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The Next Generation Cranial Plating System

MatrixNEURO™ Cranial Plating System Surgical Technique

MatrixNEUROTM Cranial Plating System Surgical Technique DePuy Synthes 1

TABLE OF CONTENTS

INTRODUCTION

SURGICAL TECHNIQUE

PRODUCT INFORMATION

MatrixNEURO™ Cranial Plating System 2 MatrixNEURO Reconstruction Mesh 6

MatrixNEURO Preformed Mesh 7

Technique 8

MatrixNEURO Plates 13

MatrixNEURO Mesh 16

MatrixNEURO Reconstruction Mesh 18

MatrixNEURO Preformed Mesh 19

Instruments 20

MatrixNEURO Module and Accessories 22

MatrixNEURO Sterile Kit 24

MR Information The MatrixNEURO™ Cranial Plating System has not been evaluated for safety and compatibility in the MR environment. It has not been tested for heating, migration or image artifact in the MR environment. The safety of the MatrixNEURO™ Cranial Plating System in the MR environment is unknown. Scanning a patient who has this device may result in patient injury.

2 DePuy Synthes MatrixNEURO™ Cranial Plating System Surgical Technique

MatrixNEURO™ CRANIAL PLATING SYSTEM

IntroductionThe aim of surgical fracture treatment is to reconstruct the bony anatomy and restore its function. According to the AO, internal fixation is distinguished by precise reduction, stable fixation, preservation of blood supply, and early mobilization. Plate and screw osteosynthesis has been established and clinically recognized for some time.

Keeping the AO philosophy at its core, MatrixNEURO™ System is a plating platform for internal fixation of the craniomaxillofacial skeleton—addressing neuro, craniofacial, mandibular, and orthognathic surgery. MatrixNEURO System is a streamlined, comprehensive system that offers flexibility, ease of use, and the highest quality implants and instruments.

MatrixNEURO™ Cranial Plating System System Surgical Technique DePuy Synthes 3

MatrixNEURO™ Cranial Plating System

Warnings: • Not intended for use in patients who are not yet

skeletally mature. Resorbable fixation products should be considered as an alternative.

• These devices can break during use (when subjected to excessive forces or outside the recommended surgical technique). While the surgeon must make the final decision on removal of the broken part based on associated risk in doing so, we recommend that whenever possible and practical for the individual patient, the broken part should be removed.

• Be aware that implants are not as strong as native bone. Implants subjected to substantial loads may fail.

• Medical devices containing stainless steel may elicit an allergic reaction in patients with hypersensitivity to nickel.

Precaution: Surgical implants must never be reused. An explanted metal implant must never be reimplanted. Even though the device appears undamaged, it may have small defects and internal stress patterns which could lead to breakage.


MatrixNEURO Cranial Plating System

MatrixNEURO Cranial Plating System • Low plate/screw profile of 0.5 mm for minimal

implant palpability• Self-drilling screws for fast closure of bone flaps

and rapid fixation of cranial fractures• Screwdriver blade provides secure, reliable

screw/blade retention

MatrixNEURO Self-Drilling Screws• Unique thread design for rapid screw starting

and low insertion torque• Available in 3 mm–5 mm lengths• For use with all MatrixNEURO Plates and Mesh

MatrixNEURO Plates• Plates are only 0.4 mm thick• Full selection of titanium plates and burr hole covers

MatrixNEURO Ultra Low Profile Plates• Low plate/screw profile of 0.4 mm preserves patient

cosmesis• Plates are only 0.3 mm thick• Chamfered edges and wide profile for virtually no

palpability• Construct stiffness and strength is comparable to

MatrixNEURO Plates • Color-coded (light green) for easy identification• For use with MatrixNEURO Self-Drilling Screws

Indications The DePuy Synthes MatrixNEURO Cranial Plating System is intended for use in selective trauma of the midface and craniofacial skeleton; craniofacial surgery, reconstructive procedures, and selective orthognathic surgery of the maxilla and chin.


