JPH067390A - 椎間板内部補綴 - Google Patents
椎間板内部補綴Info
- Publication number
- JPH067390A JPH067390A JP5050583A JP5058393A JPH067390A JP H067390 A JPH067390 A JP H067390A JP 5050583 A JP5050583 A JP 5050583A JP 5058393 A JP5058393 A JP 5058393A JP H067390 A JPH067390 A JP H067390A
- Authority
- JP
- Japan
- Prior art keywords
- prosthesis
- plate
- plates
- bone screw
- intervertebral disc
- 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
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
- A61F2/44—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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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 or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30108—Shapes
- A61F2002/3011—Cross-sections or two-dimensional shapes
- A61F2002/30138—Convex polygonal shapes
- A61F2002/30156—Convex polygonal shapes triangular
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30576—Special structural features of bone or joint prostheses not otherwise provided for with extending fixation tabs
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30621—Features concerning the anatomical functioning or articulation of the prosthetic joint
- A61F2002/30639—Features concerning the anatomical functioning or articulation of the prosthetic joint having rolling elements between both articulating surfaces
- A61F2002/30642—Features concerning the anatomical functioning or articulation of the prosthetic joint having rolling elements between both articulating surfaces having a single rolling (or sliding) ball articulating between two cups
-
- 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
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30621—Features concerning the anatomical functioning or articulation of the prosthetic joint
- A61F2002/30649—Ball-and-socket joints
- A61F2002/30663—Ball-and-socket joints multiaxial, e.g. biaxial; multipolar, e.g. bipolar or having an intermediate shell articulating between the ball and the socket
-
- 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
- A61F2002/3082—Grooves
-
- 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
- A61F2/30767—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
- A61F2002/30891—Plurality of protrusions
- A61F2002/30892—Plurality of protrusions 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
- A61F2/44—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
- A61F2002/443—Intervertebral or spinal discs, e.g. resilient made of articulated components having two transversal endplates and at least one intermediate component
-
- 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
- A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
