JP5619726B2 - 双方向リテーナ又は一方向リテーナを持つ自己保持縫合材 - Google Patents
双方向リテーナ又は一方向リテーナを持つ自己保持縫合材 Download PDFInfo
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Description
自己保持縫合材(返しを備えた縫合材を含む)は、多数の組織リテーナ(返し等)を備えている点で、従来の縫合材と異なる。これらのリテーナは、縫合材の配置後に組織に食い込み、これらのリテーナが面する方向と逆方向に縫合材が移動しないようにする。これによって、隣接した組織を互いに取り付けるために結び目を作る必要をなくす(「結び目無し」閉鎖)。結び目を作らないことによって、(i)スピッティング(spitting)(縫合材を皮下で結んだ後、縫合材、通常は結び目が皮膚を通して押す状態)、(ii)感染症(結び目によって形成された空間内に細菌が付着し、繁殖すること)、(iii)嵩/質量(創傷に残る大量の縫合材が結び目を形成する)、(iv)スリップ(結び目が滑ったり解けたりする)、及び(v)刺激(結び目が創傷内で嵩張る「異物」として作用する)を含むがこれらに限定されない関連した不都合をなくす。結び目を作ることと関連した縫合材のループは、虚血を引き起こす場合があり(組織を絞扼し、病変部位への血流を制限する張力点をループが形成する)、手術による創傷の場所を開離し断裂する危険が高くなる。更に、結び目を作ることは、労働集約的であり、手術による創傷の閉鎖に費やされる時間のかなりの割合を占める。手術時間が追加されることは、患者にとって悪いこと(麻酔下で経過する時間に従って感染症の割合が増大する)であるばかりでなく、手術に掛かる費用を全体として押し上げてしまう(多くの外科的手順は、手術時間一分当たり15ドル乃至30ドルの費用が掛かる)。かくして、結び目無し縫合材は、患者に良好な臨床的結果をもたらすばかりでなく、長い手術及び術後治療と関連した時間及び費用を節約する。
図1は、本発明の一実施例による自己保持縫合材100の一部の斜視図である。自己保持縫合材100は、細長い糸状の縫合材本体102及びこの縫合材本体102から突出した複数のリテーナ104を含む。縫合材本体102は二つの端部を含み、又は二つ以上の端部(例えば、三つの端部、四つの端部、又はそれ以上の端部)を有する。図1に示す自己保持縫合材100は、患者の組織を通した配置が行われていない。
図11A乃至図11Eに示すように、突出部108と同様の突出部を一方向リテーナに設けてもよい。図11Aでは、自己保持縫合材1100は、突出部1108が設けられた円錐形形状のリテーナ1104を含む。図11A乃至図11Dでは、突出部1108は、円錐形リテーナ1104の主本体の端部1112から延びている。リテーナ1104は、縫合材を矢印で示す縫合材配置方向に引っ張ったとき、組織内での細長い縫合材本体の移動に合わせて降伏し、縫合材が縫合材配置方向と逆方向に(矢印と逆方向に)引っ張られたとき、移動に抵抗する。縫合材1100を矢印と逆方向に引っ張ると、突出部1108が患者の組織に刺さり、矢印と逆方向の移動に対して更に大きな抵抗を提供する。
上文中に説明した縫合材本体及びリテーナは、任意の適当な生体親和性材料で形成されていてもよく、縫合材の強度、レジリエンス、寿命又は他の品質を高めるため、又は縫合材に、組織を互いに接合する機能、組織を整復する機能、又は外部エレメントを組織に取り付ける機能の他の追加の機能を与えるため、任意の適当な生体親和性材料によって更に処理が加えてあってもよい。
自己保持縫合材は、上文中に説明した、一般的な創傷の閉鎖及び軟組織の修復の用途に加え、この他の様々な用途で使用できる。
本発明の実施態様は以下の通りである。
(1)組織に対して適用される手順で使用される縫合材において、
第1及び第2の端部を含む細長い縫合材本体と、
互いに間隔が隔てられた、前記第1及び第2の端部の間で前記細長い縫合材本体から延びる複数の双方向リテーナとを含み、
前記組織を通した配置がなされる前に、前記双方向リテーナの各々は、組織を通して、第1方向及びこの第1方向とほぼ逆方向の第2方向の両方向に配置でき、
前記双方向リテーナが、組織を通して前記第1及び第2の方向のうちの一方の方向に配置されると、前記双方向リテーナは、前記細長い縫合材本体が前記第1及び第2の方向のうちの一方の方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、前記第1及び第2の方向のうちの他方の方向での前記細長い縫合材本体の移動に抵抗する、縫合材。