MatrixNEURO Cranial Plating System

MatrixNEURO Contourable Mesh• Available in a variety of shapes and sizes • Design allows screw placement through either

side of mesh• Color-coded based on strength characteristic:

Mesh strength gradient

0.4 mm malleable 0.4 mm rigid 0.6 mm rigid 0.6 mm very rigid


MatrixNEURO Reconstruction Mesh• Our most rigid MatrixNEURO Mesh• Single-sided, low 0.6 mm profile• Benders for contouring without kinking• Available in a variety of shapes and sizes for

reconstructing cranial defects• For use with MatrixNEURO Self-Drilling Screws• 82% more rigid than MatrixNEURO 0.6 mm

Pink Mesh**



MatrixNEURO RECONSTRUCTION MESH

IndicationsThe DePuy Synthes MatrixNEURO Reconstruction Mesh is intended for use in fixation of the cranial bones in procedures such as reconstruction, fracture repair, craniotomies, and osteotomies.*

**Not available for sale in Canada.** Data on file. Bench test results may not necessarily be indicative of

clinical performance.


MatrixNEURO PREFORMED MESH

MatrixNEURO Preformed Mesh• Preformed Mesh is 82% more rigid than

MatrixNEURO 0.6 mm Pink Mesh**• Anatomical shapes to fit an average skull†• Provides rigid construct for a variety of cranial defect

reconstructions• Mesh pattern allows for anatomical contouring

without kinking• OR convenience—for use with MatrixNEURO Screws

2x FTP (R/L)

1x Universal 1x Frontal

2x Temporal (R/L)

Single-sided design allows for low, 0.6 mm profile

Note: Three holes at the apex of each implant are not countersunk.

**Not available for sale in Canada.** Data on file. Bench test results may not necessarily be indicative of clinical

performance. † Kamer, Lukas, MD, DDS, Noser Hansrudi, PhD, Hammer, Beat, MD, DDS;

Anatomical Background for the Development of Preformed Cranioplasty Implants; The Journal of Craniofacial Surgery, 2013:264-268.

IndicationsThe DePuy Synthes MatrixNEURO Preformed Mesh is intended for use in fixation of the cranial bones in procedures such as reconstruction, fracture repair, craniotomies, and osteotomies.*




SURGICAL TECHNIQUE

1Select Implant

Select the appropriate implants listed on pages 13–19. The MatrixNEURO Cranial Plating System contains a wide variety of plates, burr hole covers, mesh, and screws.

Precaution: When using plates, preformed or reconstruction mesh, ensure countersink holes are facing upward.

2Size implant (if required)

Instruments

03.503.033 Cutting Scissors for Mesh Plates, short nose

03.503.037 Cutting Scissors for Mesh Plates, long nose

03.503.605 Reconstruction Mesh Cutters

Implants may be cut and sized to match the patient’s anatomy.

Precautions: • Take care to protect soft tissue from trimmed edges. • Replace worn or damaged cutting instruments if

the cutting function is not adequate. • Cut the implant immediately adjacent to the

screw holes. • Reconstruction Mesh (gold) and Preformed

(Temporal, Frontal, Universal, FTP) Mesh Plates can only be cut with the MatrixNEURO Cutter for Reconstruction Mesh Plates ref.: 03.503.605.

• While handling the cut mesh, avoid the sharp edges.

A B


3Contour implant (if required)

Instruments

03.503.030 Mini Plate Bender, locking

03.503.031 Mini Plate Bender, non-locking

03.503.602 Recon Mesh Benders

The implant can be contoured to match the patient’s anatomy.

Precautions: • Avoid contouring of the implant in situ as that

may lead to implant malposition. • Excessive and repetitive bending of the implant

increases the risk of implant breakage. Reconstruction Mesh (gold) and Preformed (Temporal, Frontal, Universal, FTP) Mesh Plates can only be bent with the Reconstruction Mesh Benders ref.: 03.503.602.

• After implant placement is complete, discard any fragments or modified parts in an approved container.

4Position implant

Instruments

03.503.032 Mini Plate Holder, short

03.503.034 Mini Plate Holder, long

Position the implant on the desired location using the appropriate plate holder.

