JP7102123B2 - 偏倚された先端を備える拡張可能脊柱インプラントシステムおよびその使用方法 - Google Patents
偏倚された先端を備える拡張可能脊柱インプラントシステムおよびその使用方法 Download PDFInfo
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- JP7102123B2 JP7102123B2 JP2017203109A JP2017203109A JP7102123B2 JP 7102123 B2 JP7102123 B2 JP 7102123B2 JP 2017203109 A JP2017203109 A JP 2017203109A JP 2017203109 A JP2017203109 A JP 2017203109A JP 7102123 B2 JP7102123 B2 JP 7102123B2
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- end plate
- distal
- frame
- spinal implant
- expandable spinal
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- A61F2/4425—Intervertebral or spinal discs, e.g. resilient made of articulated components
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- A61F2002/30841—Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
-
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- 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
- A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
- A61F2002/448—Joints for the spine, e.g. vertebrae, spinal discs comprising multiple adjacent spinal implants within the same intervertebral space or within the same vertebra, e.g. comprising two adjacent spinal implants
-
- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
-
- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
- A61F2002/4627—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
-
- 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
- A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
- A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
- A61F2002/4629—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof connected to the endoprosthesis or implant via a threaded connection
-
- A—HUMAN NECESSITIES
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- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00017—Iron- or Fe-based alloys, e.g. stainless steel
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00011—Metals or alloys
- A61F2310/00029—Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00179—Ceramics or ceramic-like structures
- A61F2310/00293—Ceramics or ceramic-like structures containing a phosphorus-containing compound, e.g. apatite
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00005—The prosthesis being constructed from a particular material
- A61F2310/00359—Bone or bony tissue
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00395—Coating or prosthesis-covering structure made of metals or of alloys
- A61F2310/00407—Coating made of titanium or of Ti-based alloys
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00592—Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
- A61F2310/00796—Coating or prosthesis-covering structure made of a phosphorus-containing compound, e.g. hydroxy(l)apatite
-
- 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
- A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
- A61F2310/00389—The prosthesis being coated or covered with a particular material
- A61F2310/00976—Coating or prosthesis-covering structure made of proteins or of polypeptides, e.g. of bone morphogenic proteins BMP or of transforming growth factors TGF
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B33—ADDITIVE MANUFACTURING TECHNOLOGY
- B33Y—ADDITIVE MANUFACTURING, i.e. MANUFACTURING OF THREE-DIMENSIONAL [3-D] OBJECTS BY ADDITIVE DEPOSITION, ADDITIVE AGGLOMERATION OR ADDITIVE LAYERING, e.g. BY 3-D PRINTING, STEREOLITHOGRAPHY OR SELECTIVE LASER SINTERING
