SURGICAL TOOL AND SURGICAL SET

Abstract

Surgical tools (10) are disclosed comprising a surgical clamp (20) having at least two, preferably exactly two, legs (21) and a base (22) connecting the legs (21). The tools (10) comprise one or more of the following additional elements: a handle (30) integrally connected to the clamp (20), wherein the handle (30) is connected to the base (22) of the clamp (20) by at least a predetermined first breaking point (91); a drilling aid (40) having at least two openings (41) the distance (D) between which is greater than the distance (d) between the legs (21) of the clamp (20); a drill bit (50) connected, in particular at a first end (51), to the handle (30) by at least a predetermined third breaking point (93);a parting opening (42) designed such that, in particular after separation of the drilling aid (40) from the handle (30), the clamp can be received in the parting opening (42), particularly in the region of the first predetermined break point (91), such that the clamp (20) can be separated from the handle (30) at the first predetermined break point (91). More generally, one-piece surgical tools (10; 10') having at least two elements interconnected by predetermined break points are also disclosed.

Description

The present invention relates to surgical tools, as defined in the preambles of the independent claims of the patent, and to surgical assemblies. Tools provided with clamps are known that can be used in bone surgery, particularly for compressing bones or bone fragments. BACKGROUND OF THE INVENTION EP 2 106 754 A1 discloses surgical instruments with a clamp and two handles connected to the clamp via predetermined break points. The handles have openings to accommodate a tool. This allows the clamp to be bent open or closed. Document WO 2004 / 004578 A1 discloses tools that have a clamp and a retaining part connected to the clamp by weakened tabs. The instruments disclosed in document EP 2 474 271 A2 have retaining parts that are connected to a clamp via recessed, predetermined break points. The predetermined break points are located in a corner area between the legs and the base of the clamp. Template holes and recesses are provided in the retaining part. Furthermore, document DE 198 59 950 A1 discloses a clamp arranged within a recess in a sheet of material. However, the surgical tools known in this prior art present several disadvantages. For example, when the staples disclosed in EP 2 474 271 A2 are cut, sharp edge contours can be produced that may cause damage to body tissue when the staple is inserted. Furthermore, in many cases, the use of the staples requires additional tools for punching holes, cutting, and insertion, which must be individually adapted to the staples, making their supply difficult. BRIEF DESCRIPTION OF THE INVENTION Therefore, it is an object of the present invention to provide surgical tools with surgical clamps in which the aforementioned disadvantages are eliminated or at least reduced. In particular, the clamps should cause the least possible damage to body tissue, and the supply of other tools necessary for the use of the clamps should be simplified as much as possible. In a first aspect, the invention relates to a surgical tool comprising a surgical clamp and a handle. The clamp has at least two, preferably exactly two, legs and a base connecting the legs. The handle is integrally connected to the clamp. According to the first aspect of the invention, the handle is connected to the base of the clamp via at least one predetermined first breaking point. Due to the arrangement of the predetermined first breaking point at the base of the clamp, no sharp edges are formed on the legs of the clamp during separation. This protects the body tissue postoperatively. The predetermined breaking point, as defined herein, is a point on the tool connecting a first part of the tool (e.g., the handle) to a second part of the tool (e.g., the clamp), such that this connection can be specifically severed at this point by applying a breaking torque. In this case, the breaking torque may be in the range of 0.1 Nm to 2 Nm. The predetermined breaking point may be formed, for example, by a point on the tool that is thinner than the adjacent areas of the tool. Preferably, the tool further comprises a drilling aid having at least one opening that can be connected to the handle, in particular by means of at least a second predetermined break point. By separating the drilling aid at the second predetermined break point, it can be used to precisely position at least one hole in an area of ​​bone where the staple is to be inserted. The drilling aid is indirectly connected to the clamp via the handle. This ensures that a drilling aid correlated with the clamp is immediately available and does not need to be supplied separately. A second aspect of the invention relates