US Pat. No. 9,095,395

SURGICAL K-WIRE AND SURGICAL SCREW SYSTEM

Aesculap AG, Tuttlingen ...

1. A surgical screw system comprising:
a bone screw having a longitudinal channel extending from a proximal end up to a distal end, and
a surgical K-wire for guiding the bone screw, the K-wire comprising:
a proximal and a distal end, and
a closure element for closing-off a distal end outlet opening of the longitudinal channel of the bone screw arranged or formed
at the distal end,

wherein:
the K-wire and the closure element are connected to one another in an inseparable manner or are formed in a one piece manner
and a predetermined breaking point is formed, arranged or provided between the distal end of the K-wire and the closure element,

the closure element comprises at least one closure section extending in a longitudinal direction,
the at least one closure section has a non-round cross section with only two opposing flat surfaces,
the bone screw has at least one lateral cement outlet opening, and
the predetermined breaking point is arranged such that the closure element, after separating from the K-wire at the predetermined
breaking point, remains between the distal end outlet opening and the at least one lateral cement outlet opening leaving the
at least one lateral cement outlet opening open.

US Pat. No. 9,393,074

STERILE CONTAINER SYSTEM COMPRISING A TRANSPORTATION SAFETY DEVICE

Aesculap AG, (DE)

1. A sterile container system for the sterile transport and storage of at least one medical instrument and/or implant at least
during a sterilization process, comprising a closable sterile container which is formed by a lid and a trough, and at least
one sieve cage which can be inserted therein, wherein
at least one elastic fastening device is present which is formed as a pressing element configured to act on the at least one
medical instrument and/or implant which is inserted in the sieve cage, actively immobilizing said at least one medical instrument
and/or implant on the sieve cage in both a vertical direction and a transverse or lateral direction, by pressing said at least
one medical instrument and/or implant onto the sieve cage, wherein the at least one elastic fastening device, acting as said
pressing element, also actively immobilizes the sieve cage on the sterile container via a direct contact between the at least
one medical instrument and/or implant and the sieve cage.

US Pat. No. 9,226,986

SURGICAL STERILIZING CONTAINER AND SURGICAL FLUID EXTRACTION DEVICE

Aesculap AG, Tuttlingen ...

1. Surgical sterilizing container, comprising:
a bottom and a container wall,
a through-opening for exchange of media being formed on the sterilizing container,
a valve device comprising a pressure-actuatable outlet valve for opening and closing the through-opening, the through-opening
being formed in the container wall and being at a distance from the bottom,

a fluid lifting device for providing a fluid connection from the bottom to the outlet valve, the fluid lifting device comprising
a fluid channel for providing the fluid connection, through which fluid is liftable from the bottom to the outlet valve and
comprising a channel inlet opening for the fluid and a channel outlet opening for the fluid, and

a valve holder, which is fixed to the container wall, on which the outlet valve is held,
wherein:
the valve holder is fixed to the container wall from an inner side of the container,
the valve holder is inserted in the through-opening and forms a valve seat of the outlet valve,
the fluid channel is delimited by at least a first channel wall formed by the valve holder and a second channel wall which
forms a cover covering the outlet valve on the inner side of the container.

US Pat. No. 9,351,781

SURGICAL PROCEDURE FOR EXPANDING A VERTEBRAL CANAL

Aesculap AG, Tuttlingen ...

1. Surgical method for expanding a vertebral canal of a vertebra, comprising:
a single splitting incision, the single splitting incision splitting a vertebral arch into vertebral arch sections to form
an incision gap, the incision gap being bounded by opposed incision surfaces, and

expanding the incision gap to a prescribed gap width such that the bone substance of the vertebral arch sections is thereby
elastically/plastically deformed,

wherein the expansion of the incision gap, with the bone substance of the vertebral arch sections thereby being elastically/plastically
deformed, is performed such that forces acting on the incision surfaces are limited to about 500 N or less, preventing fracturing
of lamina of the vertebral arch,

wherein the single splitting incision is the only incision made in the vertebral arch.

US Pat. No. 9,498,346

SURGICAL IMPLANT FOR WIDENING A VERTEBRAL CANAL

Aesculap AG, Tuttlingen ...

1. Implant for use in a laminoplasty or laminectomy method in which a vertebral arch of a vertebra is cut through, forming
an incision gap, or in which the vertebral arch is partially removed and the implant is inserted in the incision gap, wherein
the incision gap is bounded by incision faces opposed to each other, wherein the implant comprises:
an implant body having two contact faces which in an inserted state in the incision gap are configured to contact incision
faces of the vertebral arch,

a fixation device comprising one or more fastening elements in a form of at least one of (i) one or more screws, (ii) one
or more bolts, and (iii) one or more dowels, which are transitionable from an inoperative position to an operative position
by one or more actuating devices,

wherein tips of the one or more fastening elements in the inoperative position are arranged within a contour of the implant
body and in the operative position are configured to emerge from openings in the contact faces into surrounding bone substance.

US Pat. No. 9,192,414

IMPLANT FOR STABILIZING SPINOUS PROCESSES

Aesculap AG, Tuttlingen ...

1. An implant for stabilizing spinous processes of adjacent vertebral bodies relative to one another, the implant comprising:
A) a first contact element and a second contact element, wherein to stabilize the spinous processes, the first contact element
can be placed laterally onto a first side of the spinous processes and the second contact element can be placed laterally
onto a second side of the spinous processes, which is remote from the first side;

B) at least one clamping element, coupling to the first contact element, and movable relative to the second contact element,
the clamping element configured to extend through the intervertebral space between the spinous processes and extending through
a through-hole formed in the second contact element, the through-hole having a length, with the clamping element passing completely
through and projecting beyond the through-hole;

C) at least one fixing element, which is arranged on the second contact element and which can be brought into engagement with
the at least one clamping element to clamp the second contact element in the direction of the first contact element along
the at least one clamping element; and

D) an articulation device, by means of which at least one of the first contact element and the second contact element is arranged
so as to be movable by tilting on the at least one clamping element,

wherein:
the first contact element is movable relative to the at least one clamping element in the longitudinal direction thereof;
the at least one clamping element comprises at least one support member for support directly or indirectly on the first contact
element against a movement in the direction of the second contact element;

the articulation device comprises at least one articulation element through which the at least one clamping element extends,
said articulation element having an articulation face, which cooperates with a corresponding articulation face of the first
contact element facing away from the second contact element or a corresponding articulation face of the second contact element
facing away from the first contact element; and

the at least one articulation element comprises or forms an articulation sleeve, the at least one clamping element being displaceably
guided in its longitudinal direction through the articulation sleeve.

US Pat. No. 9,078,704

CONNECTING ELEMENT FOR A STABILIZATION SYSTEM FOR THE VERTEBRAL COLUMN, AND STABILIZATION SYSTEM FOR THE VERTEBRAL COLUMN

Aesculap AG, Tuttlingen ...

1. A connecting element for a stabilization system for the vertebral column, the connecting element comprising:
a first attachment section for fixing to a first bone fixation device;
a second attachment section for fixing to a second bone fixation device;
an at least partially flexible intermediate section arranged or formed between the first and second attachment sections, said
intermediate section having a serpentine shape defining at least one recess which is open at the sides in a direction transverse
to a longitudinal axis defined by the intermediate section, the at least one recess delimited by two sections and defining
an insertion opening, the two sections extending toward one another in the direction of the insertion opening to define a
constriction at the insertion opening; and

an anti-twisting device,
wherein at least one movement limiting member is provided, which comprises a filling body and at least one stop device acting
at least in one of a direction parallel or substantially parallel to the longitudinal axis and a circumferential direction,
the filling body having a cross-sectional taper defining a constriction,

wherein the filling body, in a normal position in which no external forces act on the intermediate section, engages at least
partially in the at least one recess, with the constriction defined by the filling body engaging the constriction defined
in the insertion opening to substantially prevent removal of the filling body from the at least one recess, and

wherein the anti-twisting device prevents twisting of the intermediate section about the longitudinal axis.

US Pat. No. 9,610,107

ROD INSERTION INSTRUMENT

Aesculap AG, (DE)

1. A rod insertion instrument for the insertion of a fixation rod into tulips of adjacent pedicle screws in a context of a
dorsal spinal column stabilization, the rod insertion instrument comprising:
a grip portion,
a tube section adjoining the grip portion,
a gripping head carried by the tube section in which the fixation rod is rotationally fixedly and angularly stably receivable
with its proximal end, and

a locking rod,
wherein a connection between the fixation rod and the gripping head is releasable by a manually drivable sliding body,
wherein the gripping head is attached to the tube section exclusively via a lockable joint with which there is enabled a pivoting
movement of the tube section toward the fixation rod during a process of fixing the fixation rod to the pedicle screw,

the gripping head comprising a two-armed lever having a first lever arm and a second lever arm, where the first lever arm,
facing the tube section, has a plurality of locking recesses formed in the first lever arm, the locking rod adapted to selectively
engage the plurality of locking recesses to fix an orientation of the gripping head relative to the tube section in predetermined
angles.

US Pat. No. 9,661,769

LOCKABLE PRESSURE CASING

Aesculap AG, (DE)

1. A housing portion of an electric or electronic apparatus of medical design, the housing portion comprising at least two
housing parts and a locking mechanism for connecting the at least two housing parts with each other, the locking mechanism
being operable from outside the housing portion, the locking mechanism comprising at least one lock or slide which is held
on a first housing part of the at least two housing parts, so as to be longitudinally displaceable, and is provided with at
least one ramp and at least one undercut or detent lug spaced from the at least one ramp in a sliding direction, whereas a
second housing part of the at least two housing parts is provided with at least one protrusion which is formed or arranged
for defining at least two engagement means in such a manner that the engagement means, depending on a current sliding position
of the at least one lock or slide, alternately comes into operative engagement with the at least one undercut or detent lug
for pulling the second housing part toward the first housing part, or operative engagement with the at least one ramp for
pushing the second housing part away from the first housing part, the housing portion further comprising an actuation mechanism
for longitudinally shifting the at least one lock or slide from outside the housing portion, said actuation mechanism comprising
a set screw which is screwed in the first housing part in a sliding direction of the at least one lock or slide and has a
front face engaging the at least one lock or slide in order to push and pull the at least one lock or slide in a longitudinal
direction.

US Pat. No. 9,211,149

SURGICAL APPARATUS

Aesculap AG, Tuttlingen ...

1. A surgical apparatus for the implantation of a spinal column stabilization system, which spinal column stabilization system
comprises at least two bone screws which are respectively anchorable in a vertebra of a spinal column and which respectively
comprise at least one first connecting element seating, and at least one connecting element which corresponds to the first
connecting element seating and is insertable and fixable therein, wherein the apparatus comprises at least one multi-function
sleeve having a proximal and a distal end, which multi-function sleeve defines a longitudinal axis and comprises a connecting
element coupling device, a spreading-device coupling device and a holding instrument coupling device, wherein the multi-function
sleeve comprises an internal wall surface which is rotationally symmetrical with respect to the longitudinal axis, and wherein
no projections protrude from the internal wall surface or beyond it in the direction of the longitudinal axis.

US Pat. No. 9,561,047

SURGICAL HAND GRIP AND A SURGICAL TUBULAR SHAFT INSTRUMENT WITH A SURGICAL HAND GRIP

Aesculap AG, Tuttlingen ...

1. A surgical hand grip for a surgical tubular shaft instrument, comprising:
a coupling device for coupling to a tubular shaft tool which has a tubular shaft and a force transmission element that is
movable back and forth relative to the tubular shaft,

the coupling device comprising a coupling element for coupling to the force transmission element and a connecting element
for connecting to the tubular shaft,

a gripping device which is operatively connected to the coupling element and is transferable from a non-actuating disposition
into at least one actuating disposition and vice versa thereby changing a mutual relative spacing between the coupling element
and the connecting element due to a transferral of the coupling element from a non-actuating position into at least one actuating
position,

a grip axis defined by the hand grip, and
a guiding device comprising a guiding body for guiding the coupling element along the grip axis during a transfer of the coupling
element from the non-actuating position into the at least one actuating position independently of the disposition of the gripping
device during the transfer from the non-actuating disposition into the at least one actuating disposition,

wherein:
the guiding body comprises an axial sleeve and defines the grip axis,
the coupling element is mounted in the sleeve in a displaceable manner and is guided by the sleeve during the transfer from
the non-actuating position into the at least one actuating position,

the sleeve comprises an axial slit-like through opening along at least a section of a displacement path which is traversed
by the coupling element relative to the sleeve during the transfer from the non-actuating position into the at least one actuating
position, and vice versa,

the sleeve further comprises a window-like through opening which extends over a larger angular range in a circumferential
direction of the grip axis than the slit-like through opening, and

the coupling element, in order to couple the force transmission element thereto or to decouple the force transmission element
therefrom is configured to be disengaged relative to the guiding body transversely or at an angle with respect to the grip
axis and thereby partially engages in or passes through the window-like through opening.

US Pat. No. 9,549,756

MEDICAL INSERTION AID COMPRISING DRAWN INSERTION DUCT

Aesculap AG, (DE)

1. A medical insertion aid for surgical instruments and/or optical systems, the medical insertion aid comprising:
a shank forming an insertion duct, the insertion duct comprising an inner wall, wherein at least one groove extending in a
longitudinal duct direction or being longitudinally oriented is formed at the Inner wall of the insertion duct, the shank
including in its axial central and/or distal end portion at least one radially outwardly extending fluid flow inhibiting edge
that extends in a closed ring shape around the shank and is of one-piece with the shank, wherein the at least one radially
outwardly extending fluid flow inhibiting edge forms at least one axially opening circular channel, the channel comprising
an opening that is directed distally and/or proximally, and wherein the channel inhibits the flow of fluid by sucking fluid
into the channel by capillary action.

US Pat. No. 9,370,604

PLANAR IMPLANT

Aesculap AG, (DE)

1. A planar implant for replacement of biological tissues consisting of a layered structure consisting of:
a) a lyophilized pericardium layer of biological origin, wherein the pericardium layer constitutes an impenetrable liquid
barrier, and wherein the pericardium layer has a weight per unit area of 50 to 180 g/m2, and

b) at least one sponge layer of lyophilized extracellular protein which is free of crosslinking agents,
wherein the implant has a thickness of 1 to 10 mm, a weight per unit area of 80 to 480 g/m2 and the implant is configured to replace and/or close the dura mater.

US Pat. No. 9,101,337

SURGICAL COUPLING SYSTEM AND SURGICAL DRIVE SYSTEM

Aesculap AG, Tuttlingen ...

1. A surgical coupling system, comprising:
a first surgical coupling device and a second surgical coupling device each having at least two electrical coupling contacts
that are moveable mechanically into engagement with one another,

the first and the second coupling device being completely separated from each other in a separated position and being mechanically
in engagement with one another in a mechanical coupling position,

in the coupling position, the first and second coupling devices being moveable relative to one another between an OFF position,
in which at least one first electrical coupling contact of the first coupling device and at least one first electrical coupling
contact of the second coupling device are out of engagement, and an ON position in which the at least one first electrical
coupling contact of the first coupling device and the at least one first electrical coupling contact of the second coupling
device are in electrically conductive contact or engagement, and

a switching position securing device for mechanically securing the first and second coupling devices in the ON position and
in the OFF position.

US Pat. No. 9,175,723

SURGICAL INSTRUMENT, SURGICAL HANDPIECE AND SURGICAL DRIVE SYSTEM

Aesculap AG, Tuttlingen ...

1. A surgical instrument, comprising:
a shank,
a drive shaft, which is rotatably mounted in the shank and bears or comprises a tool element at a distal end,
a radial bearing arranged or configured in a distal end region of the shank for the rotatable mounting of the drive shaft
on the shank, wherein the radial bearing being configured in the form of a needle bearing having a bearing cage, and

a needle bearing locking arrangement for axially securing the needle bearing on the shank, the needle bearing locking arrangement
comprising at least one first locking element and at least one second locking element, one of the at least one first and second
locking elements being arranged or held on the needle bearing, the other of the at least one first and second locking elements
being arranged or held on the shank, and the at least one first locking element and the at least one second locking element
being in engagement with one another in a locking position,

wherein:
the bearing cage defines a longitudinal axis and comprises an inner surface concentrically surrounding the longitudinal axis
and an outer surface concentrically surrounding the longitudinal axis, and

the at least one first locking element protrudes from the outer surface or projects beyond the outer surface, but does not
protrude from or project beyond the inner surface.

US Pat. No. 9,622,797

DETECTION AND DISPLAY DEVICE FOR PEDICLE SCREW AND SPINAL STABILIZATION SYSTEM WITH DETECTION AND DISPLAY DEVICE

Aesculap AG, (DE)

1. A detection and indication device for the detection and indication of the presence or absence of a stabilization bar in
the tulip head of a pedicle screw the detection and indication device comprising:
a housing which is adapted in such a way that it can be connected with elongated flanks of the pedicle screw or a downtube
coupled with the pedicle screw in a detachable manner, and

a detection bar that is mounted axially movable in the housing, the relative positioning of which to the housing indicates
a detection result.

US Pat. No. 9,421,040

SYSTEM FOR ANCHORING A PEDICLE SCREW, ASSOCIATED KIT, SPACER AND PEDICLE AUGMENTATION

Aesculap AG, (DE)

1. A system for anchoring a pedicle screw in a vertebra of a patient, the system comprising:
a pedicle screw having a threaded portion sinkable in the vertebral arch including the pedicle, comprising at least one spacer
filling at least in regions the space between the threaded portion and cortical edge layer of the pedicle, the spacer being
configured or positioned with respect to the threaded portion in the pedicle cross section such that an all-round support
of the threaded portion at the cortical edge layer via the at least one spacer is enabled,

wherein the at least one spacer is formed from an essentially cylindrical pedicle augmentation axially parallel to the pedicle
screw inserted in the vertebra, which pedicle augmentation has essentially the shape of a bone screw or a bone dowel and has
a cylindrical recess on the side facing the pedicle screw on which the threaded portion supports itself with radial clamping,
and

wherein the at least one pedicle augmentation and the pedicle screw extend through a common connection plate in which axial
breakthroughs are configured for the form-locking accommodation of a head section of the pedicle augmentation and a guide
portion of the pedicle screw, said guide portion lying beneath the screw head.

US Pat. No. 9,393,077

MEDICAL STERILE CONTAINER AND METHOD FOR DETERMINING THE STERILIZATION STATUS OF A MEDICAL STERILE CONTAINER

Aesculap AG, Tuttlingen ...

1. Medical sterile container, comprising:
a container interior for accommodating articles to be sterilized,
a pressure-activatable sterilization status detection device for detecting a sterilization status of the sterile container,
the sterilization status detection device comprising a piston-cylinder assembly, and

an indication device coupled to the sterilization status detection device for automatically indicating the sterilization status
of the sterile container, the indication device comprising at least one movable or actuatable indication member which is coupled
to a piston rod of the piston-cylinder assembly.

US Pat. No. 9,307,963

GAS-OPERATED SURGICAL INSTRUMENT

Aesculap AG, Tuttlingen ...

1. Surgical instrument operated by pressurized gas, comprising:
two tool elements, at least one of the two tool elements comprising a movable tool element,
a pressurized gas connection for connecting the instrument to a source of pressurized gas,
a working piston for moving the movable tool element and adapted to be acted upon by the pressurized gas,
an actuating element for actuating the instrument, and
a regulating device coupled to the actuating element and to the working piston for regulating a feed force of the working
piston,

wherein:
the regulating device is configured such that for feed forces below a predetermined limit force it defines a first piston
work area in which the working piston is movable in a distal direction solely owing to a first feed force that can be is applied
with the actuating element,

above the limit force the regulating device defines a second piston work area in which the working piston is movable in the
distal direction by being acted upon by pressurized gas, and

the movable tool element is movable over a maximum displacement path as a result of movement of the working piston in the
first piston work area as a result of the first feed force, provided the predetermined limit force is not exceeded.

US Pat. No. 9,155,627

KNEE JOINT PROSTHESIS

AESCULAP AG, Tuttlingen ...

