US20060189982A1 - Longitudinal implant - Google Patents

Longitudinal implant Download PDF

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Publication number
US20060189982A1
US20060189982A1 US10/506,803 US50680305A US2006189982A1 US 20060189982 A1 US20060189982 A1 US 20060189982A1 US 50680305 A US50680305 A US 50680305A US 2006189982 A1 US2006189982 A1 US 2006189982A1
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United States
Prior art keywords
connecting device
implant
device according
filaments
plate
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.)
Abandoned
Application number
US10/506,803
Inventor
Robert Lange
Original Assignee
Robert Lange
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Priority to EP20010810243 priority Critical patent/EP1238637B1/en
Priority to EP018102434 priority
Application filed by Robert Lange filed Critical Robert Lange
Priority to PCT/CH2002/000136 priority patent/WO2002071959A1/en
Assigned to CO-LIGNE AG reassignment CO-LIGNE AG ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: LANGE, ROBERT
Publication of US20060189982A1 publication Critical patent/US20060189982A1/en
Application status is Abandoned legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/701Longitudinal elements with a non-circular, e.g. rectangular, cross-section
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/7004Longitudinal elements, e.g. rods with a cross-section which varies along its length
    • A61B17/7007Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit around the screw or hook heads
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION, OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS, OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/12Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
    • A61L31/125Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
    • A61L31/126Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix containing carbon fillers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/60Surgical 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 for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64Devices extending alongside the bones to be positioned
    • A61B17/6466Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod
    • A61B17/6483Devices extending alongside the bones to be positioned with pin-clamps movable along a solid connecting rod the connecting rod having a non-circular section
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/7011Longitudinal element being non-straight, e.g. curved, angled or branched
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/7019Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other
    • A61B17/7031Longitudinal elements having flexible parts, or parts connected together, such that after implantation the elements can move relative to each other made wholly or partly of flexible material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7032Screws or hooks with U-shaped head or back through which longitudinal rods pass
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7041Screws or hooks combined with longitudinal elements which do not contact vertebrae with single longitudinal rod offset laterally from single row of screws or hooks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical 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
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7059Cortical plates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties

Abstract

The longitudinal implant is fastened to bones on either side of a damaged area through a connecting device. Said implant is comprised of a filament or fiber composite material and said connecting device is made of a material harder than said longitudinal implant. The longitudinal implant is preferably made of a carbon filament composite material, wherein the filament are encapsulated in a polymer matrix.

