RU2008113186A - Инструмент для установки эндопротеза со вставляемой в костномозговое пространство ножкой - Google Patents

Инструмент для установки эндопротеза со вставляемой в костномозговое пространство ножкой Download PDF

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RU2008113186A
RU2008113186A RU2008113186/14A RU2008113186A RU2008113186A RU 2008113186 A RU2008113186 A RU 2008113186A RU 2008113186/14 A RU2008113186/14 A RU 2008113186/14A RU 2008113186 A RU2008113186 A RU 2008113186A RU 2008113186 A RU2008113186 A RU 2008113186A
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tool according
endoprosthesis
pusher
guide
clamping device
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RU2008113186/14A
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RU2412675C2 (ru
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Арнольд КЕЛЛЕР (DE)
Арнольд КЕЛЛЕР
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Вальдемар Линк Гмбх Унд Ко. Кг (De)
Вальдемар Линк Гмбх Унд Ко. Кг
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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
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • 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
    • A61F2/46—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
    • A61F2/4607—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 of hip femoral endoprostheses
    • 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
    • A61F2002/30518—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
    • A61F2002/3052—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts unrestrained in only one direction, e.g. moving unidirectionally
    • A61F2002/30522—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts unrestrained in only one direction, e.g. moving unidirectionally releasable, e.g. using a releasable ratchet
    • 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
    • A61F2002/30563—Special structural features of bone or joint prostheses not otherwise provided for having elastic means or damping means, different from springs, e.g. including an elastomeric core or shock absorbers
    • 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
    • A61F2002/30601—Special structural features of bone or joint prostheses not otherwise provided for telescopic
    • 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
    • A61F2002/30617—Visible markings for adjusting, locating or measuring
    • 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
    • A61F2/46—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
    • A61F2002/4622—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 having the shape of a forceps or a clamp
    • 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
    • A61F2/46—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
    • A61F2002/4628—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 an axis transverse to the instrument axis or to the implantation direction, e.g. clamping
    • 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
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2002/4681—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor by applying mechanical shocks, e.g. by hammering
    • 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
    • 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
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0097—Visible markings, e.g. indicia

Landscapes

  • Health & Medical Sciences (AREA)
  • Transplantation (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Vascular Medicine (AREA)
  • Cardiology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)

Abstract

1. Инструмент для установки эндопротеза (1) с шейкой (12), имеющей конус (13), и со вставляемой в костномозговое пространство ножкой (10), имеющий зажимное приспособление (20), которое выполнено с фиксирующей вилкой (25) и контропорой (26), которые предназначены для фиксации эндопротеза (1) в своем сжатом состоянии и его освобождения в своем разжатом состоянии, и на котором постоянно расположена направляющая (23) для ударного элемента (31), которая ориентирована таким образом, что задаваемый ею путь перемещения ударного элемента направлен на торцовую поверхность (11) находящегося в зажимном приспособлении (20) эндопротеза, а также имеющий ударное приспособление (3), отличающийся тем, что контропора (26) взаимодействует с торцом (16) конуса (13). ! 2. Инструмент по п.1, отличающийся тем, что направляющая (23) выполнена замкнутой или закрытой. ! 3. Инструмент по п.2, отличающийся тем, что направляющая (23) выполнена в виде трубки. ! 4. Инструмент по п.1, отличающийся тем, что на фиксирующей вилке (25) выполнено посадочное гнездо (27) под крепежный конус (13) протеза. ! 5. Инструмент по п.4, отличающийся тем, что посадочное гнездо (27) имеет глубину менее 2 мм, предпочтительно менее 1 мм. ! 6. Инструмент по п.1, отличающийся тем, что ударный элемент представляет собой вставленный в направляющую толкатель (31). ! 7. Инструмент по п.6, отличающийся тем, что толкатель (31) на своем заднем, дальнем от эндопротеза конце имеет головку в виде ручки-кнопки (32). ! 8. Инструмент по п.7, отличающийся тем, что головка в виде ручки-кнопки (32) имеет поверхность (33) для нанесения ударов. ! 9. Инструмент по п.6, отличающийся тем, что толкатель (31) имеет закругленный конец (36). ! 10. Инструмент по п.6, отличающ�

Claims (15)

