JP6184482B2 - リバースショルダーの上腕アダプタトレー - Google Patents
リバースショルダーの上腕アダプタトレー Download PDFInfo
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- JP6184482B2 JP6184482B2 JP2015515181A JP2015515181A JP6184482B2 JP 6184482 B2 JP6184482 B2 JP 6184482B2 JP 2015515181 A JP2015515181 A JP 2015515181A JP 2015515181 A JP2015515181 A JP 2015515181A JP 6184482 B2 JP6184482 B2 JP 6184482B2
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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
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- A—HUMAN NECESSITIES
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- 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
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- A—HUMAN NECESSITIES
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- 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
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- 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
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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
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- 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
- A61F2002/30362—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 with possibility of relative movement between the protrusion and the recess
- A61F2002/30364—Rotation about the common longitudinal axis
- A61F2002/30367—Rotation about the common longitudinal axis with additional means for preventing said rotation
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- 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
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- 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
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- A—HUMAN NECESSITIES
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- 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
- A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
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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
- 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
- A61F2002/30553—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting a position by translation along an axis
-
- 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
- A61F2002/30616—Sets comprising a plurality of prosthetic parts of different sizes or orientations
-
- 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
- A61F2002/4018—Heads or epiphyseal parts of humerus
- A61F2002/4022—Heads or epiphyseal parts of humerus having a concave shape, e.g. hemispherical cups
-
- F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
- F04—POSITIVE - DISPLACEMENT MACHINES FOR LIQUIDS; PUMPS FOR LIQUIDS OR ELASTIC FLUIDS
- F04C—ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT MACHINES FOR LIQUIDS; ROTARY-PISTON, OR OSCILLATING-PISTON, POSITIVE-DISPLACEMENT PUMPS
- F04C2270/00—Control; Monitoring or safety arrangements
- F04C2270/04—Force
- F04C2270/041—Controlled or regulated
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- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Description
Claims (20)
- 上腕骨の切除面付近に位置するように構成された上腕アダプタトレーと、
上腕ライナと、を備えたリバースショルダープロテーゼであって、
前記上腕アダプタトレーは、
空胴と、
中心孔と、
ボスを含む遠位面と、を備え、
前記ボスは、
(i)前記遠位面の延長として構成され、
(ii)少なくとも10mmだけ前記中心孔から後方へオフセットされ、
(iii)上腕軸に係合するように構成され、
前記上腕ライナは、
前記上腕アダプタトレーの前記空胴内に位置するように構成された遠位縁と、
関節窩球の凸関節面に嵌り合うように構成された凹関節面と、を備える
リバースショルダープロテーゼ。 - 前記後方へオフセットしたボスは、
(i)肩の三角筋のラッピング角度を増大させ、その結果、関節の安定性をもたらし、
(ii)肩の筋肉を伸張させ、その結果、関節の安定と筋肉の機能改善をもたらし、
(iii)肩の内旋筋及び外旋筋のモーメントアームを増大させ、その結果、筋肉の機能を改善するために、
前記上腕骨の位置を後方へシフトするように構成される、請求項1に記載のリバースショルダープロテーゼ。 - 前記上腕アダプタトレーは、回旋防止機構を含む、請求項1に記載のリバースショルダープロテーゼ。
- 前記上腕ライナは、回旋防止機構を含む、請求項1に記載のリバースショルダープロテーゼ。
- 前記上腕アダプタトレーが、デュアルロッキング機構を特徴とする、請求項1に記載のリバースショルダープロテーゼ。
- 前記上腕ライナが、デュアルロッキング機構を特徴とする、請求項1に記載のリバースショルダープロテーゼ。
- 前記ボスが、少なくとも10mmから25mmの範囲の距離だけ前記中心孔から後方へオフセットされている、請求項1に記載のリバースショルダープロテーゼ。