(2)実施態様1に記載の縫合材において、
前記第1方向に配置された前記双方向リテーナの数及び前記第2方向に配置された前記双方向リテーナの数は、手順中に決定できる、縫合材。
(3)実施態様1に記載の縫合材において、
前記縫合材が所定の移行セグメント又は移行点を持たないため、組織を通して前記第1方向に配置された前記縫合材の量及び組織を通して前記第2方向に配置された前記縫合材の量は、手順中に決定できる、縫合材。
(4)実施態様1に記載の縫合材において、
前記双方向リテーナが組織を通して前記第1方向に配置されると、前記双方向リテーナは、前記細長い縫合材本体が前記第1方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、前記第1方向とほぼ逆方向の第2方向での前記細長い縫合材本体の移動に抵抗し、
前記双方向リテーナが組織を通して前記第2方向に配置されると、前記双方向リテーナは、前記細長い縫合材本体が前記第2方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、第1方向での前記細長い縫合材本体の移動に抵抗する、縫合材。
(5)実施態様4に記載の縫合材において、
前記縫合材本体全体が組織を通して前記第1方向に配置された場合、前記複数の双方向リテーナは、全て、前記細長い縫合材本体が前記第1方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、第1方向とほぼ逆方向の第2方向での前記細長い縫合材本体の移動に抵抗し、
前記細長い縫合材本体の第1部分が組織を通して前記第1方向に配置され、前記細長い縫合材本体の第2部分が組織を通して前記第1方向とほぼ逆方向の第2方向に配置された場合、
前記縫合材本体の前記第1部分から延びる前記双方向リテーナは、前記細長い縫合材本体が前記第1方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、前記第1方向とほぼ逆方向の第2方向での前記細長い縫合材本体の移動に抵抗し、
前記縫合材本体の前記第2部分から延びる前記双方向リテーナは、前記細長い縫合材本体が前記第2方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、第1方向での前記細長い縫合材本体の移動に抵抗する、縫合材。
(6)実施態様1に記載の縫合材において、
前記双方向リテーナの各々は、当該双方向リテーナが組織を通して配置された方向に応じて、二つの方向のいずれかの方向に潰れ、
前記双方向リテーナが組織を通して前記第1方向に配置されることにより、前記双方向リテーナが潰されると、前記双方向リテーナは、前記細長い縫合材本体が前記第1方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、第1方向とほぼ逆方向の第2方向での前記細長い縫合材本体の移動に抵抗し、
前記双方向リテーナが組織を通して前記第2方向に配置されることにより、前記双方向リテーナが潰されると、前記双方向リテーナは、前記細長い縫合材本体が前記第2方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、第1方向での前記細長い縫合材本体の移動に抵抗する、縫合材。
(7)実施態様6に記載の縫合材において、
前記双方向リテーナは、前記双方向リテーナが組織を通して配置された方向と逆方向に潰される、縫合材。
(8)実施態様7に記載の縫合材において、
前記細長い縫合材本体全体が前記組織を通して前記第1方向に配置された場合、前記複数の双方向リテーナは、全て、前記第1方向と逆方向の第2方向に潰れ、
前記細長い縫合材本体の第1部分が組織を通して前記第1方向に配置され、前記細長い縫合材本体の第2部分が組織を通して前記第1方向とほぼ逆方向の第2方向に配置された場合、前記第1部分から延びる前記双方向リテーナは前記第2方向に潰れ、前記第2部分から延びる前記双方向リテーナは前記第1方向に潰れる、縫合材。
(9)実施態様6に記載の縫合材において、
前記双方向リテーナの各々は、前記双方向リテーナの潰れ態様を案内する溝を含む、縫合材。
(10)実施態様9に記載の縫合材において、
前記双方向リテーナの前記溝は、前記双方向リテーナが前記細長い縫合材本体に取り付けられた位置から、前記双方向リテーナの外縁まで半径方向に延びる、縫合材。
(11)実施態様1に記載の縫合材において、
