JP5468014B2 - 動的骨固定要素及びその使用方法 - Google Patents
動的骨固定要素及びその使用方法 Download PDFInfo
- Publication number
- JP5468014B2 JP5468014B2 JP2010539636A JP2010539636A JP5468014B2 JP 5468014 B2 JP5468014 B2 JP 5468014B2 JP 2010539636 A JP2010539636 A JP 2010539636A JP 2010539636 A JP2010539636 A JP 2010539636A JP 5468014 B2 JP5468014 B2 JP 5468014B2
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- JP
- Japan
- Prior art keywords
- bone
- dynamic
- lumen
- shaft portion
- load support
- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8004—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
- A61B17/8014—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones the extension or compression force being caused by interaction of the plate hole and the screws
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/686—Plugs, i.e. elements forming interface between bone hole and implant or fastener, e.g. screw
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
- A61B17/7037—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other wherein pivoting is blocked when the rod is clamped
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7041—Screws or hooks combined with longitudinal elements which do not contact vertebrae with single longitudinal rod offset laterally from single row of screws or hooks
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8033—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers
- A61B17/8047—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates having indirect contact with screw heads, or having contact with screw heads maintained with the aid of additional components, e.g. nuts, wedges or head covers wherein the additional element surrounds the screw head in the plate hole
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
- A61B17/8052—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded
- A61B17/8057—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates immobilised relative to screws by interlocking form of the heads and plate holes, e.g. conical or threaded the interlocking form comprising a thread
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- A—HUMAN NECESSITIES
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8605—Heads, i.e. proximal ends projecting from bone
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8605—Heads, i.e. proximal ends projecting from bone
- A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8605—Heads, i.e. proximal ends projecting from bone
- A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
- A61B17/8615—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the central region of the screw head
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8605—Heads, i.e. proximal ends projecting from bone
- A61B17/861—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver
- A61B17/862—Heads, i.e. proximal ends projecting from bone specially shaped for gripping driver at the periphery of the screw head
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/864—Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
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- A61B17/866—Material or manufacture
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- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts therefor
- A61B17/8685—Pins or screws or threaded wires; nuts therefor comprising multiple separate parts
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/8875—Screwdrivers, spanners or wrenches
- A61B17/8877—Screwdrivers, spanners or wrenches characterised by the cross-section of the driver bit
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- A—HUMAN NECESSITIES
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- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers, e.g. stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
- A61B17/7034—Screws or hooks with U-shaped head or back through which longitudinal rods pass characterised by a lateral opening
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- A—HUMAN NECESSITIES
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- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Neurology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US1430807P | 2007-12-17 | 2007-12-17 | |
| US61/014,308 | 2007-12-17 | ||
| US4182408P | 2008-04-02 | 2008-04-02 | |
| US61/041,824 | 2008-04-02 | ||
| US7539608P | 2008-06-25 | 2008-06-25 | |
| US61/075,396 | 2008-06-25 | ||
| PCT/US2008/086390 WO2009079329A2 (en) | 2007-12-17 | 2008-12-11 | Dynamic bone fixation element and method of using the same |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2011506043A JP2011506043A (ja) | 2011-03-03 |
| JP2011506043A5 JP2011506043A5 (enExample) | 2012-02-09 |
| JP5468014B2 true JP5468014B2 (ja) | 2014-04-09 |
Family
ID=40361540
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2010539636A Expired - Fee Related JP5468014B2 (ja) | 2007-12-17 | 2008-12-11 | 動的骨固定要素及びその使用方法 |