1. A knee joint endoprosthesis, comprising:
a femur component and a tibia component, which comprise cooperating joint surfaces that are in contact with one another,
a rotation guide arrangement for forcing a rotational movement of the femur component and the tibia component relative to
each other about a medial center of rotation due to a flexural movement of the knee joint endoprosthesis, which rotation guide
arrangement comprises a first guide element having a first guidance surface and a second guide element having a second guidance
surface which cooperates with the first guidance surface,

wherein:
a projection of the tibia component comprises the first guide element,
a transverse extension connecting condyles of the femur component comprises the second guide element,
the first guidance surface defines a first radius of curvature,
the second guidance surface defines a second radius of curvature,
the first and second radii of curvature are identical,
the second guidance surface is defined by a section of an outer surface of a thread which has a rounded thread root having
a thread-root radius which corresponds to the first radius of curvature,

a pitch of the thread establishes an extent of a forced transverse movement of the femur component relative to the tibia component
during the flexural movement.

US Pat. No. 9,603,627

POLYAXIAL PEDICLE SCREW HAVING PROVISIONAL FASTENING MEANS

Aesculap AG, (DE)

1. A polyaxial pedicle screw having a screwed shaft section for anchoring the pedicle screw in a vertebra, wherein a shaft
head is configured at an axial end of the shaft section, said shaft head being pivotably and/or rotatingly coupled to a receiving
sleeve, wherein the receiving sleeve comprises a fastening means for selective positional fastening of the receiving sleeve
with respect to the shaft section, said fastening means at least consisting of an inlay mounted in the receiving sleeve and
acting on the shaft head, and a locking element acting on the inlay and screwed directly into the receiving sleeve, wherein
the inlay is configured with inlay engagement elements having form-locking fit, which are not covered or overlapped by the
locking element, for the introduction of a provisional compressive force parallel to the locking element on the inlay,
wherein the inlay is formed such that it projects or is exposed, at least in portions, radially over the locking element,
whereby the inlay engagement elements occur at these radial portions which are not covered or overlapped by the locking element,
and

wherein the inlay engagement elements are marked by axial centering holes which serve for the receiving and placement of an
external helping means for the provisional application of pressure to the inlay.

US Pat. No. 9,445,908

ELEVATED IMPLANT FOR THE RECONSTRUCTION OF MENISCUS DEFECTS OR PARTIAL MENISCUS DEFECTS

Aesculap AG, (DE)

1. An implant for reconstructing meniscus defects or partial meniscus defects comprising an elevated molding with a femoral
condylar contact area, a tibial condylar contact area and an articular capsule contact area, wherein the elevated molding
extends in a transverse slope and at least one additional elevation is formed on an outer area of the elevated molding and
wherein the elevated molding and the at least one additional elevation are formed in one piece, and wherein the elevated molding
is of an open-pore form only in a region of its articular capsule contact area, wherein the elevated molding has a closed
pore form in the femoral condylar contact area and/or tibial condylar contact area.

US Pat. No. 9,084,586

SURGICAL DRIVE UNIT, SURGICAL INSTRUMENT AND SURGICAL DRIVE SYSTEM

Aesculap AG, Tuttlingen ...

1. Surgical drive system comprising:
at least one control device; and
at least two surgical drive units connectable to and controllable by said at least one control device, or surgical instruments
comprising the at least two surgical drive units, at least one of the at least two surgical drive units comprising:

a motor with at least two motor windings,
a memory device for storing data characterizing at least one of the drive unit and the motor;
a first transmitting and receiving device, which is connected to the memory device, and
a second transmitting and receiving device, which is connected to at least two connection contacts of the motor; and
wherein:
the first and second transmitting and receiving devices are configured and interact in such a way that data are transferable
between them in a contactless manner;

one of the at least two motor windings comprises the second transmitting and receiving device; and
the at least one control device is so configured that when one of the at least two surgical drive units is connected to the
at least one control device, it is possible, in one inquiry mode, using the first and second transmitting devices, to read
and transfer to the at least one control device the data stored in the memory device.

US Pat. No. 9,320,562

SURGICAL INSTRUMENT

Aesculap AG, Tuttlingen ...

1. Surgical instrument comprising:
two legs movable relative to each other, a tip inserted in a receiving space at a distal free end of each of the legs being
exchangeably held at the distal free end of said legs;

a two part fixing device for releasable fixation of each of the tips to the corresponding leg, said fixing device having on
one of the two parts two locking arms which are arranged next to each other and are elastically bendable apart, and having
on the other one of the two parts a locking projection extending into said leg transversely to a direction of insertion of
said tip, said locking projection, when inserting said tip into the receiving space of said leg, engaging between said two
locking arms, bending these elastically apart, and, at the end of an inserting movement, entering a recess on an inner side
of said locking arms, so that said locking arms approach each other again after they have been elastically bent apart;

wherein:
an inner wall of the receiving space at an open insertion end of the receiving space bears tightly against an outside of the
tip inserted in said receiving space,

said receiving space widens in a proximal direction from the open insertion end of said receiving space up to an area extending
along at least a partial extent of the locking arms to provide an interior spacing permitting the bending apart of free ends
of the locking arms when engaging with or disengaging from the locking projection; and

the receiving space is a closed receiving space once the tip is inserted into the corresponding leg.

US Pat. No. 9,603,655

ELECTROSURGICAL INSTRUMENT

Aesculap AG, (DE)

1. An electrosurgical instrument having a proximal end and a distal end comprising:
a jaw member assembly at the distal end including a first jaw member and a second jaw member movable relative thereto, wherein
the first and second jaw members can be moved relative to each other from an open position into a gripping position in which
the first and second jaw members are arranged to be closer to each other than in the open position, each of the first and
second jaw members of the jaw member assembly having at least one electrode connectable to an electric power source and the
at least one electrode of both of the first and second jaw members being adapted to interact for sealing body tissue held
between the first and second jaw members in the gripping position;

actuating means for transferring the first and second jaw members from the open position into the gripping position; and
elements for limiting a closing width of the first and second jaw members when the first and second jaw members are moved
from the open position into the gripping position,
wherein the elements for limiting the closing width of the first and second jaw members consist of two electrically insulating
spacers, one of the two electrically insulating spacers located only at a distal end of the first jaw member and projecting
from the first jaw member in a direction of the second jaw member over a sealing surface formed by the at least one electrode
of the first jaw member, and another of the two electrically insulating spacers located only at a proximal end of the second
jaw member and projecting from the second jaw member in a direction of the first jaw member over a sealing surface formed
by the at least one electrode of the second jaw member.

US Pat. No. 9,173,698

ELECTROSURGICAL TISSUE SEALING AUGMENTED WITH A SEAL-ENHANCING COMPOSITION

Aesculap AG, Tuttlingen ...

1. An electrosurgical device comprising:
a set of opposing jaws configured to be able to close on a targeted tissue-sealing site;
one or more electrodes disposed on a tissue-facing surface of each jaw; and
a reservoir configured to hold a tissue seal-enhancing composition within the jaws, the electrosurgical device configured
to deliver the tissue seal-enhancing composition from the reservoir to the tissue-sealing site during an electrosurgical procedure,

wherein the electrosurgical device is configured to deliver sufficient radiofrequency energy to the tissue-sealing site such
that tissue and the tissue seal-enhancing composition at the tissue-sealing site are processed to form a sealed tissue site,

the device further comprising a composition delivery mechanism adapted to convey a tissue seal-enhancing composition from
the reservoir to the tissue-sealing site, wherein the delivery mechanism comprises an injector in the form of a hollow needle
configured to deliver a tissue seal-enhancing composition to the tissue-sealing site, the needle being operably connected
to the reservoir, wherein the needle emerges from one of the jaws in proximity to the one or more electrodes,

the reservoir being arranged on top of one of the opposing jaws, wherein each jaw has a U-shaped configuration, the needle
being arranged so as to protrude through a first jaw of the opposing jaws and toward a space between the legs of the U-shaped
configuration of a second jaw of the opposing jaws, the needle extending completely through a space formed by the U-shaped
configuration of the first jaw of the opposing jaws, extending from a top surface of the first jaw to the bottom surface of
the first jaw, such that a distal end of the needle is directed at an angle relative to the second jaw of the opposing jaws.

US Pat. No. 9,314,281

ORTHOPAEDIC FIXATION SYSTEM, TARGETING DEVICE FOR SUCH A FIXATION SYSTEM AND ORTHOPAEDIC FIXATION METHOD

Aesculap AG, (DE)

1. An orthopaedic fixation system comprising an anchoring element which is anchorable to a bone and at least one stabilisation
element for connecting the anchoring element to a further anchoring element, wherein the anchoring element comprises a stabilisation
element seating, into which the at least one stabilisation element is insertable, and also with an extension device for the
anchoring element having a longitudinal extent as well as a proximal section and a distal section, which distal section is
detachably fixable to the anchoring element, wherein the fixation system comprises a holding device with a probe seating for
an extracorporeal ultrasound probe, a coupling device for coupling the holding device to the proximal section of the extension
device, an ultrasound probe which is positionable in the probe seating, and a tool for guiding the at least one stabilization
element,
the holding device and the extension device configured to be movable relative to one another, the holding device further configured
to be displaceable in an axial direction relative to the extension device along an axis defined by the extension device,

the coupling device comprising at least one first coupling member on the extension device, and at least one second coupling
member on the holding device,

the at least one first coupling member configured as a seating that comprises an axially extending longitudinal groove, and
the at least one second coupling member configured as a projection that cooperates with the axially extending longitudinal
groove of the at least one first coupling member, the projection adapted to be displaced in the axial direction to allow axial
displacement of the holding device with respect to the extension device.

US Pat. No. 9,295,477

DRIVE CONTROL DEVICE AND DRIVE CONTROL METHOD FOR A SURGICAL MOTOR SYSTEM

Aesculap AG, (DE)

1. A drive control device for a surgical motor system comprising a motor control unit for controlling an electric motor in
an open and/or closed loop, said electric motor driving a surgical tool,
wherein
a parameter specification device which is provided upstream of the motor control unit and determines the current medical application
on the basis of a detected state or state history of the electric motor of the surgical motor system, selects a control mode
which is suitable for said medical application and gives the motor control unit such open or closed loop parameters that the
open or closed loop control profile of the electric motor corresponds to the selected control mode.

US Pat. No. 9,339,273

SURGICAL SYSTEM FOR CONNECTING BODILY TISSUE AND PROCESS FOR CUTTING PROTRUDING TISSUE

Aesculap AG, (DE)

1. A surgical instrument for connecting body tissue with a connecting means for connecting body tissue, the connecting means
comprising two tool elements movable in relation to one another, the instrument comprising a cutting means with a cutting
element for cutting tissue, the cutting element being movable in relation to at least one of the tool elements,
the cutting means being designed as an RF cutting means that has the cutting element and a counterelectrode lying opposite
same, to which RF current can be fed;

the counterelectrode is formed on one of the tool elements; and
the cutting element has a cutting edge that defines a cutting plane which is sloped in relation to a tool element surface,
on which the counterelectrode is formed, wherein:

the cutting edge of the cutting element and the counterelectrode have a circular design.

US Pat. No. 9,277,962

IMPEDANCE MEDIATED CONTROL OF POWER DELIVERY FOR ELECTROSURGERY

Aesculap AG, (DE)

1. An electrosurgical system comprising:
an RF generator configured to deliver energy through an electrosurgical device to a target tissue in a sealing cycle comprising
a series of pulses, the series beginning with an initial pulse having a profile comprising a preset RF level start value that
increases at a preset ramping rate to a preset RF end value; and

a comparator configured to compare sensed impedance values of the target tissue to each of three preset impedance threshold
values, these threshold values comprising a first impedance threshold value for RF setpoint, a second impedance threshold
value for cumulative time, and a third impedance threshold value for energy cutback, wherein the second impedance threshold
value is higher than the first impedance threshold value, and the third impedance threshold value is higher than the second
impedance threshold value;

wherein the RF generator is further configured to control the delivery of energy during the sealing cycle by responding to
the comparison of the sensed impedance values to the first, second and third impedance threshold values,

wherein when the sensed impedance is greater than the second impedance threshold value, a cumulative timing function is initiated,
which accumulates time toward a preset sealing cycle duration, and when such time reaches the preset sealing cycle duration,
energy delivery ceases immediately.

US Pat. No. 9,388,080

PERMANENT FILTER FOR A STERILIZATION CONTAINER, STERILIZATION CONTAINER AND METHOD FOR PRODUCING A PERMANENT FILTER

Aesculap AG, Tuttlingen ...

11. A method for producing a permanent filter for a medical sterilization container, comprising:
producing the permanent filter from a ceramic material by sintering, and
applying a hydrophobic coating over an entire volume of the permanent filter,
wherein globular substrate grains are used as the ceramic material.

US Pat. No. 9,289,216

SURGICAL CLIP

Aesculap AG, Tuttlingen ...

1. Surgical clip for use as an implant, comprising:
two clip arms, and
a resiliently flexible element via which the two clip arms are connected to each other,
the two clip arms each having a first free end, the first free ends being held parallel to and in contact with each other
with a predetermined closing force by the resiliently flexible element when the clip is in a rest position,

the clip arms each being held at a second end thereof opposite the free end on the resiliently flexible element, and
the clip arms having between the free end and the second end, sections configured to cross each other,
the clip arms having stop elements configured to complement each other, said stop elements being adapted to be brought into
direct mutual contact with each other when the clip is transferred from the rest position to an application position in which
the free ends of the clip arms are spaced apart from each other,

wherein:
the complementary-configured stop elements are arranged in line with a force application plane in which the transfer of the
clip from the rest position to the application position is carried out; and

the complementary-configured stop elements are configured such that axial alignment of the clip arms results when the clip
is transferred to the application position.

US Pat. No. 9,168,046

SURGICAL SLIDING SHAFT INSTRUMENT AND SLIDING SHAFT

Aesculap AG, Tuttlingen ...

1. A sliding shaft for a surgical sliding shaft instrument which defines a longitudinal direction and comprises:
a first shaft part and a second shaft part which are arranged such as to be displaceable relative to each other,
said first shaft part carrying a first tool element and said second shaft part carrying a second tool element,
the second shaft part comprising a cut material collector having an inlet opening which is completely bounded by a cutting
edge of the second tool element, the cut material collector extending from the inlet opening in a proximal direction,

the cut material collector comprising at least one emptying opening which is formed on a proximal side of the inlet opening,
the at least one emptying opening being open in a lateral emptying direction, which emptying direction is oriented perpendicularly
or substantially perpendicularly to the longitudinal direction and parallel or substantially parallel to a contact plane defined
by a lower surface of the second shaft part,

wherein an internal cross sectional area of the cut material collector continuously increases from a distal end of the cutting
edge of the second tool element in the proximal direction.

US Pat. No. 9,339,323

ELECTROCAUTERY METHOD AND APPARATUS

Aesculap AG, (DE)

1. A bipolar electrocautery apparatus, comprising:
a plurality of opposed bipolar electrode pairs comprising a plurality of first electrodes forming a first electrode array
and one or more second electrodes;

a power supply electrically coupled to at least one opposed bipolar electrode pair of the plurality of opposed bipolar electrode
pairs; and

a compensator module comprising:
one or more feedback devices configured to detect a voltage, a current, a phase magnitude, and a phase sign of energy supplied
to the at least one opposed bipolar electrode pair by the power supply;

a calculation module configured to calculate a power, a phase, and an impedance based on the voltage, current, phase magnitude,
and phase sign in order to sense an amount of tissue coverage between the at least one opposed bipolar electrode pair; and

a control circuit configured to generate a control signal for controlling the supply energy supplied to the at least one opposed
bipolar electrode pair by the power supply based on user-determined set-point information and the calculated power, phase,
and impedance from the calculation module, the control signal generated by the control circuit operable to adjust the impedance
by changing a frequency of the energy supplied by the power supply across the at least one opposed bipolar electrode pair
in response to sensing that the amount of tissue coverage between the at least one opposed bipolar electrode pair is less
than a full amount of coverage possible for the at least one opposed bipolar electrode pair.

US Pat. No. 9,138,231

SURGICAL SYSTEM AND CONTROL PROCESS FOR A SURGICAL INSTRUMENT AND PROCESS FOR CONNECTING BODILY TISSUES

Aesculap AG, Tuttlingen ...

1. A surgical instrument for connecting body tissue with two tool elements, which are movable in relation to one another and
which comprise an RF electrode each, each RF electrode defining a minimal distance from one another in a position of proximity
of the tool elements, lie opposite one another and point towards one another, whereby at least one of the RF electrodes is
divided into at least two electrode segments, and in that the at least two electrode segments are electrically insulated from
each other, wherein
each of the tool elements defines a flat tool element surface defining a plane, said flat tool element surface containing
one of the RF electrodes positioned flush within said plane of said tool element surface without protruding from said plane;

the at least two electrode segments are arranged next to one another and define at least two rows of electrodes;
at least one electrode segment has a first electrode segment section, which is part of a first row of electrodes, and a second
electrode segment section, which is part of a second row of electrodes; and

the RF electrode, which can be fed current in segments, defines an electrode center line, and electrode segments adjacent
to one another are arranged offset to one another in a direction defined by the electrode center line, such that the sum of
the lengths of all electrode segments is greater than the electrode length.

US Pat. No. 9,492,172

SURGICAL SYSTEM FOR CONNECTING BODY TISSUE

Aesculap AG, Tuttlingen ...

1. A surgical system for connecting body tissue, comprising:
a surgical instrument comprising:
a first tool element and a second tool element movable relative to each other, each of the first and second tool elements
comprising at least one high-frequency electrode;

wherein, in a tissue-connecting position, the at least one high-frequency electrode of the first tool element oppositely faces
the at least one high-frequency electrode of the second tool element to define a minimum distance therebetween;

a shaft, at least the first tool element being formed or arranged on a distal end of the shaft;
and
at least one contact member which projects from the first tool element and points in a direction towards the second tool element,
the at least one contact member being electrically insulated from the at least one high-frequency electrode of the first tool
element;

wherein:
the at least one high-frequency electrode of the second tool element has a bush-shaped receptacle;
a free distal end of the at least one contact member is adapted to be brought into direct conductive contact with the bush-shaped
receptacle of the at least one high-frequency electrode of the second tool element so as to supply the at least one high-frequency
electrode of the second tool element with high-frequency current to connect the body tissue, and

in a tissue-gripping position, the free distal end of the at least one contact member is spaced from the at least one high-frequency
electrode of the second tool element; and

the second tool element is adapted to be moved between an operating position and the tissue-gripping position and between
the operating position and a removal position,

in the removal position, a surface area of a perpendicular projection of the second tool element onto a projection plane extending
perpendicularly to the shaft is smaller than in the operating position.

US Pat. No. 9,468,359

CONTROL APPARATUS

Aesculap AG, Tuttlingen ...

1. A control apparatus for use in endoscopes, comprising:
a proximal end section and a distal end section of the control apparatus, each of which comprises an articulation zone, and
a central section arranged therebetween,

an outer hollow-cylindrical shaft,
an inner hollow-cylindrical shaft, and
a control element which is arranged between said inner and outer shafts and which has two or more force-transmitting longitudinal
elements extending substantially from the proximal end section to the distal end section of the control apparatus for mechanically
coupling the movement of the distal end section with the movement of the proximal end section,

wherein:
the longitudinal elements are arranged in spaced-apart relation to one another at substantially regular angular distances
b1, 2 . . . bn in a circumferential direction of the control apparatus and are fixed relative to one another in an area of proximal and distal
end sections of the longitudinal elements in each case in the circumferential direction,

the angular distances b1, 2 . . .bn of the longitudinal elements relative to one another, as measured in the circumferential direction, are selected such that
the force-transmitting longitudinal elements are guided at least one of without contact in the circumferential direction and
are guided in contact with at least one of the outer shaft and the inner shaft in a radial direction.

US Pat. No. 9,339,327

ELECTROSURGICAL TISSUE DISSECTING DEVICE

Aesculap AG, (DE)

1. An electrosurgical tissue dissecting device comprising:
a shaft;
a distally directed member that extends in a distal direction from the shaft;
a first electrode that either forms part of or is positioned on the distally directed member; and
an electrosurgical blade which is a second electrode that is configured to pivot with respect to the first electrode,
wherein a distal end of the electrosurgical blade is pivotably mounted to the distally directed member, and is movable such
that at least a portion of the blade is exposed,

wherein a proximal end of the second electrode is configured to pivot with respect to the first electrode about a pivot point
that is defined at the distal end of the second electrode.

US Pat. No. 9,332,989

SURGICAL INSTRUMENT FOR REMOVING SURGICAL CLIPS

Aesculap AG, Tuttlingen ...