前記双方向リテーナは、前記双方向リテーナが組織を通して配置されるときに空気が捕捉されないようにするベントを含む、縫合材。
(12)実施態様1に記載の縫合材において、
前記双方向リテーナは、前記組織を通して配置される前に、前記細長い縫合材本体からほぼ半径方向に、及び前記細長い縫合材本体に対してほぼ水平方向に延びている、縫合材。
(13)実施態様1に記載の縫合材において、
前記細長い縫合材本体及び前記双方向リテーナは、一部品構造を備えている、縫合材。
(14)実施態様1に記載の縫合材において、
前記双方向リテーナの各々は、貫通開口部を含み、
前記縫合材本体は、前記双方向リテーナの前記開口部に通されており、
前記双方向リテーナは、前記双方向リテーナが、前記細長い縫合材本体の前記第1及び第2の端部間で互いから間隔が隔てられているように前記縫合材本体に取り付けられる、縫合材。
(15)実施態様14に記載の縫合材において、
前記双方向リテーナは、前記縫合材本体に、
前記双方向リテーナを前記細長い縫合材本体に接着剤結合する方法、
前記双方向リテーナを前記細長い縫合材本体に溶接結合する方法、
前記双方向リテーナを前記細長い縫合材本体に溶剤結合する方法、及び
前記双方向リテーナを前記細長い縫合材本体に熱結合する方法のうちの少なくとも一つの方法で取り付けられている、縫合材。
(16)実施態様1に記載の縫合材において、更に、
前記双方向リテーナの縁部から延びる組織係合突出部を含む、縫合材。
(17)組織に対して適用される手順で使用される縫合材において、
第1及び第2の端部を含む細長い縫合材本体と、
互いに間隔が隔てられた、前記第1及び第2の端部の間で前記細長い縫合材本体から延びる複数の双方向リテーナとを含み、
前記双方向リテーナの各々は、組織を通して、互いにほぼ逆方向の二つの方向に配置できるが、ひとたび一方の方向に配置されると、ほぼ逆方向での移動に抵抗する、縫合材。
(18)実施態様17に記載の縫合材において、
一方向に配置された前記双方向リテーナの数及びほぼ逆方向に配置された前記双方向リテーナの数は、手順中に決定できる、縫合材。
(19)組織に対して適用される手順で使用される縫合材において、
第1及び第2の端部を含む細長い縫合材本体と、
互いに間隔が隔てられた、前記第1及び第2の端部の間で前記細長い縫合材本体から延びる複数の変形可能なリテーナとを含み、
前記変形可能なリテーナの各々は、前記組織を通した配置がなされる前に、組織を通して、第1方向及びこの第1方向とほぼ逆方向の第2方向の両方向に配置でき、
前記変形可能なリテーナの各々の形状は、前記リテーナが組織を通して配置される方向に応じて二つの方法のうちのいずれかの方法で変形でき、
前記リテーナが組織を通して前記第1方向に配置されることにより、前記リテーナの形状が変形すると、前記リテーナは、前記細長い縫合材本体が前記第1方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、前記第1方向とほぼ逆方向の第2方向での前記細長い縫合材本体の移動に抵抗し、
前記リテーナが組織を通して前記第2方向に配置されることにより、前記リテーナの形状が変形すると、前記リテーナは、前記細長い縫合材本体が前記第2方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、第1方向での前記細長い縫合材本体の移動に抵抗する、縫合材。
(20)実施態様19に記載の縫合材において、
一方向に配置された前記変形可能なリテーナの数及びほぼ逆方向に配置された前記変形可能なリテーナの数は、手順中に決定できる、縫合材。
(21)組織に対して適用される手順で使用される縫合材において、
第1及び第2の端部を含む細長い縫合材本体と、
互いに間隔が隔てられた、前記第1及び第2の端部の間で前記細長い縫合材本体から延びる複数の変形可能な双方向リテーナとを含み、
前記リテーナを組織を通して配置するとき、前記変形可能なリテーナの各々の形状を変形できる、縫合材。
(22)実施態様21に記載の縫合材において、
前記リテーナが組織を通して第1方向に配置されることにより前記リテーナの形状が変形された場合、前記リテーナは、前記細長い縫合材本体が前記第1方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、前記第1方向とほぼ逆方向の第2方向での前記細長い縫合材本体の移動に抵抗する、縫合材。
(23)実施態様22に記載の縫合材において、
