesh 40 cm × 30 cm
(15.7 in × 11.8 in)		 Rectangular N/A 1

Discover more

ProGrip™ self-gripping polypropylene mesh delivers the sizes you need, with the grips you love.

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Get acquainted

Familiarize yourself with the benefits of ProGrip™ self-gripping polypropylene mesh.

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Specifications

Mesh21 2-D textile structure with grips
Raw material21 Polypropylene (PP)
Mono / multifilament21 Monofilament Ø0,10 mm
Grips21 Polylactic acid (PLA)
Mono / multifilament21 Monofilament Ø0,15 mm
Contribution to mesh fixation22 > 8 weeks
Pore Size¶¶,23 1.6 mm x 0.6 mm
Thickness¶¶,23 1.3 mm
Surface density (before grips absorption)¶¶,23 76 g/m²
Surface density (after grips absorption)¶¶,24 43 g/m²

Frequently asked questions

What is the indication for ProGrip™ self-gripping polypropylene mesh?
For PP1208DR, PP1208DL, and PP1509G: ProGrip™ self-gripping polypropylene mesh is intended for use in reinforcement of abdominal wall soft tissue where weakness exists, in procedures involving inguinal hernia repair via anterior tension-free approach.

For PP1515G, PP2015G, PP3020G, PP3030G, PP4030G: ProGrip™ self-gripping polypropylene mesh is intended for use in reinforcement of abdominal wall soft tissue where weakness exists, in procedures involving inguinal and ventral hernia repair by open approach.

Can ProGrip™ self-gripping polypropylene mesh be implanted in the intraperitoneal space?
No. Do not place the mesh in direct contact with the viscera. Direct contact with the viscera may lead to risks of adhesions, fistula formation, and bowel obstruction. Do not implant the mesh in an intraperitoneal position.

Are the grips on ProGrip™ self-gripping polypropylene mesh permanent or resorbable?
The polylactic acid (PLA) grips are bioresorbable. Over time, they resorb in vivo by hydrolysis and are metabolized by the body into CO₂ and H₂O.25

Are the grips on ProGrip™ self-gripping polypropylene mesh for open ventral procedures the same material as those on the large sizes of ProGrip™ self-gripping polyester mesh?
Yes, the grips are both made with polylactic acid (PLA). Preclinical studies showed that the PLA material is essentially resorbed in 36 to 50 months post-implantation. However, the resorption period depends on numerous factors, including patient-related factors.25

Is the mesh folded in the packaging?
In the packaging, whether the mesh is folded depends on its size. Only the 20 × 15 cm and the 40 × 30 cm mesh sizes are folded.

What direction should the grips be facing when the mesh is placed?
The direction the grips should face depends on what technique is used and where the mesh is placed during the procedure:

  • Onlay = Grips down
  • Retromuscular = Grips up or down
  • Preperitoneal = Grips up

Can the mesh be trimmed?
Yes. Trimming ProGrip™ self-gripping polypropylene mesh will not impact its mechanical characteristics.¶,##,12

Resources

  • † Based on benchtop data, not necessarily indicative of human clinical outcomes.

  • ‡ The technique used to fixate the mesh (suture and/or tacks) is left up to the surgeon.

  • § The textile self-gripping feature makes it possible to position the mesh without fixation, depending on the size of the defect, the hernia position, and the quality of the anatomical structures.

  • || Based on animal study, not necessarily indicative of human clinical outcomes.

  • ¶ Based on preclinical data, not necessarily indicative of human clinical outcomes.

  • # Based on feedback from 6 surgeons, conducted in lab setting with cadaver. Surgeons compensated.

  • †† Applicable to PP1208DL, PP1208DR, PP1509G.

  • ‡‡ A study conducted by M. Kapischke showed a beneficial impact of the self-gripping mesh on pain score and a lower dosing of postoperative analgesics during hospital stay compared to a sheet of polypropylene mesh.

  • §§ Applicable to PP1515G, PP2015G, PP3020G, PP3030G, PP4030G.

  • |||| Based on feedback from 6 answers, 5 surgeons (83%), conducted in lab setting with cadaver. Surgeons compensated.

  • ¶¶ Mean value measured on one batch. Values may differ slightly within and between batches, or by using an alternate testing method.

  • ## If a pre-cut mesh is trimmed, special care should be taken to preserve the sewing to limit the risk of recurrence and the green marking should not be cut as it could detach from the base textile. If the mesh is trimmed, the green marking may no longer be present, compromising its function.

  • 1. Based on internal test report 43615CR042, Design output file. July 2023.

  • 2. Benito-Martínez S, Rodríguez M, García-Moreno F, et al. Self-adhesive hydrogel meshes reduce tissue incorporation and mechanical behavior versus microgrips self-fixation: a preclinical study. Hernia. 2022;26(2):543–555.

  • 3. Based on internal test report #43615CR103, GROOT marketing questionnaire. July 2023.

  • 4. Based on internal test report #43615CR073, Design validation report. July 2023.

  • 5. Anadol AZ, Akin M, Kurukahvecioglu O, Tezel E, Ersoy E. A prospective comparative study of the efficacy of conventional Lichtenstein versus self-adhesive mesh repair for inguinal hernia. Surg Today. 2011;41(11):1498–1503.

  • 6. Quyn AJ, Weatherhead KM, Daniel T. Chronic pain after open inguinal hernia surgery: suture fixation versus self-adhesive mesh repair. Langenbecks Arch Surg. 2012;397(8):1215–1218.

