Abstract: A method of controlling electrosurgical power delivery based on a comparison of sensed tissue impedance to various impedance threshold values is provided. 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 each of 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 the event of 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.

Abstract: Embodiments of the disclosed technology relate to bipolar electrosurgical devices, as well as methods of manufacture and use of such devices. Embodiments of the device may include a set of opposing jaws comprising at least one bipolar electrode pair disposed thereon, the set of jaws configured to deliver radiofrequency energy to a target tissue. In some embodiments, a standoff member is provided to maintain a physical gap between the pair(s) of electrodes.

Abstract: A polyaxial pedicle screw includes a screwed shaft section for anchoring the pedicle screw in a vertebra, on one axial end of which a shaft head is configured which is coupled in a rotating and/or pivoting manner as well as in a tensile-force transmitting manner to a receiving sleeve for a longitudinal support. The receiving sleeve has a fastening means for selective positional fastening of the receiving sleeve with respect to the shaft section, the fastening means at least consisting of an inlay/pin mounted in the receiving sleeve and acting on the shaft head, and a locking element acting on the inlay/pin. The inlay/pin is configured with attachment points or engagement elements, which are not covered or overlapped by the locking element, for the provisional introduction of a compressive force on the inlay/pin parallel to the locking element.

Abstract: In a first aspect of the invention, a medical sterile container has a container interior for accommodating articles to be sterilized. The medical sterile container comprises a pressure-activatable sterilization status detection device for detecting a sterilization status of the sterile container. In a second aspect of the invention, a method for determining the sterilization status of a medical sterile container having a container interior for accommodating articles to be sterilized is provided. While the sterile container is undergoing a sterilization process in a sterilization apparatus, pressure differences to which the sterile container is thereby subjected are detected, and the sterilization status sterile is allocated to the sterile container if during the sterilization process a limit value for a pressure gradient per time unit is exceeded.

Abstract: A vertebral body replacement device includes a body member and a central rod member having two threaded portions and configured to be operatively associated with the body member. The device also includes a first end member and a second end member with the end members configured to threadingly engage the threaded portions of the central rod member. The body member and the two end members are further constructed to inhibit rotational movement of the two end members when the device is positioned within a space within a spine as the two end members will engage the adjacent respective vertebral bodies following rotational actuation of the central rod member causing the end members to move in an axial direction relative to the body member, thereby allowing the two end members to apply a force to the two vertebral bodies. A surgical instrument and method for using the device are also disclosed.

Abstract: An articulating assembly includes a first elongated element for attachment to a first anatomical region, and a second elongated element for attachment to a second anatomical region. In at least one embodiment, a coupling connects the first and second elongated elements. The coupling includes a moveable joint configured to allow polyaxial movement of the first elongated element with respect to the second elongated element. The assembly further includes a locking mechanism. The locking mechanism is operable in an unlocked condition to permit polyaxial movement of the first elongated element with respect to the second elongated element, and a locked condition to immobilize the movable joint and fix the position of the first elongated element with respect to the second elongated element.

Abstract: A tubular vessel prosthesis includes an inner surface and an outer surface and a wall, where the vessel prosthesis has a coloration on the inner and/or outer surface which brings about a contrast between the inner surface and outer surface.

Abstract: In order to develop a surgical needle comprising an elongate needle body and a needle point formed on a distal end of the needle body, wherein the needle body is manufactured in particular from an elongate cylindrical blank, in a way that improves the handling ability of the surgical needle, it is proposed that the needle body has at least one textured-profile lateral face, which comprises at least one textured-profile lateral-face region provided with a textured profile, wherein the textured profile comprises a plurality of indentations and wherein the at least one textured-profile lateral-face region extends as far as the needle point. An improved method of manufacturing a surgical needle is also provided.

Abstract: The invention relates to an animal shearing machine with a housing, a shearing head connected to the housing and a drive unit arranged in the housing. The drive unit comprises an electric motor and a reduction gear connected to the shaft of the electric motor. The shearing head of the animal shearing machine has a stationary shearing blade and a movable shearing blade. A planetary gear is used as reduction gear. The driven shaft of the planetary gear is arranged parallel, in particular coaxially to the shaft of the electric motor. If oscillatingly driven shearing heads are used, the drive unit comprises an eccentric connected to the driven shaft of the reduction gear and an oscillating lever. The oscillating lever is in engagement with the movable shearing blade via the first front end and with the eccentric via a sliding element in the area of the second rear end.