前記リテーナが組織を通して第2方向に配置されることにより前記リテーナの形状が変形された場合、前記リテーナは、前記細長い縫合材本体が前記第2方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、第1方向での前記細長い縫合材本体の移動に抵抗する、縫合材。
(24)実施態様21に記載の縫合材において、
前記変形可能なリテーナは、組織を通して互いにほぼ逆方向の二つの方向に配置できるが、前記リテーナが組織を通して一方向に配置されることによって前記リテーナが変形すると、前記リテーナは、それとほぼ逆方向での移動に抵抗する、縫合材。
(25)組織に対して適用される手順で使用される縫合材において、
第1及び第2の端部を含む細長い縫合材本体と、
互いに間隔が隔てられた、前記第1及び第2の端部の間で前記細長い縫合材本体から延びる複数のリテーナとを含み、
前記リテーナの各々は、溝、ミシン目線、又は他の折り目線を含み、前記リテーナを組織を通して配置するとき、前記リテーナを前記溝、前記ミシン目線、又は前記他の折り目線に沿って曲げることができ、
組織を通した配置がなされる前に、前記リテーナの各々は、組織を通して、第1方向及びこの第1方向とほぼ逆方向の第2方向の両方向に配置でき、
前記リテーナが組織を通して前記第1方向に配置されると、前記リテーナは、前記細長い縫合材本体が前記第1方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、前記前記第1方向とほぼ逆方向の第2方向での前記細長い縫合材本体の移動に抵抗し、
前記リテーナが組織を通して前記第2方向に配置されると、前記リテーナは、前記細長い縫合材本体が前記第2方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、前記前記第1方向での前記細長い縫合材本体の移動に抵抗する、縫合材。
(26)実施態様25に記載の縫合材において、
一方向に配置された前記リテーナの数及びほぼ逆方向に配置された前記リテーナの数は、手順中に決定できる、縫合材。
(27)実施態様25に記載の縫合材において、
前記縫合材が所定の移行セグメント又は移行点を持たないため、組織を通して前記第1方向に配置された前記縫合材の量及び組織を通して前記第2方向に配置された前記縫合材の量は、手順中に決定できる、縫合材。
(28)実施態様25に記載の縫合材において、
前記リテーナの前記溝、前記ミシン目線、又は前記他の折り目線は、前記リテーナが前記細長い縫合材本体に取り付けられた位置から前記リテーナの外縁まで半径方向に延びる、縫合材。
(29)組織に対して適用される手順で使用される縫合材において、
第1及び第2の端部を含む細長い縫合材本体と、
互いに間隔が隔てられた、前記第1及び第2の端部の間で前記細長い縫合材本体から延びる複数の円錐形形状リテーナと、
前記円錐形形状リテーナの縁部及び前記円錐形形状リテーナの角度をなした壁のうちの少なくとも一方から延びる組織係合突出部とを含む、縫合材。
(30)実施態様29に記載の縫合材において、
前記組織係合突出部は、前記円錐形形状リテーナの前記縁部から延びる、縫合材。
(31)実施態様29に記載の縫合材において、
前記組織係合突出部は、前記円錐形形状リテーナの前記角度をなした壁から延びる、縫合材。
(32)実施態様29に記載の縫合材において、
前記細長い縫合材本体は第1及び第2の長さ方向部分を含み、
前記リテーナの第1群が前記長さ方向第1部分から延びており、前記細長い縫合材本体が前記第1方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、前記第1方向とほぼ逆方向の第2方向での前記細長い縫合材本体の移動に抵抗し、
前記リテーナの第2群が前記長さ方向第2部分から延びており、前記細長い縫合材本体が前記第2方向に引っ張られたとき、組織内での前記細長い縫合材本体の移動に合わせて実質的に降伏し、第1方向での前記細長い縫合材本体の移動に抵抗する、縫合材。
(33)実施態様29に記載の縫合材において、
前記円錐形形状リテーナは、空気が前記リテーナによって捕捉されないようにするベントを含む、縫合材。
(34)実施態様33に記載の縫合材において、
前記ベントは前記円錐形形状リテーナの前記角度をなした壁を貫通している、縫合材。
(35)組織に対して適用される手順で使用される縫合材において、
第1及び第2の端部を含む細長い縫合材本体と、
互いに間隔が隔てられた、前記第1及び第2の端部の間で前記細長い縫合材本体から延びる複数の円錐形形状リテーナとを含み、
