JP2008541875A - 連動モジュール式円板核プロテーゼ - Google Patents
連動モジュール式円板核プロテーゼ Download PDFInfo
- Publication number
- JP2008541875A JP2008541875A JP2008513686A JP2008513686A JP2008541875A JP 2008541875 A JP2008541875 A JP 2008541875A JP 2008513686 A JP2008513686 A JP 2008513686A JP 2008513686 A JP2008513686 A JP 2008513686A JP 2008541875 A JP2008541875 A JP 2008541875A
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- Prior art keywords
- modular
- segment
- modular segment
- disc
- prosthesis
- Prior art date
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- 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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- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
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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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- A61F2/4603—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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- 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
- A61F2/30—Joints
- 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
- A61F2002/4625—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 with relative movement between parts of the instrument during use
- A61F2002/4627—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 with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
-
- 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
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0061—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof swellable
-
- 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
-
- 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
- A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
-
- 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
-
- 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
- A61F2230/0069—Three-dimensional shapes cylindrical
-
- 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
- A61F2250/0018—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 elasticity, stiffness or compressibility
-
- 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
- A61F2250/0019—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 hardness, e.g. Vickers, Shore, Brinell
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- Health & Medical Sciences (AREA)
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- Orthopedic Medicine & Surgery (AREA)
- Transplantation (AREA)
- Neurology (AREA)
- Heart & Thoracic Surgery (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Cardiology (AREA)
- Vascular Medicine (AREA)
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Abstract
Description
Claims (17)
- 円板髄核空洞内に移植するモジュール式円板プロテーゼであって、
各々が対向する側面によって画定された幅と、基端部と、先端部とを有する少なくとも3つのモジュール式セグメントを含み、
前記プロテーゼが、
外モジュール式セグメントの1つの側面における基端部が、中間モジュール式セグメントの側面のうちの一方の側面における先端部の近位に作動可能に位置決めされ、もう1つの外モジュール式セグメントの1つの側面における先端部が、中間モジュール式セグメントの側面のうちの他方の側面における基端部の近位に作動可能に位置決めされる拡張構成と、
前記モジュール式セグメントの全幅が大略的に前記髄核円板空洞の幅に対応する略連続的な周辺部を有する単一体を画定するように、互いに隣接する各モジュール式セグメントの基端部および互いに隣接する各モジュール式セグメントの先端部と隣り合うように、前記モジュール式セグメントが、前記髄核円板空洞内に位置決めされる移植構成とを有するように、前記モジュール式セグメントが、互いに対して選択的に連動可能であるモジュール式円板プロテーゼ。 - 少なくとも2つの中間モジュール式セグメントを更に含み、そのうちの一方の中間モジュール式セグメントの側面の一方の側面における基端部が、他方の中間モジュール式セグメントの側面の一方の側面における先端部の近位に作動可能に位置決めされる、請求項1に記載のモジュール式円板プロテーゼ。
- 各モジュール式セグメントが、外シェルと内コアとを含む、請求項1に記載のモジュール式円板プロテーゼ。
