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FR3005569B1 - Implant vertebral, dispositif de fixation vertebrale d'implant et instrumentation d'implantation - Google Patents

Implant vertebral, dispositif de fixation vertebrale d'implant et instrumentation d'implantation Download PDF

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Publication number
FR3005569B1
FR3005569B1 FR1354421A FR1354421A FR3005569B1 FR 3005569 B1 FR3005569 B1 FR 3005569B1 FR 1354421 A FR1354421 A FR 1354421A FR 1354421 A FR1354421 A FR 1354421A FR 3005569 B1 FR3005569 B1 FR 3005569B1
Authority
FR
France
Prior art keywords
implant
vertebral
vertebral implant
deployment
fixation device
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.)
Active
Application number
FR1354421A
Other languages
English (en)
Other versions
FR3005569A1 (fr
Inventor
Samuel Lequette
Herve Dinville
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.)
LDR Medical SAS
Original Assignee
LDR Medical SAS
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
Application filed by LDR Medical SAS filed Critical LDR Medical SAS
Priority to FR1354421A priority Critical patent/FR3005569B1/fr
Priority to US14/246,442 priority patent/US9974661B2/en
Priority to MX2015015619A priority patent/MX2015015619A/es
Priority to EP14728850.0A priority patent/EP2996637B1/fr
Priority to AU2014267237A priority patent/AU2014267237B2/en
Priority to KR1020157033428A priority patent/KR20160008569A/ko
Priority to JP2016513396A priority patent/JP2016518940A/ja
Priority to PCT/EP2014/060135 priority patent/WO2014184367A1/fr
Priority to CA2910721A priority patent/CA2910721A1/fr
Priority to BR112015028218A priority patent/BR112015028218A2/pt
Priority to US14/891,322 priority patent/US9937050B2/en
Priority to CN201480028167.7A priority patent/CN105208975A/zh
Publication of FR3005569A1 publication Critical patent/FR3005569A1/fr
Priority to US15/949,292 priority patent/US10154909B2/en
Priority to US16/192,165 priority patent/US10779953B2/en
Priority to US16/995,386 priority patent/US11633288B2/en
Application granted granted Critical
Publication of FR3005569B1 publication Critical patent/FR3005569B1/fr
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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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
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A—HUMAN NECESSITIES
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    • 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
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    • A61F2/442—Intervertebral or spinal discs, e.g. resilient
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    • 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
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    • A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
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    • 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
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    • A61F2/447—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
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    • 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
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    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
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    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
    • A61F2002/3037—Translation along the common longitudinal axis, e.g. piston
    • A—HUMAN NECESSITIES
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    • 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
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    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
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    • 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
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    • 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
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A61F2002/30782—Apertures or holes, e.g. of circular cross section inclined obliquely
    • 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
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A61F2002/30784—Plurality of holes
    • 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
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A61F2002/30784—Plurality of holes
    • A61F2002/30785—Plurality of holes parallel
    • 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
    • A61F2002/30841—Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
    • 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
    • A61F2002/448—Joints for the spine, e.g. vertebrae, spinal discs comprising multiple adjacent spinal implants within the same intervertebral space or within the same vertebra, e.g. comprising two adjacent spinal implants
    • 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 for implanting artificial joints
    • A61F2/4603—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4622—Special tools for implanting artificial joints for insertion or extraction of endoprosthetic joints or of accessories thereof having the shape of a forceps or a clamp
    • 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
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0008—Fixation appliances for connecting prostheses to the body
    • A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • 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
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Neurology (AREA)
  • Transplantation (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)
  • Surgical Instruments (AREA)

Abstract

La pr?sente invention concerne un implant vert?bral (1), un dispositif de fixation d'implant vert?bral et une instrumentation d'implantation, l'implant comprenant une paroi p?riph?rique et s'?tendant selon un axe vertical entre des surfaces sup?rieure et inf?rieure de l'implant (1) destin?es, chacune, ? ?tre plac?es au contact d'une structure vert?brale, respectivement, sup?rieure et inf?rieure au segment vert?bral remplac? par l'implant (1), caract?ris? en ce qu'il comporte des moyens de fixation (5, 8) dont le d?ploiement permet l'ancrage de l'implant dans lesdites structures vert?brales inf?rieure et sup?rieure, chacun desdits moyens de fixation (5, 8) ?tant d?ploy? par coulissement parall?lement ? l'axe vertical de l'implant (1) et comprenant, d'une part, au moins une plaque (52, 82) dont au moins une partie reste au contact de la paroi p?riph?rique de l'implant (1) ? la fin du d?ploiement et, d'autre part, au moins une extr?mit? pointue (51, 81) d?passant d'une des surfaces sup?rieure et inf?rieure de l'implant (1) pour p?n?trer dans une desdites structures vert?brales ? la fin du d?ploiement.
FR1354421A 2013-05-16 2013-05-16 Implant vertebral, dispositif de fixation vertebrale d'implant et instrumentation d'implantation Active FR3005569B1 (fr)

