Synthes SYNMESH Surgical Technique page 16

Surgical Technique
The following section describes the securing technique
for end rings with locking screw. Alternatively, press fit
end rings may be used.
5. Attach first end ring
Attach desired end ring to mesh.
a. SYNMESH, round, B 10 mm and 12 mm
Secure end ring with a locking screw M2 (495.410)
using the Screwdriver Shaft 2.0, cruciform with Holding
Sleeve and Mini Quick Coupling (314.672) and Handle,
small, with Mini Quick Coupling (311.011).
b. SYNMESH, round, B 15 mm and all oblong
SYNMESH implants
Secure end ring with a locking screw M3 (495.491)
using the Screwdriver, hexagonal, small, B 2.5mm,
with Groove (314.250).
Note: Check to ensure that end rings are correctly
secured. The locking screw can only be inserted
correctly through one hole. If the screw is inserted
in the wrong hole, a gap will remain between the
end ring and the mesh. 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.
14 DePuy Synthes Surgical Technique SYNMESH™