JP4253588B2 - 切開、焼灼およびステープル留めする装置を併設した装置 - Google Patents
切開、焼灼およびステープル留めする装置を併設した装置 Download PDFInfo
- Publication number
- JP4253588B2 JP4253588B2 JP2003557424A JP2003557424A JP4253588B2 JP 4253588 B2 JP4253588 B2 JP 4253588B2 JP 2003557424 A JP2003557424 A JP 2003557424A JP 2003557424 A JP2003557424 A JP 2003557424A JP 4253588 B2 JP4253588 B2 JP 4253588B2
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- JP
- Japan
- Prior art keywords
- electrode
- disposed
- jaw
- heating device
- cutting
- 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.)
- Expired - Fee Related
Links
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Images
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/128—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
- A61B18/082—Probes or electrodes therefor
- A61B18/085—Forceps, scissors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/1114—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis, e.g. in a single operation
- A61B17/1152—Staplers for performing anastomosis, e.g. in a single operation applying the staples on the outside of the lumen
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00084—Temperature
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/32—Surgical cutting instruments
- A61B2017/320052—Guides for cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/0063—Sealing
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/037,625 US6602252B2 (en) | 2002-01-03 | 2002-01-03 | Combined dissecting, cauterizing, and stapling device |
| PCT/US2003/000119 WO2003057058A1 (en) | 2002-01-03 | 2003-01-02 | Combined dissecting, cauterizing, and stapling device |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2005514102A JP2005514102A (ja) | 2005-05-19 |
| JP2005514102A5 JP2005514102A5 (https=) | 2006-01-05 |
| JP4253588B2 true JP4253588B2 (ja) | 2009-04-15 |
Family
ID=21895355
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2003557424A Expired - Fee Related JP4253588B2 (ja) | 2002-01-03 | 2003-01-02 | 切開、焼灼およびステープル留めする装置を併設した装置 |
Country Status (7)
| Country | Link |
|---|---|
| US (4) | US6602252B2 (https=) |
| EP (1) | EP1471847B1 (https=) |
| JP (1) | JP4253588B2 (https=) |
| AU (1) | AU2003210112A1 (https=) |
| CA (3) | CA2745713C (https=) |
| ES (1) | ES2523073T3 (https=) |
| WO (1) | WO2003057058A1 (https=) |
Families Citing this family (1542)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5762256A (en) | 1995-08-28 | 1998-06-09 | United States Surgical Corporation | Surgical stapler |
| US5782396A (en) | 1995-08-28 | 1998-07-21 | United States Surgical Corporation | Surgical stapler |
| US6267761B1 (en) | 1997-09-09 | 2001-07-31 | Sherwood Services Ag | Apparatus and method for sealing and cutting tissue |
| US5865361A (en) | 1997-09-23 | 1999-02-02 | United States Surgical Corporation | Surgical stapling apparatus |
| US6726686B2 (en) | 1997-11-12 | 2004-04-27 | Sherwood Services Ag | Bipolar electrosurgical instrument for sealing vessels |
| US7435249B2 (en) | 1997-11-12 | 2008-10-14 | Covidien Ag | Electrosurgical instruments which reduces collateral damage to adjacent tissue |
| US6228083B1 (en) | 1997-11-14 | 2001-05-08 | Sherwood Services Ag | Laparoscopic bipolar electrosurgical instrument |
| US20030014052A1 (en) | 1997-11-14 | 2003-01-16 | Buysse Steven P. | Laparoscopic bipolar electrosurgical instrument |
| US7582087B2 (en) | 1998-10-23 | 2009-09-01 | Covidien Ag | Vessel sealing instrument |
| US7137980B2 (en) | 1998-10-23 | 2006-11-21 | Sherwood Services Ag | Method and system for controlling output of RF medical generator |
| US7118570B2 (en) | 2001-04-06 | 2006-10-10 | Sherwood Services Ag | Vessel sealing forceps with disposable electrodes |
| US20040249374A1 (en) | 1998-10-23 | 2004-12-09 | Tetzlaff Philip M. | Vessel sealing instrument |
