WO2010059866A1 - Système de réparation intramédullaire pour fractures des vertèbres - Google Patents
Système de réparation intramédullaire pour fractures des vertèbres Download PDFInfo
- Publication number
- WO2010059866A1 WO2010059866A1 PCT/US2009/065206 US2009065206W WO2010059866A1 WO 2010059866 A1 WO2010059866 A1 WO 2010059866A1 US 2009065206 W US2009065206 W US 2009065206W WO 2010059866 A1 WO2010059866 A1 WO 2010059866A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- implant
- incremental
- elements
- volume
- fracture
- Prior art date
Links
- 230000008439 repair process Effects 0.000 title description 5
- 239000007943 implant Substances 0.000 claims abstract description 190
- 238000009825 accumulation Methods 0.000 claims abstract description 7
- 238000000034 method Methods 0.000 claims description 45
- 239000000463 material Substances 0.000 claims description 25
- 229910052751 metal Inorganic materials 0.000 claims description 23
- 239000002184 metal Substances 0.000 claims description 18
- 230000007246 mechanism Effects 0.000 claims description 15
- 239000002131 composite material Substances 0.000 claims description 7
- 229920000642 polymer Polymers 0.000 claims description 6
- 230000008468 bone growth Effects 0.000 claims description 5
- 230000001939 inductive effect Effects 0.000 claims description 5
- 239000007788 liquid Substances 0.000 claims description 5
- 230000000153 supplemental effect Effects 0.000 claims description 5
- 239000000499 gel Substances 0.000 claims description 3
- 239000006072 paste Substances 0.000 claims description 3
- 239000002002 slurry Substances 0.000 claims description 3
- 210000000988 bone and bone Anatomy 0.000 description 42
- 206010017076 Fracture Diseases 0.000 description 40
- 208000010392 Bone Fractures Diseases 0.000 description 38
- 102000007350 Bone Morphogenetic Proteins Human genes 0.000 description 16
- 108010007726 Bone Morphogenetic Proteins Proteins 0.000 description 16
- 239000002639 bone cement Substances 0.000 description 16
- 229940112869 bone morphogenetic protein Drugs 0.000 description 16
- 229920003229 poly(methyl methacrylate) Polymers 0.000 description 16
- 239000004926 polymethyl methacrylate Substances 0.000 description 16
- 230000008569 process Effects 0.000 description 16
- 239000000017 hydrogel Substances 0.000 description 15
- 239000011159 matrix material Substances 0.000 description 15
- 210000000130 stem cell Anatomy 0.000 description 15
- 230000035515 penetration Effects 0.000 description 9
- 230000000975 bioactive effect Effects 0.000 description 6
- 230000009467 reduction Effects 0.000 description 6
- 206010041569 spinal fracture Diseases 0.000 description 6
- 238000001356 surgical procedure Methods 0.000 description 6
- 230000001054 cortical effect Effects 0.000 description 5
- 230000001965 increasing effect Effects 0.000 description 5
- 238000013459 approach Methods 0.000 description 4
- 150000002739 metals Chemical class 0.000 description 4
- 230000000149 penetrating effect Effects 0.000 description 4
- 210000004872 soft tissue Anatomy 0.000 description 4
- 229910001220 stainless steel Inorganic materials 0.000 description 4
- 239000010935 stainless steel Substances 0.000 description 4
- 239000004568 cement Substances 0.000 description 3
- 230000008878 coupling Effects 0.000 description 3
- 238000010168 coupling process Methods 0.000 description 3
- 238000005859 coupling reaction Methods 0.000 description 3
- 238000002594 fluoroscopy Methods 0.000 description 3
- 230000035876 healing Effects 0.000 description 3
- 239000012781 shape memory material Substances 0.000 description 3
- 239000004677 Nylon Substances 0.000 description 2
- 229920002614 Polyether block amide Polymers 0.000 description 2
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 2
- 229920000249 biocompatible polymer Polymers 0.000 description 2
- 239000000919 ceramic Substances 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 238000002788 crimping Methods 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 238000006073 displacement reaction Methods 0.000 description 2
- -1 for example Chemical class 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 239000000203 mixture Substances 0.000 description 2
- 229920001778 nylon Polymers 0.000 description 2
- 238000004806 packaging method and process Methods 0.000 description 2
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 2
- 239000012858 resilient material Substances 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 239000010936 titanium Substances 0.000 description 2
- 229910052719 titanium Inorganic materials 0.000 description 2
- 208000031872 Body Remains Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 239000000945 filler Substances 0.000 description 1
- 239000011440 grout Substances 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 230000013011 mating Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 1
- 229910001000 nickel titanium Inorganic materials 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 229910052697 platinum Inorganic materials 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 238000004080 punching Methods 0.000 description 1
- 238000007634 remodeling Methods 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- WFKWXMTUELFFGS-UHFFFAOYSA-N tungsten Chemical compound [W] WFKWXMTUELFFGS-UHFFFAOYSA-N 0.000 description 1
- 229910052721 tungsten Inorganic materials 0.000 description 1
- 239000010937 tungsten Substances 0.000 description 1
- 238000012800 visualization Methods 0.000 description 1
- 239000011800 void material Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, setting implements or the like
- 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 ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7094—Solid vertebral fillers; devices for inserting such fillers
- A61B17/7095—Solid vertebral fillers; devices for inserting such fillers the filler comprising unlinked macroscopic particles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- 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, setting implements or the like
- A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
- A61B17/885—Tools for expanding or compacting bones or discs or cavities therein
- A61B17/8852—Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc
Definitions
- FIGS. 4A and 4B are, respectively, a side isometric view of the implant exiting a delivery tubular body (e.g., trocar, introducer sheath, needle, etc.) and a transverse cross sectional view of the tubular body and implant as taken along section line 4B-4B in FIG. 4A.
