Related Manuals for Synthes SYNMESH
Summary of Contents for Synthes SYNMESH
- Page 1 Vertebral Body System for the Cervical, Thoracic and Lumbar Spine SYNMESH™ Surgical Technique...
- Page 2 For general information about reprocessing, care and maintenance of Synthes reusable devices, instrument trays and cases, as well as processing of Synthes non-sterile implants, please consult the Important Information leaflet (SE_023827) or refer to:...
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Page 3: Table Of Contents
Table of Contents AO Spine Principles Indications and Contraindications Round Implants Oblong Implants Locking Screws Surgical Technique Instruments Bibliography SYNMESH™ Surgical Technique DePuy Synthes... -
Page 4: Ao Spine Principles
Biology Function Etiology, pathogenesis, Preservations and resto- neural protection, ration of function to and tissue healing prevent disability Copyright © 2012 by AOSpine Aebi et al (1998) Aebi et al (2007) DePuy Synthes Surgical Technique SYNMESH™... -
Page 5: Indications And Contraindications
Please refer to the corresponding Instructions for Use for specific information on Intended use, Indications, Contraindications, Warnings and Precautions, Potential Adverse Events, Undesirable Side Effects and Residual Risks. Instructions for Use are available at www.depuysynthes.com/ifu SYNMESH™ Surgical Technique DePuy Synthes... -
Page 6: Round Implants
495.602 10 mm 16 mm 495.344 10 mm 18 mm 495.603 10 mm 20 mm 495.604 10 mm 22 mm 495.605 10 mm 24 mm 495.447 10 mm 32 mm 04.817.448 10 mm 88 mm DePuy Synthes Surgical Technique SYNMESH™... - Page 7 15 mm 16 mm B 15 mm 495.621 15 mm 18 mm 495.622 15 mm 20 mm 495.623 15 mm 22 mm 495.624 15 mm 24 mm 495.365 15 mm 32 mm 495.366 15 mm 88 mm SYNMESH™ Surgical Technique DePuy Synthes...
- Page 8 Angle 495.411 10 mm 0° 495.414 10 mm 2.5° 495.412 12 mm 0° 495.415 12 mm 2.5° 495.413 15 mm 0° 495.416 15 mm 2.5° 10 mm 12 mm 15 mm *No locking screw needed DePuy Synthes Surgical Technique SYNMESH™...
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Page 9: Oblong Implants
Oblong Implants The oblong implants are designed to treat defects in the thoracic and lumbar spine. SYNMESH, Corpectomy Device, Pure Titanium Art. No. Dimensions height 495.461 17 × 22 mm 6 mm 495.371 17 × 22 mm 8 mm 495.462 17 ×... - Page 10 0° 495.398 22 × 28 mm 5° 495.401 26 × 33 mm 0° 495.403 26 × 33 mm 5° 17 × 22 mm 22 × 28 mm 26 × 33 mm *No locking screw needed DePuy Synthes Surgical Technique SYNMESH™...
- Page 11 Standard Rings Art. No. Dimensions 495.405 17 × 22 mm 495.406 22 × 28 mm 495.407 26 × 33 mm 17 × 22 mm 22 × 28 mm 26 × 33 mm SYNMESH™ Surgical Technique DePuy Synthes...
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Page 12: Locking Screws
• Screwdriver, hexagonal (314.250) for locking screws M3 For oblong end rings with locking screw and for standard rings: • Locking Screw M3, low profile (495.491) Matching screwdriver: • Screwdriver, hexagonal (314.250) for locking screws M3 DePuy Synthes Surgical Technique SYNMESH™... -
Page 13: Surgical Technique
Surgical Technique 1. Select approach SYNMESH can be inserted anteriorly, laterally or antero- laterally, depending on the spinal level involved. 2. Perform corpectomy and prepare endplates Perform a partial or complete corpectomy depending on the patient’s pathology. Remove the superficial layers of the cartilaginous endplates until bleeding bone is exposed. - Page 14 • Add a total of 3 mm to the mesh height if using round end rings • Add a total of 7 mm to the mesh height if using Mesh oblong end rings Height Mesh Height 1.5 mm 3.5 mm Round Oblong DePuy Synthes Surgical Technique SYNMESH™...
- Page 15 Surgical Technique 4. Cut mesh (optional) If necessary, use the SYNMESH Cutter (397.091) to trim the mesh to the appropriate height. a. Mesh, round, B 10 mm and 12 mm Make diagonal cuts. b. Mesh, round, B 15 mm and all oblong meshes Make diagonal or horizontal cuts. To determine if the tabs of the mesh need to be adjust- ed with the Universal Bending Pliers (391.963) line up...
- Page 16 In this case, remove the screw and secure it in the correct hole. Option: Fill SYNMESH with bone graft or a bone substitute material such as chronOS. DePuy Synthes Surgical Technique SYNMESH™...
- Page 17 Using the hexagonal screwdriver, insert two locking screws M3 through the mesh and into the standard ring to secure it in place. Note: Pack additional bone graft or bone substitute inside the end rings as needed. SYNMESH™ Surgical Technique DePuy Synthes...
- Page 18 Appropriate impactors may be used if necessary to achieve final seating of the implant. Verify the position of SYNMESH in relation to the vertebral bodies in the frontal and sagittal planes intraoperatively using an image intensifier.
- Page 19 Implant Removal SYNMESH implants are not intended to be removed. If removal is required, spreader forceps and implant holder may be used to remove SYNMESH implant. SYNMESH™ Surgical Technique DePuy Synthes...
- Page 20 Calliper for Corpectomy, Stainless Steel 389.187 Spreader Forceps, parallel, distraction width 0 to 70 mm, Stainless Steel 389.188 Spreader Forceps, parallel, distraction width 30 to 95 mm, Stainless Steel 391.963 Universal Bending Pliers, length 165 mm DePuy Synthes Surgical Technique SYNMESH™...
- Page 21 Instruments 396.388 SYNMESH Implant Holder, with small tips, Stainless Steel 396.389 SYNMESH Implant Holder, with large tips, Stainless Steel 397.091 SYNMESH Cutter, Stainless Steel SYNMESH™ Surgical Technique DePuy Synthes...
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Page 22: Bibliography
Bibliography Aebi M, Thalgott JS, Webb JK (1998): AO ASIF Principles in Spine Surgery. Berlin: Springer. Aebi M, Arlet V, Webb JK (2007): AOSPINE Manual (2 vols), Stuttgart, New York: Thieme. DePuy Synthes Surgical Technique SYNMESH™... - Page 24 Not all products are currently available in all markets. Synthes GmbH Eimattstrasse 3 4436 Oberdorf This publication is not intended for distribution in the USA. Switzerland Surgical techniques are available as PDF files at Tel: +41 61 965 61 11 www.jnjmedicaldevices.com...
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