Abstract: A bone anchor includes: a main body defining a longitudinal axis and including a head; at least one insertion hole which extends from a first opening formed in the head to a second opening formed in the main body, the at least one insertion hole having an axis which is arranged to be inclined with respect to the longitudinal axis of the main body at an angle, and the insertion hole being configured to receive and guide therethrough a pin-shaped element to be anchored within a bone or bone fragment; and a locking device configured to lock the position of the pin-shaped element inserted within the at least one insertion hole in an axial direction.

Abstract: A locking assembly for securing a rod in a polyaxial bone anchoring device includes a first locking element having a first end, a second end, an outer surface with an external advancement structure, an inner wall, an internal advancement structure on the inner wall, and an engagement portion for a tool, and a second locking element having a first end configured to be oriented towards the first end of the first locking element, an opposite second end, an outer surface with an external advancement structure configured to cooperate with the internal advancement structure of the first locking element, and a portion at the second end having a width greater than a greatest width of the external advancement structure of the second locking element, wherein the second locking element is configured to move axially relative to the bone anchoring device at a speed different than the first locking element.

Abstract: An instrument guide assembly for a bone plate includes an insert configured to be arranged in a hole of a plate member, the insert having a through-hole, and a guide member separable and positionable through the through-hole of the insert, the guide member having a head portion, a shaft portion extending from the head portion, and a guide channel extending through the head and shaft portions for guiding a drill or other instrument therethrough. The insert is movable axially relative to the guide member from a first position at an end of the shaft portion opposite the head portion and past a first stop to a second position at the head portion. At the second position, the insert remains axially movable in a limited range between the first stop and the head portion, while the first stop prevents the insert from moving back to the first position.

Abstract: An implant for the stabilization of bones or vertebrae is provided, the implant being a solid body including a longitudinal axis that defines a longitudinal direction and including a flexible section that has a surface and has a length in the longitudinal direction, the flexible section including at least one cavity located near the surface and having a width in the longitudinal direction that is smaller than the length of the flexible section, the at least one cavity being connected to the surface through at least one slit, and a width of the slit in the longitudinal direction being smaller than the width of the cavity.

Abstract: As implant for the stabilization of bones or vertebrae is provided, the implant being a solid body including a longitudinal axis that defines a longitudinal direction and including a flexible section that has a surface and has a length in the longitudinal direction, the flexible section including at least one cavity located near the surface and having a width in the longitudinal direction that is smaller than the length of the flexible section, the at least one cavity being connected to the surface through at least one slit, and a width of the slit in the longitudinal direction being smaller than the width of the cavity.

Abstract: A locking assembly for securing a rod in a polyaxial bone anchoring device includes a first locking element having a first end, a second end, an outer surface with an external advancement structure, an inner wall, an internal advancement structure on the inner wall, and an engagement portion for a tool, and a second locking element having a first end configured to be oriented towards the first end of the first locking element, an opposite second end, an outer surface with an external advancement structure configured to cooperate with the internal advancement structure of the first locking element, and a portion at the second end having a width greater than a greatest width of the external advancement structure of the second locking element, wherein the second locking element is configured to move axially relative to the bone anchoring device at a speed different than the first locking element.

Abstract: A bone plate is provided including a plate member including a through-hole; a disk provided in the through-hole and rotatabiy supported in the plate member, the disk including a slot that is shaped such as to allow a guided displacement of the bone plate in a plane perpendicular to an axis of rotation of the disk with respect to a bone anchor extending through the slot.

Abstract: A polyaxial bone anchoring device includes a bone anchoring element having a shank and a head, a receiving part having a first end and a second end, a central axis, a first bore, a second bore, and a first support surface between the first bore and the second bore that is substantially perpendicular to the central axis, and an insert piece having a seat for pivotably holding the head, a bounding edge, and a second support surface configured to engage the first support surface to support the insert piece when mounted to the receiving part, the second support surface formed by a projection at an end of the insert piece opposite the bounding edge, wherein the insert piece projects out of the second bore and is rotatable, and is configured to permit the bone anchoring element to pivot at a larger angle at a first location of the bounding edge.

Abstract: A locking assembly for securing a rod in a polyaxial bone anchoring device includes a first locking element having a first end, a second end, an outer surface with an external advancement structure, an inner wall, an internal advancement structure on the inner wall, and an engagement portion for a tool, and a second locking element having a first end configured to be oriented towards the first end of the first locking element, an opposite second end, an outer surface with an external advancement structure configured to cooperate with the internal advancement structure of the first locking element, and a portion at the second end having a width greater than a greatest width of the external advancement structure of the second locking element, wherein the second locking element is configured to move axially relative to the bone anchoring device at a speed different than the first locking element.

Abstract: The invention relates to a bone plate assembly for use in orthopaedic or trauma surgery. The bone plate assembly includes a plate member having a top side and a bottom side at least one passage extending from the top side to the bottom side; wherein the at least one passage includes a first bore with a first end open towards the top side and a second end, a seat portion configured to receive the head of the bone anchor; and wherein the first bore comprises a first central axis and the seat portion comprises a second central axis, and wherein the first central axis and the second central axis intersect each other within the passage; and a second bore open towards the bottom side.