Priority Applications (15)

Application Number Priority Date Filing Date Title
FR1354421A FR3005569B1 (fr) 2013-05-16 2013-05-16 Implant vertebral, dispositif de fixation vertebrale d'implant et instrumentation d'implantation
US14/246,442 US9974661B2 (en) 2013-05-16 2014-04-07 Vertebral implant, vertebral fastening device of the implant and implant instrumentation
CN201480028167.7A CN105208975A (zh) 2013-05-16 2014-05-16 椎骨植入物、植入物的椎骨紧固装置和植入物器械
AU2014267237A AU2014267237B2 (en) 2013-05-16 2014-05-16 Vertebral implant, vertebral fastening device of the implant and implant instrumentation
KR1020157033428A KR20160008569A (ko) 2013-05-16 2014-05-16 척추 임플란트, 임플란트의 척추 체결 장치 및 임플란트 기구
JP2016513396A JP2016518940A (ja) 2013-05-16 2014-05-16 脊椎インプラント、インプラントの脊椎締結装置、およびインプラント器具類
PCT/EP2014/060135 WO2014184367A1 (fr) 2013-05-16 2014-05-16 Implant vertébral, dispositif de fixation vertébrale de l'implant et instrumentation d'implant
CA2910721A CA2910721A1 (fr) 2013-05-16 2014-05-16 Implant vertebral, dispositif de fixation vertebrale de l'implant et instrumentation d'implant
MX2015015619A MX2015015619A (es) 2013-05-16 2014-05-16 Implante vertebral, dispositivo de sujecion vertebral del implante e instrumentacion del implante.
US14/891,322 US9937050B2 (en) 2013-05-16 2014-05-16 Vertebral implant, vertebral fastening device of the implant and implant instrumentation
EP14728850.0A EP2996637B1 (fr) 2013-05-16 2014-05-16 Vertebral implant, vertebral fastening device of the implant and implant instrumentation
BR112015028218A BR112015028218A2 (pt) 2013-05-16 2014-05-16 implante vertebral, dispositivo de aperto vertebral do implante e instrumentação de implantes
US15/949,292 US10154909B2 (en) 2013-05-16 2018-04-10 Vertebral implant, vertebral fastening device of the implant and implant instrumentation
US16/192,165 US10779953B2 (en) 2013-05-16 2018-11-15 Vertebral implant, vertebral fastening device of the implant and implant instrumentation
US16/995,386 US11633288B2 (en) 2013-05-16 2020-08-17 Vertebral implant, vertebral fastening device of the implant and implant instrumentation

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR1354421A FR3005569B1 (fr) 2013-05-16 2013-05-16 Implant vertebral, dispositif de fixation vertebrale d'implant et instrumentation d'implantation

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Publication Number Publication Date
FR3005569A1 FR3005569A1 (fr) 2014-11-21
FR3005569B1 true FR3005569B1 (fr) 2021-09-03

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FR1354421A Active FR3005569B1 (fr) 2013-05-16 2013-05-16 Implant vertebral, dispositif de fixation vertebrale d'implant et instrumentation d'implantation

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US (5) US9974661B2 (fr)
EP (1) EP2996637B1 (fr)
JP (1) JP2016518940A (fr)
KR (1) KR20160008569A (fr)
CN (1) CN105208975A (fr)
AU (1) AU2014267237B2 (fr)
BR (1) BR112015028218A2 (fr)
CA (1) CA2910721A1 (fr)
FR (1) FR3005569B1 (fr)
MX (1) MX2015015619A (fr)
WO (1) WO2014184367A1 (fr)

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AU2014267237A1 (en) 2015-11-19
US9974661B2 (en) 2018-05-22
FR3005569A1 (fr) 2014-11-21
MX2015015619A (es) 2016-03-11
US20180289498A1 (en) 2018-10-11
CN105208975A (zh) 2015-12-30
US10154909B2 (en) 2018-12-18
US9937050B2 (en) 2018-04-10
EP2996637B1 (fr) 2019-03-27
JP2016518940A (ja) 2016-06-30
US11633288B2 (en) 2023-04-25
US20200375751A1 (en) 2020-12-03
US20150045893A1 (en) 2015-02-12
AU2014267237B2 (en) 2018-11-08
EP2996637A1 (fr) 2016-03-23
CA2910721A1 (fr) 2014-11-20
US10779953B2 (en) 2020-09-22
US20190083277A1 (en) 2019-03-21
WO2014184367A1 (fr) 2014-11-20
BR112015028218A2 (pt) 2017-07-25
KR20160008569A (ko) 2016-01-22
US20160100953A1 (en) 2016-04-14

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