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Cook® Biodesign® Surgisis® Anterior Pelvic Floor Graft is indicated for tissue reinforcement in women with pelvic organ prolapse, for transvaginal repair of anterior and anterior/apical vaginal vault prolapse. Cook® Biodesign® Surgisis® Posterior Pelvic Floor Graft is indicated for tissue reinforcement in women with pelvic organ prolapse, for transvaginal repair of posterior and posterior/apical vaginal vault prolapse.

The Biodesign® Surgisis® Anterior and Posterior Pelvic Floor Grafts are non-synthetic, non-woven, resorbable layered sheets of natural Extracellular Matrix (ECM) collagen that are pre-configured and can be cut and further shaped by a surgeon to the desired size and shape. The grafts are manufactured from multiple layers of porcine Small Intestinal Submucosa (SIS), an acellular collagenous ECM material derived from porcine small intestine where the serosal. mucosal and muscle lavers have been removed. The collagenous material is not cross-linked and is designed to be eventually replaced by the patient's tissue. The shapes of the Biodesign® Surgisis® Anterior and Posterior Pelvic Floor Grafts are specifically designed to meet the clinical needs associated with the device's intended use. The Biodesign® Surgisis® Anterior and Posterior Pelvic Floor Grafts consist of 3 individual grafts: J-PF-ANT-USL, J-PF-ANT-SSL and J-PF-4-POST. J-PF-ANT-USL and J-PF-ANT-SSL are indicated for anterior prolapse repair and J-PF-4-POST is indicated for posterior prolapse repair. The Biodesign® Surgisis® Anterior and Posterior Pelvic Floor Grafts are all supplied sterile and are intended for one time use.

Permacol® Surgical Implants are intended for use to support/reinforce soft tissue in surgical procedures. Permacol® Surgical Implant T-pieces are shaped for use in rectal intussusception repair and Permacol® Surgical Implant Rectocele-pieces are shaped for use in rectocele repair.

Permacol® T-piece and Permacol® Rectocele-piece are substantially equivalent to the predicate devices because they have the same intended uses and very similar technological characteristics.