1. Surgical instrument for removing a surgical clip applied to a hollow organ, said clip comprising two clamping arms having
two free ends and two ends connected to each other and defining a connecting region, and said surgical instrument comprising:
a proximal and a distal end,
a spreading device for grasping and spreading apart an applied clip from an applied position to a released position arranged
at the distal end,

the spreading device comprising a clip receptacle and at least one proximal clip receiving stop and at least one distal clip
receiving stop which respectively delimit the clip receptacle at a proximal side and at a distal side,

wherein:
the spreading device is transferable from an insertion position in which the spreading device defines a minimal cross-sectional
area to a clip receiving position in which the clip receptacle is open to receive the clip to be removed, and

a spacing in a longitudinal direction between the at least one proximal clip receiving stop and the at least one distal clip
receiving stop decreases during transfer of the spreading device from the clip receiving position to a clip spreading position.

US Pat. No. 9,215,819

HOUSING FOR ACCOMMODATING ELECTRIC AND ELECTRONIC COMPONENTS

Aesculap AG, Tuttlingen ...

1. A housing of a medical device for accommodating electric or electronic components, the housing comprising housing side
control electronics and at least one housing outer wall, the housing being EMC safe in the manner of a Faraday cage,
wherein at least one accommodating chamber is formed in said at least one housing outer wall, the at least one accommodating
chamber being open toward the outside of the housing and otherwise substantially closed, the at least one accommodating chamber
comprising limiting walls that are configured to be EMC safe;

wherein, in the accommodating chamber, at least one non EMC safe transmitter in the form of a non EMC safe transmitting or
receiving device adapted to provide wireless communication between the housing side control electronics and an external control
device and a functional component adapted to be controlled by the housing side control electronics can be arranged; and

wherein the transmitter is guided out of the functional component and arranged in a clearance between the functional component
and the limiting walls of the accommodating chamber.

US Pat. No. 9,138,240

SURGICAL INSTRUMENT

Aesculap AG, Tuttlingen ...

1. Surgical instrument, comprising:
a handling part, and
a tool part, the tool part comprising at least one movably mounted tool, which is actuable by means of a force-transmitting
and/or actuating mechanism that is operable from the handling part, and

the force-transmitting and/or actuating mechanism comprising a fluid-operable drive unit, the drive unit comprising two double-acting
fluid cylinders;

wherein:
with the drive unit in a first driving position the movably mounted tool is subjected to a first actuating force in an actuating
direction and in at least a second driving position is subjected to at least a second actuating force in the actuating direction;
and

in an inoperative position of the instrument, in which no actuating force is exerted by the force-transmitting and/or actuating
mechanism in the actuating direction on the tool, a retaining force is exerted on the tool by at least one of the two double-acting
fluid cylinders in a retaining direction opposite to the actuating direction.

US Pat. No. 9,468,440

SURGICAL CLIP APPLICATOR

Aesculap AG, Tuttlingen ...

1. Surgical clip applicator for generally U-shaped or V-shaped clips, comprising:
a handle portion,
a shaft adjoining the handle portion,
a clip applying tool arranged at a free end of the shaft, and
a clip magazine,
the clip applying tool comprising a mouthpiece with tool jaws for holding a clip during application of the clip and a closing
device for transferring the tool jaws from an open, idle position to a closed position,

the mouthpiece being made of a plastic material and being held separately from the closing device on the clip applicator;
wherein:
the mouthpiece is of a fork-shaped configuration with two substantially parallel arms and carries, at free ends of the two
substantially parallel arms, the tool jaws which are integrally formed on the two substantially parallel arms;

the tool jaws are held for pivotal movement towards one another on the two substantially parallel arms, the two substantially
parallel arms comprising two bearing elements which project towards each other and which are adapted to be brought into abutment
when the tool jaws are transferred from the open, idle position to the closed position, and

the two bearing elements forming a pivot bearing for imparting the pivotal movement to the tool jaws when the two bearing
elements are brought in abutment with each other by the closing device.

US Pat. No. 9,044,328

MEDICAL IMPLANT AND KNEE JOINT ENDOPROSTHESIS

Aesculap AG, Tuttlingen ...

1. A medical implant, comprising:
a first implant part,
a second implant part,
a connecting device for connecting the first implant part and the second implant part,
at least said first implant part comprising a connecting element receptacle, in which at least one connecting element of the
connecting device is disposable, and

a securing device comprising at least one securing member for securing the at least one connecting element in the connecting
element receptacle,

wherein:
the connecting element receptacle comprises at least one insertion opening for the at least one connecting element,
the securing device is transferable from an assembly position, in which the at least one connecting element is adapted to
be inserted into the connecting element receptacle, into the secured position in which the at least one connecting element
is secured in the connecting element receptacle by means of the securing device,

the securing device is adapted to be inserted into the connecting element receptacle to at least a partial extent for the
transfer from the assembly position into the secured position,

the at least one insertion opening is completely or substantially completely closeable by means of the at least one securing
member,

the at least one connecting element is mounted in the connecting element receptacle in a slidable manner in a secured position
of the securing device.

US Pat. No. 9,101,515

ABSORBENT MEDICAL BODY, IN PARTICULAR FOR REMOVING WOUND FLUIDS FROM HUMAN AND/OR ANIMAL BODY CAVITIES, AND METHOD FOR ITS PRODUCTION

Aesculap AG, (DE)

1. An absorbent medical body that removes wound fluids from human and/or animal body cavities comprising a material which
holds the absorbent body together in a compressed form and can be removed upon contact with a biocompatible liquid, wherein
the material is a three-dimensional network interpenetrating the absorbent body and is formed as a partial coating on and/or
inside the absorbent body and openings in the absorbent body are partially covered by the material.

US Pat. No. 9,078,708

IMPLANT FOR MUTUALLY SUPPORTING THE SPINOUS PROCESSES OF ADJACENT VERTEBRAL BODIES AND A SURGICAL SYSTEM

Aesculap AG, Tuttlingen ...

1. An implant for mutually supporting the spinous processes of adjacent vertebral bodies comprising:
a first implant component and a second implant component,
wherein the implant is transferable by moving the second implant component relative to the first implant component along a
spreading direction from an introduction position, in which the implant is introducible between an upper spinous process of
an upper vertebral body and a lower spinous process of a lower vertebral body, into a spread position, in which an upper supporting
surface for the upper spinous process that is formed by the implant and a lower supporting surface for the lower spinous process
that is formed by the implant have a greater spacing relative to each other than in the introduction position,

and comprising a locking device incorporating a locking element wherein the locking element is transferable relative to at
least one implant component along a locking direction from a release position, in which the second implant component is movable
relative to the first implant component in a direction opposed to the spreading direction, into a locking position in which
the second implant component is locked to the first implant component against a movement that is directed counter to the spreading
direction,

and also comprising a securing device for securing the locking element against a movement that is directed counter to the
locking direction, wherein the securing device comprises at least one first securing member and also at least one second securing
member which, following adoption of the locking position by the locking element, are transferable relative to one another
in a securing direction that is directed transversely relative to the locking direction from an unsecured position, in which
the at least one first securing member and the at least one second securing member do not co-operate, into a secured position
in which the at least one first securing member and the at least one second securing member co-operate for securing the locking
element,

and wherein the locking element comprises the at least one first securing member and one of the first implant component and
the second implant component comprises the at least one second securing member.

US Pat. No. 9,339,334

ELECTROSURGICAL INSTRUMENT

Aesculap AG, (DE)

1. An electrosurgical instrument in the form of a circular sealing instrument in RF design, comprising
an instrument shaft comprising a proximal end and a distal end,
a tool unit arranged on the distal end of the instrument shaft, said tool unit comprises an instrument shaft head in which
a circular cutting blade is supported to be moveable in the axial direction of the instrument shaft which circular cutting
blade is encompassed by at least one electrode being exposed at its distal end and said tool unit comprises an anvil being
supported in said instrument shaft head to be axially moveable relative thereto, which anvil has at least one electrode located
at -a rear face of the anvil facing the instrument shaft head which at least one electrode of the anvil is adapted to cooperate
with the at least one electrode of the instrument shaft head,

an actuation device for actuating the tool unit and arranged on the proximal end of the instrument shaft and
a force transmission element which is arranged in the interior of the instrument shaft and provided for a force-fitting connection
between the actuation device and the tool unit, said force transmission element comprises a hollow profile pull/push element
being guided in the instrument shaft to operate the cutting blade, another pull/push element being guided in the hollow profile
pull/push element to operate the anvil, wherein the hollow profile pull/push element is/has a bending flexible element/section
made of plastic comprising a number of channels being at least one of radially closed and partly open extending in longitudinal
direction and along the entire length of the bending flexible element/section said channels are adapted to receive electric
wirings being connected to at least one electrode of at least one of the anvil and the instrument shaft head.

US Pat. No. 9,265,506

SURGICAL INSTRUMENT

Aesculap AG, Tuttlingen ...

1. Surgical instrument, comprising:
an energy-driven operating device,
an energy storage device, and
a control device for supplying the operating device with energy from the energy storage device, wherein
the operating device comprises a tool, the tool having an end or operating position and a rest position,
the control device supplies the operating device with energy as required for operating the tool,
when a state of charge of the energy storage device has either reached a predetermined state of a residual charge or has fallen
below the predetermined state of the residual charge for a first time, the control device makes the residual charge available
for returning the tool into the rest position,

the energy storage device comprises a gas cartridge,
the control device comprises a monitoring unit for detecting the state of charge of the energy storage device,
the monitoring unit comprises a pneumatically actuatable valve allowing activation of the tool of the operating device and,
where applicable, a transfer of the tool of the operating device from the rest position into the end or operating position
as long as the state of charge of the gas cartridge is above the predetermined state of residual charge.

US Pat. No. 9,532,808

CONNECTION ELEMENT AND SPINE STABILIZATION SYSTEM

Aesculap AG, Tuttlingen ...

1. A connection element for a spine stabilization system, comprising:
a first end for fixing to a first bone fixation device,
a second end for fixing to a second bone fixation device, and
an intermediate portion arranged or formed between the first and second ends and defining a longitudinal axis,
wherein:
at least one of the first and second ends takes the form of a coupling element for fixing the connection element to a bone
fixation device in at least one defined orientation relative to the longitudinal axis,

the coupling element has a shape other than a circular cylinder,
the coupling element is of a one-piece monolithic construction,
the coupling element comprises a coupling element main body and at least one coupling member arranged or formed on the coupling
element main body, and

the at least one coupling member comprises a coupling receptacle.

US Pat. No. 9,572,611

SURGICAL SCREW MAGAZINE

Aesculap AG, Tuttlingen ...

1. Surgical screw magazine comprising:
a holding device, and
a plurality of surgical screws,
the holding device comprising a screw-receiving body which comprises for each of the screws a receiving opening in which the
screws are at least substantially received,

wherein:
the receiving openings are formed in the screw-receiving body spaced apart a predetermined distance from one another; and
the screw-receiving body is made entirely of an elastic silicone material which is light-transmissive.

US Pat. No. 9,572,905

STERILE INDICATOR FOR A STERILIZATION CONTAINER

Aesculap AG, (DE)

1. A sterile display for a sterile container comprising:
a thermally actuatable display apparatus for the display of a first sterility condition and a second sterility condition of
the sterile container, wherein the display apparatus comprises an adjustment mechanism having at least one spring-biasable
actuator element which can be transferred by means of external heating from a first stress state in which the first sterility
condition can be displayed, to a second stress state in which the second sterility condition can be displayed, wherein the
adjustment mechanism comprises a thermo-bimetal element which in the unactuated design position retains the actuator element
in the first stress state and releases the actuator element by means of a thermally conditional actuation, the actuator element
of the adjustment mechanism which then, because of a spring bias, can be transferred from the first stress state to the second
stress state.

US Pat. No. 9,456,859

READJUSTABLE POLYAXIAL PEDICLE SCREW

Aesculap AG, (DE)

1. A polyaxial pedicle screw comprising a threaded shaft portion for anchoring the pedicle screw in a vertebra, said pedicle
screw having one axial end provided with a shaft head which is coupled to a mounting sleeve for a longitudinal beam in a rotatable
and/or pivotable manner, comprising a fixing device for the selective positional fixation of the mounting sleeve with respect
to the shaft portion, the fixing device comprising a locking element for exerting a holding force on the mounting sleeve as
well as a separate counterforce part counteracting the holding force of the locking element and being designed and/or retained
in such a manner that the holding force of the locking element can be selectively released by means of the counterforce part,
wherein the counterforce part is designed as a manually destroyable disposable part and/or is provided with an opening mechanism
by means of which the counterforce part can be altered in terms of its dimensions and/or is movably supported such that it
can be moved from a functional position to a non-functional position.

US Pat. No. 9,743,916

SURGICAL POSITIONING INSTRUMENT FOR SUPPORTING AND HOLDING ORGANS

AESCULAP AG, (DE)

1. A surgical organ positioning instrument for supporting and holding organs during surgery comprising:
a supporting portion having:
a concave bearing surface portion by which a target organ to be surgically treated at a site of operation can be partially
received;

a convex supporting surface portion rearward with respect to the bearing surface portion by which the supporting portion can
be freely supported at patient tissue surrounding the target organ; and a side face extending between the bearing surface
portion and the supporting surface portion,

wherein the bearing surface portion in addition to its concave shape at least partially simulates a surface of the target
organ to be supported and is designed to be dimensionally stable in a permanent manner, and the supporting portion is wedge-shaped
in an insertion direction as well as in a depth direction orthogonal thereto to be insertible into a pericardial cavity of
a heart,

wherein the bearing surface portion simulates a surface contour of the heart in a permanently dimensionally stable manner,
wherein the supporting portion includes a discharge device comprising:
at least one passage in the form of a suction passage for discharging free fluids from a suction area, the suction passage
extending through the side face; and

apart from the suction passage, at least one further passage serving as an air passage for inflowing air to the suction area,
the air passage extending through the side face and being adapted to allow air corresponding to a sucked volume of fluids
to flow in through the air passage to prevent a relative vacuum from forming around tissue in the suction area, and

wherein a proximal end of the suction passage is connected to a suction pump, and a proximal end of the air passage is connected
to a venting system.

US Pat. No. 9,533,061

SURGICAL STERILIZING CONTAINER TUB AND SURGICAL STERILIZING CONTAINER WITH A STERILIZING CONTAINER TUB

Aesculap AG, Tuttlingen ...

1. Surgical sterilizing container tub on which a sterilizing container lid is adapted to be detachably fitted for formation
of a surgical sterilizing container for holding surgical instruments for sterilization, the sterilizing container tub comprising:
a bottom and a container wall projecting from the bottom,
the sterilizing container tub defining a set-down plane, and
the bottom comprising or forming a fluid collection area for collecting fluid,
wherein:
the bottom further comprises or forms:
a fluid drainage surface which is inclined relative to the set-down plane and is in
fluid connection with the fluid collection area for draining fluid in a direction of
the container wall, and
depressions which are adjacent to a section of the container wall in the direction
of which the drainage surface is inclined and which form part of the fluid
collection area,
the bottom is free of through-openings,
the size of the fluid drainage surface comprises at least 30% of the bottom surface, and
in the area of the depressions, set-down elements are provided on an outside of the bottom, which set-down elements define
the set-down plane.

US Pat. No. 9,193,504

MEDICAL DOCUMENT ATTACHMENT DEVICE

Aesculap AG, Tuttingen (...

1. Medical document attachment device for a medical sterilization container, comprising:
a sterilization container lid comprising a cover wall defining an upper side of the sterilization container lid,
at least one document holder having a first attachment portion and spaced therefrom a second attachment portion,
a clamping portion arranged between the first attachment portion and the second attachment portion,
the first attachment portion and the second attachment portion being fixed to the sterilization container lid when the document
holder is connected to the sterilization container lid, and

a document receptacle formed between the clamping portion and the upper side of the sterilization container lid in which a
document is fixable in a clamped manner by means of the clamping portion on the upper side,

wherein:
the sterilization container lid has a rim,
the rim protrudes at an angle from the cover wall,
at least one of the first attachment portion and the second attachment portion engages under a distal edge of a side of the
rim that is oriented away from the cover wall and is supported thereon against movement in a direction towards the cover wall,

the clamping portion comprises a clamping element which is arranged at a spacing from the upper side, and at least one spacer
element is arranged on the clamping element, by way of which the clamping element is supported on the upper side, and

the at least one spacer element is configured as a tongue protruding resiliently from the clamping element.

US Pat. No. 9,649,399

MEDICAL SEAL AND MEDICAL STERILIZING CONTAINER

Aesculap AG, Tuttlingen ...

1. Medical sterilizing container, comprising:
a tub-shaped container bottom part, and
a container top part for closing the container bottom part in a closed position, said container top part comprising a medical
seal, said seal being formed so as to be closed within itself and being arranged on and extending around the container top
part,

the seal comprising:
a sealing element holder body fixed to the container top part,
two sealing lips arranged on and extending around the sealing element holder body, at least one of the sealing lips being
held or mounted in an articulated manner on the sealing element holder body, and

at least one overpressure flow channel formed on the seal,
wherein the two sealing lips are formed for placement on different respective surfaces of the container bottom in the closed
position.

US Pat. No. 9,585,700

MEDICAL INSTRUMENTATION AND METHOD

Aesculap AG, (DE)

1. Medical instrumentation, comprising two or more anchoring elements for anchoring on body tissue and a stabilization element
via which the two or more anchoring elements are connectable, and comprising a sensor unit, a coupling unit for percutaneous
selective coupling of the sensor unit to at least one anchoring element or to the stabilization element, and a data processing
unit which determines from sensor signals of the sensor unit at least one of the position of the anchoring elements relative
to one another, and the position of at least one anchoring element relative to the stabilization element, the data processing
unit generating position data based on the sensor signals of the sensor unit and the at least one of the position of the anchoring
elements relative to one another and the position of at least one anchoring element relative to the stabilization element
being defined in a reference coordinate system defined by the sensor unit.

US Pat. No. 9,572,579

SURGICAL CLIP

Aesculap AG, Tuttlingen ...

1. Surgical clip for use as an implant, comprising: two clip arms, and a resiliently flexible element via which the two clip
arms are pivotally connected to each other, the two clip arms each having a first free distal end, the first free distal ends
being held in parallel to and in contact with each other with a predetermined closing force by the resiliently flexible element
when the clip is in a rest position, each of the clip arms at a corresponding second proximal end thereof opposite the first
free distal end being held connected to a wall section of the resiliently flexible element, the wall section being arranged
substantially transverse to a longitudinal direction of the clip arms, extending between the second proximal ends of the clip
arms, and having a first wall portion facing towards the clip arms and a second wall portion facing away from the clip arms,
wherein: the resiliently flexible element is made of a plastics material by injection molding, the plastics material comprises
a polyetherketone, the first wall portion of the wall section is produced with a greater shrinkage than the second wall portion,
the two clip arms comprise elongated clip arms, and the elongated clip arms come into contact with each other with the free
distal ends first during transfer from an application position to the rest position, and come into full surface-to-surface
contact with each other when in the rest position, the resiliently flexible element has on a side thereof facing away from
the clip arms stop elements which form a stop when the clip is transferred from the rest position to the application position
in which the free distal ends of the clip arms are spaced apart from each other.

US Pat. No. 9,566,077

PNEUMATICALLY ACTUATABLE SURGICAL INSTRUMENT

Aesculap AG, Tuttlingen ...

1. A pneumatically actuatable surgical instrument, comprising:
a handle,
a pressurized gas-operated tool arranged at the handle,
a replaceable pressurized gas reservoir,
a locking device for fixing the pressurized gas reservoir on the handle in an operative position mechanically preventing removal
of the pressurized gas reservoir, the locking device being pneumatically activatable by pressurized gas of the pressurized
gas reservoir, and

an unlocking device for releasing the fixing of the pressurized gas reservoir from the operative position,
wherein:
in the operative position, the pressurized gas reservoir is connected to a pressurized gas channel by which the tool is supplied
with pressurized gas,

the unlocking device comprises a vent device which upon actuation of the unlocking device is movable from a rest position
to a first operative position in which the pressurized gas channel is connected to a vent opening, and

the unlocking device is movable from the first operative position to a second operative position in which the locking device
is inactive and the pressurized gas reservoir is released for replacement.

