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Ultra Retropubic Mid-Urethral Sling Family

Fueled by physician insights and feedback, the Ultra Sling Family is designed to improve provider experience through more precise sling placement. Paired with Boston Scientific’s clinically supported Advantage™ optical blue mesh, its features are designed to help drive procedural efficiency, mesh visualization and tensioning consistency.

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Why choose the Ultra sling family

You asked. We answered. 

Closeup of Ultra mesh.


Sleek, suture-released centering tab

Designed with 1 cm exposed mesh for better visualization of the surgical field, an updated removal process, and the ability to visualize tensioning and centering after sleeve removal.

Healthcare worker holding Ultra mesh.


Lay-flat, two-sleeve design

Designed to provide a slim, smooth surface during tissue interaction. 

Closeup of Ultra mesh.


Clinically supported Advantage mesh

The same material and features as the patented Advantage clear mesh in an optical blue color, enhancing intra-operative visibility. Boston Scientific’s Advantage mesh is documented in more than 100 publications to date and has been used in more than 1 million slings.


Discover the Ultra sling family

Advantage™ Ultra product shot.


Advantage Ultra

The Advantage Ultra sling system includes an updated centering tab designed to provide the ability to visualize tensioning and centering after sleeve removal. The sling delivery device is comprised of an ergonomic handle and a curved needle designed to fit behind the pubic bone.

Advantage Fit™ Ultra product shot.


Advantage Fit™ Ultra

The Advantage Fit Ultra Sling System is designed with a 46% thinner needle and 17% tighter curve than the Advantage Ultra System which is intended to reduce insertion force and to place the mesh closer to the pubic bone, and farther away from critical structures.

Lynx™ Ultra product shot.


Lynx™ Ultra

The Lynx Ultra sling system is intended to facilitate suprapubic passage with a tapered dilator designed for smooth transition from loop to mesh which allows for minimal tissue disruption.

Physician-driven, patient-centered innovation

  • Our investment in the pelvic floor space, paired with more than 200 physician touchpoints, has resulted in the Ultra Retropubic Mid-Urethral Sling Family.
  • Centering tab and sleeve removal technique are consistent throughout the Ultra sling family, which may make training residents and fellows more efficient.

Michael Ehlert, M.D., FPMRS, from Minnesota Urology, describes how the design of the new Ultra Retropubic Mid-Urethral Sling is intuitive and physician friendly.

Over 25 years of commitment to women’s health


Comprehensive portfolio of treatment solutions 
Health economics and market access tools and resources, along with support from a team dedicated to women’s health 
Investment in clinical research 
Access to clinical education and product support 
Commitment to quality 
Dedicated patient websites; support for patient education seminars 
Focus on protecting the environment 
Women sitting on exercise ball with two women talking in background.

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Clinical highlights

June 2017, Chevrot et al., published in International Urogynecology Journal


September 2010, Lim et al., published in International Urogynecology Journal


October 2008, Agarwala, published in UroToday International Journal


September 2008, Noblett et al., published in International Urogynecology Journal Pelvic Dysfunction

Discover the Ultra sling family 

Advantage and Advantage Fit Ultra

Transvaginal Mid-Urethral Sling Systems

Advantage and Advantage Fit Ultra product close-up with labeled sections. Advantage Fit Ultra Sling System shown


A. Blue dilator

Designed to improve visualization during cystoscopy.


B. Lay flat, two-sleeve design

  • Designed to provide a slim, smooth surface during tissue interaction.
  • Sleeve length: 24.7 cm per sleeve


C. 1 cm exposed mesh 

One centimeter of exposed mesh designed for better visualization of the surgical field and mesh tensioning.


D. Sleek, suture-released centering tab

Designed to provide the ability to visualize tensioning and centering after sleeve removal and an updated removal process.


E. Needle

The Advantage Fit Ultra Sling System was designed with a 46% thinner needle and 17% tighter curve than the Advantage Ultra System.

  • Diameter Advantage Fit Ultra needle: 2.7 mm
  • Diameter Advantage Ultra needle: 5 mm


F. Delivery device handle

Ergonomic handle designed to fit into physician’s hand and allow for ambidextrous use. Non-skid grip helps prevent hands from slipping during use.

Lynx Ultra

Suprapubic Mid-Urethral Sling System

Lynx™ Ultra Suprapubic Mid-Urethral Sling System product close-up.


A. Association loop

  • Facilitates needle and mesh engagement and removal.
  • Smooth transition from loop to mesh allows for minimal tissue disruption.


B. Lay flat, two-sleeve design

  • Designed to provide a slim, smooth surface during tissue interaction.
  • Sleeve length: 24.7 cm per sleeve


C. 1 cm exposed mesh

One centimeter of exposed mesh designed for better visualization of the surgical field and mesh tensioning.


D. Sleek, suture-released centering tab

Designed to provide the ability to visualize tensioning and centering after sleeve removal and an updated removal process.


