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Bovine Pericardium Biological Matrix · Your Bilayer Solution

Exashape

ExaShape is a product line obtained processing the pericardium of cattle. The membrane is gently processed with a "multiphasic" process that ensures pathogen inactivation while maintaining the three-dimensional structure of the collagen and its biomechanical properties.

Exashape biomaterial membrane

Biological Matrix for Breast Reconstruction

ExaShape is a product line obtained processing the pericardium of cattle. The membrane is gently processed with a "multiphasic" process that ensures pathogen inactivation maintaining the three-dimensional structure of the collagen and its biomechanical properties.

Moreover, thanks to strict quality controls and standards throughout all pericardial tissue manufacturing process, the company aims to deliver reliable and effective medical devices that meet the needs of healthcare professionals and patients alike.

Bi-Layer
by Nature

Exashape preserves the original bi-layer structure of the bovine pericardium for optimal tissue regeneration and healing.

What is a biological matrix for breast reconstruction? →

Compact layer

Compact Layer

Protects the implant from external factors, reduces friction thanks to its smooth surface and provides structural support.

Fibrous layer

Porous Layer

Allows an early start of the integration process with progressive neovascularization, fibroblast colonization and collagen formation. Its porous structure supports tissue adherence and implant stability.

How it works

Mode of Action

1

1. Early Inflammation

Initiated immediately after implantation and dominated by M2 macrophages, associated with tissue repair. Growth factors are released to activate fibroblasts. Due to the low biological mass of Exashape, this inflammatory response is minimal, reducing the risk of seroma and oedema.

2

2. Neoangiogenesis

New blood vessels grow inside the porous layer of Exashape and progressively into the compact layer, promoting rapid fibroblast repopulation. Thanks to the permeability of the porous layer, this process begins earlier, reducing the risk of necrosis.

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3. Collagen Formation

Fibroblasts produce patient-specific collagen, initially filling the porous layer and then the compact layer. Exashape becomes firmly integrated with the surrounding tissue, turning flexible and biologically active as native collagen is laid down.

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4. Remodelling

Enzymatic degradation of the original matrix by collagenases creates new spaces, which are progressively replaced by organised collagen and new blood vessels. The resulting regenerated tissue is elastic, biologically active, and significantly thicker than the original membrane.

Select a mesh

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Our Product Line

BioShield Pocket

Prepectoral

BioShield Pocket

Bovine pericardium meshed membrane with a patented pocket design for prepectoral breast reconstruction, to cover the anterior part of implants up to 560 cc in a quick, easy and safe way, without the need to suture it into the muscle.

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BioShield Pocket 3D

Prepectoral

BioShield Pocket 3D

3D pre-shaped bovine pericardium meshed membrane for prepectoral breast reconstruction, to cover the anterior part of implants up to 650 cc in a full non-touch, easier and quicker way, without the need to suture it into the muscle.

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BioShield Pocket PRo

Advanced

BioShield Pocket PRo

Enhanced bilayer pericardial pocket for complex breast reconstruction procedures requiring superior mechanical performance.

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PREPEC

Prepectoral

PREPEC

Bovine pericardium perforated membrane for breast reconstruction, designed to cover different parts of the implant according to the surgeon's needs.

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Grid

Subpectoral

Grid

Bovine pericardium perforated membrane in a half-moon shape designed for subpectoral breast reconstruction, to cover the lower part of the implant.

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Expander

Two Stages

Expander

Bovine pericardium rectangular perforated membrane designed for tissue expander use, supporting the expansion phase in two-stage breast reconstruction.

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NAC

NAC Reconstruction

NAC

Bovine pericardium perforated membrane designed for the support of nipple-areola complex reconstructions.

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Scientific References

  • 1Pusic AL et al. Patient-reported outcomes 1 year after immediate implant-based breast reconstruction. J Clin Oncol. 2013.
  • 2Wainwright DJ. Use of an acellular allograft dermal matrix (AlloDerm) in the management of full-thickness burns. Burns. 1995.
  • 3Breuing KH, Warren SM. Immediate bilateral breast reconstruction with implants and inferolateral AlloDerm slings. Ann Plast Surg. 2005.
  • 4Jansen LA et al. Acellular dermal matrix and the risk of complications with tissue expander and implant-based breast reconstruction. Ann Plast Surg. 2011.

Resources & Downloads

Brochure

Brochure

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Scientific Data

Scientific Data

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Questions

Frequently asked questions

What is ExaShape®?

ExaShape® is a biological mesh made from 100% bovine pericardium, processed into a bilayer membrane used in implant-based breast reconstruction (prepectoral and direct-to-implant/DTI techniques). It is CE-marked as a Class III medical device under EU MDR 2017/745.

How is ExaShape® different from other biological meshes?

ExaShape® is derived from the pericardium of cattle under 24 months old, providing a 100% biological origin bilayer structure that promotes natural tissue integration while maintaining mechanical support. It is available in multiple configurations: ExaShape Grid, PREPEC meshed membrane, BioShield Pocket, BioShield Pocket PRO, and BioShield Pocket 3D.

Is ExaShape® suitable for prepectoral breast reconstruction?

Yes. ExaShape® and all its variants are specifically engineered for prepectoral and direct-to-implant (DTI) breast reconstruction, providing a biological scaffold that supports the implant pocket and promotes tissue integration.

Is ExaShape® CE-marked?

Yes. ExaShape® is CE-marked under EU MDR 2017/745 and is used in over 23 countries worldwide.

What is a bovine pericardium membrane?

A bovine pericardium membrane is a biological matrix derived from the fibrous sac surrounding a bovine (cow) heart. After decellularisation and processing, it provides a collagen-rich scaffold that supports tissue regeneration in reconstructive surgery.

What is the difference between ExaShape® and synthetic mesh for breast reconstruction?

ExaShape® is 100% biological (bovine pericardium), meaning it integrates naturally with patient tissue and does not leave a permanent synthetic material in the body. Synthetic meshes offer lower cost but carry different long-term tissue interaction profiles.

Can ExaShape® be used in direct-to-implant (DTI) breast reconstruction?

Yes. ExaShape® and the BioShield Pocket range are designed for both prepectoral and direct-to-implant (DTI) reconstruction, enabling single-stage procedures after mastectomy.