US Pat. No. 9,610,115

RF SEALING INSTRUMENT

Aesculap AG, (DE)

1. A bipolar radiofrequency (RF) instrument, comprising two instrument halves, each of the two instrument halves comprising
an elongate instrument branch comprising one or more electrodes, wherein the elongate instrument branches are supported or
are adapted to be supported such that they are movable relative to one another so as to be operated for moving to an open
and a closed position, each of the two instrument halves also comprising a handle unit, each elongate instrument branch having
associated therewith one of the handle units for manual operation of the elongate instrument branches and for applying to
the elongate instrument branches a predetermined closing force at the closed position, and further comprising an instrument-internal
control switch located on most ends of the handle units opposite and away from the elongate instrument branches, where the
surface lies in a plane that is perpendicular to a plane of tissue contacting surfaces of the one or more electrodes, the
instrument-internal control switch automatically activated as a mounting monitor due to a fully mounted and ready-to-operate
state of the two instrument halves so as to enable a supply of electric current from an external energy source to the two
elongate instrument branches.

US Pat. No. 9,629,640

QUICK-ACTION COUPLING

AESCULAP AG, Tuttlingen ...

1. A quick-action coupling for a rotary surgical tool comprising:
a rotary shaft, in the distal end surface of which there is formed a tool receptacle which is configured to receive a rotary
surgical tool for conjoint rotation therewith, wherein the rotary shaft has, in the area of its distal end, at least one radial
projection and at least one radial aperture,

a locking body is arranged in the at least one aperture, said locking body being movable in the radial direction with respect
to the rotary shaft,

a sleeve, the proximal end of which is able to be pushed over the distal end of the rotary shaft, wherein
the inner surface of the sleeve has an area in which the internal diameter of the proximal portion is smaller than the internal
diameter of the distal portion, and

the sleeve has at least one slot which has a first slot portion and at least one further slot portion, wherein the first slot
portion extends from the proximal end of the sleeve, and the further slot portion is connected to the first slot portion,
and

an elastic element which urges the sleeve in the distal direction relative to the rotary shaft.

US Pat. No. 9,510,874

MEDICAL INSTRUMENT FOR HOLDING AND HANDLING A SURGICAL SECURING ELEMENT, AND VERTEBRAL COLUMN STABILIZATION SYSTEM

Aesculap AG, (DE)

1. A medical instrument for holding and handling a surgical securing element, which comprises a securing part and a holding
part, which is assembled such that in an assembled disposition it is movable in relation to the securing part, for a connection
element, wherein the instrument has a proximal and a distal end, defines a longitudinal axis and comprises a pulling part
and, movable in relation to the latter in the direction of the longitudinal axis, a pushing part, wherein the proximal end
is temporarily couplable to the securing element in the assembled disposition, further comprising an uncoupling device for
actively transferring the instrument from a coupled position, in which the pulling part and the holding part are coupled,
to an uncoupled position, in which the pulling part and the holding part are separable from one another, wherein the uncoupling
device takes the form of a spreading device, for spreading a proximal end of the pulling part.

US Pat. No. 9,749,778

DATA COMMUNICATION DEVICE AND METHOD FOR DATA COMMUNICATION

AESCULAP AG, (DE)

1. A data communication device, comprising:
a computation unit and data unit which comprises a first radio communication module for wireless data exchange with an external
radio device or is connected to the first radio communication module,

a second radio communication module which communicates wirelessly with the external radio device, and
a memory that stores identification data of the first radio communication module, wherein
the first radio communication module is operated in a receiving mode in which it is not detectable by the external radio device,
but upon receiving its identification data from the external radio device is ready to establish a connection and ready for
a subsequent data exchange with the external radio device,

the second radio communication module is operated in a standby mode in which it waits for a communication query from the external
radio device,

when the second radio communication module receives a communication query from the external radio device, the second radio
communication module reads the identification data of the first radio communication module from the memory after the establishment
of a radio communication connection to the external radio device and sends said identification data to the external radio
device,

the data communication device further comprising:
a supply voltage input,
a switch-on unit which is coupled to the supply voltage input and comprises a voltage output connected to the computation
unit and data unit, wherein

the switch-on unit comprises the second radio communication module,
when the second radio communication module receives a communication query from the external radio device, the second radio
communication module causes the switch-on unit to deliver a supply voltage to the computation unit and data unit via the voltage
output in order to activate the computation unit and data unit and to activate the first radio communication module and switch
it to the receiving mode,

when the data exchange with the external radio device is completed, the second radio communication module changes to the standby
mode.

US Pat. No. 9,749,776

MEDICAL FOOT CONTROL APPARATUS

AESCULAP AG, (DE)

1. A pairing method for wireless communication with a control apparatus of a medical device, the pairing method comprising
the steps of:
providing an operating unit arranged and intended for controlling the medical device, the operating unit including at least
two operating elements;

activating a radio module on the control apparatus of the medical device to place the control apparatus in a pairing mode
in which the control apparatus searches for an external radio module;

actuating the at least two operating elements of the operating unit in a combined actuation to activate a radio module on
the operating unit;

detecting the activated radio module on the operating unit via the radio module of the control apparatus to initiate a pairing
procedure between the control apparatus and the operating unit; and

pairing the control apparatus and the operating unit, upon completion of which the medical device is controlled by user-side
actuation of the at least two operating elements to output instructions to the medical device,

wherein said user-side actuation of the at least two operating elements to output instructions to the medical device is different
from said combined actuation of the at least two operating elements to activate the radio module on the operating unit.

US Pat. No. 9,585,673

SURGICAL CLIP, IN PARTICULAR ANEURYSM CLIP

Aesculap AG, (DE)

1. A surgical clip comprising a first clamping arm and a second clamping arm, the first clamping arm and the second clamping
arm rotatably coupled with each other relative to a rotational axis and pre-tensioned against each other into a closed position
in a rotational direction by a spring, wherein
a first housing part is formed or arranged on the first clamping arm, and a second housing part is formed or arranged on the
second clamping arm, said housing parts cooperating to form a housing in which the spring is held, wherein the spring is a
spiral spring in the form of a level spring,

the surgical clip comprising an axle pin which is centrally formed or arranged in the interior of the housing, the axle pin
comprising a seating in the form of a recess or a slot in which an end section of the spring is held, the axle pin being,
rotationally fixed relative to one of the two housing parts and rotatable relative to the other one of the two housing parts
with respect to the rotational axis.

US Pat. No. 9,750,539

MEDICAL INSTRUMENT

Aesculap AG, Tuttlingen ...

1. A medical instrument for applying a bone plate fixing device, the bone plate fixing device comprising a first bone contact
element with a rod-shaped connecting member protruding therefrom and defining a longitudinal direction and a second bone contact
element which is movable on the connecting member towards the first bone contact element, the medical instrument comprising:
a feed apparatus comprising:
a feed element for application to the second bone contact element,
a guide element with a proximal and a distal end for guiding movement of the feed element, and
a feed mechanism for moving the feed element in a distal direction relative to the guide element, and
a handle element couplable or coupled to the guide element or a drive element of the feed mechanism.

US Pat. No. 9,642,667

SURGICAL SYSTEM FOR CONNECTING BODY TISSUE PARTS

Aesculap AG, Tuttlingen ...

1. A surgical system that connects biological tissue comprising:
a) a surgical instrument with two tool elements movable in relation to one another and each comprising an electrode, wherein
the electrodes define a minimum distance from one another, lie opposite one another and face one another at a position where
the tool elements are adjacent to each other, and

b) a medically compatible material assisting connection of the tissue, wherein at least one of the electrodes comprises at
least two contiguous electrode segments, at least one electrode segment has a first electrode segment portion which is part
of a first row of electrodes, a second electrode segment portion which is part of a second row of electrodes, and each electrode
segment connects in an electrically conducting manner to a terminal contact arranged in a connecting region between the electrode
segment portions.

US Pat. No. 9,730,752

SURGICAL CLIP DEVICE

Aesculap AG, Tuttlingen ...

1. Surgical clip device for closing vessels, comprising:
two electrically conductive clip parts arranged in electrical isolation from each other and spaced apart at a predetermined
distance opposite each other;

each of the two clip parts having a substantially U-shaped or V-shaped configuration and being held in parallel alignment
with each other at the predetermined distance, and

each of the two clip parts having two respective free ends,
wherein:
the two respective free ends of each clip part are adapted to be moved towards one another during an application procedure
to form two clamping regions in a vessel to be closed, the two clamping regions being spaced apart at the predetermined distance,
and

in a closed position of the clip, each of the free ends of the two clip parts are configured to apply a coagulation current
to the vessel so as to form a coagulated region of the vessel extending continuously between the two spaced apart clamping
regions.

US Pat. No. 9,655,653

VERTEBRAL COLUMN-STABILIZING SYSTEM AND SURGICAL FASTENING ELEMENT FOR A VERTEBRAL COLUMN-STABILIZING SYSTEM

Aesculap AG, (DE)

1. A surgical fastening element for a spinal column stabilization system that includes at least two fastening elements and
at least one connecting element, said surgical fastening element comprising:
a fastening section;
a holding section with a connecting element receptacle; and
a fixing element fixable on the holding section for fixing the connecting element in the connecting element receptacle,
wherein the fixing element carries a holding down element for holding the connecting element down in the connecting element
receptacle,

wherein the fixing element comprises a pre-determined break-off point which separates a proximal fixing element section and
a distal fixing element section,

wherein the holding down element is rotatably mounted on the proximal fixing element section;
wherein the holding down element is held on the fixing element so as to be immovable or substantially immovable relative to
the fixing element in the axial direction, and

wherein the holding down element bears against the proximal fixing element section.

US Pat. No. 9,649,204

MEDICAL IMPLANT AND KNEE JOINT ENDOPROSTHESIS

Aesculap AG, Tuttlingen ...

1. A medical implant, comprising:
a first implant part,
a second implant part,
a connecting device for connecting the first implant part and the second implant part,
said first implant part comprising a connecting element receptacle, in which at least one connecting element of the connecting
device is disposable, and

a securing device for securing the at least one connecting element in the connecting element receptacle,
wherein:
the connecting device comprises a first connecting element disposed in the connecting element receptacle in a moveable manner
in a secured position of the securing device and a second connecting element disposed on the second implant part,

the connecting element receptacle comprises at least one engagement opening for the second connecting element,
the second connecting element is adapted to be passed through the at least one engagement opening in order to engage with
the first connecting element in the connecting element receptacle,

the at least one engagement opening comprises an elongate through hole in a wall region of the first implant part,
the wall region forms an abutment surface for the second implant part, and
the second implant part is displaceable along the abutment surface as long as the first and second connecting elements are
not firmly connected to one another.

US Pat. No. 10,070,965

KNEE JOINT ENDOPROSTHESIS

Aesculap AG, Tuttlingen ...

1. Knee joint endoprosthesis, comprising:a tibia part,
a femur part,
a meniscus part permanently fixed against rotation on the tibia part in an implanted state of the knee joint endoprosthesis, and
a connecting device for connecting the tibia part to the femur part in an articulated manner,
the femur part comprising at least one femur condyle having a femur condyle surface,
the tibia part comprising a support for the meniscus part extending from a tibia surface, the support comprising a non-round outer contour,
the meniscus part comprising:
at least one upper surface which faces the femur part and at least one meniscus joint surface which touches the femur condyle surface of the at least one femur condyle, and
an opening comprising a non-round inner contour conforming to the non-round outer contour of the support, and
wherein:
in the implanted state, the support is received in the opening of the meniscus part, fixing the meniscus part and the tibia part together and preventing rotation of the meniscus part relative to the tibia part,
the femur part and the tibia part are mounted such as to be rotatable relative to each other about a rotational axis,
the femur condyle surface of the at least one femur condyle and the at least one meniscus joint surface are formed in correspondence with one another in such a manner that the femur condyle surface of the at least one femur condyle defines a section of a spherical surface, and
the at least one meniscus joint surface is formed as a joint surface recess in the form of a curved hollow which is matched to the femur condyle surface.

US Pat. No. 9,789,218

STERILE STATUS INDICATOR BY MEANS OF PHASE CHANGE

Aesculap AG, (DE)

7. A sterilization container comprising a container trough and a container lid, comprising:
a sterile state indication means comprising:
a fluid-tight case containing a phase change material, wherein the case wall of the case comprises at least one transparent
zone, and

an activator which can be actuated in order to release an activation energy and/or crystallization seeds, the activator being
in contact with the phase change material, wherein the sterile state indication means is provided either on the container
trough or on the container lid, and the activator, in the closed state of the sterilization container, is in direct or indirect
connection with the respectively other element among container trough and container lid,

wherein the container lid or the container trough comprises a pivotable closure lug and the activator, in the closed state
of the closure lug, is in direct or indirect connection with the closure lug,

wherein the activator is a spring element which is realized according to the clicker principle and arranged in the case wall
of the fluid-tight case, the spring element being in a pretensioned state in the closed state of the closure lug and/or of
the sterilization container, and

wherein the spring element, in the closed state of the closure lug, is in connection with a lateral surface of the closure
lug by means of an elastically supported actuation element.

US Pat. No. 9,861,374

MEDICAL INSTRUMENTATION AND IMPLANTATION SET

Aesculap AG, Tuttlingen ...

1. Medical instrumentation for implanting a hip joint stem, comprising:
a rasping instrument having a rasp stem defining a longitudinal direction,
wherein:
the rasp stem has at least two depth stops arranged or formed thereon,
each of the at least two depth stops comprises at least one depth stop face, and
the depth stop faces defined by the at least two depth stops have different surface textures or are differently colored.

US Pat. No. 9,901,378

SURGICAL INSTRUMENTATION FOR SPINAL SURGERY

AESCULAP AG, (DE)

1. An instrument assembly for providing access to a bone anchor, the instrument assembly comprising:
a downtube having a tubular body with a proximal end and a distal end, the proximal end forming an opening for receiving a
surgical tool, and the distal end forming at least two attachment members for attaching to a bone anchor, the tubular body
forming a hollow passage extending from the proximal end to the distal end, the hollow passage defining an elliptical or oval
shaped section, the downtube including diametrically opposed slots that are asymmetrical with respect to one another; and

a key for insertion into the proximal end of the downtube to attach the downtube to a bone anchor, the key comprising an elliptical
or oval shaped engagement end, the engagement end configured to engage the at least two attachment members when the elliptical
or oval shaped engagement end is positioned in the elliptical or oval shaped section of the passage, the key rotatable within
the tubular body between a clamping orientation, in which the at least two attachment members are separated from one another
by a first distance, and a releasing orientation, in which the elliptical or oval shaped engagement end bears outwardly against
the at least two attachment members and separates the at least two attachment members from one another by a second distance
greater than the first distance.

US Pat. No. 9,795,417

PEDICLE SCREW SYSTEM AND SPINAL STABILIZATION SYSTEM

Aesculap AG, (DE)

1. A pedicle screw system, comprising:
a pedicle screw having a screw shaft with an external thread and having a screw head supported on the screw shaft in a ball-and-socket
joint relationship therewith, which screw head comprises a connecting element receptacle for a connecting element of a spinal
stabilization system, said pedicle screw system further comprising:

a bone alignment apparatus and a coupling device for at least one of force-locking coupling and form-locking coupling of the
bone alignment apparatus and the pedicle screw in an alignment position in which a mobility of the screw head and the screw
shaft is reduced from three degrees of freedom of movement in rotation of the screw head supported on the screw shaft in a
ball-and-socket joint relationship therewith by at least one degree of freedom of rotation, namely from originally three degrees
of freedom of movement in rotation to one or two degree(s) of freedom of rotational movement when the bone alignment apparatus
is in at least one of force-locking coupling and form-locking coupling with the pedicle screw.

US Pat. No. 9,848,915

PEDICLE SCREW SYSTEM AND SPINAL STABILIZATION SYSTEM

Aesculap AG, (DE)

1. A pedicle screw system comprising a pedicle screw having a screw shaft with an external thread and having a screw head
supported on the screw shaft in a ball-and-socket joint relationship therewith, which screw head comprises a connecting element
receptacle for a connecting element of a spinal stabilization system, said pedicle screw system further comprising a bone
alignment device and a coupling device for form-locking coupling of the bone alignment device and the screw shaft when in
an alignment position, wherein the coupling device is designed for allowing an axially fixed but rotatable connection to be
established between the bone alignment device and the screw shaft with respect to a screw shaft longitudinal axis of the screw
shaft.

US Pat. No. 9,808,295

SPINE STABILIZATION SYSTEM, SET OF MEDICAL INSTRUMENTS AND MEDICAL APPARATUS FOR PARALLEL ALIGNMENT OF MEDICAL INSTRUMENTS

Aesculap AG, (DE)

1. A medical apparatus for parallel alignment of at least two medical instruments, defining an instrument longitudinal axis,
for holding and manipulating a surgical fastening element, which fastening element comprises a fastening part and a holding
part for a connection element, the holding part being mounted movably relative to the fastening part in a mounting position,
which medical instruments have a distal end couplable to the fastening element, which apparatus comprises at least two coupling
devices, each defining a coupling longitudinal axis, for temporary coupling with proximal ends of the at least two medical
instruments, wherein the apparatus comprises a frame, wherein the coupling longitudinal axes of the at least two coupling
devices are alignable parallel to one another, wherein in a mounting position the at least two coupling devices are held in
such a way as to be movable relative to one another and on the frame and wherein in an alignment position they are held immovably
relative to one another and on the frame,
wherein each of the coupling devices comprises at least two coupling members, which in the mounting position are held so as
to be movable relative to one another and on the frame and which in the alignment position are held immovably relative to
one another and on the frame,

wherein the coupling device comprises a locking device for at least one of securing a position and alignment of the coupling
members in the alignment position,

wherein the locking device comprises a clamping or blocking device for clamping securing of the coupling members on the frame
in the alignment position or for blocking movement thereof relative to one another, and

wherein the clamping device comprises at least one clamping member for clamping securing of the coupling members on the frame
in the alignment position, wherein the at least one clamping member takes the form of a spring element.

US Pat. No. 10,092,347

MEDICAL TFT INSTRUMENT COMPRISING A PIVOTABLE ELECTRODE SUPPORT

Aesculap AG, Tuttlingen ...

1. A medical HF instrument in bipolar construction comprising:two electrode carriers which can be moved toward each other, each electrode carrier provided with at least one longitudinally extending sealing-/welding electrode or electrode array, each longitudinally extending sealing-/welding electrode or electrode array comprising shanks that extend in a longitudinal direction of the electrode carriers, the shanks forming a longitudinal gap,
at least one of the at least one longitudinally extending sealing-/welding electrode or electrode array being supported on a separate electrode mount by an elastic support between the electrode or electrode array and the electrode mount, and
the electrode mount being supported on one of the electrode carriers by an articulating support between the electrode mount and the electrode carrier so that the electrode mount is rotatable, pivotable or tiltingly supported relative to said one of the electrode carriers.

US Pat. No. 10,010,325

TFT COAGULATION SAFEGUARD

Aesculap AG, Tuttlingen ...

1. A medical instrument of bipolar design comprising:a rigid endoscope shaft comprising a distal end piece having an end face;
an electrode cap including a pin supported to be axially moveable in the distal end piece of the endoscope shaft;
at least two electrodes comprising a first electrode and a second electrode, the first electrode held by a first electrode carrier, and the second electrode held by a second electrode carrier, the second electrode located at the electrode cap, and the first electrode located at the distal end piece;
a first feed line for feeding current to the first electrode; and
a second feed line for feeding current to the second electrode,
the first electrode carrier and second electrode carrier being movable relative to each other to enter into an operating position in which the first electrode can be charged with HF current via the first feed line, and the second electrode can be charged with HF current via the second feed line so as to interact with each other; and
a safety switch mechanism arranged in the area of at least one of the first and second electrode carriers and interconnected with at least one of the first feed line and the second feed line,
the safety switch mechanism being mechanically coupled to the electrode cap and to the pin such that the feed line to the second electrode, held by the second electrode carrier of the electrode cap, is disconnected if the safety switch mechanism is brought into an OFF or disconnect position exclusively upon transferring the second electrode carrier of the electrode cap into an out-of-operation position or situation, in which the entering of the operating position is blocked such that no more interaction between the first electrode and second electrode is possible, thereby disconnecting HF current supply to the second electrode associated with the second feed line,
wherein the pin includes at its distal end a snap or lock means forming the safety switch mechanism which can be mechanically engaged in the second electrode carrier of the electrode cap so as to simultaneously establish an electric contact between the pin or a feed line arranged thereon and the second electrode, and
wherein the second electrode carrier is connected to the pin via an electrically non-conductive thread.

