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Self-gripping mesh

ProGrip™ advanced self-gripping polypropylene mesh

<p>ProGrip™ advanced self-gripping polypropylene mesh is made for use in ventral hernia repair using either laparoscopic or robotic-assisted surgical techniques.</p>

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Features

  • Uniform fixation across the entire surface†,3
    Grips on one side help the mesh conform to the anatomy‡,2,7 and increase contact with the tissue, which may reduce seroma formation.†,§,3,8,9

  • Grips the tissue — not itself.◊,2,7
    An absorbable collagen film helps the mesh unroll in the abdominal cavity◊,2,7 and allows easy introduction through trocars,¶,7,10 including 8 mm robotic trocars.#,1,2

  • Position and place. It’s that easy.
    A mesh marker of colored yarn stitching aids with centering and orientation during placement,‡,2,7 and the mesh can be easily repositioned.∆,7,10

  • Large pores. Better tissue integration.∞
    Macroporosity (1.7 × 1.7 mm) allows for rapid cellular ingrowth and good tissue integration.†,∞,1,3,11 Large pores are associated with a reduced risk of infection and shrinkage.†,∞,1,11,12

  • Designed to behave like the abdominal wall.
    The mesh is designed to match the elasticity of the abdominal wall, helping to reduce tissue stress, support healing and natural mobility, and reduce pain and complications.††,13–17

  • Supported by ProGrip™ technology
    • Used in over 6 million implants in 27 countries18–25 since launching in 2007
    • Supported by extensive clinical data covering the hernia repair journeys of more than 55,000 patients‡‡,26,27
    • Studied across more than 115 publications27

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Discover all the benefits of ProGrip™ advanced self-gripping polypropylene mesh.

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Specifications

Textile material4 Polypropylene
Microgrip material4 Polylactic acid
Fast-resorbing film composition4 Collagen and glycerol
Surface density before grips absorption28 79 g/m2
Surface density after grips absorption28,29 44 g/m2
Pore size28 1.7 × 1.7 mm (height by width)

Frequently asked questions

A: No. The collagen-based film is not intended to minimize tissue attachment, and thus this product cannot be used intraperitoneally.30

A: Benchtop studies demonstrate that the mesh rolled in the lengthwise direction with the grips outside and the collagen-based film inside is compatible with the following trocars:§§,1,2

  • 15 × 10 cm: 8 mm trocar
  • 20 × 15 cm: 8 mm trocar
  • 30 × 20 cm: 12 mm trocar
  • 40 × 30 cm: 15 mm trocar

A: Indications30 ProGrip™ advanced self-gripping polypropylene mesh is intended for use in reinforcement of abdominal wall soft tissues where weakness exists. It is indicated for use in the extraperitoneal space during ventral hernia repair procedures, utilizing either conventional laparoscopic or robotic-assisted surgical techniques.

Contraindications30 - As ProGrip™ advanced self-gripping polypropylene mesh will not stretch to accommodate growth, its use is not appropriate in patients in a period of growth or pregnancy. - Any foreign material may potentiate or prolong infection in the presence of bacterial contamination, and as such, the use of ProGrip™ advanced self-gripping polypropylene mesh is not appropriate in an infected or contaminated site. Furthermore, this product should be used with the understanding that infection may require removal of the mesh. - The collagen-based film is not intended to minimize tissue attachment, and thus this product cannot be used intraperitoneally.