E. Needle

  • Needle is colored to enhance visibility during cystoscopy.
  • Diameter Lynx Ultra needle: 3.175 mm


F. Non-skid handle

Non-skid grip is designed to prevent hand from slipping during intra-operative manipulation.

Trusted polypropylene mesh

Advantage and Advantage Fit Ultra product close-up with labeled sections.


A. De-tanged

De-tanged suburethral portion designed to maintain integrity during tensioning and potentially reduce irritation to the urethral wall


B. Tanged

Tanged edges outside of the suburethral portion are designed to prevent mesh migration

 

Mesh specifications
Thickness0.66 mm
Pore size1182 μm
Fiber size (diameter)0.15 mm
Weight100 g/m2
Mesh length44.5 cm
Exposed mesh length~1 cm

 

Delivery device specifications
Sleeve length24.7 cm per sleeve
Advantage Ultra needle diameter5 mm
Advantage Fit™ Ultra needle diameter2.7 mm
Lynx™ Ultra needle diameter3.175 mm

Education and training for urology

Lynx™ Ultra System Procedural Video video thumbnail.

Duration: 00:04:39

Date: Jan 2021

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Ultra sling family

Product brochures

Patient resources


Potential economic impact to institutions

Medicare national average reimbursement for mid-urethral sling surgery, to treat SUI, has seen an overall increase from 2020 to 2026 in both the hospital outpatient department1 and in the ambulatory surgical center (ASC)2

Medicare Hospital outpatient reimbursement for mid-urethral sling surgery increased 20% over 7 years. 

Medicare hospital outpatient reimbursement bar chart.

Medicare ASC reimbursement for mid-urethral sling surgery increased 21% over 7 years.

Medicare asc reimbursement bar chart.
  1. Centers for Medicare and Medicaid Services. Hospital Outpatient Prospective Payment System Final Rules Addendum B (2020–2026). Hospital Outpatient Regulations and Notices | CMS
  2. Centers for Medicare and Medicaid Services. Ambulatory Surgical Center Payment System Final Rules Addendum AA (2020–2026). ASC Regulations and Notices | CMS

Ordering information

 

UPN

Description

Quantity

Transvaginal approach

M0068502060

Advantage Ultra Transvaginal Mid-Urethral Sling System

1 delivery device and 1 mesh assembly

M0068502160

Advantage Fit™ Ultra Transvaginal Mid-Urethral Sling System

1 delivery device and 1 mesh assembly

Suprapubic approach
M0068503060Lynx™ Ultra Suprapubic Mid-Urethral Sling System2 delivery devices and 1 mesh assembly

Caution: U.S. federal law restricts this device to sale by or on the order of a physician trained in use of surgical mesh for repair of stress urinary incontinence. Refer to the instructions for use for this product for complete indications for use, contraindications, warnings, precautions, adverse events, and instructions prior to using this product. 

The following adverse events have been reported due to suburethral sling placement, any of which may be ongoing, but are not limited to: as with all implants, local irritation at the wound site and/or a foreign body response may occur, foreign body reaction may be acute or chronic, pain (pelvic, vaginal, groin/thigh, suprapubic, dyspareunia) (acute or chronic), dyspareunia, tissue responses to the mesh implant could include: erosion into organs (urethra, bladder or other surrounding tissues); exposure/extrusion into the vagina, mesh contact with urine via erosion/exposure/extrusion may result in stone formation, scarring/scar contracture, necrosis, fistula formation (acute or chronic), inflammation (acute or chronic), mesh contracture, tissue contracture, vaginal shortening or stenosis that may result in dyspareunia and/or sexual dysfunction, pain with intercourse that may not resolve, exposed mesh may cause pain or discomfort to the patient’s partner during intercourse, sexual dysfunction, including the inability to have intercourse. Like all foreign bodies, the mesh may potentiate an existing infection. Allergic reaction has been reported. Known risks of surgical procedures for the treatment of incontinence include: pain, ongoing pain (pelvic, vaginal, groin/thigh, suprapubic, dyspareunia), severe, chronic pain, apareunia, leg weakness, infection, de novo detrusor instability, complete failure of the procedure/failure to resolve a patient’s stress urinary incontinence, voiding dysfunction (incontinence, temporary or permanent lower urinary tract obstruction, difficulty urinating, pain with urination, overactive bladder, and retention), bruising, bleeding (vaginal, hematoma formation), abscess, vaginal discharge, dehiscence of vaginal incision, edema and erythema at the wound site, perforation or laceration of vessels, nerves, bladder, urethra or bowel may occur during placement. The following additional adverse events have been reported for the Solyx SIS System: dysuria, hematuria. The occurrence of these events may require surgical intervention and possible removal of the entire mesh. In some instances, these events may persist as a permanent condition after surgical intervention or other treatment. Removal of mesh or correction of mesh-related complications may involve multiple surgeries. Complete removal of mesh may not be possible and additional surgeries may not always fully correct the complications.