Hand Held Retractors

Hand Held Retractors Market Outlook

The global hand held retractors market is projected to reach USD 1.5 billion by 2035, growing at a CAGR of 6.5% during the forecast period from 2025 to 2035. This growth can be attributed to the increasing number of surgical procedures performed globally, the rising demand for minimally invasive surgeries, and advancements in surgical instruments. Additionally, the growing awareness regarding the benefits of effective surgical tools and the surge in geriatric population, which requires more surgical interventions, are key factors driving market expansion. The expansion of healthcare infrastructure, particularly in developing regions, has also contributed significantly to the increasing market size. Moreover, innovative product development and the introduction of ergonomic designs have further propelled the demand for hand-held retractors across various healthcare sectors.

Growth Factor of the Market

The hand held retractors market is driven by several growth factors that play a crucial role in shaping its trajectory. One of the primary factors is the continuous rise in surgical procedures, including both elective and emergency surgeries, leading to a higher demand for reliable surgical instruments. Furthermore, advancements in surgical techniques and the growing preference for minimally invasive procedures have necessitated the use of precision surgical tools, including hand held retractors. Additionally, the healthcare industry's focus on patient safety and optimal surgical outcomes has fueled the adoption of innovative retractors that improve visibility and access during surgeries. The increasing prevalence of chronic diseases such as cardiovascular disorders and cancer, which often require surgical intervention, further bolsters market demand. Additionally, significant investments in healthcare technology and infrastructure development in emerging economies provide favorable conditions for market growth.

Key Highlights of the Market

• The market is projected to grow at a CAGR of 6.5% from 2025 to 2035.
• Stainless steel remains the most popular material type for hand held retractors due to its durability and ease of sterilization.
• Increased demand for minimally invasive surgical procedures is driving innovation in hand held retractors.
• North America holds the largest market share, driven by advanced healthcare facilities and a high volume of surgical procedures.
• The rise of online retail channels is transforming the distribution landscape, making surgical instruments more accessible to healthcare providers.

By Product Type

Single Ended Hand Held Retractors:

Single ended hand held retractors are widely used in various surgical procedures for holding back the edges of incisions and providing better visibility to surgeons. Their simple design allows a single surgeon or assistant to operate them easily, providing the necessary support during surgeries. These retractors are often made from stainless steel, ensuring durability, and are available in various sizes to accommodate different surgical needs. Their lightweight nature also makes them easy to handle, which is essential during lengthy procedures. The demand for single ended hand held retractors is growing due to the increasing number of surgical operations and the need for precise manipulation of tissues, driving innovations in design and functionality.

Double Ended Hand Held Retractors:

Double ended hand held retractors are specifically designed to have two ends that can be utilized for retracting tissue, providing versatility during surgical procedures. These instruments are highly beneficial in surgeries that require multiple layers of tissue to be held back simultaneously, enhancing visibility and access to the surgical site. The growing preference for double ended retraction in complex surgeries, such as orthopedic and abdominal surgeries, has contributed to the increasing demand for this type of retractor. Furthermore, advancements in material technology have led to the development of lighter and more ergonomic designs, making double ended retractors easier and more comfortable to use for extended periods, thus further boosting their usage in surgical settings.

Hinged Hand Held Retractors:

Hinged hand held retractors are designed with a unique pivot joint that allows them to open and retract tissues at various angles, providing optimal exposure to the surgical site. This adjustability is particularly advantageous in surgeries where access to varying depths is required. The hinged design also allows for better control and stability, reducing the strain on the surgeon or assistant during prolonged procedures. As surgeries become increasingly complicated, the demand for hinged retractors is on the rise. These instruments are often used in combination with other retractors, enhancing their effectiveness and further driving innovation in their design and functionality.

Angular Hand Held Retractors:

Angular hand held retractors feature a design that enables them to hold tissue at specific angles, making them particularly useful in orthopedic surgeries where angles matter significantly. By providing a more customized approach to tissue retraction, these instruments enhance visibility and allow surgeons to work with greater precision. As techniques evolve and surgeries become more intricate, the need for angular retractors has grown significantly, leading to increased demand and innovation in this segment. Their ergonomic design also contributes to the comfort of the surgical team, facilitating easier manipulation and improved efficiency during procedures.

