Spinal and orthopedic implants made of metals or artificial materials; surgical implants, namely, surgical rods, clamps and screws; surgical instruments, namely, screwdrivers and socket wrenches; medical devices, apparatus and instruments for treating orthopedic injury and trauma; surgical instruments for use in orthopedic surgery for guiding, inserting and securing implants; and graphic cases comprised primarily of metal specially adapted for holding the aforesaid instruments, apparatus, and implants