to a surgical tool comprising a surgical clamp and a drilling aid. The surgical clamp has at least two, preferably exactly two, legs and a base connecting the legs. In particular, it may be a surgical tool according to the first aspect of the invention. According to the second aspect of the invention, the drilling aid comprises at least two openings the distance between which is greater than the distance between the legs of the clamp. This drilling aid allows holes to be positioned in two or more portions of a bone such that compression of the bone can be achieved by means of the clamp. When the legs are inserted into the holes, the bone is compressed between the areas. Also, a third aspect of the invention relates to a surgical tool having a surgical clamp and a handle, wherein the clamp has at least two, preferably exactly two, legs and a base connecting the legs, and the handle is connected to the clamp, in particular, integrally. For example, it may be a tool as described above. According to the third aspect of the invention, the tool further comprises at least one drill bit connected to the handle by means of the CCOC Ln / ί7Π7 / E / YΙΛΙ minus a third predetermined breaking point. In particular, the drill bit can be connected to the handle at a first end by means of the third predetermined breaking point. Such a tool opens the possibility of directly supplying, along with the staple, a drill bit adapted to the staple to make a hole in a bone into which one leg of the staple can be inserted. In preferred embodiments, the drill bit has a first point at the first end, and the third predetermined break point is spaced away from the first point. The third predetermined break point may preferably be located adjacent to a transition region between a drill bit shank and a tapered section at the first end. This prevents damage to the drill point when the drill bit is cut at the third predetermined break point. Furthermore, it is advantageous for the drill bit to be connected at a second end, via at least one predetermined fourth break point, to a drilling aid (particularly one such as that described above), which is part of the tool, has at least one opening, and is connected to the shank via at least one predetermined second break point. The advantages explained above can be achieved by means of the drilling aid. In advantageous configurations, the drill bit has a second point at the second end, and the fourth predetermined breaking point is spaced from the second point in a manner similar to the third predetermined breaking point of the first point. In one variation, the first and second points may have different dimensions, for example, to selectively drill holes of one of two different diameters. In another variation, the first and second points may also have the same dimensions, thus clearly specifying a diameter. Furthermore, it is preferable that the handle have at least one clamp receptacle into which the clamp, separated from the handle, can be forcibly and / or shaped. This way, after separating the handle from the clamp, the clamp can be held using the handle. Therefore, no separate tool is required for this. In one possible embodiment, the clamp receptacle is formed as a recess in one end of the handle. This represents a structurally simple yet effective design. In a fourth aspect, the present application also relates to a surgical tool comprising a surgical clamp, a handle, and a drilling aid, wherein the tool may again be as described above. In this case, the clamp has at least two, preferably exactly two, legs and a base connecting the legs. The handle is integrally connected to the clamp by at least one predetermined break point, and the drilling aid has at least one opening that is connected to the handle, in particular by at least one predetermined break point.According to the fourth aspect, the tool, and in particular the drilling aid, comprises at least one separation opening configured such that, in particular, after the drilling aid is separated from the handle, the clamp, while still connected to the handle, can be received in the separation opening, specifically in the region of the first predetermined break point, so that the clamp can be separated from the handle at the first predetermined break point. The separation opening can also be arranged in another area of ​​the tool, which can be separated from the handle for the staple and the staple. Thus, the tool directly offers the possibility of separating the clamp from the handle. This is particularly advantageous if the bone to be treated is so unstable that it is not possible to separate the handle once the staple is implanted.The integrated cutting hole also reduces the risk of damaging surgical gloves, which can occur with purely manual folding. This also eliminates the need for a separate tool that would otherwise need to be