JP4658591B2 - 無限に位置決め可能なヘッドを有する関節プロテーゼ - Google Patents
無限に位置決め可能なヘッドを有する関節プロテーゼ Download PDFInfo
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- JP4658591B2 JP4658591B2 JP2004380731A JP2004380731A JP4658591B2 JP 4658591 B2 JP4658591 B2 JP 4658591B2 JP 2004380731 A JP2004380731 A JP 2004380731A JP 2004380731 A JP2004380731 A JP 2004380731A JP 4658591 B2 JP4658591 B2 JP 4658591B2
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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
- A61F2/30—Joints
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
-
- 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
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
- A61F2002/30332—Conically- or frustoconically-shaped protrusion and recess
-
- 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
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2002/30433—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
-
- 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
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
- A61F2002/30538—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting angular orientation
-
- 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
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
- A61F2002/30604—Special structural features of bone or joint prostheses not otherwise provided for 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
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30772—Apertures or holes, e.g. of circular cross section
-
- 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
- A61F2/30—Joints
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4037—Connections of heads to necks
-
- 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
- A61F2/30—Joints
- A61F2/40—Joints for shoulders
- A61F2/4014—Humeral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic humeral shafts
- A61F2002/4044—Connections of necks to shafts
-
- 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
- A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
-
- 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
- A61F2220/0041—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using additional screws, bolts, dowels or rivets, e.g. connecting screws
-
- 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
- A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
- A61F2250/0006—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting angular orientation
Description
(1)関節プロテーゼにおいて、
一定の骨に対して係合するための一定のステム部を備えており、このステム部が内部に一定のボアを定めている一定の表面部分を有しており、さらに
一定の対向している関節部品に対して接合して係合するための一定の支持面部を有している一定の関節部品、および
前記関節部品に対する係合のための一定の基端側部分および前記ステム部のボアの中において接合して移動するように構成されている一定の接合用の部分を有している一定の取付要素を備えている関節プロテーゼ。
(2)前記係合用の部分が多数の自由度において前記取付要素の移動を可能にするように前記ボアに対して接触するための一定の球面状の支持面部を定めている実施態様1に記載の関節プロテーゼ。
(3)さらに、
前記取付要素の中を通る一定の通路、および
前記通路および前記ステム部のボアの中を通過するように構成されていて、前記ステム部に対して係合するように構成されている一定の端部を有している一定の固定装置を備えている実施態様1に記載の関節プロテーゼ。
(4)前記接合用の部分が多数の自由度において前記取付要素の移動を可能にするように前記ボアに対して接触するための一定の球面状の支持面部を定めており、
前記通路が一定の内部の球面状の表面部分を定めており、さらに
前記固定装置が当該固定装置が前記通路の中を貫通する時に前記内部の球面状の表面部分に対して接合して係合するための一定の表面部分を定めている実施態様3に記載の関節プロテーゼ。
(5)前記ステム部が前記ボアの中に一定のねじ付きのボアを定めており、さらに
前記固定装置が前記ねじ付きのボアに対してねじにより係合するための一定のねじ付きの部分を定めている実施態様3に記載の関節プロテーゼ。
(7)前記関節部品および前記取付要素の基端側部分がその関節部品のその取付要素に対する係合のための一定のソケット式でテーパー状の相互作用領域を定めている実施態様1に記載の関節プロテーゼ。
(8)関節プロテーゼにおいて、
一定の骨係合用の部分および関節の相手側の部分に対向する一定の表面部分を有する一定のステム部を備えており、前記表面部分が一定のテーパー状のボアおよび当該テーパー状のボアに対して整合している一定のねじ付きのボアを定めており、さらに、
前記関節の相手側の部分に対して接合するための一定の支持面部を有する一定のヘッド部品、
前記ヘッド部品に対して係合するように構成されている一定の基端側部分および前記テーパー状のボアの中に受容されて当該ボアの中に押し込められる時にそのボアに対して一定の摩擦嵌合式の係合状態を形成するように寸法付けられている一定の球面状の支持面部を定めている一定の係合用の部分を有している一定の取付要素、および
前記接合用の部分が前記テーパー状のボアの中に配置される時に前記ねじ付きのボアに対して係合するために前記取付要素から延出している一定のねじを備えている関節プロテーゼ。
(9)前記取付要素が前記接合用の部分における一定の支持面部と共にその中を通る一定の通路を定めており、
前記ねじが当該ねじの前記通路の支持面部の中における通過を阻止するように寸法付けられている一定の拡大されたヘッド部を含み、この拡大されたヘッド部が前記通路の支持面部に対して接合して接触するように構成されている一定の下面部を有している実施態様8に記載の関節プロテーゼ。
(10)一定の骨に対して一定の関節部品を取り付けるための方法において、
前記骨の中に一定のステム部を係合する工程を含み、このステム部が一定のテーパー状のボアを含み、さらに、
前記関節部品および一定の接合用の部分に対して係合するための一定の基端側部分を有する一定の取付要素を供給する工程、
前記取付要素が前記ステム部に対して多数の自由度で実質的に自由に回転するように前記接合用の部分を前記テーパー状のボアの中に位置決めする工程、
前記関節部品を前記取付要素の基端側部分に係合する工程、