- B33Y80/00—Products made by additive manufacturing
Description
[0012]以下の図面を伴う具体的な説明によって、本開示についてさらに情報が与えられる。
[0063]拡張可能脊柱インプラントシステム10、20、30は、例えば、患者の身体、例えば、脊柱のセクション内部の手術部位において、器械および/または1つまたは複数の脊柱インプラントを送達し導入するための、経皮技法、ミニオープンおよびオープンの手術技法を含む、最小侵襲手術に用いてもよい。実施形態によっては、拡張可能脊柱インプラントシステム10、20、30は、本明細書において記述されたような、外科的処置、および/または、例えば、椎骨の機械的支持機能を回復するために脊柱インプラントを用いる、椎体部分切除、椎間板切除、融合および/または固定の各治療に用いてもよい。実施形態によっては、拡張可能脊柱インプラントシステム10、20、30は、それに限定はされないが、後方進入腰椎椎間固定(PLIF)、斜め腰椎椎体間固定、経椎間孔腰椎椎体間固定(TLIF)、様々なタイプの前方固定処置、および脊柱の任意の部分(例えば、仙骨、腰椎、胸郭、および頸部)における任意の固定処置を含む、外科的アプローチに用いてもよい。PLIFおよびTLIF技法における、拡張可能脊柱インプラントシステム10、20、30の例示的な使用が、図13~17に概略的に示されている。
10、20 拡張可能脊柱インプラント
30 挿入器具
100 フレーム
102 側壁
103 内部ねじ、ねじ付き表面
104 側壁
110 近位壁
111 近位孔
112 ピン孔
114 リセプタクル、ノッチ
120 遠位壁
121 遠位孔
130 プラグ
131 外部ねじ付き表面
134 インターフェイス
135 遠位ヘッド部分
136 傾斜面
137 横ポスト
140 エンドプレート
144 遠位端
145 トラック、チャネル
150 エンドプレート
153 傾斜表面
154 ピン
155 チャネル、トラック
200 フレーム
203 内部ねじ、ねじ付き表面
204 側壁
212 ピン孔
220 遠位壁
230 プラグ
231 外部ねじ付き表面
235 遠位ヘッド部分
240 エンドプレート
250 エンドプレート
253 支持面
310 カニューレ、外部カニューレ
311 プロング
320 内部カニューレ
330 ドライバシャフト
330’ ドライバ近位端
400 前方部分
402 前方先端
404 遠位端フック部分
406 遠位端ベベル部分
408 近位端コーナー
410 上部表面
412 第1の歯列
414 下部表面
416 第2の歯列
420 第3の歯列
422 第4の歯列
423 側壁
424 側壁
426 遠位ウェッジ部分
428 遠位端弓形部分
BG 骨成長促進物質
CL 中心縦方向軸
D 遠位方向
L 長さ
ML 中央線
V1 椎体
V2 椎体
W 距離
Claims (22)
- 上部椎体と下部椎体の間の円板空間内で、折畳み位置と拡張位置の間で展開可能な拡張可能脊柱インプラントであって、
上部表面および下部表面と、近位壁を有するフレーム近位端と、遠位壁を有するフレーム遠位端とを備え、前記フレーム近位端は近位端幅を有する、フレームであって、中心縦方向軸を画定し、遠位孔が、前記中心縦方向軸と同軸の前記遠位壁内に画定されている、フレーム;
前記遠位孔内に移動可能に配置されたプラグ;
前記フレームと回動可能に係合され、前記プラグが遠位方向に移動されるときに前記フレームから外向きに拡張するように構成された第1のエンドプレートであって、上部表面、第1のエンドプレート近位端、第1のエンドプレート遠位端、前記第1のエンドプレート近位端と前記第1のエンドプレート遠位端の間に延びる第1のエンドプレートの第1の横表面、および前記第1のエンドプレート近位端と前記第1のエンドプレート遠位端の間に延びる、対向する第1のエンドプレートの第2の横表面を含み、前記第1のエンドプレートの第1の横表面と前記第1のエンドプレートの第2の横表面の一方が、前記第1のエンドプレート遠位端から突出する前方先端を含む、第1のエンドプレート;
前記フレームと回動可能に係合され、前記プラグが遠位方向に移動されるときに前記フレームから外向きに拡張するように構成された第2のエンドプレートであって、下部表面、第2のエンドプレート近位端、第2のエンドプレート遠位端、前記第2のエンドプレート近位端と前記第2のエンドプレート遠位端の間に延びる第2のエンドプレートの第1の横表面、前記第2のエンドプレート近位端と前記第2のエンドプレート遠位端の間に延びる、対向する第2のエンドプレートの第2の横表面を含む、第2のエンドプレートを含み、
前記第1のエンドプレートの第1の横表面および前記第2のエンドプレートの第2の横表面が、中心縦方向軸に対して横断方向の第2の軸に沿って、そこから突出する前方部分を含み、前記前方部分は前方先端へと延びており、
前記インプラントが前記折畳み位置にあるときに、前記前方部分および前記前方先端は、遠位端フック部分を画定する、拡張可能脊柱インプラント。 - 前記インプラントが前記折畳み位置にあるときに、前記第1のエンドプレート遠位端および前記第2のエンドプレート遠位端が、遠位端ベベル部分をさらに画定する、請求項1に記載の拡張可能脊柱インプラント。
- 少なくとも前記遠位端フック部分が、前記インプラントが前記上部椎体と前記下部椎体の間の前記円板空間内に挿入されると、少なくとも部分的に椎骨孔のまわりに引っ掛かり、それによって前記椎骨孔内部に位置する神経要素との干渉を回避するように構成されている、請求項2に記載の拡張可能脊柱インプラント。
- 少なくとも前記遠位端フック部分が、脊髄との干渉を回避する、請求項3に記載の拡張可能脊柱インプラント。
- 少なくとも前記遠位端フック部分が、前記インプラントが前記上部椎体と前記下部椎体の間の前記円板空間内に挿入されると、TLIF/横断方向経路へと回転するようにさらに構成されている、請求項3に記載の拡張可能脊柱インプラント。
- 前記インプラントが、前記遠位端フック部分と前記遠位端ベベル部分の少なくとも一方が、前記上部椎体と前記下部椎体のそれぞれの前方骨端リムと係合するまで、前記上部椎体と前記下部椎体の間の前記円板空間内に挿入されるように構成されている、請求項5に記載の拡張可能脊柱インプラント。
- 前記第1エンドプレートの上部表面が、その上に画定された少なくとも1つの第1の歯列をさらに備え、前記第2エンドプレートの下部表面がその上に画定された少なくとも1つの第2の歯列をさらに備え、前記第1のエンドプレートの上部表面は、その上に画定された少なくとも1つの第3の歯列を備え、前記少なくとも1つの第3の歯列は、前記少なくとも1つの第1の歯列の横断方向に延びており、前記第2のエンドプレートの下部表面は、その上に画定された少なくとも1つの第4の歯列を備え、前記少なくとも1つの第4の歯列は、前記少なくとも1つの第2の歯列の横断方向に延びている、請求項2に記載の拡張可能脊柱インプラント。
- 少なくとも前記第3の歯列が、前記遠位端フック部分と前記遠位端ベベル部分の少なくとも一方の前記上部椎体および前記下部椎体からの外れを防止するように構成されている、請求項7に記載の拡張可能脊柱インプラント。
- 少なくとも前記第3の歯列が、前記遠位端フック部分と前記遠位端ベベル部分の少なくとも一方の前記上部椎体および前記下部椎体の前方骨端リムからの外れを防止するように構成されている、請求項8に記載の拡張可能脊柱インプラント。
