What is the ENDOTINE Ribbon device?
What are the indications for use?
What are the contraindications?
What are the clinical results?
How is the device deployed?
What kind of instruments do I need?
What type of suture do I use to anchor the leash?
How long does the implant remain palpable?
What are the advantages of the ENDOTINE Ribbon device?
What kind of training is required?
What are the device side effects?
How do I sign up for an evaluation?
What is the ENDOTINE Ribbon device?
The ENDOTINE Ribbon is a bioabsorbable implant designed for lower face suspension of the jowl and neck. It is made of 82/18 L-lactide/glycolide, similar to LactoSorb™, and consists of a long slender leash with 34 tines that can be customized to the patient’s anatomy and procedure by cutting either the tine bearing area or the smooth leash area. When implanted, the Ribbon engages the deep anatomy (SMAS or platysma) of the newly created surgical plane, and is sutured to the temporal or mastoid fascia to maintain the vector of lift until biological healing takes place. The Ribbon replaces conventional suspension suture used in lower face and neck suspension surgery, and is an effective alternative to ‘thread lifting’.
What are the indications for use?
The ENDOTINE Ribbon device is intended for use in elevation and fixation of lower facial tissues. In the jowl the device is anchored to the deep temporal fascia and in the neck the device is anchored to the mastoid fascia. The Ribbon can be used as a stand-alone device for minimally invasive rejuvenation of the neck and jowl, or as an adjunct to enhance open face and neck lift procedures.
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What are the contraindications?
Situations where internal fixation is otherwise contraindicated (ie. infection)
- Patients appearing to have very thin soft tissues of the face in which the implant may be visible or palpable
- Any known allergy or foreign-body sensitivities to plastic biomaterial
What are the clinical results?
The device has been in use since October of 2005 with a limited group of clinical investigators, and has proven to be easy to use with reliable suspension and marked improvement in the definition of the lower face and neck. The device may be palpable in a small minority ofcases, but it is rarely visible.
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How is the device deployed?
The cheek or neck is injected with local anesthetic either in a conventional or tumescent technique.
To insert the device in the jowl employing a minimally invasive approach, make a supra-auricular incision and dissect a skin flap over the SMAS for full exposure. The device is then inserted with the tines down to engage the SMAS which is suspended to the deep temporal fascia above the ear. Any redundant skin can be resected to eliminate bunching.
To insert the device in the neck employing a minimally invasive approach, make a perilobular incision and dissect the skin flap over the platysma for full exposure. The device is then inserted with the tines down to engage the platysma parallel and inferior to the mandibular angle and then suspended to the mastoid fascia. Any excess skin may be excised prior to final closure.
In open face and neck procedures, the device is engaged in the SMAS or platysma for additional tightening and definition of these areas prior to skin closure.
Unlike ‘thread lifting’ into the skin, the dissection of surgical planes assures more permanent aesthetic results.
What kind of instruments do I need?
The Ribbon is completely self-contained, and is inserted via the included protective cover. No specialized instruments are required.
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What type of suture do I use to anchor the leash?
Absorbable monofilament suture of sufficient strength is preferred, such as 3-0 PDSII. Permanent braided suture is not recommended, as it may damage the Ribbon leash.
How long does the implant remain palpable?
The implant material is essentially reabsorbed within twelve months of implantation. In-vitro studies have demonstrated.
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What are the advantages of the ENDOTINE Ribbon device?
Fast, adjustable, and secure, the ENDOTINE Ribbon offers predictable control of lower face and neck rejuvenation, enabling enhanced aesthetic outcomes. The ENDOTINE Ribbon is an absorbable implant with multiple tines that distribute tension over a broader surface area than the single point of fixation of most suture suspension techniques. In experienced hands, the device can be quickly placed in under local or tumescent anesthesia using tiny incision approaches. The device is easy to deploy and position without the frustration of passing sutures or the resultant skin dimpling. The many points of tissue contact virtually eliminate device or tissue pull through, which is often observed with suture techniques. The ENDOTINE Ribbon is easily and reliably anchored to the deep fascia, providing the surgeon with assurance that the suspension will be maintained to produce a pleasing, long term result due to biological healing that occurs within the soft tissue planes of dissection.
What kind of training is required?
The ENDOTINE Ribbon device is simple, reliable, intuitive and easy to master. The company recommends that a Coapt representative be present at your first case to inservice your staff and to assist with any questions about the device.
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What are the device side effects?
The ENDOTINE Ribbon may be palpable or visible in the early post-operative period. This will diminish as the device is gradually reabsorbed. Though rare, some patients may experience sensitivity or tenderness over the device.
How do I arrange an evaluation?
Please feel free to contact your Coapt Customer Service Representative to schedule an evaluation. Our toll free telephone number is 1.800.963.7670. We look forward to answering your questions.
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