前記ステム部に対する前記関節部品の角度の位置を変更するために前記取付要素を操作する工程、および
前記取付要素の位置を前記ステム部に対して固定するために前記接合用の部分を前記テーパー状のボアの中に押し入れる工程を含む方法。
(11)さらに、
一定の機械的な固定装置を前記取付要素の接合部分の中に貫通させる工程、および
前記ステム部に対して前記機械的な固定装置を係合する工程を含む実施態様10に記載の一定の関節部品を取り付けるための方法。
12 ステム部
14 ヘッド部分
15 プラットホーム面
16 テーパー状のボア
18 テーパー状のポスト部分
19 支持面
20 ヘッド部分
21 ボア
30 取付要素
33 基端側部分
34 接合部分
35 中間部分
36 通路
40 機械ねじ
50 取付要素
70,80 ヘッド部分
Claims (4)
- 肩関節置換処置のための上腕骨プロテーゼにおいて、
骨係合用の部分および関節の相手側の部分に対向する表面部分を有するステム部であって、前記表面部分がテーパー状のボアおよび当該テーパー状のボアの基部において同心状に配置されているねじ付きのボアを定めている、ステム部と、
前記関節の相手側の部分に対して関節接合するための支持面部を有するヘッド部品と、
前記ヘッド部品に対して係合するように構成されている基端側部分、および前記テーパー状のボアの中に受容されて当該ボアの中に押し込められる時にそのボアに対して摩擦嵌合式の係合状態を形成するように寸法付けられている球面状の支持面部を定めている接合用の部分を有している、取付要素と、
前記接合用の部分が前記テーパー状のボアの中に配置されている時に前記ねじ付きのボアに対して係合するために前記取付要素から延出しているねじと、
を備えている上腕骨プロテーゼ。 - 請求項1に記載の上腕骨プロテーゼにおいて、
前記取付要素はその中を通る通路を定め、その通路の前記接合用の部分には支持面部を備え、
前記ねじは、当該ねじの前記通路の支持面部の通過を阻止するように寸法付けられている拡大されたヘッド部を含み、この拡大されたヘッド部が、前記通路の支持面部とともに球面状の支持用の相互作用領域を形成し前記取付要素の完全な角度範囲の動作を行なうことを可能にするように構成されている下面部を有している、上腕骨プロテーゼ。 - 請求項2に記載の上腕骨プロテーゼにおいて、
前記通路の支持面部は、球面状の内表面である、上腕骨プロテーゼ。 - 請求項1〜3のいずれかに記載の上腕骨プロテーゼにおいて、
前記ヘッド部品および前記取付要素の基端側部分が、前記ヘッド部品の前記取付要素に対する係合のためのソケット式でテーパー状の相互作用領域を定めている、上腕骨プロテーゼ。
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/748,448 US8419798B2 (en) | 2003-12-30 | 2003-12-30 | Joint prosthesis with infinitely positionable head |
Publications (2)
Publication Number | Publication Date |
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JP2005193045A JP2005193045A (ja) | 2005-07-21 |
JP4658591B2 true JP4658591B2 (ja) | 2011-03-23 |
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Application Number | Title | Priority Date | Filing Date |
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JP2004380731A Expired - Fee Related JP4658591B2 (ja) | 2003-12-30 | 2004-12-28 | 無限に位置決め可能なヘッドを有する関節プロテーゼ |
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Country | Link |
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US (1) | US8419798B2 (ja) |
EP (1) | EP1550420B1 (ja) |
JP (1) | JP4658591B2 (ja) |
AT (1) | ATE545391T1 (ja) |
AU (1) | AU2004242495B2 (ja) |
DK (1) | DK1550420T3 (ja) |
ES (1) | ES2378820T3 (ja) |
Families Citing this family (47)
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US7799086B2 (en) | 2002-04-25 | 2010-09-21 | Zimmer Technology, Inc. | Modular bone implant, tools, and method |
US7887544B2 (en) * | 2003-03-10 | 2011-02-15 | Tornier Sas | Ancillary tool for positioning a glenoid implant |
FR2859099B1 (fr) * | 2003-08-25 | 2006-01-06 | Tornier Sa | Composant glenoidien de prothese d'epaule et prothese totale d'epaule incorporant un tel composant |
FR2863865B1 (fr) * | 2003-12-19 | 2006-10-06 | Tornier Sa | Prothese d'epaule ou de hanche et son procede de montage |
US8419798B2 (en) | 2003-12-30 | 2013-04-16 | Depuy Products, Inc. | Joint prosthesis with infinitely positionable head |
FR2871371B1 (fr) * | 2004-06-15 | 2007-04-06 | Tornier Sas | Composant glenoidien de prothese d'epaule, jeu d'elements constitutifs d'un tel composant et prothese totale d'epaule incorporant un tel composant |
EP1607069B1 (fr) | 2004-06-15 | 2009-12-23 | Tornier | Prothese totale d'epaule de type inverse |
US8303665B2 (en) | 2004-06-15 | 2012-11-06 | Tornier Sas | Glenoidal component, set of such components and shoulder prosthesis incorporating such a glenoidal component |
US8273093B2 (en) | 2004-06-29 | 2012-09-25 | Depuy Products, Inc. | Instrumentation for recording and replicating orthopaedic implant orientation |
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- 2004-12-23 AU AU2004242495A patent/AU2004242495B2/en active Active
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- 2004-12-24 DK DK04258132.2T patent/DK1550420T3/da active
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ATE545391T1 (de) | 2012-03-15 |
US20050143829A1 (en) | 2005-06-30 |
US8419798B2 (en) | 2013-04-16 |
EP1550420B1 (en) | 2012-02-15 |
EP1550420A2 (en) | 2005-07-06 |
ES2378820T3 (es) | 2012-04-18 |
DK1550420T3 (da) | 2012-05-07 |
EP1550420A3 (en) | 2005-08-17 |
JP2005193045A (ja) | 2005-07-21 |
AU2004242495A1 (en) | 2005-07-14 |
AU2004242495B2 (en) | 2011-04-14 |
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