Abstract: A modification device, and methods of using and methods involving the same are provided. The modification device includes a base configured to contact a supporting surface; a handle configured to receive a force and configured to provide a modification force to a modification tool; and the modification tool between the handle and the base, wherein the modification tool is configured to receive the modification force and configured to provide the modification force to a portion of an implant.

Abstract: The disclosure provides a tool for implanting an interphalangeal implant, an implant retainer for an interphalangeal implant, and a method for preparing an implantation tool for an implantation of an interphalangeal implant. The tool for implanting an interphalangeal implant comprises a limb support for supporting a limb, a driving rod, wherein the driving rod is movable for moving an interphalangeal implant towards the limb support, and an actuation mechanism for actuating the implant driver.

Abstract: The present invention discloses an intermediate segment (20) for arrangement between a concave implantation surface (14) of a joint component (10), particularly a femoral prosthesis, and bone tissue. The intermediate segment (20) comprises an intermediate segment body (23) with at least one side (24, 25) facing the joint component (10), wherein one (24) of the at least one side facing the joint component is convex. In addition, the intermediate segment (20) comprises a locking mechanism for attaching the intermediate segment to the joint component with at least a first (21) and a second (32) latching element, wherein at least one of the latching elements (21, 32) is movable. The present invention also relates to a joint component (10) comprising an intermediate segment (20) and a method for securing an intermediate segment (20) to a joint component (10).

Abstract: Disclosed is an offset selector for determining an offset between an anchoring section and a joint section of a joint implant component. The offset selector comprising a reference portion for determining an offset, a first adjustment device for implementing the offset, and a second adjustment device for adjusting the orientation of the offset to the reference portion. The first and the second adjustment devices are coupled to each another. One of the first adjustment device and a second adjustment device are connected to the reference portion and the other one of the first adjustment device and the second adjustment device is connected to an adjustment portion. The adjustment portion being movable relative to the reference portion.

Abstract: A trial neck piece for a joint endoprosthesis is designed for temporary arrangement on a separate shaft body (60) that is insertable into a tubular bone (9). It comprises a fastening region (12) which can be plugged temporarily onto a head part (61) of the shaft body (60) by means of a plug connection (l l), and a neck region (IO) for receiving a joint element (19) of the joint endoprosthesis. The trial neck piece (I) is designed as a separate, plug-on attachment piece which, with its fastening region (12), can be plugged with form-fit engagement onto the head part (61) and locked. A latching device (2) is provided which comprises a plurality of latching stages for different height stages of the trial neck piece (I). The invention thus makes available an easily attachable trial neck piece which can be arranged in a defined manner in different height positions in order, on the one hand, to obtain a secure and defined arrangement and, on the other hand, to permit the setting of different heights.

Abstract: The present invention discloses an intermediate segment (20) for arrangement between a concave implantation surface (14) of a joint component (10), particularly a femoral prosthesis, and bone tissue. The intermediate segment (20) comprises an intermediate segment body (23) with at least one side (24, 25) facing the joint component (10), wherein one (24) of the at least one side facing the joint component is convex. In addition, the intermediate segment (20) comprises a locking mechanism for attaching the intermediate segment to the joint component with at least a first (21) and a second (32) latching element, wherein at least one of the latching elements (21, 32) is movable. The present invention also relates to a joint component (10) comprising an intermediate segment (20) and a method for securing an intermediate segment (20) to a joint component (10).

Abstract: The present invention provides a tool for producing a recess in bone tissue for an implant, said tool comprising a first elongated tool segment with a first longitudinal axis and a receiving area, said receiving area having, about the first longitudinal axis, a first functional surface that is orientated substantially radially outwards and a second functional surface that is orientated radially inwards. The tool furthermore comprises a second elongated tool segment with a second longitudinal axis and an insertion section that can be inserted into the receiving area of the first tool segment, said insertion section having, about the second longitudinal axis, at least one functional surface that is orientated radially outwards and interacts with the first functional surface of the first tool segment that is orientated radially outwards. In addition, one of the at least one functional surfaces of the insertion section interacts with the second functional surface of the first tool segment.

