Abstract: A reinforcement implant comprises a cantilever part for spanning a resected area of a lamina and an anchoring part at opposite ends of the cantilever part. The first anchoring part has a pressure surface for bearing on the spinous process of the vertebra, and the second anchoring part has a transverse thrust surface for bearing on an outer face of the lamina. The pressure surface and the transverse thrust surface enclose an obtuse angle. An anti-shear device (e.g., a facet screw) is arranged on the transverse thrust surface, and one edge of the transverse thrust surface is adjoined by a load-bearing area of the cantilever part. The implant can thus be mounted in place from outside without needing to be pushed with a load-bearing action into the resected area. The resection surfaces on the lamina are free of loads, such that unevenness does not cause problems.

Abstract: An implantation instrument for an expandable intervertebral fusion implant that includes a base piece and a cover piece that are configured to bear on a facing end plate of one of two adjacent vertebrae, the cover piece being adjustable in height with respect to the base piece, and a ratchet mechanism being provided between the base piece and the cover piece to effect a stepped adjustment of height and secure an adopted height again reversal, the implantation instrument being configured for expanding the intervertebral fusion implant and comprising a force measurer that interacts with a displacement measurer to indicate an expansion attained by a particular actuating force.

Abstract: An intervertebral fusion implant for the fusion of two adjacent vertebrae includes an elongate, adjustable support body, of which the lower and upper cover surfaces are designed to bear on end-plates of the adjacent vertebrae, wherein a side bracket is provided, which is pivotable laterally about a hinge, and of which the bottom face and top face are designed to bear on the end-plates. The support body furthermore is provided, on the cover surface thereof, with a lifting plate which, by means of a lifting mechanism, is adjustable in height between a retracted state and a raised state in which the lifting plate forms a bearing for one of the end-plates. Thereby, both adaptions of width as well as of height are achieved.

Abstract: An intervertebral fusion implant for fusion of adjacent vertebrae, includes a main body having a first leg, a second leg, and an intermediate articulated joint, a pivoting blade is rotatably attached to the first leg, a guiding trough that includes two lateral side walls and two end-faces, one being stationary and one being movable and formed by a traveller movable along the guiding trough to vary its distance to the stationary end-face, the traveller being rotatably attached to the other end of the pivoting blade, wherein an attachment device is provided at the stationary end-face, and a second attachment device is provided at the traveller, which includes an aperture for passage of the holding instrument, wherein a lifting mechanism includes a lifting plate adjustable between retracted and raised states, the lifting plate being spaced from a top surface of the legs and forming a bearing for an adjacent vertebrae end-plate.

Abstract: A handheld surgical tool includes a handle, an instrument shaft, and a navigation device, which includes at least one sensor unit for sensing positional data, a computing unit configured to determine a position in space based on signals of the sensor unit, at least one set key and a position memory configured to store a data set for a position upon activation of the at least one set key. A comparator is operatively connected to the position memory for comparing an actual position against a stored position in at least two different operation modes and for generation of a deviation signal, wherein operation modes differ in that a first mode is configured for a reduced comparison only which lacks at least one spatial dimension. A feedback device is provided supplied with the deviation signal and being configured to indicate direction and preferably magnitude of any deviation.

Abstract: The invention relates to an intervertebral fusion implant for fusing two adjacent vertebrae (9, 9?), comprising a base piece (2) and a top piece (3) which in each case are designed to come to rest against a facing end plate (92) of one of the adjacent vertebrae (9, 9?), wherein the top piece (3) is vertically adjustable relative to the base piece (2), wherein a ratchet device (4), which effects a vertical adjustment in steps and secures a set height against reversion, is provided between the base piece (2) and the top piece (3). Thus a defined expansion can be achieved which is dependent upon the number of actuations. Precise control over the state of expansion is enabled in a purely haptic manner. Furthermore, implantation instruments are provided which are configured as parallel spreaders and have a stop as spreading path limiter or co-operating force and path measuring device.

Abstract: A fixation apparatus comprises a holder and a tension sleeve receiving a bone screw, wherein the bone screw has a shaft with a front thread and a head at the rear end, and the holder has a through borehole with a receiving seat, in which the tension sleeve is mounted and able to swivel, while the shaft has a thickening in a rear region, to the front of the head, whose width increases toward the head, and the width of the tension sleeve is larger than the width of the shaft immediately before the thickening and smaller than the greatest width of the thickening. When screwed in, the thickening widens the tension sleeve so that it is pressed by its envelope against the wall of the receiving seat. In this way, an angle-stable pressing is achieved for any given orientation of the bone screw.

Abstract: A fusion implant for a facet joint comprises a bearing module and a fusion module, in which the fusion model is arranged on the bearing module and has a holder for a transfacetal fastener, whereby the bearing module includes an expansion element and jaw elements, which have contact surfaces for the lamina on their outer sides moving away from each other and which are arranged to move longitudinally on a guide, so that the distance of the fusion module is changeable using the expansion element. The bearing module forms a secure and safe anchoring for the fusion module, which can be repositioned. In addition, the bearing module has the effect of an augmentation, and as a result treatment is possible even on vertabrae that are weakened by defects.

