Patent ID: 8591534

Claim:
An implantable prosthesis for repairing or reinforcing a tissue or muscle wall defect, comprising: a first substantially flat, flexible composite bottom structure including at least one layer of non-absorbable material, the first composite structure having a central portion sized and shaped to cover at least a portion of the tissue or muscle wall defect and having an outer periphery; a second, flexible, top structure having a base member with an outer periphery substantially similar to the outer periphery of the first structure, and having a reinforced central region, wherein the reinforced central region extends upwardly from the base member to form a three-dimensional central portion capable of at least partially filling a defect in a fascial plane, wherein the three-dimensional central portion has a solid geometric shape configuration; a three-dimensional reinforcing element positioned between the first and second structures and having an outer periphery substantially similar to the outer periphery of the first and second structures; a substantially solid central element adjacent to the central region; and, at least one pulling element coupled to the central element in the reinforced central region wherein the first composite structure and the second structure are coupled to one another substantially only around their respective outer peripheries.