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Products

SYNEX Vertebral Body Replacement
SYNEX Vertebral Body Replacement

SYNEX is an expandable, vertebral body replacement device for the thoracolumbar spine intended to support the anterior column of the spine.

KICK® System with FluoroExpress Software Module
KICK® System with FluoroExpress Software Module

KICK® System with FluoroExpress Software Module.

The KICK ® System is a simplified navigation system that provides a meaningful and comprehensive solution to help surgeons streamline spinal procedures.

The KICK System is a cost effective, intuitive and simple to use solution.

It runs on FluoroExpress Software Module that provides the capabilities needed for 1-3 Levels thoracolumbar procedures for surgeons doing MIS or interested in doing less invasive Procedures.

The KICK System provides enhanced visualization and helps may reduce radiation exposure to surgeons and patients. The KICK System is also designed to offer an optimized procedural workflow through its small footprint and simple registration process.

THE THIRD PARTY TRADEMARKS USED HEREIN ARE THE TRADEMARKS OF THEIR RESPECTIVE OWNERS.

EXPEDIUM 5.5 System
EXPEDIUM 5.5 System

Renowned as one of the most innovative spine systems on the market today, the EXPEDIUM® 5.5 System provides technological advancements to treat an unparalleled range of spinal pathologies. The EXPEDIUM System offers a comprehensive solution for rigid posterior fixation of the thoracolumbar regions of the spine.
The EXPEDIUM System is a hook, rod and screw system comprised of a variety of implant options including:

  • Polyaxial, Uniplanar, Monoaxial, and Reduction Pedicle Screws
  • Hooks, Cables and Wires
  • Spinal Rods in Titanium (Alloy and Commercially Pure), Cobalt Chromium Alloy, and Stainless Steel (Standard, High and Ultra Strengths)

Through unique design innovations, the EXPEDIUM System combines simplicity and versatility allowing the surgeon to design the construct based on intra-operative developments and individual patient anatomy.

SYNFLATE
SYNFLATE

The SYNFLATETM Vertebral Balloon System is intended for the reduction of fractures and/or creation of a void in cancellous bone in the spine. The system is used during vertebral augmentation procedures (kyphoplasty).

The system consists of the SYNFLATE vertebral body balloon, inflation system and an access kit.

SYNFLATE Vertebral Body Balloon

  • 3 standard balloon sizes: covers a large anatomical range
  • Low profile: 10 G access
  • 2 radiopaque markers: For X-ray visualization of the balloon to facilitate accurate placement 

Vertebral Augmentation Access Kit

  • Small access diameter: 10G
  • Access options include guide wire and direct trocar approach
  • Percutaneous, minimally invasive approach
  • Intraoperative balloon sizing
  • Biopsy option

The system is indicated to be used with a legally-marketed bone filler adequately indicated for use in vertebroplasty or vertebral augmentation procedures.

CSLP™ Cervical Spine Locking Plate
CSLP™ Cervical Spine Locking Plate

CSLP™ Anterior Cervical Plate family (Classic, Narrow and Variable Angle) offers surgeons a rigid locking plate.

ZERO-P™ VA Stand Alone Spacer
ZERO-P™ VA Stand Alone Spacer

The ZERO-P™ VA Stand Alone Spacer is a stand-alone implant for use in cervical interbody fusion 1 –6, which combines the functionality of a cervical interbody spacer and benefits of an anterior cervical plate.

MOUNTAINEER OCT Spinal System
MOUNTAINEER OCT Spinal System

The MOUNTAINEER® OCT Spinal System is DePuy Synthes Spine’s occipito-cervico-thoracic spinal system. With the MOUNTAINEER OCT Spinal System, surgeons can choose a fusion solution that solves the unique problems they face.  Every challenge has a solution. The MOUNTAINEER OCT Spinal System has been designed to be both simple and versatile and offers seamless junctional connections, a breadth of fixation options, and optimal control.

This system is also compatible with our EXPEDIUM® System and Cobalt-Chromium Alloy Rods that offer the strength needed for deformity correction, without compromising imaging capabilities.

The MOUNTAINEER OCT Spinal System offers a comprehensive set of solutions that provides:

– Ease of Use
– Choice
– Unique Fit
– Control
– Tradition

 

Key Features

In Short Degenerative & Trauma

– Square Thread closure mechanism
– Smart Screw features: Favored Angle, Bulleted Tip, TOP-NOTCH™ Implant, Polyaxial Drag
– 3.5 mm, 4.0 mm and 4.35 mm diameter screws
– Long Shank Screws, Cable and Angled LOC connectors
– Instruments: all-in-one and SUMMIT® System-style screwdrivers, TOP-NOTCH™ Rod Reducer

In Complex Reconstruction

– Midline OC fixation & jointed OC rods
– Wide selection of fixation options: screws, hooks & cables
– Seamless connections to the EXPEDIUM System: adjustable wedding bands, dual diameter rods
– Unique Medial/Lateral Favored Angle Screws
– Streamlined Instrumentation: jointed OC-driver, flexible OC instruments

PRODISC® -L Total Disc Replacement
PRODISC® -L Total Disc Replacement

PRODISC®-L is a modular intervertebral disc prosthesis for stabilizing the lumbar spine, restoring segmental height and maintaining physiological range of motion.

VIPER® 2 System
VIPER® 2 System

The VIPER® 2 System is a single platform solution with a comprehensive range of instrumentation and implant options. The VIPER 2 System provides surgeons with the confidence and control required to address a wide range of spinal pathologies, including the more advanced indications while maintaining a less invasive approach. The VIPER 2 System makes degenerative MIS cases easier and complex MIS cases possible with a single versatile system.

The system features more than 30 comprehensive instruments designed to handle multiple pathologies, from degenerative to deformity. The VIPER 2 System offers many benefits to the surgeon including a streamlined surgical approach with ease of use, simple reduction options and versatile rod insertion as well as a potential benefit to the patient (minimal muscle trauma).

