Abstract: A surgical targeting system of an intramedullary nail, which includes an extracorporeally arranged external transmitting unit. Further included is a plurality of first transponder units coupled with and arrayed along the length of the intramedullary nail, each adapted to be actuated by the external transmitting unit. Additionally, a plurality of holes are disposed within and arrayed along the length of the intramedullary nail. Each of the plurality of holes are situated between each of the plurality of first transponder units. Further, a first transmission section is between the external transmitting unit and each of the plurality of first transponder units via which the plurality of first transponder units are actuated. Additionally included is a second transmission section through the intramedullary nail between the plurality of first transponder units and a second transponder unit.

Abstract: A targeting system is used for positioning of a medical sub device with respect to a medical device. A reference body is reproducibly positioned with respect to a targeting device coupling section and reproducibly positioned with respect to a targeting unit. The targeting unit has a targeting direction and is adjustable with respect to the targeting device so that the targeting direction points toward a medical sub device receptacle of the medical device coupled to the targeting device coupling section. The imaging system is positionable with respect to the targeting device such that the imaging system is capable of imaging a single two-dimensional view of the reference body and the medical sub device receptacle. The evaluation unit generates position data of the single two-dimensional view and to determine from the position data a lateral distance between the targeting direction and a receiving direction of the medical sub device receptacle.

Abstract: A surgical instrument for positioning a sleeve is presented. The surgical instrument comprises a shaft, a handle connected to one end of the shaft, a sleeve holder connected to the opposite end of the shaft and defining a space in which the sleeve is to be positioned. The surgical instrument further comprises a locking element adapted to protrude into the space for engagement of the sleeve and a magnet adapted to force the locking element into the space by a magnetic force.

Abstract: A tissue protection sleeve for use in suprapatellar surgery is provided. The sleeve has a first end, a second end, an inner surface and an outer surface. The sleeve further comprises at least two open grooves that extend along the inner surface from the first end to the second end. The grooves are adapted to accommodate elongated fixation elements inserted into a tibia. A drill guide sleeve and a trocar for inserting a guide wire are also provided and can be accommodated by the tissue protection sleeve.

Abstract: A data transmission system connected to a bone implant has an extra-corporeally arranged external transmitting unit an implantable internal first receiving unit adapted to be actuated by the external transmitting unit. An internal transmitting unit is adapted to be coupled and implanted to the implant. A second transmission section is located between the external transmitting unit and the internal first receiving unit, via which the internal transmitting unit is actuated. A second receiving unit and a first transmission section is located between the internal transmitting unit and the second receiving unit. The first transmission section operates with acoustic vibrations or waves.

Abstract: A medical system includes parts used in a method for detachably establishing a spatial orientation between a body implant and an aiming device. A positioning arm being connected to the aiming device and an adaptor device being connected to or integrally formed with a bone stabilizing plate are hooked into each other. This is accomplished by means of an engaging element of the positioning arm, which engaging element is designed such that it may be coupled with an attachment element of the adaptor device. Further, there is provided a snapping mechanism which is designed to automatically engage in an interlocking element of the adaptor device, when the positioning arm, when hooked into the adaptor device, is rotated relative to the adaptor device towards a final angular position.

Abstract: An anchorage in tissue is produced by holding a vibrating element and a counter element against each other such that their contact faces are in contact with each other, wherein at least one of the contact faces includes a thermoplastic material which is liquefiable by mechanical vibration. While holding and then moving the two elements against each other, the vibrating element is vibrated and due to the vibration the thermoplastic material is liquefied between the contact faces, and due to the relative movement is made to flow from between the contact faces and to penetrate tissue located adjacent to outer edges of the contact faces. For liquefaction of the thermoplastic material and for displacing it from between the contact faces, no force needs to act on the tissue surface which is to be penetrated by the liquefied material.

Abstract: A bone plate that may be used to maintain relative position of two pieces of fractured bone, for example, a fractured jaw bone. The bone plate has a slot and holes. The holes are surrounded by walls and the slot is also surrounded by walls. The thickness of walls surrounding the slot at their maximum is greater than the thickness of walls surrounding the holes. Often the nature of the fracture may require bending of the plate for implanting it as desired by the surgeon. Because walls of the slot are designed to be strong, the slot is not deformed when the plate is bent.

Abstract: A rack for holding at least one surgical screw is described. The rack comprises a body in which at least one bore is provided and at least two support elements surrounding the bore. The support elements protrude from a first level defined on or in the body and are configured to support the screw head on a second level above the first level. The support elements are spaced apart from each other to define spaces therebetween for enabling fluid communication between the surface and the bore. Further, a system is described comprising the above mentioned rack and one or more surgical screws accommodated in the rack.

Abstract: A screw driver for a screw having a drive socket having an axially extending shaft with a bifurcated tip, the tip having a cross-sectional profile for insertion into a cross-sectional profile of the screw socket. The shaft has a tapered section adjacent the bifurcated tip. A bushing is mounted on an outer surface of the shaft for axial movement therealong. The bushing has inwardly extending protrusions for engaging the tapered section on the shaft upon movement in the axial direction along the shaft in a direction away from the tip. This allows the selective capture or release of the screw by the shaft tip by axial movement of the bushing away from and towards the shaft distal tip.

