Abstract: An adapter device for detachably fastening instruments and equipment to a side rail of an operating table includes a clamping device by means of which the adapter device can be clamped to the side rail of the operating table, a longitudinal profile onto which the instruments and equipment can be detachably fastened, and a joint having at least one pivot axis formed between the clamping device and the longitudinal profile so that the longitudinal profile is pivotable relative to the clamping device about the pivot axis of the joint.

Abstract: A pedicle screw system and/or a spinal stabilization system includes a pedicle screw having a screw shaft with an external thread and having a screw head supported on the screw shaft in a ball-and-socket joint relationship therewith. The screw head includes a connecting element receptacle for a connecting element of a spinal stabilization system. The pedicle screw system further includes a bone alignment device and a coupling device for at least one of force-locking coupling and form-locking coupling of the bone alignment device and the screw shaft when in an alignment position.

Abstract: The present invention relates to a knee joint prosthesis having a tibial component and a femoral component. The tibial component includes a fixation portion fixed to an upper end of a prepared tibia and a ceramic bearing portion presenting articulation surface(s). The femoral component is fixed to a lower end of a prepared femur and comprises a ceramic body portion presenting articulation surface(s). The respective articulation surfaces of the tibial and femoral components are configured for essentially congruent engagement over a full range of movement of the prosthesis, and the bearing portion of the tibial component is adapted for movement relative to the fixation portion. Also disclosed is an apparatus and a method for finishing articulation surfaces of ceramic components of a knee joint prosthesis, including the steps of combining the ceramic bearing portion and the ceramic body portion, and imparting relative movement to the bearing portion and/or the body portion.

Abstract: A surgical instrument for bonding body tissue includes a shank and first and second tool elements which are movable relative to each other and include a respective electrode. The electrodes define a minimum distance from each other, are opposed to each other and face each other in an approximating position of the tool elements. The first tool element is arranged or formed at the distal end of the shank, so that a mechanical load of anastomoses of body tissue parts produced by current flow is minimized when removing the surgical instrument. The second tool element is adapted to be brought from an operating position, in which it can be brought into the approximating position, into a removing position, in which a peripheral withdrawing line defined by the electrode of the second tool element is shorter than a peripheral approximating line defined by the electrode in the approximating position.

Abstract: A medical apparatus for parallel alignment of at least two medical instruments for holding and manipulating a surgical fastening element is described. The fastening element includes a fastening part and a holding part for a connection element, the holding part being movably mounted relative to the fastening part in a mounting position. The medical instruments have a distal end couplable to the fastening element. The apparatus includes at least two coupling devices, each defining a coupling longitudinal axis, for temporary coupling with proximal ends of the at least two medical instruments, wherein the apparatus comprises a frame, wherein the coupling longitudinal axes of the at least two coupling devices are alignable parallel to one another. Improved sets of medical instruments and improved spine stabilization systems are also described.

Abstract: A pedicle screw system, including a pedicle screw having a screw shaft with an external thread and having a screw head supported on the screw shaft in a ball-and-socket joint relationship. The screw head includes a connecting element receptacle for a connecting element of a spinal stabilization system. The pedicle screw system further includes: a bone alignment apparatus and a coupling device for at least one of force-locking coupling and form-locking coupling of the bone alignment apparatus and the pedicle screw in an alignment position in which a mobility of the screw head and the screw shaft is reduced from three degrees of freedom of movement in rotation of the screw head supported on the screw shaft in a ball-and-socket joint relationship therewith by at least one degree of freedom of rotation.

Abstract: A rod inserter, system and method can include an inserter that has a handle and an extension structure extending from the handle. A knob and a lever can be located adjacent the handle. A rod connection structure can be located at the distal end of the extension structure, and configured to rotate with respect to the extension structure. The rod connection structure can include a first clamshell structure and a second clamshell structure configured to move towards and away from each other in order to connect and disconnect from a rod, such as a spinal rod. The knob can be configured such that when actuated the first clamshell structure and second clamshell structure move with respect to each other. The lever can be configured such that when actuated the first clamshell structure and second clamshell structure are prevented from rotating with respect to the extension structure.

Abstract: A disposable surgical instrument includes an instrument grip forming a receiving housing. A separate handle is mounted in the instrument grip in the manner of a rocker. A shaft tool includes a shaft having at least two relatively axially movable bar or rod components and an instrument head having patient engagement elements which can be actuated by the bar or rod components, of which one bar or rod component is fixed at the proximal end thereof to the instrument grip and the other bar or rod component has an articulation point on which the handle is directly articulated in such way that a manually actuated rocker movement of the handle about the articulation point on the handle side is transformed directly into an axial movement of the other bar or rod component on the articulation point on the shaft side.

Abstract: A phase change material is used for the production of a sterile state indication means for a sterilization container. A sterile state indication means for a sterilization container includes a fluid-tight case containing a phase change material. In this assembly, the case wall of the case includes at least one transparent zone and an activator which can be actuated in order to release an activation energy and/or crystallization seeds. The activator is in contact with the phase change material. Further, a sterilization container includes a container trough and a container lid, including a sterile state indication means. The sterile state indication means is provided either on the container trough or on the container lid, and the activator, in the closed state of the sterilization container, is in direct or indirect connection with the respectively other element among container trough and container lid.

