The present invention relates to a method for handling sterile-material container systems, in particular for separating sterile-material container systems. In a sequence of method steps, the sterile-material containers located in a container transport cart are successively removed, opened, a filter holder is removed from a container lid of the sterile-material container, the used filter inserts arranged in the filter holder are removed, the emptied filter holder is replaced on the container lid, the container lid is placed on a conveyor belt, a strainer basket containing used medical instruments is removed from the container tub of the sterile-material container and likewise placed on a conveyor belt. These method steps are repeated until the container transport cart is completely emptied. In a final step, the emptied container transport cart is transported onwards to a cleaning station. The method for handling sterile-material containers runs completely automatically or partially automatically. The present invention also relates to a sterile-material container handling device, which is able to carry out the method for handling sterile-material containers.
The present disclosure relates to an electrosurgical instrument (1), in particular an RF instrument, having an electrode device with a first electrode (2) and a second electrode (4) which are opposite one another, in particular distally, and an insulation body (6) in which a transponder (8), preferably an RFID transponder, particularly preferably a glass transponder, is accommodated and which connects the first electrode (2) and the second electrode (4) to one other, wherein the transponder (8) accommodated in the insulation body (6) is arranged between the first electrode (2) and the second electrode (4), in particular symmetrically and/or centrally between the first and the second electrodes (2, 4), and an aperture (10) is formed in the first electrode (2) and/or in the second electrode (4) in the region of the transponder (6) such that the electrode (2; 4) forms a stop (12) not allowing the passage of electromagnetic wave signals and having an aperture (10) allowing the passage of signals. Additionally, the present disclosure relates to a medical transponder communications system (101) and a production method according to the alternative independent claims.
The invention relates to a display device (34) for a medical organization system for storing medical articles (12, 14) in organization boxes (16), wherein the display device (34) comprises a first display window (40) for displaying the actual number of medical articles (12, 14) received in the organization box (16) in a first presentation form, a second display window (42) for displaying the actual number of medical articles (12, 14) received in the organization box (16) in a second presentation form, which differs from the first presentation form, and at least one display element (48) which carries a plurality of possible actual values in the first presentation form, wherein the at least one display element carries a plurality of possible actual values in the second presentation form, and wherein the at least one display element (48) is movably mounted on the display device (34) and can be moved manually into a display position in which only a single actual value of the plurality of possible actual values, which corresponds to the actual number of medical articles (12, 14) received in the organization box (16), is displayed in the first display window (40) in the first presentation form, and only a single actual value of the plurality of possible actual values, which corresponds to the actual number of medical articles (12, 14) received in the organization box (16), is displayed in the second display window (42) in the second presentation form. Also proposed is an improved medical organization system for storing medical articles.
G09F 11/04 - Indicating arrangements for variable information in which the complete information is permanently attached to a movable support which brings it to the display position the display elements being secured to rotating members, e.g. drums, spindles the elements being secured to rotating discs
G09F 11/23 - Indicating arrangements for variable information in which the complete information is permanently attached to a movable support which brings it to the display position the advertising or display material forming part of rotating members, e.g. in the form of perforations, prints, or transparencies on a drum or disc
G09F 3/20 - Casings, frames, or enclosures for labels for adjustable, removable, or interchangeable labels
G06Q 10/087 - Inventory or stock management, e.g. order filling, procurement or balancing against orders
G09F 3/00 - Labels, tag tickets, or similar identification or indication means; Seals; Postage or like stamps
4.
FASTENING CLAMP FOR ATTACHING HOLDERS FOR MEDICAL INSTRUMENTS IN A STERILISATION MESH BASKET, AND ARRANGEMENT HAVING A STERILISATION MESH BASKET AND A FASTENING CLAMP
The invention discloses an arrangement having a sterilisation mesh basket (1) and a fastening clamp (10; 110; 210) which is designed and configured for tool-free fastening to a perforated undulating base (3) of the sterilisation mesh basket (1). The fastening clamp has a main portion (22) on which two rows of arms that are opposite one another with regard to a central axis (20) are arranged, wherein each row of arms has a first retaining arm (12) and a second retaining arm (16) on each of which a latching lug (18) is formed, wherein the latching lugs (18) of the two retaining arms (12, 16) of each row of arms face one another. A first edge extends between the two first retaining arms (12) in the main portion (22) and a second edge extends between the two second retaining arms (16). Formed at each of the two edges is a cutout or recess (24a), into which ridge crosses (6) can pass. Also disclosed is a corresponding fastening clamp (10; 110; 210).
The present invention relates to a handling tool (1), which is provided and designed for gripping and/or handling medical equipment, preferably a container, more preferably a sterilisation container (21; 39), the handling tool comprising a carriage (3) and two prongs (5), which are spaced apart in parallel and extend in a longitudinal direction (X) at a right angle away from the carriage (3), each of which prongs has a container-placement/grasping side, on which a number of receiving projections (7), which are spaced apart longitudinally, are formed or arranged, which projections extend in a vertical direction (Z) with respect to the container-placement/grasping side. The present invention also relates to a system comprising a medical handling tool (1) and a medical container (21; 39).
A61B 50/30 - Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
The disclosure relates to a medical motor handpiece (2) for driving a distal end effector (8, 22), with a handle portion (4), and with a preferably sleeve-shaped operating element (12) that is held to rotate about a handle longitudinal axis at a distal end portion of the handle portion (4) and can be coupled to the end effector (8, 22) so as to transform a rotational movement of the operating element (12) in a first direction of rotation into a movement of the end effector (8, 22) and in the event of a rotational movement of the operating element (12) in a second direction of rotation opposite the first direction of rotation to effect a function on the end effector (8, 22). The disclosure also relates to a medical manual instrument (1) with a medical motor handpiece (2) as disclosed and to an end effector (8, 22) that is coupled to the motor handpiece (2) via a shaft (10, 20) in order to transfer torque from the motor handpiece (2) to the end effector (8, 22).
The invention relates to an aligning unit (2) for a medical instrument, comprising a stator housing (4) in which a drive unit preferably designed as a handpiece can be accommodated, a threaded bolt (14) having an outer thread section (18) connecting the threaded bolt (14) to the stator housing (4), and a carrier (30) having an inner thread section (34) connecting the carrier (30) to the stator housing (4), wherein the outer thread section (18) of the threaded bolt (14) and the inner thread section (34) of the carrier (30) run in opposing directions and, via counter rotation, they can be fixed in such a way that the carrier (30) and the threaded bolt (14) are axially held against one another. The invention also relates to an assembly method for the aligning unit (2).
The present invention relates to a coupling (2) for a medical instrument, comprising: a rotatably drivable rotor shaft (6) and a non-circular shank (4), which has a coupling portion (8) that can be axially inserted into the rotor shaft (6) for form-fittingly torque-transferring coupling; and an orienting portion (18), which matches the rotor shaft (6) such that, during coupling, the non-circular shank (4) is oriented in a predefined rotational position about its longitudinal axis, wherein the orienting portion (18) is axially spaced apart from the coupling portion (8) of the non-circular shank (4) such that, during coupling, the non-circular shank (4) is oriented in the predefined rotational position before the coupling portion (8) of the non-circular shank (4) comes into form-fittingly torque-transferring engagement with the rotor shaft (6). The invention also relates to a medical instrument having such a coupling (2).
The invention relates to a foldable outer packaging (1) for a medical product (3), comprising a base panel (6) which is subdivided into three segments (6a, 6b, 6c) by means of two flap fold lines (10, 11) that are spaced apart in parallel, a hinged panel (5) which is coupled to the base panel (6) by means of a hinge fold line (8) orientated perpendicular to the flap fold lines (10, 11) and also subdividing the hinged panel into three segments (5a, 5b, 5c) by means of the flap fold lines (10, 11) that extend in a straight line into the hinged panel (5), and a window-like cut-out (14) (or opening) in the central one (5b) of the three segments (5a, 5b, 5c), and a side panel which is coupled to the hinged panel by means of a tilting fold line orientated in parallel with the hinge fold line and also subdividing the side panel into three segments (7a, 7b, 7c) by means of the flap fold lines (10, 11) that further extend in a straight line into the side panel (7). The invention also relates to a method for providing outer packaging for a medical product (3) using a foldable outer package (1).
B65D 75/08 - Articles or materials wholly enclosed in single sheets or wrapper blanks in sheets or blanks initially folded to form tubes with the ends of the tube closed by folding
B65D 65/12 - Wrappers or flexible covers rectangular formed with crease lines to facilitate folding
B65D 81/07 - Containers, packaging elements, or packages, for contents presenting particular transport or storage problems, or adapted to be used for non-packaging purposes after removal of contents specially adapted to protect contents from mechanical damage maintaining contents at spaced relation from package walls, or from other contents using resilient suspension means
10.
DEVICE AND METHOD FOR STANDARDISING THE AXIAL ORIENTATION AND POSITION OF KINEMATICS DATA WITH REGARD TO A BODY JOINT OF A PATIENT
The invention relates to a standard-kinematics evaluation system (1) for detecting, standardising and evaluating biomechanical kinematics data relating to a joint (G) of a patient (P), comprising: at least one detection device (2), which is adapted for detecting, by means of a sensor system (4), biomechanical kinematics of the joint (G) of the patient (P) and for providing said kinematics in a computer-readable manner; and a visual display device (6), in particular a surgical monitor, for visual output to a user; wherein the standard-kinematics evaluation system (1) also comprises: a control unit (8), which is adapted for: processing the provided detected kinematics of the patient and for determining therefrom at least one profile of kinematics parameters of the (observed) joint (G) with respect to a first joint element (G1) using a first joint coordinate system (20) and with respect to a second joint element (G2) using a second joint coordinate system (22), by means of a standardising unit (10), which is adapted and designed for determining, via a predefined target optimisation, a transformation for adapting an orientation and/or position of the first joint coordinate system (20) and/or the second joint coordinate system (22) in order to carry out a standardisation, and by means of an evaluation unit (12), which is adapted for carrying out, on the basis of the standardised kinematics parameters as movement data, an evaluation with regard to the joint (G) for at least one predefined evaluation parameter, and for outputting the evaluation via the display device (6). The invention also relates to a standardisation method and a computer-readable storage medium according to the additional independent claims.
