JPS63500221A - Internally applied self-energizing healing electrodes - Google Patents

Internally applied self-energizing healing electrodes

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Publication number
JPS63500221A
JPS63500221A JP50366186A JP50366186A JPS63500221A JP S63500221 A JPS63500221 A JP S63500221A JP 50366186 A JP50366186 A JP 50366186A JP 50366186 A JP50366186 A JP 50366186A JP S63500221 A JPS63500221 A JP S63500221A
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electrodes
electrode
stimulation device
therapeutic stimulation
tissue
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グレイ,ノエル デズモンド
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Individual
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/064Surgical staples, i.e. penetrating the tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/84Fasteners therefor or fasteners being internal fixation devices
    • A61B17/86Pins or screws or threaded wires; nuts therefor
    • A61B17/8695Washers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/082Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/28Bones
    • A61F2002/2821Bone stimulation by electromagnetic fields or electric current for enhancing ossification
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00395Coating or prosthesis-covering structure made of metals or of alloys
    • A61F2310/00419Other metals
    • A61F2310/00473Coating made of zinc or Zn-based alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00395Coating or prosthesis-covering structure made of metals or of alloys
    • A61F2310/00419Other metals
    • A61F2310/00568Coating made of gold or Au-based alloys

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Neurology (AREA)
  • Cardiology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Electrotherapy Devices (AREA)

Abstract

(57)【要約】本公報は電子出願前の出願データであるため要約のデータは記録されません。 (57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

【発明の詳細な説明】 本発明は生きている組織の再生および痛みの軽減、々らびにそのような目的を電 気エネルギの使用によって達成するための装置に関する。[Detailed description of the invention] The present invention is useful for regenerating living tissue and alleviating pain, as well as for electrically achieving such purposes. The present invention relates to a device for achieving this through the use of energy.

人間の身体および同じく動物の身体は非常に驚くべき生得の治癒機構を有し、骨 には達しないが相当に深い傷でも例えば7日間以内でかなりの組織の再生がみら れ、患者(動物を含む)に不安をいだかせる感染の危険は最小となる。しかしな がら、多くの場合に外科手術による傷あるいは外傷での感染は生命を脅かす可能 性があるから、!織の再生を早める、従って感染の危険を軽減させる何等かの装 置あるいは方法はこの分野に重要な進夛をもたらすことになる。そのような装置 あるいは方法は、年令、食II]!療法あるいは他の要因のために組織を再生す る能力が標準以下の患者と関連した特定の用法を有するものでよい。The human body, and also the bodies of animals, have a very amazing innate healing mechanism, For example, even if the wound is quite deep, a considerable amount of tissue regeneration can be seen within 7 days. This minimizes the risk of disturbing infections for patients (including animals). However However, infections from surgical wounds or trauma can often be life-threatening. Because it has sex! Some type of device that speeds up the regeneration of the fabric and thus reduces the risk of infection. The new location or method would represent an important advance in this field. such a device Or the method is age, food II]! regenerating tissue due to therapy or other factors. may have specific uses in relation to patients with substandard ability to

研究によれば、内鍋の近傍に小電流を流すと、たとえ患者の生得の治癒能力が標 準以下の場合であっても、組織の再生を早め、従って鍋の泊地を早めるであろう という結果が出ている。研究の結果はさらに、そのような傷の近傍の電流が傷か ら生じる患者の痛みを軽減する効果を有することを示している。Studies have shown that passing a small electrical current near the inner pot can stimulate the patient's innate healing abilities even if Even in sub-par cases, it will speed up tissue regeneration and thus speed up pot anchorage. This is the result. The results of the study further show that the current in the vicinity of such a wound It has been shown that the drug is effective in alleviating the pain that patients experience.

外部電源を持つ電極が骨形成を促進するために骨折の近傍に電流を発生させるた めに使用される骨成長刺激装置は知られている。An externally powered electrode generates an electric current near the fracture to promote bone formation. Bone growth stimulators used for this purpose are known.

本発明の目的は内部に適用される導電性または半導電性電極を使用して外部電源 表しに傷の近傍に小電流を供給するための方法および装置を提供することである 。The object of the invention is to use internally applied conductive or semi-conductive electrodes to It is an object of the present invention to provide a method and apparatus for supplying a small electric current in the vicinity of a wound. .

本発明によれば、少なくとも部分的に生きている組織に挿入されるようになって いる、導電性または半導電性の生理学的に適合し得る2またはそれ以上の電極で あって、第1の電極が第1の物質より表るかまたは該物質で被覆され、隣接する 電極が異なる物質よりなるかまたは該物質で被覆され、前記2つの電極が互いに 隣接して生きている組織内に配置されるときKこれら電極間の組織中に小電流の 流れを生じさせる電位差が前記2つの電極間に存在するようになされた2または それ以上の電極が提供される。According to the invention, the device is adapted to be inserted at least partially into living tissue. two or more electrically conductive or semiconductive physiologically compatible electrodes and the first electrode is exposed to or covered with the first material and is adjacent to the first electrode. the electrodes are made of or coated with different materials, and the two electrodes are in contact with each other. When placed in adjacent living tissue, a small electrical current flows into the tissue between these electrodes. 2 or 2, such that a potential difference exists between said two electrodes causing a flow; More electrodes are provided.