Abstract: The invention relates to adhesives for medical applications and methods of their preparation and use.

Abstract: The present invention discloses a system for securing at least one elongate fastener to an implant. At least one adhesive capsule is inserted in a recess preferably located along a longitudinal axis of the implant. The at least one adhesive capsule may be inserted in the recess and held in place therein by a holder. A plurality of adhesive capsules and holders may be inserted in one or more recesses located substantially along the longitudinal axis of the implant. The at least one adhesive capsule preferably has a casing housing an adhesive material configured to be pierced by the at least one fastener to secure the at least one fastener to an aperture of the implant. The casing of the adhesive capsule may form an annular passageway to receive a guide wire for aiding the insertion of the capsule in an implant having a longitudinal bore along at least a portion thereof.

Abstract: A system is proposed including an intramedullary nail with a longitudinal nail axis, a first lateral portion, a second lateral portion opposite to the first lateral portion, and a longitudinal bore. The nail has a locking hole arrangement having a first bore being formed in the first lateral portion and a second bore being formed in the second lateral portion. An axis of the first bore and an axis of the second bore are arranged with an offset from each other, and are arranged so that a locking member such as a screw may frictionally engage within both the first bore and the second bore.

Abstract: A bone reamer has an ablation device for forming cavities in body tissue, the ablation device is movable with respect to a head of the reamer, and is capable of protruding at least partially beyond a surface of the head. The amount of protrusion the ablation device protrudes beyond the surface of the head has a variable geometry and the geometry is remotely modifiable. More particularly, the amount the ablation device extends beyond the outer surface of a reamer head body can be varied by an actuator located on the reamer outside the body.

Abstract: An anchorage in tissue is produced by holding a vibrating element and a counter element against each other such that their contact faces are in contact with each other, wherein at least one of the contact faces comprises a thermoplastic material which is liquefiable by mechanical vibration. While holding and then moving the two elements against each other, the vibrating element is vibrated and due to the vibration the thermoplastic material is liquefied between the contract faces, and due to the relative movement is made to flow from between the contact faces and to penetrate tissue located adjacent to outer edges of the contact faces. For liquefaction of the thermoplastic material and for displacing it from between the contact faces no force needs to act on the tissue surface which is to be penetrated by the liquefied material. For this reason anchorage in tissue which has little mechanical stability is possible.

Abstract: A method for implanting a longitudinal intramedullary nail into the tibia comprises inserting the tibia nail along a plane of symmetry through the tuberositas tibiae. Thereby, the tuberositas tibiae can be used during nail insertion to correctly align the nail and the target arm to the symmetry plane of the bone. This means, that the whole construct, the nail attached to the target arm, has to be inserted in external rotation.

Abstract: A hip fracture device providing distance limited dynamization, load controlled dynamization and combinations of both dynamization methods by varying components. The hip fracture device includes a plate having a head portion and a shaft portion. A barrel projects from the head portion of the plate and a screw is inserted in the barrel. A friction pin is slidably connected with the screw, and an end cap is fixed to the head portion of the plate. The friction pin is fixedly connected with the end cap. The screw slides over the friction pin and toward the end cap when a load is applied on the fracture device. The load required for further sliding of the screw over the friction pin increases incrementally as the screw slides towards the end cap.

Abstract: The present invention discloses a system for releasing one or more therapeutic agents contained within a capsule onto or into an implant. At least one capsule is inserted in a recess preferably located along a longitudinal axis of the implant. The at least one adhesive capsule may be inserted in the recess and held in place therein by a holder. A plurality of adhesive capsules and holders may be inserted in one or more recesses located substantially along the longitudinal axis of the implant. The at least one capsule preferably has a casing housing one or more therapeutic agents, wherein the capsule is configured to be pierced by the at least one fastener to release the one or more therapeutic agents. The casing of the capsule may form an annular passageway to receive a guide wire for aiding the insertion of the capsule in an implant having a longitudinal bore along at least a portion thereof.

Abstract: A screwdriver for bone screws, especially for compression screws and locking screws, has a handle and shaft extending out centrally from the handle. The shaft has a screwdriving tool on its free end. The shaft, includes a flexible shaft portion, wherein the shaft has two rigid, solid portions on both sides of the flexible portion. The flexible shaft portion has a flexible element for the transmission of a torque, and at least the flexible shaft portion is surrounded by an elastic protection hose or a rubber or plastic elastomeric tubular cover.

Abstract: An implant for osteosynthesis, for example a bone nail, has an implant body which has at least one bore with a threaded portion and a bone screw which engages the thread when it is threaded into a bone for the fixation of the implant body. The threaded bore has an annular groove the diameter of which is larger than the thread outer diameter, and which receives a ring of a deformable material with an inner diameter which is smaller than the outer diameter of the thread of the bone screw so that the ring extends partially into the bore.