Why MIS?  Minimally invasive approaches have been shown to typically reduce complications, overall costs, pain, infection rates, and blood loss and yield quicker recovery than traditional open surgery.

MOUNTAINEER™ Laminoplasty System
MOUNTAINEER™ Laminoplasty System

The MOUNTAINEER® Laminoplasty System is a complete set of implants and instruments designed to allow for a systematic approach to laminoplasty procedures in the cervical spine. The system consists of three plate configurations to better accommodate patient anatomy and anatomical changes due to decompression procedures. Streamlined instrumentation provides an intuitive means to implantation of the laminoplasty plate.

The MOUNTAINEER Laminoplasty System offers a complete set of implants and instruments that allow for a systematic approach to posterior decompression of the cervical spine.

 

CHALLENGE:
Maintaining a secure grasp of the implant

SOLUTIONS:

– The dove-tail feature on the plate allows for a secure, flush fit attachment to the instruments.
– Notches on the allograft provide secure attachment points and tabs prevent the holder from migrating into the canal.
– A square tapered self-retaining screwdriver includes an outer sleeve for added security.

 

CHALLENGE:
Meeting each patient’s unique anatomical differences

 

SOLUTIONS:

– Three different plate options include Inline, Inline side-by-side and Hinge.

 

 

 

 

 

CHALLENGE:
Drilling and inserting screws on an unstable lamina

SOLUTIONS:

– A unique open ended plate allows for both a traditional and a Screw-First Technique, where the lamina screws can be inserted prior to creating the hinge.
– The lamina stabilizer grasps the lamina, while securely attaching to the plate, during screw insertion.

USS™ II Deformity Set
USS™ II Deformity Set

The USS™ II System is a posterior pedicle screw and hook system (T1–S2), developed for precise and segmental stabilisation of the spine. Anterior cancellous bone screws can also be used in the thoracolumbar spine.

MATRIX™ Spine System
MATRIX™ Spine System

The Synthes MATRIX™ Spine System is a universal set of instruments and implants that accommodates both open and MIS surgical approaches for degenerative, trauma and deformity indications.

This Spine System has a unique, rigid screw-instrument interface, intraoperative adaptability and well-controlled instrumentation.

MATRIX Spine System is the total solution for the stabilization of simple and complex spine pathologies.

Minimally Invasive Posterior Instruments (MIPI™)
Minimally Invasive Posterior Instruments (MIPI™)

The Minimally Invasive Posterior Instrument (MIPI™) set is a comprehensive set of instruments designed to support both direct posterior interbody fusion procedures (PLIF) and transforaminal posterior lumbar interbody fusion procedures (T-PLIF).

The instruments were designed to facilitate discectomy, decompression, and interbody work through small access ports. All instruments have a matte coating to reduce the reflective glare of OR lighting. The offset on the bayoneted instruments allows improved visibility by keeping hands out of direct view, and provides maximum visibility while supporting a minimal exposure.

VENTROFIX™ Rod System
VENTROFIX™ Rod System

VENTROFIX™ Rod System is a modular, stable rod system developed for the fixation of the anterior thoracic and lumbar spine.

T-PAL™ Spacer
T-PAL™ Spacer

The T-PAL implant is intended to replace lumbar intervertebral discs and to fuse the adjacent vertebral bodies together at vertebral levels L1–S1. The T-PAL implant is designed for a transforaminal approach.

EXPEDIUM 5.5 System
EXPEDIUM 5.5 System

Renowned as one of the most innovative spine systems on the market, the EXPEDIUM® 5.5 System provides technological advancements to treat an unparalleled range of spinal pathologies. The EXPEDIUM System offers a comprehensive solution for rigid posterior fixation of the thoracolumbar regions of the spine. 

 

The EXPEDIUM System evolved during the years becoming a true platform. This comprehensive platform includes:

– Polyaxial, Uniplanar, Monoaxial, and Reduction Pedicle Screws
– Hooks, Cables and Wires
– Spinal Rods in Titanium (Alloy and Commercially Pure), Cobalt Chromium Alloy, and Stainless Steel (Standard, High and Ultra Strengths)

 

Through unique design innovations, the EXPEDIUM System combines simplicity and versatility allowing the surgeon to design the construct based on intra-operative developments and individual patient anatomy. 

EXPEDIUM Offset & Plates Systems
EXPEDIUM Offset & Plates Systems

Building upon decades of cumulative design history, clinical experience and biomechanical performance of the VSP™, ISOLA™ , MOSS MIAMI™, TIMX™ , MONARCH® and EXPEDIUM® Spine Systems, EXPEDIUM® Offset System and EXPEDIUM® Plates System represent the marriage of the DePuy Synthes Spine high performing foundations with revolutionary new technology. EXPEDIUM Offset System’s technique simplifying designs maximize performance to meet the challenge of even the most difficult pathologies.

USS™ Ilio-Sacral Set
USS™ Ilio-Sacral Set

USS™ II Ilio-Sacral is intended for an additional rod fixation in the ilium and in S2. It is an add-on to USS II Polyaxial and combined with the USS systems enables a construct from the thoracolumbar spine to the pelvis.

SYNFIX™-LR System
SYNFIX™-LR System

The SYNFIX™-LR System is a comprehensive set of implants and instruments designed for stand-alone anterior stabilisation of the lumbar spine from L2 to S1.

The SYNFIX-LR implant is a standalone ALIF device that incorporates the benefits of an anterior plate and a radiolucent interbody spacer. The design creates a zero-profile construct and includes four locking screws that provide anterior fixation and stability.

URS™ System
URS™ System

The URS System is a top loading posterior pedicle screw and hook system for posterior stabilization.

