CA2632125A1 - Instrumentation, methods and features for use in implanting an artificial intervertebral disc - Google Patents

Instrumentation, methods and features for use in implanting an artificial intervertebral disc Download PDF

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Publication number
CA2632125A1
CA2632125A1 CA002632125A CA2632125A CA2632125A1 CA 2632125 A1 CA2632125 A1 CA 2632125A1 CA 002632125 A CA002632125 A CA 002632125A CA 2632125 A CA2632125 A CA 2632125A CA 2632125 A1 CA2632125 A1 CA 2632125A1
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CA
Canada
Prior art keywords
engagement holes
engagement
baseplates
pair
space
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
Application number
CA002632125A
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French (fr)
Other versions
CA2632125C (en
Inventor
Michael W. Dudasik
Rafail Zubok
Joseph P. Errico
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.)
Spinecore Inc
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Individual
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Filing date
Publication date
Priority claimed from US10/309,585 external-priority patent/US7115132B2/en
Priority claimed from US10/425,267 external-priority patent/US7235081B2/en
Application filed by Individual filed Critical Individual
Priority claimed from CA002503848A external-priority patent/CA2503848C/en
Publication of CA2632125A1 publication Critical patent/CA2632125A1/en
Application granted granted Critical
Publication of CA2632125C publication Critical patent/CA2632125C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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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
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    • 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
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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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    • A61F2/00—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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    • 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
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
    • 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
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0041—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels or rivets, e.g. connecting screws
    • 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
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0058—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements soldered or brazed or welded
    • 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
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/0034—D-shaped
    • 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
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/005—Rosette-shaped, e.g. star-shaped
    • 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
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0065—Three-dimensional shapes toroidal, e.g. ring-shaped, doughnut-shaped
    • 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
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/0006—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting angular orientation
    • 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
    • A61F2310/00017—Iron- or Fe-based alloys, e.g. stainless steel
    • 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
    • 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
    • A61F2310/00365—Proteins; Polypeptides; Degradation products thereof
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S606/00—Surgery
    • Y10S606/914—Toolkit for installing or removing spinal positioner or stabilizer

Abstract

Instrumentation for implanting an artificial intervertebral disc includes static trials and a dynamic trial for determining the appropriate size of disc to be implanted, static trial holders (2060) for manipulating the static trials (1000), inserter/impactors for inserting and removing the static trials and for inserting the artificial intervertebral discs, repositioners/extractors for repositioning and extracting the static trials or the artificial intervertebral discs, and a leveler for setting the proper position of the artificial intervertebral disc. Methods for using the same are also disclosed. Features for artificial intervertebral discs and intervertebral spacer devices useful for manipulation by the instrumentation are also disclosed.

Claims (20)

