Abstract: A pedicle screw system includes a receiving sleeve for a longitudinal support, a bone screw and a shank head element. The bone screw has a bone thread configured as an outer thread and a connection thread configured as an inner thread. The shank head element has at the proximal end a head on which the receiving sleeve is mounted and, at the distal end, a connection thread configured as an outer thread screwed into the connection thread of the bone screw. The connection threads are configured as multi-threads, each with a distal connection thread portion and a proximal connection thread portion. The distal connection thread portion and the proximal connection thread portion have an identical thread pitch. The distal connection thread portion has a smaller diameter than the proximal connection thread portion.

Abstract: The present invention discloses a security seal with a seal base with at least one locking projection and a seal head connected to the seal base with at least one blocking tab, whereby each blocking tab is movably connected to the seal head via at least one hinge element, together with a safety closure with a first closure part and a second closure part, which can be moved back and forth between an open position and a closed position relative to the first closure part, wherein the first closure part has a seating on which the seal base of a security seal can be engaged so that, when the second closure part is in the closed position, at least one blocking tab of the security seal at least partially overlaps the second closure part on the side of the second closure part opposite the first closure part, and additionally, a security container with a container tub, a lid and a safety closure, wherein either the first or second closure part is arranged on either the container tub or the lid, respectively.

Abstract: A device for simultaneously identifying a plurality of surgical instruments or instrument groups includes a first detecting device having a first detection technology for detecting instruments and, if applicable, related instrument-specific information. The device also includes a second detecting device having a second different detection technology for detecting instruments and instrument information. Moreover, the device includes a comparing device for comparing the detection results of the two detecting devices. The comparing device outputs a positive evaluation regarding the correctness of the detected instruments if the two detection results are matching.

Abstract: An implant, preferably for treating and/or reconstructing, in particular lining and/or sealing and/or relining and/or at least partially filling an acetabular defect, having at least one flat structure which contains a material that is at least partially decomposable or resorbable in vivo. The invention further relates to a surgical kit and the use of an unfinished flat structure for producing an implant.

Abstract: An electrode structure and a mechanism for automated or user-selected operation or compensation of the electrodes, for example to determine tissue coverage and/or prevent arcing between bottom electrodes during electrocautery is disclosed.

Abstract: A retractor features at least two retractor arms whose proximal end portions are fixed or integrally formed on opposite ends of a crossbar for adjusting the distance between the retractor arms, and a drive unit whose case is mounted on the crossbar and whose gearing is in operative connection with a length adjustment mechanism to be operated by a separate actuation element which can be brought into engagement with a gearing input element movably inserted in the case. The gearing input element is accessible on at least one outer side of the casing. The gearing input element is designed such that it is substantially flush with the case's outer side or is recessed into the case interior. It has its exposed side provided with recesses, at least one of which has an undercut which enters a manually detachable latching engagement with a force transmission protrusion of the actuation element.

Abstract: A surgical instrument includes a female instrument part that defines a hollow volume in a coupling region and a male instrument part that forms a guide section in the coupling region. The guide section is configured to at least partially pass through the hollow volume. A pivoting element, which has an upper section, a center section, and a lower section, couples the female instrument part and the male instrument part to each other in such a way that the female instrument part and male instrument part can pivot relative to each other about an axis of rotation of the pivoting element. A lateral upper contact step is formed between the upper section and the center section of the pivoting element and a lateral lower contact step is formed between the lower section and the center section of the pivoting element.

Abstract: The present invention relates to a connection element for a spine stabilization system which comprises a first end for fixing to a first bone fixation device, a second end for fixing to a second bone fixation device and an intermediate portion arranged or formed between the two ends and defining a longitudinal axis. At least one of the two ends takes the form of a coupling element for fixing the connection element to a bone fixation device in at least one defined orientation relative to the longitudinal axis. The coupling element has a shape other than a circular cylinder.

Abstract: The present invention relates to a medical instrumentation for implanting an acetabular cup, comprising at least one medical guiding instrument for a first reaming tool, wherein the guiding instrument comprises a shaped body, wherein the shaped body has a patient-specific bone abutment surface facing in the distal direction and deviating from a spherical surface section, wherein the bone abutment surface is shaped so as to correspond or substantially correspond to a bone surface of the patient, and wherein a guiding shaft, defining a longitudinal axis, for guiding the first reaming tool protrudes from the shaped body and faces in the proximal direction.

Abstract: A receiving sleeve receives surgical instruments. A holding device for storing and cleaning surgical instruments includes at least one receiving sleeve. A surgical instrument set includes a holding device and/or receiving sleeve. The receiving sleeve and the holding device have a light construction which allows the maximum flow of fluid to instruments held in the receiving sleeve or holding device. The receiving sleeve includes a cylindrical hollow body with a plurality of peripherally spaced inner clamping arms which have punctiform or linear engagement sections that are adjusted to come into contact with an inserted tool in a force-fit or form-fit manner for holding the tool within the receiving sleeve at a radial distance to the cylindrical body.

