JP2001504023A - 捩れ抵抗を有する分岐人工器官 - Google Patents
捩れ抵抗を有する分岐人工器官Info
- Publication number
- JP2001504023A JP2001504023A JP52875498A JP52875498A JP2001504023A JP 2001504023 A JP2001504023 A JP 2001504023A JP 52875498 A JP52875498 A JP 52875498A JP 52875498 A JP52875498 A JP 52875498A JP 2001504023 A JP2001504023 A JP 2001504023A
- Authority
- JP
- Japan
- Prior art keywords
- stent
- graft
- implant
- lumen
- wire
- 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
Links
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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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
-
- 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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
-
- 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
-
- 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
- A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
-
- 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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2002/065—Y-shaped blood vessels
- A61F2002/067—Y-shaped blood vessels modular
-
- 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
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
- A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching
-
- 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
- A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
- A61F2/958—Inflatable balloons for placing stents or stent-grafts
- A61F2002/9583—Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve
- A61F2002/9586—Means for holding the stent on the balloon, e.g. using protrusions, adhesives or an outer sleeve the means being inside the balloon
-
- 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
- A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
- A61F2250/0039—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in diameter
-
- 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
- A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
- A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
- A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers
Landscapes
- Health & Medical Sciences (AREA)
- Gastroenterology & Hepatology (AREA)
- Pulmonology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Glass Compositions (AREA)
- Materials For Medical Uses (AREA)
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1.体内の分岐部位に配置するのに適したインプラント可能な管腔内人工器官 であって、前記器官が少なくとも二つの部分を有し、前記少なくとも二つの部分 のうちの少なくとも一つが、他の部分とは異なる構造特性を有する、管腔内人工 器官。 2.前記器官が主要本体構成要素と反対側脚部構成要素とを具備する請求項1 に記載の管腔内人工器官。 3.前記主要本体構成要素及び前記反対側脚部構成要素の少なくとも一方は、 隣接部分よりも軸方向剛性が高い部分を有する請求項1に記載の管腔内人工器官 。 4.隣接部分よりも軸方向剛性が高い前記部分が、少なくとも一つの延ばされ た支柱を有する請求項3に記載の管腔内人工器官。 5.前記器官が、 外側表面を備えたステント部材と、 ほぼ管状の移植部材と、 前記ステント部材の前記外側表面の一部のみを覆うと共に、前記ステント部材 と前記移植部材とを共に止めるテープ部材とを更に具備し、前記テープ部材が、 前記少なくとも二つの部分のうちの少なくとも一つにおいて異なる幅を有する請 求項1に記載の管腔内人工器官。 6.単一管腔移植部分と二つの別個の管腔を備えた分岐移植部分とを備えた移 植部材と、 前記移植部分の周囲の少なくとも一部に止められた単一管腔ステント部分とを 具備し、前記単一管腔ステント部分が前記分岐移植部分の少なくとも一部上に延 びている、ステント移植構成要素。 7.