What Cousin Surgery does

Cousin Surgery (legal entity SAS COUSIN BIOTECH) is a French medical device company founded in 1995 and headquartered in Wervicq-Sud, France. It designs, manufactures, and markets implantable textile-based surgical solutions spanning four therapeutic areas: spine (artificial discs such as C Disc, and motion-preservation devices including IntraSPINE and BDyn), visceral surgery (4D series meshes, Biomesh, Sacromesh), orthopedic fixation, and uro-gynecology. The company's underlying technical platform rests on nearly three decades of proprietary expertise in implantable textile engineering, with R&D absorbing approximately 10% of a 150-person workforce and a regulatory footprint certified to ISO 13485, EU MDR, and US 21 CFR Part 820.\n\nThe business model is a B2B medical device sales operation. Cousin Surgery sells directly through agent networks to hospitals, clinics, and specialist surgeons across core European markets (France, Germany, Spain, the UK) and is actively extending distribution into Vietnam, Korea, Taiwan, and Mexico, the latter via a partnership with TRAUMASERVICE INTERNACIONAL. Revenue is generated through unit sales of CE-marked and FDA-cleared implantable devices embedded in surgical procurement cycles, with projected annual sales of approximately €40 million. The product portfolio is refreshed through a combination of organic launches (e.g., 4DFix scheduled for June 2026) and bolt-on acquisitions (e.g., C Disc in 2025), while ongoing MDR re-certifications (IntraSPINE May 2025; BDyn November 2025) underpin continued European commercialization.

Name

Cousin Surgery

Legal name

SAS COUSIN BIOTECH

Website

https://cousin-surgery.com

Company type

Private

Founded year

1995

Operating status

Operating

Headcount range

101–250 employees

Short description

Cousin Surgery (SAS COUSIN BIOTECH) is a French medical device company that designs and manufactures implantable textile-based surgical solutions for spinal, visceral, orthopedic, and uro-gynecological applications, selling directly to hospitals and surgeons across Europe and select international markets.

Ownership category

akta.pro rank

Product category

Implantable Surgical Medical Devices

NAICS

Surgical Appliance and Supplies Manufacturing (339113), 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

Single-Use Surgical Devices & Procedure Packs (Disposable instruments, drapes, kits) (HLAHADAM), Orthopedic Trauma & Extremities Fixation (Plates/Screws/Nails/External Fixation) (HLAHAEAB)

Keywords

• Implantable medical devices
• Spinal surgery implants
• Hernia mesh products
• Surgical textile implants
• Motion preservation devices

Headquarters

HQ city

Wervicq-Sud

HQ country

France

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

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

Revenue model

1. Medical Device Sales: Sale of implantable medical devices for spinal surgery and visceral surgery. Spinal surgery accounts for approximately 25% of business. Products include disc prostheses, mesh implants, and dynamic stabilization systems. Revenue is generated through direct sales to healthcare facilities and surgeons.

Go-to-market motion2 records

Distribution channels2 records

Marketing channels4 records

Core offering

Cousin Surgery (legal entity SAS COUSIN BIOTECH) designs, manufactures, and distributes implantable medical devices for spinal surgery, visceral surgery (hernia repair), orthopedic surgery, and uro-gynecology. Its portfolio centers on implantable textiles and includes cervical and lumbar disc prostheses, dynamic stabilization systems, hernia meshes, and cortical fixation systems. Manufacturing is conducted entirely in-house within ISO-certified clean rooms spanning more than 1,200 m2.

Product overview

Cousin Surgery designs, manufactures, and distributes implantable medical devices, primarily serving spinal surgery (rachis) and visceral surgery. The company is built on unique expertise in implantable textile technologies, operating entirely in clean rooms across more than 1,200 m² (ISO Class 8 to 6). Its spinal surgery portfolio centers on motion preservation and includes the C Disc (reverse cervical disc prosthesis with dual centre of rotation), IntraSPINE (interspinous device with laminar support for lumbar biomechanics), and BDyn (posterior dynamic spinal stabilization system). Visceral surgery products focus on hernia repair and include the 4D series meshes (4DDOME, 4DMesh, 4DVentral, 4DFix) as well as Biomesh P1, Premium, Sacromesh, CA.B.S.'Air Composite, and Intramesh T1. Additional offerings cover orthopedic fixation systems and uro-gynecology applications. Cousin Biotech is the legal manufacturer of all Cousin Surgery devices, with the quality management system certified to ISO 13485.

