Abstract: A surgical instrument with two legs movable relative to each other is provided. A tip inserted in a receiving space at the distal end of each leg is exchangeably held at the free end of the leg. A two part fixing device is provided for releasable fixation of the tip to the leg, the fixing device having on one of the parts two locking arms which are arranged next to each other and are elastically bendable apart, and on the other of the parts a locking projection extending into the leg transversely to the direction of insertion. The locking projection, when inserting the tip into the receiving space, engages between the locking arms, bending them apart, and at the end of the inserting movement, enters a recess on the inner side of the locking arms. The receiving space widens in the proximal direction from its insertion end.

Abstract: In a surgical instrument with two legs movable relative to each other, a tip inserted in a receiving space at the distal end of the leg being exchangeably held at the free end of the legs, with a fixing device for releasable fixation to the leg, the fixing device comprising on one of the two parts two locking arms which are arranged next to each other and are elastically bendable apart, and comprising on the other one of the two parts a locking projection extending into the leg transversely to the direction of insertion of the tip, the locking projection, when inserting the tip into the receiving space of the leg, engaging between the two locking arms, bending these elastically apart, and at the end of the inserting movement, entering a recess on the inner side of the locking arms, so that the locking arms approach each other again after they have been elastically bent apart, in order to simplify the structure and, in particular, to reduce soiling and risk of injury, it is proposed that the receiving space wi

Abstract: In order to improve a surgical system for the preparation of an implant for filling a defect on a bone and/or a cartilage of a human or animal body formed as a result of a trauma and/or degeneration, so that the defect can be filled with the implant with as precise a fit as possible, it is proposed that the system enables a provided defect data file to be processed, which contains data in particular for the description of the shape, area and/or volume of the defect, and that the system enables the implant corresponding to the defect in shape and size to be prepared from at least one provided implant material using the defect data file. In addition, a method for filling a defect on a bone and/or cartilage of a human or animal body present as a result of a trauma and/or degeneration is proposed.

Abstract: In a suture anchor system for joining pieces of tissue, in particular, for repairing meniscal tears, comprising at least two arrow-shaped or pin-shaped anchor implants joined to one another by a flexible suture fastened to the anchor implants, in order to facilitate installation of the anchor implants, it is proposed that at least one of the anchor implants have a continuous longitudinal passageway for receiving a longitudinally displaceable core, that a suture guide for receiving a suture common to all anchor implants for longitudinal displacement in the suture guide be disposed on this anchor implant, that a clamping device for securing the suture in the suture guide be associated with the suture guide, and that the clamping device be inactive so long as the core is located inside the longitudinal passageway and only become active when the core is pulled out of the longitudinal passageway. An instrument for inserting such anchor implants is also described.

Abstract: In order to facilitate insertion and reduce movement of the tendon replacement part in the channel in an implant for fastening of a tendon replacement part to a channel receiving the tendon replacement part in the region of the tibia and/or femur close to the knee, with an abutment element abutting against the channel and with a connecting element, wherein the tendon replacement part and the abutment element may be coupled by means of the connecting element, it is proposed that the abutment element and the connecting element defining a longitudinal direction are configured and reconciled with one another such that the tendon replacement part is fixable in the channel by relative movement between the abutment element and the connecting element in longitudinal direction.

Abstract: In a suture anchor system for joining pieces of tissue, in particular, for repairing meniscal tears, comprising at least two arrow-shaped or pin-shaped anchor implants joined to one another by a flexible suture fastened to the anchor implants, in order to facilitate installation of the anchor implants, it is proposed that at least one of the anchor implants have a continuous longitudinal passageway for receiving a longitudinally displaceable core, that a suture guide for receiving a suture common to all anchor implants for longitudinal displacement in the suture guide be disposed on this anchor implant, that a clamping device for securing the suture in the suture guide be associated with the suture guide, and that the clamping device be inactive so long as the core is located inside the longitudinal passageway and only become active when the core is pulled out of the longitudinal passageway. An instrument for inserting such anchor implants is also described.

Abstract: In order to be able to simplify the construction of a magazine for a surgical clip applicator comprising a receiving chamber for clips which are arranged one behind the other, are displaceable in the receiving chamber towards its open end and have two arms connected via a bridge and pivotable away from one another into an open position contrary to an elastic force and projections associated with these arms and projecting rearwards beyond the bridge, and comprising two opening tools which are located opposite one another, are movable towards one another like pincers and can be abutted on the projections of the respectively foremost clip, it is suggested that the opening tools be connected in a hinge-like manner to an advancing element displaceable in the magazine parallel to the direction of displacement of the clips and during its advancing movement in the direction towards the open end of the receiving chamber come to rest on a deflection surface of the magazine and thereby be pivoted inwards transversely to

Abstract: In a clip applicator having a handle, a magazine mountable on the handle and containing a number of clips, and a movable actuating grip on the handle, which is in direct or indirect engagement with a clip advancing device in the magazine when the magazine is mounted on the handle, to ensure that the coupling between the actuating grip on the handle and the clip advancing device in the magazine is in any event successful when mounting the magazine, it is proposed that a locking device be arranged on the handle for locking when in a lock position the actuating grip in an engagement position in which the engagement with the clip advancing device is able to be made upon mounting the magazine and for releasing the actuating grip when in a release position.