- 前記ボスが、後方へオフセットされていることに加えて、少なくとも8mmだけ前記中心孔から上方へオフセットされている、請求項1に記載のリバースショルダープロテーゼ。
- 前記ボスが、少なくとも8mmから25mmの範囲の距離だけ前記中心孔から上方へオフセットされている、請求項8に記載のリバースショルダープロテーゼ。
- 関節窩プレートと、
関節窩球と、
上腕軸と、
上腕骨の切除面付近に位置するように構成された上腕アダプタトレーと、
上腕ライナと、を備えるリバースショルダープロテーゼであって、
前記上腕アダプタトレーは、
空胴と、
中心孔と、
ボスを含む遠位面と、を備え、
前記ボスは、
(i)前記遠位面の延長として構成され、
(ii)少なくとも10mmだけ前記中心孔から後方へオフセットされ、
(iii)上腕軸に係合するように構成され、
前記上腕ライナは、
前記上腕アダプタトレーの前記空胴内に位置するように構成された遠位縁と
関節窩球の凸関節面に嵌り合うように構成された凹関節面と、を備える
リバースショルダープロテーゼ。 - 前記後方へオフセットされたボスは、
(i)肩の三角筋のラッピング角度を増大させ、その結果、関節の安定性をもたらし、
(ii)肩の筋肉を伸張させ、その結果、関節の安定と筋肉の機能改善をもたらし、
(iii)肩の内旋筋及び外旋筋のモーメントアームを増大させ、その結果、筋肉の機能を改善するために、
前記上腕骨の位置を後方へシフトさせるように構成される、請求項10に記載のリバースショルダープロテーゼ。 - 前記上腕アダプタトレーは、回旋防止機構を含む、請求項10に記載のリバースショルダープロテーゼ。
- 前記上腕ライナは、回旋防止機構を含む、請求項10に記載のリバースショルダープロテーゼ。
- 前記上腕アダプタトレーは、デュアルロッキング機構を特徴とする、請求項10に記載のリバースショルダープロテーゼ。
- 前記上腕ライナは、デュアルロッキング機構を特徴とする、請求項10に記載のリバースショルダープロテーゼ。
- 前記ボスは、少なくとも10mmから25mmの範囲の距離だけ前記中心孔から後方へオフセットされている、請求項10に記載のリバースショルダープロテーゼ。
- 前記ボスは、後方へオフセットされていることに加えて、少なくとも8mmだけ前記中心孔から上方へオフセットされている、請求項10に記載のリバースショルダープロテーゼ。
- 前記ボスは、少なくとも8mmから25mmの範囲の距離だけ前記中心孔から上方へオフセットされている、請求項17に記載のリバースショルダープロテーゼ。
- 上腕骨の切除面付近に位置するように構成された上腕アダプタトレーと、
上腕ライナと、を備えるリバースショルダープロテーゼであって、
前記上腕アダプタトレーは、
空胴と、
中心孔と、
ボスを含む遠位面と、を備え、
前記ボスは、
(i)前記遠位面の延長として構成され、
(ii)少なくとも8mmだけ前記中心孔から上方へオフセットされ、
(iii)上腕軸に係合するように構成され、
前記上腕ライナは、
前記上腕アダプタトレーの前記空胴内に位置するように構成された遠位縁と、
関節窩球の凸関節面に嵌り合うように構成された凹関節面と、を備える
リバースショルダープロテーゼ。 - 前記ボスが、上方へオフセットされていることに加えて、少なくとも10mmだけ前記中心孔から後方へオフセットされている、請求項19に記載のリバースショルダープロテーゼ。
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201261653860P | 2012-05-31 | 2012-05-31 | |
US61/653,860 | 2012-05-31 | ||
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US13/905,599 US8888855B2 (en) | 2012-05-31 | 2013-05-30 | Reverse shoulder humeral adapter trays |
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EP1996124B1 (en) | 2006-03-21 | 2019-10-30 | Tornier, Inc. | Femoral and humeral stem components sytem for orthopedic joint reconstruction |
FR2932674B1 (fr) | 2008-06-20 | 2011-11-18 | Tornier Sa | Procede de modelisation d'une surface glenoidienne d'une omoplate, dispositif d'implantation d'un composant glenoidien d'une prothese d'epaule, et procede de fabrication d'un tel compose. |
WO2010121250A1 (en) | 2009-04-17 | 2010-10-21 | Arthrosurface Incorporated | Glenoid resurfacing system and method |
EP2604224A1 (en) | 2011-10-31 | 2013-06-19 | Tornier Orthopedics Ireland Ltd. | Modular reverse shoulder prosthesis |
US9421106B2 (en) | 2011-12-07 | 2016-08-23 | Howmedica Osteonics Corp. | Reverse shoulder baseplate with alignment guide for glenosphere |
US8906102B2 (en) * | 2012-05-31 | 2014-12-09 | Howmedica Osteonics Corp. | Lateral entry insert for cup trial |
US8663334B2 (en) * | 2012-05-31 | 2014-03-04 | Howmedica Osteonics Corp. | Lateral entry insert for cup trial |
KR102220764B1 (ko) | 2012-10-29 | 2021-03-02 | 토니어 올쏘피딕스 아일랜드 엘티디 | 역형 견관절 임플란트 시스템 |
US10405993B2 (en) | 2013-11-13 | 2019-09-10 | Tornier Sas | Shoulder patient specific instrument |
EP2873392B1 (en) * | 2013-11-14 | 2016-03-30 | Arthrex, Inc. | Shoulder implant with stem |
US9962266B2 (en) | 2015-09-11 | 2018-05-08 | Deltoid, Llc | Arthroplasty components |
US10433969B2 (en) | 2013-12-30 | 2019-10-08 | United Orthopedic Corp. | Arthroplasty implants and methods for orienting joint prosthesis |
US9956083B2 (en) * | 2013-12-30 | 2018-05-01 | Deltoid, Llc | Instruments and techniques for orienting prosthesis components for joint prostheses |
US10575968B2 (en) | 2014-05-16 | 2020-03-03 | Howmedica Osteonics Corp. | Guides for fracture system |
US9681960B2 (en) | 2014-05-16 | 2017-06-20 | Howmedica Osteonics Corp. | Guides for fracture system |
EP3209247B1 (en) * | 2014-10-21 | 2018-12-12 | Tecres S.P.A. | Spacer device for treating infections of the shoulder articulation |