Differentiator

Problem solved

Functional benefit

Products and services

• C Disc First reverse cervical disc prosthesis with a double centre of rotation, designed to preserve and control cervical segment mobility. Features a ball-and-socket design with a mobile HDPE core and a pre-assembled single-use placement instrument. Indicated for disc degeneration, disc herniation, disc protrusion with canal stenosis, and mild to moderate spondylarthrosis. Class IIb medical device.
• IntraSPINE Interspinous device with laminar support designed to respect lumbar biomechanics. Used in spinal surgery for dynamic stabilization of the lumbar spine. MDR certified.
• BDyn Posterior dynamic spinal stabilization system for the treatment of spinal degeneration and/or instability. The kit includes Class Ir ancillary instruments manufactured by Cousin Biotech S.A.S and Neuro France Implants. MDR certified.
• 4DDOME Hernia mesh implant for visceral surgery applications. Class III medical device with CE conformity verified by notified body DQS MED (CE0297).
• 4DMesh Hernia mesh implant for visceral surgery. Class III medical device with CE conformity verified by notified body DQS MED (CE0297).
• 4DVentral Ventral hernia mesh implant. Class III medical device with CE conformity verified by notified body DQS MED (CE0297).
• 4DFix Hernia mesh implant for visceral surgery. Class III medical device with CE conformity verified by notified body DQS MED (CE0297).
• Biomesh P1 Class IIb implantable mesh for visceral surgery applications. CE conformity verified by notified body SGS Belgium NV (CE1639).
• Premium Mesh Class IIb implantable mesh for visceral surgery. CE conformity verified by notified body SGS Belgium NV (CE1639).
• Sacromesh Mesh implant for pelvic organ prolapse treatment, including laparoscopic sacrocolpopexy for pelvic floor descent. Also used in uro-gynecology procedures. Class IIb medical device with CE conformity verified by SGS Belgium NV (CE1639).
• CA.B.S.'Air Composite Composite hernia mesh with air component for visceral surgery. Class III medical device with CE conformity verified by Kiwa (CE0476).
• Intramesh T1 Hernia mesh implant for visceral surgery. Class III medical device with CE conformity verified by Kiwa (CE0476).
• Cortical Fixation System (Adjustable) Adjustable cortical fixation system for orthopedic surgery, designed to facilitate surgeons' work and improve patient quality of life.
• Cortical Fixation System (Standard) Standard cortical fixation system for orthopedic surgery applications.
• Adhesion Prevention and Hemostasis Products Products for prevention of adhesions and hemostasis in surgical applications.

Quantifiable outcome

• Spinal surgery represents approximately 25% of business with very strong growth
• +1 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

One partnership is on record.

• TRAUMASERVICE INTERNACIONALminorChannel Partner/ Reseller/ DistributorTRAUMASERVICE INTERNACIONAL is a partner in Mexico for Cousin Surgery, collaborating on the distribution of spinal surgery products. The partnership was highlighted at the VIII Guadalajara Spine Symposium where both companies participated together.

Scale indicators5 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• Stryker: Diversified surgical implant maker with a meaningful spine franchise and surgical mesh exposure. Competes with Cousin Surgery in spine motion preservation and hernia repair, with much broader portfolio scale.
• DePuy Synthes (Johnson & Johnson): Orthopedic and spine incumbent with cervical disc, dynamic stabilization, and surgical mesh products. Broad hospital-channel coverage makes it a key competitor for both Cousin Surgery's spine and hernia businesses.
• Medtronic: Global spine and surgical mesh leader with extensive cervical disc, dynamic stabilization, and hernia mesh portfolios. Competes across Cousin Surgery's entire product range at much larger scale, but does not specialize in implantable textiles.
• Becton Dickinson (BD): Owns the former Bard hernia mesh portfolio - a direct incumbent in Cousin Surgery's 4D hernia mesh and Sacromesh pelvic floor categories. Provides a key competitive benchmark on mesh pricing and clinical evidence.
• Getinge (Atrium/Maquet): Owns Atrium's hernia mesh business and competes in surgical implants broadly. An incumbent competitor in Cousin Surgery's hernia/visceral category with established hospital sales channels.

Direct peers

• B. Braun (Aesculap): European-headquartered spine implant specialist (Aesculap division) active in motion-preservation and disc prosthesis segments. Comparable in geographic focus and product overlap with Cousin Surgery's spine franchise.
• Spineart: Geneva-based spine specialist focused on motion-preservation and minimally invasive technologies. Closest European size-and-scope comparable to Cousin Surgery's spine franchise with cervical and lumbar motion-preservation products.
• Globus Medical: Spine-focused medical device company offering cervical disc prostheses, posterior dynamic stabilization, and interbody solutions. Most direct US-listed comparator for Cousin Surgery's motion-preservation strategy.
• W. L. Gore & Associates: Pioneer in ePTFE-based implantable textiles for hernia repair and soft-tissue reconstruction. Most directly comparable to Cousin Surgery's implantable textile expertise and competes head-to-head in hernia mesh clinical positioning.
• Centinel Spine: Pure-play motion-preservation spine company (cervical and lumbar disc prostheses). Directly comparable to Cousin Surgery's strategic motion-preservation positioning, particularly competing with C Disc in cervical disc replacement.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/cousin-surgery

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 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