selected and provided separately. Furthermore, it is advantageous for the drilling aid to have a bending region positioned between an opening containing the drill bit and a groove containing the separation opening, allowing the drilling aid to be bent. This way, the drilling aid can be bent as needed to facilitate access to the bone being treated or to provide access in the first place. It is also advantageous that the first predetermined breaking point is recessed relative to a boundary surface of the base facing the handle. This design has the effect that any sharp edges that appear when the retaining portion separates are also recessed relative to the boundary surface of the base. As a result, no sharp edges form on the base of the clamp when it separates, and this also applies to the leg-facing side of the base. This contributes to greater protection of body tissue. Other advantages arise if the drilling aid comprises an impact notch for driving the staple separated from the handle into a bone, the impact notch being preferably arranged at a second end of the handle opposite the staple receptacle. More generally, the invention also relates to one-piece surgical tools comprising at least two elements interconnected at least partially by predetermined break points and / or predetermined bend points, CCOC Ln / ί7Π7 / Β / YΙΛΙ where at least one of the elements, preferably at least two of the elements, is / are selected from the following list: at least one surgical staple having at least two, preferably exactly two legs and a base connecting the legs; at least one surgical drill bit; at least one surgical scalpel; at least one surgical rod, with which, for example, the depth of a hole drilled in a bone can be measured; at least one rule; at least one surgical sliding device, in particular for the insertion of a surgical wand; at least one component, in particular a blank for at least one arm or part of a blank for at least one arm, of the surgical forceps; at least one component, in particular, a blank for a handle or part of a blank for at least one handle, of a surgical screwdriver or surgical scalpel; at least one surgical Kirschner wire. These latter tools also include, for example, tools that together form a blank for a surgical forceps arm or a blank for a surgical screwdriver handle or a surgical scalpel, the blank comprising at least two elements or parts that are connected to each other by a predetermined bending point at which the blank can be bent to obtain a forceps arm or a screwdriver or scalpel handle, respectively. Other aspects of the invention relate to surgical tools, which can be provided based on blanks made of sheet metal. These tools can be used individually and, preferably, in combination with the tools and blanks described above. For example, flat blanks can be used to provide compression forceps for Kirschner wires or distraction forceps. To provide this type of forceps, two flat blanks are proposed. One of these blanks may preferably be provided with a pressed pin. When bent, the two blanks can be shaped such that, once assembled, they form the two arms of a pair of forceps. Accordingly, this aspect relates to a set of two blanks that can be bent and pivotally connected to each other at a pivot point, such that the bent and pivotally assembled blanks form two arms of a pair of forceps. The bending can be performed at a predetermined bending point mentioned above. It is also possible to manufacture a Kirschner wire from a sheet, particularly by three-dimensional laser cutting or additional processing steps such as milling or grinding. In particular, such a Kirschner wire can have an optimized tip. The Kirschner wire can also be designed as a triangular Kirschner wire. Another possible application relates to a blank that can be used to manufacture a handle, for example, for a screwdriver or a scalpel. The blank has at least two, preferably three, arms to form the side faces. The side faces can be bent to form a handle. In this case, the side surfaces are connected at a rear end via a connecting region and are provided at a front end with contours that, preferably by bending, form an interface for the insertion of screwdriver bits, particularly for AO, dental, Stryker, or similar attachments, or scalpels. The bending can be carried out at a predetermined bending point mentioned above. It is also conceivable to provide a temporary plaque fixative (a so-called olive Kirschner wire) as a blank piece of foil. While these tools can be used advantageously on their own, it is clearly preferable to combine them with other tools or components. The supply of sheet metal blanks allows for flexible combination of individual tools or components depending on the desired application. These tools also preferably have at least one handle, for example, for holding a surgical object, in particular a surgical