本発明は骨折した骨の場合に骨形成を促進する分野に適用できるだけでなく、軟 組織の傷の治癒を早めることが望まれる場合にも同じく適用できる。The present invention is applicable not only to the field of promoting bone formation in the case of fractured bones, but also to the field of promoting bone formation in the case of fractured bones. The same applies when it is desired to hasten the healing of tissue wounds.

不発明の十分な理解のために添付図面を参照して本発明の2つの実施例について 以下説明する。For a full understanding of the invention, two embodiments of the invention will be described with reference to the accompanying drawings. This will be explained below.

〔図面の簡単な説明〕[Brief explanation of the drawing]

第1図は外科用針ステープルとして形成される本発明の1対の電極の斜視図であ る。 FIG. 1 is a perspective view of a pair of electrodes of the present invention formed as a surgical needle staple. Ru.

第2図はビンとして形成される本発明の電極を合体した人間の長骨の一部の側面 図である。Figure 2 shows a side view of a part of a human long bone incorporating the electrode of the present invention formed as a bottle. It is a diagram.

第3図はピンとして形成される本発明による電極を合体した人間の長骨の断面図 である。FIG. 3 is a cross-sectional view of a long human bone incorporating an electrode according to the invention formed as a pin. It is.

〔具体例の説明〕[Explanation of specific examples]

第1図は、第1の脚部2および第2の脚部3を有する外科用針(ステーブル)1 を示す0両脚部はプラスチック絶縁材料4の層で被覆される。脚部2は、さらに 金の被覆5を備え、脚部3はさらに亜鉛被覆6を備える。 FIG. 1 shows a surgical needle (stable) 1 having a first leg 2 and a second leg 3. Both legs are covered with a layer of plastic insulation material 4. The leg 2 is further Providing a gold coating 5, the legs 3 further include a zinc coating 6.

使用に際して、針の脚部は、例えば肉体のgh(図示せず)の柔軟な組織にその 傷の線(図示せず)の両側で従来の態様で挿し込まれる。脚部は、ある時間の間 肉体に埋め込まれたま\となる。In use, the leg of the needle is inserted into the flexible tissue of the body (not shown), for example. It is inserted in a conventional manner on both sides of the wound line (not shown). The legs are for a period of time It becomes embedded in the body.

人間の組織に埋め込まれると、脚部2および3は電極として動作し始め、体に存 在する流体が電解質として働く。脚部2は、その金被榎に寄因して不活性電極と して働き、他方脚部3上の亜鉛被覆6は、その脚部を活性ないし電気防食電極と して動作させる。金および亜鉛を利用するこの例においては、脚部2および3間 に2.12ボルトの電位差が発生し、傷の線(図示せず)を横切って電流な生ぜ しめる。生理学的に適合し得る電極材料の数種の組合せが利用できるが、この点 に関しては、電位差を生じさせて電流を発生させる被覆が、必ずしも金属である 必要はなく、電位差を生じさせる任意の他の元素または化学的化合物とし得るこ とが企画される。もちろん、金属、元素または化合物は生理学的に適合し々けれ ばならない。ゆれども、近年この分野で多数の研究がなされているから、この技 術に精通したものには、多数の代替的組合せも容易に明らかであろう。例えば、 沃化リチウム電池が周知であり、本発明の特定の具体例において応用を有しよう 。Once implanted in human tissue, the legs 2 and 3 begin to act as electrodes and remain in the body. The fluid present acts as an electrolyte. The leg part 2 can be used as an inert electrode due to its metal coating. The zinc coating 6 on the other leg 3 serves as an active or sacrificial electrode. and make it work. In this example utilizing gold and zinc, between legs 2 and 3 A potential difference of 2.12 volts is created, causing a current to flow across the flaw line (not shown). Close. Several combinations of physiologically compatible electrode materials are available; Regarding this, the coating that creates a potential difference and generates an electric current is not necessarily a metal. may be any other element or chemical compound that creates a potential difference. is planned. Of course, metals, elements or compounds are physiologically compatible. Must be. However, a lot of research has been done in this field in recent years, so this technique is Numerous alternative combinations will also be readily apparent to those skilled in the art. for example, Lithium iodide batteries are well known and may have application in certain embodiments of the present invention. .

