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COMPARISON_XomedMeroPack and Invotec Final Nasal Dressing ...

COMPARISON_XomedMeroPack and Invotec Final Nasal Dressing ...

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Published Claim<br />

Stenting Characteristics<br />

Hemostatic Ability<br />

MeroPack Bioresorbable <strong>Nasal</strong> <strong>Dressing</strong><br />

<strong>and</strong> Sinus Stent<br />

Provides excellent stenting capabilities to prevent<br />

adhesions between mucosal surfaces during<br />

mesothelial cell regeneration <strong>and</strong> lateralization<br />

of the middle turbinate 1<br />

(note footnote, below <strong>and</strong> clinical report attached)<br />

Collagen is added (20% content) to help<br />

control minimal bleeding following surgery or<br />

nasal trauma. In contact with bleeding<br />

surfaces, it attracts platelets to facilitate<br />

aggregation.<br />

Wound Healing Moist Wound Environment<br />

Residence Time<br />

Pharmaceutical<br />

Friendly<br />

In the hydrated state, it transforms into a<br />

biocompatible, muco-adhesion gel to provide a<br />

moist wound-healing environment to aid in the<br />

healing process.<br />

Meropack is slowly resorbed (breaks down, not<br />

absorbs) within two weeks, eliminating the<br />

need for painful packing removal. If desired, it<br />

is easily removed by suctioning at the first<br />

postoperative visit.<br />

March 4, 2010<br />

<strong>Invotec</strong> <strong>Final</strong> ENT Sponge<br />

FDA Cleared, specifically, for adhesion<br />

prevention in the post op sinus cavity.<br />

Composed of 100% collagen, <strong>and</strong> with<br />

a structure of leaflet lamella <strong>and</strong> minimal<br />

micro pore count, hemostasis, in<br />

recurrent nose bleeding with<br />

hypertension, to extensive<br />

nose/throat Fibrom, is quickly<br />

achieved, even in the presence of<br />

blood thinners (Aspirin or Clopidogrel,<br />

Plavix®); Hemostasis occurs in ~ 1-2<br />

minutes. 2<br />

Note: This material has been<br />

successfully used as a hemostatic<br />

sponge for 60 years.<br />

Contributes directly to accerated wound<br />

healing<br />

The amino acid composition of the<br />

Alpha-Gelatine (Collagen) is<br />

characterized by the high content of<br />

Glycin (33%), Proline, 2-Leucine, 4-<br />

Leucine; these are the main activators<br />

of Bone <strong>and</strong> Wound healing. Alpha-<br />

Gelatine is equivalent to accelerated<br />

gentle wound healing 3<br />

Liquifies in 3-5 days; absorbs<br />

completely in 7-9 days.<br />

Dry cavity, no residue.<br />

No claim Highly pharmaceutical friendly<br />

Price Estimated $60.00 per side $31.20 per side<br />

Source: References available at www.Xomed.com <strong>and</strong> <strong>Invotec</strong> International, Inc, Jacksonville.<br />

1<br />

This claim has been refuted by Hu KH et al, Effects of Meropack in the middle meatus after functional endoscopic sinus surgery in children with chronic sinusitis,<br />

International Journal of Pediatrics Ohorhinolaryngol, 2008 Oct;72 (10):1535-40. Epub 2008, Sug 26. Results: “Prevented postoperative hemorrhage, but did not<br />

significantly reduce synechiae after endoscopic sinus surgery”<br />

2<br />

Suckfull M.; Report on experimental therapy with the hemostatic device X-Blod in the discipline of otorhinolaryngology , Department of ENT, Ludwig-Maximilaians-<br />

Universitaet, Munich, Germany, January 2009.<br />

3<br />

QserveConsultaqncy BV, Amsterdam, The Effect of Gelatine on Wound Healing Gelita Medical B.V., Doc No.: 1105/09/ld; October, 2009<br />

2

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