Self-Retaining Hand Held Retractors:

Self-retaining hand held retractors are an innovative advancement in surgical instruments, designed to maintain tension and hold tissue securely without the need for constant manual support. This feature allows surgeons to focus on intricate surgical tasks without distraction. The growing popularity of self-retaining retractors is largely driven by the increasing demand for efficiency and safety in surgical environments. Moreover, advances in design and material science have enabled the development of various self-retaining models tailored to specific surgical applications, fostering further growth within this segment. The convenience and effectiveness of these retractors have made them a preferred choice across various surgical specialties, supporting market expansion.

By Application

Dental Procedures:

In dental applications, hand held retractors play a crucial role in providing access to the oral cavity during various procedures. They allow dentists to keep soft tissues clear of the surgical field, facilitating better visibility and access to the teeth and gums. The demand for hand held retractors in dentistry has increased significantly as more dental surgeries, including extractions, implants, and periodontal procedures, are performed. Their compact design and lightweight nature make them suitable for use in dental clinics, and advancements in materials have also improved their usability and safety. As dental practices continue to evolve and incorporate more surgical techniques, the demand for specialized hand held retractors is likely to grow in tandem.

Surgical Procedures:

Hand held retractors are indispensable tools in various surgical procedures, including general surgery, orthopedic surgery, and more. They are critical in maintaining visibility and access to the surgical area by holding back tissues and organs. The demand for hand held retractors in surgical applications is driven by the increasing number of surgical interventions worldwide, as well as improvements in surgical techniques that require enhanced instrument performance. Advances in design and material technology have also contributed to the growing popularity of these retractors, with innovations focusing on ergonomics and functionality to support surgeons during complex procedures. Consequently, the surgical segment remains one of the most significant contributors to the overall hand held retractors market.

Veterinary Procedures:

The use of hand held retractors in veterinary medicine is on the rise, as veterinary surgeries become more sophisticated and closely resemble human surgical practices. These retractors help veterinarians gain access to the surgical site by holding back tissues, ensuring better visibility during procedures such as spaying, neutering, and orthopedic surgeries. The growth of the veterinary sector, coupled with an increase in pet ownership and the demand for advanced surgical procedures, has positively impacted the utilization of hand held retractors in veterinary clinics and hospitals. Furthermore, as veterinary education evolves and more professionals are trained in surgical techniques, the adoption of specialized retractors is expected to continue rising, driving market growth in this application segment.

Others:

Besides the primary applications of dental, surgical, and veterinary procedures, hand held retractors are also utilized in various other medical applications. These include research settings, teaching hospitals, and surgical centers that specialize in less common procedures. The versatility of hand held retractors allows them to be adapted for diverse medical tasks beyond traditional uses. As the healthcare ecosystem becomes increasingly multifaceted and interdisciplinary, the demand for versatile surgical tools, including hand held retractors, is poised to grow. This segment's contribution to the overall market reflects the continued expansion of medical practices and the need for reliable instruments in various healthcare settings.

By Distribution Channel

Hospitals:

Hospitals remain the largest distribution channel for hand held retractors, driven by the high volume of surgical procedures performed daily. The demand within hospitals is fueled by the need for reliable surgical instruments to ensure effective patient care and outcomes. Furthermore, hospitals often procure retractors in bulk, allowing them to negotiate better pricing and maintain a consistent supply of necessary surgical tools. As healthcare systems continue to evolve and expand, the reliance on hospitals as the primary distribution channel for hand held retractors will persist, shaping the market dynamics in this segment.

Dental Clinics:

Dental clinics represent a growing distribution channel for hand held retractors as the demand for oral surgical procedures increases. The incorporation of advanced surgical techniques necessitates the availability of high-quality retractors to assist in procedures such as tooth extractions, root canals, and implants. As dental practices advance and adopt more surgical methods, dental clinics are increasingly investing in specialized retractors tailored to their needs. This evolving landscape positions dental clinics as a significant contributor to the hand held retractors market, driving innovation and product development to meet specific application requirements.

Ambulatory Surgical Centers:

Ambulatory surgical centers (ASCs) are emerging as a vital distribution channel for hand held retractors. These facilities specialize in providing outpatient surgical services, leading to an increased demand for efficient surgical instruments. The growing trend towards outpatient procedures has resulted in a shift in focus towards the availability and accessibility of surgical tools in ASCs. Additionally, the cost-effectiveness and convenience offered by ASCs contribute to their increasing prominence in the healthcare landscape, fostering further growth in the demand for hand held retractors tailored for outpatient surgical environments.

