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The tarSys™ bioengineered eyelid spacer graft is intended for implantation to reinforce and aid reconstruction of the eyelid.

Natural tarsus is specialized tissue that is neither purely fibrous nor cartilaginous in composition. The tissue functions as the skeletal structure for the delicate mechanical properties of the lid. Substitute materials necessary to correct lid function are limited due to the hybrid composition of this unique tissue type. The manufacturing process configures the material into a dense elastic matrix suitable for structural repair of superficial mucosa.

  • Engineered specifically for the repair of lid retraction.
  • Biologic composition similar to tarsal plate.
  • Compatible with superficial mucosa.
  • Vertical support, no excess bulk.
  • Integrates with host tissue.
  • No graft site morbidity.


Suggested Instructions For Using Prosthetic Eyelid Spacer Grafts:

These recommendations are designed to serve as a general guideline. They are not intended to supersede institutional protocols or professional clinical judgment concerning patient care.

NOTE: Handle using aseptic technique, minimizing contact with latex gloves.

Required Materials:

  • Sterile Forceps.
  • A sterile dish with a capacity of at least 10mL.
  • Rehydration fluid: at least 5mL of room temperature sterile saline, sterile lactated Ringer’s solution or sterile ocular irrigating solution for each tarSys™ graft.
  1. Using aseptic technique, remove the tarSys™ inner pouch from its outer bag, and place the inner pouch in the sterile field.
  2. Open the inner pouch carefully, and aseptically remove the tarSys™ graft with the sterile forceps.
  3. Place the tarSys™ graft into the sterile dish in the sterile field. (Multiple grafts may be rehydrated simultaneously in the same dish.)
  4. Add to the dish at least 5mL of the rehydration fluid for each graft. Antibotic may be added to rehydration solution.
  5. Allow the tarSys™ grafts to rehydrate for at least twenty minutes.
  6. Prepare the graft site using standard surgical techniques.
  7. Using aseptic technique, trim the tarSys™ graft to fit the site, providing a small allowance for overlap. (Note: An alternative method is to cut the device to size prior to rehydration. If this method is selected, be sure to rehydrate the tarSys™ graft prior to suturing into place. See step 5.
  8. Using aseptic technique, transfer the tarSys™ graft to the graft site and suture into place, avoiding excess tension. (Note: Surgical experience indicates that suturing tarSys™ grafts with close tissue approximation produces better outcomes.)
  9. Complete the standard surgical procedure.
  10. Discard any unused portions of the tarSys™ graft.

The relevance of the reimbursement codes depends on indications of use and geographic region.

Please use the hotline or email to determine what the guidelines are for your area.

IOP Reimbursement Hotline:    1.888.700.9005

IOP Reimbursement Email:      support@nmdhealthcare.com

ChenTarSysThumb Category tarSys

SURGICAL VIDEO: Repair of Lower Eyelid Retraction With tarSys 12-Layer Posterior Lamellar Spacer Graft
Steven Chen, M.D., has created a thorough educational surgical video showing his unique surgical techniques when treating lower lid retraction.

CohenPlayer Category tarSys

PRESENTATION: Adam Cohen MD, Lid Reconstruction with TarSys Spacer Graft
Dr. Cohen presents at the 2012 AAO in Chicago, highlighting the processed porcine submucosa spacer graft, tarSys.

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TS-81040 tarSys Eyelid Spacer Graft (1 x 4 cm., 8 layer) Register to See Pricing
TS-121040 tarSys Eyelid Spacer Graft (1 x 4 cm., 12 layer) Register to See Pricing
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