1. A spinal orthopedic device and tool set, comprising:
an intervertebral spacer device having first and second baseplates mounted to one another such that the first and second baseplates are articulatable relative to one another, wherein at least one of the baseplates has at least one pair of engagement holes, each hole of the at least one pair being separated from the other hole of the at least one pair by a space having a length; and a manipulation tool having a handle, a proximal end and a distal end, the handle extending along a first longitudinal axis, the manipulation tool further including a first engagement post and a second engagement post, each engagement post positioned proximate the distal end of the manipulation tool, the first engagement post extending along a second longitudinal axis and the second engagement post extending along a third longitudinal axis, the first longitudinal axis being substantially perpendicular to the second and third longitudinal axes, the first engagement post being separated from the second engagement post by a second space having a length, said length of said second space being equivalent to said length of said space between the pair of engagement holes of the intervertebral spacer such that the first and second engagement posts are positionable in the at least one pair of engagement holes, said first and second engagement posts defining a pair of engagement posts.
2.. The spinal orthopedic device and tool set of claim 1, wherein the at least one of the baseplates has at least two pairs of engagement holes; and wherein the pair of engagement posts is positionable in any pair of the at least two pairs of engagement holes.
3. The spinal orthopedic device and tool set of claim 2, wherein the at least two pairs of engagement holes comprise three engagement holes, a first of the three engagement holes being separated from a second of the three engagement holes by a space having the length, the second of the three engagement holes being separated from a third of the three engagement holes by a space having the length.
4. The spinal orthopedic device and tool set of claim 2, wherein the at least two pairs of engagement holes comprises three pairs of engagement holes, the three pairs of engagement holes comprising four engagement holes, a first of the four engagement holes being separated from a second of the four engagement holes by a space having the length, the second of the four engagement holes being separated from a third of the four engagement holes by a space having the length, the third of the four engagement holes being separated from a fourth of the four engagement holes by a space having the length.
5. The spinal orthopedic device and tool set of claim 1, wherein each baseplate has an inwardly facing surface and an outwardly facing surface; and wherein the baseplates are mounted to one another such that the inwardly facing surfaces face one another and the outwardly facing surfaces face away from one another; and wherein one of the inwardly facing surfaces has at least one pair of the at least one pair of engagement holes.
6. The spinal orthopedic device and tool set of claim 5, wherein the inwardly facing surface of the first baseplate has the at least one pair of the at least one pair of engagement holes, and wherein the inwardly facing surface of the second baseplate has at least one other pair of the at least one pair of engagement holes.
7. The spinal orthopedic device and tool set of claim 6, wherein the inwardly facing surface of the first baseplate has three pairs of engagement holes, and the inwardly facing surface of the second baseplate has two pairs of engagement holes; and wherein the pair of engagement posts is positionable in any of the pairs of engagement holes.
8. The spinal orthopedic device and tool set of claim 7, wherein the three pairs of engagement holes comprise four engagement holes, a first of the four engagement holes being separated from a second of the four engagement holes by a space having the length, the first of the four engagement holes being separated from a third of the four engagement holes by a space having the length, the second of the four engagement holes being separated from a fourth of the four engagement holes by a space having the length.
9. The spinal orthopedic device and tool set of claim 8, wherein the two pairs of engagement holes comprise three engagement holes, a first of the three engagement holes being separated from a second of the three engagement holes by a space having the length, the first of the three engagement holes being separated from a third of the three engagement holes by a space having the length.
10. The spinal orthopedic device and tool set of claim 9, wherein the first and second engagement holes of the four engagement holes are evenly distributed about an anterior aspect of the inwardly facing surface of the first baseplate, the first and third engagement holes of the four engagement holes are evenly distributed about a left antero-lateral aspect of the inwardly facing surface of the first baseplate, and the second and fourth engagement holes of the four engagement holes are evenly distributed about a right antero-lateral aspect of the inwardly facing surface of the first baseplate; and wherein the first engagement hole of the three engagement holes is centered at an anterior aspect of the inwardly facing surface of the second baseplate, the second engagement hole of the three engagement holes is centered at a left antero-lateral aspect of the inwardly facing surface of the second baseplate, and the third engagement hole of the three engagement holes is centered at a right antero-lateral aspect of the inwardly facing surface of the second baseplate.