US Pat. No. 9,936,987

LOCKING SLEEVE FOR A PEDICLE SCREW

Aesculap AG, (DE)

1. A locking sleeve for a pedicle screw comprising:a first end;
a second end opposite the first end;
a first groove block on an inner side of the locking sleeve;
a second groove block on the inner side of the locking sleeve, the second groove block diametrically opposed to the first groove block;
a first alignment groove on the second end of the locking sleeve, the first alignment groove axially aligned with the first groove block;
a second alignment groove on the second end of the locking sleeve, the second alignment groove diametrically opposed to the first alignment groove and axially aligned with the second groove block; and
a stop ring or stop protrusion provided on the inner side of the locking sleeve;
wherein, the first groove block and the second groove block are adapted to be inserted between legs of the pedicle screw for defining a fixed distance between the legs,
wherein at least one of the first groove block and the second groove block conically tapers towards the first end of the locking sleeve, contrary to a direction of inserting the legs of the pedicle screw into the locking sleeve, and
wherein the stop ring or stop protrusion is adapted to rest on an axial upper edge of the legs and to limit the accommodation depth of the legs into the locking sleeve.

US Pat. No. 9,877,765

SURGICAL, TORQUE-TRANSFERRING INSTRUMENT INCLUDING AN ASSOCIATED TOOL

Aesculap AG, (DE)

1. A surgical torque-transferring instrument comprising:
a handpiece to which a handpiece shaft is flanged; and
a tool mounting in the handpiece or in the handpiece shaft for selectively receiving a surgical tool which is rotatably supported
in the handpiece shaft or can be rotatably supported therein, for axially securing the tool in the tool mounting as well as
for transferring a torque to the tool, the tool mounting comprising:

at least one entrainment shaft which is formed like a sleeve at least in sections and comprises a proximal plug-in zone for
a torsion rod, a distal torque-transferring zone for the tool, and an axial locking zone for the tool, and

a closure sleeve surrounding the entrainment shaft in a shiftable manner and rotatable fashion, said closure sleeve comprising
a distal blocking section which acts on the axial locking zone of the entrainment shaft for axially locking and releasing
the tool, and a proximal arresting section acting on the plug-in zone of the entrainment shaft for arresting the tool mounting
on the torsion rod to transfer torques and axial forces and for releasing the tool mounting from the torsion rod.

US Pat. No. 10,123,808

SURGICAL, TORQUE TRANSFERRING INSTRUMENT INCLUDING ASSOCIATED TOOL

Aesculap AG, Tuttlingen ...

1. A coupling for connecting a torsion rod supported in a tool shaft or a tool to a torque transmission train or drive, the coupling comprising two axially pluggable male and female coupling pieces and accommodated in a surgical handpiece, the coupling pieces each comprising a cross-sectional shape, wherein the cross-sectional shape corresponds to a four-leaved cloverleaf having a pitch-circle cross-section,wherein the cross-sectional shape comprises four corner circles defining four equal corner circle lines, each corner circle line having a radius and a center, the corner circle lines defining four corners of the cross-sectional shape,
wherein adjacent corner circle lines are connected to each other by a side circle line having a radius larger than the radius of each corner circle line, said side circle line having a center situated outside the cross-sectional shape, and
wherein a distance between the centers of adjacent corner circle lines is smaller than the diameter of each corner circle so that adjacent corner circles intersect.

US Pat. No. 9,833,323

KNEE JOINT PROSTHESIS AND RELATED METHOD

Aesculap AG, Tuttlingen ...

1. A knee joint prosthesis comprising:
a tibial component having a fixation portion comprised of a ceramic material adapted to be fixed to an upper end of a prepared
tibia in a patient, and a bearing portion presenting at least one articulation surface formed from a ceramic material; and

a femoral component adapted to be fixed to a lower end of a prepared femur in a patient, the femoral component having a body
portion presenting at least one articulation surface formed from a ceramic material for engagement with the respective articulation
surface of the tibial component,

wherein the articulation surfaces of the tibial and femoral components are configured for essentially congruent engagement
over a full range of movement of the prosthesis, the articulation surfaces following a curve in a sagittal plane defined by
a constant radius over a full extent of their engagement, wherein the bearing portion of the tibial component is adapted for
translational and rotational movement relative to the fixation portion during said full range of movement of the prosthesis,
wherein an axis of rotational movement of the bearing portion relative to the fixation portion is configured for movement
with the bearing portion, wherein a projecting member extending from the fixation portion is received or accommodated in an
aperture in the bearing portion and extends beyond the at least one articulation surface of the bearing portion, and wherein
the projecting member includes one or more abutment member to limit the translational and rotational movement of the bearing
portion relative to the fixation portion.

US Pat. No. 10,004,555

ELECTROSURGICAL TISSUE DISSECTING DEVICE

Aesculap AG, Tuttlingen ...

1. An electrosurgical tissue dissecting device comprising:a shaft;
a distally directed member that extends in a distal direction from the shaft;
a first electrode that either forms part of or is positioned on the distally directed member; and
an electrosurgical blade which is a second electrode that is configured to pivot with respect to the first electrode,
wherein a proximal end of the electrosurgical blade is pivotably mounted to the distally directed member, and is movable such that at least a portion of the blade is exposed, wherein a distal end of the second electrode is configured to pivot with respect to the first electrode about a pivot point that is defined at the proximal end of the second electrode, and
wherein the distally directed member defines an elongated recess formed on a surface of the distally directed member, wherein the electrosurgical blade is pivotable with respect to the distally directed member to a position in which the electrosurgical blade is disposed entirely within the recess.

US Pat. No. 9,872,676

SURGICAL RETRACTOR

Aesculap AG, Tuttlingen ...

1. A surgical retractor configured to spread a severed sternum, comprising:
a first retaining device and a second retaining device, each of the retaining devices comprising a respective spreader arm
with at least one retaining element held thereon,

a holding device for holding the retaining devices together, and
a drive device with which a distance of the spreader arms from each other along a retraction direction is alterable for transfer
to a spread position,

each of the retaining devices further comprising a holding arm connected to the respective spreader arm, and
wherein:
the holding arms couple with the drive device and are displaceable via the drive device relative to each other and relative
to the holding device along a displacement direction,

the holding arms lie directly against each other and, when displaced, mutually guide each other along the displacement direction,the holding arms each having a length defined along the displacement direction, a width transverse to the length, and a thickness
transverse to both the length and width, broad sides of each of the holding arms are defined along the width and narrow sides
of each of the holding arms are defined along the thickness,
the holding arms lie via the respective broad sides of the holding arms with surface-to-surface contact against each other,
and

the surface-to-surface contact of the broad sides of the holding arms occurs at least inside a housing formed by the holding
device.

US Pat. No. 9,850,924

ADAPTER DEVICE FOR AN OPERATING TABLE

Aesculap AG, (DE)

1. An adapter device for releasable mounting of instruments and equipment on a side rail of an operating table, the adapter
device comprising:
a clamping device that clamps the adapter device to the side rail of the operating table,
a longitudinal profile on which instruments and equipment are to be detachably fastened, and
a lockable joint which is equipped with at least one pivoting degree of freedom around a pivoting axis and is arranged between
the clamping device and the longitudinal profile so that the longitudinal profile can be aligned relative to the clamping
device, wherein

the lockable joint is adapted to be locked by a form closure in that a locking bolt being arranged offset from but parallel
to the pivoting axis of the lockable joint detachably engages in a locking recess or in one of a plurality of locking recesses
of the lockable joint, said locking bolt being operable by a first handle and the clamping device being operable by a second
handle separately and independently from the operation of the locking bolt.

US Pat. No. 9,956,018

BONE SCREW

Aesculap AG, (DE)

1. A bone screw comprising:a screw shaft provided with an external thread and serving for anchoring the bone screw in a bone, the screw shaft comprising an outer thread diameter and a thread core diameter; and
a screw head provided on a proximal end of the screw shaft,
wherein, in a proximal screw shaft portion, a ratio between the outer thread diameter and the thread core diameter increases toward the screw head in an area of the external thread's run-out; and
wherein, in a transition screw shaft portion directly adjacent to the proximal screw shaft portion, the ratio between the outer thread diameter and the thread core diameter decreases toward the screw head, said ratio between the outer thread diameter and the thread core diameter decreasing all the way to where the transition screw shaft portion intersects the proximal screw shaft portion.

US Pat. No. 9,888,934

MICROSURGICAL HOLDING AND/OR CUTTING INSTRUMENT

Aesculap AG, (DE)

1. A surgical handheld instrument comprising:
a first lever element and a second lever element hinged to the first lever element by a lever element hinge, each lever element
including a grip portion on a first side of the lever element hinge and a jaw portion on a second side of the lever element
hinge,

a first leaf spring and a second leaf spring which are proximally connected to each of the grip portions as a first spring
portion and a second spring portion, respectively, the first spring portion and the second spring portion extending each of
the grip portions, the first leaf spring and the second leaf spring each having a proximal free end, the proximal free end
of the first leaf spring being coupled to the proximal free end of the second leaf spring via a hinged joint, the hinged joint
including a hinge pin at the proximal free end of the first leaf spring and at least one bearing eye at the proximal free
end of the second leaf spring,

wherein the at least one bearing eye includes a slit extending in an axial direction of the at least one bearing eye for radial
insertion of the hinge pin into the at least one bearing eye,

wherein a width of the slit is smaller than a maximum diameter of the hinge pin, wherein the hinge pin includes at least one
flattened portion, and wherein a diameter of the hinge pin in an area of the at least one flattened portion is equal to or
smaller than the width of the slit, and wherein an angular position of the at least one flattened portion relative to an angular
position of the slit is selected so that,

when the surgical handheld instrument is actuated, the angular position of the at least one flattened portion and the angular
position of the slit are misaligned and,

when pressure is applied to at least one of the first spring portion and the second spring portion at a marking, alignment
of the angular position of the at least one flattened portion and the angular position of the slit is achieved for uncoupling
the proximal hinge.

US Pat. No. 9,877,763

SURGICAL, TORQUE-TRANSFERRING INSTRUMENT INCLUDING AN ASSOCIATED TOOL

AESCULAP AG, Tuttlingen ...

1. A chip-removing tool of a surgical torque-transferring instrument comprising: a distal engagement segment adjoined by a
tool shaft whose proximal end portion is prepared for a torque-transferring insertion into a tool mounting of the instrument,
for which purpose the proximal end portion is subdivided at least in a functional section “torque transmission” and a functional
section “axial locking” axially spaced therefrom, the functional section “axial locking” being arranged with respect to the
engagement segment so as to be proximal relative to the functional section “torque transmission”; and a further functional
section “screw-in aid” as a part of the functional section “torque transmission”, said further functional section being axially
provided between the functional sections “torque transmission” and “axial locking” in the region of a radial shoulder between
the functional sections “torque transmission” and “axial locking, wherein the functional section “torque transmission” is
designed so as to comprise a dihedron whose two contact planes diametrically facing away from each other extend toward each
other in a wedge-shaped manner toward the functional section “axial locking”.

US Pat. No. 9,763,663

ELECTROSURGICAL INSTRUMENT FOR MAKING AN AND END-TO-END ANASTOMOSIS

Aesculap AG, Tuttlingen ...

1. An electrosurgical instrument for making an end-to-end anastomosis between hollow organ sections, the electrosurgical instrument
comprising:
a first tool and a second tool, the first and second tools movable relative to each other, each of the first and second tools
including an HF electrode by which the hollow organ sections can be fusion-welded to each other,

the first and second tools each having an end face and being substantially sleeve-shaped or at least being able to assume
a sleeve shape so that the first tool can enclose a first hollow organ section and the second tool can enclose a second hollow
organ section,

each of the HF electrodes being formed at the end face of each of the first and second tools, around which the respective
hollow organ section can be everted inside out,

the first and second tools being movable relative to each other so that the HF electrodes are aligned and can clamp the everted
hollow organ sections therebetween,

each of the tools being formed of a pair of half shells which can be moved toward and away from each other, and in a closed
position are adapted to receive the hollow organ sections therebetween,

the pairs of half shells supported on an instrument body and axially movable toward each other and away from each other, and
rotatable in a circumferential direction,

the instrument body comprising one or more slotted links, the one or more slotted links extending in an axial direction, the
one or more slotted links defining and limiting axial displacement and rotational movement of the first and second tools.

US Pat. No. 10,130,362

D-SHAPED SURGICAL STAPLES

Aesculap AG, Tuttlingen ...

1. A surgical apparatus for treating tissues comprising one or more surgical staples, each of the one or more surgical staples comprising:a first leg comprising a first end and a second end opposite the first end;
a second leg comprising a third end attached to the first end of the first leg, and a fourth end opposite the third end; and
a notch defined in and extending completely through the second end of the first leg,
wherein the second leg is deformable relative to the first leg to close the staple,
wherein the second leg is deformable relative to the first leg to a first configuration, in which the fourth end of the second leg is outside of the notch, and
wherein the second leg is deformable relative to the first leg to a second configuration, in which the fourth end of the second leg travels through the notch, so as to avoid interference between the first leg and the second leg.

US Pat. No. 9,999,512

KNEE JOINT PROSTHESIS AND RELATED METHOD

Aesculap AG, Tuttlingen ...

1. A uni-compartmental knee joint prosthesis comprising:a tibial component having a fixation portion adapted to be fixed to an upper end of a prepared tibia in a patient, and a bearing portion presenting an articulation surface formed from a ceramic material, wherein the bearing portion is adapted for movement relative to the fixation portion; and
a femoral component adapted to be fixed to a lower end of a prepared femur in a patient, the femoral component comprising a body portion presenting an articulation surface formed from a ceramic material for engagement with the articulation surface of the tibial component;
wherein the articulation surfaces of the tibial and femoral components are configured for essentially congruent engagement over a full range of movement of the prosthesis,
wherein the tibial component comprises means for limiting movement of the bearing portion relative to the fixation portion, the means for limiting movement including one or more abutment member forming a stop against further relative movement of the bearing portion.

US Pat. No. 10,058,360

SURGICAL INSTRUMENT FOR MANIPULATING, POSITIONING AND FIXING A SURGICAL ROD IN RELATION TO AN IMPLANT

Aesculap AG, Tuttlingen ...

1. A surgical instrument for manipulating and positioning a surgical rod relative to a surgical implant, whereinthe instrument comprises two legs which are rotatably coupled to each other by means of a hinge,
each of the legs comprises a working end, said working ends being intended and arranged to come into engagement with the implant upon closing the instrument by rotating the legs around the hinge and to pivotally position the instrument relative to the implant around a swivel axis which is transverse to its longitudinal axis,
at least one of the legs comprises a contact structure for a surgical rod, by means of which the rod is manipulated and positioned relative to a rod seating of the implant upon swiveling the instrument around the swivel axis,
at least one of the legs is provided with a guide structure for guiding a fixation screw, to be screwed in, for the rod after having positioned the rod in the rod seating, and
said working ends comprise a first working end and a second working end, wherein at least one of the first working end and the second working end comprises:
a curved protrusion; and
a pin arm separate from the curved protrusion, the pin arm having a pin on an end of the pin arm, said pin projecting toward the other of the first working end and the second working end, wherein
the curved protrusion has a radius of curvature and extends in a circular path around an axis of the pin, and
the curved protrusion is spaced from the axis of the pin by its radius of curvature.

US Pat. No. 10,016,216

SURGICAL PROTECTIVE DEVICE FOR A SURGICAL SEALING ELEMENT AND SURGICAL SEALING SYSTEM

Aesculap AG, Tuttlingen ...

1. A surgical protective device for a surgical sealing element of a surgical sealing system comprising a trocar sleeve, the surgical sealing element having an expandable insertion opening, said protective device comprising:a ring-shaped or substantially ring-shaped main body adapted to be arranged on the trocar sleeve, on a part of the trocar sleeve, or on the sealing element and defining a through-opening, and
a plurality of protective elements arranged on the main body in a circumferential direction and extending parallel to or pointing towards a longitudinal axis of the protective device,
wherein:
each of the protective elements is configured asymmetrically in relation to a plane containing a longitudinal axis defined by the main body,
the protective device is of monolithic construction,
the protective elements are separated from each other,
the protective elements each have a first end which is arranged on an edge surface of the main body that faces in a distal direction with a spacing between the first ends of adjacent ones of the protective elements at the edge surface of the main body,
each of the protective elements has two edges extending away from the first end,
one of the two edges is convexly curved facing away from the protective element, and
the other of the two edges is concavely curved facing away from the protective element.

US Pat. No. 10,004,540

PEDICLE SCREW WITH RADIALLY OFFSET GUIDEWAY

Aesculap AG, Tuttlingen ...

1. A bone screw comprising:a screw head;
a seating sleeve or tulip provided on the screw head and having two sleeve flanks provided with a thread between which sleeve flanks a slit-shaped seat for a rod is formed for surgical connection of adjacent bone screws; and
a guide surface formed on a run-in side on at least one of the sleeve flanks, the guide surface extending in a circumferential direction for a clamping screw adapted to be screwed into the thread, the guide surface either being offset vis-à-vis a thread diameter of the thread in a radial direction or the guide surface having a varied diameter, wherein the guide surface is partially defined within the thread,
wherein a depth of the guide surface meets at least one of the following: (a) the depth of the guide surface aligned in parallel to a thread axis ranges from about 0.3 mm to about 4 mm, and (b) the depth of the guide surface and a guide surface portion inclined with respect to the thread axis by an angle ? ranges from about 0.3 mm to about 4 mm.

US Pat. No. 9,918,778

LAPAROSCOPIC RADIOFREQUENCY SURGICAL DEVICE

Aesculap AG, (DE)

1. An electrosurgical device comprising:
a set of opposing jaws disposed distal to a shaft, the jaws comprising a first jaw and a second jaw configured to deliver
radiofrequency energy to a target tissue;

a pinless rotation mechanism comprising rotatably cooperative features of the jaws that connect the jaws together and enable
the jaws to pivot between an open position and a closed position, the pinless rotation mechanism creating a common center
of rotation; and

a blade that is positioned on a longitudinally disposed blade track,
wherein, when the jaws are in the closed position, the blade may be positioned at a home position at a proximal end of the
track, at a distal end of the track, or at any point along the track between the proximal end and the distal end of the track,
and

wherein, as the second jaw pivots to the open position, and when the blade is in the home position, a shelf of the second
jaw pivots into contact with an edge of the blade facing the first jaw and displaces the blade toward the second jaw to a
position that prevents the blade from advancing in a distal direction on the blade track.

US Pat. No. 9,867,655

ELECTROSURGICAL INSTRUMENT HAVING AN ARCUATE ELECTRODE SECTION

AESCULAP AG, (DE)

1. An electrosurgical instrument comprising:
mutually movable instrument legs, the instrument legs each comprising one or more electrode faces, wherein tissue can be clamped
between the electrode faces of the instrument legs and treated in an electrothermal manner, the movement of the instrument
legs relative to each other being delimited by at least two spacers which are spaced from each other in a longitudinal direction
of the instrument legs and act on the instrument legs,

wherein at least one portion of one of the electrode faces, which is configured to be subjected to deflection in a closed
position of the instrument legs by the respective opposing instrument leg, is formed to be concavely bow-shaped and has a
curvature as seen in the longitudinal direction of the instrument legs, the curvature being contrary to a bending direction
of said one of the electrode faces which is to be expected in a closed position, wherein at least one instrument leg is partially
received in a support/abutment portion of a shaft, the support/abutment portion projecting distally beyond a pivot joint,
and wherein the at least one instrument leg is articulated to the pivot joint at its longitudinal center in the manner of
a rocker.

US Pat. No. 9,861,365

ONE-PIECE SURGICAL CLIP

AESCULAP AG, Tuttlingen ...