- 前記遠位端フック部分と前記遠位端ベベル部分の前記少なくとも一方が、前記上部椎体と前記下部椎体の間の前記円板空間の中央線を横切るように構成されている、請求項6に記載の拡張可能脊柱インプラント。
- 前記遠位端フック部分と前記遠位端ベベル部分の前記少なくとも一方が、前記上部椎体と前記下部椎体の間の前記円板空間の中央線の片側へ横方向に間隔を空けられた位置になるように構成されている、請求項6に記載の拡張可能脊柱インプラント。
- 前記遠位端フック部分が、近位端幅よりも大きい遠位端幅を有する、請求項1に記載の拡張可能脊柱インプラント。
- 前記フレームが、前記近位壁および前記遠位壁と係合された少なくとも1つの側壁をさらに備え、前記側壁は、拡張可能脊柱インプラントの縦方向軸に沿って、前記近位壁と前記遠位壁の間隔を空けるように構成されている、請求項2に記載の拡張可能脊柱インプラント。
- 前記プラグが、ねじ付き外部表面を備え、前記遠位孔が前記プラグの前記ねじ付き外部表面と動作可能に係合されたねじ付き内部表面を備える、請求項1に記載の拡張可能脊柱インプラント。
- 前記プラグが、前記プラグが遠位方向に移動されるときに、前記少なくとも第1のエンドプレートを前記フレームから離れる方向に付勢して、前記少なくとも第1のエンドプレートを縦方向軸から離れる方向に回動させるように構成された、遠位ヘッド部分を備える、請求項1に記載の拡張可能脊柱インプラント。
- 前記プラグが、前記プラグが遠位方向に移動されるときに、前記少なくとも第1のエンドプレートを前記フレームから離れる方向に付勢して、前記少なくとも第1のエンドプレートを縦方向軸から離れる方向に回動させるように構成された、遠位ウェッジ部分を備える、請求項1に記載の拡張可能脊柱インプラント。
- 前記第1のエンドプレートが、前記プラグの遠位端から延びる横ポストを受け入れるように構成された少なくとも1つの横チャネルを画定しており、前記プラグが遠位方向に移動されるときに、前記プラグの遠位端の前記横ポストは、前記横チャネル内で第1の方向に移動され、前記プラグが近位方向に移動されるときに、前記プラグの遠位端の前記横ポストは、前記横チャネル内で第2の方向に移動されて、前記第1のエンドプレートを前記フレームに向かって収縮させる、請求項1に記載の拡張可能脊柱インプラント。
- 前記近位壁が近位孔を画定し、前記近位孔は、それを通してインプラント拡大ツールおよび骨成長促進物質を挿入するように構成されている、請求項1に記載の拡張可能脊柱インプラント。
- 前記エンドプレートが、一対のそれぞれの側壁をさらに備え、前記一対のそれぞれの側壁は、横方向に間隔を空けられるとともに、少なくとも前記近位壁と係合されて、前記フレームの近位孔を通して設置してもよい骨成長促進物質を受け入れて、収納するように適合された、実質的に閉鎖されたエリアを形成する、請求項1に記載の拡張可能脊柱インプラント。
- 前記遠位端ベベル部分は、前記遠位端フック部分と反対側の前記フレームの側壁の遠位端を接合して遠位端弓形部分を画定する、請求項13に記載の拡張可能脊柱インプラント。
- 少なくとも前記遠位端弓形部分が、前記上部椎体と前記下部椎体の間でのインプラントの挿入の断面を低減するように構成されている、請求項20に記載の拡張可能脊柱インプラント。
- 拡張可能脊柱インプラントシステムであって、
カニューレと、前記カニューレ内部に着脱可能かつ回転可能に配置されたドライバシャフトとを備える、挿入器具;
上部椎体と下部椎体の間の円板空間内の折畳み位置と拡張位置の間に展開可能な拡張可能脊柱インプラントであって、前記拡張可能脊柱インプラントシステムが、拡張可能脊柱インプラントを有し、該拡張可能脊柱インプラントが、
(a)上部表面および下部表面と、近位壁を有するフレーム近位端と、遠位壁を有するフレーム遠位端とを備えたフレームであって、前記フレーム近位端は近位端幅を有し、前記フレーム遠位壁は中心縦方向軸を画定し、遠位孔が、前記中心縦方向軸と同軸の前記遠位壁内に画定されている、フレームと、
(b)前記遠位孔内に移動可能に配置されたプラグと、
(c)前記フレームと回動可能に係合され、前記プラグが遠位方向に移動されるときに前記フレームから外向きに拡張するように構成された第1のエンドプレートであって、上部表面、第1のエンドプレート近位端、第1のエンドプレート遠位端、前記第1のエンドプレート近位端と前記第1のエンドプレート遠位端の間に延びる第1のエンドプレートの第1の横表面、および前記第1のエンドプレート近位端と前記第1のエンドプレート遠位端の間に延びる、対向する第1のエンドプレートの第2の横表面を含み、前記第1のエンドプレートの第1の横表面と前記第1のエンドプレートの第2の横表面の一方が、前記第1のエンドプレート遠位端から突出する前方先端を含む、第1のエンドプレートと、
(d)前記フレームと回動可能に係合され、プラグが遠位方向に移動されるときに前記フレームから外向きに拡張するように構成された第2のエンドプレートであって、下部表面、第2のエンドプレート近位端、第2のエンドプレート遠位端、前記第2のエンドプレート近位端と前記第2のエンドプレート遠位端の間に延びる第2のエンドプレートの第1の横表面、前記第2のエンドプレート近位端と前記第2のエンドプレート遠位端の間に延びる、対向する第2のエンドプレートの第2の横表面を含む、第2のエンドプレートとを含み、
更に前記拡張可能脊柱インプラントの一方の側へ延びることにより形成される拡張可能脊柱インプラントの前方部分を含み、前記前方部分は、
前記第1のエンドプレートの遠位端における、前記第1のエンドプレートの第1の横表面と第2横表面とを有し、
前記第2のエンドプレートの遠位端における、前記第2のエンドプレートの第1の横表面と第2横表面とを有し、
前記前方部分は、前方先端まで延び、
前記ドライバシャフトは、前記プラグが前記フレームに対して遠位方向に移動された後に、骨成長促進物質を前記カニューレを通して前記拡張可能脊柱インプラントの前記フレーム中に導入できるように、前記カニューレから着脱可能に構成されており、
前記インプラントが前記折畳み位置にあるときに、前記前方部分および前記前方先端が遠位端フック部分を画定する、拡張可能脊柱インプラントシステム。
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Families Citing this family (49)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8597360B2 (en) | 2004-11-03 | 2013-12-03 | Neuropro Technologies, Inc. | Bone fusion device |
WO2013023098A1 (en) * | 2011-08-09 | 2013-02-14 | Neuropro Spinal Jaxx Inc. | Bone fusion device, apparatus and method |
US9532883B2 (en) | 2012-04-13 | 2017-01-03 | Neuropro Technologies, Inc. | Bone fusion device |
US8663332B1 (en) | 2012-12-13 | 2014-03-04 | Ouroboros Medical, Inc. | Bone graft distribution system |
US10098757B2 (en) | 2013-03-15 | 2018-10-16 | Neuropro Technologies Inc. | Bodiless bone fusion device, apparatus and method |
