Ultratine - AFS Medical

Ultra-secure forehead soft tissue fixation
TM
ULTRATINE
The ultimate in patient comfort

Why The New Ultratine TM
Surgeons have asked us for a more rapidly absorbing Endotine
Forehead. One that holds the forehead soft tissue with as much security
and placement control as the current Endotine, but provides more
comfort to their patients during the post surgical phase. We are pleased
to introduce Ultratine to answer this need.
The Ultratine Forehead consists of a similar, but uniquely different
polylactic acid and polyglycolic acid polymer blend that bio-absorbs in a
more desirable way. The structure of the material quickly flattens under
the skin as periosteal attachment is complete, greatly enhancing the
patient’s post operative experience.
Ultratine versus Endotine ® Absorption Profile
Biologic Fixation
% Strength
100
Periosteal Attachment
80
Endotine 82:18
60
Ultratine
40
20
Time (weeks)
0 2 4 6 8 10 12 14 16 18 20
Ultratine Key Performance Traits:
• Ultratine loses 90% of its strength in 60 days, while Endotine loses
only 37% of its strength in 60 days
• Ultratine’s rapid strength degradation after periosteal attachment
is complete means the patient has less palpability and sensitivity
after 60 days

Ultratine TM
Performance
Ultratine Performance and Satisfaction Exceeds Expectations
When we identified the right material for Ultratine, we tested it for clinical
performance, and surgeon and patient satisfaction with the overall
experience with the device. The objective was to achieve seamless product
performance and high levels of patient satisfaction. The results of a 22
patient study are summarized below.
Ultratine demonstrates a high degree of surgeon
satisfaction and patient comfort
MEASURE 30 DAYS 90 DAYS
Maintaining Elevation
➔ Very Satisfied/Satisfied 95.4 95.4
Palpability
➔ Palpable/Slightly Palpable 77.3 95.4
Use Ultratine Instead of Endotine
➔ Yes 95.5 90.9
Patient Satisfaction
➔ Very Satisfied/Satisfied 86.4 91.0
*Data on file at Coapt Systems
What Our Customers are Saying
“For properly selected patients,
Ultratine has proven to be as
effective as Endotine in
maintaining elevation of the
brow. The device is perceived
by patients to be more
comfortable than Endotine.”
DR. R. LAURENCE BERKOWITZ
Santa Clara, California
“Ultratine provides the stability
needed for periosteal reattachment
to its newly elevated position. The
rapid absorption of Ultratine means
better patient comfort post-operatively
with less sensitivity and palpability.”
DR. JEFFREY JOSEPH
Lafayette, Louisiana

The Importance of Fixation
Research has proven fixation is a key element in a
successful forehead lift.
Aesthetic thought leaders have published data that four to six weeks is
required for forehead periosteal reattachment:
Periosteal Re-Attachment—
Clinical Experience
Periosteal Re-Attachment
in Animal Models
David Knize, MD
“Brow Fixation with the Endotine Forehead Device in
Endoscopic Brow Lift”
Plastic & Reconstructive Surgery, Vol. 116, No. 6
Periosteum: 10 to 14 days
Lateral Brow and Temporal Fascia: At least 30 days
Sean Boutros, MD, et al.;
“The Temporal Sequence of Periosteal Attachment
After Elevation”
Plastic and Reconstructive Surgery 111: 1942,
2003– 30 DAYS
Thomas Romo III, MD, et al.;
“Strength and Histological Characteristic of Periosteal
Fixation to Bone After Elevation”
Plastic and Reconstructive Surgery 2000; 105:1111-7
Minimum 6 weeks– Complete at 12 weeks
The Ultratine Difference
• Sutureless fixation providing rapid deployment and secure soft
tissue repositioning
• Adjustable tissue placement for complete control of
aesthetic outcomes
• Multiple points of soft tissue fixation for a balanced
distribution of tissue tension
• Bioabsorbable co-polymer holds elevated tissue in the new
position until biological healing takes place
ENDOSCOPIC APPLICATION
SUTURE
ULTRATINE

The Ultratine Forehead Lift Procedure
THE PROCEDURE:
1
MAKE THE INCISION
Make the coronal or limited
incision in your usual fashion.
Perform the dissection and
elevate the brow.
2
DETERMINE THE DRILL HOLE SITE
Plan the drill hole sites such that
the Ultratine Forehead devices
will sit anterior to the incisional
closure and under hair bearing
scalp.
3
MAKE THE HOLE
Use the Ultratine Forehead drill
bit to create a hole at the drill
hole site. Drill all the way to the
drill bit sleeve. Suction the bone
hole to remove all debris.
4
GRASP THE DEVICE
Use the Ultratine Forehead
Insertion Tool to grasp the
implant and remove it from its
packaging. One needle-like tip of
the tool fits into the hole in the
UltraTine Forehead platform and
the other end grasps the
implant post.
5
PLACE THE DEVICE
Insert the Ultratine Forehead
implant into the drilled hole.
Push until the platform is flush
with the cranium. Release the
Insertion Tool from the implant.
6
ELEVATE THE TISSUE
Elevate brow tissue to desired
position. Readjust as desired for
optimal aesthetic effect.
7
SECURE THE TISSUE
Apply digital pressure to ensure
penetration of the tissue by the
device tines. Close the incision.
Excise scalp as necessary for a
tension free closure.

3.0mm is designed for patients with below
average scalp thickness. This Ultratine uses tines
that are 3.0mm in height to further reduce issues
of palpability or sensitivity.
3.5mm features tines that are 3.5mm in height
and is best for patients with average to thick
scalps where more secure fixation
is desired.
Materials Needed for an Ultratine Forehead Lift Procedure
CAT # PRODUCT NAME PRODUCT DESCRIPTION QUANTITY
23200 Ultratine Forehead 3.0 Bioabsorbable brow fixation device 1 each
with 3.0mm tine height
23100 Ultratine Forehead 3.5 Bioabsorbable brow fixation device 1 each
with 3.5mm tine height
CFD-010-4320 Forehead Instrument Kit Forehead insertion tool, drill bits, 1 each
sterilization tray with lid
CFD-899-4000 Coapt Manual Surgical Drill Manual surgical hand drill for use 1 each
with Endotine implants
THIS PRODUCT IS COVERED BY ONE OR BOTH OF THE FOLLOWING U.S. PATENTS: 6,645,226 AND 6,485,503.
Coapt Systems, Inc.
1820 Embarcadero Road
Palo Alto, CA 94303
800.963.7670 Toll Free
650.213.9377 Fax
www.coaptsystems.com
© 2007 Coapt Systems, Inc. All rights reserved. The Coapt logo, Coapt, ENDOTINE and Ultratine are trademarks and/or
registered trademarks of Coapt Systems, Inc. LBL-899-7136 Rev A.