Abstract: An instrument for drilling a hole for a bone screw comprises a shaft having a primary drill fluted portion, a shank, and a middle portion there between. Part of an outer surface of the shaft's middle portion is non-curved. A sleeve surrounds the shaft. The sleeve has an inner surface that is complementary to the outer surface of the shaft's middle portion such that the sleeve slides with respect to the shaft. The sleeve's inner surface contacts the outer surface of the shaft's middle portion at the non-curved part such that the shaft can transmit torque to the sleeve. A countersink drill bit is provided at an end of the sleeve proximate the shaft's primary drill fluted portion. A locking mechanism selectively holds the sleeve in a fixed position with respect to the shaft, locating the countersink drill bit at a selected position with respect to the shaft's drilling end.

Abstract: An instrument for drilling a hole for a bone screw comprises a shaft having a primary drill fluted portion, a shank, and a middle portion there between. Part of an outer surface of the shaft's middle portion is non-curved. A sleeve surrounds the shaft. The sleeve has an inner surface that is complementary to the outer surface of the shaft's middle portion such that the sleeve slides with respect to the shaft. The sleeve's inner surface contacts the outer surface of the shaft's middle portion at the non-curved part such that the shaft can transmit torque to the sleeve. A countersink drill bit is provided at an end of the sleeve proximate the shaft's primary drill fluted portion. A locking mechanism selectively holds the sleeve in a fixed position with respect to the shaft, locating the countersink drill bit at a selected position with respect to the shaft's drilling end.

Abstract: An instrument for drilling a hole for a bone screw comprises a shaft having a primary drill fluted portion, a shank, and a middle portion there between. Part of an outer surface of the shaft's middle portion is non-curved. A sleeve surrounds the shaft. The sleeve has an inner surface that is complementary to the outer surface of the shaft's middle portion such that the sleeve slides with respect to the shaft. The sleeve's inner surface contacts the outer surface of the shaft's middle portion at the non-curved part such that the shaft can transmit torque to the sleeve. A countersink drill bit is provided at an end of the sleeve proximate the shaft's primary drill fluted portion. A locking mechanism selectively holds the sleeve in a fixed position with respect to the shaft, locating the countersink drill bit at a selected position with respect to the shaft's drilling end.

Abstract: An implantable compensating sleeve is for application between a longitudinal implant section of a first implant, and a second implant that encompasses the longitudinal implant section of the first implant. The compensating sleeve has a sheath with a sheath body and a passage, running from the proximal to the distal end of the sheath body, for receiving the longitudinal implant section of the first implant. The sheath body is formed from separate planar and/or rod-shaped compensating elements which are arranged in a ring and aligned in the longitudinal direction of the sheath body. A gap runs from the proximal to the distal end between two adjacent compensating elements. Adjacent compensating elements are interconnected by at least one foldable wire such that they can move relative to one another.

Abstract: A coupling device is for connecting prosthesis components by a self-locking press fit on an end, formed as a cone, of a first prosthesis component that is inserted in bone tissue. The coupling device has an outer coupling body with a socket having a conically tapering inner wall, and an expansion sleeve having a lateral surface forming a male taper and an operative forming a female tape. The expansion sleeve is mounted in the socket so as to be rotatable about the longitudinal axis thereof, and receives the cone. The expansion sleeve is expandable radially outwardly to form the self-locking press fit, such that the expansion sleeve widens radially when the cone is inserted into the expansion sleeve. As a result, the self-locking press fit between the cone of the first prosthesis component and the coupling device is established.

Abstract: A sterilizable disposable surgical instrument is formed by an implant for bone fusion as well as an implant sleeve surrounding the implant for bone fusion. The implant has a distal implant section, a proximal implant section, and a coupling section with a polygonal cross-section profile between the distal and proximal implant section. The implant sleeve has a protective cap and a handle, which can be connected to one another. A first bore is configured in the protective cap in the longitudinal direction and receives the proximal implant section of the implant. A second bore is configured in the handle running in the longitudinal direction and receives the distal implant section of the implant for bone fusion. A coupling region having a through-opening is configured in the second bore in the handle, into which the coupling section of the implant for bone fusion engages in an integral and force-locking manner.