ACIS™ Anterior Cervical Interbody Spacer
ACIS™ Anterior Cervical Interbody Spacer

The ACIS™ Anterior Cervical Interbody Spacer is designed to meet the specific demands of anterior cervical interbody fusion procedures.

The ACIS system features a large central canal to accommodate bone graft. This system is available in three footprints, three sagittal profiles and 8 heights to accommodate various patient anatomies and surgeon preferences.

The system includes two instrument options for ACIS implant insertion that allow for controlled implant delivery. 

USS™ Paediatric
USS™ Paediatric

The USS™ Small Stature/Paediatric System is a development of the Synthes System “USS Universal Spine System, Pedicle Screws and Hooks with a Lateral Opening”.  It was developed specially for children and adults of small stature.

Synfix Evolution
Synfix Evolution

The SYNFIX® Evolution Implant, a stand-alone anterior lumbar interbody fusion (ALIF) implant, employs the SYNFIX Implant technology which has been used clinically in the SYNFIX ® LR Implant since 2004.

The SYNFIX ® Implant technology is a zero-profile construct that includes four diverging locking screws. This design negates, in most circumstances, the need for additional fixation

VIPER® 3D MIS Correction Set
VIPER® 3D MIS Correction Set
The VIPER® 3D MIS Correction Set is the world’s first minimally invasive deformity system that allows the surgeon to treat the entire thoracolumbar spine minimally invasively. This system is used in conjunction with the VIPER® System to bring the benefits of minimally invasive surgery to more patients by providing innovative instrumentation designed specifically to treat complex pathologies.
 
Fully compatible with the EXPEDIUM® Spine System implants and instruments, the VIPER 3D Set enhances surgeons’ abilities to treat complex pathologies through a variety of techniques and approaches. The VIPER 3D Set is designed to allow complex surgery to be done percutaneously.
 
The VIPER 3D Set features specialized instruments for easy multilevel rod insertion with 360° rod rotation, powerful rod approximation, segmental or en bloc derotation, spondylolisthesis reduction, controlled multilevel compression and distraction, and the ability to perform posterolateral fusion minimally invasively. 
CONFIDENCE® SPINAL CEMENT SYSTEM™
CONFIDENCE® SPINAL CEMENT SYSTEM™

The CONFIDENCE® SPINAL CEMENT SYSTEM® combines unique highly viscous cement with a novel hydraulic delivery system. The radiopaque CONFIDENCE® High Viscosity Cement reaches a dough-like phase immediately after the cement components have been mixed, without going through a liquid phase. In addition, the viscosity of the CONFIDENCE® Cement remains relatively constant throughout the entire working time of 8–10 minutes (at a standard OR temperatures of 68F/20C). The hydraulic delivery system enables a smooth introduction of this highly viscous cement through a specially designed 10G, 11G, 13G or 15G introducer needle.

CONTROL THROUGH VISCOSITY:
High Viscosity Without the Wait

– The CONFIDENCE® High Viscosity Spinal Cement provides immediate post mixing high viscosity with optimal working time when compared to a major competitor.

CONTROL THROUGH DELIVERY:
– Hydraulic based delivery system allows for a controlled flow of highly viscous cement through a small gauge introducer needle.

CONTROL THROUGH SIMPLICITY:
– Novel mixing and transfer tools allow for simple streamlined set up.
– Seamless mixing and transfer in one bowl
– Contained cement transfer designed to limit vapours

ARCH™ ODL Spacer
ARCH™ ODL Spacer

The ARCH™ Fixation System is a system of implants and instruments for open door laminoplasty procedures. It is designed for use in the lower cervical and upper thoracic spine to maintain an expanded spinal canal, secure spinal stability and preserve the protective function of the spine after a laminoplasty is performed.

ARCH Fixation System’s mini-plates and screws are designed for use with the ARCH™ ODL spacer. Arch ODL spacers are designed by and available through DePuy Synthes Spine and are processed by the Musculoskelatal Transplant Foundation (MTF).

SYNMESH™ Vertebral Body Replacement System
SYNMESH™ Vertebral Body Replacement System

A vertebral body replacement device designed for the cervical, thoracic and lumbar spine that may be trimmed to suit patient’s individual anatomy.

EXPEDIUM 4.5 System
EXPEDIUM 4.5 System

A common sentiment among spine surgeons engaged in the treatment of paediatric patients and small stature patients and is that larger deformities in smaller anatomies are one of the most challenging issues in spinal surgery. Concerns over implant profile and implant selection, along with the ability to choose instrumentation based on patient size and pathology are fairly common when treating these patient groups.

Seeking to eliminate these concerns, DePuy Synthes Spine has developed the most complete rod-hook-screw system specifically designed for these smaller anatomies: the EXPEDIUM® 4.5 System.

The EXPEDIUM® 4.5 System exhibits the lowest profile in DePuy Synthes Spine Thoracolumbar Portfolio, making it a useful option for cases in which the surgeon is challenged with implant protrusion and cosmetic problems. In addition, the system combines a variety of screw and hook designs (e.g., polyaxial, uniplanar, etc) and rod materials (i.e., Ti, SS and CoCr Alloy) to offer plenty of instrumentation possibilities for the treatment of even the most complex cases.

As with every product in the EXPEDIUM Portfolio, the clinical experience and pathology knowledge of renowned paediatric spine surgeons is reflected in every aspect of the product.

VIPER® Cortical Fix Fenestrated Screw System
VIPER® Cortical Fix Fenestrated Screw System

 

The VIPER® Cortical Fix Fenestrated Screw is based on the technology of the EXPEDIUM® Spine System and VIPER System and the EXPEDIUM Fenestrated Screw in particular.

With VIPER Cortical Fix Fenestrated Screw, DePuy Synthes Spine has a comprehensive portfolio to treat complex adult pathologies and is able to offer solutions for fixation in diminished bone quality through an open or MIS approach, with the intra-operative option to use cement.