A: The mesh is a sterile non-pyrogenic device made of a nonabsorbable bidimensional monofilament polypropylene textile with resorbable monofilament polylactic acid grips on one side and an absorbable continuous collagen-based film on the other side. This film is made of collagen from porcine origin and glycerol. A colored yarn (D&C Blue No. 6) marker is present on the center of the mesh.30

A: The mesh shall be placed grips either up or down in retromuscular space. The mesh shall be placed grips up in preperitoneal space to avoid direct contact with peritoneum.30

A: Yes. However, if the mesh is trimmed the marking may no longer be centered and will thus lose its functions.30

A: ProGrip™ advanced self-gripping polypropylene mesh should be hydrated before being handled. Hydrate the mesh by immersing it completely in a sterile saline solution for several seconds. If the mesh is not hydrated, trocar passage may not be optimal and the film may no longer facilitate mesh handling and deployment.◊◊,30

Ordering information

Item number Size (cm) Size (in) Recommended trocar size Quantity per box
ADG1510 15 × 10 5.9 × 3.9 8 mm 1
ADG2015 20 × 15 7.9 × 5.9 8 mm 1
ADG3020 30 × 20 11.8 × 7.9 12 mm 1
ADG4030 40 × 30 15.7 × 11.8 15 mm 1



Resources

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Mesh complications may include but are not limited to seroma, hematoma, recurrence, infection, inflammation, chronic/acute pain, extrusion/erosion. The collagen film is not intended to minimize tissue attachment, and thus this product cannot be used intraperitoneally. Direct contact with the viscera may lead to risks of adhesions, fistula formation, and bowel obstruction. The safety and effectiveness of the mesh positioned in the onlay space have not been established. When implanting in a preperitoneal site, the mesh shall be placed with the grips towards the muscle/fascia with the mesh completely covered with peritoneum. The self-gripping side of the mesh can be differentiated from the continuous collagen-based film side visually or through tactile feel. Please refer to IFU for complete contraindication and risk information.

† Based on preclinical animal and/or benchtop studies, not necessarily indicative of human clinical outcomes.

‡ Based on feedback from 16 surgeons conducted in lab setting with cadaver.

§ Compared to a flat sheet mesh affixed with 40% more fixation devices (i.e., sutures or tacks).

◊ Based on responses from 16 participants, 14 (88%) described their experience either extremely well (8 respondents; 50%) or very well (6 respondents; 38%), while 2 respondents (12%) described their experience somewhat well.

¶ Based on 16 answers: 63% (10) Extremely well, 31% (5) Very well, and 6% (1) Somewhat well. Refer to the IFU for the trocar size recommendations. Do not force the mesh through the trocar. Inappropriate insertion may lead to textile and/or grips damage.

# Sizes up to 20 × 15 cm are designed to be inserted in an 8 mm robotic trocar without being damaged.

∆ Based on 16 answers: 18% (3) Very easy, 44% (7) Easy, 32% (5) Quite easy, and 6% (1) Not easy.

∞ Compared to mesh with pores < 1.5 mm.

†† Based on biaxial tensile tests with strain measurements made on linea alba in human cadaver (data from Cooney et al., 2016) and on ProGrip™ advanced self-gripping polypropylene mesh (clamps adapted for textile use).

‡‡ Drawn from both published studies and non-published registry data.

§§ Mesh insertion capability may vary depending on how the surgeon rolls the mesh and their choice of graspers/trocars. These choices are based on the surgeon’s judgement and experience. Do not force the mesh through the trocar. Inappropriate insertion may lead to textile and/or grips damage.

◊◊ Before hydration, it is recommended not to fold the mesh with the film facing itself as it may stick on itself during the hydration phase and alter its function.

  1. Based on internal report 43463CR506, Design verification report.
  2. Based on internal report 43463CR740, Design validation lab of ProGrip™ advanced self-gripping polypropylene mesh by MIS and open surgical approach.
  3. Based on internal report 43463CR731, Evaluation of ProGrip™ advanced self-gripping polypropylene mesh contribution to the fixation and tissue integration in a porcine model.
  4. Based on internal report 43463CR168, Design output file: Marvel.
  5. de'Angelis N, Schena CA, Moszkowicz D, et al. Robotic surgery for inguinal and ventral hernia repair: a systematic review and meta-analysis. Surg Endosc. 2024;38(1):24–46.
  6. Misiakos EP, Patapis P, Zavras N, Tzanetis P, Machairas A. Current Trends in Laparoscopic Ventral Hernia Repair. JSLS. 2015;19(3):e2015.00048.

