Abstract: A vertebral attachment system and method for retaining a spinal vertebra (25) on a rod (2) employ a device (1) including a body (3) for attachment to the rod, a flexible strip (4) for linking the vertebra to the attachment body and a means (5) for adjustably locking the flexible strip on the attachment body. The attachment body (3) is made of a single part having a U-shaped cross-section, for passing the rod between the bottom wall (10) of the U and the adjustable locking means. The adjustable locking means (5) consists of a linking part (18) connecting the opposite ends of the two arms (6, 7) of the U, arranged such as to compress the rod against the wall. The arms (6, 7) each include a recess (14) opposite thereof, located on the bottom side of the U, for passing the two ends of the strip between the bottom and the rod in order to form a loop for attachment to a vertebra.

Abstract: This is a system and an assembly for tensioning a flexible strip (3) to hold a bony element on an implant, comprising a shank (15) and means (42) for adjustably immobilizing a component (29) that is capable of translational movement with respect to a portion (25) of the device. The shank (15) comprises a handle (23) for gripping at its second end (24), the portion (25) of the device (14) making an angle with the shank (15), the flexible strip (3) having two free ends. The component (29) capable of movement comprises a wheel (31) free to rotate with respect to a pivot pin (32) perpendicular to the portion (25), for guiding the strip (3) around its rounded periphery (33) comprising two distinct elements (34, 35) for anchoring the flexible strip (3).

Abstract: The present invention relates to a vertebral fixation device (1) for holding a vertebra (V) on a rod (2), having a body (3) of U-shaped or substantially U-shaped cross section, a flexible band (4, 4?) for connecting said vertebra to the fixation body which is provided with slits (17) for passage of the band and of means (M) for adjustably blocking the flexible band against the rod in the fixation body. The flexible hand (4, 4?) comprises a loop (5, 5?) closed on itself and provided with a flexible lamella (6, 6?) which is able to form a guide for passage around the vertebra and into the fixation body.

Abstract: A device (17) is provided for tensioning a flexible band (3) used to maintain a bone element on an implant. The device includes a rod (18) having a first end (19) provided with means (20) for bearing on the implant, a movable part (32) for hooking the flexible band onto a portion (28) of the device, and means (34) for adjustably locking the movable part in translation in relation to the portion of the device. The rod (18) includes a gripping handle (26) at the second end (27) thereof. The aforementioned portion of the device forms an angle ? with the rod (18) to which it is rigidly connected at an intermediary point, the direction of the band being altered at an angle, and the aforementioned adjustable locking means (34) includes manual screwing means (35) for actuating the movable part.

Abstract: An intervertebral implant comprising an intervertebral spacer and two fastener ties is disclosed. The intervertebral spacer may be formed having a body extending in a longitudinal direction. The intervertebral spacer may further include a first insertion face, a second face, and two recesses disposed at the ends of the body. The recesses may each be defined by a first extension, a second extension, and an end wall. Each of the two fastener ties may be secured to the first extension at a first end and a second end may be fastenable to the second face. The ties may pass around a spinous process in part and hold the spinous process within a recess. The first extension of the body may have a height relative to the bottom wall of the recess that is no greater than the height of the second extension.

Abstract: The present invention relates to a vertebral fixation device, system and method for holding a spinal vertebra on a rod (2), having a fixation element comprising a component of substantially U-shaped cross section with a first branch, a bottom and a second branch, a loop (25) formed by a flexible band (22) for connecting the vertebra to the component, the component being provided on each of its branches with a recess for the band to pass through, the recesses being situated opposite each other, and adjustable means (26) for immobilizing the flexible band against the wall of the bottom of the U via the rod, comprising a connector screw which connects the two branches of the U and which is provided, at one end, with a head (31) for longitudinal immobilization of the screw with respect to a first branch of the U and, at the other end, with a thread for screwing in the second branch of the U.

Abstract: The present invention concerns an intersomatic implant (2) comprising a body (4) suitable for being inserted between two vertebrae (1) to space them a predetermined distance apart, the body (4) being provided on either side, respectively, with a contact surface (5, 5?) with die corresponding vertebrae (1). The body (4) is formed from an oblong part of predetermined thickness provided at a first so-called proximal end with a gripping cam (9) mounted movable in rotation relative to the part about an axis perpendicular to the two surfaces (5, 5), between two predetermined angular positions. The contact surfaces (5, 5?) are either parallel or substantially parallel to one another, and each contact surface (5, 5?) of the body (4) with a corresponding vertebra (1) comprises a set of curved longitudinal protrusions (7, 7?, 7?) which decrease in height towards the distal ends thereof.