EXPEDIUM Anterior Spine System
EXPEDIUM Anterior Spine System

The EXPEDIUM® Anterior Spine System is a comprehensive, semi-rigid thoracolumbar trauma system that offers implant and instrument solutions designed to enhance speed, security and simplicity. This advanced spinal system establishes a new benchmark for ease of use by incorporating simplified implant locking technologies like single-screw tightening, drop-and-lock cross connectors and a uniquely designed closure mechanism that virtually eliminates cross threading and reduces head spreading forces generated during final tightening. Combined, these features minimise the number of steps required for construct assembly while maximising surgical efficiency and security.

BENGAL™ Stackable Cage System
BENGAL™ Stackable Cage System

The BENGAL™ Stackable Cage System offers versatility in footprint options (3 are available,) height options (18 to 66 mm in 2-mm increments,) and lordotic angle options. The cages are available in monolithic (one piece) and stackable pieces.

The BENGAL Stackable Cage System instruments include the lordotic vertebral body distractor, which further assists a surgeon in restoring natural lordosis, as well as a new calliper to assist in determining height selection.

The BENGAL Stackable Cage System is a radiolucent, multilevel corpectomy solution that provides a system approach to restoring natural lordosis.

  • Rebuilding Lordosis
  • Redefining Versatility

The Carbon Fibre Reinforced Polymer (CFRP) material of the BENGAL Stackable Cage System creates a cage design allowing more bone graft within the cage and for the cage to be a more load sharing device.

PRODISC™ C Vivo Total Disc Replacement
PRODISC™ C Vivo Total Disc Replacement

PRODISC™ C Vivo is a cervical disc prosthesis with teeth fixation to restore disc height and maintain segmental motion.

TELEFIX™ Implant System
TELEFIX™ Implant System

TELEFIX™ is an implant system for the anterior stabilisation of the thoracolumbar spine, e.g. after discectomies and partial or complete vertebrectomies.

UNIPLATE™ 2 Anterior Cervical Plate System
UNIPLATE™ 2 Anterior Cervical Plate System

UNIPLATE™ 2 Anterior Cervical Plate System was designed to simplify ACDF’s through the use of a narrow midline plate and streamlined surgical technique. This system features one point of midline fixation per level (one screw per vertebral body) for improved screw visualization, easier screw placement, and minimized lateral retraction, compared to conventional anterior cervical plate construct (two-screws per vertebral body).

The UNIPLATE 2 Anterior Cervical Plate System provides upgrades from the original UNIPLATE in that it offers bend-zones and has less material at the inferior and superior ends of the plate to reduce the risk of adjacent level impingement.

The UNIPLATE®2 Anterior Cervical Plate (ACP) is a featured brand in the CAM-LOC™ family of DePuy Synthes Spine ACP’s.

SYNAPSE™ System
SYNAPSE™ System

The SYNAPSE™ System is an enhanced set of instruments and implants, including clamps, top-loading, variable axis screws, hooks, transverse connectors and transverse bars and rods, designed for posterior stabilization of the cervical and upper thoracic spine. The implants provide the flexibility required to accommodate variations in patient anatomy

The SYNAPSE System uses 3.5 mm and 4.0 mm rods. When combined with the Occipital Cervical Fusion Systems and the Universal Spinal System, constructs can extend from the occiput to the lower spine.

OPAL™ Cage System
OPAL™ Cage System

The OPAL™ Cage is a versatile Interbody fusion device with two implant offerings to accommodate a traditional straight implant insertion and a less invasive insert and rotate technique. The Revolve Spacers are designed for an insert and rotate technique and have a bevelled edge that allows for rotating the cages 90 degrees in situ providing intervertebral distraction.

The OPAL Spacer incorporates a bullet-nose for self-distraction during insertion, three lengths to accommodate both a TLIF and PLIF applications, pyramidal teeth to resist implant migration.

VIPER SAI
VIPER SAI

The VIPER® SAI Screw is the first implant designed specifically for the Sacral-Alar-Iliac technique for sacropelvic fixation. Fusions of the lumbosacral spine continue to be a challenging area in spine surgery. The complex local anatomy, unique biomechanical forces, and poor bone quality of the sacrum are just a few of the many reasons why fusions of the lumbosacral spine have been notoriously difficult to perform.

EXPEDIUM Universal Connector Set
EXPEDIUM Universal Connector Set

The EXPEDIUM® Universal Connector Set is a dedicated revision set configured specifically for extending Thoracolumbar spinal constructs. The streamlined tray contains connectors and pre-bent rods needed to extend posterior Thoracolumbar constructs. Our innovative connectors are designed to overcome the challenges of revision surgery. The new EXPEDIUM Universal Connector Set will allow your surgeon to intra-operatively select an implant based on the patient pathology, existing hardware and revision goal.

SYNFLATE
SYNFLATE

The SYNFLATETM Vertebral Balloon System is intended for the reduction of fractures and/or creation of a void in cancellous bone in the spine. The system is used during vertebral augmentation procedures (kyphoplasty).

The system consists of the SYNFLATE vertebral body balloon, inflation system and an access kit.

SYNFLATE Vertebral Body Balloon

  • 3 standard balloon sizes: covers a large anatomical range
  • Low profile: 10 G access
  • 2 radiopaque markers: For X-ray visualization of the balloon to facilitate accurate placement 

Vertebral Augmentation Access Kit

  • Small access diameter: 10G
  • Access options include guide wire and direct trocar approach
  • Percutaneous, minimally invasive approach
  • Intraoperative balloon sizing
  • Biopsy option

The system is indicated to be used with a legally-marketed bone filler adequately indicated for use in vertebroplasty or vertebral augmentation procedures.

ZERO-P™ Stand-alone Spacer
ZERO-P™ Stand-alone Spacer

ZERO-P™ is a stand-alone anterior cervical interbody fusion 1-4 device designed to combine the functionality and benefits of a cervical interbody spacer and an anterior cervical plate.