Surgical Technique


Surgical Technique

6Secure implant

Instruments

03.503.016 MatrixNEURO Screwdriver Blade, hex coupling, self-retaining, short

03.503.017 MatrixNEURO Screwdriver Blade, hex coupling, self-retaining, medium

311.005 Screwdriver Handle, hex coupling, small

311.006 Screwdriver Handle, hex coupling, medium

311.007 Screwdriver Handle, hex coupling, large

5Predrill screw holes (optional)

Instruments

316.624 1.1 mm Drill Bit, hex coupling, 4 mm stop, 52 mm

317.14 1.1 mm Drill Bit, Stryker J-Latch coupling, 4 mm stop, 44.5 mm

Precautions: • Predrill in dense bone when using 5 mm screws. • Use only a 1.1 mm drill bit for predrilling. • Drill speed rate should never exceed 1,800 rpm,

particularly in dense, hard bone. Higher drill speed rates can result in:

– thermal necrosis of the bone, – soft tissue burns, – an oversized hole, which can lead to reduced

pullout force, increased ease of the screws stripping in bone, suboptimal fixation, and/or the need for emergency screws.

Precaution: When using plates, Reconstruction Mesh (gold), or Preformed (Temporal, Frontal, Universal, FTP) Mesh Plates, ensure countersink holes are facing upwards.

• Avoid damaging the plate threads with the drill. • Always irrigate during drilling to avoid thermal

damage to the bone. • Irrigate and apply suction for removal of debris

potentially generated during implantation or removal.

To load the screw onto the blade, place the blade perpendicular to the screw in the module and fully insert the blade into the screw recess. The screw should be securely attached to the blade.


For optimal plate/screw profile, insert the screw perpendicular to the plate in the appropriate plate hole. If the self-drilling screw does not obtain purchase, replace it with a MatrixNEURO Emergency Screw of the same length.

Precautions: • Screwdriver shafts are self-retaining instruments.

Replace worn or damaged screwdriver shafts if the retention is not adequate.

• Fully engage the shaft perpendicular to the screwhead.

• Place the 1.5 mm self-drilling screw perpendicular to the bone at the appropriate plate or mesh hole.

• Consider an appropriate length of screw to avoid injury of underlying structure with screws that are too long or plate loosening and/or migration with screws that are too short.

• Take care not to overtighten the screw. • For Preformed Mesh Plates ref.: 04.503.151S,

04.503.152S, 04.503.155S, 04.503.156S, 04.503.157S and 04.503.158S, screws placed into non-countersunk holes will lead to a higher profile compared to screws placed into countersunk holes.

Surgical Technique


1

2

3

Note: Secure the implants to the bone flap before positioning the bone flap on the patient.

1. Secure the desired plates to bone flap.2. Position the bone flap.3. Secure the plates to the skull.

Precautions: • In order to determine the appropriate amount of

fixation for stability, the surgeon should consider the size and shape of a fracture or osteotomy. DePuy Synthes recommends at least three plates when repairing osteotomies. Additional fixation is recommended to ensure stability of large fractures and osteotomies. When using mesh for larger defects, additional screws for fixation are recommended.

• After implant placement is complete, irrigate and apply suction for removal of debris potentially generated during implantation.

Surgical Technique


MatrixNEURO PLATES (shown actual size)

04.503.062 Titanium MatrixNEURO Straight Plate, 2 holes, 12 mm, blue

Also available in 2 holes, 9 mm, see page 25

04.503.064 Titanium MatrixNEURO X-Plate, blue

04.503.065 Titanium MatrixNEURO Box Plate, 14 mm x 14 mm, blue

Also available in 10 mm x 16 mm and 16 mm x 16 mm, see page 25

04.503.063 Titanium MatrixNEURO Straight Plate, 4 holes, blue

04.503.023 Titanium MatrixNEURO Burr Hole Cover, 17 mm, blue

Also available in 12 mm, 15 mm, and 24 mm, see page 25

04.503.028 Titanium MatrixNEURO Burr Hole Cover, 17 mm, for shunt, blue



MatrixNEURO Plates (shown actual size)