Description

  • This invention relates to a longitudinal implant and connecting device wherein said longitudinal implant is fastened to bones on either side of a damaged area through said connecting device.
  • In some spinal repair situations, the damaged area of the spine is spanned by a slotted plate through which pedicle screws are inserted and fastened to the pedicle bones on either side of a damaged area. This fixes the spatial distance between the pedicle bones and therefore fixes the distance between vertebrae so that the damaged area of the spine can be repaired. In other spinal situations, the damaged area of the spine is spanned by a rod. At least two connectors are slidable along the rod connecting pedicle screws or hooks to the rod. Such a rod and fixation system is disclosed in EP 0 923 908A (Robert Lange).
  • Spinal repair is often times accomplished with hollow cages in which bone fragments are inserted that will grow to an extent to fuse the upper and lower vertebrae together at the damaged area. By fixing and holding the distance between these vertebrae, the bone in the cages will have time to grow and join the vertebrae together.
  • It is an objective of this invention to provide an elongated implant and pedicle screw or hook fixation system providing an increased stability.
  • The implant of the device according to this invention is comprised of a filament composite material- and said pedicle screws or hooks are made of a material harder than said implant. The implant provides a surface that has more friction than a titanium implant. If the implant is a plate having a longitudinal slot, the plate is placed between a nut and an upper surface of a pedicle screw. The plate can be squeezed and locked into position because the squeezing and the increased friction between titanium and the filament composite material. When all members are titanium, the required position is not always available and indentations are often provided along the slot.
  • Fixation systems manufactured from metals such as titanium alloy and stainless steel confound postoperative radiologic assessments because they are radiopac and can produce artefact. The use of an implant comprised of a fiber reinforced polymer composite permits better diagnostic assessment of soft tissue and bone by normal radiographic methods.
  • According to a preferred embodiment of the invention, the fibers are aligned lengthwise, so that compression will not change their strength characteristics to any extent even when compressed. Preferably the fibers or filaments are oriented to resist biomechanical forces.
  • Other advantages and features of the present invention will be apparent to those skilled in this art reaching the following specification with reference to the accompanying drawings in which:
  • FIG. 1 is a view of an embodiment of an implant of this invention;
  • FIG. 2 is a section along line I-I of FIG. 1;
  • FIG. 3 is a section through an embodiment of the implant with a different curvature;
  • FIG. 4 shows the implant according to FIG. 3 connecting two pedicle screws;
  • FIG. 5 a schematic view of a material block with horizontal fiber and an implant machined from this block;
  • FIG. 6 a schematic view of a material block with a curvature fiber orientation and an implant machined from this block;
  • FIG. 7 a side view of a connecting device of this invention;
  • FIG. 8 a partial section through the connecting device;
  • FIG. 9 a side view of an implant testing configuration;
  • FIG. 10 and 11 overall views showing rods or rails connecting two vertebrae of a spinal cord;
  • FIG. 12 a perspective view of another embodiment of an implant of this invention and
  • FIG. 13 a section along line XIII-XIII of FIG. 12.
  • FIG. 1 and 2 disclose a plate 1 having a longitudinal slot 2 extending along a substantial portion of its length. The plate has a curvature of about 10 0 as shown in FIG. 2. FIG. 3 discloses a plate 1′ which has a curvature of 20 0.
  • The plates 1 and 1′ as well as rods 30 and rails 17 are manufactured from a composite material composed of long filaments or fibers 18 and 19 encapsulated in a matrix 4 as shown in FIG. 13. The filaments or fibers 18 and 19 are preferably long carbon filaments and the matrix is preferably a polymer. Preferably the carbon filaments or fibers 18 and 19 are encapsulated in the polymer polyether-ketoneetherketoneketone (PEMKK). PEKEKK is a known biocompatible polymer. Another possible polymer is polyetheretherketone (PEEK). PFKEKK is preferred to PEEK because of its greater physical and chemical resistance properties. These characteristics impart greater stability to the plates 1 and 1′ rods 30 and rails 17 or other connecting parts during a long-term implantation.
  • FIGS. 4, 7 and 8 disclose a pedical plate fixation systems 5 and 5′ comprising a plate 1′, two bone screws 6 and two nuts 7. The screws 6 and the nuts 7 are manufactured from steel or medical grade titanium alloy. Bone screws 6 are common in the orthopedic arts. The screws 6 are provided with bone engaging threads 6 a. and at its other end a screw segment 6 b with a conventional thread. The thread 6 a flairs outwardly to an enlarged portion 6 c. The enlarged portions 6 c having a width greater than the width of the slope 2. The screw segment 6 b extending outwardly from the enlarged portion 6 c and extending through the slot 2. The nut 7 is received by the screw segment 6 b, whereby the plate 1′ can be grasped between the enlarged portion 6 c and the nut 7 to tightly secure the plate 1 by threading the nut 7 toward the enlarged portion 6 c.
  • The embodiment according to FIG. 7 is provided with slip washers 20, 21 and 22 having a planar surface 20 a, 21 a, 22 a and a concave or convex surface 20 b, 21 b, 22 b. The planar surfaces 20 a and 21 a are touching the plate 1′ are preferably provided with rips (not shown), which are depressed in the plate 1′ and which prevent the screw 6 from moving along the slot 2.
  • As the carbon-filament composition material of the plate 1 is softer than titanium and at its surface is somewhat rougher than a titanium surface, the plate 1 can be squeezed between the enlarged portion 6 c and the nut 7. This prevents the screws 6 from moving along the slot 2 both by depression caused by the squeezing and the enhanced friction there between.
  • The filaments 3 encapsulated in the polymer matrix 4 are oriented as shown in FIGS. 7 and B. The plate 1 is machined from a block 8 having a curvature fiber orientation as indicated in FIG. 6. The curvature of the fiber lay-up is the same as the curvature of the plate I or plate 2. The filaments 3 in the matrix 4 are therefore aligned lengthwise of the slot 2. The FIG. 5 shows a block 8′ with a parallel curvature lay-up and the in the plate 1′ machined from this block 8′ the filaments do not follow the curvature of the plate 1l and are shorter. With the testing configuration 10 disclosed in FIG. 9, tests were conducted using the ASTM provisional standard for spinal implants. This mechanical testing has shown that the strength of the plate 1 and 1′ is similar to plates made from stainless steel and titanium. The goal of stabilization has not been sacrified. As material of the plates 1 and 1′ is radiolucent, the plates do not interfere with diagnostic methods.
  • As already mentioned, the implant according to this invention can also be a rod 12 as disclosed in FIGS. 10 and 11 ox a rail according to FIG. 12 and 13. Two connectors 13 include two clamping members 14, connecting pedicle screws 15 to said rods 12. The rods 12 and rails are made from the same material as the plates 1 and 1′ and the filaments encapsulated in the matrix are preferably oriented in axial direction. A rail 17 with a rectangular cross section as shown in FIG. 12 and 13 is more stable to rotation than a rod.
  • Another advantage of implants manufactured from a carbon filament composite material is that its strength, flexibility and hardness can be varied by changing the ratio of filaments to plastic. It has been found, that “bone growth” is enhanced when it is under a certain degree of physiological stress. Thus, it will be desirable to select a composite ratio for the plate to gain the required degree of stiffness without sacrifying any strength. The ratio of filaments to plastic is preferably higher than 40% (weight) and more preferably higher than 60% (weight).
  • The filaments of fibers are not randomly embedded, but oriented in layers A as shown in FIG. A. The layers A can be parallel to each other and to a surface 23 as shown in FIG. 13. The layers A may be made up of woven filaments 18 and 19. The filaments 18 are oriented in the axial direction of the longitudinal implant 1, 17 and 30. The filaments 19 are oriented perpendicular to the axial direction. The filaments 18 and 19 are oriented to resist the biomechanical forces as for example bending force as shown in FIG. 9. The filaments can also be coiled to resist torsion forces, The distance D between two layers A is preferably less than 0.5 mm and preferably about 0.1 mm.