Online Retailers:

Online retail has revolutionized the distribution of hand held retractors, offering healthcare professionals greater accessibility and convenience in procuring surgical instruments. The rise of e-commerce platforms has enabled buyers to compare products, read reviews, and make informed purchasing decisions, leading to increased demand for hand held retractors through online channels. Furthermore, the ongoing digital transformation of healthcare services has encouraged medical professionals to embrace online shopping for surgical tools, resulting in a growing segment of the market. This shift highlights the importance of adapting to changing consumer preferences and the significance of online retailers in shaping the hand held retractors market.

Others:

Other distribution channels for hand held retractors include specialty medical supply stores, educational institutions, and research facilities. These channels cater to diverse healthcare needs and contribute to the overall market growth by providing access to a variety of surgical instruments. Specialty medical supply stores often carry niche products, including various types of hand held retractors, tailored to specific applications. Educational institutions and research facilities utilize these instruments for training purposes and clinical studies, further enhancing their reach within the medical community. As the healthcare landscape diversifies, so too does the distribution of hand held retractors, reflecting the need for specialized instruments across various sectors.

By Material Type

Stainless Steel:

Stainless steel is the most widely used material for manufacturing hand held retractors, owing to its excellent strength-to-weight ratio, resistance to corrosion, and ease of sterilization. The durability of stainless steel ensures that retractors maintain their shape and functionality over time, making them reliable instruments in surgical settings. Furthermore, the cost-effectiveness of stainless steel has contributed to its popularity among healthcare providers, as it offers an optimal balance between performance and affordability. As surgical procedures continue to increase, the demand for stainless steel hand held retractors is expected to grow, reflecting their critical role in modern surgical practices.

Titanium:

Titanium is gaining traction as a material choice for hand held retractors due to its lightweight properties and exceptional strength. The biocompatibility of titanium also makes it an attractive option for surgical instruments, as it minimizes the risk of adverse reactions during medical procedures. Although titanium retractors may be more expensive than stainless steel alternatives, their increasing adoption is driven by the demand for high-quality instruments that enhance surgical performance. As healthcare professionals seek to improve patient outcomes and reduce surgical complications, the demand for titanium hand held retractors is likely to rise, contributing to the overall market growth.

Plastic:

Plastic hand held retractors are becoming increasingly popular, particularly in settings that require disposable or lightweight surgical instruments. These retractors offer the advantage of being lightweight and flexible, making them easy to handle during procedures. Furthermore, the low cost of plastic materials allows healthcare providers to use them as disposable options, reducing the risk of cross-contamination in surgical environments. The growing trend towards single-use instruments in healthcare is driving the demand for plastic hand held retractors, highlighting their role in maintaining safety and efficiency in surgical practices.

Others:

Other materials used in the production of hand held retractors include composite materials and specialty alloys, which are designed to meet specific performance requirements. These materials often combine the benefits of strength, lightweight, and corrosion resistance, making them suitable for various surgical applications. As the demand for specialized surgical instruments continues to grow, manufacturers are exploring innovative material options to enhance the functionality and performance of hand held retractors. The emergence of these alternative materials contributes to the overall diversity of the hand held retractors market, catering to the unique needs of different surgical specialties.

By Region

The North American region holds the largest share of the hand held retractors market, attributed to the high volume of surgical procedures performed within the region’s advanced healthcare infrastructure. In 2023, the market in North America was valued at approximately USD 600 million, reflecting the region's dominance in terms of surgical technology adoption and innovation. The presence of leading medical device manufacturers and a well-established distribution network further enhance the growth potential of the hand held retractors market in North America. As surgical advancements continue to emerge and the demand for precision instruments increases, the North American market is poised for sustained growth in the coming years.

In Europe, the hand held retractors market is also experiencing substantial growth, attributed to the rising number of surgical procedures and the increasing emphasis on patient safety. The European market is projected to grow at a CAGR of 5.8% from 2025 to 2035. Countries such as Germany, France, and the UK are major contributors to this growth, supported by advancements in surgical techniques and the availability of high-quality surgical instruments. Additionally, the growing trend of outpatient surgeries and the increasing number of surgical centers in Europe are expected to drive demand for hand held retractors, further solidifying the region's position in the global market.

