Abstract: A medical instrument set having a guide tube and a medical instrument which can be introduced into the guide tube for processing and removing tissue in an intervertebral disc space between two adjacent vertebral bodies. The instrument has a shaft which is rotatable about its extension direction. A set of bristles comprising at least two bristles, with at least one space therebetween, is provided in a distal end region. The space is such that, during rotation of the shaft about its extension direction, processed tissue is movable in an axial direction inside the space. The invention further relates to a medical device and to a medical method.

Abstract: A medical fastening device for an electromagnetic sensor with a clamping element and with a sensor mount and to a medical device with such a fastening device, with an electromagnetic sensor and with a medical instrument. The clamping element has a counterpiece and a pressing piece movable relative to the clamping element, wherein the counterpiece has a lateral opening, which frees a free mounting area, which is itself at least partially enclosed by the counterpiece in a frame-like manner. The counterpiece has a depression, which points towards the mounting area and is arranged opposite the pressing piece, wherein the counterpiece is provided with an opening arranged opposite the depression. The pressing piece is movable in the opening in the direction of the depression of the counterpiece.

Abstract: An automatic detection of surgical instruments with respect to a type and a location thereof is provided with a detection system, which includes at least two surgical instruments, which each include at least one cavity extending along a longitudinal axis of the instrument and a proximal entry region to the cavity. An angle of the proximal entry region in relation to the longitudinal extension of the cavity is different in the two instruments. A sensor unit includes two electromagnetic sensors and is insertable into the cavity. One of the sensors extends axially in the cavity, and the other sensor is arranged in the entry region. A field generator generates an electromagnetic field. An analysis unit analyzes signals transmitted by the sensors to the analysis unit in accordance with the location thereof in the field of the field generator.

Abstract: a medical fastening device for an electromagnetic sensor with a clamping element and with a sensor mount and to a medical device with such a fastening device, with an electromagnetic sensor and with a medical instrument. The clamping element has a counterpiece and a pressing piece movable relative to the clamping element, wherein the counterpiece has a lateral opening, which frees a free mounting area, which is itself at least partially enclosed by the counterpiece in a frame-like manner. The counterpiece has a depression, which points towards the mounting area and is arranged opposite the pressing piece, wherein the counterpiece is provided with an opening arranged opposite the depression. The pressing piece is movable in the opening in the direction of the depression of the counterpiece.

Abstract: An automatic detection of surgical instruments with respect to a type and a location thereof is provided with a detection system, which includes at least two surgical instruments, which each include at least one cavity extending along a longitudinal axis of the instrument and a proximal entry region to the cavity. An angle of the proximal entry region in relation to the longitudinal extension of the cavity is different in the two instruments. A sensor unit includes two electromagnetic sensors and is insertable into the cavity. One of the sensors extends axially in the cavity, and the other sensor is arranged in the entry region. A field generator generates an electromagnetic field. An analysis unit analyzes signals transmitted by the sensors to the analysis unit in accordance with the location thereof in the field of the field generator.

Abstract: For determining a precise orientation and positioning of an endoscope in an electromagnetic field, an endoscope device has a proximal insertion head and has a shaft extending distally therefrom having a center axis. The shaft extends with at least one elongated lumen through the device. A sensor rod has at least two sensor coils arranged with finite spacing in relation to one another in the longitudinal direction. The at least two sensor coils are oriented in relation to one another at a finite angle.

Abstract: A complete removal and reinsertion of instruments is avoided when the instruments are initially not correctly positioned during a minimally invasive operation on a bone, in particular a vertebra of the spine. This aim is achieved by an instrument set for spinal operations, including a guide rod, which has a cavity extending along the axis of the guide rod, and a guide tube, which can be received in the cavity of the guide rod, wherein the guide rod has a distal lip, which is arranged eccentrically to the cavity and/or to a center axis of the guide rod.

