FR2703239A1 - Pin for interspinal prosthesis - Google Patents

Pin for interspinal prosthesis Download PDF

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Publication number
FR2703239A1
FR2703239A1 FR9303948A FR9303948A FR2703239A1 FR 2703239 A1 FR2703239 A1 FR 2703239A1 FR 9303948 A FR9303948 A FR 9303948A FR 9303948 A FR9303948 A FR 9303948A FR 2703239 A1 FR2703239 A1 FR 2703239A1
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FR
France
Prior art keywords
clip according
blades
notches
clip
head
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
FR9303948A
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French (fr)
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FR2703239B1 (en
Inventor
Fournet-Fayard Jacques
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
BRIO BIO RHONE IMPLANT MEDICAL
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BRIO BIO RHONE IMPLANT MEDICAL
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Priority to FR9303948A priority Critical patent/FR2703239B1/en
Publication of FR2703239A1 publication Critical patent/FR2703239A1/en
Application granted granted Critical
Publication of FR2703239B1 publication Critical patent/FR2703239B1/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/683—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin comprising bone transfixation elements, e.g. bolt with a distal cooperating element such as a nut
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0817—Structure of the anchor
    • A61F2002/0823—Modular anchors comprising a plurality of separate parts
    • A61F2002/0829—Modular anchors comprising a plurality of separate parts without deformation of anchor parts, e.g. fixation screws on bone surface, extending barbs, cams, butterflies, spring-loaded pins
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/08—Muscles; Tendons; Ligaments
    • A61F2/0811—Fixation devices for tendons or ligaments
    • A61F2002/0847—Mode of fixation of anchor to tendon or ligament
    • A61F2002/0864—Fixation of tendon or ligament between anchor elements, e.g. by additional screws in the anchor, anchor crimped around tendon

Abstract

It comprises means for passing through and immobilising a strap (2b) with at least one cushion (2a) of an interspinal prosthesis (2) after fitting of the latter between the spinal apophyses (1b) of two neighbouring vertebrae (1a) of a vertebral column (1).

Description

La présente invention a trait à une agrafe qui permet la mise en place et la retenue des prothèses inter-épineuses entre les apophyses épineuses de deux vertèbres voisines d'une colonne vertébrale. The present invention relates to a staple which allows the placement and retention of interspinous prostheses between the spinous processes of two vertebrae adjacent to a spine.

Ce genre de prothèse est prévue lorsque le ligament inter-épineux est défectueux, lors de l'apparition d'une hernie discale, dans le traitement chirurgicaL d'une sténose du canal lombaire, et quelquefois dans le traitement des instabilités vertébrales. This type of prosthesis is provided when the interspinous ligament is defective, during the appearance of a herniated disc, in the surgical treatment of lumbar canal stenosis, and sometimes in the treatment of vertebral instabilities.

De telles prothèses comprennent à la manière connue un ou plusieurs coussinets semi-élastiques maintenus par l'intermédiaire d'un lacet qui entoure les apophyses épineuses de deux vertèbres voisines. Such prostheses comprise in the known manner one or more semi-elastic pads held by means of a lace which surrounds the spinous processes of two neighboring vertebrae.

Ces prothèses comportent certains inconvénients en ce qui concerne la fixation du lacet avec le ou les coussinets. En effet, la fixation est réalisée au moyen d'un fil non résorbable à qui on fait traverser au moyen d'une aiguille le lacet et le ou les coussinets pour former un point de suture en X. Cette opération est très difficile à réaliser du fait de l'épaisseur et de la résistance du lacet et du ou des coussinets, ce qui entraîne une suture lente car plusieurs points de suture en
X doivent être effectués.These prostheses have certain drawbacks with regard to the attachment of the lace with the pad (s). In fact, the fixation is carried out by means of a non-absorbable thread to which the lace and the pad (s) are passed through by means of a needle to form an X suture point. This operation is very difficult to carry out. made of the thickness and resistance of the lace and the pad (s), which results in a slow suture because several stitches in
X must be performed.