Claims (12)

1. Longitudinal implant and connecting device wherein said longitudinal implant is fastened to bones on either side of a damaged area through that connecting device, said implant is comprised of a filament or fiber composite material and said connecting device is made of a material harder than said longitudinal implant.
2. Connecting device according to claim 1, wherein the longitudinal implant is, made of a carbon filament composite material.
3. Connecting device according to claim 1 or 2, wherein the filaments are encapsulated in a polymer matrix.
4. Connecting device according to claim 3, wherein the filaments are encapsulated in PEEK or PEKEKK.
5. Connecting device according to any of claims 1 to 4, wherein the filaments are oriented.
6. Connecting device according to claim 1, wherein the implant being an elongated plate having a longitudinal slot extending along a substantial portion of its length.
7. Connecting device according to claim 6, wherein the connecting device comprising a pedicle screw having an upper section having a width greater than the width of said slot and exteriorly threaded portion extending outwardly from said section and extending through said slot.
8. Connecting device according to claim 7, wherein an interiorally threaded nut is received by the outer end of said threaded portion whereby said plate can be grasped between said upper section and said nut to tightly secure said plate by threading said upper section.
9. Connecting device according to claim 1, wherein said implant is a rod or a rail.
10. Connecting device according to claim 1, wherein said connecting device comprising a screw and a nut which are made of titanium.
11. Connecting device according to claim 1, wherein said implant is a rail (17) having a rectangular cross section.
12. Connecting device according to any one of claims 1 to 11, wherein the filaments are woven.
US10/506,803 2001-03-09 2002-03-06 Longitudinal implant Abandoned US20060189982A1 (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP20010810243 EP1238637B1 (en) 2001-03-09 2001-03-09 Longitudinal implant
EP018102434 2001-03-09
PCT/CH2002/000136 WO2002071959A1 (en) 2001-03-09 2002-03-06 Longitudinal implant

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US12/605,899 US8308778B2 (en) 2001-03-09 2009-10-26 Longitudinal implant
US13/649,514 US8784454B2 (en) 2001-03-09 2012-10-11 Longitudinal implant

