FR2737656B1 - Dispositif d'impacteur pour la mise en place d'une prothese pour disques intervertebraux - Google Patents
Dispositif d'impacteur pour la mise en place d'une prothese pour disques intervertebrauxInfo
- Publication number
- FR2737656B1 FR2737656B1 FR9509792A FR9509792A FR2737656B1 FR 2737656 B1 FR2737656 B1 FR 2737656B1 FR 9509792 A FR9509792 A FR 9509792A FR 9509792 A FR9509792 A FR 9509792A FR 2737656 B1 FR2737656 B1 FR 2737656B1
- Authority
- FR
- France
- Prior art keywords
- prosthesis
- placing
- intervertebral discs
- impactor device
- impactor
- 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.)
- Expired - Fee Related
Links
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
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2/4611—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
-
- 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
- A61F2/30—Joints
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2/442—Intervertebral or spinal discs, e.g. resilient
- A61F2/4425—Intervertebral or spinal discs, e.g. resilient made of articulated components
-
- 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
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
-
- 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
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30795—Blind bores, e.g. of circular cross-section
-
- 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
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30878—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves with non-sharp protrusions, for instance contacting the bone for anchoring, e.g. keels, pegs, pins, posts, shanks, stems, struts
- A61F2002/30884—Fins or wings, e.g. longitudinal wings for preventing rotation within the bone cavity
-
- 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
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30904—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves serrated profile, i.e. saw-toothed
-
- 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
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
- A61F2002/4627—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
-
- 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
- A61F2/30—Joints
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
- A61F2002/4628—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Transplantation (AREA)
- Neurology (AREA)
- Heart & Thoracic Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physical Education & Sports Medicine (AREA)
- Prostheses (AREA)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9509792A FR2737656B1 (fr) | 1995-08-09 | 1995-08-09 | Dispositif d'impacteur pour la mise en place d'une prothese pour disques intervertebraux |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9509792A FR2737656B1 (fr) | 1995-08-09 | 1995-08-09 | Dispositif d'impacteur pour la mise en place d'une prothese pour disques intervertebraux |
Publications (2)
Publication Number | Publication Date |
---|---|
FR2737656A1 FR2737656A1 (fr) | 1997-02-14 |
FR2737656B1 true FR2737656B1 (fr) | 1997-10-17 |
Family
ID=9481910
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
FR9509792A Expired - Fee Related FR2737656B1 (fr) | 1995-08-09 | 1995-08-09 | Dispositif d'impacteur pour la mise en place d'une prothese pour disques intervertebraux |
Country Status (1)
Country | Link |
---|---|
FR (1) | FR2737656B1 (fr) |
Cited By (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN100566678C (zh) * | 2003-07-22 | 2009-12-09 | 斯恩蒂斯有限公司 | 带有临时锁定装置的椎间植入物 |
US7682396B2 (en) | 2002-11-05 | 2010-03-23 | Ldr Medical | Intervertebral disc prosthesis |
US7695516B2 (en) | 2004-12-22 | 2010-04-13 | Ldr Medical | Intervertebral disc prosthesis |
US7803162B2 (en) | 2003-07-21 | 2010-09-28 | Spine Solutions, Inc. | Instruments and method for inserting an intervertebral implant |