Abstract: The invention relates to a fastening element for preventing unwanted release of a connection between the fastening element and a counter-piece. The fastening element is designed to come into engagement with the counter-piece through a rotary movement of the fastening element about an axis of rotation in a connection direction. Such fastening elements are suitable for use in a wide range of technical fields, for example the automotive industry, household electronics and medical technology, in particular in the field of instruments for implants or prostheses and modular systems of implants or prostheses.

Abstract: The invention relates to a connection device for connecting a first and a second prosthesis part, in particular of a tibial and a femoral trial prosthesis for trial arrangement on the corresponding bones, wherein the connection device has a first connection element and a second connection element. The first connection element has inner walls, serving as a guide, and a mating piece and serves for arrangement on the first prosthesis part, and the second connection element is enclosed at least in part by the inner walls of the connection element and is movable in a displacement direction along the inner walls relative to the first connection element and has a groove for receiving a portion of the second prosthesis part.

Abstract: An intervertebral implant comprising at least two mounting surfaces facing away from each other, for mounting on facing vertebral body surfaces of two adjacent vertebrae, a distance between the two mounting surfaces being modifiable by means of an expansion device arranged between the mounting surfaces and comprising at least one actuating element, the expansion device comprising at least two pivotable lever elements which are connected to each other by means of a rotational shaft in a scissor-type manner, at least one widening component configured to open up the lever elements, and at least one securing element, the securing element configured to fix the minimum widening of the lever elements. The structure of the intervertebral implant provides a high load-bearing capacity and a high level of strength development in addition to a sufficiently large total height adjustment during the expansion thereof. Furthermore, a lordosis angle can be adjusted.

Abstract: The invention relates to a fastening element for preventing unwanted release of a connection between the fastening element and a counter-piece. The fastening element is designed to come into engagement with the counter-piece through a rotary movement of the fastening element about an axis of rotation in a connection direction. Such fastening elements are suitable for use in a wide range of technical fields, for example the automotive industry, household electronics and medical technology, in particular in the field of instruments for implants or prostheses and modular systems of implants or prostheses.

Abstract: A jig for determining a patient-adapted implant size of a femoral implant of a knee endoprosthesis. The jig has a main body, a probe part movable relative to the main body along a measuring direction. The probe part has an arm with a tip placeable on an anterior reference point of the femur's distal end, two contact pieces for placing on and referencing the medial and lateral posterior condyle of the femur's distal end, and at least one scale and pointer for indicating the probe part's position in the measuring direction relative to the contact pieces. The distance of the probe tip from the contact pieces is adjustable such that the distance is different with respect to the two contact pieces and, for each contact piece, a dedicated scale and an associated pointer are provided for the indication of the probe part's position relative to the respective contact piece.

Abstract: An implantation instrument for an expandable intervertebral fusion implant that includes a base piece and a cover piece that are configured to bear on a facing end plate of one of two adjacent vertebrae, the cover piece being adjustable in height with respect to the base piece, and a ratchet mechanism being provided between the base piece and the cover piece to effect a stepped adjustment of height and secure an adopted height again reversal, the implantation instrument being configured for expanding the intervertebral fusion implant and comprising a force measurer that interacts with a displacement measurer to indicate an expansion attained by a particular actuating force.

Abstract: A holder for a medical instrument having a quick coupling for receiving a connection end of the instrument's shaft. The quick coupling has a first coupling element having a first axial through-hole for the connection end and a second coupling element having a second axial through-hole for the connection end. The second coupling element is movable relative to the first coupling element in a direction crosswise to the axial direction of the through-holes from a locked position, in which the through-holes are offset so that an edge of the second through-hole engages behind an undercut on the shaft's connection end in a locking manner, to a release position, in which the through-holes lie in alignment and the connection end is freely guidable through both through-holes. A spring bridge connects the first and second coupling elements together and preloads the first and second coupling elements into the locked position.