1. A surgical clip comprising:
two clip branches, each clip branch comprising:
a clamping portion;
an actuating portion; and
a flexural spring arrangement by which the clip branches are coupled,
the flexural spring arrangement including a coupling device by which the portions of the flexural spring arrangement can be
short-circuited for biasing the surgical clip initially non-tensioned in the manufacturing position, and

the surgical clip is made integrally of one material piece,
wherein the flexural spring arrangement bulges at least in sections between the clip branches along the actuating portions
toward the clamping portions and forms at least two outer spring arms extending along the actuating portions,

wherein the at least two outer spring arms are connected to the actuating portions in one material piece at their proximal
ends and are coupled to each other at their free distal ends orientated toward the clamping portions so that the at least
two outer spring arms jointly form substantially a U, C or V shaped layout, and

wherein the flexural spring arrangement includes a U, C or V shaped spacer, an inner spring portion by which the free distal
ends of the at least two outer spring arms are interconnected in an unbiased manner and which bulges in the proximal direction.

US Pat. No. 10,060,425

TUBE MOUNT OF A ROLLER PUMP

Aesculap AG, Tuttlingen ...

1. A medical peristaltic pump comprising:a pump housing in which a tube mounting case is formed or fixedly inserted at a front side thereof, and in which a pump head is rotatably supported;
a flexible tube and a tube fixture beam holding the tube at two positions longitudinally spaced apart from each other along the tube such that the tube assumes a loop shape, said tube and tube fixture beam forming a tube unit as a separate replacement part, the tube unit being insertible or inserted into the tube mounting case so that by displacing the tube fixture beam or the pump head, the tube is pulled into tensioning engagement with the pump head while at least partially enclosing the pump head; and
at least one lever element forming a part of a lever mechanism as a tensioning device for the tube unit to which at least one lever element is linked at the pump housing or at the tube mounting case and is coupleable or coupled to the tube fixture beam or the pump head for tensioning displacement of the lever mechanism,
wherein a clamping or locking protrusion or recess is provided on the at least one lever element and is adapted to engage a counter-clamping or counter-locking protrusion or recess arranged on the tube fixture beam only in a tube tensioning position of the at least one lever element and the tube fixture beam for locking the tube fixture beam and the at least one lever element, the clamping or locking protrusion or recess being adapted to be disengaged from the counter-clamping or counter-locking protrusion or recess when the at least one lever element and the tube fixture beam are not in the tube tensioning position for releasing the tube fixture beam and the at least one lever element; and in that
the tube mounting case in which the pump head is rotatably supported has a tube unit insertion opening for inserting the tube unit, the opening being arranged so that the tube mounting case is open only at the front side of the pump housing.

US Pat. No. 9,957,090

SECURITY SEAL FOR MEDICAL STERILE CONTAINER

Aesculap AG, (DE)

1. A security seal for a medical container, the security seal comprising:a seal foot having a substantially circular cross-section and having at least one latch structure movable relative to the seal foot for engaging a mating latch structure formed on the medical container, and
a seal head connected with the seal foot and comprising at least one locking tab which is movably connected with the seal head through a hinge element,
the security seal comprising a bolt element which can be positioned between a release position, in which the at least one latch structure can be moved relative to the seal foot, and a locked position, in which the at least one latch structure is fixed in position relative to the seal foot,
wherein
the seal foot comprises at least two spring arms extending from the seal head, each of said at least two spring arms having a distal end provided with a latching protrusion, the latching protrusions protruding radially outwardly, wherein the at least two spring arms are each formed as a partial cylinder and arranged around a through-hole which is formed in the seal head and fully penetrates the seal head, the through-hole serving to receive and guide the bolt element.

US Pat. No. 9,937,010

DEVICE AND METHOD FOR SIMULTANEOUSLY IDENTIFYING A PLURALITY OF SURGICAL INSTRUMENTS

Aesculap AG, Tuttlingen ...

1. A device for a batch detection of a plurality of different surgical instruments or instrument groups, the device comprising:a first detecting device including a first detection technology comprising an RFID technology for detecting instruments and related instrument-specific information (E1);
a second detecting device including a second detection technology different from the first detection technology, said second detection technology comprising an optical instrument shape identification for detecting instruments and related instrument-specific information (E2); and
a comparing device for comparing the detection results (E1) and (E2) of the first and second detection devices, respectively,
wherein the comparing device outputs a positive evaluation regarding the correctness of detected instruments if the detection results (E1) and (E2) are matching,
wherein the device further includes a scale for weight detection; and
wherein said comparing device carries out a plausibility check of a positive evaluation based on the detected instruments and their weight data deposited in a predetermined data set, by comparing a detected actual weight to the weight data.

US Pat. No. 9,820,804

ANASTOMOSIS DEVICE WITH COLLAPSIBLE DISTAL HEAD ELEMENT

Aesculap AG, (DE)

1. A surgical instrument for bonding body tissue in a hollow organ, the surgical instrument comprising: an instrument shank
or shaft and first and second tool elements, the first and second tool elements axially movable relative to each other at
the instrument shank, and are respectively equipped with at least one electrode having an annular shape, wherein the first
tool element is arranged at a distal end portion of the instrument shank, and the second tool element is positioned distally
from the first tool element,
wherein the second tool element includes a number of tool element members in the form of arms which are umbrella-like and
radially elastically deflectable, said arms protruding at least in part in a radial direction and spaced apart from each other
in a circumferential direction,

wherein the at least one electrode of the second tool element comprises an electrode ring that is slotted in a radial direction
thereby enabling the at least one electrode of the second tool element to radially expand and radially contract, wherein the
at least one electrode of the second tool element is hollow so as to define an electrode ring passage, and wherein the electrode
ring that is slotted in a radial direction comprises two free ends opposing each other, with a circumferential slot between
the two free ends and further comprises an electrode ring balancing element movably held in the electrode ring passage and
bridging the circumferential slot to connect the two free ends of the electrode ring in a telescoping manner.

US Pat. No. 9,888,977

MEDICAL STERILE CONTAINER WITH SAFETY VENTILATION VALVE

Aesculap AG, Tuttlingen ...

1. A medical sterile container with a first container part, a second container part, a fastener and a ventilation valve to
ventilate a container interior surrounded by the first container part and the second container part,
the fastener being mounted on one of the container parts so as to be pivotable between a closed position in which the container
parts are locked to one another by the fastener, and an open position in which the container parts are unlocked,

the ventilation valve being coupled with the fastener, being closed in the closed position of the fastener and open in the
open position of the fastener,

wherein the ventilation valve is pretensioned in an open valve position by a spring arranged within the ventilation valve,
and

wherein the ventilation valve is pressed into a closed valve position by the fastener in the closed position.

US Pat. No. 9,968,384

MEDICAL SCREW DRIVER, SHANK FOR MEDICAL SCREW DRIVER AND METHOD OF INTRODUCING PEDICLE SCREWS

AESCULAP AG, Tuttlingen ...

1. A medical screw driver for introducing mono-axial or poly-axial pedicle screws into a vertebral body, the medical screw driver comprising:a shank which includes, in an area of a proximal end portion of the shank, a first coupling portion for a detachable handling member to apply a torque to the shank and, at a distal end portion of the shank, a screw driver portion is provided that is adapted to be inserted in a corresponding seat at a screw head of a pedicle screw and can transmit a torque applied to the shank to the screw head; and
a sleeve rotatable relatively about the shank, a distal end portion of the sleeve includes a second coupling portion for coupling with a third coupling portion formed at the screw head of the pedicle screw,
wherein the sleeve has a multi-part design and comprises a distally arranged first sleeve portion including a first engaging portion, and a second sleeve portion arranged proximally thereto including a complementary second engaging portion,
wherein the first engaging portion and the second engaging portion are configured so that both are capable of being made to engage so that the second sleeve portion can transmit a torque to the first sleeve portion so as to couple the second coupling portion provided on the first sleeve portion to the screw head, and that the second sleeve portion is capable of being disengaged from the first sleeve portion in an axial direction, and is capable of being drawn off the shank in a proximal direction without having to release the first sleeve portion from the screw head of the pedicle screw, and
wherein the shank includes two jointly mountable shank portions and the first sleeve portion is caught between the shank portions in a mounted condition.

US Pat. No. 9,872,724

APPARATUS FOR TISSUE CUTTING AND SEALING

AESCULAP AG, (DE)

1. An electrosurgical device for cutting and sealing tissue, the electrosurgical device comprising:
an upper jaw located at a distal end of the electrosurgical device;
a lower jaw opposing the upper jaw; and
a pivot connection that pivotally connects the upper jaw to the lower jaw,
wherein the pivot connection comprises a first passage that contains a portion of the upper jaw, the upper jaw being axially
displaceable through the first passage to pivot the upper jaw relative to the lower jaw between an open condition and a closed
condition, the upper jaw and the lower jaw operable in the closed condition to deliver RF energy to tissue,

wherein one of the upper jaw and the lower jaw defines a second passage,
wherein the electrosurgical device comprises an actuation wire looped through the second passage of said one of the upper
jaw and the lower jaw,

wherein the actuation wire comprises a first actuation wire section and a second actuation wire section, the first actuation
wire section crossing over the second actuation wire section so that the first actuation wire section and the second actuation
wire section exert equal forces on said one of the upper jaw and the lower jaw through which the actuation wire is looped.

US Pat. No. 10,258,338

ANASTOMOSIS INSTRUMENT WITH PIVOTABLE ANVIL

Aesculap AG, Tuttlingen ...

1. An anastomosis instrument comprising:a headpiece shaft which can be inserted in an instrument shaft so as to be axially shiftable therein; and
a plate-like and/or anvil-like headpiece being axially shiftable on a distal end portion of the headpiece shaft and being supported via a cross pin between a processing position and a withdrawal position,
the headpiece on the headpiece shaft being displaceable or shiftable from a proximally retracted first latching position in which the headpiece shaft is coupled to the headpiece in a form fit to fix the headpiece in the processing position so that it is unable to pivot, to a distally advanced second latching position in which the form fit is released in order to allow the headpiece to pivot to the withdrawal position,
the anastomosis instrument further comprising a spring attached to the headpiece and the headpiece shaft in such a manner that it enforces a pivoting of the headpiece when the headpiece is dislocated from the first latching position to the second latching position,
wherein the spring is eccentrically supported in the headpiece shaft so as to be transversely spaced from a longitudinal axis of the headpiece shaft, and
wherein the cross pin is movably guided in an axially extending longitudinal slit so as to be able to be moved back and forth between the first latching position and the second latching position, the longitudinal slit being formed on the distal end portion of the headpiece shaft.

US Pat. No. 10,130,411

IMPEDANCE MEDIATED CONTROL OF POWER DELIVERY FOR ELECTROSURGERY

Aesculap AG, Tuttlingen ...

1. A method comprising the steps of:A. delivering energy from an electrosurgical device to a target tissue in a sealing cycle comprising a series of pulses, the series beginning with an initial pulse having a profile comprising a preset RF start value that increases at a preset ramping rate to a preset RF end value;
B. comparing sensed impedance values of the target tissue to each of three preset impedance threshold values, these preset impedance threshold values comprising a first impedance threshold value for RF setpoint, a second impedance threshold value for cumulative time, and a third impedance threshold value for energy cutback; and
C. controlling delivery of energy during the sealing cycle by responding to a comparison of the sensed impedance values to the preset impedance threshold values, wherein the first impedance threshold value for RF setpoint is the lowest threshold value, the second impedance threshold value for cumulative sealing cycle duration is an intermediate threshold value higher than the first impedance threshold value, and the third impedance threshold value for energy cutback is higher than the second impedance threshold value,
wherein the sealing cycle is ceased when a cumulative time of tissue showing an impedance value over the impedance cumulative time threshold value reaches a preset sealing cycle duration limit.

US Pat. No. 10,206,689

MEDICAL GUIDING DEVICE

Aesculap AG, Tuttlingen ...

1. A medical guide device for working on a bone, comprising:a holding arrangement, which is holdable firmly against a bone, for holding the guide device firmly against the bone, and
a saw template with a guide slot for a saw blade,
the holding arrangement and the saw template engaging with one another and being arranged to be movable in relation to one another in an adjustment position,
the holding arrangement and the saw template being movable from the adjustment position into a sawing position in which they are held firmly and immovably in relation to one another,
the guide device comprising a coupling arrangement for coupling the holding arrangement and the saw template in the adjustment position and in the sawing position,
the coupling arrangement comprising first and second coupling elements which are arranged or constructed on the holding arrangement and on the saw template respectively, which are in engagement with one another in the adjustment position, and which are held against one another with at least one of force locking and positive locking in the sawing position,
wherein:
the first coupling element is constructed in a form of a joint ball, and
the second coupling element is constructed in a form of a joint ball receptacle, the joint ball receptacle forming a hollow cylindrical or substantially hollow cylindrical internal contour.

US Pat. No. 10,098,623

SURGICAL DEVICE FOR STABILIZING OR IMMOBILIZING MOVING TISSUE

Aesculap AG, Tuttlingen ...

1. A surgical device for stabilizing or immobilizing moving tissue, or for positioning organs or for positioning and holding surgical instruments and apparatuses during surgical intervention, comprising:a base member adapted to be fastened to a retaining device provided in or at an operation site by a fastening portion;
a flexible arm adapted to be fastened to the base member which arm can be brought into different positions and/or attitudes and at a free end of which at least one retaining element is arranged; and
a tightening mechanism by which the arm can be fixed in a desired position and which includes:
a pull rope which is guided through a plurality of link elements of the arm that are movable relative to one another and by which the link elements can be frictionally braced against each other; and
an actuating mechanism for actuating the pull rope, wherein the surgical device has a modular design and the arm is mechanically connectable to and disconnectable from the base member without using tools,
the tightening mechanism is automatically tightened by a spring mechanically coupled to the pull rope to exert tension force on the pull rope, and the tightening mechanism is released by means of a power source through which the actuating mechanism can be actuated, and
the actuating mechanism comprises a setting element which can be brought into an extended position by means of the power source so that, when a mechanical connection between the arm and the base member is made, at the same time the pull rope is coupled to the setting element of the actuating mechanism.

US Pat. No. 10,376,298

MEDICAL CUTTING INSTRUMENT

Aesculap AG, Tuttlingen ...

1. A medical instrument for severing connecting rods, in particular, of implanted spinal column stabilization systems, comprising:a first cutting element and a second cutting element which are pivotal relative to each other about a pivotal axis,
a first handle element and a second handle element which are moveable relative to each other, and
a force transmission device which is coupled to the first handle element and the second handle element and to the first cutting element and the second cutting element for the purpose of transferring an actuating force from the first handle element and the second handle element to the first cutting element and the second cutting element,
wherein:
the first handle element and the second handle element are arranged or formed at least one of to be rotatable relative to each other about a handle axis and to be movable relative to each other about the handle axis,
the handle axis and the pivotal axis run transversely to each other,
the first cutting element comprises a distal end having a first cutter with a first cutting edge,
the second cutting element comprises a distal end having a second cutter with a second cutting edge,
the first cutting edge is directed substantially towards the second cutting edge,
the second cutting edge is directed substantially towards the first cutting edge, and
the first cutter and the second cutter are pivotal with their respective cutting edges about the pivotal axis towards each other and away from each other in a plane running perpendicular to the pivotal axis so as to allow the medical instrument to be placed across a circumference of a connecting rod from above, with the pivotal axis parallel to a longitudinal axis of the connecting rod.

US Pat. No. 10,238,372

ATRIUM RETRACTOR

AESCULAP AG, Tuttlingen ...

1. An atrium retractor, comprising:a plate,
a shaft that has a shaft sleeve, an inner rod that is a push rod and an operating mechanism, wherein the operating mechanism is designed to effect a relative movement between the shaft sleeve and the inner rod, and
an articulation device which is firmly connected to the plate and is detachably connected to the shaft, the articulation device including an articulated connection that includes a joint ball and a ball sleeve, wherein the joint ball is fixed on the plate, and
wherein the operating mechanism is adapted to lock and release the articulation device by the relative movement between the shaft sleeve and the inner rod, and
wherein the operating mechanism is an eccentric lever with an eccentric surface, wherein the eccentric lever is articulated so as to press the push rod into an actuated state so that the plate is held against the shaft by a friction lock.

US Pat. No. 10,092,350

ELECTROSURGICAL INSTRUMENT AND JAW PART THEREFOR

Aesculap AG, Tuttlingen ...

1. An electrosurgical instrument comprising a jaw part made up of mutually movable instrument legs or branches which have facing sides on which one or more electrode surfaces are either arranged or formed in each case, the movement of the instrument legs or branches relative to each other being limited by at least one first spacer acting on proximal end portions of the instrument legs or branches and at least one second spacer acting on distal end portions of the instrument legs or branches, wherein at least one of the spacers on at least one electrode comprises an electrically conductive material and is connected to the electrode in electroconductive fashion, and cooperates with a local spacer abutment surface which comprises a non-conductive material and is arranged in electrically insulating manner on at least one opposing electrode, wherein the spacer abutment surface comprises a concavity which points toward the spacer or is recessed with respect to the electrode area.

US Pat. No. 10,329,060

SECURITY SEAL

Aesculap AG, (DE)

1. Security seal with a seal base with at least two locking projections, and a seal head connected to the seal base with at least one blocking tab, wherein the at least two locking projections are elastically movable in a radial direction, and each blocking tab is movably connected to the seal base by at least one hinge element and wherein the at least two locking projections are arranged around the seal base at the same angular distance from one another and wherein an even number of locking projections are provided, and wherein the blocking tab has a rectangular cross-section and wherein the locking projections extend towards the seal base as the at least one blocking tab extends towards the seal head.

US Pat. No. 10,285,736

CONNECTION ELEMENT AND SPINE STABILIZATION SYSTEM

Aesculap AG, Tuttlingen ...

1. A connection element for a spine stabilization system, comprising:a first end for fixing to a first bone fixation device,
a second end for fixing to a second bone fixation device, and
an intermediate portion arranged or formed between the first and second ends and defining a longitudinal axis,
wherein:
at least one of the first and second ends takes the form of a coupling element for fixing the connection element to a bone fixation device in at least one defined orientation relative to the longitudinal axis,
the coupling element has a shape other than a circular cylinder;
the coupling element comprises a coupling element main body having a planar bottom side and at least one coupling member arranged or formed on the coupling element main body, and
the at least one coupling member extends parallel to the longitudinal axis and comprises set-back portions on the bottom side thereof, the set-back portions having one side face each which extends parallel to the bottom side.

US Pat. No. 10,278,713

MEDICAL INSTRUMENTATION

Aesculap AG, Tuttlingen ...

1. Medical instrumentation for implanting an acetabular cup, comprising:a first reaming tool, the first reaming tool comprising an entrance reamer with a cannulated reamer shaft which defines a reamer shaft longitudinal axis,
at least one medical guiding instrument for the first reaming tool, the guiding instrument comprising a shaped body, the shaped body comprising a patient-specific bone abutment surface facing in a distal direction, the bone abutment surface deviating from a spherical surface section and being shaped so as to correspond or substantially correspond to a bone surface of the patient, and
a guiding shaft, which defines a guiding shaft longitudinal axis, for guiding the first reaming tool, the guiding shaft protruding from the shaped body and facing in a proximal direction, and
wherein the first reaming tool is constructed to receive the guiding shaft of the medical guiding instrument.

US Pat. No. 10,244,946

TEMPERATURE SENSOR, TEMPERATURE MEASURING DEVICE AND MEDICAL ENGINEERING SYSTEMS COMPRISING A TEMPERATURE SENSOR OR A TEMPERATURE MEASURING DEVICE

Aesculap AG, Tuttlingen ...

1. A medical engineering system comprising at least one temperature sensor comprising a sensor element including a medium showing luminescence upon excitation, the medium showing luminescence upon excitation being a crystal, the at least one temperature sensor also comprising a light conductor which is optically connected to the sensor element and is intended for supplying the crystal with light having an excitation wavelength and/or for receiving and discharging light having a luminescence wavelength of the crystal, the medical engineering system being implemented as a surgical system, wherein the surgical system comprises a device for cutting, dissection, coagulation, sealing and/or connecting tissue structures of a patient, the device comprising an applicator tool with two applicator elements in the form of applicator jaws which can be moved relative to each other and can be transferred from an open resting position to a closed working position, the at least one temperature sensor being arranged in at least one of the applicator elements, said at least one of the applicator elements comprising at least one spacer which keeps the applicator elements in the working position at a predefined distance relative to each other, the at least one spacer forming the at least one temperature sensor, wherein the applicator jaws each extend in a longitudinal direction, and wherein the light conductor of the at least one temperature sensor extends inside one of the applicator jaws in the longitudinal direction.