Abstract: Embodiments disclosed herein provide a method of placing a vertebral fixing system on a vertebra. The vertebral fixing system comprises a connecting part with members forming a space into which a rod may be inserted. The members are moveable relative to each other. A portion of a ligature may be passed through the connecting part to form a loop extending from the connecting part. When the rod is inserted in the space between the members, the ligature may be tensioned against the rod. The members of the connecting part may be driven together to hold the ligature in place. An adjustable locking means may be utilized to fix simultaneously in position the connecting part relative to the rod and at least one portion of the ligature relative to the connecting part, so as to prevent relative displacement of the rod and the vertebra in opposite directions.

Abstract: This is a system and an assembly for tensioning a flexible strip (3) to hold a bony element on an implant, comprising a shank (15) and means (42) for adjustably immobilizing a component (29) that is capable of translational movement with respect in a portion (25) of the devise. The shank (15) comprises a handle (23) for gripping at its second end (24), the portion (25) of the device (14) making an angle with the shank (15), the flexible strip (3) having two free ends. The component (29) capable of movement comprises a wheel (31) free to rotate with respect to a pivot pin (32) perpendicular to the portion (25), for guiding the strip (3) around its rounded periphery (33) comprising two distinct elements (34, 35) for anchoring the flexible strip (3).

Abstract: A device (17) is provided for tensioning a flexible band (3) used to maintain a bone element on an implant. The device includes a rod (18) having a first end (19) provided with means (20) for bearing on the implant, a movable part (32) for hooking the flexible band onto a portion (28) of the device, and means (34) for adjustably locking the movable part in translation in relation to the portion of the device. The rod (18) includes a gripping handle (26) at the second end (27) thereof. The aforementioned portion of the device forms an angle ? with the rod (18) to which it is rigidly connected at an intermediary point, the direction of the band being altered at an angle, and the aforementioned adjustable locking means (34) includes manual screwing means (35) for actuating the movable part.

Abstract: A method and instrument for tensioning a flexible tie used for fastening an implant on a bony element by forming a first loop around it. In some embodiments, the instrument comprises a shaft having a distal end configured for contact with a rod, a moving part slidably engaged with the shaft, a holder connected to the moving part and configured to hold an end of the flexible tie, and a tension control member comprising a trigger that pivots relative to the moving part. In some embodiments, the method comprises coupling the end of the flexible tie to the instrument and squeezing the trigger to shorten the first loop of the flexible tie around the bony element, causing the moving part and the holder holding the end of the flexible tie to move in translation away from the distal end of the shaft, thereby exerting tension on the flexible tie.

Abstract: Embodiments disclosed herein provide a method of placing a vertebral fixing system on a vertebra. The vertebral fixing system comprises a connecting part with members forming a space into which a rod may be inserted. The members are moveable relative to each other. A portion of a ligature may be passed through the connecting part to form a loop extending from the connecting part. When the rod is inserted in the space between the members, the ligature may be tensioned against the rod. The members of the connecting part may be driven together to hold the ligature in place. An adjustable locking means may be utilized to fix simultaneously in position the connecting part relative to the rod and at least one portion of the ligature relative to the connecting part, so as to prevent relative displacement of the rod and the vertebra in opposite directions.

Abstract: A device (17) is provided for tensioning a flexible band (3) used to maintain a bone element on an implant. The device includes a rod (18) having a first end (19) provided with means (20) for bearing on the implant, a movable part (32) for hooking the flexible band onto a portion (28) of the device, and means (34) for adjustably locking the movable part in translation in relation to the portion of the device. The rod (18) includes a gripping handle (26) at the second end (27) thereof. The aforementioned portion of the device forms an angle ? with the rod (18) to which it is rigidly connected at an intermediary point, the direction of the band being altered at an angle, and the aforementioned adjustable locking means (34) includes manual screwing means (35) for actuating the movable part.