- 前記内コアが含水性材料で構成され、前記外シェルが高分子で構成される、請求項3に記載のモジュール式円板プロテーゼ。
- 前記外シェルが、低デュロメーター高分子からなる第1の部分と、高デュロメーター高分子からなる第2の部分から構成される、請求項4に記載のモジュール式円板プロテーゼ。
- 各モジュール式セグメントが、内部分と外部分とを含み、前記内部分が、隣接モジュール式セグメントの少なくとも1つの側面における対応する構造体と選択的に連動する少なくとも1つの側面における構造体を含み、前記外部分が、隣接モジュール式セグメントと選択的に連動する前記構造体を有する前記側面を除いて、前記内部分を実質的に取り囲む、請求項1に記載のモジュール式円板プロテーゼ。
- 隣接モジュール式セグメントと選択的に連動する前記構造体が、全てのモジュール式セグメントに対して類似するものである、請求項6に記載のモジュール式円板プロテーゼ。
- 隣接モジュール式セグメントと選択的に連動する前記構造体が、1つの側面におけるラチェットと、もう1つの側面における対応する爪とを含む、請求項6に記載のモジュール式円板プロテーゼ。
- 前記外部分の少なくとも層が、前記プロテーゼが移植された後に溶出されるように前記外部分によって動作可能に担持された少なくとも1つの薬剤を更に含む、請求項6に記載のモジュール式円板プロテーゼ。
- 前記モジュール式セグメントの幅が実質的に類似し、前記円板髄核空洞へ前記プロテーゼを挿入するための開口部の最小幅を決める拡張位置において該プロテーゼの幅を画定する、請求項1に記載のモジュール式円板プロテーゼ。
- 前記プロテーゼを挿入するための開口部の最小幅が、約1cm未満である、請求項10に記載のモジュール式円板プロテーゼ。
- 移植中に前記モジュール式円板プロテーゼの位置合わせを支援するために、前記モジュール式セグメントの少なくとも1つの孔に螺通された綱体を更に含む、請求項1に記載のモジュール式円板プロテーゼ。
- モジュール式円板プロテーゼを円板髄核空洞内に移植する、侵襲性を最小限に抑えた方法であって、
第1の外モジュール式セグメントを前記円板髄核空洞に途中まで挿入する工程と、
中間モジュール式セグメントの1つの側面における先端部を前記外モジュール式セグメントの基端部の内側に選択的に取り付ける工程と、
前記中間モジュール式セグメントが前記円板髄核空洞内に部分的に入るまで、前記第1の外モジュール式セグメントに沿って前記中間モジュール式セグメントを位置決めする工程と、
第2の外モジュール式セグメントの内側の先端部を中間モジュール式セグメントの基端部の1つの側面に選択的に取り付ける工程と、
前記中間モジュール式セグメントの先端部が第1の外モジュール式セグメントの先端部と位置合わせされるまで、前記第1の外モジュール式セグメントと隣り合うように、前記中間モジュール式セグメントを前記円板髄核空洞内に完全に位置決めする工程と、
第2の外モジュール式セグメントの先端部が中間モジュール式セグメントの先端部と位置合わせされるまで、前記円板髄核空洞内に完全に前記第2の外モジュール式セグメントを位置決めする工程とを含む方法。 - さらなる中間モジュール式セグメントの1つの側面における先端部を前記中間モジュール式セグメントの基端部の内側に選択的に取り付ける工程と、
前記さらなる中間モジュール式セグメントが前記円板髄核空洞内に部分的に入るまで、前記中間モジュール式セグメントに沿って前記さらなる中間モジュール式セグメントを位置決めする工程をさらに含む、請求項13に記載の方法。 - 選択的に取り付ける前記工程が、全て、位置決めする前記工程の前に実行される、請求項13に記載の方法。
- モジュール式円板プロテーゼを円板髄核空洞内に移植する、侵襲性を最小限に抑えた方法であって、
前記円板髄核空洞内に完全に第1の外モジュール式セグメントを挿入する工程と、
中間モジュール式セグメントの1つの側面における先端部を前記外モジュール式セグメントの基端部の内側に選択的に取り付ける工程と、
前記中間モジュール式セグメントの先端部が前記第1の外モジュール式セグメントの先端部と位置合わせされるまで、前記第1の外モジュール式セグメントと隣り合うように、前記中間モジュール式セグメントを前記円板髄核空洞内に完全に位置決めする工程と、
第2の外モジュール式セグメントの内側の先端部を前記中間モジュール式セグメントの基端部の1つの側面に選択的に取り付ける工程と、
第2の外モジュール式セグメントの先端部が中間モジュール式セグメントの先端部と位置合わせされるまで、前記第2の外モジュール式セグメントを前記円板髄核空洞内に完全に位置決めする工程とを含む方法。 - さらなる中間モジュール式セグメントの1つの側面における先端部を前記中間モジュール式セグメントの基端部の内側に選択的に取り付ける工程と、
前記さらなる中間モジュール式セグメントの前記先端部が前記中間モジュール式セグメントの前記先端部と位置合わせされるまで、前記中間モジュール式セグメントに沿って前記さらなる中間モジュール式セグメントを位置決めする工程とを更に含む、請求項13に記載の方法。
Applications Claiming Priority (9)
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US68533205P | 2005-05-24 | 2005-05-24 | |
US60/685,332 | 2005-05-24 | ||
US70045905P | 2005-07-19 | 2005-07-19 | |
US60/700,459 | 2005-07-19 | ||
US11/372,477 US7591853B2 (en) | 2005-03-09 | 2006-03-09 | Rail-based modular disc nucleus prosthesis |
US11/372,357 | 2006-03-09 | ||
US11/372,477 | 2006-03-09 | ||
US11/372,357 US7267690B2 (en) | 2005-03-09 | 2006-03-09 | Interlocked modular disc nucleus prosthesis |
PCT/US2006/020150 WO2006127848A2 (en) | 2005-03-09 | 2006-05-24 | Interlocked modular disc nucleus prosthesis |
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Publication Number | Publication Date |
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JP2008541875A true JP2008541875A (ja) | 2008-11-27 |
JP2008541875A5 JP2008541875A5 (ja) | 2011-09-15 |
JP4832514B2 JP4832514B2 (ja) | 2011-12-07 |
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JP2008513686A Active JP4832514B2 (ja) | 2005-05-24 | 2006-05-24 | 連動モジュール式円板核プロテーゼ |
JP2008513687A Active JP4891991B2 (ja) | 2005-05-24 | 2006-05-24 | レールベースのモジュラー式円板髄核プロテーゼ |