活性電極の崩壊の速度は、被覆6に不活性物質を包含させることによりまたは他 の手段によって減することができる。The rate of decay of the active electrode can be controlled by including an inert material in the coating 6 or otherwise. can be reduced by means of

現在の研究に依ると、軟質組織の治療を刺激しようとする場合、約40〜300 マイクロアンペアが良好な結果を与え、他方骨の成長刺激装置として使用するこ とを意図した具体例の場合、5〜100マイクロアンペアの範囲の電流がよい結 果をもたらすことが示されている。According to current research, approximately 40 to 300 Microamps give good results and on the other hand can be used as a bone growth stimulator. For specific examples intended for It has been shown to have fruitful results.

また、骨の導電率は肉体の導′wL率より一般に小さいから、骨の成長刺激装置 の場合においては、所与の電流を発生させるためには軟質組織の場合よりも大電 位差が必要となることがあることを認められたい。In addition, since the conductivity of bone is generally lower than the conductivity of the body, bone growth stimulators In the case of Please acknowledge that there may be times when a phase difference is necessary.

本発明に依る電極は、満足できる加速された治療が行なわれると思われる範囲の 1〜500マイクロアンペアの範囲の電流を供給し得るものとすべきことが観察 される。電極物質がガルバーニ表または同様の基準にしたがって正しく選ばれ\ ば、約α01〜3ボルトの電位差が容易に達成されるはずである。The electrode according to the invention has a range of It is observed that it should be capable of supplying a current in the range of 1 to 500 microamps. be done. The electrode material is correctly selected according to galvanic tables or similar criteria. For example, a potential difference of about α01 to 3 volts should be easily achieved.

第1図は、単一の針が肉体に埋め込まれたとき、この針により電流を発生せしめ るよ5に針の2脚部が異なる物質で被覆された例を示す。同様な結果は、交互の 針を異なる物質で製造または被覆し、隣接する針量に電位差が生ずるようにして 複数の針を挿入することによっても達成できることを認められたい。Figure 1 shows the electrical current generated by a single needle when it is implanted into the body. Figure 5 shows an example in which the two legs of the needle are coated with different materials. Similar results are obtained by alternating The needles are made or coated with different materials such that a potential difference is created between adjacent needle volumes. It should be appreciated that this can also be achieved by inserting multiple needles.

本発明の第2の具体例は、人間の長骨の骨折部90両側の基部7と末端部8が示 される第2図および第3図に示されている。骨形成後置の正しい整列を補償する ため、骨の基部および末端部を正しい関係においてビン止めするのが慣例である 。このため、ビン11および12の挿入を容易にするため、孔10が骨に穿たれ る。In a second embodiment of the present invention, the proximal portion 7 and the distal portion 8 on both sides of a fractured part 90 of a human long bone are shown. This is shown in FIGS. 2 and 3. Compensate for correct alignment of osteogenic posterior Therefore, it is customary to bin the proximal and distal parts of the bone in the correct relationship. . For this purpose, holes 10 are drilled into the bone to facilitate the insertion of the bottles 11 and 12. Ru.

不発明の原理にしたがえば、これらのビンは、電位差を表わす異種の物質から構 成されるかそのような物質で被覆される。この電位差は、人体の環境において電 池を形成し、ビン11および12間の領域の骨折部9に沿って電流を流す。この ビンは、完全にまたは部分的に電気防食電極とし得る。したがって、最後に言及 した具体例は、ビンやねじ等の機械的設置および骨成長刺激装置の設置を、機a 的固定手段の単なる設置よりも殆んど複雑でない率純な手術手続にする。従来、 6週間以内に十分の骨形成が行々われなかった場合、電極と、外部電源と通信す るために必要な導線とを設置するために別個の外科手術を必要とするのが実情で あった。もちろん、これらの電極は、除去するためにさらに他の外科手術を必要 とした。According to the principle of non-invention, these bottles are composed of dissimilar materials that exhibit potential differences. or coated with such material. This potential difference is A current is passed along the fracture 9 in the area between the bottles 11 and 12 to form a pond. this The bottle may be fully or partially a sacrificial electrode. Therefore, the last mentioned The specific example is that the mechanical installation of bottles and screws, and the installation of the bone growth stimulator are To make the surgical procedure a straightforward surgical procedure with little more complexity than the mere placement of fixation means. Conventionally, If sufficient bone formation has not occurred within 6 weeks, the electrodes and communication with the external power supply The reality is that a separate surgical procedure is required to place the leads necessary to there were. Of course, these electrodes require further surgery to remove. And so.

機械的固定手段を設置するに必要な外科的手術に加えてのこれらの2つの追加の 外科手術は、必然的に患者に追加の危険をもたらし、不必要な費用を必要とする 。These two additional additions to the surgical procedure required to install the mechanical fixation means Surgery necessarily poses additional risks to the patient and requires unnecessary costs. .