US9186259B2 (en) | 2013-09-09 | 2015-11-17 | Ouroboros Medical, Inc. | Expandable trials |
US9060876B1 (en) | 2015-01-20 | 2015-06-23 | Ouroboros Medical, Inc. | Stabilized intervertebral scaffolding systems |
US11045326B2 (en) * | 2015-07-17 | 2021-06-29 | Global Medical Inc | Intervertebral spacer and plate |
WO2017027873A1 (en) * | 2015-08-13 | 2017-02-16 | K2M, Inc. | Adjustable spinal implant |
US10610376B2 (en) | 2015-10-16 | 2020-04-07 | Warsaw Orthopedic, Inc. | Expandable spinal implant system and method |
US10137006B2 (en) | 2016-01-28 | 2018-11-27 | Warsaw Orthopedic, Inc. | Geared cam expandable interbody implant and method of implanting same |
US10420591B2 (en) * | 2016-04-14 | 2019-09-24 | Spinal Simplicity, Llc | Interspinous implant insertion instrument with staggered path implant deployment mechanism |
US10786367B2 (en) | 2016-07-21 | 2020-09-29 | Seaspine, Inc. | Expandable implant |
US9883953B1 (en) | 2016-09-21 | 2018-02-06 | Integrity Implants Inc. | Stabilized laterovertically-expanding fusion cage systems with tensioner |
FR3058044A1 (fr) * | 2016-10-27 | 2018-05-04 | Ldr Medical | Cage intersomatique expansible |
FR3058043B1 (fr) * | 2016-10-27 | 2020-11-13 | Ldr Medical | Cage intersomatique expansible |
US10238503B2 (en) * | 2016-11-01 | 2019-03-26 | Warsaw Orthopedic, Inc. | Expandable spinal implant system with a biased tip and method of using same |
EP3568109A4 (en) | 2017-01-10 | 2020-09-16 | Integrity Implants Inc. | EXPANDABLE INTERTEBRAL FUSION DEVICE |
US10729560B2 (en) | 2017-01-18 | 2020-08-04 | Neuropro Technologies, Inc. | Bone fusion system, device and method including an insertion instrument |
US10111760B2 (en) * | 2017-01-18 | 2018-10-30 | Neuropro Technologies, Inc. | Bone fusion system, device and method including a measuring mechanism |
CN111031969A (zh) | 2017-07-24 | 2020-04-17 | 整体植入有限公司 | 手术植入物及有关方法 |
US11806250B2 (en) | 2018-02-22 | 2023-11-07 | Warsaw Orthopedic, Inc. | Expandable spinal implant system and method of using same |
US11285018B2 (en) | 2018-03-01 | 2022-03-29 | Integrity Implants Inc. | Expandable fusion device with independent expansion systems |
US11135069B2 (en) * | 2018-03-06 | 2021-10-05 | Eit Emerging Implant Technologies Gmbh | Intervertebral cages with deployable anchors |
US10881524B2 (en) * | 2018-03-06 | 2021-01-05 | Eit Emerging Implant Technologies Gmbh | Angularly adjustable intervertebral cages with integrated ratchet assembly |
US20210068985A1 (en) * | 2019-09-09 | 2021-03-11 | Warsaw Orthopedic, Inc. | Spinal implant system and methods of use |
USD930160S1 (en) * | 2019-09-11 | 2021-09-07 | L&K Biomed Co., Ltd. | End plate for a spinal fusion cage |
USD929594S1 (en) * | 2019-09-11 | 2021-08-31 | L&K Biomed Co., Ltd. | End plate for a spinal fusion cage |
US11000384B2 (en) * | 2019-10-15 | 2021-05-11 | Ayman H. Al-Jazaeri | Distally expanding facet joint implant and delivery device |
US11564809B2 (en) | 2020-03-05 | 2023-01-31 | Alphatec Spine, Inc. | Expandable interbodies and related methods |
US11166825B1 (en) * | 2020-07-01 | 2021-11-09 | Warsaw Orthopedic, Inc. | Spinal implant |
JP2023516746A (ja) * | 2020-08-07 | 2023-04-20 | アルファテック スパイン, インコーポレイテッド | 展開可能な前湾椎体間インプラント、及び関連する方法 |
US11554020B2 (en) * | 2020-09-08 | 2023-01-17 | Life Spine, Inc. | Expandable implant with pivoting control assembly |