Opportunities

The hand held retractors market presents numerous opportunities for growth, particularly as advancements in surgical techniques continue to evolve. The increasing trend towards minimally invasive surgeries has created a demand for innovative and specialized retractors that enhance surgical efficiency and patient outcomes. As healthcare professionals seek to implement cutting-edge technologies in their practices, companies that invest in research and development to create ergonomic and multifunctional hand held retractors are likely to capture significant market share. Furthermore, the expansion of healthcare facilities in emerging economies provides an additional avenue for growth, as these regions require modern surgical instruments to meet the rising demand for surgical procedures.

Another promising opportunity lies in the customization of hand held retractors to suit specific surgical applications and preferences. As surgeons increasingly seek tailored solutions that can address unique challenges presented during procedures, manufacturers can capitalize on this trend by offering customizable retractors. Additionally, the rise of telemedicine and remote surgical assistance opens new avenues for collaboration and innovation in developing surgical tools. By leveraging technological advancements, the hand held retractors market can harness opportunities that cater to evolving surgical practices, ultimately leading to improved patient care and satisfaction.

Threats

Despite the positive growth prospects, the hand held retractors market faces several challenges that may hinder its expansion. One of the significant threats is the increasing competition from alternative surgical instruments that offer similar functionalities. As technology advances, manufacturers are continually developing new tools that can replace traditional hand held retractors, potentially leading to a decline in demand for these instruments. Additionally, the emergence of robotic-assisted surgeries presents another challenge, as robotic systems often utilize integrated retractors, reducing the reliance on manual hand held devices. This shift in surgical practices could pose a significant threat to the traditional hand held retractors market, necessitating innovation and adaptability among manufacturers to remain competitive.

Furthermore, stringent regulatory requirements and quality standards imposed by healthcare authorities can act as a restraining factor for market growth. Manufacturers must invest considerable time and resources to ensure compliance with these regulations, which can impact production timelines and costs. Additionally, the increasing focus on cost-cutting measures within healthcare facilities may lead to a preference for lower-cost alternatives, affecting the pricing strategies of established hand held retractor manufacturers. As the market evolves, addressing these threats and developing strategies to mitigate their impact will be crucial for maintaining growth and competitiveness.

Competitor Outlook

• Medtronic
• Stryker Corporation
• Johnson & Johnson
• Boston Scientific
• Zimmer Biomet
• Smith & Nephew
• Conmed Corporation
• Integra LifeSciences
• Allen Medical Systems
• Ethicon (a subsidiary of Johnson & Johnson)
• Sharplan Lasers
• Hologic, Inc.
• Hawkins Surgical
• Wright Medical Group N.V.
• Depuy Synthes

The competitive landscape of the hand held retractors market is characterized by a mix of established players and emerging companies vying for market share. Major manufacturers are focusing on innovation and product development to enhance the functionality and effectiveness of their retractors. Companies such as Medtronic and Stryker Corporation are at the forefront, leveraging advanced materials and technologies to create ergonomic and high-performance retractors that cater to the diverse needs of healthcare professionals. Furthermore, partnerships and collaborations among industry players are becoming increasingly common as companies seek to expand their product portfolios and enhance distribution networks. This collaborative approach not only fosters innovation but also allows companies to penetrate new markets and reach a broader audience.

With a strong emphasis on research and development, companies like Johnson & Johnson and Boston Scientific are investing in the creation of specialized retractors tailored for specific surgical applications. Their focus on quality and performance, coupled with robust distribution channels, positions them as key players in the market. Additionally, the growing trend of adopting minimally invasive procedures is prompting manufacturers to refine their product offerings, ensuring that they meet the evolving demands of the surgical landscape. As competition intensifies, companies must continue to differentiate their products and focus on delivering value to healthcare providers and patients alike.

Emerging players are also carving out their niche in the hand held retractors market by offering innovative solutions and targeting specific segments. Companies such as Conmed Corporation and Integra LifeSciences are gaining traction by focusing on specialized surgical instruments and custom solutions for particular medical fields. These companies are leveraging their expertise to develop retractors that enhance surgical efficiency and improve patient outcomes. With the increasing demand for advanced surgical instruments, the competitive landscape is expected to become even more dynamic, with new entrants and innovations reshaping the market in the coming years.