ZERO-P is designed to offer two key advantages over traditional anterior plating systems:

  1. reduce the risk of contacting local anatomical structures and
  2. prevent contact with adjacent levels thereby reducing unintentional ossification.5

ZERO-P features four rigid locking screws for fixation into adjacent vertebral bodies. The four rigid locking screws provide more rigid fixation in Flex-Ex and Axial rotation than similar devices featuring two non-rigid screws.*

 

 

1Kaiser, M.G., R.W. Haid Jr., B.R. Suback, et al. 2002. “Anterior cervical plating enhances arthrodesis after discectomy and fusion with cortical allograft”. Neurosurgery 50: 229-236.

2Caspar, W.,F.H> Geisler, T. Pitzen, et a;. 1998. “Anterior Cervical plate stabilization in one and two level degenerative disease: overtreatment or benefit?” J. Spinal Disord. 11: 1-11.

3Mobbs, R.J., P. Rao and N.K. Chandran. 2007. “Anterior cervical discectomy and fusion:  analysis of surgical outcome with and without plating”. J. Clin. Neurosci. 14:639-642.

4Moftakhar,R and G.R. Trost. 2004. “Anterior cervical plates: a historical perspective”. Neurosurg. Focus. 16:E8.

5Park, J.B., Y.S. Cho and K.D. Riew. 2005. “Development of adjacent-level ossification in patients with an anterior cervical plate”. J. Bone Joint Surg. Am. 87:558-563.

*Data on file at DePuy Synthes, biomechanical test results may not be indicative of clinical performance

Arcofix Anterior only Reduction Plate
Arcofix Anterior only Reduction Plate

Designed for the anterior stabilization of the thoracolumbar spine (T8-L4), ARCOFIX™ allows active kyphosis correction prior to the insertion of a vertebral body replacement device.

SPOTLIGHT™ Access System
SPOTLIGHT™ Access System

The SPOTLIGHT™ Access System was developed in order to provide surgeons with a complete package for minimally invasive access to the spine, with a system consisting of ports with superior lighting capabilities previously unseen in the marketplace, a rigid arm that allows adjustments to be made within the sterile field, and the most comprehensive microdiscectomy instrument set.

EXPEDIUM Vertebral Body Derotation (VBD) System
EXPEDIUM Vertebral Body Derotation (VBD) System

The EXPEDIUM® VBD System design allows for an easy and quick attachment & release to the screws involved in the correction manoeuvre, without compromising the security surgeons require in such connection. The set also includes a selection of instruments that let the surgeon connect the derotation instrumentation at each vertebral level (Segmental Derotation), at multiple vertebral levels along the spine (En Bloc Derotation) or both ways.

Arch Fixation System
Arch Fixation System

The ARCH™ Fixation System is a system of implants and instruments for open door laminoplasty procedures. It is designed for use in the lower cervical and upper thoracic spine to maintain an expanded spinal canal, secure spinal stability and preserve the protective function of the spine after a laminoplasty is performed.

ARCH Fixation System’s mini-plates and screws are designed for use with the ARCH™ ODL spacer. Arch ODL spacers are designed by and available through DePuy Synthes Spine and are processed by the Musculoskelatal Transplant Foundation (MTF).

ZERO-P® Spacer
ZERO-P® Spacer

ZERO-P® Spacer is a stand-alone anterior cervical interbody fusion device designed to combine the functionality and benefits of a cervical interbody spacer and an anterior cervical plate.1-4
Unlike traditional anterior plating systems, the ZERO-P Spacer does not extend beyond the confines of the intervertebral disc space. The plate is designed to both minimize contact with local anatomical structures and to prevent contact with adjacent levels.5
ZERO-P Spacer features four rigid locking screws for fixation into adjacent vertebral bodies. In biomechanical testing, the four rigid screws provided more rigid fixation in flexion-extension and axial rotation than similar devices featuring two non-rigid screws.*

Disclaimers/ Footnotes:

1. Kaiser, M.G., R.W. Haid Jr., B.R. Suback, et al. 2002. “Anterior cervical plating enhances arthrodesis after discectomy and fusion
with cortical allograft”.Neurosurgery 50: 229-236.
2. Caspar, W., F.H. Geisler, T. Pitzen, et a;. 1998.“Anterior Cervical plate stabilization in one and two level degenerative disease: overtreatment or benefit?”
J. Spinal Disord. 11: 1-11.
3. Mobbs, R.J., P. Rao and N.K. Chandran. 2007. “Anterior cervical discectomy and fusion: analysis of surgical outcome with and without plating”.
J. Clin. Neurosci. 14:639-642.
4. Moftakhar, R and G.R. Trost. 2004. “Anterior cervical plates: a historical perspective”. Neurosurg. Focus. 16:E8.
5. Park, J.B., Y.S. Cho and K.D. Riew. 2005. “Development of adjacent-level ossification in patients with an anterior cervical plate”.
J. Bone Joint Surg. Am. 87:558-563.

 

* The ZERO-P Spacer was compared to ZERO-P VA Spacer and VECTRA™ Cervical Plating System in a static cadaveric range of motion study, Biomechanical Study: Zero-profile anterior cervical interbody fusion devices. Bench test results may not necessarily be indicative of clinical performance

PRODISC™ -C Nova Total Disc Replacement
PRODISC™ -C Nova Total Disc Replacement

PRODISC™ -C Nova is a cervical disc prosthesis with keel fixation to restore disc height and maintain segmental motion.

CONCORDE® Inline Lumbar Interbody System
CONCORDE® Inline Lumbar Interbody System

The CONCORDE® Inline Lumbar Interbody System completes our CONCORDE Interbody Cage Platform for posterior MIS and open lumbar procedures.  The system provides a posterior approach interbody fusion solution with a front to back lordotic cage option to address proper spinal alignment.

