42 Scientific and technological services and research, and related designer services; development services; industrial analysis and research services; design and development of computer hardware and software; all the aforementioned services, in particular with regard to surgical, medical, dental and veterinary instruments and apparatus, artificial limbs, orthopaedic items, surgical suture material as well as instruments for the area of endoscopy, in particular cannulas, adapters, metal stopcocks, trocars, and instruments for suction and irrigation as well as custom-made products, instruments for the area of arthroscopy, in particular handles, punches, forceps, probes, and accessories, as well as instruments for the area of laparoscopy, in particular handles, forceps, tweezers, scissors, and suture instruments as well as, in addition, accessories and custom-made products in these areas