04.503.067 Titanium MatrixNEURO Y-Plate, 5 holes, blue

04.503.068 Titanium MatrixNEURO Double Y-Plate, 6 holes, 18 mm, blue

Also available in 6 holes, 21 mm, see page 25

04.503.071 Titanium MatrixNEURO Adaption Plate, 7 holes, blue

Also available in 5 holes and 20 holes, see page 25

04.503.074 Titanium MatrixNEURO Strut Plate, 2 x 3 holes, blue

Also available in 2 x 4 holes, see page 25

04.503.077 Titanium MatrixNEURO Curved Strut Plate, 2 x 4 holes, blue

Also available in 2 x 3 holes, see page 25

04.502.021 Titanium Ultra Low Profile MatrixNEURO Burr Hole Cover, 12 mm diameter, light green


04.502.028 Titanium Ultra Low Profile MatrixNEURO Burr Hole Cover, 17 mm diameter, for shunt, light green


MatrixNEURO Plates (shown actual size)

04.502.061 Titanium Ultra Low Profile MatrixNEURO Straight Plate, 2 holes, 9 mm, light green

Also available in 12 mm and 4 holes, see page 25

04.502.064 Titanium Ultra Low Profile MatrixNEURO X-Plate, light green

04.502.065 Titanium Ultra Low Profile MatrixNEURO Box Plate, 14 mm x 14 mm, light green

04.502.068 Titanium Ultra Low Profile MatrixNEURO Double Y-Plate, 6 holes, 18 mm, light green

04.502.073 Titanium Ultra Low Profile MatrixNEURO Box Plate, 10 mm x 16 mm, light green

04.502.074 Titanium Ultra Low Profile MatrixNEURO Strut Plate, 2 x 3 holes, light green


MatrixNEURO MESH (shown actual size)

04.503.056 Titanium MatrixNEURO Strut Mesh, silver, malleable

04.503.057 Titanium MatrixNEURO Temporal Mesh, medium, silver, malleable

04.503.090 Titanium MatrixNEURO Contourable Mesh, 30 mm diameter, silver, 0.4 mm malleable

Also available in other shapes and sizes, see page 26

04.503.093 Titanium MatrixNEURO Contourable Mesh, 30 mm diameter, blue, 0.4 mm rigid


04.503.125 Titanium MatrixNEURO Contourable Mesh, 30 mm diameter, pink, 0.6 mm rigid





MatrixNEURO Mesh

04.503.096 Titanium MatrixNEURO Contourable Mesh, mastoid, small, silver, malleable

Also available in medium and large, see page 25

18 DePuy Synthes MatrixNEUROTM Plating System Surgical Technique

04.503.145S Titanium MatrixNEURO Flat Reconstruction Mesh, square, 100 mm x 100 mm, gold, sterile

Also available 150 mm x 150 mm and 200 mm x 200 mm, see page 27

04.503.149S Titanium MatrixNEURO Flat Reconstruction Mesh, round, diameter 70 mm, gold, sterile

Also available diameter 100 mm, see page 27

MatrixNEURO RECONSTRUCTION MESH



MatrixNEUROTM Plating System Surgical Technique DePuy Synthes 19

MatrixNEURO PREFORMED MESH

04.503.151S Ti MatrixNEURO Preformed Mesh 99 mm x 66 mm Temporal, Left Gold-Sterile