前記円錐形形状リテーナは、空気が前記リテーナによって捕捉されないようにするベントを含む、縫合材。
(36)組織に対して適用される手順で使用される縫合材において、
第1及び第2の端部を含む細長い縫合材本体と、
互いに間隔が隔てられた、前記第1及び第2の端部の間で前記細長い縫合材本体から延びる複数の円錐形形状リテーナとを含み、
前記円錐形形状リテーナはメッシュ材料から形成されている、縫合材。
(37)実施態様36に記載の縫合材において、
前記メッシュ材料の開口部は、空気が前記リテーナによって捕捉されないようにする、縫合材。
(38)組織に対して適用される手順で使用される縫合材において、
第1及び第2の端部を含む細長い縫合材本体と、
互いに間隔が隔てられた、前記第1及び第2の端部の間で前記細長い縫合材本体から延びる複数の円錐形形状リテーナとを含み、
前記円錐形形状リテーナは、空気が前記リテーナによって捕捉されないようにするため、有孔であるか或いは多孔質である、縫合材。
(39)組織に対して適用される手順で使用される縫合材において、
第1及び第2の端部を含む細長い縫合材本体と、
互いに間隔が隔てられた、前記第1及び第2の端部の間で前記細長い縫合材本体から延びる複数のリテーナとを含み、
前記リテーナは、空気が前記リテーナによって捕捉されないようにするため、有孔であるか或いは多孔質であり、又はメッシュ材料から形成されている、縫合材。
102 縫合材本体
104 リテーナ
106 溝
108 突出部
116 開口部
610 四辺形面
Claims (10)
- 組織に対して適用される手順で使用される縫合材において、
第1及び第2の端部を含む細長い縫合材本体と、
互いに間隔が隔てられた、前記第1及び第2の端部の間で前記細長い縫合材本体から延びる複数の双方向リテーナとを含み、
各双方向リテーナは、最初は、第1または第2の方向のいずれか一方の方向に組織を通して配置されることが可能であり、
前記第1及び第2の方向は互いに反対方向であり、前記組織内で前記第1の方向に配置されると、前記リテーナは前記第2の方向での前記縫合材の移動に抵抗し、前記組織内で前記第2の方向に配置されると、前記リテーナは前記第1の方向での前記縫合材の移動に抵抗する、縫合材。 - 請求項1に記載の縫合材において、
各双方向リテーナは、組織内での配置前に、前記第1または第2の方向のいずれかの方向に潰されることが可能であり、潰れる方向は当該双方向リテーナが組織を通して配置される方向に依存し、
前記双方向リテーナが組織を通して前記第1の方向に配置されることにより、前記双方向リテーナが潰されると、前記双方向リテーナは、前記細長い縫合材本体が前記第1の方向に引っ張られるとき、前記組織内での前記細長い縫合材本体の移動に合わせて降伏し、前記第2の方向での前記細長い縫合材本体の移動に抵抗し、
前記双方向リテーナが組織を通して前記第2の方向に配置されることにより、前記双方向リテーナが潰されると、前記双方向リテーナは、前記細長い縫合材本体が前記第2の方向に引っ張られるとき、前記組織内での前記細長い縫合材本体の移動に合わせて降伏し、前記第1の方向での前記細長い縫合材本体の移動に抵抗する、縫合材。 - 請求項2に記載の縫合材において、
前記双方向リテーナは、前記双方向リテーナが組織を通して前記第1の方向に配置されるとき、前記第2の方向に潰れる、縫合材。 - 請求項2に記載の縫合材において、
各双方向リテーナは、前記双方向リテーナの潰れ態様を案内する溝を含む、縫合材。 - 請求項4に記載の縫合材において、
各双方向リテーナの前記溝は、前記双方向リテーナが前記細長い縫合材本体に取り付けられた位置から、前記双方向リテーナの外縁まで半径方向に延びる、縫合材。 - 請求項1に記載の縫合材において、
前記双方向リテーナの各々は、前記双方向リテーナが組織を通して配置されるときに空気が捕捉されないようにするベントを含む、縫合材。 - 請求項1に記載の縫合材において、
前記双方向リテーナの各々は、前記組織を通して配置される前に、前記細長い縫合材本体から半径方向に、及び前記細長い縫合材本体に対して垂直方向に延びている、縫合材。 - 請求項1に記載の縫合材において、
前記細長い縫合材本体及び前記双方向リテーナは、一部品構造を備えている、縫合材。 - 請求項1に記載の縫合材において、
前記双方向リテーナの各々は、貫通開口部を含み、
前記縫合材本体は、前記双方向リテーナの前記開口部に通されており、