Abstract: The present invention relates to a vertebral fixation device (1) for holding a vertebra (V) on a rod (2), haying a body (3) of U-shaped or substantially U-shaped cross section, a flexible band (4, 4?) for connecting said vertebra to the fixation body which is provided with slits (17) for passage of the hand and of means (M) for adjustably blocking the flexible band against the rod in the fixation body. The flexible hand (4,4?) comprises a loop (5, 5?) closed on itself and provided with a flexible lamella (6, 6?) which is able to form a guide for passage around the vertebra and into the fixation body.

Abstract: A device (17) is provided for tensioning a flexible band (3) used to maintain a bone element on an implant. The device includes a rod (18) having a first end (19) provided with means (20) for bearing on the implant, a movable part (32) for hooking the flexible band onto a portion (28) of the device, and means (34) for adjustably locking the movable part in translation in relation to the portion of the device. The rod (18) includes a gripping handle (26) at the second end (27) thereof. The aforementioned portion of the device forms an angle ? with the rod (18) to which it is rigidly connected at an intermediary point, the direction of the band being altered at an angle, and the aforementioned adjustable locking means (34) includes manual screwing means (35) for actuating the movable part.

Abstract: Intervertebral spacer to be placed between two adjacent, upper and lower cervical vertebrae, the spacer comprising a spacer body and retention member for retaining the spacer body in position against said vertebrae. The retention member includes a strap and fastener member that are removable and self-blocking, enabling the ends of the strap to be secured to the spacer body. The spacer body including: a spacer part having two opposite ends, a portion of the first end configured to be inserted between the vertebrae; and top and bottom flanges connected via their bases to the second end of the spacer part and extending on either side thereof, each flange presenting an anterior face facing towards the spacer part and configured to bear against the posterior portion of the lamina of the upper or lower vertebra, respectively.

Abstract: The invention relates to a connection system (3, 12, 13) between two longitudinal cylindrical spinal support rods (4), said connection system comprising at least one transverse elongate element (6, 14) having, on each end thereof, a head (7, 8; 17, 18; 43) for attaching onto a corresponding rod. At least one of said attachment heads (7, 8; 17, 18) includes a semi-cylindrical recess (19) for clipping with the rod (4), said recess having an upper lip (20, 21), covering the bottom of the rod, and a lower lip (22, 23), that is radially opposite said upper lip, and the head comprises a means (11, 24) for bending said lower lip (22, 23) between a position for connecting and a position for locking onto the rod.

Abstract: The invention relates to an intervertebral implant comprising a spacer designed to be applied between two spinous processes of two vertebrae. The spacer comprises: two elements (10, 12) made of a first material, and each presenting a first end (10a, 12a) and a second end (10b, 12b), said first end (10a, 12a) being securable to a spinous process; and a connection piece (14) made of a second material of greater elastic deformability than said first material, said connection piece interconnecting said second ends (10b, 12b) of said two elements (10, 12) so that the stresses that are exerted on said two elements (10, 12) are damped, and said connection piece enabling said intervertebral implant to limit and brake the relative movements of said vertebrae.

Abstract: The invention relates to a knee prosthesis (1) including a femoral part (2) connected to a tibial plate (3) by an intermediate meniscal plate (4) provided with an upper surface (5). The intermediate meniscal plate (4) and the tibial plate (3) are connected to each other by two planar joining surfaces, the tibial plate (3) including a central pivot pin (26) or at least one clipping/indexing finger (34, 35) which protrudes with respect to the tibial joining surface (11). The meniscal joining surface (12) of the meniscal plate (4) includes, in combination, a central hole (25) capable of engaging with the pivot pin (26) of the tibial plate in one case, and a locking recess (46, 47) capable of becoming embedded with the indexing finger (34, 35) of the tibial plate in the other one case, depending on whether the tibial plate comprises a pivot pin or an indexing finger.

Abstract: The present invention relates to an instrument for tensioning a flexible tie (14) used for fastening an implant on a bony element of a patient by forming a first loop around the bony element. Said instrument comprises: a rod (42) having a first end provided with bearing means (44) for bearing against said implant; a moving part (46) that is movable in translation and that surrounds said rod (42) over a fraction of its length, said moving part including holder means (50) for holding the end of said tie; and control means (52) mounted on said moving part (46) to cause the moving part to move relative to said rod, thereby tending to move the first end (42a) of the rod away from said moving part, thereby exerting tension on said tie relative to said implant.