• 1 Appendix

  • 1.1 List of Tables
  • 1.2 List of Figures

• 2 Introduction

  • 2.1 Market Definition
  • 2.2 Scope of the Report
  • 2.3 Study Assumptions
  • 2.4 Base Currency & Forecast Periods

• 3 Market Dynamics

  • 3.1 Market Growth Factors
  • 3.2 Economic & Global Events
  • 3.3 Innovation Trends
  • 3.4 Supply Chain Analysis

• 4 Consumer Behavior

  • 4.1 Market Trends
  • 4.2 Pricing Analysis
  • 4.3 Buyer Insights

• 5 Key Player Profiles

  • 5.1 Medtronic
    • 5.1.1 Business Overview
    • 5.1.2 Products & Services
    • 5.1.3 Financials
    • 5.1.4 Recent Developments
    • 5.1.5 SWOT Analysis
  • 5.2 Depuy Synthes
    • 5.2.1 Business Overview
    • 5.2.2 Products & Services
    • 5.2.3 Financials
    • 5.2.4 Recent Developments
    • 5.2.5 SWOT Analysis
  • 5.3 Hologic, Inc.
    • 5.3.1 Business Overview
    • 5.3.2 Products & Services
    • 5.3.3 Financials
    • 5.3.4 Recent Developments
    • 5.3.5 SWOT Analysis
  • 5.4 Zimmer Biomet
    • 5.4.1 Business Overview
    • 5.4.2 Products & Services
    • 5.4.3 Financials
    • 5.4.4 Recent Developments
    • 5.4.5 SWOT Analysis
  • 5.5 Smith & Nephew
    • 5.5.1 Business Overview
    • 5.5.2 Products & Services
    • 5.5.3 Financials
    • 5.5.4 Recent Developments
    • 5.5.5 SWOT Analysis
  • 5.6 Sharplan Lasers
    • 5.6.1 Business Overview
    • 5.6.2 Products & Services
    • 5.6.3 Financials
    • 5.6.4 Recent Developments
    • 5.6.5 SWOT Analysis
  • 5.7 Hawkins Surgical
    • 5.7.1 Business Overview
    • 5.7.2 Products & Services
    • 5.7.3 Financials
    • 5.7.4 Recent Developments
    • 5.7.5 SWOT Analysis
  • 5.8 Boston Scientific
    • 5.8.1 Business Overview
    • 5.8.2 Products & Services
    • 5.8.3 Financials
    • 5.8.4 Recent Developments
    • 5.8.5 SWOT Analysis
  • 5.9 Johnson & Johnson
    • 5.9.1 Business Overview
    • 5.9.2 Products & Services
    • 5.9.3 Financials
    • 5.9.4 Recent Developments
    • 5.9.5 SWOT Analysis
  • 5.10 Conmed Corporation
    • 5.10.1 Business Overview
    • 5.10.2 Products & Services
    • 5.10.3 Financials
    • 5.10.4 Recent Developments
    • 5.10.5 SWOT Analysis
  • 5.11 Stryker Corporation
    • 5.11.1 Business Overview
    • 5.11.2 Products & Services
    • 5.11.3 Financials
    • 5.11.4 Recent Developments
    • 5.11.5 SWOT Analysis
  • 5.12 Integra LifeSciences
    • 5.12.1 Business Overview
    • 5.12.2 Products & Services
    • 5.12.3 Financials
    • 5.12.4 Recent Developments
    • 5.12.5 SWOT Analysis
  • 5.13 Allen Medical Systems
    • 5.13.1 Business Overview
    • 5.13.2 Products & Services
    • 5.13.3 Financials
    • 5.13.4 Recent Developments
    • 5.13.5 SWOT Analysis
  • 5.14 Wright Medical Group N.V.
    • 5.14.1 Business Overview
    • 5.14.2 Products & Services
    • 5.14.3 Financials
    • 5.14.4 Recent Developments
    • 5.14.5 SWOT Analysis
  • 5.15 Ethicon (a subsidiary of Johnson & Johnson)
    • 5.15.1 Business Overview
    • 5.15.2 Products & Services
    • 5.15.3 Financials
    • 5.15.4 Recent Developments
    • 5.15.5 SWOT Analysis