C'est à ces inconvénients qu'entend plus spécialement remédier la présente invention
L'agrafe suivant la présente invention comprend des moyens pour traverser et immobiliser Le Lacet avec le ou les coussinets après la mise en place de la prothèse entre Les apophyses épineuses de deux vertèbres voisines d'une coLonne vertébraLe.It is to these drawbacks that the present invention more specifically intends to remedy.
The clip according to the present invention comprises means for crossing and immobilizing Le Lacet with the pad (s) after the prosthesis has been placed between the spinous processes of two vertebrae neighboring a vertebral column.

Les moyens consistent en
- un premier élément en forme de rondelle dont L'une de ses faces est solidaire d'au moins deux picots diamétralement opposés, tandis qu'il est percé d'une Lumière oblongue comportant dans son fond deux lames élastiques, et de deux trous débouchants qui sont disposés de part et d'autre et perpendiculairement à l'axe principal de ladite lumière ;
- un second élément en forme d'aiguille crantée qui est solidaire à L'une de ses extrémités d'une tête qui comprend deux trous débouchants et deux picots.The means consist of
a first element in the form of a washer, one of its faces of which is secured to at least two diametrically opposite pins, while it is pierced with an oblong slot comprising at its bottom two elastic blades, and two through holes which are arranged on either side and perpendicular to the main axis of said light;
- A second element in the form of a notched needle which is integral at one of its ends with a head which comprises two through holes and two pins.

Le dessin annexé, donné à titre d'exemple, permettra de mieux comprendre L'invention, les caractéristiques qu'elle présente et les avantages qu'elle est susceptible de procurer
Fig. 1 est une vue en perspective illustrant une prothèse inter-épineuse immobilisée au moyen d'une agrafe suivant l'invention. The appended drawing, given by way of example, will allow a better understanding of the invention, the characteristics which it presents and the advantages which it is capable of providing.
Fig. 1 is a perspective view illustrating an interspinous prosthesis immobilized by means of a staple according to the invention.

Fig. 2 est une vue en perspective éclatée montrant l'agrafe suivant la présente invention
Fig. 3 est une coupe représentant en détail l'agrafe mise en place sur une prothèse inter-épineuse.Fig. 2 is an exploded perspective view showing the clip according to the present invention
Fig. 3 is a section showing in detail the staple placed on an interspinous prosthesis.

On a représenté en fig. 1 une partie d'une colonne vertébraLe 1 comprenant des vertèbres la dont deux sont réunies par l'intermédiaire d'une prothèse inter-épineuse 2 connue en soi, afin de réaliser un soulagement des étages vertébraux endommagés. La prothèse 2 est verrouillée au moyen d'une agrafe 3 suivant L'invention. There is shown in fig. 1 a portion of a vertebral column 1 comprising vertebrae two of which are joined together by means of an interspinous prosthesis 2 known per se, in order to provide relief from the damaged vertebral stages. The prosthesis 2 is locked by means of a clip 3 according to the invention.

La prothèse inter-épineuse 2 comprend au moins un coussinet élastique 2a comportant dans son épaisseur un certain nombre de fentes débouchantes non représentées pour le passage d'un lacet 2b qui est réalisé en fibre élastique. Le coussinet 2a est inséré entre les apophyses épineuses lb de deux vertèbres voisines la, tandis que le lacet 2b traverse plusieurs fois les fentes dudit coussinet pour venir prendre appui autour de chacune desdites apophyses. Le lacet et le coussinet sont retenus au moyen de l'agrafe 3 qui les traverse de part en part. The interspinous prosthesis 2 comprises at least one elastic pad 2a comprising in its thickness a certain number of through slots not shown for the passage of a lace 2b which is made of elastic fiber. The pad 2a is inserted between the spinous processes lb of two neighboring vertebrae la, while the lace 2b crosses the slots of said pad several times to come to bear around each of said processes. The lace and the pad are retained by means of the clip 3 which passes right through them.