前記二つの別個の管腔のそれぞれの周囲の180°以上が、 末端のステント部分により接触せしめられる請求項6に記載のステント移植構成 要素。 8.前記別個の管腔の少なくとも一つの末端が脚部穴の位置で終了しており、 前記ステント移植構成要素が更に前記脚部穴を支持するためのリングを具備する 請求項6に記載のステント移植構成要素。 9.前記リングが波形ワイヤを有する請求項8に記載のステント移植構成要素 。 10.前記ステント移植構成要素が、前記脚部穴の外径のまわりに放射線不透 過性ワイヤを有する請求項8に記載のステント移植構成要素。 11.前記別個の管腔が、収容穴を備えた反対側脚部管腔と、同一側脚部穴を 備えた同一側脚部管腔とであり、個々のワイヤリングが、前記収容穴の位置で、 あるいは、前記収容穴の近くで止められている請求項10に記載のステント移植 構成要素。 12.ステント部材が、前記ステント移植構成要素を管壁に止めるための少な くとも一つのアンカーを有する請求項8に記載のステント移植構成要素。 13.前記アンカーが、前記移植部材の外側表面まで屈曲せしめられたステン ト頂部を有する請求項12に記載のステント移植構成要素。 14.前記アンカーが、前記移植部材の外側表面まで屈曲せしめられた少なく とも一つのワイヤ部分を有する請求項12に記載のステント移植構成要素。 15.内側表面と外側表面とを備えたほぼ管状のステント部材部分と、 前記管状のステント部材の内側表面及び外側表面の少なくとも一 方に止められた多管腔移植部分とを具備するステント移植部分。 16.前記移植部分が、二つの管腔に分岐せしめられると共に、前記内側表面 に取付けられる請求項15に記載のステント移植部分。 17.前記二つの管腔が、少なくとも一つの縫合糸により互いに止められる請 求項16に記載のステント移植部分。 18.波形ワイヤ構造を有するステント部分であって、前記波形では、上側頂 部及び下側頂部が交互に連続しており、前記ワイヤ構造が、少なくとも第一湾曲 部と第二湾曲部とを備えた螺旋形態をなして配列され、前記第一湾曲部が、前記 第二湾曲部の下側頂部にほぼ合致するように延びている少なくとも一つの上側頂 部を有する、ステント部分。 19.前記第一湾曲部の上側頂部及び下側頂部が、前記第二湾曲部の上側頂部 及び下側頂部と同位相に配置される請求項18に記載のステント部分。 20.前記ステント部分が多数の湾曲部を有し、前記多数の湾曲部の各々が、 隣接する湾曲部の下側頂部にほぼ合致するように延びている少なくとも一つの下 側頂部を有する請求項18に記載のステント部分。 21.各湾曲部の延ばされた頂部が、次に続いている湾曲部の延ばされた頂部 から一波分だけ間隔を隔てられている請求項20に記載のステント部分。 22.前記ワイヤ構造に取付けられた移植部材を更に具備する請求項18に記 載のステント部分。 23.体内の分岐部位に配置するのに適したモジュール式人工器官であって、 前記モジュール式人工器官が、 延ばされた円筒形雌型収容部分を備えた主要本体構成要素と、 係合用円筒形雄型部分を備えた脚部構成要素とを具備し、前記係合用円筒形雄 型部分が、前記延ばされた円筒形雌型収容部分に取付けられるのに適している、 モジュール式人工器官。 24.前記雄型部分が、しまりばめにより前記雌型収容部分内に取付けられる 請求項23に記載のモジュール式人工器官。 25.円筒形雄型部分が第一の直径を有し、前記円筒形雌型収容部分が、前記 第一の直径よりも小さい直径を有する請求項24に記載のモジュール式人工器官 。 26.前記雌型収容部分は、前記雌型収容部分に取付けられるアンカーリング の付近に直径が減少した領域を有する請求項24に記載のモジュール式人工器官 。 27.前記雌型収容部分が、移植材料の内側の折りたたまれたフラップを有し 、前記フラップは、前記雌型収容部分内に直径が減少した領域を画定している請 求項24に記載のモジュール式人工器官。 28.前記フラップがアンカーリングを更に有する請求項27に記載のモジュ ール式人工器官。 29.ステント部材と移植部材とを具備する自己拡張式ステント移植装置であ って、前記ステント部材が、波形ワイヤの湾曲部の形でもって終了する端部を有 し、前記移植部材が、前記ステント部材に取付けられると共に、前記ステント部 材の端部の形状と一致したスカラップ形状を端部に有する、自己拡張式ステント 移植装置。 30.分岐移植部材を形成する方法であって、 共通の中隔が形成されるように第一管部分を第二管部分に熱結合し、滑らかな 分岐部を形成するために前記中隔を取り外す工程を含む、方法。 31.管腔内人工器官の外側表面を管壁に止めるための人工器官 用アンカーであって、前記アンカーが、前記表面から第一方向に角度をなして延 びているワイヤ部分を具備し、前記ワイヤ部分が、前記表面に対し回転可能に連 結されている、人工器官用アンカー。 32.前記アンカーが、前記表面から第二方向に角度をなして延びている第二 ワイヤ部分を更に具備し、前記第二ワイヤが前記壁の側に変位することにより前 記第一ワイヤが前記表面から離れる側に付勢されるように、前記第二ワイヤ部分 が前記第一ワイヤ部分に連結される請求項31に記載の人工器官用アンカー。 33.前記第一ワイヤ部分及び前記第二ワイヤ部分が連続的なワイヤとして構 成される請求項32に記載の人工器官用アンカー。 34.前記管腔内人工器官がワイヤステント構造を有し、前記アンカーが少な くとも一つのステントワイヤの下に回転可能に連結される請求項32に記載の人 工器官用アンカー。 35.前記第一方向と前記第二方向とがほぼ180°をなしている請求項32 に記載の人工器官用アンカー。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US77237296A | 1996-12-23 | 1996-12-23 | |
US08/772,372 | 1996-12-23 | ||
PCT/US1997/021640 WO1998027893A2 (en) | 1996-12-23 | 1997-12-09 | Kink resistant bifurcated prosthesis |
Related Child Applications (1)
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JP2005001878A Division JP4182297B2 (ja) | 1996-12-23 | 2005-01-06 | ステント移植片 |
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JP2001504023A true JP2001504023A (ja) | 2001-03-27 |
JP3712743B2 JP3712743B2 (ja) | 2005-11-02 |
