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Advantage™ Transvaginal Mid-Urethral Sling System

The Advantage Sling System was designed with mesh tensioning and delivery in mind, and includes a centering tab designed to assist with alignment and tensioning of the mesh. The sling delivery device is comprised of an ergonomic handle designed to provide tactile feedback and a curved needle designed to fit behind the pubic bone. Available with Advantage clear mesh or Advantage blue mesh.

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Retropubic Slings: Long-term, sustainable high success rates

In one study of 463 patients, 74.3% of patients demonstrated subjective cure and 11.9% were improved at a mean follow-up of 71 months.1

Why choose Advantage mesh sling

Advantage Mesh assembly

Advantage™ Transvaginal Mid-Urethral Sling System trocar and mesh.


A. Blue dilator

The blue dilator is designed to improve visualization during cystoscopy. It features a smooth, tapered design to slide through tissue, as well as a “slip on, slip off” design that allows for perioperative manipulation.


B. Centering tab

The centering tab is designed for proper alignment of the center of the mesh under the urethra. It also allows the physician to apply counter tension to the sling while preserving the mesh integrity.


C. De-tanged polypropylene material

The de-tanged suburethral portion is designed to maintain its integrity during tensioning and potentially reduce irritation to the urethral wall.


Ergonomic delivery


D. Curved needle tip

The tighter curve is designed to place the mesh closer to the pubic bone and farther away from critical structures as compared to Advantage Transvaginal Mid-Urethral Sling.


E. Pusher

The device is designed with a pusher for ergonomic finger placement, intended to provide the user with greater needle stability and control during delivery.


F. Delivery device handle

The ergonomic handle is designed to fit into the physician’s hand to provide tactile feedback and allows for ambidextrous use.


What’s included

Advantage Fit™ System Transvaginal Mid-Urethral Sling System trocar and dilator product shot.

The Advantage Transvaginal Mid-Urethral Sling System includes:

  • 1 Advantage delivery device 
  • 1 mesh assembly (clear or optical blue)

Questions?

We are here to help answer any questions you may have about Advantage.

Clinical highlights

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


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


Technical specifications

 

Mesh
Thickness0.66 mm
Pore size1182 μm
Fiber size (diameter)0.15 mm
Weight100 g/m2
Length44.5 cm
Delivery
Advantage™ needle diameter5 mm
Sleeve length22.25 cm per side
Dilator length17.8 cm
Overall length82.6 cm

Education and training for urology

This is a high-level review of Advantage and Advantage Fit Transvaginal Mid-Urethral Sling Systems.

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Product brochure

Ordering information

 

Order Number

UPN

Description

Quantity

850205

M0068502050

Advantage™ Blue System

1 delivery device and 1 mesh assembly (blue)

850200

M0068502000

Advantage™ System

1 delivery device and 1 mesh assembly (clear)



Reference

  1. Chevrot A, Droupy S, Coffin G, et al. Long-term efficacy and safety of tension free vaginal tape in a historic cohort of 463 women with stress urinary incontinence. Int Urogynecol J. 2017;28:827–833.

All images are owned by Boston Scientific. All trademarks are the property of their respective owners.

For female Mid-Urethral Slings: CAUTION: Federal (US) law restricts this device to sale by or on the order of a physician trained in the use of surgical mesh for repair of stress urinary incontinence.

Refer to package insert provided with 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.