Country Status (10)
| Country | Link |
|---|---|
| US (4) | US8114141B2 (enExample) |
| EP (2) | EP2231043B1 (enExample) |
| JP (1) | JP5468014B2 (enExample) |
| KR (1) | KR101570213B1 (enExample) |
| CN (2) | CN104224292B (enExample) |
| AU (1) | AU2008338673A1 (enExample) |
| CA (1) | CA2708808A1 (enExample) |
| ES (1) | ES2424040T3 (enExample) |
| PL (1) | PL2476386T3 (enExample) |
| WO (1) | WO2009079329A2 (enExample) |
Families Citing this family (121)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7951198B2 (en) * | 2005-05-10 | 2011-05-31 | Acumed Llc | Bone connector with pivotable joint |
| US8469288B1 (en) | 2007-06-12 | 2013-06-25 | Hunter Industries, Inc. | Reversing mechanism for an irrigation sprinkler with a reversing planetary gear drive |
| EP2231043B1 (en) | 2007-12-17 | 2014-06-04 | Synthes GmbH | Dynamic bone fixation element |
| CA2720580A1 (en) | 2008-04-05 | 2009-10-08 | Synthes Usa, Llc | Expandable intervertebral implant |
| US9017329B2 (en) | 2008-06-24 | 2015-04-28 | Extremity Medical, Llc | Intramedullary fixation assembly and method of use |
| US8328806B2 (en) | 2008-06-24 | 2012-12-11 | Extremity Medical, Llc | Fixation system, an intramedullary fixation assembly and method of use |
| US8313487B2 (en) | 2008-06-24 | 2012-11-20 | Extremity Medical Llc | Fixation system, an intramedullary fixation assembly and method of use |
| US9044282B2 (en) | 2008-06-24 | 2015-06-02 | Extremity Medical Llc | Intraosseous intramedullary fixation assembly and method of use |
| US20110230884A1 (en) * | 2008-06-24 | 2011-09-22 | Adam Mantzaris | Hybrid intramedullary fixation assembly and method of use |
| US8303589B2 (en) | 2008-06-24 | 2012-11-06 | Extremity Medical Llc | Fixation system, an intramedullary fixation assembly and method of use |
| US8343199B2 (en) | 2008-06-24 | 2013-01-01 | Extremity Medical, Llc | Intramedullary fixation screw, a fixation system, and method of fixation of the subtalar joint |
| US9289220B2 (en) * | 2008-06-24 | 2016-03-22 | Extremity Medical Llc | Intramedullary fixation assembly and method of use |
| US7935138B1 (en) | 2010-07-28 | 2011-05-03 | Richelsoph Marc E | Active bone screw |
| JP2012527954A (ja) * | 2009-05-26 | 2012-11-12 | シンセス ゲゼルシャフト ミット ベシュレンクテル ハフツング | 角度可変ねじプレートシステム |
| US20110029025A1 (en) * | 2009-07-31 | 2011-02-03 | Medoff Robert J | Locking pin plate assembly adapted for fracture fixation |
| DE102010039756A1 (de) * | 2009-09-28 | 2011-03-31 | Hilti Aktiengesellschaft | Verfahren zur Herstellung einer Befestigungsvorrichtung |
| EP2501310A4 (en) * | 2009-11-18 | 2013-07-31 | Seaspine Inc | FLEXIBLE SCREW HEAD STRUCTURES FOR SPINAL STABILIZATION |
| US8425576B2 (en) | 2010-01-26 | 2013-04-23 | Westmark Medical, Llc. | Bone screw retention mechanism |
| US8647371B2 (en) * | 2010-04-30 | 2014-02-11 | Globus Medical, Inc. | Locking bone screws and methods of use thereof |
| US9113960B2 (en) * | 2010-06-08 | 2015-08-25 | Globus Medical, Inc. | Conforming bone stabilization receiver |
| US8790379B2 (en) | 2010-06-23 | 2014-07-29 | Zimmer, Inc. | Flexible plate fixation of bone fractures |
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-
2008
- 2008-12-11 EP EP08861154.6A patent/EP2231043B1/en active Active
- 2008-12-11 US US12/332,756 patent/US8114141B2/en active Active
- 2008-12-11 ES ES12002514T patent/ES2424040T3/es active Active
- 2008-12-11 KR KR1020107013265A patent/KR101570213B1/ko not_active Expired - Fee Related
- 2008-12-11 WO PCT/US2008/086390 patent/WO2009079329A2/en not_active Ceased
- 2008-12-11 AU AU2008338673A patent/AU2008338673A1/en not_active Abandoned
- 2008-12-11 CN CN201410380989.3A patent/CN104224292B/zh not_active Expired - Fee Related
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- 2008-12-11 CN CN200880126947.XA patent/CN102137627B/zh active Active
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Also Published As
| Publication number | Publication date |
|---|---|
| EP2476386A1 (en) | 2012-07-18 |
| EP2231043B1 (en) | 2014-06-04 |
| US9414875B2 (en) | 2016-08-16 |
| CN104224292B (zh) | 2017-04-12 |
| US20140207195A1 (en) | 2014-07-24 |
| US8690931B2 (en) | 2014-04-08 |
| CN102137627A (zh) | 2011-07-27 |
| JP2011506043A (ja) | 2011-03-03 |
| KR20100108339A (ko) | 2010-10-06 |
| US20090157123A1 (en) | 2009-06-18 |
| CA2708808A1 (en) | 2009-06-25 |
| WO2009079329A2 (en) | 2009-06-25 |
| EP2476386B1 (en) | 2013-06-12 |
| AU2008338673A1 (en) | 2009-06-25 |
| CN104224292A (zh) | 2014-12-24 |
| WO2009079329A3 (en) | 2009-08-06 |
| US20120109213A1 (en) | 2012-05-03 |
| ES2424040T3 (es) | 2013-09-26 |
| US9763712B2 (en) | 2017-09-19 |
| PL2476386T3 (pl) | 2013-11-29 |
| KR101570213B1 (ko) | 2015-11-18 |
| US20160317204A1 (en) | 2016-11-03 |
| EP2231043A2 (en) | 2010-09-29 |
| US8114141B2 (en) | 2012-02-14 |
| CN102137627B (zh) | 2014-09-03 |
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