US11185421B1 (en) | 2020-09-10 | 2021-11-30 | Warsaw Orthopedic, Inc. | Spinal implant with features facilitating independent expansion of portions thereof and method for use thereof |
US11376134B1 (en) | 2020-11-05 | 2022-07-05 | Warsaw Orthopedic, Inc. | Dual expanding spinal implant, system, and method of use |
US11395743B1 (en) | 2021-05-04 | 2022-07-26 | Warsaw Orthopedic, Inc. | Externally driven expandable interbody and related methods |
US11291554B1 (en) | 2021-05-03 | 2022-04-05 | Medtronic, Inc. | Unibody dual expanding interbody implant |
US11963881B2 (en) | 2020-11-05 | 2024-04-23 | Warsaw Orthopedic, Inc. | Expandable inter-body device, system, and method |
US11285014B1 (en) | 2020-11-05 | 2022-03-29 | Warsaw Orthopedic, Inc. | Expandable inter-body device, system, and method |
US11517363B2 (en) | 2020-11-05 | 2022-12-06 | Warsaw Orthopedic, Inc. | Screw driver and complimentary screws |
US11517443B2 (en) | 2020-11-05 | 2022-12-06 | Warsaw Orthopedic, Inc. | Dual wedge expandable implant, system and method of use |
US11833059B2 (en) | 2020-11-05 | 2023-12-05 | Warsaw Orthopedic, Inc. | Expandable inter-body device, expandable plate system, and associated methods |
US11638653B2 (en) | 2020-11-05 | 2023-05-02 | Warsaw Orthopedic, Inc. | Surgery instruments with a movable handle |
US11918489B2 (en) | 2021-04-02 | 2024-03-05 | Nuvasive Inc. | Expansion driver |
KR102573983B1 (ko) * | 2021-05-13 | 2023-09-04 | 주식회사 에이스메디코프 | 디스크 이식용 조립체 |
US11612499B2 (en) | 2021-06-24 | 2023-03-28 | Warsaw Orthopedic, Inc. | Expandable interbody implant |
US11730608B2 (en) | 2021-07-13 | 2023-08-22 | Warsaw Orthopedic, Inc. | Monoblock expandable interbody implant |
US11850163B2 (en) | 2022-02-01 | 2023-12-26 | Warsaw Orthopedic, Inc. | Interbody implant with adjusting shims |
TWI805493B (zh) * | 2022-07-11 | 2023-06-11 | 柏力科技股份有限公司 | 關節融合器植入組合以及方法 |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20060129243A1 (en) | 2004-09-21 | 2006-06-15 | Wong Hee K | Interbody spinal device |
JP2009532075A (ja) | 2006-02-15 | 2009-09-10 | エルディーアール・メディカル | 経椎間孔椎体間ケージおよびケージを埋め込むための器具 |
JP2015533337A (ja) | 2012-11-02 | 2015-11-24 | グローバス メディカル インコーポレイティッド | 拡張可能な固定装置およびその設置方法 |
US20160120660A1 (en) | 2014-11-04 | 2016-05-05 | Warsaw Orthopedic, Inc. | Expandable interbody implant |
Family Cites Families (84)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7462195B1 (en) | 2000-04-19 | 2008-12-09 | Warsaw Orthopedic, Inc. | Artificial lumbar interbody spinal implant having an asymmetrical leading end |
US6579318B2 (en) * | 2000-06-12 | 2003-06-17 | Ortho Development Corporation | Intervertebral spacer |
US7087055B2 (en) | 2002-06-25 | 2006-08-08 | Sdgi Holdings, Inc. | Minimally invasive expanding spacer and method |
US7070598B2 (en) | 2002-06-25 | 2006-07-04 | Sdgi Holdings, Inc. | Minimally invasive expanding spacer and method |
US8317798B2 (en) | 2002-06-25 | 2012-11-27 | Warsaw Orthopedic | Minimally invasive expanding spacer and method |
US20040087947A1 (en) * | 2002-08-28 | 2004-05-06 | Roy Lim | Minimally invasive expanding spacer and method |
US7828849B2 (en) | 2003-02-03 | 2010-11-09 | Warsaw Orthopedic, Inc. | Expanding interbody implant and articulating inserter and method |
US7909869B2 (en) | 2003-08-05 | 2011-03-22 | Flexuspine, Inc. | Artificial spinal unit assemblies |