clamp and / or at least a surgical drilling aid with at least one opening. The tool elements are preferably correlated to one another. The single-piece connection allows for leak-proof and error-free delivery of several of these correlated elements. The surgical tools according to the invention can be made, for example, of a metal such as steel or titanium, plastic, nitinol, or ceramic. They can be manufactured, for example, by mechanical punching, laser cutting, milling, waterjet cutting, or erosion from sheet metal, or by mechanical treatment (for example, milling, drilling, or grinding) and bending, embossing, or pressing. The sheet metal can have a thickness ranging from 0.1 mm to 8 mm. The clamp legs have a thickness of 0.1 mm to 8 mm and can be spaced apart from each other by a distance ranging from 2 mm to 40 mm, preferably between 8 mm and 10 mm. Another aspect of the invention relates to a surgical set comprising the CCOC Ln / Lznz / E / YILI, minus a surgical tool as described above, a package in which the tool is packaged in a sterile manner. In particular, in the context of the present invention, the tool is considered to be packaged in a sterile manner if it complies with at least one of the standards DIN EN ISO 11137, DIN EN 556, and DIN EN ISO 11607, and preferably with all of them. Sterilization can be carried out, for example, thermally (such as steam sterilization, hot air sterilization, or fractional sterilization), chemically (such as moist antiseptic or dry antiseptic), or physically (such as high-pressure sterilization, radiation sterilization, for example, with UV rays, X-rays, gamma radiation, or electron bombardment, plasma sterilization, or sterile filtration). BRIEF DESCRIPTION OF THE DRAWINGS The invention is explained in detail below with reference to an example of one embodiment. Thus, it is shown Figure 1 is a first surgical tool according to the invention in a top view. Figure 2 is a second surgical tool according to the invention in a perspective view. Figure 3 is an alternative version of the tool in Figure 1. Figure 4 is an enlarged view of section A from Figure 1. Figure 5 is an enlarged view of section B from Figure 1. Figure 6a is a first part of the Kirschner wire compression forceps (uncoiled on the left and folded on the right); Figure 6b is a first part of the Kirschner wire compression forceps (uncoiled on the left and folded on the right); Figure 6c is a compression pliers assembled from the parts shown in Figure 6a and Figure 6b. Figure 6d is a Kirschner wire. Figure 7 is an alternative modality of compression forceps. Figure 8a is a blank for the manufacture of a screwdriver handle. Figure 8b is the rough piece of Figure 8a with the ends bent. Figure 8c is the blank of Figure 8a bent into the shape of an open handle. Figure 8d is the handle of Figure 8c with the screwdriver tip inserted. Figure 8e is the screwdriver from Figure 8d with the handle closed. Figure 8f is a perspective view of the interface between the screwdriver and the screwdriver handle of Figure e, and Figure 9 is a temporary plaque fixator (Olive Kirschner wire). CCOC Ln / ί7Π7 / E / YΙΛΙ DETAILED DESCRIPTION OF THE INVENTION The first surgical tool 10 according to the invention shown in Figure 1 comprises a surgical clamp 20 with two legs 21 and a base 22 connecting the legs. A handle 30 is connected to the base 22 via two predetermined break points 91. The first predetermined break points 91 are recessed with respect to a boundary surface of the base 22 that is oriented towards the handle 30. The tool 10 further comprises a drilling aid 40 with two openings 41. The drilling aid 40 is connected to the handle 30 via a second predetermined break point 92. The openings 41 of the drilling aid have a distance D that is greater than the distance d of the legs 21 of the clamp 20. Furthermore, in this embodiment, the drilling aid 40 of the tool 10 has a parting opening in the form of two parting grooves 42. In alternative embodiments according to the invention, a parting opening could also be formed in another element of the one-piece tool 10. The drilling aid 40 further comprises a bending region 44 disposed between an opening region 45 containing the openings 41 and a groove region 46 containing the parting opening. The drilling aid 40 further comprises an impact notch 43 for impacting the clamp 20, separated from the handle 30, against a bone.The impact notch 43 is arranged at a second end 33 of the handle 30 opposite a staple receiving portion 31. The functions of the parting groove 42, the bending portion 44, and the impact notch 43 will be explained in more detail below. The tool 10 further includes two drill bits 50 that are connected to the handle 30 at their respective first ends 51 via predetermined third break points 93 (see also Figure 5). The drill bits 50 have a first drill point 53 at