Abstract: An implantable compensating sleeve is applied between an oblong implant section of a first implant, and a second implant that encloses the oblong implant section of said first implant. The compensating sleeve has a sheath having a sheath body and a passage, running from the proximal to the distal end of the sheath body, for receiving said oblong implant section of the first implant. The sheath body is divided, by slits which cut into the sheath body in the longitudinal direction and originate alternately from the distal and from the proximal edge of the sheath body, into meander-like segments each comprising two longitudinal arms. The sheath body is radially expandable in at least one subsection. On the inner surface of the sheath body facing the passage, at least one bulge extends in the longitudinal direction of a meander-like segment, forming an inner profile that protrudes into the passage.

Abstract: A polyaxial bone fixation system has a bone screw with a head having an outer thread and a shaft. A bone plate has an upper face and a lower face and a through-bore for receiving the bone screw. The bone screw is introduced into the through-bore at a selectable angle and can be fixed in the through-bore at the selected angle. Material openings extend around the through-bore such that between the through-bore and each material recess opening, a bridge is formed which runs continuously from the upper face to the lower face. The bridge forms a protuberance which protrudes into the through-bore and runs in the longitudinal direction of the through-bore. The radius of the through-bore is reduced in the region of the protuberance. The bridge can plastically deform when the bone screw is screwed into the through-bore.

Abstract: An instrument for drilling a hole for a bone screw comprises a shaft having a primary drill fluted portion, a shank, and a middle portion there between. Part of an outer surface of the shaft's middle portion is non-curved. A sleeve surrounds the shaft. The sleeve has an inner surface that is complementary to the outer surface of the shaft's middle portion such that the sleeve slides with respect to the shaft. The sleeve's inner surface contacts the outer surface of the shaft's middle portion at the non-curved part such that the shaft can transmit torque to the sleeve. A countersink drill bit is provided at an end of the sleeve proximate the shaft's primary drill fluted portion. A locking mechanism selectively holds the sleeve in a fixed position with respect to the shaft, locating the countersink drill bit at a selected position with respect to the shaft's drilling end.

Abstract: A coupling device is for connecting prosthesis components by a self-locking press fit on an end, formed as a cone, of a first prosthesis component that is inserted in bone tissue. The coupling device has an outer coupling body with a socket having a conically tapering inner wall, and an expansion sleeve having a lateral surface forming a male taper and an operative forming a female tape. The expansion sleeve is mounted in the socket so as to be rotatable about the longitudinal axis thereof, and receives the cone. The expansion sleeve is expandable radially outwardly to form the self-locking press fit, such that the expansion sleeve widens radially when the cone is inserted into the expansion sleeve. As a result, the self-locking press fit between the cone of the first prosthesis component and the coupling device is established.

Abstract: A coupling device is for connecting prosthesis components by a self-locking press fit on an end, formed as a cone, of a first prosthesis component that is inserted in bone tissue. The coupling device has an outer coupling body with a socket having a conically tapering inner wall, and an expansion sleeve having a lateral surface forming a male taper and an operative surface forming a female taper. The expansion sleeve is mounted in the socket so as to be rotatable about the longitudinal axis thereof, and receives the cone. The expansion sleeve is expandable radially outwardly to form the self-locking press fit, such that the expansion sleeve widens radially when the cone is inserted into the expansion sleeve. As a result, the self-locking press fit between the cone of the first prosthesis component and the coupling device is established.

Abstract: An implantable compensating sleeve is applied between an oblong implant section of a first implant, and a second implant that encloses the oblong implant section of said first implant. The compensating sleeve has a sheath having a sheath body and a passage, running from the proximal to the distal end of the sheath body, for receiving said oblong implant section of the first implant. The sheath body is divided, by slits which cut into the sheath body in the longitudinal direction and originate alternately from the distal and from the proximal edge of the sheath body, into meander-like segments each comprising two longitudinal arms. The sheath body is radially expandable in at least one subsection. On the inner surface of the sheath body facing the passage, at least one bulge extends in the longitudinal direction of a meander-like segment, forming an inner profile that protrudes into the passage.