- a delivery tubular body e.g., trocar, introducer sheath, needle, etc.
- the implant 20 of FIGS. 2A-2B may have a mechanism for deployment that is generally automatic.
- FIGS. 19A-19B which are side views of an implant 610 in a deliverable state and a deployed state, respectively, the implant 610 has plates 20 similar to the implant 10 depicted in FIGS. 2A-2B, but the implant 610 employs one or more helical springs 615 in place of the jack 30 employed in the implant of FIGS. 2A-2B.
- the implant 610 may employ a leaf spring 620 instead of the helical springs 615.
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (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)
- Prostheses (AREA)
Abstract
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP09828244A EP2379014A1 (fr) | 2008-11-19 | 2009-11-19 | Système de réparation intramédullaire pour fractures des vertèbres |
CN2009801549206A CN102281837A (zh) | 2008-11-19 | 2009-11-19 | 用于椎骨骨折的髓内修复系统 |
JP2011537630A JP2012509157A (ja) | 2008-11-19 | 2009-11-19 | 椎骨骨折部用髄内修復システム |
CA2744329A CA2744329A1 (fr) | 2008-11-19 | 2009-11-19 | Systeme de reparation intramedullaire pour fractures des vertebres |
AU2009316491A AU2009316491A1 (en) | 2008-11-19 | 2009-11-19 | Intramedullary repair system for vertebra fractures |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11607408P | 2008-11-19 | 2008-11-19 | |
US61/116,074 | 2008-11-19 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2010059866A1 true WO2010059866A1 (fr) | 2010-05-27 |
Family
ID=42198502
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2009/065206 WO2010059866A1 (fr) | 2008-11-19 | 2009-11-19 | Système de réparation intramédullaire pour fractures des vertèbres |
Country Status (7)
Country | Link |
---|---|
US (1) | US20100137987A1 (fr) |
EP (2) | EP2355726B1 (fr) |
JP (2) | JP2012509157A (fr) |
CN (2) | CN102281829A (fr) |
AU (2) | AU2009316485B2 (fr) |
CA (2) | CA2744329A1 (fr) |
WO (1) | WO2010059866A1 (fr) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2013540489A (ja) * | 2010-09-20 | 2013-11-07 | 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 | 外科用植え込み片の2つ以上のセグメントを接続する方法 |
Families Citing this family (30)
Publication number | Priority date | Publication date | Assignee | Title |
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US9039768B2 (en) | 2006-12-22 | 2015-05-26 | Medos International Sarl | Composite vertebral spacers and instrument |
US20090248092A1 (en) * | 2008-03-26 | 2009-10-01 | Jonathan Bellas | Posterior Intervertebral Disc Inserter and Expansion Techniques |
US9474556B2 (en) * | 2008-11-19 | 2016-10-25 | Endoorthopaedics, Inc. | Intramedullary repair system for bone fractures |
US9119725B2 (en) * | 2008-12-22 | 2015-09-01 | DePuy Synthes Products, Inc. | Expandable vertebral body replacement system and method |
US9526620B2 (en) | 2009-03-30 | 2016-12-27 | DePuy Synthes Products, Inc. | Zero profile spinal fusion cage |
US9393129B2 (en) | 2009-12-10 | 2016-07-19 | DePuy Synthes Products, Inc. | Bellows-like expandable interbody fusion cage |
US20120078373A1 (en) | 2010-09-23 | 2012-03-29 | Thomas Gamache | Stand alone intervertebral fusion device |
US20120078372A1 (en) | 2010-09-23 | 2012-03-29 | Thomas Gamache | Novel implant inserter having a laterally-extending dovetail engagement feature |