  • 7. Jorgensen LN, Sommer T, Assaadzadeh S, et al. Randomized clinical trial of self-gripping mesh versus sutured mesh for Lichtenstein hernia repair. Br J Surg. 2013;100(4):474–481.

  • 8. Based on internal report #RE00475736, Herniamed Registry data extraction report 5-year follow-up inguinal hernia repair — fixation/no fixation. August 2022.

  • 9. Bruna Esteban M, Cantos Pallarés M, Artigues Sánchez de Rojas E, Vila MJ. [Prospective randomized trial of long-term results of inguinal hernia repair using autoadhesive mesh compared to classic Lichtenstein technique with sutures and polypropylene mesh]. Cir Esp. 2014;92(3):195–200.

  • 10. Kapischke M, Schulze H, Caliebe A. Self-fixating mesh for the Lichtenstein procedure — a prestudy. Langenbecks Arch Surg. 2010;395(4):317–322.

  • 11. Pierides G, Scheinin T, Remes V, Hermunen K, Vironen J. Randomized comparison of self-fixating and sutured mesh in open inguinal hernia repair. Br J Surg. 2012;99(5):630–636.

  • 12. Based on internal test report #43615CR071, Design verification report. July 2023.

  • 13. Based on internal test report #43615CR123, Fixation information for ProGrip™ self-gripping polypropylene mesh in ventral hernia repair. September 2023.

  • 14. Köhler G, Lechner M, Mayer F, et al. Self-Gripping meshes for lichtenstein repair. Do We Need Additional Suture Fixation? World J Surg. 2016;40(2):298–308.

  • 15. Bruna Esteban M, Cantos Pallarés M, Artigues Sánchez De Rojas E. Use of adhesive mesh in hernioplasty compared to the conventional technique. Results of a randomized prospective study. Cir Esp. 2010;88(4):253–258.

  • 16. Based on internal report. List of products manufactured in Trévoux by Sofradim Production. Volumes from 2007 to 2023. December 2023.

  • 17. Klobusicky, P, Hoskovec D. Reduction of chronic post-herniotomy pain and recurrence rate. Use of the anatomical self-gripping ProGrip™ laparoscopic mesh in TAPP hernia repair. Preliminary results of a prospective study. Wideochir Inne Tech Maloinwazyjne. 2015;10(3):373–381.

  • 18. Muysoms FE, Vanlander A, Ceulemans R, et al. A prospective, multicenter, observational study on quality of life after laparoscopic inguinal hernia repair with ProGrip™ laparoscopic, self-fixating mesh according to the European Registry for Abdominal Wall Hernias Quality of Life Instrument. Surgery. 2016;160(5):1344–1357.

  • 19. Birk D, Pardo CG. Self-gripping Parietene and Parietex ProGrip™ mesh laparoscopic hernia repair: have we found the ideal implant?. Surg Technol Int. 2012;22:93–100.

  • 20. Bueno-Lledó J, Torregrosa A, Arguelles B, et al. ProGrip™ self-gripping mesh in Rives-Stoppa repair: Are there any differences in outcomes versus a retromuscular polypropylene mesh fixed with sutures? A "case series" study. Int J Surg Case Rep. 2017;34:60–64.

  • 21. Based on internal text report #TEX013e, Type GPL textile. February 2015.

  • 22. Based on internal test report #MC2009-004CR020, Parietex ProGrip™ mesh self-gripping feature functional trial. May 2010.

  • 23. Based on internal test report #43615CR110c, ProGrip™ self-gripping polypropylene mesh vs. ProGrip™ self-gripping polyester mesh: Mesh physical & mechanical comparison — 510(k). December 2023.

  • 24. Based on internal test report #TEX-FP-073a, ProGrip ™ self-gripping polypropylene mesh finished product textile characterization without PLA grips or loops. September 2020.

  • 25. Based on internal test report #BIO099a, Biodegradation of polylactic acid monofilament yards. February 2021.  

  • Inguinal risk statement (PP1208DL, PP1208DR, PP1509G): Mesh complications may include but are not limited to acute and chronic pain, extrusion/erosion, hematoma, infection, inflammation, recurrence, and/or seroma. ProGrip™ self-gripping polypropylene mesh is not intended to be used for laparoscopic hernia repair. Do not place the mesh in direct contact with the viscera. Direct contact with the viscera may lead to risks of adhesions, fistula formation, and bowel obstruction. Do not implant the mesh in an intra-peritoneal position. When implanting in a pre-peritoneal site, the mesh shall be placed with the grips towards the muscle fascia with the mesh completely covered with peritoneum.

  • Ventral risk statement (PP1515G, PP2015G, PP3020G, PP3030G, PP4030G): Mesh complications may include but are not limited to acute and chronic pain, extrusion/erosion, hematoma, infection, inflammation, recurrence, and/or seroma. The compatibility of ProGrip™ self-gripping polypropylene mesh with trocars and laparoscopic instruments has not been established. Do not place the mesh in direct contact with the viscera. Direct contact with the viscera may lead to risks of adhesions, fistula formation, and bowel obstruction. Do not implant the mesh in an intra-peritoneal position. When implanting in a pre-peritoneal site, the mesh shall be placed with the grips towards the muscle fascia with the mesh completely covered with peritoneum.

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