Abstract: The invention is related to an implant, in particular a bone replacement implant for insertion into a bone cavity, or an intervertebral implant for insertion between two adjacent vertebral bodies of a human or animal spine. The implant can be brought from a normal position, in which the implant encompasses a maximum total volume, into an insertion position, in which the implant encompasses an insertion volume, which is smaller than the maximum total volume. Moreover, the implant has a plurality of cavities in fluidic connection with one another, and a net volume encompassed in the normal position by the plurality of cavities in fluidic connection with one another is smaller than the maximum total volume, which allows insertion of the implant through as small as possible an opening in a human or animal body while maintaining a high inherent stability.

Abstract: An intervertebral disk prosthesis system, which is used for forming an artificial intervertebral disk and comprises a first and a second prosthesis component wherein each of the two prosthesis components comprises a first and a second vertebral body contacting element for placement on neighboring vertebral bodies bounding an intervertebral disk space of a spinal column and a joint element that is mounted between and is moveable relative to at least one of the first and second vertebral body contacting elements, attains a substantially natural range of motion independent of the positioning of the two prosthesis components relative to each other and to the neighboring vertebral bodies. Each prosthesis component has a ball joint formed between the first and second vertebral body contacting elements.

Abstract: In order to improve an implant for the dorsal stabilization of a human or animal spinal column, comprising an attachment device for placing in position against and/or fixing to spinous processes of adjacent vertebrae of the spinal column, such that it can be used for the dynamic dorsal stabilization of the spinal column, it is suggested that the implant comprise at least one spacer element which is associated with the attachment device and designed in such a manner that it alters its external shape and/or its elastic properties as a result of a change in ambient conditions and/or forces acting on it. Furthermore, an improved implant system for the dorsal stabilization of a human or animal spinal column is suggested.

Abstract: An implant includes a tool receiver for coupling to an implantation tool and also a connecting device for connecting the implant to an injection cannula for the purposes of injecting a bone bonding material in such a manner that the handling and production thereof are simplified. The connecting device may include an internally threaded section which is formed in or on the tool receiver. An implantation system includes at least one injection cannula and at least one implant.

Abstract: In order, in an intervertebral implant having a core made of a swellable material and having a vertebral-body locating face on its top and/or bottom side, which is connected to the swellable core, to reduce the shearing forces between the swellable core and the vertebral-body locating face during swelling of the swellable core, it is proposed that the vertebral-body locating face comprises a plurality of support elements, which are respectively anchored adjacent to one another and individually in the core, and a plurality of mutually separate locating elements, which are disposed adjacent to one another and outside of the core and which are carried by the support elements and are movable relative to one another in the plane of the vertebral-body locating face.

Abstract: In the case of an intervertebral implant with at least one abutment element forming a vertebral body abutment surface, in which the vertebral body abutment surface comprises at least two relatively movable parts, which in a first insertion position are arranged in relation to one another so that they jointly assume a small cross-section, and in a second implantation position so that the cross-section of the vertebral body abutment surface is increased in size in relation to the insertion position, and with an adjusting device for moving the movable parts from the insertion position into the implantation position, to simplify the adjustment of the movable parts from the insertion position into the implantation position, it is proposed that the adjusting device comprises at least one flexible pull element, which acts on one of the relatively movable parts and when pulled moves this relative to the other part into the implantation position.

Abstract: In an intervertebral implant with at least one abutment surface formed from a plurality of parts for a vertebral body, which parts are movable relative to one another between an insertion position, in which the intervertebral implant has a small cross section, and a working position, in which the intervertebral implant has a larger cross section and in which the parts jointly form the abutment surface, and with an adjusting means for moving the parts out of the insertion position into the working position, in order to provide an uncomplicated structure having small dimensions, it is proposed that the adjusting means have at least one expansion body, which increases in volume when filled with a flowable medium and thus moves the parts into the working position.

