Cousin Surgery

What Cousin Surgery does

Cousin Surgery (legal manufacturer: Cousin Biotech) is a France-based, private implantable medical device company founded in 1994 and headquartered in Wervicq-sud, operating with 101-250 employees. The company designs, manufactures, and distributes a broad portfolio of soft-tissue and textile surgical implants spanning bioabsorbable meshes (BIOMESH, 4DMESH, INTRAMESH T1), dynamic 4D implants (4DDOME, 4DFIX, 4DVENTRAL), spinal decompression and stabilization devices (INTRASPINE, BIOINTRAXX, BATSPINE, CYCLOMESH), hernia repair systems (C.A.BS'AIR, CABSAIRLIGHT, BIORING, ADHESIX BIORING), pelvic floor reconstruction products (NAJA, SACROMESH SOFT PROLAPS), orthopedic fixation and ligament reconstruction devices (Adjustable Cortical Fixation System, BDYN, Cortical Fixation Femoral LCA, LCA, BIOLIG, QUICKANCHOR BIOLIG), and the recently acquired C-DISC cervical prosthesis featuring a proprietary double centre of rotation and mobile-core architecture.

The company sells exclusively through a B2B distributor network to hospitals, surgical centers, and surgeon specialists in France, Germany, and Switzerland, with pricing conducted on a quote/contact basis and product documentation delivered via electronic IFUs on its corporate website. Multiple product lines carry EU MDR certification with Summary of Safety and Clinical Performance (SSCP) documents maintained through 2025-2026. The business model is product-led with portfolio breadth as the primary commercial lever: rather than concentrating on a single device, Cousin Surgery offers 40+ SKU families plus reusable and disposable instrumentation kits across abdominal wall, spinal, orthopedic, and cervical applications, complemented by an acquisition strategy (PlantTec Medical in May 2023; C Disc in December 2025) that has expanded its presence into hemostatic products and cervical motion preservation.

Name

Cousin Surgery

Legal name

Cousin Biotech

Website

https://cousin-biotech.com

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

101–250 employees

Short description

Cousin Surgery is a French private medical device company that designs, manufactures, and distributes a broad portfolio of bioabsorbable soft-tissue meshes, spinal, orthopedic fixation, and cervical implants. It serves hospitals, surgical centers, and surgeon specialists across Europe via a B2B distributor network.

Ownership category

akta.pro rank

Product category

Implantable Medical Devices

NAICS

Surgical Appliance and Supplies Manufacturing (339113), Surgical and Medical Instrument Manufacturing (339112), Medical Equipment and Supplies Manufacturing (3391)

SIC

Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842), Surgical & Medical Instruments & Apparatus (3841)

akta.pro primary industry

Spine Implants & Motion Preservation (Fusion/Disc/Interspinous) (HLAHAEAC)

akta.pro secondary industries

Orthopedic Trauma & Extremities Fixation (Plates/Screws/Nails/External Fixation) (HLAHAEAB), Open & Minimally Invasive Surgical Instruments (Handheld, Laparoscopic, MIS) (HLAHADAA), Single-Use Surgical Devices & Procedure Packs (Disposable instruments, drapes, kits) (HLAHADAM)

Keywords

• Implantable medical devices
• Surgical mesh implants
• Spinal fixation devices
• Orthopedic fixation systems
• Bioabsorbable surgical meshes

Headquarters

HQ city

Wervicq-sud

HQ country

France

HQ region

Europe

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

Personnel, Operations, Technology or R&D, Supply Chain, Marketing or Sales, Infrastructure

Distribution channels1 record

Marketing channels1 record

Core offering

Cousin Surgery designs, manufactures, and supplies soft and textile implantable medical devices—including bioabsorbable surgical meshes, 4D dynamic implants, spinal interspinous devices and fixation systems, orthopedic cortical fixation devices, ligament reconstruction systems, pelvic floor implants, and the C-DISC cervical prosthesis—for hospitals, surgical centers, and surgical specialists across European markets. The company operates MDR-certified manufacturing and supplies its implantable devices through a European distributor network.