Also available for right side

04.503.155S Ti MatrixNEURO Preformed Mesh 151 mm x 125 mm FTP, Left Gold-Sterile

Also available for right side

04.503.157S Ti MatrixNEURO Preformed Mesh 109 mm x 78 mm Frontal Gold-Sterile

04.503.158S Ti MatrixNEURO Preformed Mesh 109 mm dia. Universal Gold-Sterile

66 mm

99 mm

125 mm

151 mm

78 mm

109 mm

109 mm

21 DePuy Synthes MatrixNEUROTM Plating System Surgical Technique

INSTRUMENTS

03.503.016 MatrixNEURO Screwdriver Blade, hex coupling, self-retaining, short


03.503.030 Mini Plate Bender, locking

03.503.031 Mini Plate Bender, nonlocking

03.503.602 Reconstruction Mesh Benders

03.503.033 Mesh Cutting Scissors, short nose Also available in long nose

03.503.605 Reconstruction Mesh Cutters

MatrixNEUROTM Plating System Surgical Technique DePuy Synthes 21

Instruments

316.624 1.1 mm Drill Bit, hex coupling, 4 mm stop, 52 mm

317.14 1.1 mm Drill Bit, Stryker J-Latch coupling, 4 mm stop, 44.5 mm

311.006 Screwdriver Handle with hex coupling, medium

311.007 Screwdriver Handle with hex coupling, large

03.503.034 Mini Plate Holder, long Also available in short, see page 26

311.005 Screwdriver Handle with hex coupling, small


MODULE AND ACCESSORIESMatrixNEURO Cranial Plating System

Module and Accessories01.503.104 MatrixNEURO Implant and

Instrument Set304.103W Screw Length Marker, for 3 mm

self-drilling screws304.104W Screw Length Marker, for 4 mm

self-drilling screws304.105W Screw Length Marker, for 5 mm

self-drilling screws306.501 MatrixNEURO Compact Module 306.502 MatrixNEURO Instrument Module306.507 Plate Insert, adjustable, for

MatrixNEURO Implant Module306.512 Screw Insert, for MatrixNEURO Implant Module306.522 Label Sheet for MatrixNEURO Module306.532 Neuro Insert Tray, for MatrixNEURO

Instruments306.533 Neuro Insert Tray, for MatrixNEURO

Instruments and Battery Powered Driver306.546 Ultra Low Profile Plate Insert,

for MatrixNEURO Module306.547 Ultra Low Profile Label Sheet,

for MatrixNEURO Module60.500.015 MatrixNEURO Strength Gradient

Label Sheet 306.501 (top)

306.502 (bottom)306.546 (fits in 306.501)

For detailed cleaning and sterilizationinstructions, please refer towww.synthes.com/cleaning-sterilization orsterilization instructions, if provided.


Module and AccessoriesMatrixNEURO Cranial Plating System

Trays and Accessories304.760 Universal Instrument Tray, large, deep304.761* Neuro Instrument Tray Lid, large306.512 Screw Insert, for MatrixNEURO Implant

Module (shown installed in module 306.501)

306.532 Neuro Insert Tray, for MatrixNEURO Instruments

304.760 Universal Instrument Tray, large, deep304.761* Neuro Instrument Tray Lid, large306.507 Plate Insert, adjustable, for

MatrixNEURO Implant Module (shown installed in module 306.501)

306.533 Neuro Insert Tray, for MatrixNEURO Instruments and BPD

304.771 Universal Instrument Tray, extra large, deep

304.772* Neuro Instrument Tray Lid, extra large304.773 Neuro Insert Tray, for Cranial Clamps306.533 Neuro Insert Tray, for MatrixNEURO

Instruments and BPD

306.540 Instrument Insert for Tray60.500.015 MatrixNEURO Strength Gradient

label sheet60.503.240 Instrument Case for MatrixNEURO Mesh

(includes lid and Instrument Insert)

* Lids not shown


MatrixNEURO STERILE KIT

** Handles and blades available in additional sizes and lengths, see page 21

MatrixNEURO Sterile Kit• Ready-to-use sterile packs for one standard

craniotomy closure• Simplified ordering• Plate/screw profile of 0.5 mm for minimal