  1. Based on internal report 43463CR563, Marketing evaluation of ProGrip™ self-gripping polypropylene mesh for MIS and ProGrip™ advanced self-gripping polypropylene mesh. October 2024.
  2. Jin J, Schomisch S, Rosen MJ. In vitro evaluation of the permeability of prosthetic meshes as the possible cause of postoperative seroma formation. Surg Innov. 2009;16(2):129–133.
  3. He C, Lu J, Ong MW, Lee DJK, Tan KY, Chia CLK. Seroma prevention strategies in laparoscopic ventral hernia repair: a systematic review. Hernia. 2020;24(4):717–731.
  4. Based on internal report 43463CR510, Summative usability (human factors) evaluation of ProGrip™ advanced self-gripping polypropylene mesh by MIS approach. September 2024.
  5. Weyhe D, Cobb W, Lecuivre J, et al. Large pore size and controlled mesh elongation are relevant predictors for mesh integration quality and low shrinkage--Systematic analysis of key parameters of meshes in a novel minipig hernia model. Int J Surg. 2015;22:46–53.
  6. Brown CN, Finch JG. Which mesh for hernia repair? Ann R Coll Surg Engl. 2010;92(4):272–278.
  7. Based on internal report 43463CR756, Biomechanical ProGrip™ advanced claim. April 2026.
  8. Maurer MM, Röhrnbauer B, Feola A, Deprest J, Mazza E. Mechanical biocompatibility of prosthetic meshes: a comprehensive protocol for mechanical characterization. J Mech Behav Biomed Mater. 2014;40:42–58.
  9. Kallinowski F, Gutjahr D, Harder F, et al. The Grip Concept of Incisional Hernia Repair-Dynamic Bench Test, CT Abdomen With Valsalva and 1-Year Clinical Results. Front Surg. 2021;8:602181.
  10. Beets GL, van Geldere D, Baeten CG, Go PM. Long-term results of giant prosthetic reinforcement of the visceral sac for complex recurrent inguinal hernia. Br J Surg. 1996;83(2):203–206.
  11. Junge K, Klinge U, Prescher A, Giboni P, Niewiera M, Schumpelick V. Elasticity of the anterior abdominal wall and impact for reparation of incisional hernias using mesh implants. Hernia. 2001;5(3):113–118.
  12. Based on internal report, List of products manufactured in Trévoux by Sofradim Production. Volumes from 2007 to 2023. December 2023.
  13. 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.
  14. 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.
  15. 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.
  16. 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.
  17. 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.
  18. Batabyal P, Haddad RL, Samra JS, Wickins S, Sweeney E, Hugh TJ. Inguinal hernia repair with Parietex™ ProGrip™ mesh causes minimal discomfort and allows early return to normal activities. Am J Surg. 2016;211(1):24–30.
  19. Hopson SB, Miller LE. Open ventral hernia repair using ProGrip™ self-gripping mesh. Int J Surg. 2015;23(Pt A):137–140.
  20. Mortensen A, Bodilsen A, Friis-Andersen H. Transabdominal pre-peritoneal hernia repair: risk of operation for recurrence depends on choice of both mesh and fixation device. A study from the Danish Hernia Database. Hernia. 2025;29(1):229.
  21. Clinical data on file compiled by Medtronic as of March 2026.
  22. Based on internal report 43463CR677a, Progrip™ advanced self-gripping polypropylene mesh vs. Progrip™ self-gripping polypropylene mesh: Mesh physical & mechanical comparison — 510(k). Dec. 2025.
  23. Based on internal report 43463CR710, Textile composition of Progrip™ advanced self-gripping polypropylene mesh.
  24. See electronic indications for use (IFU).