Abstract: In order to improve a holding device for an implant, comprising a first connecting device for releasably connecting the holding device and the implant, such that very small implants, in particular, are easy to handle, it is suggested that the holding device have a second connecting device for releasably connecting the holding device and a storage unit.

Abstract: In order to improve an implant for replacing a vertebral body or for insertion into an intervertebral cavity between adjacent vertebral bodies of a human or animal spinal column, with a first contact face for resting on a joint face of a first vertebral body and with a second contact face for resting on a joint face of a second vertebral body, the implant being at least partially produced from an X-ray transparent material and comprising at least one X-ray marker in such a way that it can be produced more simply, it is proposed that the at least one X-ray marker is configured in the form of an at least partial marker coating, which contains metal as the marker material, of a side face of the implant, which is inclined relative to the first and/or the second contact face by an angle of inclination.

Abstract: In order to improve an orthopedic fixation device for connecting a first anchoring element (12) which has a connecting section (26) and can be anchored in or on a bone (18) to a connecting element (14) which can be connected to a second anchoring element which can be anchored in or on a bone, wherein the fixation device is movable relative to the connecting element and to the anchoring element in an adjusting position and can be secured on the connecting element and on the anchoring element in a fixing position, such that the connecting element can be secured on the anchoring element in a particularly simple manner it is suggested that a single tensioning member (50; 122; 166; 172) which is supported so as to be movable be provided for transferring the fixation device from the adjusting position into the fixing position and vice versa.

Abstract: In order to improve a bone screw with a shaft defining a longitudinal axis and with a head which can be brought into engagement with a bone screw receiving means of a bone plate for the releasable connection of the bone screw to the bone plate, wherein a securing element for securing a connection between the bone screw and the bone plate is provided, wherein the bone screw can be brought from a position of engagement, in which the bone screw is held on the bone plate, into a release position, in which the bone screw can be released from the bone plate, wherein the securing element can be brought from a non-securing position, in which the bone screw can be brought into the release position, into a securing position for securing the connection between the bone screw and the bone plate, in which the bone screw takes up the position of engagement, such that a bone plate can be fixed to bone parts more easily and more securely it is suggested that the securing element be supported on the bone screw so as to be mov

Abstract: In an intervertebral implant with at least one contact element having a vertebral body contact face and with a swellable core, which is connected to the contact element on the side remote from the vertebral body contact face, wherein the contact element comprises a support, on one side of which the vertebral body contact face is arranged and which on its other side carries projections surrounded by the material of the core, in order to improve the connection between the core, on one side, and the support, on the other, it is proposed that the projections have elongated, thread-like or rod-like anchoring sections, which extend at a spacing from the support and are freely accessible from all sides.

Abstract: A locking mechanism for securing a bone screw 20 to a clamping element 30 of an osteosynthesis holding system 5 is provided. The bone screw 20 has a circumferential groove 25 located on a top portion of the screw 20 below a screw head 22. Snap catches 35 protrude from a bone-contacting surface 38 of the clamping element 30 and interlock with the groove 25 in the screw 20 when the screw 20 is inserted into the clamping element 30 (e.g., when the screw is screwed into a bone segment through a hole in the clamping element). A removal device 90 is provided for removing the screw 20, as a greater axial force is required to overcome the locking mechanism than is needed to engage the locking mechanism. A method for revision (removal) of the screw 20 from the locking mechanism is also provided.

Abstract: In order, in a vertebral body replacement implant having an upper and a lower support plate for positioning against end faces of vertebral bodies and having two load-bearing elements, the mutual spacing of which is adjustable and of which at least one is connected in an articulated manner to a support plate, to improve the fixing of the articulated connection, it is proposed that the load-bearing element in the region of the articulated connection to the support plate has a bearing projection with a spherical lateral surface, that the support plate or a bearing part connected thereto rests with a contact surface, which is of a complementary design to the spherical support surface, against the lateral surface over an angular range that extends in peripheral direction at least over 180°, that the support plate or the bearing part is mounted on the bearing projection pivotably about a pivotal axis that extends parallel to the support plate, and that a clamping device that clamps the bearing projection, on the on