| US7901400B2 (en) | 1998-10-23 | 2011-03-08 | Covidien Ag | Method and system for controlling output of RF medical generator |
| US7364577B2 (en) | 2002-02-11 | 2008-04-29 | Sherwood Services Ag | Vessel sealing system |
| US7267677B2 (en) | 1998-10-23 | 2007-09-11 | Sherwood Services Ag | Vessel sealing instrument |
| US20030109875A1 (en) | 1999-10-22 | 2003-06-12 | Tetzlaff Philip M. | Open vessel sealing forceps with disposable electrodes |
| US6689131B2 (en) | 2001-03-08 | 2004-02-10 | Tissuelink Medical, Inc. | Electrosurgical device having a tissue reduction sensor |
| US8048070B2 (en) | 2000-03-06 | 2011-11-01 | Salient Surgical Technologies, Inc. | Fluid-assisted medical devices, systems and methods |
| US6558385B1 (en) | 2000-09-22 | 2003-05-06 | Tissuelink Medical, Inc. | Fluid-assisted medical device |
| DE60134391D1 (de) | 2000-03-06 | 2008-07-24 | Salient Surgical Technologies | Flüssigkeitsabgabesystem und steuerung für elektrochirurgische geräte |
| US6953461B2 (en) | 2002-05-16 | 2005-10-11 | Tissuelink Medical, Inc. | Fluid-assisted medical devices, systems and methods |
| US7811282B2 (en) | 2000-03-06 | 2010-10-12 | Salient Surgical Technologies, Inc. | Fluid-assisted electrosurgical devices, electrosurgical unit with pump and methods of use thereof |
| US7473253B2 (en) | 2001-04-06 | 2009-01-06 | Covidien Ag | Vessel sealer and divider with non-conductive stop members |
| US7083618B2 (en) | 2001-04-06 | 2006-08-01 | Sherwood Services Ag | Vessel sealer and divider |
| US10849681B2 (en) | 2001-04-06 | 2020-12-01 | Covidien Ag | Vessel sealer and divider |
| US7101371B2 (en) | 2001-04-06 | 2006-09-05 | Dycus Sean T | Vessel sealer and divider |
| DE60121228T2 (de) | 2001-04-06 | 2007-05-24 | Sherwood Services Ag | Beschädigungen des benachbarten gewebes reduzierendes, elektrochirurgisches instrument |
| US10835307B2 (en) | 2001-06-12 | 2020-11-17 | Ethicon Llc | Modular battery powered handheld surgical instrument containing elongated multi-layered shaft |
| EP2623043B1 (en) | 2001-10-05 | 2016-04-06 | Covidien LP | Surgical stapling device |
| US7464847B2 (en) | 2005-06-03 | 2008-12-16 | Tyco Healthcare Group Lp | Surgical stapler with timer and feedback display |
| US10285694B2 (en) | 2001-10-20 | 2019-05-14 | Covidien Lp | Surgical stapler with timer and feedback display |
| US8075558B2 (en) | 2002-04-30 | 2011-12-13 | Surgrx, Inc. | Electrosurgical instrument and method |
| WO2003049631A1 (en) | 2001-12-12 | 2003-06-19 | Tissuelink Medical, Inc. | Fluid-assisted medical devices, systems and methods |
| US6602252B2 (en) * | 2002-01-03 | 2003-08-05 | Starion Instruments Corporation | Combined dissecting, cauterizing, and stapling device |
| US7458969B2 (en) * | 2002-05-06 | 2008-12-02 | Olympus Corporation | Therapeutic device for tissue from living body |
| AU2003230359B2 (en) * | 2002-05-10 | 2008-11-13 | Covidien Lp | Electrosurgical stapling apparatus |
| EP1915955B1 (en) | 2002-10-04 | 2011-09-21 | Tyco Healthcare Group, LP | Surgical stapler with universal articulation and tissue pre-clamp |
| US7270664B2 (en) | 2002-10-04 | 2007-09-18 | Sherwood Services Ag | Vessel sealing instrument with electrical cutting mechanism |
| EP1927319B1 (en) | 2002-10-04 | 2010-07-28 | Tyco Healthcare Group LP | Surgical stapling device |
| US7276068B2 (en) | 2002-10-04 | 2007-10-02 | Sherwood Services Ag | Vessel sealing instrument with electrical cutting mechanism |
| US7931649B2 (en) | 2002-10-04 | 2011-04-26 | Tyco Healthcare Group Lp | Vessel sealing instrument with electrical cutting mechanism |
| DE60315846T2 (de) | 2002-10-04 | 2008-05-21 | Tyco Healthcare Group Lp, Norwalk | Zusammenbau von chirurgischem klammerwerkzeug |
| AU2003288945A1 (en) | 2002-10-29 | 2004-05-25 | Tissuelink Medical, Inc. | Fluid-assisted electrosurgical scissors and methods |