US7753958B2 (en) | 2003-08-05 | 2010-07-13 | Gordon Charles R | Expandable intervertebral implant |
US7850733B2 (en) | 2004-02-10 | 2010-12-14 | Atlas Spine, Inc. | PLIF opposing wedge ramp |
US7678148B2 (en) | 2004-07-23 | 2010-03-16 | Warsaw Orthopedic, Inc. | Expandable spinal implant having interlocking geometry for structural support |
US7875078B2 (en) | 2004-08-25 | 2011-01-25 | Spine Wave, Inc. | Expandable interbody fusion device |
US20060095136A1 (en) | 2004-11-03 | 2006-05-04 | Mcluen Design, Inc. | Bone fusion device |
US7655046B2 (en) | 2005-01-20 | 2010-02-02 | Warsaw Orthopedic, Inc. | Expandable spinal fusion cage and associated instrumentation |
US7655043B2 (en) | 2005-04-29 | 2010-02-02 | Warsaw Orthopedic, Inc. | Expandable spinal implant and associated instrumentation |
US8092464B2 (en) | 2005-04-30 | 2012-01-10 | Warsaw Orthopedic, Inc. | Syringe devices and methods useful for delivering osteogenic material |
US7815682B1 (en) * | 2005-09-24 | 2010-10-19 | Nuvasive, Inc. | Spinal fusion implant and related methods |
US7708779B2 (en) | 2006-05-01 | 2010-05-04 | Warsaw Orthopedic, Inc. | Expandable intervertebral spacers and methods of use |
GB0620400D0 (en) | 2006-10-13 | 2006-11-22 | Seddon Peter | Spinal implant |
WO2008070863A2 (en) | 2006-12-07 | 2008-06-12 | Interventional Spine, Inc. | Intervertebral implant |
ES2384688T3 (es) * | 2007-06-12 | 2012-07-11 | Ros Guillen, Francisco | Jaula expansiva para cirugía vertebral del tipo de fusión intersomática lumbar por vía posterior transforaminal |
CN101686845B (zh) | 2007-06-29 | 2013-07-10 | 斯恩蒂斯有限公司 | 用于精确骨改面仪器的改进矫形外科植入件 |
US8133232B2 (en) | 2007-07-17 | 2012-03-13 | Expanding Orthopedics Inc. | Expandable bone device |
US8105358B2 (en) | 2008-02-04 | 2012-01-31 | Kyphon Sarl | Medical implants and methods |
US20090198241A1 (en) | 2008-02-04 | 2009-08-06 | Phan Christopher U | Spine distraction tools and methods of use |
US20100145455A1 (en) | 2008-12-10 | 2010-06-10 | Innvotec Surgical, Inc. | Lockable spinal implant |
US8267939B2 (en) | 2008-02-28 | 2012-09-18 | Stryker Spine | Tool for implanting expandable intervertebral implant |
WO2009124269A1 (en) | 2008-04-05 | 2009-10-08 | Synthes Usa, Llc | Expandable intervertebral implant |
WO2010078520A2 (en) | 2008-12-31 | 2010-07-08 | Jimenez, Omar, F. | Flexible joint arrangement incorporating flexure members |
US8628577B1 (en) | 2009-03-19 | 2014-01-14 | Ex Technology, Llc | Stable device for intervertebral distraction and fusion |
WO2010132841A1 (en) | 2009-05-14 | 2010-11-18 | Stout Medical Group, L.P. | Expandable support device and method of use |
WO2010148112A1 (en) * | 2009-06-16 | 2010-12-23 | Stout Medical Group, L.P. | Expandable support device and method of use |
US20120109319A1 (en) | 2009-07-14 | 2012-05-03 | Michael Perisic | Interbody cage |
US9216095B2 (en) | 2009-10-15 | 2015-12-22 | Globus Medical, Inc. | Expandable fusion device and method of installation thereof |
US8062375B2 (en) | 2009-10-15 | 2011-11-22 | Globus Medical, Inc. | Expandable fusion device and method of installation thereof |
US8679183B2 (en) | 2010-06-25 | 2014-03-25 | Globus Medical | Expandable fusion device and method of installation thereof |
US8685098B2 (en) | 2010-06-25 | 2014-04-01 | Globus Medical, Inc. | Expandable fusion device and method of installation thereof |
