In various embodiments, an intervertebral disc prosthesis (104) is provided.The prosthesis (104) may be provided with an insertion adapter (106), such asa head, holder, or other carrier of the prosthesis (104). The insertion adapter(106) may be configured to retain the prosthesis (104) and to engage an insertiontool body (130). In various embodiments, the prosthesis (104) and the insertionholder are provided in a sterile pack (102, 202), with the prosthesis (104) componentsand the insertion holder sterilized and packaged in one or more types or layersof sterile packaging (103a, 103b). In various other embodiments, the prosthesis(104) and an insertion tool (131) are provided in a sterile pack (102, 202), withthe prosthesis (104) components and the insertion tool (131) sterilized andpackaged in one or more types or layers of sterile packaging (103a, 103b).