Product overview

Cousin Surgery is a French implantable medical device company offering a comprehensive portfolio of surgical implants and instruments. The product range is organized across multiple therapeutic categories: biological resorbable meshes (BIOMESH, BIOMESHA2A4, 4DMESH) for soft tissue reinforcement; dynamic 4D implants (4DDOME, 4DFIX, 4DVENTRAL, BDYN) for adaptive hernia repair and ligament reconstruction; spinal devices (INTRASPINE, INTRASPINE POUR BIOINTRAXX, BATSPINE, CYCLOMESH) for decompression and stabilization; hernia repair systems (C.A.BS'AIR, CABSAIRLIGHT, BIORING, ADHESIX BIORING); cervical mobility preservation (C-DISC); pelvic floor reconstruction (NAJA, SACROMESH SOFT PROLAPS); orthopedic fixation (Adjustable Cortical Fixation System, Extended Plate, Cortical Fixation Femoral LCA, LCA, Ligaments Articulaires de Renfort); and soft tissue lift systems (INTRAMESH SOFT LIFT, LIFT, LIFTFIL, SOFT LIFT). The portfolio includes reusable and disposable instruments, instrument kits (BDYN Instrument Kit, NAJA Kit, ResCUBE Kit), and replacement kits. Cousin Biotech serves as the legal manufacturer of all devices proposed by Cousin Surgery, with electronic instructions for use downloadable via the company's website.

Differentiator

Problem solved

Functional benefit

Products and services

• BIOMESH
• 4DMESH
• 4DDOME
• 4DFIX
• 4DVENTRAL
• C.A.BS'AIR Composite
• INTRAMESH T1
• BIORING
• INTRASPINE / BIOINTRAXX
• BATSPINE
• ResCUBE
• BDYN
• Adjustable Cortical Fixation System
• Cortical Fixation Femoral LCA
• BIOLIG / QUICKANCHOR BIOLIG
• LIGAMENTS ARTICULAIRES DE RENFORT
• C-DISC
• NAJA Implants
• SACROMESH SOFT PROLAPS
• CERCLAGE
• CYCLOMESH
• SOFT LIFT / INTRAMESH SOFT LIFT / LIFT / LIFTFIL
• PREMIUM

Quantifiable outcome

• C Disc features innovative biomechanical design including double centre of rotation and mobile core for cervical mobility preservation

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

One partnership is on record.

• PlantTec MedicalcoreStrategic or Co-development Partner · 1 May 2023In May 2023, French implantable medical device provider Cousin Surgery acquired Germany-based PlantTec Medical for an undisclosed sum, strengthening Cousin Surgery's market reach and R&D capabilities.

Scale indicators1 record

Recent moves5 records

Expansion highlights5 records

Direct peers

• B. Braun Melsungen AG: German-headquartered medical device manufacturer with a directly overlapping surgical-mesh, hernia-repair, fixation and suture/anchor portfolio; competes head-to-head with Cousin Surgery across soft-tissue reinforcement and basic surgical instrument sets in European hospitals.
• Integra LifeSciences Holdings: Mid-sized implant specialist focused on neurosurgical, orthopedic and regenerative-tissue devices; closest mid-cap comparable to Cousin Surgery in spinal/stem-cell fixation and soft-tissue implant product lines.
• Symatese: French specialist medical-device company focused on implantable biological and textile-based devices for reconstructive surgery; the closest French/European mid-market peer to Cousin Surgery in bioabsorbable and textile implantables.
• Peters Surgical: France-headquartered mid-sized surgical-implant and suture/clip company serving hospitals worldwide; comparable to Cousin Surgery as a French privately held surgical-implant specialist of similar scale.

Broad incumbents

• Medtronic plc: Largest spine and cranial-medical-device incumbent globally, with a broad orthopedic and surgical-mesh portfolio (including the French-origin Sofradim mesh line); overlaps Cousin Surgery in spine (interspinous, cervical mobility) and soft-tissue reinforcement.
• Johnson & Johnson (DePuy Synthes): Global spine, sports-medicine and trauma orthopedics leader via DePuy Synthes; comparable to Cousin Surgery in ligament/fixation (BDYN-class) and spinal products, with vastly larger commercial scale.
• Stryker Corporation: Major orthopedic and surgical-diversified player with adjacent spine, trauma and sports-medicine franchises; competes with Cousin Surgery in cortical fixation, ligament reconstruction and soft-tissue repair.
• Becton, Dickinson and Company (BD): Owns the legacy C.R. Bard hernia and surgical-mesh business, the most direct large-incumbent competitor in Cousin Surgery's core hernia-repair segment.
• Boston Scientific Corporation: Large diversified medtech with structural-heart and surgical franchises; comparable as a broad-incumbent competitor in implantables and surgical reconstruction with greater scale and capital.
• Coloplast A/S: Danish incumbent with a dedicated pelvic-floor and soft-tissue repair franchise that overlaps directly with Cousin Surgery's NAJA and SACROMESH products in urogynecology and prolapse repair.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/cousinbiotech

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Cousin Surgery