A mixer (1) comprises a drum (2) having at least one inlet (6) and one outlet (7). The mixer (1) furthermore comprises a drive (3) and a stirring shaft (4), which is arranged in the drum (2) and is coupled to the drive (3). Furthermore, the mixer (1) comprises a conveying device (5), which is arranged in the drum (2) and which is arranged on one and the same axis as the stirring shaft (4).

A mixing device and methods for making bone cement. A piston of the mixing device is located in a first region of a chamber such that a mixing paddle rotates to mix bone cement components at a first pressure to make a bone cement mixture. The piston is moved passed an inlet opening to be located within a second region of the chamber to compress the bone cement mixture to a second pressure greater than the first pressure to compress the bone cement mixture and make the bone cement. The bone cement may be transferred to a delivery device. The mixing device may include features that automatically initiate the compression and transferring phases after completion of the mixing phase, and further include features that automatically terminate the operational cycle. A three-step intuitive workflow utilizing the mixing device to improve efficiency in the surgical suite is also disclosed.