Dr Ramani has developed and modified several surgical instruments to suit the Indian conditions for spinal surgery. Uma surgical company and A. K. Instruments in Mumbai and Gesco Surgical Company in Chennai (Madras) have collaborated in manufacturing the instruments.

Important among them are: • Micro lumbar set • PLIF Set • ACF Set • Set of instruments for cervical cages • Trans thorasic set • Trans pedicular Screws In progress: • A set of Instruments for spinal surgery