their ends 51, and the predetermined third break points 93 are separated from the first drill points 53. At their respective second ends 52, the drill bits 50 are connected to the drilling aid 40 via predetermined fourth break points 94. Also at their respective second ends 52, the drill bits 50 have a respective second drill point 54, with the predetermined fourth break points 94 being separated from the second drill points 54. The clamp receptacle 31 is formed as a recess formed in a first end 32 of the handle 30. The function of the recess is also explained below. To use tool 10, the drilling aid 40 can be separated from the shank 30 at the second predetermined break point 92 as a first step. Preferably, the drill bits 50 are also separated from the shank 30 at the third predetermined break point 93, while initially remaining connected to the drill aid. CCOC Ln / ί7Π7 / E / YΙΛΙ drilling 40 at the fourth predetermined break point 94. Alternatively, by separating the drilling auxiliary 40 from the handle 30, the drill bits 50 can be separated from the drilling auxiliary 40 at the fourth predetermined break points 94, while the drill bits 50 initially remain connected to the handle 30 through the third predetermined break points 93. Once the drilling aid 40 has been separated from the handle 30, the legs 21 of the clamp 20, which are still connected to the handle 30, can be inserted into the separation slots 42, so that the first predetermined break points 91 are adjacent to the separation slots 42. By bending the handle 30 and the clamp 20 still connected to it, the clamp 20 can be separated from the handle 30 at the first predetermined break points 91 in a clean and controlled manner. Due to the arrangement of the predetermined break points 91 on the base 22, sharp break edges occur at most on the sides facing outwards from the legs 21. Before or after separating the clamp 20 from the handle 30, the drilling aid 40 can be used in a familiar manner to define the positions of two holes in two regions of a bone (for example, over a fracture or in two bones over a joint to be fused). If necessary, the drill guide 40 can be bent at the tapered bending region 44 to allow access. The holes can then be drilled using the drill bits 50 separated from the handle 30 and the drilling aid 40. The clamp 20, separated from the handle 30, can then be gripped with its base in the recess 31 of the handle 30 and thus be held firmly and / or shaped. The groove 31 serves as an anti-slip device when piercing. The two legs 21 of the clamp can then be inserted into the holes made in the bone. The entry notch 43 allows the clamp 20 to be carefully inserted into the bone, bringing it even closer to the bone. Figure 2 shows a second surgical tool 10' according to the invention, which is also formed in one piece. It contains the following elements, which are connected to each other via predetermined breaking points 95: a surgical drilling aid 140 with two openings 141; a surgical scalpel 60 with a blade 61; a sliding aid 80 with two openings 81 a rule 71; a wand 70. The drilling aid 140 includes a handle 145 and a tab 141 connected thereto. The tab 141 includes a central portion 142 from which a rectangle 143 projects laterally, and two end portions 144, each of which includes one of the CCOC Ln / Lznz / E / YILI openings 141. For use, the rectangle 143 and the end regions 144 are each bent 90° to the same side. The protruding rectangle 143 acts as a stop for the end regions 144. Thus, the two openings 141 are axially aligned opposite each other. A drill bit can then be pushed axially through both openings 141 and guided in this manner. The sliding aid 80 includes a handle 85 and a tab 81 connected to it. The tab 81 contains a central section 82 and two end sections 84, each containing one of the openings 81. For use, the end sections 84 are each bent 90° to the same side. Thus, the two openings 81 are axially aligned opposite each other. The rod 70 is then slid through the aligned openings 81. To measure the depth of a hole drilled in bone, the rod 70 is slid into the hole. The sliding aid 80 is then slid to the stop. This clamps the assembly, removes it from the hole, and holds it against a scale 71 arranged on the tool 10' and reads it. The depth of the hole can then be determined. The 10' tool can be designed for one or more specific indications and have the necessary and appropriate elements for this purpose, which can be separated and used by cutting them at the predetermined breaking points. Figure 3 is an alternative embodiment of the tool in Figure 1. The differences from the embodiment in Figure 1 are explained below. Instead of two separation slots, only one separation slot 42 is provided, which has a width that corresponds approximately to the width of the clamp 20. In addition, the clamp 20 has a chamfered base 22 that