implant palpability• MatrixNEURO Self-Drilling Screw for rapid and

easy insertion

04.503.131S MatrixNEURO Sterile Kit, Standard, 4 mm

04.503.062 Titanium MatrixNEURO Straight Plate, 2 holes, 12 mm, 3/pkg.

04.503.104 Titanium MatrixNEURO Screw, self-drilling, 4 mm, 6/pkg.

04.503.134S MatrixNEURO Sterile Kit, 17 mm, Burr Hole Cover, 4 mm

04.503.023 Titanium MatrixNEURO Burr Hole Cover, 17 mm, 1/pkg.

04.503.062 Titanium MatrixNEURO Straight Plate, 2 holes, 12 mm, 2/pkg.

04.503.104 Titanium MatrixNEURO Screw, self-drilling, 4 mm, 8/pkg.

Instruments needed**


311.006 Screwdriver Handle, medium, with hex coupling


MatrixNEURO Sterile Kit

Titanium MatrixNEURO Screws Self-drilling04.503.103.05 3 mm, 5/pkg.04.503.104.05 4 mm, 5/pkg.04.503.105.05 5 mm, 5/pkg.04.503.103.20 3 mm, 20/pkg.04.503.104.20 4 mm, 20/pkg.04.503.105.20 5 mm, 20/pkg.

Emergency04.503.113.05 3 mm, 5/pkg.04.503.114.05 4 mm, 5/pkg.04.503.115.05 5 mm, 5/pkg.

Titanium MatrixNEURO Ultra Low Profile Plates04.502.061 Straight Plate, 2 holes, 9 mm, light green04.502.062 Straight Plate, 2 holes, 12 mm,

light green04.502.063 Straight Plate, 4 holes, light green04.502.064 X-Plate, light green04.502.065 Box Plate, 14 mm x 14 mm, light green04.502.068 Double Y-Plate, 6 holes, 18 mm,

light green04.502.073 Box Plate, 10 mm x 16 mm, light green04.502.074 Strut Plate, 2 x 3 holes, light green

Titanium MatrixNEURO Plates04.503.061 Straight Plate, 2 holes, 9 mm, blue04.503.062 Straight Plate, 2 holes, 12 mm, blue04.503.063 Straight Plate, 4 holes, 24 mm, blue04.503.064 X-Plate, blue04.503.065 Box Plate, 14 mm x 14 mm, blue04.503.066 Box Plate, 16 mm x 16 mm, blue04.503.073 Box Plate, 10 mm x 16 mm, blue04.503.067 Y-Plate, 5 holes, blue04.503.068 Double Y-Plate, 6 holes, 18 mm, blue04.503.069 Double Y-Plate, 6 holes, 21 mm, blue04.503.070 Adaption Plate, 5 holes, blue04.503.071 Adaption Plate, 7 holes, blue04.503.072 Adaption Plate, 20 holes, blue04.503.074 Strut Plate, 2 x 3 holes, blue04.503.075 Strut Plate, 2 x 4 holes, blue04.503.076 Curved Strut Plate, 2 x 3 holes, blue04.503.077 Curved Strut Plate, 2 x 4 holes, blue

Titanium MatrixNEURO Ultra Low Profile Burr Hole Covers 04.502.021 Burr Hole Cover, 12 mm, light green04.502.022 Burr Hole Cover, 15 mm, light green04.502.023 Burr Hole Cover, 17 mm, light green04.502.024 Burr Hole Cover, 24 mm, light green04.502.028 Burr Hole Cover, 17 mm, for shunt,

light green

Titanium MatrixNEURO Burr Hole Covers04.503.021 12 mm, blue04.503.022 15 mm, blue04.503.023 17 mm, blue04.503.024 24 mm, blue04.503.026 12 mm, for shunt, blue04.503.027 15 mm, for shunt, blue04.503.028 17 mm, for shunt, blue04.503.029 24 mm, for shunt, blue

Titanium MatrixNEURO Contourable Mesh 0.4 mm Contourable Mesh04.503.056 Strut Mesh, silver, malleable04.503.057 Temporal Mesh, medium, silver,

malleable04.503.096 Mastoid, small, silver, malleable04.503.097 Mastoid, medium, silver, malleable04.503.098 Mastoid, large, silver, malleable