L'agrafe 3 représentée en fig. 2 et 3 comprend un premier élément 3a en forme de rondelLe. L'élément 3a comporte sur L'une de ses faces au moins deux picots 3b et 3c qui sont diamétralement opposés. L'élément 3a est percé d'une lumière oblongue 3d dont le fond comporte deux lames élastiques et opposées 3e et 3f. Les lames 3e et 3f sont indépendantes L'une de l'autre et déterminent en leur milieu un espace libre 3g qui est co-axial à L'axe central de L'élément 3a. The clip 3 shown in fig. 2 and 3 comprises a first element 3a in the form of a washer. The element 3a has on one of its faces at least two pins 3b and 3c which are diametrically opposite. The element 3a is pierced with an oblong light 3d whose bottom has two elastic and opposite blades 3e and 3f. The blades 3e and 3f are independent of each other and determine in their middle a free space 3g which is co-axial to the central axis of the element 3a.

De chaque côté de la lumière 3d et perpendiculairement à son axe principal est percée une encoche traversante 3h tronconique évasée à l'opposé des picots. Les encoches 3h débouchent dans la lumière 3d de manière que les lames 3f et 3e soient Libres de se déplacer angulairement. On each side of the 3d light and perpendicular to its main axis is pierced a 3h frusto-conical notch flared opposite the pins. The notches 3h open into the 3d light so that the blades 3f and 3e are free to move angularly.

L'agrafe 3 comprend un second élément 3g en forme d'aiguille 3i qui est solidaire à l'aide de ses extrémités d'une tête 3i L'aiguille 3i se présente sous la forme d'une tige lisse dont L'extrémité libre se trouvant à L'opposé de la tête 3i est prolongée par des crans 3k à profil cylindro-conique et une pointe conique de perforation 31. La tête 3i comprend de part et d'autre de l'aiguille 3i des trous 3m à profil tronconique tandis que perpendiculairement à l'axe de ces trous sont prévus au moins deux picots 3n et 3e.  The clip 3 comprises a second element 3g in the shape of a needle 3i which is secured by means of its ends to a head 3i The needle 3i is in the form of a smooth rod whose free end is On the opposite side of the head 3i is extended by notches 3k with cylindro-conical profile and a conical point of perforation 31. The head 3i comprises on either side of the needle 3i holes 3m with frustoconical profile while that perpendicular to the axis of these holes are provided at least two pins 3n and 3e.

En fig. 3, on a représenté L'agrafe 3 mise en place au travers de la prothèse inter-épineuse 2 à L'aide d'une pince non représentée. Les becs de La pince coopèrent respectivement avec les encoches 3h du premier élément 3a et les trous 3m de la tête 3i du second élément 39 de manière que Les picots 3b, 3c et 3n, 3e soient décalés angulairement de 900. In fig. 3, there is shown the clip 3 placed through the interspinous prosthesis 2 using a pliers not shown. The beaks of the clamp cooperate respectively with the notches 3h of the first element 3a and the holes 3m of the head 3i of the second element 39 so that the pins 3b, 3c and 3n, 3e are angularly offset by 900.

L'opérateur exerce un effort de serrage sur la pince de manière que
L'aiguille 3i transperce à L'aide de sa pointe 3l le coussinet 2a et le lacet 2b de la prothèse inter-épineuse et vienne entre les lames 3f, 3e dans l'espace 39. Les crans 3k coopèrent ensuite avec les lames élastiques 3f et 3e pour permettre la retenue de l'aiguille 3i et la solidarisation du coussinet 2a avec le lacet 2b
L'opérateur peut ensuite pour plus de sécurité couper la pointe conique 31 afin que ceLle-ci ne forme pas un élément dangereux dans les parties vitales.The operator exerts a clamping force on the clamp so that
The needle 3i pierces with the aid of its point 3l the pad 2a and the lace 2b of the interspinous prosthesis and comes between the blades 3f, 3e in space 39. The notches 3k then cooperate with the elastic blades 3f and 3e to allow the needle 3i to be retained and the pad 2a to be secured with the lace 2b
The operator can then, for greater safety, cut the conical tip 31 so that it does not form a dangerous element in the vital parts.