US Pat. No. 10,226,247

BARBED SURGICAL STAPLE

Aesculap AG, Tuttlingen ...

1. A surgical stapling apparatus, comprising:a staple holder configured to hold staples;
a plurality of staples contained within said staple holder, wherein one of the plurality of staples comprising:
a base including a first end and a second end, wherein said first end configured to frangibly detach from an attachment contained within said staple holder; and
two tines extending from said base, wherein a first tine extends from said second end of said base and wherein a second tine extends from a location between said first tine and said first end of said base; and
an anvil configured to deform said plurality of staples as said plurality of staples are deployed.

US Pat. No. 10,172,614

FEEDER BELT ACTUATION MECHANISM FOR TRUE MULTI-FIRE SURGICAL STAPLER

AESCULAP AG, Tuttlingen ...

1. A surgical method of treating tissue of a patient, comprising the steps of:placing an endocutter into a treatment site of the patient;
moving a wedge member in a first direction into engagement with a feeder belt comprising staples to tension the feeder belt and deploy the staples in the endocutter to treat a tissue at the treatment site;
moving the wedge member in a second direction to engage the feeder belt; and
advancing the feeder belt by the wedge member to place new staples in a ready position for deployment.

US Pat. No. 10,390,830

SURGICAL CLIP APPLICATOR

Aesculap AG, (DE)

1. A surgical clip applicator comprising:an individual clip magazine being formed as a separate unit; and
a universal handgrip to which the individual clip magazine being arbitrarily selected from a number of different types of clip magazines, can be detachably mounted or fastened,
wherein the individual clip magazine comprises:
a crimping head or crimping tool at a distal end portion;
a clip receiving portion provided proximal to the crimping head or crimping tool;
a clip advancing device for conveying individual clips from the clip receiving portion via an individual feed path toward the crimping head or crimping tool;
a magazine-integrated coding comprising two limiting stops defining the individual feed path thereby limiting the clip advancing device in its conveying movement, which limiting stops are formed and positioned depending on the clip type to be applied; and
a proximal end portion on the individual clip magazine, the proximal end portion on the individual clip magazine being adapted to detachably lock or arrest the individual clip magazine in the universal hand grip, and
wherein the universal handgrip comprises:
an integrated force transmission gearing comprising:
at least one manually graspable handle as an actuation-/input part; and
a coupling element as an actuation-/delivery part to the individual clip magazine, for which the coupling element is adapted to become interconnected with the clip advancing device when the individual clip magazine is mounted and locked/arrested in the universal handgrip by said proximal end portion on the individual clip magazine; and
an overload protection clutch in form of a sliding clutch for interrupting the force transmission in the gearing between the at least one manually graspable handle and the coupling element when the clip advancing device is limited in its conveying movement by one of said two limiting stops.

US Pat. No. 10,368,958

SURGICAL CONTAINER CONTENTS DETECTION SYSTEM

Aesculap AG, (DE)

1. A medical container content detection system, comprising:a container content sensor device for arrangement in a sterilization container, which container content sensor device comprises a carrier and at least one sensor arranged or formed on the carrier for detecting at least one identification element which is arranged or formed on at least one object stored in the sterilization container for the identification thereof;
a carrier module arranged on the carrier, wherein the carrier module includes a detection device for detecting the at least one identification element and an energy supply unit for supplying the container content sensor device with energy, arranged for the purpose of wirelessly transmitting information about the at least one object identified by the at least one identification element by radio-based data transmission to an outside of the sterilization container and is combined to form a steam-pressure sterilizable unit; and
a screen basket comprising at least one storing means for storing the at least one object, said screen basket being adapted to be introduced to the sterilization container,
wherein the container content sensor device is arranged or retained in the screen basket.

US Pat. No. 10,363,331

STERILIZATION INDICATOR FOR A STERILE CONTAINER

Aesculap AG, (DE)

1. A sterile container for sterilization of medical instruments comprising an instrument holding body closable by a container cover for which at least one manually operable closing/locking mechanism is arranged on the holding body and/or on the container cover, the sterile container comprising a sterilization indicator, wherein the sterilization indicator comprises a shape-memory element in the form of an axially acting compression spring, made of memory material which, when a predetermined sterilization temperature is reached or exceeded, subjects an indicating unit to a defined axial compression force, said indicating unit in turn being biased by a restoring spring functioning independently of temperature, in a counter-direction of the shape-memory element by way of a restoring force which is smaller than the defined axial compressive force, and comprising a latching mechanism which is actuated by at least one of: (1) a manually operable closing or locking mechanism, (2) a container cover of the sterile container, and (3) an element attached thereto and designed such that by closing and/or locking of the sterile container it retains the indicating unit in a sterile position, once said unit has been moved into the sterile position by the shape-memory element, and by opening and/or unlocking of the sterile container below the sterilization temperature it releases the indicating unit, whereupon the restoring spring moves the indicating unit back into an unsterile position.

US Pat. No. 10,321,972

DEVICE AND METHOD FOR SIMULTANEOUSLY IDENTIFYING A PLURALITY OF SURGICAL INSTRUMENTS

Aesculap AG, (DE)

1. A device for simultaneously identifying a plurality of different surgical instruments or instrument groups, comprising:a first detecting device including a first detection technology for detecting instruments and possibly related instrument-specific information as a first detection result;
a second detecting device including a second detection technology different from the first detection technology, the second detection technology for detecting instruments and possibly related instrument-specific information as a second detection result;
a conveyor belt device for moving the plurality of different surgical instruments or instrument groups relative to the first and second detecting devices;
a vibrating device for separating the plurality of different surgical instruments or instrument groups arranged upstream or downstream in time and/or in place;
a control device for controlling the vibrating device which at least once actuates the vibrating device for a predetermined period of time before instrument information is detected or repeatedly detected; and
a comparing device for comparing the first detection result and the second detection result,
wherein the comparing device outputs a positive evaluation regarding the correctness of detected instruments if the first detection result matches the second detection result, and
wherein, when the first detection result and the second detection result are not matching, the comparing device compares the first detection result and the second detection result to a predetermined data set and outputs a positive evaluation if:
at least one of the first and second detection results matches the predetermined data set, or
a combination of the first and second detection results matches the predetermined data set.

US Pat. No. 10,245,036

STAPLING DEVICE CLAMP AND DEPLOYMENT LOCKOUT SAFETY APPARATUS AND METHOD

Aesculap AG, Tuttlingen ...

1. A stapling device, comprising:an end-effector with an upper jaw member and a lower jaw member;
a control member to operate at least one of the upper jaw member and the lower jaw member;
a safety lockout member to selectively prevent the control member from operating at least one of the upper jaw member or the lower jaw member; and
a cutting member that is movable along a transection line to divide tissue,
the control member being selectively movable over the safety lockout member to a forward position to place the at least one of the upper jaw member and the lower jaw member in an open position,
the control member also being selectively movable over the safety lockout member to a retracted position to place the at least one of the upper jaw member and the lower jaw member in a fully closed position,
the safety lockout member being movable to a passive mode, in which the safety lockout member permits the control member to ride over the safety lockout member and into the retracted position to place the at least one of the upper jaw member and the lower jaw member in the fully closed position, and
the safety lockout member being movable to an active mode, in which the safety lockout member engages with the control member to prevent the control member from riding over the safety lockout member and into the retracted position, preventing the at least one of the upper jaw member and the lower jaw member from being placed in the fully closed position.

US Pat. No. 10,507,062

MEDICAL FASTENING DEVICE AND REFERENCING DEVICE AND MEDICAL INSTRUMENTATION

Aesculap AG, Tuttlingen ...

1. Medical fastening device for noninvasively fastening a medical marking device comprising two or more marking elements to a body part of a patient, the medical fastening device comprising:a support body which extends over a surface in two directions of extent aligned at an angle to each other and which is adaptable in shape to a contour of the body part,
the support body being elastically stretchable in a surface of extent and comprising a first stretch area and at least one second stretch area, the stretchability of the at least one second stretch area in at least one direction in the surface of the extent of the support body is less than the stretchability of the first stretch area, and
at least one holding part fixed to the first stretch area of the support body,
wherein the marking device or a marking element of the marking device is fixed or fixable with at least one of force locking and positive locking on a side of the holding part facing away from the support body.

US Pat. No. 10,478,164

JAW FOR A SURGICAL TUBULAR SHAFT INSTRUMENT

Aesculap AG, (DE)

1. A jaw assembly for a surgical tubular shaft instrument, the jaw assembly comprising:a supporting component,
a first arm including a first active area, and
a second arm having a second active area,
each of the first arm and/or the second arm having one link element, the first arm and the second arm being held by the supporting component in an axial direction,
the jaw assembly further comprising a cam carrier element which is axially movable relative to the supporting component and carries at least two cams,
said one link element designed to be in contact with the at least two cams when there is a relative axial movement between the supporting component and the cam carrier element, said cams being provided on the cam carrier element, said one link element designed to slide off the at least two cams to effect an opening or closing of the jaw assembly by a movement of the first arm and the second arm directed toward each other or away from each other.

US Pat. No. 10,433,823

CONTROL FOR RELIABLE ASSEMBLY AND DISASSEMBLY OF TWO FUNCTIONAL UNITS OF A MULTI-PART MEDICAL DEVICE

Aesculap AG, (DE)

1. A medical device comprising two device units that can be mechanically coupled to each other,the two device units comprising two functional units that can be mechanically coupled to each other in order to be able to actuate the second functional unit by virtue of the first functional unit in a mechanically coupled state;
the first functional unit can be controlled electrically or electronically and has a mechanical coupling segment which can be brought into a coupling position in order to couple with a corresponding mechanical coupling segment of the second functional unit,
the medical device further comprising a detection system on at least one device unit for detecting a relative position of the two device units with respect to each other, or a distance of the two device units from each other; wherein
electrical or electronic control of the first functional unit is configured in such a way that the mechanical coupling segment of the first functional unit can be brought into the coupling position only if the two device units are in a certain relative position with respect to each other or fall below a predetermined minimum distance from each other.

US Pat. No. 10,433,843

WEDGE ASSEMBLY FOR SURGICAL STAPLE CARTRIDGE

Aesculap AG, (DE)

1. Surgical apparatus, comprising:a cartridge;
a staple strip held within said cartridge;
a plurality of staples affixed to said staple strip, wherein each said staple is affixed to said staple strip at a single joint, and wherein said staples on each staple strip are arranged in longitudinally-extending rows and said staples in adjacent said rows are staggered relative to one another; and
a wedge assembly including a plurality of wedges laterally spaced from one another, each said wedge including a shear bump on an upper surface thereof and a longitudinally-extending plateau on said upper surface thereof distal to the corresponding said shear bump, wherein at least one said plateau is longer than a remainder of said plateaus;
wherein said wedge assembly is slidable relative to said staples to cause at least one said wedge to make direct contact with at least one of said staples to rotate said at least one said staple about said joint, and then break at least one of said staples from said joint with said staple strip upon contact between said at least one of said staples and said shear bump of said wedge.

US Pat. No. 10,433,855

MEDICAL SHAFT-TYPE INSTRUMENT WITH A SUPPORT PLATE/BRIDGE ON THE RETAINING RAIL

Aesculap AG, (DE)

1. A medical shaft instrument, comprising:an instrument head having at least one jaw member for applying clamps with two scissor-like movable jaw member branches, the instrument head connectable with an instrument handle via an instrument shaft having an outer tube for actuating the at least one jaw member; and
a clip magazine in which a retaining rail is fixed for supporting clamps in a predetermined storage position distance from each other, wherein all the clamps are advanceable respectively by one storage position in a direction towards a distal end of the instrument shaft by a back and forth movable conveying and advancing rail in a single conveying stroke,
one of said clamps that is closest to the instrument head being conveyable into the at least one jaw member between the jaw member branches,
the retaining rail comprising a support plate or bridge extending into a distal direction, which covers a jaw member area in a region of one of the jaw member branches on the side thereof, facing the other of the jaw member branches such that a tipping of an advanced or advanceable clamp on said one of the jaw member branches is prevented, and
the support plate or bridge projects laterally as a guidance or guide member, seen in a longitudinal direction of the retaining rail, such that the support plate or bridge is asymmetrically arranged with respect to the longitudinal direction.

US Pat. No. 10,426,635

MEDICAL FORCE MEASURING SYSTEM

Aesculap AG, Tuttlingen ...

1. Medical force measuring system for measuring a force that is effective between two prosthesis parts of a joint prosthesis, the two prosthesis parts being connected to one another in an articulated manner, the joint prosthesis comprising a ball joint or a partial component thereof, which force measuring system comprises:a measuring instrument, the measuring instrument comprising:
a sample joint element having a sample joint surface, the sample joint element being formed in correspondence with a first joint element that forms a part of the ball joint and comprises a joint surface that is formed in correspondence with the sample joint surface and is moveable into engagement therewith for forming a sample ball joint, and
an indicating device arranged or formed on the measuring instrument which cooperates with the sample joint element for indicating a force that is effective on the sample joint surface or a partial component of the force that is effective on the sample joint surface,
wherein:
the measuring instrument further comprises a coupling element;
the medical force measuring system further comprises a medical instrument which is couplable to the measuring instrument,
the medical instrument further comprises an instrument coupling device,
the instrument coupling device comprises a clamping element which is moveable into engagement in at least one of a force-locking and a positive-locking manner with a prosthesis part or the medical instrument on the one hand and with the coupling element on the other hand, and
the clamping element is in the form of a clamping ring which, in a clamping position, engages in at least one of (a) an annular groove in the prosthesis part or in the medical instrument on the one hand, and (b) an annular groove in the coupling element on the other hand.

US Pat. No. 10,427,841

CENTERING AID FOR CONTAINER LID

Aesculap AG, (DE)

1. A container havinga container trough with an access opening,
a container lid, and
a seal which is arranged between the container trough and the container lid in the closed state of the container, whereby the seal, in the closed state of the container, is in contact with the container trough and the container lid along the entire periphery of the access opening, and a centering aid
wherein
the centering aid has a first centering device, which is provided on either the container lid or the container trough,
a second centering device which is provided on the other one of either the container lid or the container trough,
the centering devices are made from a material which has a higher modulus of elasticity than the seal,
the container trough includes a first fastening element adjacent to the first centering device, and
the container lid includes a second fastening element pivotally connected to the container lid adjacent to the second centering device, and the container lid is secured to the container trough when the second fastening element is fastened to the first fastening element, wherein
the first centering device has four planar projections which run in a lateral direction to form an angle in relation to the longitudinal axis of the container and the transverse axis of the container and wherein the second centering device has four recesses which are adjusted appropriately to accommodate and interlock corresponding planar projections.

US Pat. No. 10,398,496

ELECTROSURGICAL INSTRUMENT WITH CLAMPING PRESSURE CONTROL FOR ELECTRODE BRANCHES

Aesculap AG, (DE)

1. A surgical instrument comprising:an actuation mechanism;
two tissue branches, at least one of the tissue branches being a movable tissue branch that is moveable relative to the other tissue branch and able to be applied to said other tissue branch with a predetermined or predeterminable contact pressure via the actuation mechanism while clamping body tissue between the tissue branches;
a handle; and
a clamping pressure controlling or adjustment device which is interconnected in a force or torque gear train in series between the actuation mechanism and the at least one movable tissue branch or within the actuation mechanism, the clamping pressure controlling or adjustment device comprising:
a first push/pull element and a second push/pull element that can be axially shifted relative to the first push/pull element, the first push/pull element and the second push/pull element being movable with respect to the handle; and
an energy accumulator provided serially between the first and second push/pull elements for transmitting an elastic force from the first push/pull element to the second push/pull element, the energy accumulator having a moving direction and a direction of elastic force transmission axially to the first push/pull element and/or to the second push/pull element,
the first and second push/pull elements being axially shiftable relative to each other to a non-actuated relative position in which the energy accumulator transmits no elastic force between the first and second push/pull elements, the non-actuated relative position being adjustable for adjusting and predetermining a maximum attainable contact pressure between the tissue branches.

US Pat. No. 10,368,888

MICROSURGICAL HOLDING AND/OR CUTTING INSTRUMENT

Aesculap AG, (DE)

1. A surgical handheld instrument comprising:a first lever element and a second lever element hinged to the first lever element by a lever element hinge, each lever element including a grip portion on a first side of the lever element hinge and a jaw portion on a second side of the lever element hinge,
a first leaf spring and a second leaf spring which are proximally connected to each of the grip portions as a first spring portion and a second spring portion, respectively, the first spring portion and the second spring portion extending each of the grip portions, the first leaf spring and the second leaf spring each having a proximal free end, the proximal free end of the first leaf spring being coupled to the proximal free end of the second leaf spring by a hinged joint, the hinged joint including a hinge pin at the proximal free end of the first leaf spring and at least one bearing eye at the proximal free end of the second leaf spring,
wherein the at least one bearing eye comprises an eye-hole having a longitudinal axis extending therethrough, wherein the at least one bearing eye also comprises a continuous longitudinal slit extending diagonally through the at least one bearing eye relative to the longitudinal axis of the eye-hole,
wherein, when the first lever element and the second lever element are hinged together by the lever element hinge, at least one spring portion must be twisted so as to align a longitudinal axis of the hinge pin with the slit to allow for radial insertion of the hinge pin into the at least one bearing eye.

US Pat. No. 10,368,903

WIDTH-ADJUSTABLE CUTTING INSTRUMENT FOR TRANSAPICAL AORTIC VALVE RESECTIONING

Aesculap AG, (DE)

1. A surgical cutting instrument for aortic valve resection, comprising a cutting unit arranged on a distal end of a tool shaft and comprising at least one mechanical cutting element for making a circular incision, the at least one mechanical cutting element configured to be continuously adapted to different aortic diameters by a radially movable actuating mechanism, wherein the actuating mechanism comprises one or more supporting arms or guiding arms distributed in a circumferential direction and supporting and guiding the at least one mechanical cutting element, the actuating mechanism designed such that the one or more supporting arms or guiding arms can be expanded and retracted parallel to an axis of the tool shaft so that the one or more supporting arms or guiding arms and the at least one mechanical cutting element remain in a parallel alignment relative to the axis of the tool shaft throughout an entire adjustment range, wherein the tool shaft comprises a first tool shaft component and a second tool shaft component, and the one or more supporting arms or guiding arms are each connected to the first tool shaft component by at least a first joint rod and are each connected to the second tool shaft component by at least a second joint rod, the first and second tool shaft components being axially movable relative to each other such that an axial movement of the first and second tool shaft components is converted, via the first and second joint rods, into a radial movement of the one or more supporting arms or guiding arms.

US Pat. No. 10,335,217

PEDICLE SCREW WITH LARGE-DIAMETER BONE THREAD

Aesculap AG, (DE)

1. A pedicle screw system comprising a receiving sleeve for a longitudinal support, a bone screw and a shank head element;the bone screw comprising a bone thread formed as an external thread and a connection thread formed as an inner thread;
the shank head element at a proximal end having a head on which the receiving sleeve is mounted, and the shank head element at a distal end having a connection thread formed as an external thread and screwed into the connection thread of the bone screw;
the connection threads both being formed as multi-threads, each having a distal connection thread portion and a proximal connection thread portion;
the distal connection thread portions and the proximal connection thread portions having an identical thread pitch; and
the distal connection thread portions having a diameter smaller than that of the proximal connection thread portions.

US Pat. No. 10,314,642

ELECTROCAUTERY METHOD AND APPARATUS

Aesculap AG, (DE)

1. An electrocautery apparatus, comprising:a first electrode surface comprising a plurality of first electrodes, wherein at least one of the plurality of first electrodes is arranged so as to be substantially contiguous with at least one other of the plurality of the first electrodes;
a second electrode surface comprising at least one second electrode, the at least one second electrode opposite facing the plurality of first electrodes;
a power supply having at least one adjustable output channel for application of high frequency power to targeted tissue via selective coupling of said high frequency power to said plurality of first electrodes and to said at least one second electrode;
at least one sensor for sensing at least one first parameter comprising any of voltage, current, impedance, phase angle between applied voltage and current, temperature, energy, and frequency and for producing an output representative of a value or rate of change of said at least one first parameter;
a controller configured to control at least one aspect of said high frequency power provided by said power supply based on the output of the at least one sensor, the controller configured to selectively apply said high frequency power from said power supply between more than one of said plurality of first electrodes and said at least one second electrode, and during the selective application, the controller implementing a firing order for the more than one of said plurality of first electrodes which applies the high frequency power to the at least one of the plurality of first electrodes and the at least one other of the plurality of first electrodes neither concurrently nor sequentially;
wherein said high frequency power provided by said power supply cauterizes or necroses tissue between surfaces of said plurality of first electrodes and said at least one second electrode.