- A61F2230/0017—Angular shapes
- A61F2230/0023—Angular shapes triangular
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
のスペース内に確実に固定できる椎間板内部補綴を提供
する。 【構成】 椎間板内部補綴は、二つの椎骨の間に挿入さ
れて用いられる。この補綴は、二枚のプレート1,2を
備え、その間にコア3を有する。プレート1,2の少な
くとも一方の前端縁には、ボーンスクリューの取り付け
手段8,10〜12が設けられる。ボーンスクリュー9
は、そのプレート1,2の面に対してほぼ直角に受け入
れられる。補綴関節の中心は、椎骨エンドプレートの中
心よりも後方へずらされている。
Description
レートとを備えて二つの椎骨の間に挿入される椎間板内
部補綴に関し、特に、その底部プレートないし上部プレ
ートが、少なくとも一本のボーンスクリューを受け入れ
る手段を備えた椎間板内部補綴に関する。
るプレート外側面に歯ないし突起部が設けられており、
これらが椎骨の表面にくい込いこむことによって、椎間
板のスペース内に補綴が固定される(欧州特許公開公報
第176728/1988、W.リンク『LINK Zwichenwirb
elendoprothese Model SB-Charite』/FR−A−26
59226)。一般に、この技術は、脊柱前わん(lord
osis)が進行した結果、椎間板のスペースがくさび型状
に前方へ開いた場合であっても有効なものとされる。し
かしながら、椎骨のエンドプレートが、波打ったり、湾
曲したりしているような場合は、その歯が十分にくい込
まずに、歯の有効性が失せてしまうようなことがある。
歯を用いた固定をおこなうために、補綴の腹部側端にい
くつかのブラケットを設ける手段が知られている。これ
らのブラケットは、プレートの面にほぼ直角に延び、ボ
ーンスクリューを通すためのボア穴が設けられている
(欧州特許公開公報第298233号、および、欧州特
許公告公報第179696号)。しかしながら、ブラケ
ットおよびスクリューの頭部は、椎骨の前面から前方へ
突出しており、その椎骨のすぐ近くを通る血管に傷をつ
けてしまう虞れがある。
し、特に、顕著な脊柱前わんの場合であっても、椎間板
のスペース内にしっかりと固定できる椎間板内部補綴を
提供することにある。
プレートに対して実質的に直角となるように、ボーンス
クリューを受け入れる手段を設けることによって達成さ
れる。また、補綴関節の中心を椎骨のエンドプレートの
中心よりも後方へずらすことにより、ボーンスクリュー
を、底部プレートないし上部プレートの前端縁の部分に
受け入れることができる。
前方へ押し出す力、すなわち、椎骨のスペースがくさび
型に開いていることによって生ずる前方への力を弱め
る。また、この中心のずれによって、ボーンスクリュー
を受け入れるための手段は、補綴の前方部分に設けるこ
とができる。本発明の特許請求の範囲に係るこれら二つ
の特性は、補綴を固定する目的のために、特に有効に協
働し合うものとして認識されている。すなわち、一方に
おいては、腹部側端縁の方向へ補綴に作用する力を弱
め、また、他方においては、椎骨のすぐ前方にある血管
と接触することなく確実な固定を達成する。
て直角に』と述べたのは、プレートに対する方向であっ
て、プレートと共に用いられるスクリューの方向、もし
くはプレート内に設けられたボア穴の方向を全て含んで
いる。その方向は、底部プレート、もしくは上部プレー
ト上の垂直線から、30度を超えてずれないようにされ
るのが好ましい。このように、プレートの面に対してボ
ーンスクリューのコースをいくぶん傾けることも、本発
明の範囲に含まれる。このことは、椎骨の腹部側端縁の
比較的近くにボーンスクリューが挿入されるときに特に
好都合である。すなわち、そのような場合には、ボーン
スクリューを椎骨の中心に向かっていくぶん傾けて挿入
することができる。
にスクリューを固定することは、特に問題にされるよう
なことはない。ボーンスクリューを受け入れる手段は、
補綴の少なくとも一方のプレートの前方(腹部側)端側
に配置されている。これは、関節の中心が後方へずらさ
れているために可能となる。このプレート前方の端部分
は、最も広いスペースであって、最も取り付け易い部分
である。しかしながら、ボーンスクリューを受け入れる
手段を、プレートの前端縁の側部領域に設けることも本
発明の範囲に含まれる。ボーンスクリューを受け入れる
手段は、プレートの面に対してほぼ直角に明けられたボ
ア穴として設けられる。また、プレートの端縁に向かっ
て開いた凹部であって、取り付け用スクリューと協働
し、補綴の前方へのずれ、もしくは前方斜め方向へのず
れを更に回避する凹部も有効な手段とされる。いずれの
場合においても、後方へのずれは起こらない。ボア穴も
しくは凹部は、特別のブラケットに形成されてもよい。
このブラケットは、補綴プレートの面内で突出し、その
プレートの端縁より前へ出るものである。これらのボア
穴もしくは凹部は、取り付けの後にスクリューの頭部が
突出しないように、スクリューの頭部を全体的に、もし
くは部分的に受け入れるような形状ないし外形を備え
る。これらの穴もしくは凹部は、特別のねじ込み方向に
対しても適用できる。
数のスクリュー取り付け手段を備えることは有効であ
り、特に、左右対称に配置された一対の形で、スクリュ
ー取り付け手段が設けられることは有益である。
説明する。この補綴は、上部プレート1および底部プレ
ート2を備える。これらプレートは金属からなり、鏡像
関係の形状となるように形成される。これらのプレート
の間には、ポリエリレンからなる補綴コア3が置かれ
る。補綴プレート1,2と補綴コア3とは、球形湾曲面
4を介して協働する。コア3には、エッジリム5が設け
られている。このエッジリムにより、コアの移動範囲が
制限され、範囲の限界位置においても補綴の結合が確実
になされる。また、別の実施例においては、コアが一方
のプレートにしっかりと固定される。
は、椎骨の端面と接する。これらのエンドプレートに