Abstract: In an intervertebral implant having at least two upper and two lower contact bodies that have contact surfaces. An actuator has a threaded body which has an extension axis and is provided with opposite-handed threads arranged one behind the other. Wedges sit on the threaded body in an axially moveable manner and can be moved along the threaded body by rotating the same. Ramps of at least one ramp body of a wedge engage at least with counter-surfaces of at least some of the contact bodies and extend toward one another at a finite angle of less than 90°. The wedges are double wedges having two ramp bodies arranged one behind the other, and the ramps of one ramp body are oriented differently to the ramps of the other ramp body. The ramps of the first ramp body engage directly with the contact bodies laterally.

Abstract: In particular for automatically determining the position of a Jamshidi needle, the invention provides a surgical needle set comprising a hollow needle and an obturator, wherein the obturator has, starting a finite distance from its distal tip, a hollow space extending longitudinally in a proximal direction, wherein at least one proximal lateral outlet of the hollow space is provided within a handle part of the obturator, and wherein the hollow space is in connection with a passage of an adapter part of an adapter, which passage extends at a finite angle to the longitudinal extent of the hollow space.

Abstract: An intervertebral implant with a support portion (1.1) and a proximal contact portion (1.3) adjoined thereto in the longitudinal direction, is better adapted, as an intervertebral implant, to the contours of the lower and upper sides of the vertebrae that are spaced apart by the implant. An upper side (1.6) and a lower side (1.7) of the implant are configured symmetrically relative to a horizontal center plane (L-Q). In particular a height of the support portion between the transition (U) thereof to the contact portion (1.3) and a distal end face (1.2) facing away from the contact portion (1.3) are greater than the height at the transition (U) and at the distal end face (1.2).

Abstract: A medical device includes a guide unit having a guide tube with a longitudinal axis, a proximal first coupling part fixedly connected to the guide tube, and a distal pivoting head with a cylindrical surface. An actuating tube is axially movable in the guide tube and is connected to the pivoting head. The actuating tube causes a pivoting movement of the pivoting head via a proximal operating element. In the device, in order to orient a distal guide element for a rotatable surgical tool more precisely and thus angularly orient the working head of such a tool, the operating element is pivotable about the longitudinal axis and causes the pivoting movement of the pivoting head by the axial displacement of the actuating tube.

Abstract: The invention relates to a mechanical seal assembly, comprising: a mechanical seal (10) including a rotating mechanical sliding ring (2) and a stationary mechanical sliding ring (3), defining a sealing gap (4) between them, a sliding ring carrier (5) arranged at the rotating mechanical sliding ring (2), at least one driver element (6) arranged between the rotating mechanical sliding ring (2) and the sliding ring carrier (5) and provided for transmitting a torque from the sliding ring carrier (5) to the rotating sliding ring (2), wherein the rotating sliding ring (2) is clearance-fitted into the sliding ring carrier (5), wherein the rotating sliding ring (2) comprises a first recess (20), wherein the sliding ring carrier (5) comprises a second recess (50), and wherein the driver element (6) is clearance-fitted into the first recess (20) and is clearance-fitted into the second recess (50).

Abstract: For determining a precise orientation and positioning of an endoscope in an electromagnetic field, an endoscope device has a proximal insertion head and has a shaft extending distally therefrom having a center axis. The shaft extends with at least one elongated lumen through the device. A sensor rod has at least two sensor coils arranged with finite spacing in relation to one another in the longitudinal direction. The at least two sensor coils are oriented in relation to one another at a finite angle.

Abstract: An automatic detection of surgical instruments with respect to a type and a location thereof is provided with a detection system, which includes at least two surgical instruments, which each include at least one cavity extending along a longitudinal axis of the instrument and a proximal entry region to the cavity. An angle of the proximal entry region in relation to the longitudinal extension of the cavity is different in the two instruments. A sensor unit includes two electromagnetic sensors and is insertable into the cavity. One of the sensors extends axially in the cavity, and the other sensor is arranged in the entry region. A field generator generates an electromagnetic field. An analysis unit analyzes signals transmitted by the sensors to the analysis unit in accordance with the location thereof in the field of the field generator.