Abstract: An implantable compensating sleeve is for application between a longitudinal implant section of a first implant, and a second implant that encompasses the longitudinal implant section of said first implant. The compensating sleeve has a sheath with a sheath body and a passage, running from the proximal to the distal end of the sheath body, for receiving said longitudinal implant section of the first implant. The sheath body is formed from separate planar and/or rod-shaped compensating elements which are arranged in a ring and aligned in the longitudinal direction of the sheath body. A gap runs from the proximal to the distal end between two adjacent compensating elements. Adjacent compensating elements are interconnected by at least one foldable wire such that they can move relative to one another.

Abstract: A sterilizable disposable surgical instrument is formed by an implant for bone fusion as well as an implant sleeve surrounding the implant for bone fusion. The implant has a distal implant section, a proximal implant section, and a coupling section with a polygonal cross-section profile between the distal and proximal implant section. The implant sleeve has a protective cap and a handle, which can be connected to one another. A first bore is configured in the protective cap in the longitudinal direction and receives the proximal implant section of the implant. A second bore is configured in the handle running in the longitudinal direction and receives the distal implant section of the implant for bone fusion. A coupling region having a through-opening is configured in the second bore in the handle, into which the coupling section of the implant for bone fusion engages in an integral and force-locking manner.

Abstract: A coupling device is for connecting prosthesis components by a self-locking press fit on an end, formed as a cone, of a first prosthesis component that is inserted in bone tissue. The coupling device has an outer coupling body with a socket having a conically tapering inner wall, and an expansion sleeve having a lateral surface forming a male taper and an operative surface forming a female taper. The expansion sleeve is mounted in the socket so as to be rotatable about the longitudinal axis thereof, and receives the cone. The expansion sleeve is expandable radially outwardly to form the self-locking press fit, such that the expansion sleeve widens radially when the cone is inserted into the expansion sleeve. As a result, the self-locking press fit between the cone of the first prosthesis component and the coupling device is established.

Abstract: A staple implant is for influencing or guiding the growth in bone regions bordering the epiphyseal plate, said staple having a transverse web and anchoring limbs arranged on the ends of the transverse web, running parallel to one another and terminating in points. The anchoring limbs, once inserted into the bone, form fixation points on one side of said bone on either side of the epiphyseal, plate. The transverse web has at least one narrowed zone that can be plastically deformed under a flexural load, said zone having any position and form without abrupt transitions and being situated between the fixation points.

Abstract: A bone screw arrangement with a variable length, comprises a guide screw, which is formed with a guide that extends in the axial direction in the interior of the guide screw, and comprises an anchor screw, which has a guide element that is received in the guide such that an arrangement length formed by the guide screw together with the anchor screw can be adjusted by moving the guide element in the axial direction in the guide in the interior of the guide screw. The guide element is received in a free-running manner in a portion of the guide when the guide element is moved in order to change the arrangement length, and the guide element is blocked from running freely in the axial direction at least in a distal end position in which the anchor screw is completely extended.

Abstract: Apparatus for the fixed-angle fixation and compression of a fracture site or osteotomy of a bone includes a bone plate having a plurality of holes and bone screws with a threaded head. The bone screws accommodated in the holes are screwed into the bone. At least one of the holes is a combination of two circular holes of different diameter. As screwing of the bone screw into the bone proceeds through a final stage, engagement of the threads on the head with threads in the combination hole effects relative longitudinal displacement between the plate and the bone whereby it is possible to simplify simultaneous fixed angle fixation and compression of the fracture or osteotomy with use of a single screw. Threads on the head of the bone screw engage threads in the hole which is a combination of the two hole to effect relative motions.

Abstract: An intermediate body is for a bone implant for replacement of an osseous area. The intermediate body has a base body and a seat which extends axially in the base body and is surrounded by a wall of the base body. The intermediate body is designed to receive and surround an end portion of an intramedullary implant part. A clamp device is assigned to the seat. A clamp component is arranged on the wall of the base body surrounding the seat. In order to clamp, the end portion is inserted beforehand into the seat relative to the wall of the base body. The wall then surrounds the seat and the inserted end portion is movable towards the seat and in the process clamps the end portion in the seat. An implant arrangement is provided with the intermediate body.