Made of a proprietary material of Carbon Fibre Reinforced Polymer, it has large areas for bone graft placement within the cage which allows the design to be a load-sharing device with 33% more bone graft area.*  This open architecture also provides for good graft to endplate surface contact.

The bulleted nose of the implant creates a self-distracting device that is designed to address collapsed disc spaces minimizing damage to endplates.  With an option of a 5° front to back lordotic cage and shorter lengths the system is optimised for the PLIF procedure.

*Data on file at DePuy Synthes Spine.

TSLP™ Thoracolumbar Spine Locking Plate
TSLP™ Thoracolumbar Spine Locking Plate

TSLP™ Anterior thoracolumbar spine locking plate offers surgeons a rigid construct plate with years of clinical experience & easy to use implant/instruments.

ATB™ Anterior Tension Band Plate
ATB™ Anterior Tension Band Plate

Anterior tension band plate to stabilise the lumbosacral spine.

VBS (VERTEBRAL BODY STENT)
VBS (VERTEBRAL BODY STENT)

VBS is a treatment method for painful vertebral body fractures and lesions. It helps to prevent effects such as postural damage and pain caused by postural kyphosis.

VBS offers unique benefits to patients and physicians:

Percutaneous
The VBS stents are introduced percutaneously into the vertebral body with only a stab incision required to place the access instruments.

Reconstructive
The VBS system restores the loss of height in the fractured vertebral body.

Height conserving
Expanding the VBS stents inside the collapsed vertebra offers height restoration and conservation. The mechanical construct restores the height while at the same time offering a cavity for injection of highly viscous PMMA based bone cement cleared for use in vertebroplasty or kyphoplasty procedures.

VEPTR™ and VEPTR™ II
VEPTR™ and VEPTR™ II

VERTICAL EXPANDABLE PROSTHETIC TITANIUM RIB

The VEPTR™ and VEPTR™ II devices are designed to mechanically stabilise and distract the thorax to correct three-dimensional thoracic deformities. These systems are intended to improve respiration and lung growth in paediatric patients with thoracic insufficiency syndrome (TIS).

PLIVIOS™ REVOLUTION
PLIVIOS™ REVOLUTION

PLIVIOS™ is the Synthes Cage System for Posterior Lumbar Interbody Fusion (PLIF). It consists of radiolucent PEEK implants and the corresponding instruments.

The PLIVIOS REVOLUTION implants represent a further development of the PLIVIOS System. The cages are aligned in situ by rotation and allow an atraumatic restoration of the body’s natural lordosis.

INSIGHT™Access Retractor System
INSIGHT™Access Retractor System

The INSIGHT™ Access Retractor System is intended to be used for decompression, interbody placement and/or pedicle screw placement in the posterior, lumbosacral spine. This system allows for independent cranial/caudal and medial/lateral soft tissue retraction. A wide variety of blade options accommodates varying patient anatomy.

CONCORDE™ Bullet Lumbar Interbody System
CONCORDE™ Bullet Lumbar Interbody System
The CONCORDE™ Bullet Device was designed for MIS and open TLIF procedures to facilitate ease of insertion and improved resistance to migration while maintaining the proven clinical benefits of the existing CONCORDE Device product line.  
 
The key feature of the CONCORDE Bullet Interbody Cage is the bulleted nose for ease of insertion into the interbody space.  Manufactured from Carbon Fibre Reinforced Polymer (CFRP), CONCORDE Bullet offers optimized area for bone graft and tantalum markers also allow you to visualize the position of the cage in situ. CONCORDE Bullet is designed for surgeons who prefer a straight, oblique placement of the implant and is intended to be used with supplementary posterior instrumentation.
 
EXPEDIUM Sacropelvic Collection System
EXPEDIUM Sacropelvic Collection System

Since its introduction, the EXPEDIUM® Spine System has offered various instruments and implants optimised for sacropelvic fixation. In addition, innovative new implants have been developed, and all of the available options have now been combined under one set.

EXPEDIUM 6.35 System
EXPEDIUM 6.35 System

EXPEDIUM® 6.35 Spine System carries on the tradition of excellence brought to the market by its DePuy Synthes Spine predecessors. Building on the success of EXPEDIUM® System, we now have a large rod solution that our customers can count on for the treatment of multiple spine pathologies with speed, security and simplicity.

USS™ Low Profile Set
USS™ Low Profile Set

USS™ Low Profile is a thoracolumbar posterior fixation system with a comprehensive set of instruments and implants, including side-opening pedicle screws, hooks, extension connectors and rods.

FACET WEDGE
FACET WEDGE

FACET WEDGE is intended for the fixation of the spine as an aid to fusion through immobilisation of the facet joints.

Procedures

Arthroplasty - Cervical
Arthroplasty - Cervical

Arthroplasty is an operation where a painful, degenerated disc is removed and replaced by a ball and socket implant that is intended to allow motion.

In this procedure, mobility in the motion segment is retained in comparison with fusion operations where mobility is lost.

Deformity Correction - Thoracic Insufficiency Syndrome
Deformity Correction - Thoracic Insufficiency Syndrome

The VEPTR® (Vertical Expandable Titanium Rib) and VEPTR® II devices are designed to mechanically stabilise and distract the thorax to correct three-dimensional thoracic deformities. These systems are intended to improve respiration and lung growth in paediatric patients with thoracic insufficiency syndrome (TIS).

Facet Fixation
Facet Fixation

FACET WEDGE is intended for the fixation of the spine as an aid to fusion through immobilization of the facet joints, with or without bone graft, at single or multiple levels, from L1 to S1. Facet Wedge can be inserted minimal invasively either to augment other fusion techniques or as a stand-alone device for cases without segmental instability.