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US12/605,899 Continuation US8308778B2 (en) 2001-03-09 2009-10-26 Longitudinal implant

Publications (1)

Publication Number Publication Date
US20060189982A1 true US20060189982A1 (en) 2006-08-24

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Family Applications (3)

Application Number Title Priority Date Filing Date
US10/506,803 Abandoned US20060189982A1 (en) 2001-03-09 2002-03-06 Longitudinal implant
US12/605,899 Active 2022-05-29 US8308778B2 (en) 2001-03-09 2009-10-26 Longitudinal implant
US13/649,514 Active US8784454B2 (en) 2001-03-09 2012-10-11 Longitudinal implant

Family Applications After (2)

Application Number Title Priority Date Filing Date
US12/605,899 Active 2022-05-29 US8308778B2 (en) 2001-03-09 2009-10-26 Longitudinal implant
US13/649,514 Active US8784454B2 (en) 2001-03-09 2012-10-11 Longitudinal implant

Country Status (7)

Country Link
US (3) US20060189982A1 (en)
EP (1) EP1238637B1 (en)
AT (1) AT271354T (en)
DE (1) DE60104389T2 (en)
ES (1) ES2223764T3 (en)
PL (1) PL200937B1 (en)
WO (1) WO2002071959A1 (en)

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US20080033437A1 (en) * 2003-04-25 2008-02-07 Warsaw Orthopedic, Inc. Non-Metallic Orthopedic Plate
US20080172092A1 (en) * 2007-01-12 2008-07-17 Paul Edward Kraemer System and method for spinal instrumentation
US20090093819A1 (en) * 2007-10-05 2009-04-09 Abhijeet Joshi Anisotropic spinal stabilization rod
US20090248077A1 (en) * 2008-03-31 2009-10-01 Derrick William Johns Hybrid dynamic stabilization
US20100138114A1 (en) * 2007-05-11 2010-06-03 Toyota Jidosha Kabushiki Kaisha Apparatus to control airbag for side collision
US8012182B2 (en) 2000-07-25 2011-09-06 Zimmer Spine S.A.S. Semi-rigid linking piece for stabilizing the spine
US20130144342A1 (en) * 2010-06-28 2013-06-06 K2M, Inc. Spine stabilization system
US20130274769A1 (en) * 2004-10-26 2013-10-17 P Tech, Llc Deformable fastener system
US9173647B2 (en) 2004-10-26 2015-11-03 P Tech, Llc Tissue fixation system
US9402668B2 (en) 2007-02-13 2016-08-02 P Tech, Llc Tissue fixation system and method
US10076377B2 (en) 2013-01-05 2018-09-18 P Tech, Llc Fixation systems and methods

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EP1972289B1 (en) 2007-03-23 2018-10-17 coLigne AG Elongated stabilization member and bone anchor useful in bone and especially spinal repair processes
EP2033670B1 (en) 2007-07-17 2015-09-02 Brainlab AG Attachment device for medical purposes, in particular for attaching a reference geometry for navigation-assisted operations to a body, in particular to a bone
WO2009034087A2 (en) 2007-09-11 2009-03-19 Solvay Advanced Polymers, L.L.C. New prosthetic devices
WO2011043799A1 (en) 2009-10-05 2011-04-14 Coligne Ag Spinal fixation system and screwdriver tool for use with the same
EP2662037A3 (en) 2012-05-09 2014-02-19 CoLigne AG Iliac connector, connector head, spinal fixation system and method of stabilizing a spine

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US8012182B2 (en) 2000-07-25 2011-09-06 Zimmer Spine S.A.S. Semi-rigid linking piece for stabilizing the spine
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PL362653A1 (en) 2004-11-02
US20100042163A1 (en) 2010-02-18
US8784454B2 (en) 2014-07-22
ES2223764T3 (en) 2005-03-01
WO2002071959A1 (en) 2002-09-19
DE60104389D1 (en) 2004-08-26
DE60104389T2 (en) 2006-01-05
EP1238637B1 (en) 2004-07-21
EP1238637A1 (en) 2002-09-11
US8308778B2 (en) 2012-11-13
AT271354T (en) 2004-08-15
US20130030473A1 (en) 2013-01-31
PL200937B1 (en) 2009-02-27

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