| US7799026B2 (en) | 2002-11-14 | 2010-09-21 | Covidien Ag | Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion |
| US7044948B2 (en) | 2002-12-10 | 2006-05-16 | Sherwood Services Ag | Circuit for controlling arc energy from an electrosurgical generator |
| US7033354B2 (en) | 2002-12-10 | 2006-04-25 | Sherwood Services Ag | Electrosurgical electrode having a non-conductive porous ceramic coating |
| ES2616695T3 (es) | 2003-03-11 | 2017-06-14 | Covidien Lp | Aparato de aplicación de grapas con mordaza inclinada |
| WO2004082495A1 (en) | 2003-03-13 | 2004-09-30 | Sherwood Services Ag | Bipolar concentric electrode assembly for soft tissue fusion |
| US9597078B2 (en) | 2003-04-29 | 2017-03-21 | Covidien Lp | Surgical stapling device with dissecting tip |
| US20040243151A1 (en) | 2003-04-29 | 2004-12-02 | Demmy Todd L. | Surgical stapling device with dissecting tip |
| US7160299B2 (en) | 2003-05-01 | 2007-01-09 | Sherwood Services Ag | Method of fusing biomaterials with radiofrequency energy |
| US8128624B2 (en) | 2003-05-01 | 2012-03-06 | Covidien Ag | Electrosurgical instrument that directs energy delivery and protects adjacent tissue |
| US8012150B2 (en) | 2003-05-01 | 2011-09-06 | Covidien Ag | Method and system for programming and controlling an electrosurgical generator system |
| CA2523675C (en) | 2003-05-01 | 2016-04-26 | Sherwood Services Ag | Electrosurgical instrument which reduces thermal damage to adjacent tissue |
| ES2368488T3 (es) | 2003-05-15 | 2011-11-17 | Covidien Ag | Sellador de tejidos con miembros de tope variables de forma selectiva y no conductores. |
| US20070084897A1 (en) | 2003-05-20 | 2007-04-19 | Shelton Frederick E Iv | Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism |
| US9060770B2 (en) | 2003-05-20 | 2015-06-23 | Ethicon Endo-Surgery, Inc. | Robotically-driven surgical instrument with E-beam driver |
| US7150749B2 (en) | 2003-06-13 | 2006-12-19 | Sherwood Services Ag | Vessel sealer and divider having elongated knife stroke and safety cutting mechanism |
| US7857812B2 (en) | 2003-06-13 | 2010-12-28 | Covidien Ag | Vessel sealer and divider having elongated knife stroke and safety for cutting mechanism |
| US7156846B2 (en) | 2003-06-13 | 2007-01-02 | Sherwood Services Ag | Vessel sealer and divider for use with small trocars and cannulas |
| USD956973S1 (en) | 2003-06-13 | 2022-07-05 | Covidien Ag | Movable handle for endoscopic vessel sealer and divider |
| US7494039B2 (en) | 2003-06-17 | 2009-02-24 | Tyco Healthcare Group Lp | Surgical stapling device |
| WO2004112618A2 (en) * | 2003-06-17 | 2004-12-29 | Tyco Healthcare Group, Lp | Surgical stapling device |
| ATE457689T1 (de) * | 2003-06-20 | 2010-03-15 | Interventional & Surgical Inno | Eine vorrichtung zum ergreifen und/oder abtrennen |
| JP4253540B2 (ja) * | 2003-07-24 | 2009-04-15 | オリンパス株式会社 | 医療器械 |
| US7364061B2 (en) * | 2003-09-29 | 2008-04-29 | Ethicon Endo-Surgery, Inc. | Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism |
| EP2286731B1 (en) | 2003-10-17 | 2012-05-09 | Tyco Healthcare Group LP | Surgical stapling device |
| WO2005037329A2 (en) | 2003-10-17 | 2005-04-28 | Tyco Healthcare Group, Lp | Surgical stapling device with independent tip rotation |
| US8104956B2 (en) | 2003-10-23 | 2012-01-31 | Covidien Ag | Thermocouple measurement circuit |
| US7396336B2 (en) | 2003-10-30 | 2008-07-08 | Sherwood Services Ag | Switched resonant ultrasonic power amplifier system |
| US9848938B2 (en) | 2003-11-13 | 2017-12-26 | Covidien Ag | Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion |
| US7232440B2 (en) | 2003-11-17 | 2007-06-19 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
| US7367976B2 (en) | 2003-11-17 | 2008-05-06 | Sherwood Services Ag | Bipolar forceps having monopolar extension |