上述の2つの具体例は、本発明の応用のすべてであると考えるべきではない。実 際に、本発明の電極は、ビン、ねじ、ディスク、導線、プラグまたは針(ステー ブル)のような人体に使用される機械的固定手段またをまその他の物品と合体さ れることを必須としない。例えば、本発明の電極は、例えば従来のねじと一諸に 使用されるワッシャを構成し得ろし、代りに!極は、他の装置と完全に独立に埋 め込むこともできる。なお、こ\に使用される生組織とは骨を含むものとする。The two examples mentioned above should not be considered the entire application of the invention. fruit In some cases, the electrodes of the present invention may be used in the form of bottles, screws, disks, wires, plugs or needles. Mechanical fixation means used on the human body, such as It is not required that the For example, the electrode of the present invention can be combined with, for example, a conventional screw. You could configure the washer to be used instead! The poles are buried completely independently of other equipment. It can also be embedded. Note that the living tissue used here includes bone.

FIGtJ”RE 1 FIGURE 2 手続補正書(方式) 昭和62年11月4日 特許贋官小用邦夫殿 補正をする者 事件との関係 特許出願人 氏名 槽デーーグレイ、ノニル デズモンドFIGtJ"RE 1 FIGURE 2 Procedural amendment (formality) November 4, 1986 Kunio Patent Forgery Officer person who makes corrections Relationship to the incident: Patent applicant full name Tank Day Gray, Nonyl Desmond

Claims (6)

【特許請求の範囲】[Claims] (1)少なくとも部分的に生組織に挿入されるように適合され、導電性または半 導電性であり、生理学的に適合性の2またはそれ以上の電極より成り、第1の電 極が、第1の物質より成るかまたは該物質で被覆され、隣接して配置されるべき 電極が異なる物質よりなるか該物質で被覆され、電極が互に隣接して生組織内に 配置されるとき、電極間の組織中に小電流を伝導させる電位差が電極間に存在す るようになされることを特徴とする治療補助装置。(1) adapted to be inserted at least partially into living tissue and conductive or semiconductive; consisting of two or more electrically conductive, physiologically compatible electrodes; the poles are made of or coated with a first material and are arranged adjacent to each other; The electrodes are made of or coated with different materials, and the electrodes are placed adjacent to each other within the living tissue. When placed, a potential difference exists between the electrodes that conducts a small electrical current into the tissue between the electrodes. A treatment auxiliary device characterized in that it is configured to: (2)電極を製造する物質または電極を被覆する物質が、体内に埋め込まれると き、電極が1〜500マイクロアンペアの電流を設定するように選択される請求 の範囲第1項記載の治療刺激装置。(2) When the material used to manufacture the electrode or the material covering the electrode is implanted in the body. and the electrodes are selected to set a current between 1 and 500 microamps. The therapeutic stimulation device according to item 1. (3)電極の一方または複数のものが、ピンまたはねじのような従来の骨固定手 段と一体である請求の範囲第1〜2項のいずれかに記載の治療刺激装置。(3) one or more of the electrodes is connected to a conventional bone fixation device such as a pin or screw; 3. A therapeutic stimulation device according to any one of claims 1 to 2, which is integral with the stage. (4)電極が針(ステーブル)のような軟質組織と従来使用される物品と一体で ある請求の範囲第1〜2項のいずれかに記載の治療刺激装置。(4) The electrode is integrated with a soft tissue such as a needle (stable) and an article conventionally used. A therapeutic stimulation device according to any one of claims 1-2. (5)電極の少なくとも一方が、従来の外科用ねじと一緒に使用するように適合 されたワツシヤである請求の範囲第1〜2項のいずれかに記載の治療刺激装置。(5) at least one of the electrodes is adapted for use with conventional surgical screws; The therapeutic stimulation device according to any one of claims 1 to 2, which is a washer. (6)本発明の骨成長刺激装置を埋め込む方法において、(a)請求の範囲第1 〜5項のいずれかに記載の少なくとも2つの電極を選択し、 (b)傷領域に隣接する体内に電極を少なくとも部分的に埋め込んで、1〜50 0マイクロアンペアの電流を電極間および傷領域に近接して伝導させるごとくす ることを特徴とする骨刺激装置埋め込み方法。(6) In the method of implanting the bone growth stimulator of the present invention, (a) Claim 1 Selecting at least two electrodes according to any one of items 5 to 5, (b) implanting the electrode at least partially within the body adjacent to the wound area, Conducting a current of 0 microampere between the electrodes and in close proximity to the wound area. A bone stimulator implantation method characterized by:
JP50366186A 1985-06-20 1986-06-20 Internally applied self-energizing healing electrodes Pending JPS63500221A (en)

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AU1133 1985-06-20
AUPH113385 1985-06-20

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