Abstract: a medical fastening device for an electromagnetic sensor with a clamping element and with a sensor mount and to a medical device with such a fastening device, with an electromagnetic sensor and with a medical instrument. The clamping element has a counterpiece and a pressing piece movable relative to the clamping element, wherein the counterpiece has a lateral opening, which frees a free mounting area, which is itself at least partially enclosed by the counterpiece in a frame-like manner. The counterpiece has a depression, which points towards the mounting area and is arranged opposite the pressing piece, wherein the counterpiece is provided with an opening arranged opposite the depression. The pressing piece is movable in the opening in the direction of the depression of the counterpiece.

Abstract: A complete removal and reinsertion of instruments is avoided when the instruments are initially not correctly positioned during a minimally invasive operation on a bone, in particular a vertebra of the spine. This aim is achieved by an instrument set for spinal operations, including a guide rod, which has a cavity extending along the axis of the guide rod, and a guide tube, which can be received in the cavity of the guide rod, wherein the guide rod has a distal lip, which is arranged eccentrically to the cavity and/or to a center axis of the guide rod.

Abstract: An intervertebral implant with a support portion (1.1) and a proximal contact portion (1.3) adjoined thereto in the longitudinal direction, is better adapted, as an intervertebral implant, to the contours of the lower and upper sides of the vertebrae that are spaced apart by the implant. An upper side (1.6) and a lower side (1.7) of the implant are configured symmetrically relative to a horizontal center plane (L-Q). In particular a height of the support portion between the transition (U) thereof to the contact portion (1.3) and a distal end face (1.2) facing away from the contact portion (1.3) are greater than the height at the transition (U) and at the distal end face (1.2).

Abstract: A medical device includes a guide unit having a guide tube with a longitudinal axis, a proximal first coupling part fixedly connected to the guide tube, and a distal pivoting head with a cylindrical surface. An actuating tube is axially movable in the guide tube and is connected to the pivoting head. The actuating tube causes a pivoting movement of the pivoting head via a proximal operating element. In the device, in order to orient a distal guide element for a rotatable surgical tool more precisely and thus angularly orient the working head of such a tool, the operating element is pivotable about the longitudinal axis and causes the pivoting movement of the pivoting head by the axial displacement of the actuating tube.

Abstract: The invention relates to a mechanical seal assembly, comprising: a mechanical seal (10) including a rotating mechanical sliding ring (2) and a stationary mechanical sliding ring (3), defining a sealing gap (4) between them, a sliding ring carrier (5) arranged at the rotating mechanical sliding ring (2), at least one driver element (6) arranged between the rotating mechanical sliding ring (2) and the sliding ring carrier (5) and provided for transmitting a torque from the sliding ring carrier (5) to the rotating sliding ring (2), wherein the rotating sliding ring (2) is clearance-fitted into the sliding ring carrier (5), wherein the rotating sliding ring (2) comprises a first recess (20), wherein the sliding ring carrier (5) comprises a second recess (50), and wherein the driver element (6) is clearance-fitted into the first recess (20) and is clearance-fitted into the second recess (50).

Abstract: The invention relates to a mechanical seal arrangement, comprising a rotating slide ring (11) and a stationary slide ring (12), which define a sealing gap (13) in between them, and a bellows unit (2) with a bellows element (3) and an intermediate disc (4), wherein the bellows element (3) has a first connector area (31), a second connector area (32), and a bellows intermediate area (33), wherein the bellows element (3) is made of an elastomer material and provides a connection between the rotating slide ring (11) and a rotating structural component (10), wherein the intermediate disc (4) is arranged between the bellows element (3) and the rotating slide ring (11), and wherein the intermediate disc (4) has at least one slit (47) that has a slit width (B) that is smaller than a slit length (S), and wherein the slit (47) is closed at one side, so that a connection area (49) remains at the slit (47) at the intermediate disc (4).