Vertebral Body Augmentation
Vertebral Body Augmentation

Pathological fractures caused by osteoporosis or metastasic bone diseases are a common source of pain and disability in the aging population.

The initial treatment is usually conservative therapy with bed rest or bracing. Beyond that, the surgical treatment of fragility fractures involves the introduction of cement into the effected vertebral body. This commonly results in satisfactory resolution of the pain with improvement in overall function and an improved sense of well-being.

In cases where the fracture is recent and therefore relatively mobile, the surgeon can also actively reconstruct the fractured vertebral body through the use of a balloon catheter, or a vertebral body stent.

For tumour cases where there is significant damage to the posterior wall of the vertebral body and a potential risk of leakage, there is the option to introduce an ultra-high viscosity cement through a porous mesh bag to help control the placement and flow of cement.

Posterior Lumbar Interbody Fusion (PLIF)
Posterior Lumbar Interbody Fusion (PLIF)

The Posterior Lumbar Interbody Fusion (PLIF) procedure is intended to stabilize the spine by causing bone to grow between the two vertebral bodies, thus limiting motion at that level. PLIF achieves spinal fusion in the low back by inserting two cages directly into the disc space and is supplemented by a posterolateral spinal fusion surgery, typically a pedicle screw construct.

Thoracolumbar Revision Surgery
Thoracolumbar Revision Surgery

Spinal revision surgeries can be some of most complex and challenging for even the most experienced surgeons. Typical reasons for revision surgery include pseudoarthrosis, radiculopathy, stenosis, infection, arthritis and problems with the instrumentation.

The surgical strategy for each patient will depend on a number of factors including the reason for the revision and their clinical presentation. The main goal for revision surgery is to restore sagittal alignment and function of the spine. 

Cervical Laminoplasty
Cervical Laminoplasty

Cervical laminoplasty is the intended procedure for eliminating spinal stenosis by enlarging the spinal canal volume. The clinical objectives focus on:

  • Expanding the spinal canal
  • Securing spinal stability
  • Preserving the protective function of the spine
CONFIDENCE® SPINAL CEMENT SYSTEM™
CONFIDENCE® SPINAL CEMENT SYSTEM™


The CONFIDENCE® SPINAL CEMENT SYSTEM® combines unique highly viscous cement with a novel hydraulic delivery system. The radiopaque CONFIDENCE® High Viscosity Cement reaches a dough-like phase immediately after the cement components have been mixed, without going through a liquid phase. In addition, the viscosity of the CONFIDENCE® Cement remains relatively constant throughout the entire working time of 8–10 minutes (at a standard OR temperatures of 68F/20C). The hydraulic delivery system enables a smooth introduction of this highly viscous cement through a specially designed 10G, 11G, 13G or 15G introducer needle.

CONTROL THROUGH VISCOSITY:
High Viscosity Without the Wait

– The CONFIDENCE® High Viscosity Spinal Cement provides immediate post mixing high viscosity with optimal working time when compared to a major competitor.

 

CONTROL THROUGH DELIVERY:

– Hydraulic based delivery system allows for a controlled flow of highly viscous cement through a small gauge introducer needle.

CONTROL THROUGH SIMPLICITY:

– Novel mixing and transfer tools allow for simple streamlined set up.
– Seamless mixing and transfer in one bowl
– Contained cement transfer designed to limit vapours

Deformity Correction
Deformity Correction

Scoliosis is an abnormal curvature of the spine. Scoliosis can be divided into categories depending on the age it presents. It can be treated is several ways depending on the severity of the curve and its progression.

Surgery is generally only considered in patients who have continual pain, difficulty breathing, significant deformity, or a steadily worsening curve angle. The goals of most surgical procedures for scoliosis include:

  • Reducing the deformity (straighten the spine as much as possible)
  • Stopping the progression of the deformity
  • Removing any pressure from nerves and spinal cord
  • Protecting nerves and spinal cord from further damage

The main surgery for scoliosis is spinal fusion with instrumentation. Nearly all surgeries will use implants (e.g., screws, hooks, rods, etc) in order to help straighten your spine. Screws can be placed in the vertebrae, and then connected by a metal rod. The screws attaching the metal rod are tightened down, straightening the curve.

Transforaminal Lumbar Interbody Fusion (TLIF)
Transforaminal Lumbar Interbody Fusion (TLIF)

An adaption of the posterior lumbar interbody fusion (PLIF) procedure, the TLIF technique employs a unilateral approach to the disc space through the intervertebral foramen. Requiring only a partial unilateral facet resection, the TLIF procedure when compared to a PLIF:

  • Preserves the laminar arch and contra lateral facet
  • Avoids bilateral scarring
  • Avoids significant dural retraction which may reduce the risk of intraoperative dural tears
  • Offers a revision strategy that may not exist with a PLIF due to bilateral scarring

The unique unilateral TLIF approach requires specific implants and instrumentation to facilitate thorough disc space preparation and accurate cage placement.

MIS - Lumbar Posterior Fusion (inc PLIF, TLIF and Microdiscectomy & Decompression)
MIS - Lumbar Posterior Fusion (inc PLIF, TLIF and Microdiscectomy & Decompression)

Minimally invasive surgical (MIS) approaches have been shown to typically reduce complications, overall costs, pain, infection rates, and blood loss and yield quicker patient recovery than traditional open surgery. With smaller incisions and smaller working channels, visualisation at the operative site becomes ever more critical to the success of these MIS procedures.

Posterior Lumbar Interbody Fusion (PLIF) Interbody Devices (IBD’s) require implantation through the back of the body. This approach avoids retraction of the organs, and a surgeon may achieve better decompression of the nerve root if there is a lateral stenosis.1

Transforaminal Lumbar Interbody Fusion (TLIF) IBD’s are the most commonly performed MIS IBD type in the US. This is attributed to the TLIF approach’s ability to minimise damage to surrounding tissues, directly decompress affected anatomy and the large number of surgeons trained to use this approach.