Abstract: A rod to rod connector includes at least one clamping assembly for receiving a first spinal rod. The clamping assembly may include a polyaxial articulation element. The articulation element may include a hollow body forming an opening. The clamping body may further include a pivot element configured to clamp the first spinal rod between the pivot element and a channel wall in the clamping assembly. The rod to rod connector may also include a connector member for connecting the clamping assembly to a second spinal rod. The connector member may include a socket configured to receive the polyaxial articulation element of the clamping assembly, with the articulation element polyaxially rotatable relative to the axis of the socket.

Abstract: The invention relates to a medical sterile packaging, which defines a receiving space for at least one implant, which is formed for temporary or permanent insertion in a human or animal body, which receiving space is closed in a sterile and germ-proof manner in a storage disposition of the sterile packaging for the sterile packaging of the at least one implant, wherein the sterile packaging is produced from one or more cleanable and sterilisable materials.

Abstract: A surgical implant for use as a hernia repair implant includes a base component and a plug component, wherein the base component is adapted to be located beneath a hernia orifice and the plug component is adapted to be placed within a hernia orifice.

Abstract: An implant is provided which allows for widening of the vertebral canal of vertebrae with less stress on the patient than in heretofore customary surgical procedures, wherein the vertebral arch of a vertebra is cut through, forming an incision gap, or is partially removed and the implant is inserted in the incision gap, wherein the incision gap is bounded by incision faces opposed to each other and the implant comprises an implant body having two contact faces which in the inserted state in the incision gap contact the incision faces of the vertebral arch.

Abstract: A woven aortic sinus prosthesis has a first substantially cylindrical section position away from a patient's heart, which optionally passes into an aortic arch of the patient, a second section having a greater diameter than the first section and forming a bulb, which second section is connected to the first section, and optionally a third substantially cylindrical section close to the heart, which is connected to the bulb section, wherein the prosthesis is continuously woven and has a constant number of warp yarns over its axial length, whereby there is a greater distance between the warp yarns in a region of the bulb section than in the first and third cylindrical sections.

Abstract: A woven textile vascular prosthesis including a tubular trunk and at least one fork, each fork having an apex located between outgoing tubular branches with a small diameter, wherein at least a portion of a wall of the prosthesis in a zone of the apex is woven more densely than in other zones having an original weave construction.

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: An RFID tag is provided that is suitable for mounting on surgical instruments, and by means of which stable anchoring on the instrument, encapsulation of the RFID elements from the surroundings, good cleanability and improved detectability can be achieved. The RFID tag has a metal holder, a housing that is made of an electrically non-conductive or slightly conductive material, an accommodating chamber and an RFID element with an antenna. The RFID element is arranged in the accommodating chamber of the housing. The housing has a first end which is held on the metal holder. The accommodating chamber in the housing is formed to be spatially spaced apart from the first end of the housing. The RFID element is positioned in the accommodating chamber in such a way that the antenna of the RFID element is spatially arranged substantially outside of the metal holder.

Abstract: A surgical clip includes two clip branches each consisting of a preferably straightly extending (bar-shaped) clamping portion and an actuating portion as well as comprising a flexural spring arrangement by which the two clip branches are coupled in one piece. The flexural spring arrangement is arranged and formed so that it bulges between the clip branches along the actuating portions toward the clamping portions. The flexural spring arrangement is composed by a number of serially coupled individual spring arms.

Abstract: The surgical instrument includes a handle assembly and an elongate body that has first and second ends with the first end being located adjacent to the handle assembly and the second end being moveably connected to an implant engagement assembly. The surgical instrument also has a length control mechanism that includes a gripping portion, a drive shaft and a gear assembly. The surgical instrument further has a locking mechanism that includes a gripping portion, a connecting rod and a coupling end. The length control mechanism functions to adjust the overall length of an implant that is held by the implant engagement assembly before being implanted in vivo. The locking mechanism operates to secure the overall length of the implant following final length adjustment and implantation. A surgical method for using the surgical instrument, a method of fabrication and a spinal implant insertion kit is also disclosed.

Abstract: In order to improve a surgical sealing element holder for holding a surgical sealing element of a surgical sealing system comprising a trocar with a trocar sleeve, the sealing element having an insertion opening which can be widened, such that a sealing element of the sealing system can be replaced in a simple and reliable manner and it is ensured that sealing in relation to a channel of the trocar sleeve is perfect at all times it is suggested that a holder sealing element be provided for sealing the sealing element holder with respect to an inner wall surface of the trocar sleeve. In addition, an improved surgical sealing system is provided.