The present invention relates to a transport device (102; 202) for transporting at least one sterile-product container (20; 22), comprising: a receiving space (116; 216), which is formed in a movable transport trolley (104; 204) and comprises support elements (118; 218) on a first level and on a second level that is parallel to the first, on which support elements a sterile-product-container receptacle (124; 224) can be stored; and a lifting support (130; 230), which can be arranged in a first position on the support elements of the first level such that the sterile-product-container receptacle (124; 224) can be moved back and forth between the support elements (118; 218) of the first level and the lifting support (130; 230). The lifting support (130; 230) is designed, in a second position, to be able to be arranged on the support elements (118; 218) of the second level such that the sterile-product-container receptacle (124; 224) can be moved back and forth between the support elements (118; 218) of the second level and the lifting support (130; 230). The transport device (102; 202) comprises a linear guide (128; 228), which extends transversely to the first and second level and by means of which the lifting support (130; 230) can be guided from its first position into its second position, and the transport device (102; 202) comprises a drive, by means of which the lifting support (130; 220) can be moved along the linear guide (128; 228) from the first position into the second position. The linear guide (128; 228), the drive, and the lifting support (130; 230) are formed on the transport trolley (104; 204). The invention also relates to the use of a transport device (102; 202) according to the invention for transporting at least one sterile-product container (20; 22).
The invention relates to an implant for fixing a cranial bone flap in a cranial opening of an osseous skull, comprising a flexible mesh structure having webs and openings formed between the webs, wherein the flexible mesh structure is made of a plastic material and is designed to be fastened to the bone flap and to the osseous skull.
The disclosure relates to a computer-implemented implant assistance method for simulating and selecting at least one implant for optimised insertion or joint replacement during a surgical procedure on a patient (P), comprising the steps of: reading in (S1) at least one implant parameter, in particular at least one implant dimension and/or a weight restriction, of a selected implant model (6'); calculating (S2), by means of a calculation unit and on the basis of the at least one read-in implant parameter, simulated loads due to predefined forces and moments at and on the implant model (6'); determining (S3), by means of the calculation unit and on the basis of the at least one read-in implant parameter, whether load limits of the implant model (6') are adhered to in the simulated loads; and, by means of a display device, outputting a visual confirmation of a selection of the implant model if the load limits are adhered to or outputting a visual warning before the selection of the implant model if the load limits are exceeded. In addition, the disclosure relates to an implant assistance system and to a computer-readable storage medium according to the additional independent claims.
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
The present invention relates to a system of an integrated therapy chain (1) for planning and carrying out an insertion of a predetermined implant system, the therapy chain (1) comprising preoperative, intraoperative and postoperative therapy steps (S1, S2, S3, S4, S5), comprising: a first data device (2) for gathering, processing and providing patient-specific kinematic data (9, 10, 11, 12, 15, 16, 22, 23), a second data device (3) for gathering, processing and providing patient data (7, 8), a third data device (5) for storing and providing data of the predetermined implant system (17, 18, 19), and a control unit (6) for controlling the data devices (2, 3, 4, 5) and for carrying out the therapy steps (S1, S2, S3, S4, S5) on the basis of the aforementioned data (9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23). The first data device (2) is provided and designed to provide at least a first data set and a second data set, the first data set comprising the currently gathered, patient-specific kinematic data (9, 10, 11), the second data set comprising historical data (12) based on older insertions of the predetermined implant system, which historical data have been stored similarly to the currently gathered, patient-specific kinematic data, and the second data set being designed and provided to supplement the first data set. The present invention also relates to a method for the preoperative preparation of an operation to insert an implant system.
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
15.
SYSTEM AND METHOD FOR PREOPERATIVELY PLANNING A KNEE ENDOPROSTHESIS
The invention relates to an apparatus (2) for preoperatively planning or selecting an implant type and/or an implant size and/or an implant shape of a knee endoprosthesis, comprising: a data-provision unit (4) which is designed to provide at least patient-specific or patient-individual kinematic data (18) obtained upon flexion of a knee joint (12) of a patient (10); and a control unit (6) which is designed to process the kinematic data (18) provided by the data-provision unit (4) and to determine the implant type and/or the implant size and/or the implant shape on the basis of at least the kinematic data (18). The invention also relates to a method for preoperatively planning or selecting a knee endoprosthesis.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 5/11 - Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
B33Y 80/00 - Products made by additive manufacturing
G16H 50/00 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
The invention relates to a medical instrument comprising a first part and a second part which are connected to one another with a connecting element so as to be pivotable relative to one another about a pivot axis defined by a longitudinal axis of the connecting element, wherein the first part has at least one first bearing area, wherein the second part has at least one second bearing area, and wherein the at least one first bearing area and the at least one second bearing area are arranged so as to face each other, wherein, in a mounted state, a biasing element is arranged between the at least one first bearing area and the at least one second bearing area, and wherein the biasing element, in the mounted state, is held in a compressed state between the at least one first bearing area and the at least one second bearing area by the connecting element so as to exert a biasing force on the at least one first bearing area and the at least one second bearing area for keeping them biased away from one another.
The invention relates to medicinal sterile packaging (1) for packaging a medicinal product (8), the packaging having: a first sterile barrier (4) which is prepared and designed to receive the medicinal product (8) in welded/sealed manner; a second sterile barrier (6) which is prepared and designed to form a receiving space for receiving the first sterile barrier (4) in a welded/sealed manner; and an outer protective packaging (2) which is prepared and designed to receive the first sterile barrier (4) and the second sterile barrier (6). The second sterile barrier (6) is a film (19) that forms at least two air pockets (10) which are separated from one another in the film (19) by a predefined fold-over or folding edge (30). When the film (19) has been folded over along the fold-over or folding edge (30), the two air pockets (10) thus come to lie one on top of the other in alignment, such that the receiving space (23) can be produced between them.
A61B 50/30 - Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
A61B 50/20 - Holders specially adapted for surgical or diagnostic appliances or instruments
A61B 50/00 - Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
18.
FLEXIBLE SURGICAL TOOL WITH INTEGRATED BEARING ASSEMBLY
The present disclosure relates to a surgical tool (1) and a surgical instrument (15), wherein the tool (1) is designed to be inserted into an instrument shaft (16, 17) of the surgical instrument (15) and has the following: a distal tool tip (2), a tool shaft (3, 4, 5) extending proximally from the distal tool tip (2) and having a distal bearing portion (3) and a drive portion (5) proximal thereto, which is designed to positively engage a drive shaft (20) of the surgical instrument (15), and a bearing bushing (8) mounted on the distal bearing portion (3) and having a bearing coupling element (10) for releasably coupling to an instrument shaft (16, 17) of the surgical instrument (15).
The present disclosure relates to a medical device (1) comprising a housing (3) including a front plate (13), and comprising a wireless communication unit (25) which is formed in the housing (3) and has at least one antenna (27). The housing (3) includes at least one EMC-proof housing portion and at least one EMC-permitting housing portion and the at least one antenna (27) of the wireless communication unit (25) is formed in the at least one EMC-permitting housing portion within the housing (3).
The invention relates to a medical tool system (1) comprising a tool receiving area (2) that is formed in a distal instrument section (4) adjoined by a proximal instrument section (6) which can be angled relative to the distal instrument section (4) and comprising a tool (8) which is received in the tool receiving area (2) and is rotatably mounted relative to the tool receiving area (2). A first coupling device (10) is arranged in the distal instrument section (4), and a second coupling device (12) is provided on the tool (8), said coupling device producing a coupling between the tool (8) and the distal shaft section (4) in a coupling state by engaging with the first coupling device (10) in order to fix the tool (8) in the distal shaft section (4) in the axial direction .
The present invention relates to a surgical instrument (1) for clamping and cutting patient tissue, having two pivotable instrument branches (2, 3) which each form a distal clamping jaw (5) and a proximal handle element, wherein the second instrument branch (3) has a tissue cutting element (12) for cutting through patient tissue held between the clamping jaws (5) and a drive mechanism (7) for driving the tissue cutting element (12), and supports a locking bar element (15) such that said element can move between a locking position in which it engages in the drive mechanism (7) in a blocking manner, and an open position in which the drive mechanism (7) is not blocked by the locking bar element (15), wherein the locking bar element (15) has a magnetic locking-bar portion, and in a region opposite the locking bar element (15) the first instrument branch (2) has a magnetic actuation portion (17) for actuating the locking bar element (15), wherein the magnetic locking-bar portion and/or the magnetic actuation portion (17) has a magnet, such that when the instrument branches (2, 3) approach each other, the locking bar element (15) is moved into the open position as a result of the magnetic attraction or repulsion between the magnetic locking-bar portion and the first magnetic actuation portion (17), thus permitting an actuation of the tissue cutting element (12).
The present disclosure relates to a tag (9) for determining the location and/or tracking the location and/or determining the orientation of a medical device (1) with at least one radio-based tracking unit (23), which is provided and designed to actively and/or passively communicate wirelessly with a first external device, preferably by means of NFC, Bluetooth Low Energy, DECT or WLAN. The tag (9) has at least one optical marker element (13), which is provided and designed to provide information, optically detectable by at least a second external device, regarding its position and orientation in a virtual coordinate system. The present invention further relates to a medical device (1) having the tag and a system for location and/or orientation determination.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G01S 1/00 - Beacons or beacon systems transmitting signals having a characteristic or characteristics capable of being detected by non-directional receivers and defining directions, positions, or position lines fixed relatively to the beacon transmitters; Receivers co-operating therewith
G01S 5/00 - Position-fixing by co-ordinating two or more direction or position-line determinations; Position-fixing by co-ordinating two or more distance determinations
A61B 90/94 - Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text
A61B 90/96 - Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
A61B 90/98 - Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
23.
