JP2011519304A - 関節外力学的エネルギー吸収装置の外科的埋込み方法および器具 - Google Patents
関節外力学的エネルギー吸収装置の外科的埋込み方法および器具 Download PDFInfo
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- JP2011519304A JP2011519304A JP2011507473A JP2011507473A JP2011519304A JP 2011519304 A JP2011519304 A JP 2011519304A JP 2011507473 A JP2011507473 A JP 2011507473A JP 2011507473 A JP2011507473 A JP 2011507473A JP 2011519304 A JP2011519304 A JP 2011519304A
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- A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
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Applications Claiming Priority (11)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US4940308P | 2008-04-30 | 2008-04-30 | |
| US12/113,162 US8425616B2 (en) | 2007-07-09 | 2008-04-30 | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus |
| US12/113,162 | 2008-04-30 | ||
| US12/113,164 US20090018665A1 (en) | 2007-07-09 | 2008-04-30 | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus |
| US61/049,403 | 2008-04-30 | ||
| US12/113,160 | 2008-04-30 | ||
| US12/113,160 US7632310B2 (en) | 2007-07-09 | 2008-04-30 | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus |
| US12/113,157 US7846211B2 (en) | 2007-07-09 | 2008-04-30 | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus |
| US12/113,164 | 2008-04-30 | ||
| US12/113,157 | 2008-04-30 | ||
| PCT/US2009/002722 WO2009134446A2 (en) | 2007-07-09 | 2009-04-30 | Surgical implantation method and devices for an extra-articular mechanical energy absorbing apparatus |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2011519304A true JP2011519304A (ja) | 2011-07-07 |
| JP2011519304A5 JP2011519304A5 (enExample) | 2012-07-19 |
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Family Applications (1)
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| JP2011507473A Pending JP2011519304A (ja) | 2008-04-30 | 2009-04-30 | 関節外力学的エネルギー吸収装置の外科的埋込み方法および器具 |
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| Country | Link |
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| EP (1) | EP2273941B1 (enExample) |
| JP (1) | JP2011519304A (enExample) |
| AU (1) | AU2009241686B2 (enExample) |
| CA (1) | CA2725389A1 (enExample) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2019098050A (ja) * | 2017-12-07 | 2019-06-24 | アルスロデザイン株式会社 | 患者適合型ガイド設置用器具 |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20110112639A1 (en) * | 2009-11-06 | 2011-05-12 | Moximed, Inc. | Positioning Systems and Methods for Implanting an Energy Absorbing System |
| CN113763340B (zh) * | 2021-08-25 | 2024-07-02 | 中国人民解放军空军军医大学 | 基于多任务深度学习强直性脊柱炎的自动分级方法 |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4246660A (en) * | 1978-12-26 | 1981-01-27 | Queen's University At Kingston | Artificial ligament |
| JPH07100159A (ja) * | 1993-10-12 | 1995-04-18 | Ryoji Jo | 体外式人工関節 |
| JP2000503865A (ja) * | 1996-01-22 | 2000-04-04 | ハンデベロプ アクチボラゲット | 関節用補綴装置 |
| JP2005507726A (ja) * | 2001-11-05 | 2005-03-24 | 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 | 脊柱の変形を矯正する装置及び方法 |
| JP2010525893A (ja) * | 2007-05-01 | 2010-07-29 | エクスプロラメッド エヌシー４ インコーポレイテッド | 関節外に埋め込み可能な機械的エネルギー吸収システム |
| JP5095723B2 (ja) * | 2006-04-06 | 2012-12-12 | ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング | 遠隔調整可能な組織変位装置 |
-
2009
- 2009-04-30 AU AU2009241686A patent/AU2009241686B2/en not_active Ceased
- 2009-04-30 CA CA2725389A patent/CA2725389A1/en not_active Abandoned
- 2009-04-30 EP EP09739249.2A patent/EP2273941B1/en not_active Not-in-force
- 2009-04-30 JP JP2011507473A patent/JP2011519304A/ja active Pending
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4246660A (en) * | 1978-12-26 | 1981-01-27 | Queen's University At Kingston | Artificial ligament |
| JPH07100159A (ja) * | 1993-10-12 | 1995-04-18 | Ryoji Jo | 体外式人工関節 |
| JP2000503865A (ja) * | 1996-01-22 | 2000-04-04 | ハンデベロプ アクチボラゲット | 関節用補綴装置 |
| JP2005507726A (ja) * | 2001-11-05 | 2005-03-24 | 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 | 脊柱の変形を矯正する装置及び方法 |
| JP5095723B2 (ja) * | 2006-04-06 | 2012-12-12 | ジンテス ゲゼルシャフト ミット ベシュレンクテル ハフツング | 遠隔調整可能な組織変位装置 |
| JP2010525893A (ja) * | 2007-05-01 | 2010-07-29 | エクスプロラメッド エヌシー４ インコーポレイテッド | 関節外に埋め込み可能な機械的エネルギー吸収システム |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2019098050A (ja) * | 2017-12-07 | 2019-06-24 | アルスロデザイン株式会社 | 患者適合型ガイド設置用器具 |
| JP7257016B2 (ja) | 2017-12-07 | 2023-04-13 | アルスロデザイン株式会社 | 患者適合型ガイド設置用器具 |
Also Published As
| Publication number | Publication date |
|---|---|
| EP2273941B1 (en) | 2020-09-02 |
| AU2009241686A1 (en) | 2009-11-05 |
| AU2009241686A2 (en) | 2010-12-23 |
| CA2725389A1 (en) | 2009-11-05 |
| EP2273941A2 (en) | 2011-01-19 |
| AU2009241686B2 (en) | 2015-01-22 |
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