Abstract: A bone anchoring device includes a bone anchoring element having a shank and a head, a continuous one-piece receiver member, a continuous one-piece first locking element and a second locking element. The receiver member has a first chamber for receiving the head, the head being pivotable in the first chamber, and a second chamber with a channel for receiving the rod. A first locking element fixes the head in the first chamber at an angle, and a second locking element fixes the rod in the second chamber. The receiver member includes a body including both the first chamber and the second chamber. The head and the rod can be inserted and locked independently from each other. The head is fixed by exerting pressure onto it. The bone anchoring device is particularly applicable to the stabilization of the spine in the sacro-iliac and the cervical region.

Abstract: A bone anchor includes: a main body defining a longitudinal axis and including a head; at least one insertion hole which extends from a first opening formed in the head to a second opening formed in the main body, the at least one insertion hole having an axis which is arranged to be inclined with respect to the longitudinal axis of the main body at an angle, and the insertion hole being configured to receive and guide therethrough a pin-shaped element to be anchored within a bone or bone fragment; and a locking device configured to lock the position of the pin-shaped element inserted within the at least one insertion hole in an axial direction.

Abstract: As implant for the stabilization of bones or vertebrae is provided, the implant being a solid body including a longitudinal axis that defines a longitudinal direction and including a flexible section that has a surface and has a length in the longitudinal direction, the flexible section including at least one cavity located near the surface and having a width in the longitudinal direction that is smaller than the length of the flexible section, the at least one cavity being connected to the surface through at least one slit, and a width of the slit in the longitudinal direction being smaller than the width of the cavity.

Abstract: A locking element is configured to be used with a polyaxial bone anchor, and is substantially cylindrical with a bottom side facing a head of the bone anchor, a top side opposite to the bottom side, and a surface portion with an external thread. The locking element has a first recess at the bottom side for accommodating at least a portion of the head, and a second recess at the top side for engagement with a driver. The second recess is located outside the center of the top side. The head has a portion with a largest diameter, and a first level L1 is defined by the highest point of a circle with the largest diameter drawn around the head, and a second level L2 is defined by the bottom of the second recess, L2 being at a level not higher than L1.

Abstract: A locking assembly for securing a rod in a polyaxial bone anchoring device includes a first locking element having a first end, a second end, an outer surface with an external advancement structure, an inner wall, an internal advancement structure on the inner wall, and an engagement portion for a tool, and a second locking element having a first end configured to be oriented towards the first end of the first locking element, an opposite second end, an outer surface with an external advancement structure configured to cooperate with the internal advancement structure of the first locking element, and a portion at the second end having a width greater than a greatest width of the external advancement structure of the second locking element, wherein the second locking element is configured to move axially relative to the bone anchoring device at a speed different than the first locking element.

Abstract: A locking element is configured to be used with a polyaxial bone anchor, and is substantially cylindrical with a bottom side facing a head of the bone anchor, a top side opposite to the bottom side, and a surface portion with an external thread. The locking element has a first recess at the bottom side for accommodating at least a portion of the head, and a second recess at the top side for engagement with a driver. The second recess is located outside the center of the top side. The head has a portion with a largest diameter, and a first level L1 is defined by the highest point of a circle with the largest diameter drawn around the head, and a second level L2 is defined by the bottom of the second recess, L2 being at a level not higher than L1.

Abstract: A locking assembly for securing a rod in a polyaxial bone anchoring device includes a first locking element having a first end, a second end, an outer surface with an external advancement structure, an inner wall, an internal advancement structure on the inner wall, and an engagement portion for a tool, and a second locking element having a first end configured to be oriented towards the first end of the first locking element, an opposite second end, an outer surface with an external advancement structure configured to cooperate with the internal advancement structure of the first locking element, and a portion at the second end having a width greater than a greatest width of the external advancement structure of the second locking element, wherein the second locking element is configured to move axially relative to the bone anchoring device at a speed different than the first locking element.

Abstract: A modular bone plate is provided including at least a first and a second member each having a top surface and a bottom surface, the first member comprising a male connection portion with a single hole extending from the top surface to the bottom surface and the second member comprising a female connection portion with a single hole extending from the top surface to the bottom surface, wherein the male connection portion is insertable into the female connection portion such that the holes overlap and wherein an anchor or a plug member is insertable into the holes when they overlap.

Abstract: A member of a modular bone plate is provided, the member comprising a top surface defining a top plane; a bottom surface defining a bottom plane; a connection portion including a hole with a center axis that intersects the top plane and the bottom plane; wherein a first portion of the edge of the hole is provided with a projection forming a first free end of the member and wherein a second portion of the edge of the hole is provided with a groove that is configured to accommodate a projection of a connection portion of a second member of the modular bone plate. Furthermore, a modular bone plate having at least two such members is provided.

Abstract: A bone plate assembly is provided including a plate member with a top side (1a) and a bottom side (1b), at least one hole (2) extending from the top side (1a) to the bottom side (1b), an insert (3) arranged in the hole, the insert having a through hole (31), a guide member (4) removably arranged in the through hole of the insert, the guide member having a guide channel (40) and an outer surface portion (41) which engages an inner wall portion (32) of the through hole (31) to allow a pivoting movement of the guide member within the insert.