| US7131970B2 (en) | 2003-11-19 | 2006-11-07 | Sherwood Services Ag | Open vessel sealing instrument with cutting mechanism |
| US7811283B2 (en) | 2003-11-19 | 2010-10-12 | Covidien Ag | Open vessel sealing instrument with hourglass cutting mechanism and over-ratchet safety |
| US7500975B2 (en) | 2003-11-19 | 2009-03-10 | Covidien Ag | Spring loaded reciprocating tissue cutting mechanism in a forceps-style electrosurgical instrument |
| US7442193B2 (en) | 2003-11-20 | 2008-10-28 | Covidien Ag | Electrically conductive/insulative over-shoe for tissue fusion |
| US7131860B2 (en) | 2003-11-20 | 2006-11-07 | Sherwood Services Ag | Connector systems for electrosurgical generator |
| US7431720B2 (en) * | 2003-11-25 | 2008-10-07 | Ethicon, Inc. | Multi-function clamping device with stapler and ablation heads |
| DE10359303A1 (de) | 2003-12-17 | 2005-07-21 | Roche Diagnostics Gmbh | Kunststoff-Spritzgussteil mit eingebettetem Bauteil |
| US7632269B2 (en) * | 2004-01-16 | 2009-12-15 | Ethicon Endo-Surgery, Inc. | Electrosurgical instrument with replaceable cartridge |
| ATE425706T1 (de) * | 2004-01-23 | 2009-04-15 | Ams Res Corp | Gewebebefestigungs- und schneideinstrument |
| WO2005074517A2 (en) | 2004-01-30 | 2005-08-18 | Nmt Medical, Inc. | Welding systems for closure of cardiac openings |
| US7727232B1 (en) | 2004-02-04 | 2010-06-01 | Salient Surgical Technologies, Inc. | Fluid-assisted medical devices and methods |
| US20050177176A1 (en) * | 2004-02-05 | 2005-08-11 | Craig Gerbi | Single-fold system for tissue approximation and fixation |
| US8182501B2 (en) | 2004-02-27 | 2012-05-22 | Ethicon Endo-Surgery, Inc. | Ultrasonic surgical shears and method for sealing a blood vessel using same |
| US7780662B2 (en) | 2004-03-02 | 2010-08-24 | Covidien Ag | Vessel sealing system using capacitive RF dielectric heating |
| US7179254B2 (en) * | 2004-03-09 | 2007-02-20 | Ethicon, Inc. | High intensity ablation device |
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-
2002
- 2002-01-03 US US10/037,625 patent/US6602252B2/en not_active Expired - Lifetime
-
2003
- 2003-01-02 US US10/336,385 patent/US6821273B2/en not_active Expired - Lifetime
- 2003-01-02 CA CA2745713A patent/CA2745713C/en not_active Expired - Fee Related
- 2003-01-02 WO PCT/US2003/000119 patent/WO2003057058A1/en not_active Ceased
- 2003-01-02 ES ES03729321.4T patent/ES2523073T3/es not_active Expired - Lifetime
- 2003-01-02 CA CA2745826A patent/CA2745826C/en not_active Expired - Fee Related
- 2003-01-02 EP EP03729321.4A patent/EP1471847B1/en not_active Expired - Lifetime
- 2003-01-02 JP JP2003557424A patent/JP4253588B2/ja not_active Expired - Fee Related
- 2003-01-02 AU AU2003210112A patent/AU2003210112A1/en not_active Abandoned
- 2003-01-02 CA CA2472521A patent/CA2472521C/en not_active Expired - Fee Related
-
2004
- 2004-11-22 US US10/995,630 patent/US7396356B2/en not_active Expired - Fee Related
-
2008
- 2008-07-08 US US12/169,214 patent/US8303585B2/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| EP1471847A1 (en) | 2004-11-03 |
| US6602252B2 (en) | 2003-08-05 |
| WO2003057058A1 (en) | 2003-07-17 |
| JP2005514102A (ja) | 2005-05-19 |
| CA2472521A1 (en) | 2003-07-17 |
| CA2745826C (en) | 2012-12-11 |
| EP1471847B1 (en) | 2014-08-27 |
| CA2472521C (en) | 2011-10-18 |
| EP1471847A4 (en) | 2010-03-10 |
| US20090118730A1 (en) | 2009-05-07 |
| US20030144660A1 (en) | 2003-07-31 |
| AU2003210112A1 (en) | 2003-07-24 |
| US7396356B2 (en) | 2008-07-08 |
| CA2745713C (en) | 2012-08-07 |
| CA2745826A1 (en) | 2003-07-17 |
| US8303585B2 (en) | 2012-11-06 |
| US6821273B2 (en) | 2004-11-23 |
| ES2523073T3 (es) | 2014-11-20 |
| CA2745713A1 (en) | 2003-07-17 |
| US20030125734A1 (en) | 2003-07-03 |
| US20050072827A1 (en) | 2005-04-07 |
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