US7842088B2 (en) | 2005-09-23 | 2010-11-30 | Ldr Medical | Intervertebral disc prosthesis |
US8105381B2 (en) | 2002-12-13 | 2012-01-31 | Spine Solutions, Inc. | Intervertebral implant, insertion tool and method of inserting same |
US8425603B2 (en) | 2008-12-22 | 2013-04-23 | Synthes Usa, Llc | Orthopedic implant with flexible keel |
US8439931B2 (en) | 2005-06-29 | 2013-05-14 | Ldr Medical | Instrumentation and methods for inserting an intervertebral disc prosthesis |
US8465546B2 (en) | 2007-02-16 | 2013-06-18 | Ldr Medical | Intervertebral disc prosthesis insertion assemblies |
US8506634B2 (en) | 1999-07-02 | 2013-08-13 | DePuy Synthes Products, LLC | Intervertebral implant |
US8663229B2 (en) | 2003-04-28 | 2014-03-04 | DePuy Synthes Products, LLC | Instruments and method for preparing an intervertebral space for receiving an artificial disc implant |
US8858635B2 (en) | 2004-02-04 | 2014-10-14 | Ldr Medical | Intervertebral disc prosthesis |
US8876836B2 (en) | 1999-09-14 | 2014-11-04 | DePuy Synthes Products, LLC | Insertion instrument for an intervertebral implant |
US8998990B2 (en) | 2006-07-24 | 2015-04-07 | DePuy Synthes Products, LLC | Intervertebral implant with keel |
US9265618B2 (en) | 2005-11-30 | 2016-02-23 | Ldr Medical | Intervertebral disc prosthesis and instrumentation for insertion of the prosthesis between the vertebrae |
US9333095B2 (en) | 2001-05-04 | 2016-05-10 | Ldr Medical | Intervertebral disc prosthesis, surgical methods, and fitting tools |
Families Citing this family (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
AU1116799A (en) * | 1998-10-22 | 2000-05-08 | Sdgi Holdings, Inc. | Artificial intervertebral joint permitting translational and rotational motion |
US6113637A (en) | 1998-10-22 | 2000-09-05 | Sofamor Danek Holdings, Inc. | Artificial intervertebral joint permitting translational and rotational motion |
EP1222903B1 (fr) * | 2001-01-12 | 2005-01-19 | Link Spine Group, Inc. | Instrument chirurgical pour implanter une prothèse intervertébrale |
US7527629B2 (en) | 2002-03-12 | 2009-05-05 | Cervitech, Inc. | Instrument set for fitting an intervertebral joint prosthesis |
WO2005044151A1 (fr) * | 2003-11-03 | 2005-05-19 | Ulrich Gmbh & Co. Kg | Implant a placer entre des corps vertebraux |
DE602005027806D1 (de) | 2004-02-04 | 2011-06-16 | Ldr Medical | Bandscheibenprothese |
FR2869528B1 (fr) * | 2004-04-28 | 2007-02-02 | Ldr Medical | Prothese de disque intervertebral |
US20060149284A1 (en) * | 2004-12-15 | 2006-07-06 | Sdgi Holdings, Inc. | Insertion device and method for inserting a member within the body |
BRPI0714955A2 (pt) | 2006-07-31 | 2013-07-23 | Systhes Gmbh | sistema de instrumento e mÉtodo para preparar um espaÇo intervertebral para receber um implante, e, guia de fresagem para uso com um sistema de instrumento |
US8480715B2 (en) * | 2007-05-22 | 2013-07-09 | Zimmer Spine, Inc. | Spinal implant system and method |
FR2916956B1 (fr) | 2007-06-08 | 2012-12-14 | Ldr Medical | Cage intersomatique,prothese intervertebrale,dispositif d'ancrage et instrumentation d'implantation |
US9198764B2 (en) | 2012-01-31 | 2015-12-01 | Blackstone Medical, Inc. | Intervertebral disc prosthesis and method |
Family Cites Families (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE3023942C2 (de) * | 1980-06-26 | 1985-05-15 | Waldemar Link (Gmbh & Co), 2000 Hamburg | Implantat zum Einsetzen zwischen Wirbelkörper der Wirbelsäule und Zange zum Einsetzen und Distrahieren desselben |
EP0077159A1 (fr) * | 1981-10-14 | 1983-04-20 | Brian Norman Atkins | Ecarteur vertébral |
DE3707097A1 (de) * | 1986-12-05 | 1988-06-09 | S & G Implants Gmbh | Zange zum spreizen von wirbelsaeulenkoerpern |
DD268156B5 (de) * | 1988-01-13 | 1994-07-21 | Charite Med Fakultaet | Werkzeug zum Einsetzen von mehrteiligen Zwischenwirbelendoprothesen |