CA2966367A1 (en) * | 2014-10-31 | 2016-05-06 | Exactech, Inc. | Humeral trays with tuberosity augments sufficiently designed to improve joint mechanics |
US9597190B2 (en) | 2015-01-15 | 2017-03-21 | DePuy Synthes Products, Inc. | Modular reverse shoulder orthopaedic implant and method of implanting the same |
US9597203B2 (en) | 2015-03-25 | 2017-03-21 | Tornier, Inc. | Modular humeral implant |
CA3007082A1 (en) | 2015-12-16 | 2017-06-22 | Tornier, Inc. | Patient specific instruments and methods for joint prosthesis |
US10390972B2 (en) | 2016-01-15 | 2019-08-27 | Howmedica Osteonics Corp. | Humeral trial adaptor |
AU2017253113B2 (en) | 2016-04-19 | 2021-10-07 | Stryker European Operations Limited | Pre-operatively planned humeral implant and planning method |
CA3032645A1 (en) * | 2016-08-01 | 2018-02-08 | Exactech, Inc. | Platform rtsa glenoid prosthesis with modular attachments capable of improving initial fixation, fracture reconstructions, and joint biomechanics |
CN107184293A (zh) * | 2017-05-16 | 2017-09-22 | 北京市春立正达医疗器械股份有限公司 | 反置人工肩关节假体 |
WO2019014281A1 (en) | 2017-07-11 | 2019-01-17 | Tornier, Inc. | HUMERAL CUTTING GUIDES SPECIFIC TO A PATIENT |
US11278299B2 (en) | 2017-07-11 | 2022-03-22 | Howmedica Osteonics Corp | Guides and instruments for improving accuracy of glenoid implant placement |
EP3731783A1 (en) * | 2017-12-29 | 2020-11-04 | Tornier, Inc. | Patient specific humeral implant components |
US10898338B1 (en) | 2018-01-17 | 2021-01-26 | Matthew Budge | Reverse shoulder prosthesis |
US11478358B2 (en) | 2019-03-12 | 2022-10-25 | Arthrosurface Incorporated | Humeral and glenoid articular surface implant systems and methods |
US11571310B2 (en) | 2019-04-03 | 2023-02-07 | Catalyst Orthoscience Inc. | Stemmed implant |
USD938590S1 (en) | 2019-10-01 | 2021-12-14 | Howmedica Osteonics Corp. | Humeral implant |
USD954952S1 (en) * | 2019-11-18 | 2022-06-14 | Limacorporate S.P.A. | Prosthesis element |
USD955580S1 (en) * | 2019-11-18 | 2022-06-21 | Limacorporate S.P.A. | Prosthesis element |
USD955581S1 (en) * | 2019-11-18 | 2022-06-21 | Limacorporate S.P.A. | Prosthesis element |
AU2022214612A1 (en) * | 2021-01-27 | 2023-07-06 | Skeletal Dynamics, Inc. | Reverse shoulder prosthesis and related methods |
WO2022225472A1 (en) * | 2021-04-19 | 2022-10-27 | Tipmed Tibbi̇ Medi̇kal Ürünler Sanayi̇ Ti̇caret Li̇mi̇ted Şi̇rketi̇ | Reverse shoulder prosthesis system |
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US7175663B1 (en) | 2003-10-08 | 2007-02-13 | Biomet Manufacturing Corp. | Shoulder implant assembly |
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US7241314B1 (en) * | 2004-09-16 | 2007-07-10 | Biomet Manufacturing Corp. | Reverse shoulder prosthesis |
GB0519994D0 (en) | 2005-10-01 | 2005-11-09 | Depuy Ireland Ltd | Humeral component of a shoulder joint prosthesis |
WO2007109800A2 (en) | 2006-03-23 | 2007-09-27 | Exactech, Inc. | Reverse shoulder prosthesis |
US8257363B2 (en) | 2007-10-12 | 2012-09-04 | Howmedica Osteonics Corp. | Expandable reverse shoulder trial |
DE102008010478A1 (de) * | 2008-02-21 | 2009-08-27 | Smith & Nephew Orthopaedics Ag | Schultergelenkprothese, insbesondere inverse Schultergelenkprothese |
GB0803834D0 (en) | 2008-02-29 | 2008-04-09 | Strachan & Henshaw Ltd | Buoy |
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CN104540475B (zh) | 2018-05-29 |
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US20130325131A1 (en) | 2013-12-05 |
CN104540475A (zh) | 2015-04-22 |
BR112014030040A2 (pt) | 2020-02-27 |
WO2013181365A1 (en) | 2013-12-05 |
US8888855B2 (en) | 2014-11-18 |
JP2015517877A (ja) | 2015-06-25 |
MX2014014635A (es) | 2015-12-16 |
EP2854712A1 (en) | 2015-04-08 |
CA2874411A1 (en) | 2013-12-05 |
NZ702425A (en) | 2017-01-27 |
EP2854712B1 (en) | 2018-07-25 |
AU2013267371A1 (en) | 2014-12-04 |
ES2687232T3 (es) | 2018-10-24 |
CA2874411C (en) | 2020-03-31 |
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