Titanium MatrixNEURO Contourable Mesh 0.6 mm Rigid Mesh04.503.120 38 mm x 45 mm, pink04.503.121 100 mm x 100 mm, pink04.503.122 200 mm x 200 mm, pink04.503.122S 200 mm x 200 mm, pink, sterile04.503.123 Small arc, pink04.503.124 Large arc, pink04.503.125 30 mm diameter, pink04.503.126 70 mm diameter, pink04.503.127 100 mm diameter, pink


Titanium MatrixNEURO Contourable Mesh 0.4 mm Rigid Mesh04.503.082 38 mm x 45 mm, blue04.503.084 100 mm x 100 mm, blue04.503.085 200 mm x 200 mm, blue04.503.088 Small arc, blue04.503.089 Large arc, blue04.503.093 30 mm diameter, blue04.503.094 70 mm diameter, blue04.503.095 100 mm diameter, blue

0.4 mm Malleable Mesh04.503.081 38 mm x 45 mm, silver04.503.083 100 mm x 100 mm, silver04.503.086 Small arc, silver04.503.087 Large arc, silver04.503.090 30 mm diameter, silver04.503.091 70 mm diameter, silver04.503.092 100 mm diameter, silver


MatrixNEURO Instruments03.503.016 MatrixNEURO Screwdriver Blade,

hex coupling, self-retaining, short 03.503.017 MatrixNEURO Screwdriver Blade,

hex coupling, self-retaining, medium 03.503.030 Mini Plate Bender, locking03.503.031 Mini Plate Bender, nonlocking03.503.032 Mini Plate Holder, short03.503.033 Mesh Cutting Scissors, short nose03.503.034 Mini Plate Holder, long03.503.037 Mesh Cutting Scissors, long nose03.503.602 Reconstruction Mesh Benders03.503.605 Reconstruction Mesh Cutters311.005 Screwdriver Handle with hex coupling,

small 311.006 Screwdriver Handle with hex coupling,

medium311.007 Screwdriver Handle with hex coupling,

large316.624 1.1 mm Drill Bit, hex coupling,

4 mm stop, 52 mm317.14 1.1 mm Drill Bit, Stryker J-Latch,

4 mm stop, 44.5 mm



Titanium MatrixNEURO Reconstruction Mesh 0.6 mm Rigid Mesh04.503.145S 100 mm x 100 mm, gold, sterile04.503.146S 150 mm x 150 mm, gold, sterile04.503.147S 200 mm x 200 mm, gold, sterile04.503.149S 70 mm diameter, gold, sterile04.503.150S 100 mm diameter, gold, sterile

Titanium MatrixNEURO Preformed Mesh 0.6 mm Rigid Mesh04.503.151S 99 mm x 66 mm Temporal Left, Sterile 04.503.152S 99 mm x 66 mm Temporal Right, Sterile 04.503.155S 151 mm x 125 mm FTP Left, Sterile 04.503.156S 151 mm x 125 mm FTP Right, Sterile 04.503.157S 109 mm x 78 mm Frontal, Sterile 04.503.158S 109 mm dia. Universal, Sterile

Limited Warranty and Disclaimer: DePuy Synthes products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed.

Please also refer to the package insert(s) or other labeling associated with the devices identified in this surgical technique for additional information.

CAUTION: Federal Law restricts these devices to sale by or on the order of a physician.

Some devices listed in this surgical technique may not have been licensed in accordance with Canadian law and may not be for sale in Canada. Please contact your sales consultant for items approved for sale in Canada.

Not all products may currently be available in all markets.

© DePuy Synthes 2014–2017. All rights reserved.DSUS/CMF/0414/0015(2) 6/17 DV

Synthes USA, LLC 1101 Synthes AvenueMonument, CO 80132

Manufactured or distributed by:Synthes USA Products, LLC 1302 Wrights Lane EastWest Chester, PA 19380

To order (USA): 800-523-0322 To order (Canada): 855-946-8999

Note: For recognized manufacturer, refer to the product label.

www.depuysynthes.com

the next generation cranial plating system …synthes.vo.llnwd.net/o16/llnwmb8/us mobile/synthes...

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