1. Инструмент для установки эндопротеза (1) с шейкой (12), имеющей конус (13), и со вставляемой в костномозговое пространство ножкой (10), имеющий зажимное приспособление (20), которое выполнено с фиксирующей вилкой (25) и контропорой (26), которые предназначены для фиксации эндопротеза (1) в своем сжатом состоянии и его освобождения в своем разжатом состоянии, и на котором постоянно расположена направляющая (23) для ударного элемента (31), которая ориентирована таким образом, что задаваемый ею путь перемещения ударного элемента направлен на торцовую поверхность (11) находящегося в зажимном приспособлении (20) эндопротеза, а также имеющий ударное приспособление (3), отличающийся тем, что контропора (26) взаимодействует с торцом (16) конуса (13).
2. Инструмент по п.1, отличающийся тем, что направляющая (23) выполнена замкнутой или закрытой.
3. Инструмент по п.2, отличающийся тем, что направляющая (23) выполнена в виде трубки.
4. Инструмент по п.1, отличающийся тем, что на фиксирующей вилке (25) выполнено посадочное гнездо (27) под крепежный конус (13) протеза.
5. Инструмент по п.4, отличающийся тем, что посадочное гнездо (27) имеет глубину менее 2 мм, предпочтительно менее 1 мм.
6. Инструмент по п.1, отличающийся тем, что ударный элемент представляет собой вставленный в направляющую толкатель (31).
7. Инструмент по п.6, отличающийся тем, что толкатель (31) на своем заднем, дальнем от эндопротеза конце имеет головку в виде ручки-кнопки (32).
8. Инструмент по п.7, отличающийся тем, что головка в виде ручки-кнопки (32) имеет поверхность (33) для нанесения ударов.
9. Инструмент по п.6, отличающийся тем, что толкатель (31) имеет закругленный конец (36).
10. Инструмент по п.6, отличающийся тем, что предусмотрен амортизатор (38) для гашения обратного удара толкателя.
11. Инструмент по п.10, отличающийся тем, что амортизатор для гашения обратного удара толкателя образован кольцом (38) круглого сечения, вставленным в круговую канавку (37).
12. Инструмент по п.6, отличающийся тем, что толкатель (31) выполнен сегментированным, при этом один его сегмент (35) имеет меньшие размеры в поперечном сечении, чем другой его сегмент (34).
13. Инструмент по п.1, отличающийся тем, что на зажимном приспособлении (20) предусмотрены указатели правильного углового положения эндопротеза (1).
14. Инструмент по п.13, отличающийся тем, что указателем положения является выступ (28) на зажимном приспособлении (20), утапливаемый в сжатом состоянии зажимного приспособления в ответное углубление (18) в эндопротезе (1).
15. Инструмент по п.14, отличающийся тем, что выступ (28) расположен на контропоре (26) и предпочтительно по своей высоте или длине на 0,1-1 мм больше глубины ответного углубления (18).
RU2008113186/14A 2005-09-09 2006-09-06 Инструмент для установки эндопротеза со вставляемой в костномозговое пространство ножкой RU2412675C2 (ru)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE202005014270U DE202005014270U1 (de) 2005-09-09 2005-09-09 Einsetzinstrument für eine Endoprothese mit einem in einem Markraum einzusetzenden Prothesenschaft
DE202005014270.0 2005-09-09

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RU2008113186A true RU2008113186A (ru) 2009-10-20
RU2412675C2 RU2412675C2 (ru) 2011-02-27

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US (1) US8157808B2 (ru)
EP (1) EP1922035B1 (ru)
JP (1) JP5099521B2 (ru)
KR (1) KR101317052B1 (ru)
CN (1) CN101257867B (ru)
AU (1) AU2006289304B2 (ru)
BR (1) BRPI0614856A2 (ru)
CA (1) CA2621008C (ru)
DE (1) DE202005014270U1 (ru)
ES (1) ES2458302T3 (ru)
RU (1) RU2412675C2 (ru)
WO (1) WO2007028588A2 (ru)
ZA (1) ZA200802154B (ru)

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NZ548878A (en) * 2006-08-01 2008-11-28 Enztec Ltd Improved impactor
US20080255565A1 (en) * 2006-11-20 2008-10-16 Fletcher Henry H Broach handle for minimally invasive hip replacement surgery
WO2015095745A1 (en) 2010-10-20 2015-06-25 206 Ortho, Inc. Method and apparatus for treating bone fractures, and/or for fortifying and/or augmenting bone, including the provision and use of composite implants, and novel composite structures which may be used for medical and non-medical applications
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AU2006289304A1 (en) 2007-03-15
CN101257867A (zh) 2008-09-03
WO2007028588A3 (de) 2007-06-28
KR20080043785A (ko) 2008-05-19
DE202005014270U1 (de) 2007-01-11
RU2412675C2 (ru) 2011-02-27
JP5099521B2 (ja) 2012-12-19
ZA200802154B (en) 2009-05-27
EP1922035B1 (de) 2014-01-22
CA2621008A1 (en) 2007-03-15
CA2621008C (en) 2013-01-08
JP2009507587A (ja) 2009-02-26
KR101317052B1 (ko) 2013-10-11
ES2458302T3 (es) 2014-04-30
US20080221576A1 (en) 2008-09-11
AU2006289304B2 (en) 2011-08-25
BRPI0614856A2 (pt) 2011-04-19
CN101257867B (zh) 2010-12-15
US8157808B2 (en) 2012-04-17
EP1922035A2 (de) 2008-05-21
WO2007028588A2 (de) 2007-03-15

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