前記双方向リテーナは、前記双方向リテーナが、前記細長い縫合材本体の前記第1及び第2の端部間で互いから間隔が隔てられているように前記縫合材本体に取り付けられる、縫合材。 - 請求項1に記載の縫合材において、更に、
前記双方向リテーナの縁部から延びる組織係合突出部を含む、縫合材。
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PCT/US2009/040545 WO2009129251A2 (en) | 2008-04-15 | 2009-04-14 | Self-retaining sutures with bi-directional retainers or uni-directional retainers |
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ATE551035T1 (de) | 2008-12-30 | 2012-04-15 | Medartis Ag | Implantat zur behandlung des obstruktiven schlafapnoesyndroms |
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2009
- 2009-04-14 AU AU2009236330A patent/AU2009236330B2/en not_active Ceased
- 2009-04-14 US US12/937,776 patent/US8876865B2/en active Active
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- 2009-04-14 JP JP2011505141A patent/JP5619726B2/ja not_active Expired - Fee Related
- 2009-04-14 SG SG2013009345A patent/SG188784A1/en unknown
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- 2009-04-14 KR KR1020107025408A patent/KR101577602B1/ko active IP Right Grant
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EP2282681A4 (en) | 2015-07-08 |
CN102056552A (zh) | 2011-05-11 |
WO2009129251A2 (en) | 2009-10-22 |
AU2009236330A1 (en) | 2009-10-22 |
EP2282681B1 (en) | 2018-12-12 |
BRPI0911132B1 (pt) | 2019-08-13 |
CN103083050A (zh) | 2013-05-08 |
AU2009236330B2 (en) | 2014-11-27 |
CA2720847A1 (en) | 2009-10-22 |
JP2011518588A (ja) | 2011-06-30 |
EP2282681A2 (en) | 2011-02-16 |
ES2709687T3 (es) | 2019-04-17 |
SG188784A1 (en) | 2013-04-30 |
US8876865B2 (en) | 2014-11-04 |
BRPI0911132B8 (pt) | 2021-06-22 |
CN103083050B (zh) | 2015-08-05 |
BRPI0911132A8 (pt) | 2017-12-12 |
KR101577602B1 (ko) | 2015-12-28 |
BRPI0911132A2 (pt) | 2015-10-06 |
US20110288583A1 (en) | 2011-11-24 |
WO2009129251A3 (en) | 2009-12-23 |
CA2720847C (en) | 2016-06-28 |
MX2010011160A (es) | 2011-02-22 |
KR20110003532A (ko) | 2011-01-12 |
EP3530196A1 (en) | 2019-08-28 |
CN102056552B (zh) | 2013-07-03 |
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