A system for fastening soft tissue to bone includes a bone screw having a threaded shaft and a screw head having an underside with malleable protuberances that project toward a distal end of the threaded shaft. A fixation plate is coupled with the threaded shaft. The fixation plate has a proximal face that opposes the underside of the screw head, a distal face that faces away from the underside of the screw head, an outer peripheral edge that extends between the proximal and distal faces, a central opening for receiving the threaded shaft, and protrusions spaced from one another around the outer peripheral edge that extend distally beyond the distal face of the fixation plate. The system includes an insertion tool having a handle and a tubular shaft extending distally from the handle. The tubular shaft has a proximal shaft section having an inner diameter that closely matches an outer diameter of the screw head, and a distal shaft section having an inner surface with a groove that seats the outer peripheral edge of the fixation plate for releasable retaining the fixation plate within the distal shaft section. A cartridge contains the bone screw and the fixation plate coupled with the bone screw. The cartridge includes a proximal end that seats the screw head and a distal end that seats the fixation plate of the bone screw.

Methods and systems of placing a medical fastener at a predetermined depth in a bone are described. A surgical tool can include an attachment assembly configured to interchangeably engage a medical fastener and a cutting element or bone removal tool and a drive assembly coupled to the attachment assembly. The attachment assembly can be configured to automatically release the medical fastener in response to the drive assembly reaching its end or distal-most position to place the medical fastener at a predetermined depth within the bone.

The invention relates to a device for packaging an object, comprising: a main hollow body (100), a closure element (101), and a support (110) housed inside the main hollow body (100), said support being configured to receive an object (150), such as a medical implant. The support comprises a seat having an axial through-hole designed to allow part (170) of the object (150) to extend below the seat, while another part (160) of the object (150) bears on the seat. The packaging device is configured to limit or block the rotation of the support (110) relative to the main hollow body (100) about the axis of the through-hole in the seat. The support (110) is designed to limit or block the rotation of at least part of the object (150) about said axis, whereby the object (150) can move freely out of the main hollow body (100) when the closure element (101) is open. The invention also relates to a corresponding extraction method.

Medical packaging for the sterile storage of medical articles in a hermetically and sterile sealable packaging sleeve. The packing generally includes at least two parts, with a sealed, film-like outer packaging, which at least partially encloses the packaging sleeve in a form-fitting manner and provides a pressure that is reduced with respect to the atmosphere. At least one end face of the packaging sleeve may be designed to be flattened, wherein a length of the outer packaging is generally longer than a length of the packaging sleeve and projects beyond the end face region of the packaging sleeve. A sealing or welding seam may be arranged at least in the end face region of the packaging sleeve, wherein at least one of the end faces of the packaging sleeve, preferably both end faces, are designed so as to be flattened off. The end-sided transition from the packaging sleeve into the outer packaging is substantially wrinkle free.

Methods and systems of placing a medical fastener at a predetermined depth in a bone are described. A surgical tool can include an attachment assembly configured to interchangeably engage a medical fastener and a cutting element or bone removal tool and a drive assembly coupled to the attachment assembly. The attachment assembly can be configured to automatically release the medical fastener in response to the drive assembly reaching its end or distal-most position to place the medical fastener at a predetermined depth within the bone.

Various exemplary methods and devices are provided for the delivery of spinal screws to a spinal implant site. A variety of exemplary configurations and implementations are provided, but, in general, a handheld tool is provided having a guide member with a lumen formed therein that is configured to deliver a spinal screw to a cervical spine implant. The tool can include various features that facilitate the delivery of the spinal screw to the implant. The tool can include a storage component, such as a magazine, that is configured to hold a plurality of spinal screws for delivery of multiple spinal screws during a surgical procedure.

The invention relates to a medical assembly, preferably a sterilized one, comprising a medical article (5) and a package containing said article, said package comprising a hollow support element (2) inside which said article (5) is free, a first protective element (3), called a stopper, which can be coupled to the support element (2) of said article, such that the support element (2) has a grip part (20) that protrudes from said stopper (3), and a second hollow protective element (4), called a cover. Said cover can be coupled to the stopper (3) in such a way as to delimit, in cooperation with said stopper (3), a chamber (8) inside which there extends said grip part (20) of the support element, and, in the state when the cover is coupled to the stopper, a part of the stopper (3) protrudes from the cover (4).

A fastener cartridge can be used with a shaft of a tool during an orthopedic procedure. The fastener cartridge can have a main housing that can be attached to fastener housing including a fastener chamber and a backstop component. The fastener chamber includes a plurality of non-flexible tabs and the backstop component includes a plurality of resiliently flexible tabs. The fastener housing is configured to include a plurality of fasteners that are arranged therein such that the longitudinal axes of the fastener chamber and the plurality of fasteners are collinear. The plurality non-flexible tabs prevent one of the fasteners from inadvertently passing entirely out of an outlet of the fastener chamber and the plurality of resiliently flexible tabs allow the fasteners to move axially in the first direction and restrict movement of the fasteners in a second direction opposite the first direction.

A tube rack apparatus including a bottom portion having a first length, a plurality of indents formed in the bottom portion and configured to receive tubes and keep tubes straight, the plurality of indents exposing a lower surface of the bottom portion, wherein inserted tubes do not pass through the lower surface of the bottom portion, a plurality of legs extending from the bottom portion, a top portion having a second length longer than the first length, a plurality of openings formed in the top portion, the plurality of openings aligned with the plurality of indents, and at least one handle member extending from a first end of the top portion.

A bone plate system and method for implanting the bone plate. The bone plate may include a head portion and a shaft portion, the shaft portion having a longitudinal axis and comprising a plurality of discrete aperture clusters. Each aperture cluster may include a non-threaded, non-locking bone fastener aperture configured to provide a polyaxial compressive construct and at least one threaded, locking bone fastener aperture. Once aligned with the bone, a first bone fastener is inserted into the bone through at least one of the non-threaded apertures in a direction normal to the longitudinal axis, compressing the bone along the longitudinal axis of the shaft portion of the bone plate. A second bone fastener is inserted into the bone through at least one of the threaded, locking bone fastener apertures in a direction oblique to the longitudinal axis and securing the bone plate to the bone.