• 6 Market Segmentation

  • 6.1 Hand Held Retractors Market, By Application
    • 6.1.1 Dental Procedures
    • 6.1.2 Surgical Procedures
    • 6.1.3 Veterinary Procedures
    • 6.1.4 Others
  • 6.2 Hand Held Retractors Market, By Product Type
    • 6.2.1 Single Ended Hand Held Retractors
    • 6.2.2 Double Ended Hand Held Retractors
    • 6.2.3 Hinged Hand Held Retractors
    • 6.2.4 Angular Hand Held Retractors
    • 6.2.5 Self-Retaining Hand Held Retractors
  • 6.3 Hand Held Retractors Market, By Material Type
    • 6.3.1 Stainless Steel
    • 6.3.2 Titanium
    • 6.3.3 Plastic
    • 6.3.4 Others
  • 6.4 Hand Held Retractors Market, By Distribution Channel
    • 6.4.1 Hospitals
    • 6.4.2 Dental Clinics
    • 6.4.3 Ambulatory Surgical Centers
    • 6.4.4 Online Retailers
    • 6.4.5 Others

• 7 Competitive Analysis

  • 7.1 Key Player Comparison
  • 7.2 Market Share Analysis
  • 7.3 Investment Trends
  • 7.4 SWOT Analysis

• 8 Research Methodology

  • 8.1 Analysis Design
  • 8.2 Research Phases
  • 8.3 Study Timeline

• 9 Future Market Outlook

  • 9.1 Growth Forecast
  • 9.2 Market Evolution

• 10 Geographical Overview

  • 10.1 Europe - Market Analysis
    • 10.1.1 By Country
      • 10.1.1.1 UK
      • 10.1.1.2 France
      • 10.1.1.3 Germany
      • 10.1.1.4 Spain
      • 10.1.1.5 Italy
  • 10.2 Asia Pacific - Market Analysis
    • 10.2.1 By Country
      • 10.2.1.1 India
      • 10.2.1.2 China
      • 10.2.1.3 Japan
      • 10.2.1.4 South Korea
  • 10.3 Latin America - Market Analysis
    • 10.3.1 By Country
      • 10.3.1.1 Brazil
      • 10.3.1.2 Argentina
      • 10.3.1.3 Mexico
  • 10.4 North America - Market Analysis
    • 10.4.1 By Country
      • 10.4.1.1 USA
      • 10.4.1.2 Canada
  • 10.5 Hand Held Retractors Market by Region
  • 10.6 Middle East & Africa - Market Analysis
    • 10.6.1 By Country
      • 10.6.1.1 Middle East
      • 10.6.1.2 Africa

• 11 Global Economic Factors

  • 11.1 Inflation Impact
  • 11.2 Trade Policies

• 12 Technology & Innovation

  • 12.1 Emerging Technologies
  • 12.2 AI & Digital Trends
  • 12.3 Patent Research

• 13 Investment & Market Growth

  • 13.1 Funding Trends
  • 13.2 Future Market Projections

• 14 Market Overview & Key Insights

  • 14.1 Executive Summary
  • 14.2 Key Trends
  • 14.3 Market Challenges
  • 14.4 Regulatory Landscape

Segments Analyzed in the Report

The global Hand Held Retractors market is categorized based on

By Product Type

• Single Ended Hand Held Retractors
• Double Ended Hand Held Retractors
• Hinged Hand Held Retractors
• Angular Hand Held Retractors
• Self-Retaining Hand Held Retractors

By Application

• Dental Procedures
• Surgical Procedures
• Veterinary Procedures
• Others

By Distribution Channel

• Hospitals
• Dental Clinics
• Ambulatory Surgical Centers
• Online Retailers
• Others

By Material Type

• Stainless Steel
• Titanium
• Plastic
• Others

By Region

• North America
• Europe
• Asia Pacific
• Latin America
• Middle East & Africa

Key Players

• Medtronic
• Stryker Corporation
• Johnson & Johnson
• Boston Scientific
• Zimmer Biomet
• Smith & Nephew
• Conmed Corporation
• Integra LifeSciences
• Allen Medical Systems
• Ethicon (a subsidiary of Johnson & Johnson)
• Sharplan Lasers
• Hologic, Inc.
• Hawkins Surgical
• Wright Medical Group N.V.
• Depuy Synthes