INSTRUMENT TRACKING AND INSTRUMENT INSPECTION FOR AUTOMATICALLY IDENTIFYING MEDICAL/SURGICAL ITEMS
The present invention relates to an apparatus for automatically identifying medical and/or surgical items (1), comprising: a capturing device (2) which has at least one scanner unit (3) and a detector (4) and/or uses same such that medical and/or surgical items (1) are located between the scanner unit (3) and the detector (4) at least briefly during automated identification; and an imaging and computing unit (5) which is preferably located on/in a housing (10). The at least one scanner unit (3) is a source of electromagnetic radiation, and the computing and imaging unit (5) is provided and designed to detect and to output, preferably postoperatively and/or intraoperatively, the completeness of the medical and/or surgical items (1) and/or the absence of at least one medical and/or surgical item (1). The present invention also relates to an identification system.
G16H 40/40 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
24.
STERILISING CONTAINER, CONTROL DEVICE AND CORRESPONDING SYSTEM
The invention relates to a sterilising container (2) for medical purposes, in particular for medical instruments and the like, comprising a base element (6), a cover (4), a closure unit having a closure element (22) and an actuation element, an energy store and a control unit (30) which is designed to be able to control the actuation element by means of actuation energy stored in the energy store in such a way that the actuation element actuates the closure element (22). The control unit (30) has a receiver which is designed to be able to receive actuation signals, which trigger an actuation of the actuation element. The control unit (30) also has a transmitter which is designed to be able to send status signals, which contain information relating to a status of the closure unit. The sterilising container (2) is designed to secure the cover (4) to the base element (6) by actuating the closure element (22) by means of the actuation element. The invention also relates to a control device for externally controlling a control unit (30) of a sterilising container (2), and a system formed by a sterilising container (2) and a control device.
The present disclosure relates to a sterilising container (2) for medical purposes, in particular for medical instruments and the like, comprising a base element (4), a cover (6), which can be fastened to the base element (4) and which, when the lid (6) is closed, together with the base element (4) defines an inner region of the sterilising container (2), a media exchange mechanism, which is designed, when the lid (6) is closed, to be able to selectively open and close at least one fluid-mechanical connection (8) between the inner region and a surrounding environment, and a control device (14), which is designed to be able to control the media exchange mechanism. According to the disclosure, the sterilising container (2) has a ventilation device (12), which is designed to be able to convey a medium in the inner region and/or a medium in the surrounding environment of the sterilising container (2) to the media exchange mechanism, and the control device (14) is designed to be able to control the media exchange mechanism and the ventilation device (12) in such a way that the at least one fluid-mechanical connection (8) is open when a medium is conveyed. The present disclosure additionally relates to a control device for external control of a control device (30) of a sterilising container (2).
The present invention relates to a detection device that is intended and designed to detect a drill breakthrough and/or breakthrough tendency during drilling into a bone by means of a surgical drill. The detection device comprises at least one, in particular monoaxial, piezoelectric acceleration sensor (22) for producing piezoelectric acceleration signals and an evaluation unit which is intended to identify signals or signal variations characteristic of a breakthrough and/or breakthrough tendency.
The invention relates to an implant for fixing a cranial bone flap in a cranial opening, said implant comprising: a longitudinal axis which is aligned along an axial direction of the cranial opening; a transverse axis which is aligned along a radial direction of the cranial opening; a first portion which is designed to transmit force to the bone flap; a second portion which is designed to transmit force to a cranial bone surrounding the cranial opening, the first portion and/or the second portion being designed to be positioned in an annular gap formed between an outer periphery of the bone flap and an inner periphery of the cranial bone; and a mechanism which is operatively connected to the first portion and the second portion and by means of which a transverse distance projected onto the transverse axis can be at least increased between the first portion and the second portion, as a result of which the first portion can be pressed radially inwardly against the bone flap and the second portion can be pressed radially outwardly against the cranial bone.
The invention relates to a medical drill device comprising a cannulated drill with a longitudinal channel which extends coaxially to the longitudinal axis of the drill. The drill device comprises a drill device coupling section at a proximal end for coupling to a handle or a drill machine in a rotationally fixed manner. The drill has a distal and a proximal end, and the drill device comprises a chuck with a distal chuck section and a proximal chuck section, wherein the distal chuck section is designed to insert and close the longitudinal channel of the drill over the entire length or substantially the entire length of the drill in a drilling position, and the drill comprises a drill coupling section in the region of the proximal end of the drill, said drill coupling section together with the proximal chuck section forming the drill device coupling section. The invention additionally relates to an improved medical drill system.
The invention relates to a shaft (1) of or for a manual medical instrument (42), preferably a minimally invasive surgical instrument, comprising a proximal shaft portion (2) and a distal shaft portion (4), which rotates relative to the proximal shaft portion (2) and bends in the process, and comprising a gear set (7), which is arranged inside the shaft (1) and transmits a rotational movement from the proximal shaft portion (2) to the distal shaft portion (4). The gear set (7) comprises a tubular transmission element (18) which transmits the rotational movement to the distal shaft portion (4). The transmission component/element (18) is a tubular piece having two axially spaced connection portions and a central bending portion in which a plurality of recesses (32) are formed, which recesses are spaced apart in both the circumferential direction and the longitudinal tube direction, are substantially oval/elliptical and extend in the circumferential direction and have tapered recess ends, which are arranged with respect to one another such that in the case of a development of the central bending portion into the plane, a diagonal recess pattern results.
The present invention discloses a packaging for or of a medical product (M), including a secondary packaging (15) forming a sterile barrier and also defining a sealed or sealable receptacle for the medical product (M), and a product storage space and/or holder for contact-free storage of the product inside the secondary packaging. The product storage space and/or holder is in the form of a preferably pocket-like protective cover (1) for receiving the medical product (M) and for interspacing the secondary packaging and the product, the protective cover being made of a single, flexible flat blank that is produced by folding along at least one predefined hinged-fold line (4).
A61B 50/30 - Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
A61F 2/00 - Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
The invention relates to a bipolar HF instrument (1) comprising: a jaws part (2); a first instrument branch (3) and a second instrument branch (4) for grasping tissue, which are provided and designed to move away from one another during opening and towards one another during closing; a blade actuating element (5), for moving a mechanical blade (6) in the jaws part (2) in order to cut tissue; and/or an HF activation element (7) for activating an HF current supply for sealing tissue; characterised in that the blade actuation element (5) and/or the HF activation element (7) are provided and designed to be operable simultaneously in each case from two opposite sides of the HF instrument (1).
The invention relates implantation system (30) comprising a prosthesis shaft (34), in particular a femur shaft (46) of a hip joint endoprothesis (48), for inserting into a cavity of a bone, wherein the prosthesis shaft (34) has a proximal end (50) and a distal end (36) and defines a prosthesis shaft longitudinal axis (52), wherein a shaft coupling element (54) is designed at the proximal end (50), for coupling to a first handling instrument for inserting the prosthesis shaft (34) into the cavity and/or for extracting it therefrom, wherein the implantation system (30) comprises an adjustment device (32) with a first adjustment unit (60) and a second adjustment unit (62), wherein the first adjustment unit (60) is designed for releasable force-fitting or form-fitting coupling with the shaft coupling element (54) in a coupling position, wherein the second adjustment unit (62) is designed for detachable coupling with a second handling instrument (40) and wherein the second adjustment unit (62) is arranged or designed laterally offset on the adjustment device (32) with respect to the first adjustment unit (60).
The invention relates to a patella trial implant (1) comprising a fixation member (2) having a longitudinal axis (L) extending between a posterior portion (4) and an anterior portion (5), the anterior portion being configured for fixation to a resected patella (P); a patella component (3) having a posterior articular surface (6) configured to articulate with a femoral surface and having an anterior contact surface (7) configured to contact the resected patella (P) and defining a frontal plane (C) of the patella component; wherein the patella component has a guide slot (8) defining at least one guide axis (G1, G2, G3) extending longitudinally in parallel to the frontal plane, wherein the posterior portion of the fixation member engages in the guide slot, and wherein the patella component and the fixation member are movable relative to each other in translation along the at least one guide axis and in rotation about the longitudinal axis of the fixation member.
The invention relates to a method for manufacturing a medical instrument having at least one distal jaw portion with a hardened gripping and/or cutting surface, comprising the steps of: providing the at least one jaw portion; hardening at least one region of the jaw portion by means of: providing a thermal spray device configured for high velocity oxygen fuel spraying; feeding a coating material through the thermal spray device to produce particles of the coating material; impinging the produced particles of coating material at the at least one region of the jaw portion to produce a layer of coating material thereby creating the hardened gripping and/or cutting surface.
The invention relates to a medical instrument, comprising two instrument branches pivotally coupled to each other, each of the instrument branches having a proximal handling portion and a distal jaw portion, the distal jaw portions forming an instrument mouth which is movable, by a pivotal movement of the instrument branches, between a closed state, in which the jaw portions are moved inwardly toward each other, and an open state, in which the jaw portions are moved outwardly away from each other, wherein at least one of the instrument branches comprises a branch member and a jaw member, the branch member being elongated along a proximal/distal axis and having one of the proximal handling portions and a distal coupling portion, the jaw member forming one of the jaw portions and having a proximal complementary coupling portion, and wherein the coupling portion and the complementary coupling portion form a releasable connection to exchangeably attach the jaw member to the branch member. According to the invention the coupling portion is a wedge-shaped protrusion and the complementary coupling portion is a complementary wedge-shaped recess, or vice versa, wherein the wedge-shaped protrusion comprises two wedge surfaces opposing each other along a medial/lateral axis, wherein the opposing wedge surfaces are inclined in proximal direction toward each other by a first angle of inclination, and wherein the opposing wedge surfaces are inclined inwardly toward each other by a second angle of inclination.
The invention relates to a method for producing a medical product, comprising the following step: a) additively building or manufacturing at least one functional element on a surface of a base body, the at least one functional element being connected to the base body after carrying out step a). The invention also relates to a medical product (1) produced by the method.
The invention relates to a medical clip, in particular in the form of an aneurysm clip, having two interacting clamping arms and a preloading element with two ends, each of the two clamping arms being connected to an end of the preloading element via a connecting section, the two clamping arms having maximum proximity to one another, in particular bearing against one another, in the basic position of the clip and being movable away from one another from the basic position into an opening position counter to the effect of the preloading element, the two connecting sections defining a first circular cross-section with a first diameter, the preloading element defining a second circular cross-section with a second diameter, the second diameter being smaller than the first diameter, and the connecting sections tapering towards the preloading element so that conical transition regions are formed which define a cone angle. According to the invention, the medical clip is improved such that in particular compact medical clips of high quality can be formed in that the cone angle has a value of at least 10°. The invention also relates to an improved forming tool, an improved forming machine, and an improved method for producing a medical clip.