On remarque que les picots 3b, 3c de l'élément 3a et 3n, 3p de la tête 3i de L'élément 39 pénètrent à l'intérieur du coussinet 2a afin de maintenir angulairement l'agrafe 3 à l'intérieur de la prothèse interépineuse 2. Note that the pins 3b, 3c of the element 3a and 3n, 3p of the head 3i of the element 39 penetrate inside the pad 2a in order to angularly hold the clip 3 inside the interspinous prosthesis 2.

il doit d'ailleurs être entendu que la description qui précède n'a été donnée qu'à titre d'exemple et qu'elle ne limite nullement le domaine de L'invention dont on ne sortirait pas en remplaçant Les détails d'exécution décrits par tous autres équivalents.  it should moreover be understood that the above description has been given only by way of example and that it in no way limits the field of the invention from which one would not depart by replacing the details of execution described by all other equivalents.

Claims (9)

R E V E N D I C A T I O N S REVENDICATIONSR E V E N D I C A T I O N S CLAIMS 1. Agrafe pour la mise en place des prothèses inter-épineuses du genre comprenant un lacet semi-élastique de forme quelconque et un ou plusieurs coussinets, caractérisée en ce qu'elle comprend des moyens pour traverser et immobiliser le lacet (2b) avec le ou les coussinets (2a) après la mise en place de la prothèse (2) entre les apophyses épineuses (lob) de deux vertèbres (la) voisines d'une colonne vertébrale (1) .  1. Clip for the establishment of interspinous prostheses of the type comprising a semi-elastic lace of any shape and one or more pads, characterized in that it comprises means for crossing and immobilizing the lace (2b) with the or the pads (2a) after the implantation of the prosthesis (2) between the spinous processes (lob) of two vertebrae (la) adjacent to a spine (1). 2. Agrafe suivant ta revendication 1, caractérisée en ce que les moyens consistent en 2. Clip according to your claim 1, characterized in that the means consist of - un premier élément (3a) en forme de rondelle dont l'une des faces est solidaire d'au moins deux picots (3b, 3c) diamétralement opposés, tandis qu'il est percé d'une lumière oblongue (3d) comportant deux lames élastiques (3f et 3e) et de deux encoches traversantes (3h) qui sont disposées de chaque côté et perpendiculairement à l'axe principale de ladite Lumière - A first element (3a) in the form of a washer, one of the faces of which is integral with at least two diametrically opposite pins (3b, 3c), while it is pierced with an oblong light (3d) comprising two blades elastic (3f and 3e) and two through notches (3h) which are arranged on each side and perpendicular to the main axis of said Light - un second élement (39) en forme d'aiguille crantée (3i) qui est solidaire à L'une de ses extrémités d'une tête (3i) qui comprend alors deux trous débouchants (3m) et deux picots (3n et 3p).  - A second element (39) in the form of a notched needle (3i) which is integral at one of its ends with a head (3i) which then comprises two through holes (3m) and two pins (3n and 3p) . 3. Agrafe suivant la revendication 2, caractérisée en ce que les lames élastiques (3f et 3e) sont prévues dans le fond de la lumière (3d).  3. Clip according to claim 2, characterized in that the elastic blades (3f and 3e) are provided in the bottom of the light (3d). 4. Agrafe suivant La revendication 3, caractérisée en ce que les lames (3f et 3e) sont indépendantes L'une de l'autre et déterminent en leur miliéu un espace libre (3g) qui est co-axial à l'axe central de 4. Clip according to claim 3, characterized in that the blades (3f and 3e) are independent of each other and determine in their midst a free space (3g) which is co-axial to the central axis of L'élément (3a).Element (3a). 5. Agrafe suivant la revendication 2, caractérisée en ce que les encoches (3h) de l'élément (3a) débouchent à l'intérieur de La lumière (3d) de manière que les lames (3f et 3e) soient libres de se déplacer angulairement.  5. Clip according to claim 2, characterized in that the notches (3h) of the element (3a) open inside the light (3d) so that the blades (3f and 3e) are free to move angularly. 6. Agrafe suivant la revendication 2, caractérisée en ce que l'aiguille (3j) se présente sous La forme d'une tige Lisse dont L'extrémité libre se trouvant à L'opposée de la tête (3i) est prolongée par des crans (3k) à profil cylindro-conique et d'une pointe conique de perforation (31). 6. Clip according to claim 2, characterized in that the needle (3j) is in the form of a smooth rod whose free end lying opposite the head (3i) is extended by notches (3k) with cylindrical-conical profile and a conical perforation point (31). 7. Agrafe suivant les revendications 2 et 6, caractérisée en ce que les crans (3k) coopèrent avec L'espace libre (39) pour venir en butée contre les lames (3f et 3e) pour La solidarisation de l'agrafe (3). 7. Clip according to claims 2 and 6, characterized in that the notches (3k) cooperate with the free space (39) to abut against the blades (3f and 3e) for the attachment of the clip (3) . 8. Agrafe suivant la revendication 2, caractérisée en ce que la tête (31) comprend de part et d'autre de l'aiguille crantée (3i) des trous débouchants (3m) et perpendiculairement à l'axe de ces trous au moins deux picots (3n, 3e).  8. Clip according to claim 2, characterized in that the head (31) comprises on either side of the notched needle (3i) through holes (3m) and perpendicular to the axis of these holes at least two pins (3n, 3e). 9. Agrafe suivant la revendication 2, caractérisée en ce que les encoches (3h) du premier élément (3a) et Les trous débouchants (3m) de la tête (3i) du second élément (3g) sont à profil tronconique.  9. Clip according to claim 2, characterized in that the notches (3h) of the first element (3a) and the through holes (3m) of the head (3i) of the second element (3g) are frustoconical profile.
FR9303948A 1993-03-30 1993-03-30 Clip for interspinous prosthesis. Expired - Fee Related FR2703239B1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR9303948A FR2703239B1 (en) 1993-03-30 1993-03-30 Clip for interspinous prosthesis.