Abstract: In order to improve an implant, in particular a bone replacement implant for insertion into a bone cavity, or an intervertebral implant for insertion between two adjacent vertebral bodies of a human or animal spine, which can be brought from a normal position, in which the implant encompasses a maximum total volume, into an insertion position, in which the implant encompasses an insertion volume, which is smaller than the maximum total volume, such that the implant can be inserted through as small as possible an opening in a human or animal body and nevertheless have a high inherent stability, it is proposed that the implant has a plurality of cavities in fluidic connection with one another, and that a net volume encompassed in the normal position by the plurality of cavities in fluidic connection with one another is smaller than the maximum total volume.

Abstract: A spinal column implant is provided for contact with a vertebral body. The implant includes at least one contact surface including a contact plane having a cross-sectional area in contact with the vertebral body. The shape and arrangement of the at least one contact surface is adjustable such that the cross-sectional area of the contact plane is larger in a contact position than in an insertion position.

Abstract: A locking mechanism for securing a bone screw 20 to a clamping element 30 of an osteosynthesis holding system 5 is provided. The bone screw 20 has a circumferential groove 25 located on a top portion of the screw 20 below a screw head 22. Snap catches 35 protrude from a bone-contacting surface 38 of the clamping element 30 and interlock with the groove 25 in the screw 20 when the screw 20 is inserted into the clamping element 30 (e.g., when the screw is screwed into a bone segment through a hole in the clamping element). A removal device 90 is provided for removing the screw 20, as a greater axial force is required to overcome the locking mechanism than is needed to engage the locking mechanism. A method for revision (removal) of the screw 20 from the locking mechanism is also provided.

Abstract: A Kirschner wire 10 for use in endoscopic surgery is provided, as well as methods and apparatus for installing and removing Kirschner wire 10. Kirschner wire 10 has a holding device 20 for ease of insertion and removal. Kirschner wire 10 is sufficiently short so as not to protrude from the working channel of the endoscope. Insertion instrument 30 has a receptacle 40 which for engagement with holding device 20 of Kirschner wire 10. A targeting ring 46 on insertion instrument 30 enables placement of Kirschner wire 10 under x-ray supervision. Removal device 60 has a wire body 62 with a receptacle 64 located at a distal end thereof for engagement with holding device 20 of Kirschner wire 10. Kirschner wire 10 may be adapted for use in marking a point of entry for a cannulated bone screw or as a point of orientation for an endoscopic procedure.

Abstract: A locking mechanism for securing a bone screw 20 to a clamping element 30 of an osteosynthesis holding system 5 is provided. The bone screw 20 has a circumferential groove 25 located on a top portion of the screw 20 below a screw head 22. Snap catches 35 protrude from a bone-contacting surface 38 of the clamping element 30 and interlock with the groove 25 in the screw 20 when the screw 20 is inserted into the clamping element 30 (e.g., when the screw is screwed into a bone segment through a hole in the clamping element). A removal device 90 is provided for removing the screw 20, as a greater axial force is required to overcome the locking mechanism than is needed to engage the locking mechanism. A method for revision (removal) of the screw 20 from the locking mechanism is also provided.

Abstract: A Kirschner wire 10 for use in endoscopic surgery is provided, as well as methods and apparatus for installing and removing Kirschner wire 10. Kirschner wire 10 has a holding device 20 for ease of insertion and removal. Kirschner wire 10is sufficiently short so as not to protrude from the working channel of the endoscope. Insertion instrument 30 has a receptacle 40 which for engagement with holding device 20 of Kirschner wire 10. A targeting ring 46 on insertion instrument 30 enables placement of Kirschner wire 10 under x-ray supervision. Removal device 60 has a wire body 62 with a receptacle 64 located at a distal end thereof for engagement with holding device 20 of Kirschner wire 10. Kirschner wire 10 may be adapted for use in marking a point of entry for a cannulated bone screw or as a point of orientation for an endoscopic procedure.