Abstract: An instrument for holding and torque control tightening of a threaded implant device with an extender, the instrument including a frame forming a gripping handle and a holder, an elastic device that is arranged at the frame to provide a predefined elasticity to the frame, and a torque measurement device arranged on the frame, wherein the holder is configured to (i) removably hold the threaded implant device and to (ii) hold the extender for tightening the threaded implant device to an object after the threaded implant device has been removed from the holder, and the torque measurement device is configured to measure a torque applied to the threaded implant device via the extender by a deformation of the frame.

Abstract: An instrument for torque controlled tightening of a threaded device, including a handle, an articulable head that is articulably connected to the handle, the articulable head including a drive ratchet configured to rotate relative to the articulable head and to engage with the threaded device or a tool for engaging with the threaded device, an elastic device arranged at the handle, and a pulling mechanism operatively connecting the articulable head with the handle, the pulling mechanism having a ratchet head mechanism to engage with the drive ratchet of the articulable head, and configured to engage with the elastic device at the handle such that the elastic device is compressed or expanded upon an application of a torque to the drive ratchet and simultaneously the ratchet head mechanism blocks the rotation of the drive ratchet.

Abstract: A method for manufacturing an implant including the steps of providing an implant element, the implant element made of a non-metallic material, depositing a thin layer of titanium-based material directly over an outer surface of the implant element, and forming a titanium-based structural body in direct contact with the thin layer by three-dimensional (3D) printing, the structural body being thicker than the thin layer of titanium-based material.