A61B 17/12 - Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
B21J 7/14 - Forging machines working with several hammers
The invention relates to a method for sterile packaging of a medical product (48), comprising the following method steps: a. additively forming a first portion (22) of a sterile barrier (2), b. inserting the medical product (48) in the first portion (22) of the sterile barrier (2) and c. additively forming a second portion of the sterile barrier (2) onto the first portion (22) in order to create a sterile-closed packaging interior containing the medical product (48).
A61B 50/30 - Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
A61B 50/00 - Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
A61F 2/00 - Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
39.
TIBIA COMPONENT AND KNEE-JOINT ENDOPROSTHESIS SYSTEM
To improve a tibia component (16) for a knee-joint endoprosthesis (10), wherein the tibia component comprises a tibia plate (30) with an upper face (34) and a lower face (36) and, protruding from the lower face, a shaft (38) for insertion into the medullary cavity (40) of a tibia (20) so as to anchor the tibia component on the tibia, wherein the tibia component comprises a positioning device (44) for positioning, in particular stepless positioning, of the shaft on the tibia plate in a plurality of different positions, namely to improve it in such a way as to enable better operating results, it is proposed that the positioning device is designed in such a way that the shaft can be transferred from one of the different positions to another of the different positions by a movement parallel to a positioning plane (46) that runs parallel or substantially parallel to the upper face. Furthermore, an improved knee-joint endoprosthesis system is proposed.
The invention relates to a medical system for determining the kinematics of a patient's bones connected to one another at a joint, comprising: a capturing unit for creating at least one image of a bone arrangement comprising at least the bones in a defined orientation of the bones relative to one another, preferably in a defined viewing direction towards the bones; a data-processing unit, which is designed and programmed to provide at least one output data set relating to the bones on the basis of the at least one image; a memory unit in which at least one pattern data set which can be assigned to the respective bone is stored, the data-processing unit being designed and programmed to adapt a respective pattern data set mathematically to the at least one output data set and to provide a patient-specific static model data set relating to the bones; a sensor unit having respective sensor elements which can be arranged in a defined spatial relationship to the respective bone on the patient's body part comprising the bones, the data-processing unit being designed and programmed to provide a dynamic model data set relating to the bones on the basis of the static model data set and on the basis of information from the sensor elements as a result of a preferably defined movement of the bones relative to one another, said dynamic model data set comprising information about the relative position and/or the relative mobility of the bones relative to one another. The invention also relates to a method.
In order to improve a medical instrument - comprising a first instrument part and at least one second instrument part, wherein the at least one first instrument part and the at least one second instrument part are mounted on one another such that they can pivot about a pivot axis and they are coupled to one another by a connection element, wherein a longitudinal axis of the connection element defines the pivot axis, wherein the connection element has a head, which is accommodated at least partially in a head recess on the first instrument part, wherein the head recess is opened from the first instrument part in a direction away from the at least one second instrument part, wherein the head has at least one circumferential, self-contained first ring surface pointing away from the longitudinal axis, wherein the head recess has at least one circumferential, self-contained second ring surface pointing towards the longitudinal axis, and wherein the at least one first ring surface and the at least one second ring surface are separated from one another by a ring gap in the radial direction relative to the longitudinal axis - such that said medical instrument can be thoroughly cleaned, according to the invention, a sealing element is arranged in the ring gap and the sealing element is in contact with the at least one first ring surface and with the at least one second ring surface. The invention also relates to an improved medical instrument set comprising at least two medical instruments that differ in terms of shape, type and/or size.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
42.
SYSTEM AND METHOD FOR MONITORING AT LEAST ONE MEDICAL DEVICE
The invention relates to a system for monitoring at least one medical device (2, 6), comprising at least two monitoring apparatuses (27-36) which are or can be interconnected for data transmission in a monitoring network and which each have a detection device designed to be able to detect whether a transponder (4, 8) of the medical device (2, 6) is located in a detection region (39-48) extending around the relevant monitoring apparatus (27-36), wherein the at least two monitoring apparatuses (27-36) are or can be arranged such that the detection regions (27-48) of the at least two monitoring apparatuses (27-36) overlap. The system also comprises a data processing apparatus (38) which is or can be connected via the monitoring network to the at least two monitoring apparatuses (27-36) for data transmission and which is designed to be able to store points in time of detections of the transponder (4, 8) by the monitoring apparatuses (27-36). The data processing apparatus (38) is designed to be able to calculate time periods in which the transponder (4, 8) is located exclusively in one of the detection regions (39-48) of the at least two monitoring apparatuses (27-36) and/or to be able to register sequences in which the at least two monitoring apparatuses (27-36) detect the transponder (4, 8) in the detection regions (39-48). The invention also relates to a method for monitoring at least one medical device in a surgical environment.
G16H 40/20 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
A61B 90/98 - Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
A medical instrument of this type is known, in particular for the application of medical clips, comprising: a handle device having a fixed handle part, a moving handle part that can be manually moved relative to the fixed handle part between a non-actuated resting position and an actuated working position, and having a locking device; an elongated shaft with a proximal end that is detachably locked on the handle device by the locking device; an instrument jaw arranged at a distal end of the shaft, which can be moved between an open position and a closed position by actuating the moving handle part; and an elongated push-pull element which is axially moveably guided in the shaft and operatively connected proximally to the moving handle part and distally to the instrument jaw for force and movement transmission. According to the invention, the locking device comprises an actuation element which can be moved manually into a release position in order to release the lock, and a blocking element which is operatively connected to the moving handle part and which is moved into a blocking position in the working position of the moving handle part, in which the blocking element interlockingly blocks the movability of the actuation element, and which is moved into a release position in the resting position of the moving handle part, in which the movability of the actuation element is released.
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
A61B 17/12 - Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
A61B 17/128 - Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
44.
SAFETY DEVICE FOR A NEEDLE AND SAFETY NEEDLE SYSTEM COMPRISING A SAFETY DEVICE
The invention relates to a safety device (1000) for a needle with a housing (200) having a channel (201) with a proximal opening (210) and a distal opening (212) for a stem of a needle (100) to pass therethrough, wherein the housing (200) is configured to slide over the stem of the needle (100) such that the needle (100) is moveable relative to the housing (200) between a first needle position, in which the needle tip (101) protrudes from the distal opening of the housing (200) and a second needle position, in which the needle tip (101) is situated inside the channel (201), and with a closing device which is configured to close the distal opening of the housing (200) when the needle tip (101) is in the second needle position, wherein the closing device comprises a protection flap (8), wherein the protection flap (8) closes the distal opening when protection flap (8) is in a first protection flap position, wherein the closing device comprises a securing element, wherein the securing element is configured to block a movement or deformation of the protection flap (8) out of the first protection flap position towards the inside of the channel (201). The invention further relates to safety needle system comprising a needle (100) and a safety device /1000), and to a method of manufacturing a safety device (1000),
A61M 5/32 - Syringes - Details - Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
The present disclosure relates to a smart port (1) for detecting and reading medical products (2) by means of a multiplicity of preferably modular modules, which are each provided and formed with different detection technologies. The present disclosure also relates to a system (17) with a smart port (1), a screen basket (18) and instrument holders (19), which hold the medical products (2) and can be introduced into the screen basket. The present disclosure also relates to a robot arm (21) with a smart port (1) attached thereto or integrated therein and also to a device with artificial intelligence for identifying and assessing medical products.
A medical instrument of this type is known, in particular for the application of medical clips, comprising: a handle device having a fixed handle part and a handle part that can be moved relative to same; a shaft extending longitudinally between a proximal shaft end and a distal shaft end, wherein the proximal shaft end is detachably connected to the handle device, and wherein the distal shaft end has an instrument jaw that can be opened and/or closed by actuating the moving handle part; and an elongated push-pull element which is axially moveably guided in an elongated hollow space in the shaft and operatively connected proximally to the moving handle part and distally to the instrument jaw for force and movement transmission. According to the invention, the proximal shaft end has an opening feeding into the hollow space, which is designed for introducing a fluid flow in the direction of the distal shaft end, and a functional element is arranged in the hollow space, which has multiple fluid-guiding vanes arranged offset in the circumferential direction of the shaft, which are designed for generating a swirl in the fluid flow orientated in the circumferential direction of the shaft.
A61B 17/128 - Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
47.
MEDICAL SYSTEM AND METHOD FOR PROVIDING A TREATMENT PROPOSAL
The present invention relates to a medical system for use when treating a bone with an implant. In a memory device there are stored treatment data records for previous treatment interventions, containing parameter information, treatment information and success information. A data processing device determines, for an upcoming treatment intervention, at least one selected treatment kind in respect of a successful treatment intervention on the basis of provided parameter information and depending on the linking of the success information with the parameter information of previous treatment interventions. A treatment proposal regarding the at least one selected treatment kind is provided to the user. The invention also relates to a method for providing a treatment proposal.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
G16H 50/00 - ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
The invention relates to a shaft (1) of or for a medical hand-held instrument (3), having a distal shaft portion (4) and a proximal shaft portion (2) the front faces (6, 8) of which face each other. At least one of the front faces is adjusted with an angle of inclination not equal 90° with respect to the respective shaft longitudinal axis so that different relative rotational positions of the two shaft portions (2, 4) result in different shaft configurations.