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Application Number | Title | Priority Date | Filing Date |
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JP52875498A Expired - Lifetime JP3712743B2 (ja) | 1996-12-23 | 1997-12-09 | 捩れ抵抗を有する分岐人工器官 |
JP2005001878A Expired - Lifetime JP4182297B2 (ja) | 1996-12-23 | 2005-01-06 | ステント移植片 |
JP2007321187A Expired - Lifetime JP4829208B2 (ja) | 1996-12-23 | 2007-12-12 | ステント移植片 |
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Application Number | Title | Priority Date | Filing Date |
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JP2005001878A Expired - Lifetime JP4182297B2 (ja) | 1996-12-23 | 2005-01-06 | ステント移植片 |
JP2007321187A Expired - Lifetime JP4829208B2 (ja) | 1996-12-23 | 2007-12-12 | ステント移植片 |
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US (4) | US6551350B1 (ja) |
EP (2) | EP1637090B1 (ja) |
JP (3) | JP3712743B2 (ja) |
AT (1) | ATE301434T1 (ja) |
AU (1) | AU742627B2 (ja) |
CA (3) | CA2542811C (ja) |
DE (1) | DE69733969T2 (ja) |
ES (2) | ES2247640T3 (ja) |
WO (1) | WO1998027893A2 (ja) |
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- 1997-12-09 CA CA002287406A patent/CA2287406C/en not_active Expired - Lifetime
- 1997-12-09 AT AT97949619T patent/ATE301434T1/de not_active IP Right Cessation
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Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2008526380A (ja) * | 2005-01-10 | 2008-07-24 | ドューク フィデュシャリー,エルエルシー | 血管移植物およびその製造方法 |
JP2009531141A (ja) * | 2006-03-29 | 2009-09-03 | クック・インコーポレイテッド | 腸骨脚部延長ステントグラフト |
JP2011502572A (ja) * | 2007-11-01 | 2011-01-27 | ウィリアム・エイ・クック・オーストラリア・プロプライエタリー・リミテッド | 可撓性ステントグラフト |
US9107741B2 (en) | 2007-11-01 | 2015-08-18 | Cook Medical Technologies Llc | Flexible stent graft |
US10028849B2 (en) | 2007-11-01 | 2018-07-24 | Cook Medical Technologies Llc | Flexible stent graft |
Also Published As
Publication number | Publication date |
---|---|
EP1637090A2 (en) | 2006-03-22 |
US6551350B1 (en) | 2003-04-22 |
WO1998027893A9 (en) | 1999-09-10 |
US20020165603A1 (en) | 2002-11-07 |
JP3712743B2 (ja) | 2005-11-02 |
CA2623977A1 (en) | 1998-07-02 |
WO1998027893A8 (en) | 1999-04-29 |
US20020099436A1 (en) | 2002-07-25 |
ES2247640T3 (es) | 2006-03-01 |
EP1637090B1 (en) | 2014-04-09 |
EP0964658A2 (en) | 1999-12-22 |
AU7870598A (en) | 1998-07-17 |
JP2005095695A (ja) | 2005-04-14 |
ES2464783T3 (es) | 2014-06-04 |
AU742627B2 (en) | 2002-01-10 |
CA2287406C (en) | 2006-07-18 |
US20100145434A1 (en) | 2010-06-10 |
WO1998027893A2 (en) | 1998-07-02 |
ATE301434T1 (de) | 2005-08-15 |
EP1637090A3 (en) | 2011-04-13 |
CA2542811A1 (en) | 1998-07-02 |
JP4829208B2 (ja) | 2011-12-07 |
DE69733969T2 (de) | 2006-06-08 |
EP0964658B1 (en) | 2005-08-10 |
CA2287406A1 (en) | 1998-07-02 |
JP2008073562A (ja) | 2008-04-03 |
US7682380B2 (en) | 2010-03-23 |
CA2623977C (en) | 2011-05-31 |
DE69733969D1 (de) | 2005-09-15 |
CA2542811C (en) | 2008-06-17 |
WO1998027893A3 (en) | 1998-11-12 |
JP4182297B2 (ja) | 2008-11-19 |
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