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR9303948A FR2703239B1 (en) 1993-03-30 1993-03-30 Clip for interspinous prosthesis.

Publications (2)

Publication Number Publication Date
FR2703239A1 true FR2703239A1 (en) 1994-10-07
FR2703239B1 FR2703239B1 (en) 1995-06-02

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FR (1) FR2703239B1 (en)

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FR2747913A1 (en) * 1996-04-25 1997-10-31 Decuypere Dominique Synthetic ligament fastener
DE19649450A1 (en) * 1996-11-28 1998-06-04 Aesculap Ag & Co Kg Implant for fixing tendon replacement
FR2758975A1 (en) * 1997-02-05 1998-08-07 Ethnor MATERIAL FOR FIXING A TENDON OF MUSCLE ON A BONE
WO2003007829A1 (en) * 2001-07-20 2003-01-30 Spinal Concepts, Inc. Spinal stabilization system and method
WO2003057054A3 (en) * 2001-12-27 2003-10-30 Osteotech Inc Bone fasteners and method for stabilizing vertebral bone facets using the bone fasteners
FR2863475A1 (en) * 2003-12-15 2005-06-17 Biomet Merck France Osteosynthesis device, has body comprising female and male half-bodies in which female half-body slides into male half-body such that length of body is adjusted, and shaft of female half-body locked into tube of male body
US6962591B2 (en) 1996-02-03 2005-11-08 Karl-Dieter Lerch Device for postoperative fixation back into the cranium of a plug of bone removed therefrom during a surgical operation
WO2006110578A2 (en) * 2005-04-08 2006-10-19 Paradigm Spine, Llc. Interspinous vertebral and lumbosacral stabilization devices and methods of use
WO2007111999A2 (en) 2006-03-24 2007-10-04 Ebi, Llc Spacing means for insertion between spinous processes of adjacent vertebrae
EP2083700A2 (en) * 2006-10-19 2009-08-05 Simpirica Spine, Inc. Methods and systems for laterally stabilized constraint of spinous processes
US7588592B2 (en) 2003-02-12 2009-09-15 Kyphon Sarl System and method for immobilizing adjacent spinous processes
US7635377B2 (en) 1997-01-02 2009-12-22 Kyphon Sarl Spine distraction implant and method
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