The invention relates to a medially stabilising knee endoprosthesis (100) for a total knee arthroplasty while retaining or dissecting the posterior cruciate ligament, the medially stabilising knee endoprosthesis comprising: a femur bearing surface (55), which is provided on a femur part (50) for alignment in the distal direction, which femur part is designed to be fixed to a distal end of a femur; and a tibia bearing surface (15), which is provided on a tibia part (10) for alignment in the proximal direction, which tibia part is designed to be fixed to a proximal end of a tibia. The femur bearing surface (55) comprises a convex medial femur-condyle bearing surface and a convex lateral femur-condyle bearing surface. The tibia bearing surface (15) comprises a concave medial bearing shell and a concave lateral bearing shell and is designed for receiving and displaceably slidably bearing the femur bearing surface (55), without a fixed medial centre point of the femur bearing surface (55), in the medial bearing shell (21). The medial bearing shell and the lateral bearing shell form an asymmetric tibia bearing surface (15) with respect to one another; and the medial femur-condyle bearing surface and the lateral femur-condyle bearing surface form a non-asymmetrical or quasi-symmetrical femur bearing surface (55) with respect to one another. The medial femur-condyle bearing surface (51) and the lateral femur-condyle bearing surface (52) correspond at least in an anterior femur-condyle radius (R3) of relevant anterior surface portions. The asymmetric tibia bearing surface (15) forms an external continuous proximal height contour; the height contour comprises an anterior height contour portion having at least one anterior height point (H-ant) and a posterior height contour portion having at least one posterior height point (H-post), wherein the anterior height point (H-ant) is proximally raised compared with the posterior height point (H-post) in respect of at least one sagittal plane; and an antero-medial height contour portion of the anterior height contour portion on the medial bearing shell (21) forms an anterior height point (H-ant), raised mostly proximally, as an antero-medial peak point (P). The invention also relates to an associated inlay.
The medical tool has a tool shaft having, in a shaft region, a shaft geometry for introducing torque and for axially securing. The shaft geometry (13) for introducing torque and for axially securing consists solely in at least one trough-shaped indentation (32) in the outer lateral surface of the tool shaft (11).
In order to improve a medical system that comprises at least two differing implants and at least two differing instruments, wherein each of the at least two differing instruments is designed and intended to interact with an associated compatible implant from the at least two differing implants in such a way that said system can be implemented safely, according to the invention, the medical system comprises a microscope which defines a microscope field of view, and a compatibility checking device for automatically checking the compatibility of one of the at least two differing instruments and one of the at least two differing implants which are positioned together in the microscope field of view. The invention also relates to a method for checking the compatibility of implants and instruments of a medical system.
A61B 90/20 - Surgical microscopes characterised by non-optical aspects
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/94 - Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text
A61B 90/96 - Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
A61B 90/92 - Identification means for patients or instruments, e.g. tags coded with colour
A61B 17/128 - Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
52.
GLASS TAG TRANSPONDER INSTALLATION/RETROFITTING FOR MOTOR CABLE
The present invention relates to a medical instrument (22), comprising at least one internal electrical energy load (21), preferably an electric motor, a cable plug (1) and a motor cable (2), which connects the medical instrument to a cable-side end (3) of the cable plug (1) in order to supply the at least one energy load, wherein the cable plug (1) has a pole-side end (4) for insertion into a jack (5) preferably located on a control unit (20), and wherein a glass tag (7) can be or is inserted into or attached to the pole-side end (4) without an application of force and is provided and designed to be readable by an antenna (8) located on the jack (5). The present invention also relates to an adapter component (18) for retrofitting a jack (5) of a control unit (6) and to a system, comprising a medical instrument (22), a motor cable (2), a cable plug (1) and a control unit (20) having a jack (5).
The invention relates to a tibia component for a knee joint endoprosthesis, the tibia component comprising a tibia plate having an upper face and a lower face, and an anchoring projection, projecting from the lower face, for insertion into a medullary cavity of a tibia in order to anchor the tibia component to the tibia. In order to make it easier to position the tibia component on the tibia, the anchoring projection is pivotably and/or rotatably mounted on the tibia plate about a longitudinal axis of the anchoring projection. Furthermore, an improved knee joint endoprosthesis system is proposed.
Tibial trial insert system (1), comprising: a bearing component (100) having a superior articulating surface (101) for articulation with a distal femoral surface; aplate component (200) having an inferior fixation surface (202) for fixation to a proximal tibia; and an adjustment arrangement (A) for adjusting a proximal/distal spacing between the bearing component and the plate component, wherein the adjustment arrangement comprises: an adjustment device (300) having a superior connector element (301) configured to engage with an inferior surface (102) of the bearing component, an inferior base element (302) adapted to be placed at least indirectly upon a superior surface (201) of the plate component, and having a telescopic mechanism (T) operatively coupled to the connector element and to the base element, wherein the telescopic mechanism is user-operable for adjusting a thickness of the adjustment device; and at least one shim (400) configured for insertion between the superior surface of the plate component and an inferior surface of the base element for adjusting a height level of the adjustment device in relation to the plate component.
The present invention relates to a detachable rongeur, comprising a main body, a slider and a movable handle, wherein a front end of the main body is provided with a cutting edge; the movable handle is hinged to both the main body and the slider, and the movable handle can drive the slider to move along first sliding grooves; a cheek portion of the main body is provided with a trigger lock catch structure; and the movable handle can be pulled back and forth, an upper portion of the movable handle is provided with a first feature portion and a second feature portion which are sequentially arranged from bottom to top, and the trigger lock catch structure abuts against the first feature portion or the second feature portion.
The invention relates to a medical, in particular surgical, instrument (1) comprising: two handle elements (10, 12) which are mounted so as to be pivotable with respect to one another; and a spring unit (14) which has two spring end portions (20, 22), each of which is connected to one of the two handle elements (10, 12) such that when at least one of the two handle elements (10, 12) is pivoted out of a starting position, the spring unit (14) can pivot said handle element back into the starting position; wherein the spring unit (14) is adapted to provide a substantially constant spring force when the handle elements (10, 12) are pivoted, and in particular is formed in at least two parts, and has a first spring leg (16) and a second spring leg (18), and a platform-like projection (24, 26) is formed on at least one of the two spring end portions (20, 22) and/or on at least one of the two handle elements (10, 12), via which platform-like projection the spring end portion (20, 22) is rigidly connected to the associated handle element (10, 12), such that, in at least the starting position, the at least one spring end portion (20, 22) is arranged so as to be raised with respect to the associated handle element (10, 12), and a gap forms therebetween.
The invention relates to a medical, in particular surgical, instrument (1), comprising: two handle elements (10, 12), which are mounted so as to be pivotable with respect to one another; and a spring unit (14), which has two spring ends (20, 22), each of which is connected to one of the two handle elements (10, 12), so that when at least one of the two handle elements (10, 12) is pivoted out of a starting position, the spring unit (14) can pivot said handle element back into the starting position; wherein the spring unit (14) is adapted to provide a substantially consistent spring force when the handle elements (10, 12) are pivoted, in particular is formed in at least two parts, and comprises a first spring leg (16) and a second spring leg (18), and at least one of the two spring ends (20, 22) projects into a recess formed in the associated handle element (10, 12) and is materially bonded to the associated handle element (10, 12), in particular such that a gap between recess and spring end (20, 22) is hermetically sealed with respect to the instrument surroundings. The invention also relates to a method for producing a medical instrument according to the additional independent claim.
A knee-joint endoprosthesis (1) is known comprising a tibia component (2), which is designed to be proximally fixed to a tibia and which has a form-fitting section (6) arranged on the upper face, and comprising a meniscus component (3), which is designed to articulate with a femoral joint component and which has a complementary form-fitting section (9) arranged on the lower face, said tibia component and meniscus component being joined together by means of a form-fitting joint connection (F) formed between the form-fitting section and the complementary form-fitting section. According to the invention, at least one reinforcement element (4, 4') which is inserted into the meniscus component is provided, wherein the at least one reinforcement element is designed to mechanically reinforce the form-fitting joint connection and is arranged in the region of the complementary form-fitting section.
The present invention relates to a surgical instrument set (1), comprising: a manual surgical instrument (2) that is supplied with power via a proximal connection portion (10); and a surgical tool (3), detachably connected to said connection portion, having an effector (4); wherein the force transmission from the drive of the manual surgical instrument (2) to a tool shank (14; 39) and the effector (4) fastened thereto takes place by means of a magnetic coupling, which allows the manual surgical instrument (2) to be completely or at least partially, i.e. at least the components of the drive supplied with power, fluid-tightly sealed off from the tool (3), such that the instrument set (1) is suitable for use in a completely flooded field of operation and the manual instrument (2) can be reused.
Tibial trial insert system (1), comprising: a bearing component (100) having a superior articulating surface (101) and an inferior surface (102); a plate component(200) having a superior surface (201) and an inferior fixation surface (202); at least a first spacing adjustment assembly (300) and a second spacing adjustment assembly (400), each spacing adjustment assembly (300, 400) configured to be arrangeable between the inferior surface (102) of the bearing component (100)and the superior surface (201) of the plate component (200), and each spacing adjustment assembly (300, 400) having at least one superior connector element (301, 305, 401,405) configured to removably engage with the bearing component (100) and at least one inferior base element (302, 402) configured to removably engage with the plate component (200), wherein the connector element (301,305,401,405) is movably coupled to the base element (302, 402) in proximal/distal direction; a plurality of shims (500, 600, 700), each shim configured to be slidable between an inferior surface (303, 403) of the connector element (301,305, 401,405) and a superior surface (304, 404) of the base element (302, 402) of the first spacing adjustment assembly (300) and/or the second spacing adjustment assembly (400) to adjust a proximal/ distal height of the respective spacing adjustment assembly (300, 400), in order to thereby adjust a relative proximal/distal spacing between the bearing component (100) and the plate component (200); wherein the first spacing adjustment assembly (300) is configured to allow an adjustment of the proximal/distal spacing within a first adjustment range and the second spacing adjustment assembly (400) is configured to allow an adjustment of the proximal/distal spacing within a second adjustment range.