Abstract: A surgical ratchet tool and system along with associated methods are disclosed. The surgical ratchet tool can include a relatively simple encompassing member that included a pawl extending into the opening for directly contacting a nut during surgery. The ratchet tool and system can be used for various types of surgery in which easy sterilization and a reduced profile for a ratchet tool is desired. For example, the ratchet tool can be used during surgery for adjustment of a spinal implant, where manipulation of a nut located on a downtube connected to a screw and/or spinal rod is desired. The encompassing member and pawl can be constructed/molded as a single piece unitary structure. A first handle and possibly a second handle can extend from an outer periphery of the encompassing member.

Abstract: An electrosurgical instrument for making an end-to-end anastomosis between two hollow organ sections includes two tools movable relative to each other and each including an HF electrode by which the hollow organ sections can be fusion-welded to each other. The two tools are substantially sleeve-shaped or can at least be brought into sleeve shape so that a first tool can enclose a first hollow organ section and a second tool can enclose a second hollow organ section. Each of the electrodes is formed on an end face of each sleeve-shaped tool around which the respective hollow organ section can be everted inside out, and the two tools are movable relative to each other so that the electrodes are aligned and can clamp the everted hollow organ sections therebetween.

Abstract: The present invention relates to a medical instrument for applying a bone plate fixing device which comprises a first bone contact element with a rod-shaped connecting member protruding therefrom and defining a longitudinal direction and a second bone contact element which is movable on the connecting member towards the first bone contact element, characterized by a feed apparatus comprising a feed element for application to the second bone contact element, a guide element with a proximal and a distal end for guiding movement of the feed element and a feed mechanism for moving the feed element in the distal direction relative to the guide element.

Abstract: A pairing method for wireless communication of an operating unit of a medical control unit with a control apparatus of the medical control unit includes the step of arranging the medical control unit to control a medical device. The operating unit includes at least two operating elements upon the respective user-side actuation of which a control signal is transmitted from a control apparatus to the medical device. The control apparatus is in a pairing mode (or is put into a pairing mode) and the operating unit is put into a pairing mode due to user-side combined actuation of at least two operating elements. A medical control unit implements the pairing method.

Abstract: A surgical positioning instrument for supporting and holding organs includes a preferably concave bearing portion and a supporting portion substantially rearward with respect to the bearing portion. Via the bearing portion an organ which is to be positioned can be received and via the supporting portion the surgical positioning instrument can be supported at an environment of the organ. Further, at least the bearing portion partly simulates a surface of the organ to be supported and is designed to be dimensionally stable.

Abstract: A data communication device includes: a computation unit and data unit which includes a first radio communication module for wireless data exchange with an external radio device or is connected to the first radio communication module, a second radio communication module which communicates wirelessly with the external radio device, and a memory that stores identification data from the first radio communication module. The first radio communication module is operated in a receiving mode in which the first radio communication module is not detectable by the external radio device. Upon receiving identification data for the first radio communication module from the external radio device, the first radio communication module can establish a connection and for subsequent data exchange with the external radio device. The second radio communication module is operated in standby mode in which the second radio communication module waits for a communication query from the external radio device.

Abstract: In order to provide a surgical clip device with which the closure of vessels is successfully achieved even more safely, particularly in neurosurgery, it is proposed that the surgical clip device be provided with at least two electrically conductive clip parts that are electrically isolated from each other (by an element) and are arranged at a predetermined distance opposite each other.

Abstract: The invention relates to a surgical retractor, particularly for the retraction of a separated sternum, with a holding device and two spreader arms, wherein the spreader arms are mounted with one end on the holding device, at a distance from each other that is adjustable in a spreading plane, and at least two retaining elements for retention of bone material, for example of the separated sternum, are arranged on each of the spreader arms. To develop this retractor for sternotomy in such a way as to permit gentler opening of the separated sternum, it is proposed that at least one of the retaining elements is mounted such that its position can be modified in the retraction direction with respect to that end of the spreader arm mounted on the holding device.

Abstract: A surgical fastening element for a spinal column stabilization system includes at least two fastening elements and at least one connecting element, the surgical fastening element including a fastening section, a holding section with a connecting element receptacle, and a fixing element fixable on the holding section for fixing the connecting element in the connecting element receptacle. The fixing element carries a holding down element for holding the connecting element down in the connecting element receptacle.

Abstract: A two step locking screw assembly includes a receiving member for receiving a fixation member and an anchor having an enlarged portion and a shank. The enlarged portion of the anchor may be seated in the receiving member. An insert may also extend inside the receiving member. An outer fastener may be positioned in the receiving member. The outer fastener may include a central opening and a pair of ramped flanges. An inner fastener may be disposed inside the central opening of the outer fastener.

Abstract: A housing for an electric or electronic apparatus includes an access hood, or access lid which can be fixed on the housing for closing the housing or a housing opening by a locking mechanism operable from outside the housing. The locking mechanism includes at least one lock/slide held on the housing or on the access hood/access lid so as to be longitudinally displaceable and is provided with a ramp and an undercut or detent lug spaced therefrom. The access hood/access lid or the housing is provided with at least one protrusion which is formed and/or arranged for defining two engagement means in such a manner that depending on the current sliding position of the lock/slide, it alternately comes into operative engagement with the associated detent lug for pulling the access hood/access lid toward the housing, or with the ramp for pushing it away from the housing.