US Pat. No. 10,314,568

SURGICAL RETRACTOR WITH REMOVABLE ACTUATING ELEMENT

Aesculap AG, (DE)

1. A retractor crank assembly for longitudinally adjusting cross bar legs of a surgical retractor, the retractor crank assembly comprising:A. a drive unit for mounting on a pair of cross bar legs of a surgical retractor, the drive unit comprising:
i. a drive case defining a flat top surface; and
ii. a rotary component rotatably mounted in the drive case, the rotary component comprising a flat outer face that is flush with the top surface of the drive case and at least one recess exposed on the top surface; and
B. a crank for detachable coupling to the rotary component in a releasable form-locking manner for transferring torque to the drive unit when manual force is applied to the crank, the crank comprising:
i. a handle operable for imparting torque to the drive unit when the handle is coupled to the drive unit;
ii. at least one protrusion for insertion into the at least one recess of the rotary component, the at least one protrusion movable between a locked position, in which the at least one protrusion is positioned to engage the recess and securely lock the crank to the drive unit, and an unlocked position, in which the at least one protrusion is positioned to disengage the recess and permit manual detachment of the crank from the drive unit; and
iii. an actuation element in operable communication with the at least one protrusion,
wherein, when the crank is detached from the drive unit, the flat top surface of the drive case and flat outer face of the rotary component are free of jutting contours, and
wherein the actuation element comprises at least one sliding edge, and the at least one protrusion comprises a transverse pin that slidably engages the sliding edge, the at least one sliding edge configured to convert axial force applied to the actuation element into a transverse force against the transverse pin to displace the at least one protrusion between locked and unlocked positions.

US Pat. No. 10,548,583

TELESCOPING RETRACTOR HOLDER

Aesculap AG, (DE)

1. A retractor holder for supporting a surgical retractor during surgery, the retractor holder comprising:a support rod having a first end, a second end, and an actuating element between the first end and the second end for adjusting a length of the support rod;
a fastening mechanism attached to the first end of the support rod for fixing the support rod to an operating table or platform;
a bearing element attached to the second end of the support rod, the bearing element comprising a rounded cross member, the cross member defining a transverse axis longitudinally through the cross member; and
a retractor rod comprising a circumference and defining a plurality of annular grooves, the annular grooves extending around the circumference and axially divided from one another by a plurality of ridges, the retractor rod further defining a longitudinal rod axis through the retractor rod,
the cross member defining a convex bearing surface, and each annular groove of the retractor rod defining a concave bearing surface,
the retractor rod balanced by gravity on top of the cross member and distributing its entire load to the cross member, with the concave bearing surface of one of the annular grooves contacting the convex bearing surface of the cross member,
such that the retractor rod is pivotable about the transverse axis and rotatable about the rod axis at a selected point of action on the retractor rod, while remaining fixed against translation relative to the cross member.

US Pat. No. 10,548,613

MEDICAL SHAFT-TYPE INSTRUMENT WITH DIFFERENT STORAGE POSITION DISTANCES DUE TO CLAMP ENTRAINING ELEMENTS AND/OR RETAINING LUGS FOR CLAMPS

Aesculap AG, (DE)

1. A medical shaft-type instrument comprising:an instrument head for applying clamps, the instrument head being connectable via an instrument shaft to an instrument handle for actuating the instrument head; and
a clip magazine having a housing, in which magazine a plurality of clamps are bunkered at a predetermined storage position spacing relative to each other according to a storage principle,
all the clamps being movable forward, each by one storage position by a reciprocatable transport and entraining rail within the scope of a single delivery stroke, the transport and entraining rail having one clamp entraining element per clamp,
wherein adjacent clamp entraining elements are spaced from one another by first distances, and adjacent clamps are spaced from one another by second distances, the first distances being different from the second distances such that entrainment of the clamps is carried out within the scope of one single delivery stroke in a clocked way.

US Pat. No. 10,507,025

MEDICAL SHAFT-TYPE INSTRUMENT WITH A SUPPORT PLATE/BRIDGE ON THE RETAINING RAIL

Aesculap AG, (DE)

1. A medical shaft instrument, comprising:an instrument head having at least one jaw member for applying clamps with two scissor-like movable jaw member branches, the instrument head connectable with an instrument handle via an instrument shaft having an outer tube for actuating the at least one jaw member; and
a clip magazine in which a retaining rail is fixed for supporting clamps in a predetermined storage position distance from each other, wherein all the clamps are advanceable respectively by one storage position in a direction towards a distal end of the instrument shaft by a back and forth movable conveying and advancing rail in a single conveying stroke,
one of said clamps that is closest to the instrument head being conveyable into the at least one jaw member between the jaw member branches,
the retaining rail comprising a support plate or bridge extending into a distal direction, which covers a jaw member area in a region of one of the jaw member branches on the side thereof, facing the other of the jaw member branches such that a tipping of an advanced or advanceable clamp on said one of the jaw member branches is prevented, and
the support plate or bridge projects laterally as a guidance or guide member, seen in a longitudinal direction of the retaining rail, such that the support plate or bridge is asymmetrically arranged with respect to the longitudinal direction.
US Pat. No. 10,463,761

TISSUE FUSION AGENT

Aesculap AG, Tuttlingen ...

1. A tissue fusion agent, wherein the tissue fusion agent is present in the form of a fibrous flock material, wherein the fibrous flock material is not connected to a substrate or assembled to form a planar structure.

US Pat. No. 10,448,936

JAW FOR A SURGICAL TUBULAR SHAFT INSTRUMENT

Aesculap AG, (DE)

1. A jaw assembly for a surgical tubular shaft instrument, the jaw assembly comprising:a supporting component,
a first arm including a first active area, and
a second arm having a second active area,
each of the first arm and/or the second arm having one link element, the first arm and the second arm being held by the supporting component in an axial direction,
the jaw assembly further comprising a cam carrier element which is axially movable relative to the supporting component and carries at least two cams,
said one link element designed to be in contact with the at least two cams when there is a relative axial movement between the supporting component and the cam carrier element, said cams being provided on the cam carrier element, said one link element designed to slide off the at least two cams to effect an opening or closing of the jaw assembly by a movement of the first arm and the second arm directed toward each other or away from each other.

US Pat. No. 10,413,343

OUT-OF-ROUND PEDICLE SCREW

Aesculap AG, (DE)

1. A medical bone screw comprising a screw head and a threaded shaft, the threaded shaft having a proximal most end, a distal most end, and a transition between the proximal most end and the distal most end, the threaded shaft comprising:a threaded distal shaft portion having a first core and a first axial length, the first axial length beginning adjacent the transition and ending at the distal most end, the first core having a first diameter which is constant along the first axial length of the threaded distal shaft portion; and
a threaded proximal shaft portion having a second core and a second axial length, the second axial length beginning adjacent the proximal most end and ending at the transition, the second core having a second diameter which is constant along the second axial length of the threaded proximal shaft portion, the second diameter of the second core being greater than the first diameter of the first core,
the first core being formed to be out-of-round along the first axial length and the second core formed to be circular along the second axial length,
wherein the first core has a first cross-sectional shape, the first cross-sectional shape being a polygon with a number of corners and equal legs, and
the outer diameter of the screw along the first axial length is circular irrespectively of the first cross-sectional shape of the first core.

US Pat. No. 10,405,856

METHOD FOR SURGICAL STAPLING

Aesculap AG, (DE)

1. A surgical method of treating tissue of a patient, comprising:placing an endocutter into a treatment site of the patient;
applying a first deployment of staples of a first staple shape onto or into a first tissue with the endocutter; and
applying a second deployment of staples of a second staple shape onto or into a second tissue with the endocutter,
wherein each of the staples is integrally formed with a feeder belt.

US Pat. No. 10,405,980

STABILIZER FOR OPERATIONS ON THE BEATING HEART

Aesculap AG, (DE)

1. A stabilizer for operations on a heart comprising:a fastening shaft and
a tissue contact component with two substantially parallel, elongated bearing elements which are provided on a base section and are adapted to be arranged on two opposing sides of a blood vessel (B) such that at least one section of the blood vessel (B) runs between the two bearing elements, wherein the base section of the tissue contact component is affixed to one end of the fastening shaft, wherein
at least one of the bearing elements has a slit that passes through the at least one of the bearing elements from one surface of the at least one of the bearing elements to an opposite surface of the at least one of the bearing elements, and the slit extends in the longitudinal direction of the at least one of the bearing element at least over a section thereof, and
the fastening shaft has an axially proceeding channel which extends at least over a section of the fastening shaft and is connected to at least one connection channel in the region of the end of the fastening shaft to which the base section is affixed, the at least one connection channel configured to connect the axially proceeding channel to an area of the heart.

US Pat. No. 10,368,875

SURGICAL CLIP

Aesculap AG, (DE)

1. A surgical clip for a surgical clip applicator, the surgical clip comprising:at least one pair of clip arms, wherein each clip arm has a distal end and a proximal end, the clip arms connected to each other at their proximal ends to form a clip throat,
a tangent angle between a tangent to a neutral fiber of at least one clip arm and a perpendicular to a longitudinal axis of the surgical clip increases over an entire length of said at least one clip arm substantially continuously,
wherein the tangent angle has, on a length on said at least one clip arm of 22%, a value of at least 60°.

US Pat. No. 10,278,790

STORAGE SYSTEM FOR MEDICAL INSTRUMENTS

Aesculap AG, Tuttlingen ...

1. A receiving sleeve of a tool set for a supporting mount of surgical tools, the receiving sleeve comprising a cylindrical hollow body having an end face provided with an insertion opening for inserting a tool to be inserted,the hollow body defining a longitudinal axis and comprising a plurality of circumferentially spaced inner clamping elements which have punctiform or linear engagement sections which are provided at their free ends and adapted for making a force-fit and/or form-fit contact with the tool to be inserted for holding the tool to be inserted within the receiving sleeve at a radial distance from the cylindrical hollow body,
the inner side of the hollow body provided with a plurality of circumferentially spaced rigid protrusions for centering the tool to be inserted in the receiving sleeve, the rigid protrusions extending axially in rib-like fashion and are chamfered like a funnel in the area of the insertion opening, producing an insertion aid for the tool to be inserted,
wherein the inner clamping elements and the rigid protrusions are provided at the inner side of the hollow body and alternate in a circumferential direction of the hollow body so that each inner clamping element is arranged between two rigid protrusions, and each rigid protrusion is arranged between two inner clamping elements.

US Pat. No. 10,561,421

JAW PIECE WITH A LAYERED CONSTRUCTION, FOR A SURGICAL INSTRUMENT

Aesculap AG, (DE)

1. A jaw member for a tubular shafted surgical instrument, the jaw member comprising:a first branch having a first active region; and
a second branch having a second active region,
the first branch comprising a first link member and the second branch comprising a second link member, the first and second branches held in an axial direction,
the jaw member further comprising a cam support member which is slideable relative to the first link member and the second link member in the axial direction, and
the first link member, second link member and the cam support member formed substantially planar and arranged substantially sandwichlike in a three-layer structure, with the first link member beneath the cam support member, and the cam support member beneath the second link member, and with the first link member separated from the second link member by the cam support member.

US Pat. No. 10,555,739

SNAP LINK-TYPE SURGICAL CLIP

Aesculap AG, (DE)

1. A surgical clip comprising: two clamping legs which are pretensioned to each other in a clip-closing-direction via a closing force of a pretensioning spring or of an elastic connecting portion such that distal free ends of the two clamping legs contact one another in a resting position of the surgical clip; two additional springs amplifying the closing force of the pretensioning spring or of the elastic connecting portion and being arranged in parallel thereto and connected to the surgical clip, the two additional springs being formed as independent and separate parts from the pretensioning spring or the elastic connecting portion and acting on the two clamping legs from opposite directions such that a first additional spring of the two additional springs exerts a force in only a first direction and a second additional spring of the two additional springs exerts a force in only a second direction, wherein the first direction is opposite the second direction, wherein the first additional spring is formed as a first U-shaped yoke spring and the second additional spring is formed as a second U-shaped yoke spring, each of the first and second U-shaped yoke springs comprising two longitudinal legs and a cross leg interconnecting the two longitudinal legs, free ends of the two longitudinal legs being mounted either on the two clamping legs or on a connecting piece coupling the two clamping legs.

US Pat. No. 10,555,759

POLYAXIAL PEDICLE SCREW HAVING PROVISIONAL FASTENING MEANS

Aesculap AG, (DE)

1. A polyaxial pedicle screw having a screwed shaft section for anchoring the pedicle screw in a vertebra,wherein a shaft head is configured at an axial end of the screwed shaft section, said shaft head being pivotably and/or rotatingly coupled to a receiving sleeve for a longitudinal support,
wherein the receiving sleeve comprises a fastening means for selective positional fastening of the receiving sleeve with respect to the screwed shaft section, said fastening means at least comprising an inlay mounted in the receiving sleeve and acting on the shaft head, and a locking element acting via the longitudinal support on the inlay and screwed directly into the receiving sleeve,
wherein the inlay is configured with inlay engagement elements, which are not covered or overlapped by the locking element nor by the longitudinal support, for the introduction of a provisional compressive force parallel to the locking element on the inlay,
wherein the inlay engagement elements extend radially outwardly from an outermost circumference of the locking element in a direction perpendicular to the longitudinal axis of the locking element.

US Pat. No. 10,470,785

SURGICAL APPARATUS INCLUDING ARTICULATION GEAR

Aesculap AG, (DE)

1. A surgical apparatus comprising:an articulation gear;
a plurality of distinct cam paths each defined as a recess in said articulation gear;
at least one holder post extending into each cam path; and
a handle including at least one button,
wherein at least part of said articulation gear is held within said handle,
wherein said at least one button includes a holder post deflection cam defined thereon,
wherein each holder post and corresponding cam path are movable relative to one another, each holder post remaining within said corresponding cam path during such relative motion, and
wherein distal motion of said at least one button causes said holder post deflection cam on said at least one button to move linearly in the distal direction to engage at least one of the holder posts.

US Pat. No. 10,473,144

BENT TUBULAR SHAFT AND METHOD FOR PRODUCING THE SAME

Aesculap AG, (DE)

1. A method for producing a bent tubular shaft for a tubular shaft instrument comprising:providing a hollow shaft component,
providing an actuating rod, wherein the actuating rod has at least one bending area in which flexible segments and support segments alternate,
providing the at least one bending area of the actuating rod with a friction-reducing layer, inserting the actuating rod into the hollow shaft component in order to create a tubular shaft, and
bending of the tubular shaft in an area that corresponds to the at least one bending area of the actuating rod, including grasping the tubular shaft in an area located outside the at least one bending area of the actuating rod,
wherein the at least one bending area of the actuating rod is produced, in which flexible segments are formed on a cylindrical rod by removing material from the rod, and support elements are formed, in which the original diameter of the cylindrical rod is essentially retained in at least one transverse direction at these sections, and
wherein the flexible segments are formed as cylindrical sections having a smaller cross-sectional area than the rod outside the at least one bending area, and wherein the support segments are formed essentially spherical and have a maximum diameter that essentially corresponds to the diameter of the cylindrical rod outside the at least one bending area, wherein two adjacent support segments are connected by a flexible section.

US Pat. No. 10,448,991

SURGICAL INSTRUMENT HAVING POINT CONTACTS IN COUPLING AREA

Aesculap AG, (DE)

1. A surgical instrument comprising:a female instrument part defining in a coupling/hinge area a hollow volume having inwardly facing inner coupling/contact surfaces; and
comprising a male instrument part which is inserted, relative to the female instrument part, at least partly through the hollow volume and therein can be pivoted about a pivot axis,
the male instrument part defining in the coupling/hinge area a sliding guide portion having outwardly facing outer coupling/contact surfaces,
wherein in the outer coupling/contact surfaces, a number of outer coupling recesses is arranged and on the inner coupling surfaces, a number of inner coupling recesses is arranged which extend relative to a longitudinal axis of the surgical instrument in a direction or directions other than that of the outer coupling recesses.

US Pat. No. 10,434,206

CLOSURE ELEMENT FOR A MEDICAL STERILE CONTAINER, AND STERILE CONTAINER WITH SUCH A CLOSURE ELEMENT

Aesculap AG, (DE)

1. A closure for a medical sterile container comprising a first container part and a second container part, the closure comprising:a closure flap which is arranged on one of the first container part and second container part so as to be able to pivot between a closed position, in which the first and second container parts are interlocked with each other by means of the closure, and an open position in which the first and second container parts are unlocked
a closure lug that is pivotally arranged as a toggle lever on the closure flap, the closure lug designed to engage the other of the first container part and second container part in the closed position of the closure; and
a latch element which in the closed position of the closure interlocks the closure flap with the other of the first container part and second container part, the latch element being movably arranged on the closure flap between a position locking the closure and a position releasing the closure; wherein the latch element comprises a locking pawl which in the closed position of the closure with the latch element being in the locked position is locked in place on the other of the first container part and second container part.

US Pat. No. 10,555,770

ELECTROSURGICAL TUBULAR SHAFT, SURGICAL INSTRUMENT GRIP AND ELECTROSURGICAL TUBULAR SHAFT INSTRUMENT

Aesculap AG, Tuttlingen ...

11. An electrosurgical tubular shaft instrument, comprising:a surgical instrument grip and an electrosurgical tubular shaft,
the surgical instrument grip comprising:
at least one coupling element for interacting with at least one corresponding coupling element of the electrosurgical tubular shaft for releasably coupling the electrosurgical tubular shaft to the instrument grip, and
at least one connecting element for releasably fixing at least one electric connection line of the electrosurgical tubular shaft to the instrument grip, wherein the instrument grip is void of any internal electrical contact members, and
the electrosurgical tubular shaft comprising:
a tube,
an electrosurgical tool arranged at a distal end of the tube,
the at least one electric connection line, which is electrically connected to the tool and extending in the tube,
the at least one corresponding coupling element, which is arranged at a proximal end of the tube for interacting with the at least one coupling element of the instrument grip for releasably coupling the instrument grip to the tubular shaft,
the tube comprising an outlet opening which is arranged distally of the at least one coupling element and through which the at least one connection line issues from the tube,
an electric connection element for an electric energy supply, which is arranged at the proximal end on the at least one connection line, and
at least one connecting element for interacting with the at least one connecting element of the instrument grip,
at least one contact member which extends from the connection element and is electrically connected to the at least one connection line,
the connection element of the electrosurgical tubular shaft comprises or forms the at least one connecting element of the electrosurgical tubular shaft, and
the at least one contact member of the electrosurgical tubular shaft extends from a portion of the at least one connecting element of the electrosurgical tubular shaft that is remote from the instrument grip.

US Pat. No. 10,556,031

DEVICE FOR COUNTING STERILIZATION CYCLES

Aesculap AG, (DE)

1. A device for counting sterilization cycles during the sterilization of medical instruments and medical devices, the device comprising:a counter for recording and reproducing a number of sterilization cycles;
an actuation unit for a sterilization parameter-dependent actuation of the counter; and
a locking unit for a sterilization parameter-dependent locking of the counter, wherein
the actuation unit comprises a stud/pin for actuating the counter and a piston/cylinder unit having a chamber that can be acted upon by a sterilization pressure, the piston/cylinder unit comprising a piston and a cylinder being capable of being positioned relative to each other depending on the sterilization pressure; and wherein
the locking unit comprises a disc which can be moved with respect to the piston/cylinder unit and has a passage for the actuation unit, said passage being positioned so as to be in alignment with the stud/pin and allowing an actuation of the counter when the disc is in a first position and locks the stud/pin and prevents the counter from being activated when the disc is in a second position.
US Pat. No. 10,456,507

TISSUE FUSION AGENT

Aesculap AG, Tuttlingen ...

1. A tissue fusion agent comprising a supporting element and a flock material, wherein the supporting element comprises a material which is meltable under the influence of high-frequency alternating current, heat, ultrasound and/or laser irradiation or is formed from such a material, and wherein the flock material connects directly to a surface of the supporting element with no adhesive layer in between the flock material and the surface of the supporting element.