Abstract: In order to be able to adjust the tension of a ligament replacement implant in a controlled manner, a device is suggested for handling an implant which can be placed against a contact surface of a bone and thereby covers a tunnel in the bone and fixes in position at least one thread extending in the tunnel, this device being characterized by releasable spreading elements on the device, with which the device can be connected to the implant in a locking position of the spreading elements in such a manner that as a result of rotation of the device this implant can be turned in relation to an axis defined by the tunnel and, in addition, be lifted away from the contact surface in the direction of this axis.

Abstract: To be able to secure the tendon replacement member without additionally weakening the tibia in the case of an implant for securing a tendon replacement member to a channel receiving the tendon replacement member in the region of the tibia close to the knee, it is proposed that the implant is in the form of a disc with passages for threads connected to the tendon replacement member and is dimensioned so that it completely covers the outlet opening of the channel from the tibia.

Abstract: In order to connect the core undetachably to the holding element in the case of a pin-type holding element for an orthopaedic holding system with an elastically compressible, head-shaped widened portion and with a central opening, into which a core may be inserted, which prevents an elastic compression of the head-shaped widened portion by filling out the central opening in the region of the widened portion without expanding this, it is proposed that the core is displaceable in the opening between a locking position, in which it fills out the central opening in the region of the widened portion, and a release position plunging deeper into the central opening, in which it releases the central opening in the region of the widened portion and thus allows its elastic compression

Abstract: In a surgical applicator for U-shaped clips comprising a handle, a tubular shaft adjoining the handle, a forceps-type applicator tool at the free end of the tubular shaft, a closing mechanism for the applicator tool arranged in the tubular shaft and actuatable from the handle, an advancing mechanism for the clips arranged in the tubular shaft and also actuatable from the handle, two separate actuating elements on the handle, each being movable between a rest position and a work position, one of the actuating elements being associated with the closing mechanism and the other with the advancing mechanism, in order to improve the safety measures and the actuating aids, it is proposed that a locking member be mounted on one of the actuating elements and enter into operative connection with the other actuating element, thereby to prevent each of the two actuating elements from moving so long as the respective other actuating element is not in its rest position.

Abstract: A surgical instrument including a shank, at least one tool mounted for swivel movement at the end of the shank, a swivel element mounted for swivel movement about an axis of rotation for swivelling the tool between an open position and a closed position, and an actuating member actuatable from an end of the shank located opposite the tool for swivelling the swivel element about the axis of rotation. The high closing forces required for plastic deformation of objects can also be achieved without excessive forces being transmitted to the drive mechanisms. The actuating member is an arm which is articulatedly connected at a first articulation point to the swivel element, and that in the open position of the tool, the arm be at an incline to an axis of the swivel element extending perpendicularly to the axis of rotation through the first articulation point and in the closed position of the tool, be essentially perpendicular to the axis of the swivel element.

Abstract: A device for introducing an endoscope or a surgical tool into body cavities with a feed for a flushing medium and an extractor for said flushing medium, which permits as versatile as possible an application of the endoscope or tool and maintains a higher pressure in the interior of the body as compared with the environment. The device includes a sluice, insertable into the body cavity from outside. The sluice has a cylindrical stem along whose inner wall extend two separate longitudinal grooves which have openings at their ends which pass through the wall of the stem. The openings outside the body are connected to the feed and the extractor for the flushing medium. A cylindrical endoscope or tool is inserted into the device with its outer wall tightly contacting the inner wall of the stem. The outer wall of the endoscope or tool, together with the longitudinal grooves of the stem, form sealed channels for the flushing medium.

Abstract: An applicator for C-shaped scalp clips, with which a plurality of scalp clips can be applied one after the other without having to insert an individual scalp clip into the applicator after each application.

Abstract: A magazine for receiving C-shaped scalp clips having legs connected by a bridge and with facing clamping jaws at their free ends. In order to improve positioning of the scalp clips during displacement along the magazine, the scalp clips are arranged one behind the other in the magazine such that the free ends of one scalp clip rest against the bridge of the adjacent scalp clip, the scalp clips have laterally open recesses in their bridges or the regions where legs and bridge meet and the magazine has guide rails extending along its length and engaging in these recesses.