traverses an angle α of approximately 25°. Figure 4 shows an enlarged view of section A of Figure 1. The predetermined break points 91 are recessed into a rebate 24 of the base 22 on the side 23 that is oriented towards the handle. Figure 5 shows an enlarged view of section B in Figure 1. The drill bits 50 have a shank 55 and a wedge-shaped section 56 at the first end 51. The wedge-shaped section 56 extends from the shank 55 to the drill point 53. The predetermined break points 93 are arranged at a distance from the drill point 53, adjacent to the transition between the shank 55 and the tapered section 56. This arrangement of the predetermined break points 93 is advantageous, since an arrangement on the shank 55 would produce a larger hole due to burrs, and an arrangement on the point would lead to displacement of the drill bit 50. Figure 6a and Figure 6b show a first arm 101 and a second arm 102 CCOC Ln / ί7Π7 / E / YΙΛΙ for a 100 compression clamp (see Figure 6c). In each of Figure 6a and Figure 6b, a flat blank is shown on the left side and a curved blank shape on the right side. The first arm 101 has a pin 103 pressed into the blank 101. The blank 101 also has a recess 105 to receive the second bent arm 102 (see Figure 6c). In addition, openings 106 are provided to receive a Kirschner wire. The blank of the first arm 101 is bent along a central axis M to form a U-shaped cross-section. The blank can be supplied flat or pre-bent. Similarly, the pin 103 can be supplied pre-bent, separately, or as a separable part in the tool 10. Figure 6b shows a blank for the second arm 102. The second arm 102 is provided with two openings 104 through which the pin 103 can be guided. Openings 106 are also provided in the second arm. The second arm is also bent (see Figure 6b, right) along a central axis M to form a U-shaped cross-section. By assembling the first arm 101 and the second arm 102, the compression forceps 100 shown in Figure 6c is formed. To do this, the second arm 102 is inserted through the recess 105 and placed over the pin 103. Figure 6d shows a Kirschner wire 107. The Kirschner wire 107 is cut from a sheet by 3D laser cutting or produced by milling, grinding, or further pressing of a laser-cut piece. Three-dimensional tips 108 can be formed simultaneously. Figure 7 shows an alternative embodiment of a compression forceps 110, constructed from a first arm 111 and a second arm 112. The first arm 111 and the second arm 112 are pivotally connected to each other by means of a pin 113, which is pressed or bent and fitted into the first arm 112. The first arm 111 and the second arm 112 are manufactured as flat pieces of sheet metal. The second arm 111 has a guide channel 115 along which a stop 114 of the second arm 112 can be guided. The first arm 111 and the second arm 112 have bent sections 118 forming a handle. At one end far from the handle 118, a compression head 117 is formed. The compression head 117 includes openings 116 and slot-shaped openings 119. The slot-shaped openings 119 (similar to the slot-shaped openings 119 in the handle area 118) serve to facilitate bending. Figure 8a, Figure 8b, Figure 8c, Figure 8d, Figure 8e, and Figure 8f show various configurations of a handle 120 for a screwdriver. The handle 120 is formed from a flat blank. Figure 8a shows the flat blank for the handle 120. The blank has a connection region 122 from which extend CCOC Ln / ί7Π7 / E / YΙΛΙ three star-shaped arms 121. The grooves between the connection region 122 and the arms 121 facilitate bending. The end regions 123a, 123b, and 123c are arranged at the ends of the arms 121, forming an interface on the assembled handle 120 to receive a blade 125 (see Figure 8f). Figure 8b shows the blank of Figure 8a with individual elements bent in the area of ​​end regions 123a, 123b and 123c. To form the handle 120, the arms 121 are bent 90°, thus forming a three-dimensional body (see Figure 8c). An interface 124 for the blade 125 is formed by the bent portions at the end regions 123a, 123b, and 123c. A guide opening 129 receives the handle of the blade 125. An anti-rotation opening 127 receives a portion of the blade 125 outside the circumference to transmit torque. An end stop 128 defines an axial end position for the blade 125. Two inwardly directed projections form an axial retainer 126, in which the blade 125 can positively engage with a constriction. Figure 8d shows the handle 120 with the blade 125 inserted. After inserting the blade, the last arm (in this case, the arm with the end piece 123a) is bent to an end position so that the axial locking device 126 fits into the recess of the blade 125 (see Figure 8e). Figure 8f shows an enlarged view of interface 124 for receiving blade 125. Figure 9 is a temporary plaque fixator (olived Kirschner wire). The temporary plaque fixator 130 is shaped like a Kirschner wire with an olive 131.

