This disclosure relates generally to surgical instruments used to deliver locking or set screws to secure a rod or spinal fixation element relative to an implanted bone anchor or other spinal fixation construct during spine surgery. In one embodiment, the inserter instrument can include an inner driver shaft, a ratcheted outer sleeve, and a handle configured to receive the shafts therein. The inner driver shaft can receive a plurality of set screws on a distal end thereof. A side latch, pawl, or button can engage with the ratcheted outer sleeve to facilitate step-wise advancement of the sleeve relative to the driver shaft for set screw delivery. Step-wise advancement can be controlled using another button that causes movement of the side latch

An apparatus including a sterilizable tray having a base and at least one fixture connected to the tray adapted for removably securing an implant insertion device to the tray. The tray can be free of a first wall portion for permitting the proximal end of an implantable device to axially align with the end of the implant insertion device for coupling to the implant insertion device and can be free of a second wall portion for permitting a tool to axially align with the end of the implant insertion device so as to threadedly couple the implant insertion device to the implantable device. Related methods and apparatus are provided.

A device for positioning an orthopaedic fixation device includes: a compression attachment mechanism; a fastener guide coupled to the compression attachment mechanism; and a spring member disposed in the fastener guide.

A multi-unit packing system includes a packaging tray assembly supporting a medical device or product. The packaging tray assembly includes a tray that holds the medical product within a spring-loaded card. The spring-loaded card being disposed within the inner container of the tray. The spring-loaded card including a one or more openings that are positioned to maintain the medical product in a defined orientation while preventing the inadvertent movement of the medical product. The spring-loaded card comprises elastic properties to allow it to be elastically compressed when the barrier is sealed to the tray, and uncompressed when the barrier is peeled away from the tray, allowing a portion of the spring-loaded card to extend beyond a surface of the tray to provide easier access, removal and transfer of the sterile medical product within the sterile field.

Various implant holding systems are provided herein that include an outer tube, an inner tube, and a holder. The implant holding systems can be designed to hold various implants, such as bone anchors used in spinal operations. For example, one embodiment of an implant holding system can have an outer tube, an inner tube that can be disposed within the outer tube, and an implant holder that can be disposed within the inner tube. An individual bone anchor that has various configurations and sizes can be disposed within the holder, and the holder can engage the bone anchor to assist in maintaining an orientation of the bone anchor relative to the holder.

Packaging sleeve for medical purposes for storing sterile objects (25, 45), consisting of at least one outer sleeve (2) that is open at one end and can be sealed with a sealing closure (10) and has an inner sleeve (12) accommodated in it with a clamping effect, wherein the inner sleeve (12) is accommodated in a clamping seating in a receiving opening (15) in the sealing closure (10) on the bottom side of the outer sleeve (2) and the clamping seat thereby formed presses the sealing ribs (7, 55, 56, 59) arranged on the outside circumference of the sealing closure (10) against the inside of the outer sleeve (2) under increased contact pressure (FIG. 1).

A medical package containing a medical article, including: a support element comprising a hollow support tube and a support cap, wherein the support element includes a first chamber configured to enclose the medical article and wherein the support cap includes a support structure configured to hold the medical article captive; a stopper configured to be coupled to the hollow support tube in such a way that the support element has a grip part that protrudes from the stopper, the grip part of the support element configured to be held by a hand of a person; a hollow protective cover configured to be coupled to the stopper in such a way as to delimit, in cooperation with the stopper, a second chamber inside which there extends the grip part of the support element, the hollow protective cover configured to be separated from the stopper, wherein when the hollow protective cover is coupled to the stopper, a part of the stopper protrudes from the hollow protective cover, and is configured to form a grip end of the stopper that is configured to be held by a hand of a person, when the hollow protective cover is separated from the stopper, wherein a part of the support element is configured to be engaged by force inside the stopper, and when the hollow protective cover is separated from the stopper, the support element remains coupled to the stopper while the support element is also separable from the stopper when a person holds the grip part of the support element and pulls the support element so as to separate it from the stopper.

Embodiments of the invention are directed to a caddy configured to receive medical implants coupled to respective holders. The medical implants and holders may be oriented and/or located in the caddy based on one or more of size, shape, and other configuration of the medical implants and holders and the openings in the caddy through which the medical implants are received. Another embodiment of the invention incudes a medical implant having an implant body portion and a detachable marking portion that is connected to the implant body portion by a frangible region structured to provide selective separation of the implant body portion from the detachable marking portion upon application of a force or torque to the implant body portion, and the detachable marking portion including one or more markings that correspond to identifying information associated with features or characteristics of the implant body portion.

Embodiments of the invention are directed to a caddy configured to receive medical implants coupled to respective holders. The medical implants and holders may be oriented and/or located in the caddy based on one or more of size, shape, and other configuration of the medical implants and holders and the openings in the caddy through which the medical implants are received. Another embodiment of the invention includes a medical implant having an implant body portion and a detachable marking portion that is connected to the implant body portion by a frangible region structured to provide selective separation of the implant body portion from the detachable marking portion upon application of a force or torque to the implant body portion, and the detachable marking portion including one or more markings that correspond to identifying information associated with features or characteristics of the implant body portion.

Various power screwdrivers with screw delivery systems are disclosed. In some embodiments, an apparatus attachable to a power screwdriver comprises a housing, a cartridge barrel having a plurality of barrel chambers, each capable of holding a screw and drive-bit assembly, and a drive shaft assembly. The drive shaft is aligned with a barrel chamber. The drive shaft has a handle sleeved thereon. The handle is coupled to a barrel cam connected to the cartridge barrel. Moving the handle proximally to a retracted position and then distally to a neutral position rotates the cartridge barrel in a way that the drive shaft is aligned with a barrel chamber adjacent the previous barrel chamber. Moving the handle distally to a forward position advances a screw out of a port.