は、複数(例えば6本)の歯7が設けられており、取り
付け時において、これらの歯は、椎骨内へくい込み、補
綴を本来の位置に固定する。
ボーンスクリュー9を受け入れるためのボア穴8が設け
られている。これらのボア穴は、腹部から背部に通る椎
骨中心面の両側に対称となるように配置され、補綴プレ
ート1,2の前端縁の部分に設けられる。ボア穴8およ
びそれに対応するスクリュー9は、補綴プレート1,2
の面に対して直角となるように設けられる。
骨エンドプレートの中心よりも後方へずれている。この
ずれにより、補綴プレート1,2の腹部側端縁の部分
に、ボーンスクリュー9を受け入れるのに十分なスペー
スが提供される。
ューのためのボア穴は、補綴プレート1,2の端縁部分
へずれている。これにより、ボア穴は、端縁側が開いた
ノッチもしくは刻み目10にされている。図1〜3に示
す実施例は力伝達部分が大きいものであったのに比べ
て、この実施例ではそのスペースが節約される。補綴を
後方へ移動させるような力が作用するとは考えられない
ので、端縁側へ開いた凹部は、補綴を固定するのに十分
である。
る。この実施例では、ボーンスクリューのためのボア穴
12が、特別のブラケット11に設けられる。このブラ
ケット11は、補綴プレート1,2の面の前方へ突出し
ている。この配置は、関節の中心13が後方へ大きくず
れる必要がある場合に、特に有効である。
は二つの椎骨の間に位置する。
図。
補綴は端へ開いたスクリュー用の凹部を備える。
スクリュー用の穴は、ブラケット内に設けられている。
レート(底部) 3 補綴コア 4 湾曲面 5 エッジリム 6 エンド
プレート 7 歯 8 ボア穴 9 ボーンスクリュー 10 ノッ
チ 11 ブラケット 12 ボア
穴 13 関節の中心
Claims (2)
- 【請求項1】 二つの椎骨の間に挿入され、底部プレー
ト(2)と上部プレート(1)とを備え、該底部プレー
トないし該上部プレートが、少なくとも一本のボーンス
クリュー(9)を受け入れるための手段(8)を備える
椎間板内部補綴において、 上記手段(8,10〜12)が、該補綴の少なくとも一
方のプレート(1,2)の、前端縁中ないし前端縁上に
形成されて上記ボーンスクリューを該プレート(1,
2)の面に対してほぼ直角に受け入れ、 該補綴の関節の中心が、椎骨エンドプレートの中心より
も後方へずらされることを特徴とする椎間板内部補綴。 - 【請求項2】上記ボーンスクリューを受け入れるための
手段が、プレート(1,2)の面に対して直角に延びる
少なくとも一つのボア穴(8)を備える請求項1記載の
椎間板内部補綴。
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE4208115-7 | 1992-03-13 | ||
| DE4208115A DE4208115A1 (de) | 1992-03-13 | 1992-03-13 | Bandscheibenendoprothese |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPH067390A true JPH067390A (ja) | 1994-01-18 |
| JP3181131B2 JP3181131B2 (ja) | 2001-07-03 |
Family
ID=6454036
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP05058393A Expired - Lifetime JP3181131B2 (ja) | 1992-03-13 | 1993-03-11 | 椎間板内部補綴具 |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US5556431A (ja) |
| EP (1) | EP0560140B1 (ja) |
| JP (1) | JP3181131B2 (ja) |
| AT (1) | ATE165726T1 (ja) |
| DE (2) | DE4208115A1 (ja) |
| ES (1) | ES2117064T3 (ja) |
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| US10835385B2 (en) | 2003-03-06 | 2020-11-17 | Howmedica Osteonics Corp. | Instrumentation and methods for use in implanting a cervical disc replacement device |
| US11382762B2 (en) | 2003-03-06 | 2022-07-12 | Howmedica Osteonics Corp. | Instrumentation and methods for use in implanting a cervical disc replacement device |
| KR101333755B1 (ko) * | 2005-09-23 | 2013-12-02 | 엘디알 메디칼, 에스.에이.에스. | 추간판 인공보철물 |
Also Published As
| Publication number | Publication date |
|---|---|
| EP0560140A1 (de) | 1993-09-15 |
| DE59308489D1 (de) | 1998-06-10 |
| DE4208115A1 (de) | 1993-09-16 |
| US5556431A (en) | 1996-09-17 |
| JP3181131B2 (ja) | 2001-07-03 |
| ES2117064T3 (es) | 1998-08-01 |
| EP0560140B1 (de) | 1998-05-06 |
| ATE165726T1 (de) | 1998-05-15 |
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