Abstract: Equipment for inserting a joint prosthesis, in particular a femur component of a knee prosthesis, comprises a base frame having a guiding plate and a laterally protruding primary gage, a fastening device on the bone, and a curved milling gage having a main body and a guiding piece, which can be moved along a curved guiding path relative to the main body and has a receptacle for an abrasive tool. Furthermore, the equipment comprises an aligning device, which places the curved milling gage in a clearly defined relative position when the curved milling gage is inserted into the base frame. Due to the precise positioning in conjunction with the curved guiding path, the mounting seat can be prepared easily without damaging surrounding tissue. Thus, even large and complexly shaped prostheses, such as knee joint prosthesis, can be reproducibly inserted in an easy and safe manner.

Abstract: A jig for determining a patient-adapted implant size of a femoral implant of a knee endoprosthesis. The jig has a main body, a probe part movable relative to the main body along a measuring direction. The probe part has an arm with a tip placeable on an anterior reference point of the femur's distal end, two contact pieces for placing on and referencing the medial and lateral posterior condyle of the femur's distal end, and at least one scale and pointer for indicating the probe part's position in the measuring direction relative to the contact pieces. The distance of the probe tip from the contact pieces is adjustable such that the distance is different with respect to the two contact pieces and, for each contact piece, a dedicated scale and an associated pointer are provided for the indication of the probe part's position relative to the respective contact piece.

Abstract: An intervertebral fusion implant for the fusion of two adjacent vertebrae includes an elongate, adjustable support body, of which the lower and upper cover surfaces are designed to bear on end-plates of the adjacent vertebrae, wherein a side bracket is provided, which is pivotable laterally about a hinge, and of which the bottom face and top face are designed to bear on the end-plates. The support body furthermore is provided, on the cover surface thereof, with a lifting plate which, by means of a lifting mechanism, is adjustable in height between a retracted state and a raised state in which the lifting plate forms a bearing for one of the end-plates. Thereby, both adaptions of width as well as of height are achieved.

Abstract: An instrument holder and grip for detachably connecting to a medical instrument, which has a basic body with a grip section and a connecting section for connecting to the medical instrument. A locking means movable from a release position into a locking position is provided in the connecting section for locking the medical instrument on the connecting section. The instrument holder and grip has lever elements connected together and each mounted pivotably on the basic body. A first element has an actuating lever arm and a second element moves the locking means. The holder permits significantly simplified cleaning and sterilization after use, while continuing to provide a reliable holding effect on the instrument. It is possible to dismantle the instrument holder into a few easily cleaned parts with a few simple actions and without small parts such as connecting pins or similar.

Abstract: An intervertebral fusion implant for fusion of adjacent vertebrae, includes a main body having a first leg, a second leg, and an intermediate articulated joint, a pivoting blade is rotatably attached to the first leg, a guiding trough that includes two lateral side walls and two end-faces, one being stationary and one being movable and formed by a traveller movable along the guiding trough to vary its distance to the stationary end-face, the traveller being rotatably attached to the other end of the pivoting blade, wherein an attachment device is provided at the stationary end-face, and a second attachment device is provided at the traveller, which includes an aperture for passage of the holding instrument, wherein a lifting mechanism includes a lifting plate adjustable between retracted and raised states, the lifting plate being spaced from a top surface of the legs and forming a bearing for an adjacent vertebrae end-plate.

Abstract: A medical sliding-shaft instrument having a first handle arm, a second handle arm pivotably mounted to the first handle arm, a shaft connected to the first handle arm and a slider coupleable to the second handle arm and axially displaceable on the shaft. The slider is removable from the shaft and is guided along a sliding path. A cross-pin couples the second handle arm to the slider and is received in a slot defined by first and second legs of the second handle arm. The first leg is a resilient tongue moveable transversely to a longitudinal axis of the first leg and outwardly away from the second leg. The second handle arm is positioned so that the cross pin lies in the slot. The cross pin is covered and held back by the first leg and is released by applying a force and displacing the end of the first leg.