11. The spinal orthopedic device and tool set of claim 10, wherein the anterior aspect of the inwardly facing surface of the first baseplate and the anterior aspect of the inwardly facing surface of the second baseplates are co-planar; and wherein the left antero-lateral aspect of the inwardly facing surface of the first baseplate and the left antero-lateral aspect of the inwardly facing surface of the second baseplates are co-planar; and wherein the right antero-lateral aspect of the inwardly facing surface of the first baseplate and the right antero-lateral aspect of the inwardly facing surface of the second baseplates are co-planar.
12. The spinal orthopedic device and tool set of claim 1, wherein the at least one pair of engagement holes comprises at least one engagement hole centered at a first desired surgical approach aspect of the at least one of the baseplates, and at least one engagement hole centered at a second desired surgical approach aspect of the at least one of the baseplates.
13. The spinal orthopedic device and tool set of claim 12, wherein the first desired surgical approach aspect is an anterior, aspect of the at least one of the baseplates, and the second desired surgical approach aspect is an antero-lateral aspect of the at least one of the baseplates.
14. The spinal orthopedic device and tool set of claim 12, wherein the at least one pair of engagement holes comprises two pairs of engagement holes, and the two pairs of engagement holes comprise three engagement holes, a first of the three engagement holes being separated from a second of the three engagement holes by a space having the length, the second of the three engagement holes being separated from a third of the three engagement holes by a space having the length; and wherein the second engagement hole of the three engagement holes is centered at the second desired surgical approach aspect of the at least one of the baseplates, and wherein the first engagement hole of the three engagement holes is positioned at the first desired surgical approach aspect of the at least one of the baseplates, and wherein the third engagement hole of the three engagement holes is positioned at a third desired surgical approach aspect of the at least one of the baseplates.
15. The spinal orthopedic device and tool set of claim 14, wherein the first desired surgical approach aspect is an anterior aspect of the at least one of the baseplates, the second desired surgical approach aspect is left antero-lateral aspect of the at least one of the baseplates, and the third desired surgical approach aspect is a right antero-lateral aspect of the at least one of the baseplates.
16. The spinal orthopedic device and tool set of claim 1, wherein the at least one pair of engagement holes comprises first and second engagement holes evenly distributed about a desired surgical approach aspect of the at least one of the baseplates.
17. The spinal orthopedic device and tool set of claim 16, wherein the desired surgical approach aspect is an anterior aspect of the at least one of the baseplates.
18. The spinal orthopedic device and tool set of claim 17, wherein the desired surgical approach aspect is a first desired surgical approach aspect; and wherein the at least one pair of engagement holes comprises at least three pairs of engagement holes, and the at least three pairs of engagement holes comprise four engagement holes, the four engagement holes comprising the first and second engagement holes distributed about the first desired surgical approach aspect of the at least one of the baseplates, the four engagement holes further comprising a third engagement hole positioned such that the first engagement hole and the third engagement hole are evenly distributed about a second desired surgical approach aspect of the at least one of the baseplates, the four engagement holes further comprising a fourth engagement hole positioned such that the second engagement hole and the fourth engagement hole are evenly distributed about a third desired surgical approach aspect of the at least one of the baseplates.
19. The spinal orthopedic device and tool set of claim 18, wherein the first desired surgical approach aspect is an anterior aspect of the at least one of the baseplates, the second desired surgical approach aspect is left antero-lateral aspect of the at least one of the baseplates, and the third desired surgical approach aspect is a right antero-lateral aspect of the at least one of the baseplates.
20. The spinal orthopedic device and tool set of claim 18, wherein the first of the four engagement holes is separated from the second of the four engagement holes by a space having the length, the first of the four engagement holes is separated from the third of the four engagement holes by a space having the length, and the second of the four engagement holes is separated from the fourth of the four engagement holes by a space having the length.
CA2632125A 2002-10-29 2003-09-16 Instrumentation, methods and features for use in implanting an artificial intervertebral disc Expired - Fee Related CA2632125C (en)

Applications Claiming Priority (7)

Application Number Priority Date Filing Date Title
US10/282,356 US7169182B2 (en) 2001-07-16 2002-10-29 Implanting an artificial intervertebral disc
US10/282,356 2002-10-29
US10/309,585 2002-12-04
US10/309,585 US7115132B2 (en) 2001-07-16 2002-12-04 Static trials and related instruments and methods for use in implanting an artificial intervertebral disc
US10/425,267 US7235081B2 (en) 2001-07-16 2003-04-29 Wedge plate inserter/impactor and related methods for use in implanting an artificial intervertebral disc
US10/425,267 2003-04-29
CA002503848A CA2503848C (en) 2002-10-29 2003-09-16 Instrumentation, methods, and features for use in implanting an artificial intervertebral disc

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CA2632125A1 true CA2632125A1 (en) 2004-05-13
CA2632125C CA2632125C (en) 2010-02-23

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US20050055095A1 (en) 2005-03-10
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US20040167535A1 (en) 2004-08-26
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US20040167534A1 (en) 2004-08-26
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US7842043B2 (en) 2010-11-30

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