In a TLIF procedure, the oblique posterior approach adopted to access the intervertebral space minimises damage to important anatomical structures such as nerve roots, ligaments, and other posterior elements.1

DePuy Synthes Spine has a platform of solutions for:

  • MIS microdiscectomy and decompression procedures.
    The complete portfolio features access instrumentation and discectomy instruments.
  • MIS PLIF procedures.
    The complete portfolio features access instrumentation, interbody devices, pedicle screw fixation and biomaterials.
  • MIS TLIF procedures.
    The complete portfolio features access instrumentation, interbody devices, pedicle screw fixation and biomaterials.

1© 2010 Millennium Research Group, Inc. 

Cervical - Posterior Spine Fusion
Cervical - Posterior Spine Fusion

Posterior Cervical Fusion is a procedure intended for the stabilization of the cervical spine though a posterior approach. The procedure is commonly performed using hooks, plates, screws and rods as an adjunct to the fusion of two or more levels of the cervical spine.

Posterior cervical fusion is performed to treat instabilities which arise from: degenerative disc disease, spondylisthesis, spinal stenosis, fracture/dislocation, atlanto-axial fractures with insatiability, occipito-cervical dislocation, revisions of previous cervical spine surgery and tumours. 

Arthroplasty - Lumbar
Arthroplasty - Lumbar

Arthroplasty is an operation where a painful, degenerated disc is removed and replaced by a ball and socket implant that is intended restore intersegmental height, sagittal profile and preserves motion.

In this procedure, mobility in the motion segment is maintained in comparison with fusion operations where mobility is lost.

Instrumented Fracture Solutions
Instrumented Fracture Solutions

Instrumented Fracture Treatment is intended to be used to stabilise or fuse a fractured vertebral body or spinal segment of the thoracic and lumbar spine. The posterior stabilisation is the golden standard for instrumented fracture treatment. In some pathologies, an anterior approach may be considered which allows a partial or complete corpectomy and stabilisation using a vertebral body replacement device with either additional posterior stabilisation or a lateral plating.

Less or minimal invasive procedures are enhancing instrumented fractures while reducing the soft tissue damage. Especially in stabilisation procedures of A-type fractures for instance, an MIS technique is recommended. Additional augmentable techniques complement the fracture solution when required.

Controlled and predictable reconstruction of the spine and sagittal profile is key for long term clinical outcome. 

News

05/12/2015

DePuy Synthes shares breadth of Trauma portfolio at ECTES 2015
Amsterdam, NL – 12 May 2015 – DePuy Synthes* showcased its latest trauma solutions designed to enhance patient care whilst delivering clinical and economic value to healthcare professionals today at the 16th European Congress for Trauma and Emergency Surgery, organized in cooperation with the Dutch Trauma Society, held in Amsterdam, The Netherlands.

06/11/2014

NEW DEPUY SYNTHES ADVANTAGE™ PROVIDES SOLUTIONS FOCUSED ON IMPROVING CLINICAL AND ECONOMIC OUTCOMES AND PATIENT SATISFACTION
London, UK – 4th June 2014 – Today DePuy Synthes* introduced DEPUY SYNTHES ADVANTAGE, a suite of provider-focused solutions that are focused on complementing the company’s extensive portfolio of clinically proven products with solutions that assist in driving optimal clinical and economic outcomes while striving to improve patient satisfaction. The company unveiled the package of solutions at the 15th European Federation of National Associations of Orthopaedics and Traumatology (EFORT) congress, a combined programme in partnership with the British Orthopaedic Association, held in London, UK.

06/11/2014

DePuy Synthes introduces new solutions that address clinical and economic needs at EFORT 2014
London, UK – 4 June 2014 – DePuy Synthes* showcased its latest orthopaedic solutions that are designed to enhance patient care whilst delivering clinical and economic value to health care professionals today at the 15th European Federation of National Associations of Orthopaedics and Traumatology (EFORT) congress, a combined programme in partnership with the British Orthopaedic Association, held in London, UK.

Downloads

UNDERSTANDING SPINAL STENOSIS
Brochure
UNDERSTANDING THE ANATOMY OF THE SPINE
Brochure
Sistema Matrix para columna vertebral − Instrumentación mínimamente invasiva (MIS). Tècnica quirùrgica (ES)
Surgical Technique
03.632.001 MATRIX Retaining Sleeve
Dismantling
MIRA Operationstechnik (DE)
Surgical Technique
03.632.085 MATRIX Detachable Retaining Sleeve
Dismantling
GFP Patient Education - Osteoporosis Follow-up
Patient Information
USS II POLY PERFORATED ST - Italian (IT)
Surgical Technique
USS Fractura MIS. Técnica quirúrgica (ES)
Surgical Technique
UNDERSTANDING MINIMALLY INVASIVE LATERAL SPINAL FUSION
Brochure
03.632.037 Matrix Head Positioning Instrument
Dismantling
UNDERSTANDING SPINAL FUSION
Brochure
Kundenspezifische Instrumente und 3D Wirbelsäulenanatomiemodelle. Broschüre (DE)
Brochure
UNDERSTANDING MINIMALLY INVASIVE SPINE SURGERY
Brochure
USS Fracturas MIS Perforado. Técnica quirúrgica (ES)
Surgical Technique
03.632.045 MATRIX Head Removal Instrument
Dismantling
Instruments personnalisés et modèles 3D d’anatomie du rachis. Brochure - French (FR)
Brochure
Sistema MATRIX para columna vertebral − Tornillos perforados. Técnica quirúrgica (ES)
Surgical Technique
Instrumentos personalizados y modelos anatómicos de columna en 3D. Folleto (ES)
Brochure
UNDERSTANDING ADULT SPINAL DEFORMITY
Brochure
UNDERSTANDING VERTEBROPLASTY
Brochure
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