US8556979B2 (en) | 2009-10-15 | 2013-10-15 | Globus Medical, Inc. | Expandable fusion device and method of installation thereof |
US8709086B2 (en) | 2009-10-15 | 2014-04-29 | Globus Medical, Inc. | Expandable fusion device and method of installation thereof |
US10327917B2 (en) | 2009-10-15 | 2019-06-25 | Globus Medical, Inc. | Expandable fusion device and method of installation thereof |
US8636746B2 (en) | 2009-12-31 | 2014-01-28 | Spinex Tec, Llc | Methods and apparatus for insertion of vertebral body distraction and fusion devices |
US8795366B2 (en) | 2010-01-11 | 2014-08-05 | Innova Spinal Technologies, Llc | Expandable intervertebral implant and associated surgical method |
US8894712B2 (en) | 2010-01-11 | 2014-11-25 | Innova Spinal Technologies, Llc | Expandable intervertebral implant and associated surgical method |
US8894711B2 (en) | 2010-01-11 | 2014-11-25 | Innova Spinal Technologies, Llc | Expandable intervertebral implant and associated surgical method |
US8353963B2 (en) | 2010-01-12 | 2013-01-15 | Globus Medical | Expandable spacer and method for use thereof |
US8394145B2 (en) | 2010-02-24 | 2013-03-12 | Globus Medical | Expandable intervertebral spacer and method of posterior insertion thereof |
AU2011227293A1 (en) | 2010-03-16 | 2012-11-08 | Pinnacle Spine Group, Llc | Intervertebral implants and graft delivery systems and methods |
EP2575652A4 (en) | 2010-05-28 | 2013-11-13 | Benvenue Medical Inc | INTERMEDIATE ROOM DIMENSIONING DEVICES AND METHOD OF USE THEREOF |
US9592063B2 (en) | 2010-06-24 | 2017-03-14 | DePuy Synthes Products, Inc. | Universal trial for lateral cages |
US8778025B2 (en) | 2010-08-02 | 2014-07-15 | Ashraf A. Ragab | Rotatable cam lift for an expandable bone cage |
US8496706B2 (en) | 2010-08-02 | 2013-07-30 | Ashraf A. Ragab | Bone cage with components for controlled expansion |
US9474625B2 (en) | 2010-09-03 | 2016-10-25 | Globus Medical, Inc | Expandable fusion device and method of installation thereof |
US8398713B2 (en) | 2010-09-03 | 2013-03-19 | Globus Medical, Inc. | Expandable fusion device and method of installation thereof |
US8435298B2 (en) | 2010-09-03 | 2013-05-07 | Globus Medical, Inc. | Expandable fusion device and method of installation thereof |
US8845731B2 (en) | 2010-09-03 | 2014-09-30 | Globus Medical, Inc. | Expandable fusion device and method of installation thereof |
US9907673B2 (en) * | 2010-09-03 | 2018-03-06 | Globus Medical, Inc. | Expandable fusion device and method of installation thereof |
US8632595B2 (en) | 2010-09-03 | 2014-01-21 | Globus Medical, Inc. | Expandable fusion device and method of installation thereof |
US8491659B2 (en) | 2010-09-03 | 2013-07-23 | Globus Medical, Inc. | Expandable fusion device and method of installation thereof |
US9445919B2 (en) * | 2011-12-19 | 2016-09-20 | Warsaw Orthopedic, Inc. | Expandable interbody implant and methods of use |
US8628578B2 (en) | 2011-12-19 | 2014-01-14 | Warsaw Orthopedic, Inc. | Expandable interbody implant and methods of use |
US20130190876A1 (en) | 2012-01-19 | 2013-07-25 | Warsaw Orthopedic, Inc. | Expandable interbody implant and methods of use |
US8663329B2 (en) | 2012-01-28 | 2014-03-04 | Mark J Ernst | Expandable implant for mammalian bony segment stabilization |
US9233007B2 (en) | 2012-02-13 | 2016-01-12 | Blue Tip Biologics, Llc | Expandable self-anchoring interbody cage for orthopedic applications |
