TRIED.

TRUE.

10 published studies1400+ patients studied1,000,000+ implants

References: 1. Narotam PK, et al. Collagen matrix (DuraGen) in dural repair: analysis of a new modified technique. SPINE. 2004;292:2861-2869. 2. Danish SF, et al. Experience with acellular human dura and bovine collagen matrix for duraplasty after posterior fossa decompression for Chiari malformations. J Neurosurg Pediatrics. 2006;104:16-20. 3. Narotam PK, et al. Collagen matrix duraplasty for cranial and spinal surgery: a clinical and imaging study. J Neurosurg. 2007;106:45-51. 4. Horaczek JA, et al. Collagen matrix in decompressive hemicraniectomy. Operative Neurosurgery. 2008;63:ONS176-81. 5. Stendel R, et al. Efficacy and safety of a collagen matrix for cranial and spinal dural reconstruction using different fixation techniques. J Neurosurg. 2008;109:215-221. 6. Harvey RJ, et al. Closure of large skull base defects after endoscopic transnasal craniotomy. J Neurosurg. 2009;111:271-329. 7. Narotam PK, et al. Collagen matrix duraplasty for posterior fossa surgery: evaluation of surgical technique in 52 adult patients. J Neurosurg. 2009;111:380-386. 8. Lee JH, et al. Dural reconstruction in meningioma surgery. In, Lee JH (ed): Meningiomas: Diagnosis, Treatment and Outcome. London: Springer, 2009, pp 619-624. 9. Litvack ZN, et al. Dural augmentation: Part I: evaluation of collagen matrix allografts for dural defect after craniotomy. Neurosurgery. 2009;65:890-897. 10. Sade B, et al. Non-watertight dural reconstruction in meningioma surgery: results in 439 consecutive patients and a review of the literature. Clinical article. J Neurosurg. [epub ahead of print August 13, 2010. DOI: 10.3171/2010.7. JNS10460] 11. Medtronic Study: Parker, et al. Complications following decompression of Chiari malformation Type 1 in children: dural graft or sealant? J Neurosurg. Pediatrics 2011;8:177-183. DuraGen® matrix is indicated as a dural substitute for the repair of dura mater. Adverse events: Possible complications can occur with any neurosurgical procedure and include CSF leaks, infection, delayed hemorrhage, and adhesion barrier formation. Please read the package insert for complete instructions, contraindications, and precautions.

REAL-wORLD RESuLTS IN MORE THAN 1 MILLION PATIENTS AND COuNTING

• Proven conformability supports fibrin clot formation to create a watertight seal

• Optimized porosity supports natural dural repair

• used by more neurosurgeons

DuRAGEN® MATRIx HAS MORE PuBLISHED CLINICAL STuDIES THAN ALL OTHER DuRAL COLLAGEN GRAFTS COMBINED1-11

• 10 peer-reviewed published studies1-10

• 1400+ patients studied

DuraGen® matrix – Ask for the #1 Dural Graft

TRUE:

TRIED:

DuraGen®Dural Graft Matrix

DemandDuraGen®Dural Graft Matrix

Demand

Not all collagen grafts are the sameDuraGen, Integra, and the Integra logo are registered trademarks of Integra LifeSciences Corporation or its subsidiaries in the united States and/or other countries. ultra Pure Collagen is a trademark of Integra LifeSciences Corporation. ©2013 Integra LifeSciences Corporation. All rights reserved. Printed in the uSA. 2.5k 0179537-2

For more information or to place an order, please contact:Integra n 311 Enterprise Drive, Plainsboro, NJ 08536800-997-4868 uSA n 609-936-5400 outside uSA n 888-980-7742 faxintegralife.com

Integra is the pioneer in dural regeneration

medicine

2006 2007 2008 2009

uLTRA PuRE COLLAGEN™

Limits the risk of infection and foreign body reaction

ENGINEERED POROSITyProvides optimal porosity for fibrin clot formation and cell infiltration to achieve natural dural repair

TRIED: DURaGEn® maTRIx IS THE DuRAL GRAF T uSED By MORE NEuROSuRGEONS

INTIMATE CONFORMABILITyConforms to complex surfaces, rapidly forming a fibrin clot to limit CSF leakage

2010

DURaGEn® maTRIx HAS MORE PuBLISHED CLINICAL STuDIES THAN ALL OTHER DuRAL COLLAG EN GRAFTS COMBINED

2005Haq I, et al. Postoperative fibrosis after surgical treatment of the porcine spinal cord: a comparison of dural substitutes. J Neurosurg Spine. 2005;2:50-54.

Danish SF, et al. Experience with acellular human dura and bovine collagen matrix for duraplasty after posterior fossa decompression for Chiari malformations. J Neurosurg: Pediatrics. 2006;104:16-20.

Narotam PK, et al. Collagen matrix duraplasty for cranial and spinal surgery: a clinical and imaging study. J Neurosurg. 2007;106:45-51.

Horaczek JA, et al. Collagen matrix in decompressive hemicraniectomy. Operative Neurosurgery. 2008;63:ONS176-81.

Stendel R, et al. Efficacy and safety of a collagen matrix for cranial and spinal dural reconstruction using different fixation techniques. J Neurosurg. 2008;109:215-221.

Sade B, et al. Non-watertight dural reconstruction in meningioma surgery: results in 439 consecutive patients and a review of the literature. Clinical article. J Neurosurg. [epub ahead of print August 13, 2010. DOI: 10.3171/2010.7. JNS10460]

Slavin KV, et al. Augmentation duraplasty in Chiari I malformations utilizing suturable and sutureless allograph patches: A prospective, randomized study with long-term outcome analysis. Study poster. Department of Neurosurgery, University of Illinois at Chicago, Chicago, Ill. 2010.

Narotam PK, et al. Collagen matrix duraplasty for posterior fossa surgery: evaluation of surgical technique in 52 adult patients. J Neurosurg. 2009;111:380-386.

Litvack ZN, et al. Dural augmentation: Part I: evaluation of collagen matrix allografts for dural defect after craniotomy. Neurosurgery. 2009;65:890-897.

TRUE:

DuraGen® has the Data: A selection of peer-reviewed, published studies

Integra DuraGen Take Back - BrochureTRIED: duragen matrix is the dural graft - Used by more neurosurgeonsReal-world results in more than 1 million patients and counting