FR2659226B1 (fr) * | 1990-03-07 | 1992-05-29 | Jbs Sa | Prothese pour disques intervertebraux et ses instruments d'implantation. |
-
1995
- 1995-08-09 FR FR9509792A patent/FR2737656B1/fr not_active Expired - Fee Related
Cited By (28)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8882839B2 (en) | 1999-07-02 | 2014-11-11 | DePuy Synthes Products, LLC | Intervertebral implant |
US9526624B2 (en) | 1999-07-02 | 2016-12-27 | DePuy Synthes Products, Inc. | Intervertebral implant |
US8974530B2 (en) | 1999-07-02 | 2015-03-10 | DePuy Synthes Products, LLC | Intervertebral implant |
US8795371B2 (en) | 1999-07-02 | 2014-08-05 | DePuy Synthes Products, LLC | Intervertebral implant |
US8506634B2 (en) | 1999-07-02 | 2013-08-13 | DePuy Synthes Products, LLC | Intervertebral implant |
US8876836B2 (en) | 1999-09-14 | 2014-11-04 | DePuy Synthes Products, LLC | Insertion instrument for an intervertebral implant |
US9333095B2 (en) | 2001-05-04 | 2016-05-10 | Ldr Medical | Intervertebral disc prosthesis, surgical methods, and fitting tools |
US7682396B2 (en) | 2002-11-05 | 2010-03-23 | Ldr Medical | Intervertebral disc prosthesis |
US8267999B2 (en) | 2002-11-05 | 2012-09-18 | Ldr Medical | Intervertebral disc prosthesis |
US9585763B2 (en) | 2002-12-13 | 2017-03-07 | DePuy Synthes Products, Inc. | Intervertebral implant, insertion tool and method of inserting same |
US8105381B2 (en) | 2002-12-13 | 2012-01-31 | Spine Solutions, Inc. | Intervertebral implant, insertion tool and method of inserting same |
US9084682B2 (en) | 2002-12-13 | 2015-07-21 | DePuy Synthes Products, Inc. | Intervertebral implant, insertion tool and method of inserting same |
US8579978B2 (en) | 2002-12-13 | 2013-11-12 | DePuy Synthes Products, LLC | Intervertebral implant, insertion tool and method of inserting same |
US8663229B2 (en) | 2003-04-28 | 2014-03-04 | DePuy Synthes Products, LLC | Instruments and method for preparing an intervertebral space for receiving an artificial disc implant |
US7803162B2 (en) | 2003-07-21 | 2010-09-28 | Spine Solutions, Inc. | Instruments and method for inserting an intervertebral implant |
US8349017B2 (en) | 2003-07-21 | 2013-01-08 | Spine Solutions, Inc. | Instruments and method for inserting an intervertebral implant |
CN100566678C (zh) * | 2003-07-22 | 2009-12-09 | 斯恩蒂斯有限公司 | 带有临时锁定装置的椎间植入物 |
US8858635B2 (en) | 2004-02-04 | 2014-10-14 | Ldr Medical | Intervertebral disc prosthesis |
US8257439B2 (en) | 2004-12-22 | 2012-09-04 | Ldr Medical | Intervertebral disc prosthesis |
US7695516B2 (en) | 2004-12-22 | 2010-04-13 | Ldr Medical | Intervertebral disc prosthesis |
US8439931B2 (en) | 2005-06-29 | 2013-05-14 | Ldr Medical | Instrumentation and methods for inserting an intervertebral disc prosthesis |
US7842088B2 (en) | 2005-09-23 | 2010-11-30 | Ldr Medical | Intervertebral disc prosthesis |
US9265618B2 (en) | 2005-11-30 | 2016-02-23 | Ldr Medical | Intervertebral disc prosthesis and instrumentation for insertion of the prosthesis between the vertebrae |
US8998990B2 (en) | 2006-07-24 | 2015-04-07 | DePuy Synthes Products, LLC | Intervertebral implant with keel |
US9387086B2 (en) | 2006-07-24 | 2016-07-12 | DePuy Synthes Products, Inc. | Intervertebral implant with keel |
US8465546B2 (en) | 2007-02-16 | 2013-06-18 | Ldr Medical | Intervertebral disc prosthesis insertion assemblies |
US8685100B2 (en) | 2007-02-16 | 2014-04-01 | Ldr Medical | Interveterbral disc prosthesis insertion assemblies |
US8425603B2 (en) | 2008-12-22 | 2013-04-23 | Synthes Usa, Llc | Orthopedic implant with flexible keel |
Also Published As
Publication number | Publication date |
---|---|
FR2737656A1 (fr) | 1997-02-14 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
TP | Transmission of property | ||
TP | Transmission of property | ||
ST | Notification of lapse |
Effective date: 20140430 |