US9498349B2 (en) | 2012-10-09 | 2016-11-22 | Titan Spine, Llc | Expandable spinal implant with expansion wedge and anchor |
US9144503B2 (en) | 2012-10-12 | 2015-09-29 | Warsaw Orthopedic, Inc. | Expandable spinal implant system and method |
US9204972B2 (en) * | 2013-03-01 | 2015-12-08 | Globus Medical, Inc. | Articulating expandable intervertebral implant |
CN104027189B (zh) | 2013-03-07 | 2016-04-20 | 陈桂蓉 | 阶段式撑张的椎体固定件 |
US9034045B2 (en) | 2013-03-15 | 2015-05-19 | Globus Medical, Inc | Expandable intervertebral implant |
EP2981230B1 (en) | 2013-04-03 | 2021-01-06 | Globus Medical, Inc. | Expandable fusion device |
AU2014268740B2 (en) | 2013-05-20 | 2018-04-26 | K2M, Inc. | Adjustable implant and insertion tool |
US10149770B2 (en) | 2013-07-09 | 2018-12-11 | Seaspine, Inc. | Orthopedic implant with adjustable angle between tissue contact surfaces |
US9283090B2 (en) * | 2013-07-19 | 2016-03-15 | Warsaw Orthopedic, Inc. | Spinal construct and method |
US9801734B1 (en) | 2013-08-09 | 2017-10-31 | Nuvasive, Inc. | Lordotic expandable interbody implant |
WO2015063719A1 (en) | 2013-10-31 | 2015-05-07 | Nlt Spine Ltd. | Adjustable orthopedic implants with releasable retention mechanisms |
US9668876B2 (en) | 2013-12-05 | 2017-06-06 | Spinal Elements, Inc. | Expandable interbody device |
US9642720B2 (en) | 2013-12-19 | 2017-05-09 | Amendia, Inc. | Expandable spinal implant |
US8940049B1 (en) | 2014-04-01 | 2015-01-27 | Ex Technology, Llc | Expandable intervertebral cage |
US9486328B2 (en) | 2014-04-01 | 2016-11-08 | Ex Technology, Llc | Expandable intervertebral cage |
WO2016145542A1 (en) | 2015-03-18 | 2016-09-22 | Startech Engineering Ag | Expandable spinal implant |
US10363142B2 (en) | 2014-12-11 | 2019-07-30 | K2M, Inc. | Expandable spinal implants |
US9814602B2 (en) | 2015-05-14 | 2017-11-14 | Globus Medical, Inc. | Expandable intervertebral implants and methods of installation thereof |
US10610376B2 (en) | 2015-10-16 | 2020-04-07 | Warsaw Orthopedic, Inc. | Expandable spinal implant system and method |
US10137006B2 (en) | 2016-01-28 | 2018-11-27 | Warsaw Orthopedic, Inc. | Geared cam expandable interbody implant and method of implanting same |
US10238503B2 (en) * | 2016-11-01 | 2019-03-26 | Warsaw Orthopedic, Inc. | Expandable spinal implant system with a biased tip and method of using same |
-
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- 2016-11-01 US US15/340,770 patent/US10238503B2/en active Active
-
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Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20060129243A1 (en) | 2004-09-21 | 2006-06-15 | Wong Hee K | Interbody spinal device |
JP2009532075A (ja) | 2006-02-15 | 2009-09-10 | エルディーアール・メディカル | 経椎間孔椎体間ケージおよびケージを埋め込むための器具 |
JP2015533337A (ja) | 2012-11-02 | 2015-11-24 | グローバス メディカル インコーポレイティッド | 拡張可能な固定装置およびその設置方法 |
US20160120660A1 (en) | 2014-11-04 | 2016-05-05 | Warsaw Orthopedic, Inc. | Expandable interbody implant |
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US20210177618A1 (en) | 2021-06-17 |
JP2018069055A (ja) | 2018-05-10 |
AU2022228146B2 (en) | 2024-01-04 |
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AU2022228146A1 (en) | 2022-09-29 |
CN108013954B (zh) | 2022-04-29 |
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US20180116815A1 (en) | 2018-05-03 |
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