Tibial trial insert system (1), comprising: a bearing component (100, 100a) having a superior articulating surface (101, 101 a) and an inferior surface (102, 102a); a plate component (200) having a superior surface (201) and an inferior fixation surface (202); a spacing adjustment assembly (300, 300a) configured to be arrangeable between the inferior surface (102, 102a) of the bearing component (100, 100a) and the superior surface (201) of the plate component (200), the spacing adjustment assembly (300, 300a) having at least one superior connector element (301, 301a) configured to removably engage with the bearing component (100, 100a), at least one inferior base element (302, 302a) configured to removably engage with the plate component (200), and having a coupling arrangement (303, 304, 305, 306; 303a) movably coupling the connector element (301, 301a) with the base element (302, 302a) in proximal/distal direction and to a limited extent; a plurality of shims (500, 500', 600, 600a, 700, 720, 740), each shim (500, 500', 600, 600a, 700, 720, 740) configured to be slidable between an inferior surface (307, 307a) of the connector element (301, 301a) and a superior surface (308, 308a) of the base element (302, 302a) to adjust a proximal/distal height of the spacing adjustment assembly (300, 300a), in order to thereby adjust a relative proximal/distal spacing between the bearing component (100, 100a) and the plate component (200).
The present disclosure relates to a screwdriving tool (1) for screwing in a screw (2), having a first tool shaft (4), which has an end-side screw-engaging portion (8) provided and designed for transmitting a torque to the screw (2), and a second tool shaft (5), which is or can be oriented axially with respect to the first tool shaft (4) and in an opposite direction thereto, in such a way that its end-side screw-engaging portion (9) lies axially opposite the end-side screw-engaging portion (8) of the first tool shaft (4), and which is provided and designed to transmit a compressive force axially to the screw (2) in a direction towards the first tool shaft (4). The present disclosure moreover relates to an assembly method for screwing in a screw (2) using a screwdriving tool (1).
The present disclosure relates to an assembly method for screwing a screw (2) into an internal thread of a medical instrument (3), in order to connect two branches (13) of the instrument (3) to each other in such a way that the two branches (13) are pivotable relative to each other, with a screwdriving tool (1) , the method having the following steps: - impressing a punch geometry (8) into a screw head (6) of the screw (2) by application of an axial compressive force to the screw (2) by the screwdriving tool (1), and - rotating the screwdriving tool (1) relative to the instrument (3) about a screw longitudinal axis, in order to transmit a torque in a positively locking manner from the screwdriving tool (1) to the screw (2) via the impressed punch geometry (9) and to screw the screw (2) into the internal thread. The disclosure moreover relates to a screwdriving tool (1) for carrying out the assembly method and to a screw kit consisting of the screwdriving tool (1) and of a screw (2).
The invention relates to a method for capturing and documenting a work cycle of a sterilizable medical product (2), which is preferably held in a holding apparatus (1) and which communicates, preferably wirelessly, with an external data-processing device (6), which is preferably disposed in the holding and/or storing apparatus (1). For this purpose, first a process step or the performance of a process step of the work cycle is captured in accordance with an output signal of at least one sensor (7; 8) preferably disposed in the holding and/or storing apparatus (1), before the output signal is processed (further) by means of the data-processing device (6) to form cycle information and finally said cycle information (6) is stored in a data chain/data sequence saved in a data memory (9) of the medical product (2), the cycle information being stored by means of exactly one bit in the data chain.
G16H 40/20 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
G16H 40/40 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61L 2/00 - Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
The present invention relates to a medical manual instrument (1), which has an instrument body that comprises at least one effector portion (2), at least one gripping portion (3) and an RFID tag (4), which tag is preferably housed in the form of a glass/ceramic tag in the instrument body in accordance with the recessed principle, wherein a cut-out (5) or an open section (6) is formed in the instrument body in a region which is substantially force-free when actuating the manual instrument (1) in an operation, in which cut-out or open section a separate recessed tag holder (7) is housed, which holder fills the cut-out (5) or the open section (6) so as to be adapted to the shape of the manual instrument (1). The present invention also relates to a system having a medical manual instrument (1) and having a reader (15) that can be coupled to the RFID tag (4) for signal transmission.
The disclosure relates to a medical sterile goods container and a device setup for documenting a content and a location of the sterile goods container, comprising the sterile goods container, a transport or storage device and a holding device insertable into the sterile goods container. The sterile goods container is provided with at least one first identification element that is identifiable by an identifier and able to be read digitally, said first identification element being located on an outside of the sterile goods container, and with at least one second identification element that is identifiable by an identifier and able to be read digitally, said second identification element being located on an inside of the sterile goods container, with the identifier of the first identification element of the sterile goods container corresponding to the identifier of the second identification element of the sterile goods container.
G06K 7/00 - Methods or arrangements for sensing record carriers
G06Q 10/08 - Logistics, e.g. warehousing, loading or distribution; Inventory or stock management
G16H 40/40 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
67.
TORSION-PROTECTION HOUSING FOR GLASS TAG TRANSPONDERS
The invention relates to a protective housing (1) for integrating a transponder (3) that can be accommodated in the housing in a medical product (13), in particular in a surgical instrument and/or medicinal product in a sterilization circuit. The protective housing (1) has at least two integrated and diagonally opposite detents (5, 6) on opposite sides, these detents being designed to engage in an undercut in notches (14, 15) in the medical product (13).
The present invention relates to a expandable holder sleeve (2) of a tool set (100) for plug-in reception of surgical tools, comprising fastening portions (14), which are adapted and provided to interact directly with a perforated plate (52, 54) of a holding device (50) of the tool set (100) for fastening to the perforated plate (52, 54), and to radially clampingly engage around the perforated plate (52, 54) such that said fastening portions interlockingly engage axially behind the perforated-plate material in the thickness direction of the perforated plate. The present invention also relates to a tool set (100) for plug-in reception of surgical tools, comprising such a expandable holder sleeve (2) and a holding device (50).
The present invention relates to an expandable holder sleeve (2) of a tool set (100) for plug-in reception of surgical tools, comprising fastening portions (14) which are adapted and provided for hooked-in fastening to a holding device (50) of the tool set (100) such that the fastening portions engage through a hole (58) in the holding device (50) and engage behind the material surrounding the hole (58) axially, counter to an insertion direction of the tool to be inserted, and radially. The invention also relates to a tool set (100) for plug-in reception of surgical tools, comprising such an expandable holder sleeve (2) and a holding device (50).
The present invention relates to an expanding holder (2) of a tool set (100) for holding push-in surgical tools, comprising a catching base (6) which is formed by a planar, chamfer-free plate, from which plate only clamping arms (4) for retaining a tool to be inserted extend axially away and which plate forms a welding, soldering or gluing portion in a central region on one or both flat sides thereof. The present invention also relates to a tool set (100) for holding push-in surgical tools, having such an expanding holder (2) and a retaining device (50).
The invention relates to a bone implant system (1), comprising a plurality of different disc elements (2-7) having different external diameters (DA2- DA7), wherein the disc elements can be stacked axially above one another in different combinations to form different stack arrangements (S1, S2), wherein, owing to the different external diameters of the disc elements, the different stack arrangements have different outer contours (A, A1), and wherein the disc elements each have an interlocking portion (8) situated on a upper face and a complementary interlocking portion (9) situated on an axially opposite lower face, by means of which interlocking portions the disc elements can be interlockingly fixed to one another in the different stack arrangements in the radial direction and/or the circumferential direction. The invention also relates to a bone implant (100) produced using such a bone implant system and to a method for producing such an implant.
The present invention relates to a method for producing a sliding surface element based on UHMWPE for a joint endoprosthesis, comprising the steps of: - mixing UHMWPE in powder form with 0.09 to 0.11 wt.% of an antioxidant; - compressing the UHMWPE reacted with the antioxidant to form a molded body; - producing one or more sliding surface elements from the molded body by material-removing machining; and - irradiating the sliding surface element using gamma radiation or x-ray radiation with a radiation dose of 25 to 45 kGy in order to cross-link the UHMWPE, wherein the method does not comprise any thermal post-treatment of the irradiated sliding surface element.
The invention relates to a surgical instrument, a tool device for such a surgical instrument, and a method for producing such a tool device. A surgical instrument which comprises a shaft, a tool device having a first and a second jaw part and a control assembly, and comprising a handle device, is known. According to the invention, the second jaw part comprises a receiving recess together with a control projection of the control assembly. Use in a surgical instrument.
A61B 17/29 - Forceps for use in minimally invasive surgery
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
74.
MEDICAL PACKAGING DEVICE, MEDICAL PACKAGING SYSTEM, METHOD FOR PRODUCING A MEDICAL PACKAGING DEVICE, AND METHOD FOR STERILE PACKING OF A STRAINER BASKET
The invention relates to a medical packaging device for the sterile packing of a strainer basket, wherein: the packaging device defines a receiving chamber for receiving a strainer basket in a packaging position, and an insertion opening for inserting a strainer basket into the receiving chamber; the insertion opening is open in an insertion position; the packaging device is formed from a flat-material sheet by folding multiple times, which flat-material sheet is not folded in an initial position; the receiving chamber comprises, in the insertion position, two receiving-chamber flat-material-sheet surface regions that are adjacent to one another and are delimited by at least three fold lines of the flat-material sheet such that the receiving chamber is closed on all sides apart from the insertion opening; the packaging device comprises an unfolding-prevention means for preventing the packaging device, in the insertion position, from being completely unfolded back into the initial position.
A61B 50/30 - Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
The invention relates to a sterilisation basket (1) which is provided and designed for insertion into and removal from a container well (101), for which purpose at least one, preferably stirrup-shaped or arched, basket handle (5) is mounted movably, in particular pivotably, on at least one basket side wall (3) and has a gripping portion, which is connected to a bearing portion via a connection web oriented at an angle to the gripping portion, on which bearing portion the basket handle (5) is held on a bearing on the wall of the basket and is movable, in particular pivotable, into at least one carrying position and into a fixing position, the sterilisation basket also having at least one fixing and/or pressing portion (6) or element, which is spaced from the gripping portion and is mounted on the at least one basket side wall (3) and is movable and/or deformable by a selected movement of the basket handle (5) from the basket side wall (3) in the direction outside the sterilisation basket (1) in order to bear against a container well (101). The invention also relates to a sterilisation basket system and to a container system (100) having a sterilisation basket according to the parallel claims.
