Frequently Asked Questions About the 4Med Rosenberg Skin Mesher

Frequently Asked Questions about the Rosenberg Skin Mesher

What size skin thickness is the Rosenberg Skin Mesher capable of?

The mesher is capable of meshing thickness range from 0.2MM (0.007") to 4MM (0.150"),  and width up to 150MM (5.9")

What size ratio is the Rosenberg Mesher available in?

The Rosenberg Skin Mesher comes with ONE mesher capable of performing the following 6 ratio's

1:1, 1:1.5, 1:2, 1:3, 1:4, 1:5

Do you need additional components for the mesher to provide variable ratios?

No, each Rosenberg Skin Mesher is sold with 6 ratio settings included, so one mesher is capable of performing at the 6 separate settings which are:  1:1, 1:1.5, 1:2, 1:3, 1:4, 1:5

How does the adjustable mesher work?

The skin graft may be meshed into different meshing ratios according to the graft size needed, available skin, and functional and aesthetic considerations.

What size single, sterile, disposable carriers are required to use with the skin mesher?

The sterile carriers are required to be used with the Rosenberg Skin Mesher.  They are available in boxes of 20, and individually packaged sterile.  They may be used multiple times for the same patient during the surgical procedure.  They are made of High Density Polyethylene (HDPE).  They are available in different sizes:  Standard= 14cmx30cm (5.5"x12.0"), and Long= 14cmx60cm (5.5"x24.0")

What accessories are available with the Skin Mesher

The accessories available with the skin mesher when purchased, are the ratchet and guards.  These come with each mesher purchased, and can also be purchase as replacements when needed.

The sterilization container is sold separately.

Does the sterilization conatiner provided with the Skin Mesher

No, the sterilization container is sold separately.

What is the average savings of selecting a Rosenberg Mesher that has 6 ratios per device vs. standard meshers that come with individual settings?

The Rosenberg Skin Mesher is capable of 6 variable ratios to be set per device.  That is the savings of purchasing 6 individual meshers in order to get the setting required.  The standard meshers only are sold in 1:1, 2:1 and 3:1, thus using the Rosenberg Skin Mesher is an additional 3 settings available.  There is a roughly 60% savings over standard meshers on the market due to the versatility of purchasing 1 Rosenberg mesher to 3 separate meshers.

What is the average savings per year by selecting a Rosenberg Mesher that has 6 ratios per device vs. standard meshers that come with individual settings?

The Rosenberg Skin Mesher is capable of 6 variable ratios to be set per device.  On average the yearly savings of using a Rosenberg Skin Mesher is about $25,000 per mesher.  This is due to the reduced service and repair events, cost of inventory reduction and ability to purchase less meshers to perform the same amount of work.

What is the thickness range of the Rosenberg Mesher?

The Rosenberg Skin Mesher is capable of meshing skin with a thickness range from 0.2MM (0.007") to 4MM (0.150")

What is the approved sterilization method for the Rosenberg Skin Mesher?

The Rosenberg Skin Mesher is approved for steam sterilization

The device is approved for flash sterilization

What if the ratchet does not move when trying to use the mesher?

If the ratchet does not move when trying to mesh then the depth adjustment will need to be reset.  If the ratchet is forced, a pin in the anvil roller will snap to prevent damage to the axle.  Please call Exsurco to return for repair.

Handling and Cleaning Reminders

To cool off device prior to use, it is suggested to use sterile water ONLY (never saline)

When placing skin mesher into sterilization container do so at a 45 deg. angle

Clean the mesher with pH detergent only

To lubricate the blades and axles use a water soluble lubricant only, DO NOT USE OIL

DO NOT USE ULTRASONIC CLEANER, it may damage the blades and affect the black anodizing

Do not use metal instruments near the blades for pushing the skin through or pulling it out it can cause damage to the blades.

How does the Rosenberg Skin Mesher work?

The cutting blades are located and housed in the upper cutting roller do the meshing and press into the skin graft that is spread on the flat carrier plate that passes through on the lower feeding roller.  This produces the skin graft

How do you engage the ratio dial?

Turn the elevation dial, and every "CLICK" corresponds to a movement of 0.1MM.  To move the elevation dial you have to push down on the lock knob.  To decrease the distance, turn the elevation dial clockwise, to increase the distance turn the dial counterclockwise.

By changing the angular position of the two paired blades, the meshing ratio can be adjusted.  When the two paired blades are completely parallel, the result is a minimal incision with a meshing ratio of 1:1.  Increasing the angle between the paired blades increases the length of the blade incision into the graft and meshing ration up to 5:1.  The meshing ratio is shown by a pointer which is situated on the wheel on the inner left side of the mesher.  The marks on the pointer are labeled 1:1, 1:1.5, 2:1, 3:1, 4:1, 5:1.

What is the warranty for the Skin Mesher

The mesher is guaranteed to be free from defects in material and workmanship for 1 year from date of shipment.

Any repairs above and beyond the warranty will be covered by the customer, and the replacement part(s) guaranteed for 10 years from date of repair.

What is the contact information for the Skin Mesher

Exsurco Medical, 1-800-243-6049 or sales@exsurco.com

4med US Sales Office, 1-914-861-0480 or sales@4med-surgical.com

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