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JP2008513687A Active JP4891991B2 (ja) | 2005-05-24 | 2006-05-24 | レールベースのモジュラー式円板髄核プロテーゼ |
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JP (2) | JP4832514B2 (ja) |
KR (2) | KR101330340B1 (ja) |
CN (2) | CN101500513B (ja) |
BR (2) | BRPI0611200A2 (ja) |
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WO (1) | WO2006127849A2 (ja) |
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EP1906886A4 (en) * | 2005-07-19 | 2012-05-02 | Vertebral Technologies Inc | MULTI-COMPOSITE-DISC PROSTHESIS |
US9737414B2 (en) | 2006-11-21 | 2017-08-22 | Vertebral Technologies, Inc. | Methods and apparatus for minimally invasive modular interbody fusion devices |
FR2914843B1 (fr) * | 2007-04-13 | 2010-04-23 | Creaspine | Implant intervertebral pour le corps humain ou animal |
US7967866B2 (en) | 2007-11-27 | 2011-06-28 | Warsaw Orthopedic, Inc. | Stackable intervertebral devices and methods of use |
US7985231B2 (en) | 2007-12-31 | 2011-07-26 | Kyphon Sarl | Bone fusion device and methods |
FR2928079A1 (fr) * | 2008-02-28 | 2009-09-04 | Warsaw Orthopedic Inc | Implant de noyau a centrage automatique. |
CN102448379B (zh) * | 2009-04-03 | 2014-11-19 | 米切尔·A·哈登布鲁克 | 外科手术牵开器系统 |
US9132207B2 (en) | 2009-10-27 | 2015-09-15 | Spine Wave, Inc. | Radiopaque injectable nucleus hydrogel compositions |
US9510953B2 (en) * | 2012-03-16 | 2016-12-06 | Vertebral Technologies, Inc. | Modular segmented disc nucleus implant |
CN106073953B (zh) * | 2016-08-26 | 2017-12-08 | 常州好利医疗科技有限公司 | 联动式椎间融合器 |
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- 2006-05-24 CN CN200680018462XA patent/CN101193608B/zh active Active
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- 2006-05-24 EP EP06760355A patent/EP1887986A4/en not_active Withdrawn
- 2006-05-24 WO PCT/US2006/020152 patent/WO2006127849A2/en active Search and Examination
- 2006-05-24 KR KR1020077029964A patent/KR101328801B1/ko active IP Right Grant
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2008
- 2008-10-24 HK HK08111702.8A patent/HK1116041A1/xx unknown
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Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2004521666A (ja) * | 2000-08-28 | 2004-07-22 | アドバンスト バイオ サーフェイシズ,インコーポレイティド | 哺乳動物の関節を増強する方法およびシステム |
JP2004507318A (ja) * | 2000-08-30 | 2004-03-11 | エスディージーアイ・ホールディングス・インコーポレーテッド | 椎間板髄核インプラント及び方法 |
JP2004522533A (ja) * | 2001-01-22 | 2004-07-29 | エスディージーアイ・ホールディングス・インコーポレーテッド | モジュラー椎骨体間融合インプラント |
Also Published As
Publication number | Publication date |
---|---|
WO2006127849A2 (en) | 2006-11-30 |
HK1134010A1 (en) | 2010-04-16 |
JP4891991B2 (ja) | 2012-03-07 |
CN101500513A (zh) | 2009-08-05 |
CN101193608A (zh) | 2008-06-04 |
EP1887986A4 (en) | 2012-05-02 |
JP2008545475A (ja) | 2008-12-18 |
CN101193608B (zh) | 2012-10-24 |
HK1116041A1 (en) | 2008-12-19 |
WO2006127849A3 (en) | 2008-12-04 |
JP4832514B2 (ja) | 2011-12-07 |
EP1883378A4 (en) | 2012-05-02 |
BRPI0611200A2 (pt) | 2010-08-24 |
KR20080039846A (ko) | 2008-05-07 |
EP1887986A2 (en) | 2008-02-20 |
EP1883378A2 (en) | 2008-02-06 |
KR101328801B1 (ko) | 2013-11-13 |
BRPI0611201A2 (pt) | 2010-08-24 |
CN101500513B (zh) | 2013-08-14 |
EP1883378B1 (en) | 2020-02-26 |
KR101330340B1 (ko) | 2013-11-15 |
KR20080025078A (ko) | 2008-03-19 |
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