The present disclosure relates to a method for capturing multiple computer-readable codes, preferably barcodes and/or 2D-codes, of a medical product or a packaging of a medical product for assisting a user, the method comprising the steps: Capturing an image of the medical product or its packaging having the codes by a capturing device (2), preferably a smartphone having a camera; Extracting at least a first and a second computer-readable code in the captured image; Interpreting the code data by an interpretation device (4) and retrieving information of at least a product-ID and further product information, preferably an expiry date, from the code data; Determining, on the basis of the retrieved information, if a predefined set of relevant information for the medical product is included in the information of the captured code and/or a linked database (8), Selecting the second code as a relevant code, if the retrieved information of the first code is fully included in the retrieved information of the second code, or selecting the first code and the second code as the relevant code, if each code includes at least one part of the information of the predefined set of relevant information; Transmitting, based on the result of the determining and on the result of the selecting, a code marker for each code to a displaying device (6); and Displaying an overlay image with the captured image and, according to the code marker, a marking of the code for adding assisting visual information to the code in order to provide an improved overview of the computer-readable codes to the user.. Besides the present disclosure relates to a reading device, a reading system and a computer readable storage medium according to the independent claims.
G16H 10/60 - ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
G06K 19/06 - Record carriers for use with machines and with at least a part designed to carry digital markings characterised by the kind of the digital marking, e.g. shape, nature, code
G06Q 10/08 - Logistics, e.g. warehousing, loading or distribution; Inventory or stock management
G16H 20/10 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
G16H 20/13 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered from dispensers
G16H 40/20 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
G16H 70/20 - ICT specially adapted for the handling or processing of medical references relating to practices or guidelines
G16H 70/40 - ICT specially adapted for the handling or processing of medical references relating to drugs, e.g. their side effects or intended usage
The invention relates to a medical clip which comprises a first clamping arm, a second clamping arm and a pretensioning element with a first end and with a second end, wherein the first clamping arm has a first clamping arm end, which is connected to the first end of the pretensioning element via a first connecting portion, wherein the second clamping arm has a second clamping arm end, which is connected to the second end of the pretensioning element via a second connecting portion, wherein the clip comprises a plug-through closure with a closure aperture arranged or formed on the first connecting portion and a closure portion which the second connecting portion comprises and which passes through the closure aperture, wherein the first clamping arm and the second clamping arm, in a starting position of the clip, are at maximum proximity to each other, and in particular bear on each other, and, counter to the action of the pretensioning element, are movable away from each other from the starting position to an open position.
The present disclosure concerns a distal femur alignment system (1) comprising a resection guide (3), in particular a cutting guiding block (3), for guiding a resection cutting instrument and an adjustment device (4) for adjusting the resection guide (3) which is adapted to be temporarily fixed to a femur (2) and comprises an angle adjustment module for adjusting an angle (a) between the resection guide (3) and the femur (2) as well as a height adjustment module for adjusting a cutting height (he) between the resection guide (3) and the femur (2), therefor the angle adjustment module and the height adjustment module each comprising a manually operable user adjustment element (7, 8), characterized in that, the user adjustment elements (7, 8) are supported on and rotatable about a common rotation axis (R) so as to be separately and independently operable for angle adjustment and height adjustment.
The invention relates to a medical instrument (1) with a first instrument branch (2) which has a first bearing portion (4) with a first support surface (6) and with a second instrument branch (3) which has a second bearing portion (5) with a second support surface (7), against which the first support surface (6) bears flat such that it can pivot in a sliding fashion so that the first instrument branch (2) is pivotable relative to the second instrument branch (3) about a pivot axis (11), the first bearing portion (4) and/or the second bearing portion (5) having, in the region of the pivot axis (11), a shoulder portion (12) or a shoulder element with an end face comprising the associated support surface (6, 7), said shoulder portion or shoulder element being stepped outwardly relative to the associated bearing portion (4, 5) in the direction of a pivot axis (11) of the medical instrument (1), such that the associated support surface (6, 7) is stepped outwardly relative to the associated bearing portion (4, 5).
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
80.
METHOD, APPARATUS AND SYSTEM FOR STORING USAGE DATA AND TRACKING A MEDICAL PRODUCT
The present invention relates to a computer-implemented tracking method, an apparatus and a tracking system for storing usage data of a medical product, comprising detecting usage of the medical product, creating the usage data which relate to the detected usage of the medical product, and storing the usage data in a data record in a form which cannot be modified retrospectively, specifically in a blockchain. In addition, the present invention relates to a tracking system, an apparatus and a computer-readable storage medium according to the additional independent claims.
G06Q 10/06 - Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G06F 21/64 - Protecting data integrity, e.g. using checksums, certificates or signatures
The present disclosure relates to a patella preparation system (1) comprising a fixing device being adapted to fixedly hold a patella (2), a guiding device (3) which is linked to the fixing device to be moveable relative thereto, preferably by translatory and/or tilting movements/motions, and an operation device (14, 17) for manually moving the guiding device (3) relative to the fixing device (9) individually and separately in a translatory and a tilting manner. Moreover, the present disclosure relates to a method of using the patella preparation system (1) according to the disclosure.
The invention relates to an application system for medical clips, comprising: at least one first application instrument for positioning a first type of a medical clip; and at least one first medical clip of the first type; wherein the first application instrument comprises two first tool elements which are movable relative to one another; wherein the at least one first medical clip of the first type has a first proximal end region and two first connection portions which attach distally to the first proximal end region, which defines a first volume region, and connect the first proximal end region to two clamping arms, which are movable relative to one another, of the at least one first clip of the first type; wherein the two first tool elements comprise therebetween a first distally open end region receptacle for interlockingly or substantially interlockingly receiving the first proximal end region, and each comprise a first connection portion receptacle for at least partially receiving a first receiving portion of the first connection portions.
A61B 17/128 - Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
The invention relates to a hand-held sliding shaft-type (2) surgical instrument, comprising a shaft (5), in which a longitudinal groove (7) is formed extending over the length of the shaft, and a slide (6), which is movably mounted in the longitudinal groove (7) and the relative movement of which in the longitudinal groove (7) is at least partly guided by at least one shaft (5) connecting piece (8) which constricts the longitudinal groove (7) in the width direction of the groove, wherein the shaft (5) has a cleaning recess (10) in the region of the connecting piece (8) in the longitudinal direction, said cleaning recess forming a radial through-opening which opens into the longitudinal groove (7) from the groove base side.
A surgical instrument is known, which has two gripping limbs and a blocking means, which is provided in order to releasably lock the two gripping limbs relative to one another, wherein the blocking means has a female locking assembly in the region of one gripping limb and has a male locking assembly in the region of the other gripping limb, wherein the female locking assembly has a mechanical control device for locking and releasing a locking portion of the male locking assembly. According to the invention, a mechanical control assembly is assigned to the male locking assembly and is provided in order to move the locking portion of the male locking assembly out of an end position which defines a neutral position into an end position which defines a functional position and, conversely, out of the end position which defines the functional position into an end position which defines the neutral position, and the control assembly comprises securing means which are provided in order to secure the locking portion in both end positions. Use for open-surgery instruments.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
The invention relates to a medical instrument system (1) comprising: a handpiece (7), which has a housing (7a) in which a drive (8) and/or a gearing mechanism is accommodated and which preferably has a housing part (7b) which is or can be attached thereto; and a surgical tool (2), in particular a surgical milling or drilling tool, which is supported on the housing (7a) and/or the housing part (7b) by a plurality of rotary bearings (9, 10) and which is or can be coupled for conjoint rotation and in an axially fixed manner, preferably via a torque-transmission cable (8a), to the drive (8) and/or gearing mechanism so as to transmit a torque from the drive (8) and/or gearing mechanism to the tool (2); wherein at least a first (9) of the rotary bearings (9, 10) in the region of a distal end portion of the tool (2) is connected to the tool (2) to form a unit, and at least a second (10) of the rotary bearings (9, 10) is accommodated in the housing (7a) or the housing part (7b), proximally to at least one first rotary bearing (9), so as to be stationary.
The present invention relates to a modular detection system for insertion in a strainer basket (1) for detecting, monitoring and tracing sterile material (2) in a sterilization circuit, wherein the modular detection system is provided and designed as a strainer basket insert (3) which can be inserted directly in the strainer basket (2) or arranged on a base plate (4) therein, having the following individually and optionally electrically couplable modules: a central electronic unit (5), a defined or freely selectable number of slots (6) for attaching and/or connecting a predetermined number of retainer systems (7) for retaining sterile material (2), which is provided and designed with in each case at least one antenna system (8) for reading a transponder in the sterile material (2), and a preferably defined number of conductor tracks (9), which are provided and designed to connect electrically the slots (6) and/or retaining systems (7) to one another and/or to the central electronic unit (5).
A61B 90/98 - Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
G16H 40/20 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
G16H 40/40 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
G16H 40/63 - ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
A61B 90/90 - Identification means for patients or instruments, e.g. tags
A61L 2/24 - Apparatus using programmed or automatic operation
G06K 19/07 - Record carriers with conductive marks, printed circuits or semiconductor circuit elements, e.g. credit or identity cards with integrated circuit chips
87.
MEDICAL INSTRUMENT AND METHOD FOR PRODUCING A MEDICAL INSTRUMENT
The aim of the invention is to improve a medical instrument, which comprises at least one instrument arm, a toothing with at least two teeth being formed at a distal end of the instrument arm, which two teeth project perpendicularly from the distal end, wherein each of the at least two teeth has two tooth flanks pointing away from one another, in such a manner that the production of the medical instrument is simplified, it is proposed that each tooth flank has at least one first flat surface region and at least one second flat surface region, that the at least one first flat surface region and the at least one second flat surface region are inclined relative to one another by a surface region angle and that the first and second surface regions are formed by milling, in particular using a CNC machine. The invention further relates to an improved method for producing a medical instrument.