Abstract: An anastomosis instrument includes a headpiece shaft which can be inserted in an instrument shaft so as to be axially shiftable therein, a plate-like and/or anvil-like headpiece being axially shiftable on the distal end portion of the headpiece shaft and being supported via a cross pin between a processing position and a withdrawal position, the headpiece on the headpiece shaft being displaced or shifted from a first, proximally retracted latching position in which the headpiece shaft is coupled to the headpiece in a form-fitting manner to fix the headpiece in the processing position so that it is unable to pivot, to a second, distally advanced latching position in which the form fit is released in order to allow the headpiece to swivel to the withdrawal position.

Abstract: In order to provide a temperature sensor or a temperature measuring apparatus having a temperature sensor, which enables direct temperature measurement, in particular even during treatment, in particular even with HF surgical devices, it is proposed that the temperature sensor includes a sensor element with a medium which can be excited to luminescence, in particular fluorescence, and an optical waveguide which is optically connected to the sensor element and is intended to supply light to the medium at an excitation wavelength and/or to pick up and conduct light at a luminescence wavelength of the medium which can be excited to luminescence.

Abstract: A surgical stapling device is configured for use in open and/or laparoscopic surgical procedures. The device includes a handle assembly, a shaft assembly coupled to the handle assembly, and an end-effector coupled to the shaft assembly. The end-effector comprises of a jaw assembly configured to clamp, staple, and/or cut a target tissue. The handle assembly comprises of a trigger member that can activate a control member to close the jaw assembly to clamp, staple, and/or cut the target tissue. The stapling device includes a safety lockout member to selective prevent the control member to close the jaw assembly to clamp, staple, and/or cut the target tissue.

Abstract: The present application discloses an atrium retractor with a plate and a shaft that has a shaft sleeve, an inner rod and an operating mechanism. The operating mechanism is designed to generate a relative movement between the shaft sleeve and the inner rod. An articulation device that is firmly connected either to the plate or the shaft and is detachably connectable to the other from the plate or the shaft is provided in the atrium retractor. The operating mechanism is adapted to optionally lock and release the articulated connection by means of the relative movement between the shaft sleeve and the inner rod.

Abstract: An exemplary surgical staple may include a base including a first end and a second end; a single tine extending from the second end of the base; and a barb extending from the base at a location between the first end of the base and the second end of the base. An end of such a staple may be frangibly affixed to a feeder belt. Another exemplary surgical apparatus may include at least one staple including a base including a first end and a second end, a first tine extending from the second end of the base, and a second tine extending from the base at a location between the first end of the base and the second end of the base.

Abstract: In a first aspect of the invention relates to a medical guide device for working on a bone. This guide device includes a holding arrangement, which is holdable firmly against a bone, for holding the guide device firmly against the bone and a saw template with a guide slot for a saw blade. In an adjustment position, the holding arrangement and the saw template engage with one another and are arranged to be movable in relation to one another. The holding arrangement and the saw template are movable from the adjustment position into a sawing position in which they are held firmly and immovably in relation to one another. Said guide device includes a coupling arrangement for coupling the holding arrangement and the saw template in the adjustment position and in the sawing position.

Abstract: One example of a surgical apparatus may include a feeder belt, a plurality of staples frangibly connected to the feeder belt, and at least one pull tab extending laterally from the feeder belt. An example of a surgical method of treating tissue within the body of a patient may include providing at least one feeder belt and staples frangibly connected thereto, and at least one wedge movable relative to the feeder belt; moving at least one wedge in a first direction to contact and thereby form and shear at least one staple from at least one feeder belt; and moving at least one wedge in a second direction to engage and advance the feeder belt.

Abstract: A surgical apparatus comprises a surgical staple for treating tissues of a patient in a surgical procedure. The surgical staple is deformable from a first configuration (e.g., an undeployed configuration) to a second configuration (e.g., a deployed configuration) in accordance with embodiments of the present invention. The surgical staple includes a first leg and a second leg, wherein said surgical staple substantially resembles a V-shape or a suture needle in the first configuration and substantially forms a D-shape in the second configuration in accordance with embodiments of the present invention.

Abstract: In a method of controlling electrosurgical power delivery based on a comparison of sensed tissue impedance to various impedance threshold values, energy is delivered to tissue in a sealing cycle as a series of pulses. An initial pulse has a profile with a preset energy starting value that increases at a ramping rate to a preset end value. Sensed impedance data are monitored throughout each pulse and compared to an impedance threshold value for RF setpoint, an impedance threshold value for cumulative time, and an impedance threshold value for energy cutback. Based on sensed impedance during a pulse, the profile of a subsequent pulse can be modified. In a high impedance event that reflects low tissue presence, energy may be cutback. A sealing cycle is stopped when a cumulative amount of time with an impedance value over the impedance cumulative time threshold value reaches a sealing cycle duration limit.