Claims

1. A surgical tool (10), characterized in that it comprises - a surgical clamp (20) having at least two, preferably exactly two, legs (21) and a base (22) connecting the legs (21); - a handle (30) integrally connected to the clamp (20), wherein the handle (30) is connected to the base (22) of the clamp (20) by means of at least a predetermined first breaking point (91).

2. The surgical tool (10) according to claim 1, characterized in that the tool (10) further comprises a drilling aid (40) with at least one opening (41), wherein the drilling aid (40) is connected to the handle (30), in particular by means of at least a second predetermined breaking point (92).

3. The surgical tool (10), comprising - a surgical clamp (20) having at least two, preferably exactly two legs (21) and a base (22) connecting the legs (21), - a drilling aid (40), in particular, the surgical tool (10) according to claim 2, characterized in that the drilling aid (40) contains at least two openings (41) the distance (D) of which is greater than the distance (d) of the legs (21) of the clamp (20).

4. The surgical tool (10), comprising: - a surgical clamp (20) having at least two, preferably exactly two, legs (21) and a base (22) connecting the legs (21); - a handle (30) connected to the clamp (20), in particular, of a single piece, in particular, the surgical tool (10) according to one of the preceding claims, characterized in that the tool (10) further comprises at least one drill bit (50) which is connected, in particular, at a first end (51), to the handle (30) by means of at least a predetermined third breaking point (93).

5. The surgical tool (10) according to claim 4, characterized in that the drill bit has a first drill point (53) at the first end (51) and the third predetermined break point (93) is spaced from the first drill point (53).

6. The surgical tool (10) according to any of claims 4 and 5, characterized in that the drill bit (50) is connected at a second end (52) by means of at least a predetermined fourth break point (94) to a drilling aid (40), in particular to a drilling aid (40) having at least one opening (41) and is connected via at least a second predetermined break point (92) to a handle (30) of the tool (10).

7. The surgical tool (10) according to claim 6, characterized in that the drill bit (50) has a second drill bit tip (54) at the second end (52) and the predetermined fourth break point (94) is separated from the second drill bit tip (54).

8. The surgical tool (10) according to any of the preceding claims, characterized in that the handle (30) has at least one clamp receptacle (31) into which the clamp (20) separated from the handle (30) can be forcibly and / or shapedly inserted.

9. The surgical tool (10) according to claim 8, characterized in that the clamp receptacle (31) is formed as a recess (31) formed at a first end (32) of the handle (30).

10. A surgical tool (10) contains - a surgical clamp (20) has at least two, preferably exactly two legs (21) and a base (22) connecting the legs (21).- a handle (30) integrally connected to the clamp (20) by at least a predetermined first break point (91), - a drilling aid (40) with at least an opening (41) that is connected to the handle (30) in particular by at least a predetermined second break point (92), in particular the surgical tool (10) according to one of the preceding claims, characterized in that the tool and in particular the drilling aid (40) contains at least a separation opening (42) that is designed such that, in particular after the separation of the drilling aid (40) from the handle (30), the clamp can be received in the separation opening (42), in particular in the region of the predetermined first break point (91), such that the clamp (20) can be separated from the handle (30) at the predetermined first break point (91).

11. The surgical tool (10) according to claim 10, characterized in that the drilling aid (40) comprises a bending portion (44) disposed between an opening portion (45) containing the opening (41) and a groove portion (46) containing the parting opening (42), the bending portion (44) allowing the drilling aid (40) to bend.

12. The surgical tool (10) in accordance with any of the preceding claims, characterized in that the first predetermined break points (91) are recessed with respect to a boundary surface (55) of the base (22) that is oriented towards the handle (30).

13. The surgical tool (10) according to any of claims 2 to 12, characterized in that the drilling aid (40) comprises an impact notch (43) for impacting the staple (20) separated from the handle (30) into a bone, wherein the impact notch (43) is preferably disposed at a second end (33) of the handle (30) opposite the staple receptacle (31).

14. A one-piece surgical tool (10; 10'), in particular according to any one of the preceding claims, characterized in that the tool (10; 10j) comprises at least two of the following elements (20, 30, 40, 50, 60, 70) connected together by predetermined break points (91, 92, 93, 94): - at least one handle (30) for holding a surgical object (20), in particular a surgical clamp (20); - at least one surgical drill bit (50); - at least one surgical scalpel (60); - at least one surgical wand (70); - at least one ruler (71); - at least one surgical pusher (80), in particular for inserting a surgical wand (70); - at least one component, in particular a blank for at least one arm (101; 102) or a part of a blank for at least one arm (101; 102), of a surgical forceps (100; 110);- at least one component, in particular a blank for a handle (120) or part of a blank for at least one handle (120), of a surgical screwdriver or a surgical scalpel; - at least one surgical Kirschner wire (130).; 15. The surgical tool (10) according to claim 14, characterized in that the tool further comprises: - at least one surgical clamp (20) with at least two, preferably exactly two legs (21) and a base (22) connecting the legs (21) and / or - at least one surgical drill guide (40; 40'; 40) with at least one opening (40; 41', 41).

16. The surgical kit characterized in that it comprises at least one surgical tool (10) in accordance with any of the preceding claims and a container in which the tool (10) is packaged in a sterile manner.

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