The invention relates to a femoral sizer system (1) for knee arthroplasty comprising: a main bloc (2) having a plane back surface (5) for being placed in contact with a processed distal face of a femur (F) for distal referencing, at least one, preferably two, fixed feet (6) extending mainly perpendicular to and away from the back surface (5) for posterior referencing, and a docking unit (7) for docking with a corresponding connecting unit (8); an anterior stylus (3) having a stylus tip (10) for being placed in contact with an anterior face of the femur (F), the anterior stylus (3) being attached or attachable to the main bloc (2) and being adapted to adjust a position of the stylus tip (10); and a reversible orientation guide (4, 4') having at least two referencing orientation points, preferably in the form of two drilling holes (9), that are provided and adapted for implementing referencing pins in the femur for referencing anatomical landmarks, and having the connecting unit (8) corresponding to and interacting with the docking unit (7), the reversible orientation guide (4, 4') being adapted to be reversibly, detachably coupled to and uncoupled from the docking unit (7) of the main bloc (2) via its connecting unit (8) with at least two different sides of the reversible orientation guide (4, 4') resulting, depending on the side, in two different positions of the two referencing orientation points relative to the main bloc (2), so that the femoral sizer system (1) is configured to be used for the right knee joint as well as for the left knee joint. Besides, the invention relates to a knee arthroplasty system comprising a femoral sizer.
The invention relates to a femoral stem offset adjustment system (1) for adjusting a femur implant (2) in reference to an intramedullary channel (3) of a femur, the adjustment system (1) comprising a femur support (5), a user adjustment element (6), a stem support (7), a first link member (8) rotatably holding the user adjustment element (6) in the femur support (5), a second link member (9) integrally rotatably coupling the user adjustment element (6) and the stem support (7), and a third link member slidably connecting the user adjustment element (6) and the stem support (7), wherein at least two of the first link member (8), the second link member (9) and the third link member, preferably the longitudinal axes thereof, are arranged substantially in a common plane, the plane being perpendicular to the rotational axis.
In order to improve a medical clip, in particular in the form of an aneurysm clip which comprises a first clamping arm, a second clamping arm and a pre-tensioning element, wherein the first clamping arm is connected to a first end of the pre-tensioning element, wherein the second clamping arm is connected to a second end of the pre-tensioning element, and wherein the first clamping arm and the second clamping arm are maximally approximated to each other, in particular bearing on each other, in a basic setting of the clip and are movable away from each other, counter to the action of the pre-tensioning element, from the basic setting to an open setting, it is proposed that the medical clip is formed at least in part by a generative production method, that the medical clip comprises at least one first clip portion and at least one second clip portion, and that the at least one second clip portion is integrally formed directly on the at least one first clip portion by a generative production method. An improved method for producing a medical clip is further proposed.
A61B 17/128 - Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
A61B 17/00 - Surgical instruments, devices or methods, e.g. tourniquets
91.
METHOD FOR PRODUCING A SURGICAL INSTRUMENT FOR GRASPING AND/OR HOLDING AND/OR GUIDING A NEEDLE
The invention relates to a method for producing a surgical instrument for grasping and/or holding and/or guiding a needle, comprising the following steps: a) providing a first arm part (10) and a second arm part (10'), wherein the first arm part (10) and the second arm part (10') each comprise a distal holding jaw (30, 30') having a recess and a solder deposit region in a free end of the distal holding jaw (30, 30'); b) inserting a hard metal insert (40) into the recess in the distal holding jaw (30) of the first arm part (10) and inserting a hard metal insert (40') into the recess in the distal holding jaw (30') of the second arm part (10'); c) joining the first arm part (10) and the second arm part (10'), wherein, when joined, the first arm part (10) and the second arm part (10') are mounted so as to be pivotable relative to one another at a joint (20); d) filling the solder deposit region of the first arm part (10) and filling the solder deposit region of the second arm part (10') with solder in each case; and e) soldering the hard metal insert (40) inserted into the recess in the distal holding jaw (30) of the first arm part (10) to the first arm part (10) and soldering the hard metal insert (40') inserted into the recess in the distal holding jaw (30') of the second arm part (10') to the second arm part (10'), in each case using the solder.
The invention relates to a medical, motor-operated or hand-operated or operable instrument (1) comprising a number of bearings for supporting a shaft (21) for applying torque to a tool (17), of which bearings at least two selected or selectable bearings (6a, 6b) form a bearing pair (6), and comprising a distance sleeve (6c) which axially spaces apart the bearings (6a, 6b) of the bearing pair (6), wherein the instrument (1) comprises: a component (11) which is located at least partly radially inside the distance sleeve (6c) and which is or can be rotationally coupled to at least one of the two bearings (6a, 6b) of the bearing pair (6) in order to rotate together with a rotating part of the at least one bearing (6a, 6b) of the bearing pair (6) or to form a rotating part of the at least one bearing (6a, 6b) of the bearing pair (6); at least one permanent magnet (12) which is fastened or formed on or in the component (11); and a coil (13) which is arranged on or in the distance sleeve (6c).
In order to improve a knee joint endoprosthesis set (10) for knee joint replacement of a patient, including a knee joint endoprosthesis (14) with a femur component (16), a tibia component (18) and a meniscus component (20) so that there is more flexibility for a surgeon during implantation of a knee joint endoprosthesis, the knee joint endoprosthesis set comprises an additional meniscus component (22), the two meniscus components are different from each other and to form the knee joint prosthesis one of the two meniscus components is located between the femur component and the tibia component and cooperates with them. The invention also relates to a patient knee joint endoprosthesis set and an improved knee joint endoprosthesis system.
The invention relates to a tibial sample implant (1, 100) for use in knee joint replacement surgery, having a lower part (2, 102) which is provided for a tibial fixation, an upper part (3, 103) which is arranged above the lower part in the vertical direction and which comprises a sliding surface (5, 105) that is arranged on the upper face of the upper part and is designed to interact with a femoral component in a sliding manner, and a height adjustment mechanism (E, E') that interacts with the upper part and lower part and can be used to move the upper part in the vertical direction (Z) in a guided manner relative to the lower part between a first setting position, in which the sliding surface is positioned at a first height (H1) above the lower part, and a second setting position, in which the sliding surface is positioned at a second height (H2) above the lower part. According to the invention, the height adjustment mechanism has a cam mechanism with at least one drive gear (6a, 6b, 106a, 106b), which is rotatably mounted on the lower part about a first rotational axis (8a, 8b) oriented parallel to the vertical direction and has a control cam (9a, 9b, 109a, 109b) that ascends in the vertical direction, and at least one output element (7a, 7b, 107a, 107b), which is rotationally fixed to the upper part and has a support section (10a, 10b, 110a, 110b) that is supported on the control cam in a sliding manner, whereby the upper part can be moved between the first setting position and the second setting position by a rotational movement of the drive gear.
The present invention relates to the technical field of medical instruments, and in particular, to a laminectomy punch. The laminectomy punch includes a main body provided with a slide rail, a slide bar connected to the main body and a movable handle, where a cutting edge is disposed at the front end of the main body, and the movable handle abuts against the slide bar and can push the slide bar to move along the slide rail, and the laminectomy punch also includes a locking structure arranged on the main body and used to switch a working state or a disassembled state of the laminectomy punch; the locking structure includes a first state and a second state; when the locking structure is in the first state, the movable handle keeps abutting against the slide bar under the limiting action of the locking structure, and the slide bar can move normally along the slide rail, in which case the laminectomy punch is in the working state; and when the locking structure is in the second state, the movable handle can move downwards, the front end of the slide bar lifts up and is separated from the movable handle, the slide bar is away from the slide rail, in which case the laminectomy punch is in the disassembled state. The laminectomy punch of the present invention is easy to disassemble, clean and disinfect, and can be cleaned without being disassembled into components, thereby solving the problem that components are easy to lose.
The disclosure relates to a sterile separation element (1) for sterile separation which is intended to be arranged between connectors (10, 11) of a plug connection/electromechanical port (2) and thereby to ensure sterile separation of the connectors (10, 11). The electromechanical port (2) has at least one electrical contact pin (9) which individually penetrates the sterile separation element (1) in such a manner that the sterile separation element (1) directly bears with the full circumference in a pathogen-tight fashion on at least one electrical contact pin (9). The at least one electrical contact pin (9) has two free pin ends which are intended and designed to come into electromechanical or electrically conductive plug contact with mating electrical sockets (12) of at least two leads (5) to be connected.
The invention relates to a medical instrument (101) having: an instrument body (107), which has a prepared depression (103) or opening in an instrument body surface (104), and an installed transponder module (1) having: a transponder (2), preferably an RFID transponder, particularly preferably a glass transponder; a housing (3) which has an upper side (6) and a lower side (7) and in which the transponder (2) is accommodated and which is provided and designed to be installed or inserted into the prepared depression (103) or opening in the medical instrument (101) with its lower side (7) facing towards the depression (V) so that the lower side (7) is set back in relation to the upper side (6) of the installed transponder module (1) and the instrument body surface (104); and a screen (4), which is signal-opaque to electromagnetic waves and has a signal-transparent screen opening (5), the transponder (2) being spaced from the screen (4) and set back relative to same towards the lower side (7) of the installed transponder module (1). The invention also relates to a medical transponder communication system according to the further independent claim.
The invention relates to a medical apparatus and to a medical method in which reference position information regarding a reference element (66) situated on a bone (26) is checked for consistency with a position of the reference element (66) in a reference coordinate system, which system is defined by a marking device (22) and can be monitored by a navigation device (16). In this way, the model dataset (64) can be recorded in the reference coordinate system. The invention also relates to a data processing program and to a program memory medium.
A61B 34/20 - Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
The invention relates to an intramedullary tibia alignment system (1) having an alignment rod (3), a tibial resection guide (4) and a tibial alignment jig (5), the tibial alignment jig (5) having a sliding rail (6), a casing (8) slidably receiving the sliding rail (6) and being attached to the alignment rod (3), and a user adjustment element (9) rotatably held by the alignment rod (3) and functionally connected to the casing (8) by a link element (22) such that a rotation is converted into a pivoting movement, wherein the user adjustment element (9) and the alignment rod (3) are adapted to interlock with each other at a plurality of rotational positions of the user adjustment element (9), which plurality of rotational positions correspond to different orientations of the alignment rod (3) in accordance with the pivoting movement of the alignment rod (3).
The invention relates to a hip implant system (1), comprising - an artificial hip socket (10) and - an artificial ball socket insert (20), containing or consisting of metal or an alloy, some parts of the artificial ball socket insert (20) being coated with a ceramic coating (50).
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