Abstract: The invention relates to an intervertebral fusion implant for fusing two adjacent vertebrae, comprising an adjustable support body, the base surface and cover surface of which are configured to bear on end plates of the adjacent vertebrae, wherein provision is made for a side bracket, which can be pivoted laterally about a hinge and the base and cover of which have a planar design, and provision is made for an actuator for pivoting out the side bracket into a position (working position) spread from the support body. As a result, the implant has particularly small dimensions and can, after assembly at the envisaged implantation site, be actuated in such a way that it becomes larger and thereby affords a larger support surface for support in the intervertebral space. Thus, even comparatively large-area defects can be treated by minimally invasive surgery.

Abstract: A fixing arrangement comprises a retaining element and a clamping sleeve which receives a bone screw. The bone screw has a head and a secondary thread and is pivotally mounted in the clamping sleeve. The clamping sleeve has a radially protruding section on the outer casing of the clamping sleeve and at least one track of a clamping thread, which complements the secondary thread, in the interior of the clamping sleeve. In the unclamped state, a free path is formed by a clearance on the clamping sleeve. A protruding section engages into an opening on the receiving seat in a formfitting manner, and the thickened section is shaped to expand towards the rear in the form of a cone. The cone angle is selected such that the free path divided by the tangent of the half-cone angle corresponds to 0.5 to 2.5 times the thread pitch of the secondary thread.

Abstract: A reinforcing implant for the lamina of a vertebra includes a transverse support, one anchoring device for the right-hand side and one anchoring device for the left-hand side of the lamina of the vertebra. An expansion element with a guide device and cheek elements is provided, the cheek elements being mounted to be longitudinally movable along the guide device. Bearing surfaces for the lamina are formed on outer faces of the cheek elements directed away from each other, and a return stop for the cheek elements is provided. At least one of the cheek elements is provided with an aligning device for modifying the orientation of its bearing surface relative to the guide device. In this way, a secure anchoring of the reinforcing implant on the resected surfaces produced during a laminectomy can be achieved, with precise adaptation of the reinforcing implant to the actual anatomical conditions following the laminectomy.

Abstract: An intervertebral fusion implant for fusion of two adjacent vertebrae, comprising a base piece and a cover piece, which are each designed to bear on a facing end plate of one of the adjacent vertebrae, wherein the cover piece is adjustable in height with respect to the base piece, wherein a ratchet mechanism, provided between base piece and cover piece, effects a stepped adjustment of height and secures an adopted height against reversal. In this way, a defined expansion can be achieved that is dependent on the number of actuations. A precise control of the state of expansion is permitted, specifically in a purely haptic manner. Moreover, a locking of the adopted state of expansion is achieved with the ratchet mechanism.

Abstract: The invention relates to an intervertebral fusion implant for fusing two adjacent vertebrae, comprising an adjustable support body, the base surface and cover surface of which are configured to bear on end plates of the adjacent vertebrae, wherein provision is made for a side bracket, which can be pivoted laterally about a hinge and the base and cover of which have a planar design, and provision is made for an actuator for pivoting out the side bracket into a position (working position) spread from the support body. As a result, the implant has particularly small dimensions and can, after assembly at the envisaged implantation site, be actuated in such a way that it becomes larger and thereby affords a larger support surface for support in the intervertebral space. Thus, even comparatively large-area defects can be treated by minimally invasive surgery.

Abstract: A reinforcement implant comprises a cantilever part for spanning a resected area of a lamina and an anchoring part at opposite ends of the cantilever part. The first anchoring part has a pressure surface for bearing on the spinous process of the vertebra, and the second anchoring part has a transverse thrust surface for bearing on an outer face of the lamina. The pressure surface and the transverse thrust surface enclose an obtuse angle. An anti-shear device (e.g., a facet screw) is arranged on the transverse thrust surface, and one edge of the transverse thrust surface is adjoined by a load-bearing area of the cantilever part. The implant can thus be mounted in place from outside without needing to be pushed with a load-bearing action into the resected area. The resection surfaces on the lamina are free of loads, such that unevenness does not cause problems.

Abstract: The invention relates to an intervertebral fusion implant for fusing two adjacent vertebrae, comprising a base piece and a cover piece and also a spreading means, wherein the base piece and the cover piece are connected by a rocker which is situated therebetween and externally coupled, and the spreading means is a spreader clip on the rocker and a drive device is provided for the spreader clip. The spreader clip is used to erect the rocker such that the implant expands in terms of height. As a result of the external coupling of the rocker, a large lifting travel is available. Furthermore, the spreader clip has a blocking effect in relation to an unwanted return as a result of the frictional forces thereof.

Abstract: An implant set for insertion into the lamina of a vertebra includes several reinforcing implants, each of which includes a main body with bearing surfaces on the vertebra and a fastening device. The main body has a front surface, a rear surface, and lateral and medial side surfaces, the medial side surface being offset rearwardly in relation to the lateral side surface. The side surfaces bear on sectioned surfaces of the lamina, and a rearwardly protruding extension with a lateral bearing surface on a spinous process of the vertebra is arranged on the rear surface. In this way, the resection opening can be easily and safely closed. Sleeves can be provided for the fastening via screws that are oriented such that the screws are guided through the adjoining facets and fuse the latter.