US11529241B2 (en) | 2010-09-23 | 2022-12-20 | DePuy Synthes Products, Inc. | Fusion cage with in-line single piece fixation |
JP5885270B2 (ja) | 2010-10-05 | 2016-03-15 | ロリオ,モーガン,ピー. | 椎間装置とその使用方法 |
CN103619272B (zh) | 2010-10-05 | 2016-10-19 | 摩根·P·洛里奥 | 最小侵入椎间的系统和方法 |
EP2661241B1 (fr) * | 2011-01-05 | 2016-09-14 | Milux Holding SA | Dispositif pour articulation du genou |
WO2012112592A2 (fr) * | 2011-02-14 | 2012-08-23 | Medicinelodge, Inc Dba Imds Co-Innovation | Espaceur intervertébral extensible |
US20130116791A1 (en) * | 2011-11-04 | 2013-05-09 | Boo Holdings, Llc | Expandable intervertebral spacer implant |
US9271836B2 (en) | 2012-03-06 | 2016-03-01 | DePuy Synthes Products, Inc. | Nubbed plate |
GB201209809D0 (en) * | 2012-06-01 | 2012-07-18 | Depuy Ireland Ltd | Surgical instrument |
US9138325B2 (en) * | 2012-07-11 | 2015-09-22 | Globus Medical, Inc. | Lamina implant and method |
US10182921B2 (en) | 2012-11-09 | 2019-01-22 | DePuy Synthes Products, Inc. | Interbody device with opening to allow packing graft and other biologics |
US8828085B1 (en) * | 2013-03-15 | 2014-09-09 | Wade K. Jensen | Hinged spinal insert device |
US10016280B2 (en) * | 2013-03-15 | 2018-07-10 | Wade K. Jensen | Method for spinal adjustment using hinged spinal insert device |
US9788971B1 (en) | 2013-05-22 | 2017-10-17 | Nuvasive, Inc. | Expandable fusion implant and related methods |
KR101689771B1 (ko) * | 2015-03-19 | 2016-12-26 | (의료)길의료재단 | 정형외과용 잠김 금속판 나사 및 이를 포함하는 로봇 픽업 시스템 |
JP6949725B2 (ja) | 2015-05-12 | 2021-10-13 | ニューヴェイジヴ,インコーポレイテッド | 拡張可能な脊柱前彎椎間インプラント |
US10729554B2 (en) | 2015-10-09 | 2020-08-04 | DePuy Synthes Products, Inc. | Expandable trials |
BR112018013418A2 (pt) | 2015-12-30 | 2018-12-11 | Nuvasive Inc | implante lordótico expansível de fusão |
US10940016B2 (en) | 2017-07-05 | 2021-03-09 | Medos International Sarl | Expandable intervertebral fusion cage |
AU2018388574B2 (en) | 2017-12-18 | 2024-05-02 | Nuvasive, Inc. | Expandable implant device |
CN108523982B (zh) * | 2018-03-16 | 2023-12-22 | 河北医科大学第三医院 | 一种在桡骨复杂骨折复位手术中使用的牵开复位装置 |
US12011370B2 (en) * | 2022-06-30 | 2024-06-18 | Ingeniumspine, LLC | Expandable vertebral spacer with four locking mechanisms |
US11737892B1 (en) * | 2023-01-18 | 2023-08-29 | Ingeniumspine, LLC | Intervertebral spacer with ramped integral expansion mechanism and stepped locking mechanism |
Citations (6)
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US20040097930A1 (en) * | 2002-08-27 | 2004-05-20 | Justis Jeff R. | Systems and methods for intravertebral reduction |
US20050113924A1 (en) * | 2003-08-07 | 2005-05-26 | Dynamic Spine, Inc. | Apparatus and method for performing spinal surgery |
US20050278036A1 (en) * | 2004-06-09 | 2005-12-15 | Ceravic | Method for restoration of human or animal bone anatomy, and expansible prosthetic implant allowing implementation of this method |
US20070055274A1 (en) * | 2005-06-20 | 2007-03-08 | Andreas Appenzeller | Apparatus and methods for treating bone |
US20070233146A1 (en) * | 2006-01-27 | 2007-10-04 | Stryker Corporation | Low pressure delivery system and method for delivering a solid and liquid mixture into a target site for medical treatment |
US20080147075A1 (en) * | 2000-01-14 | 2008-06-19 | Peter M Bonutti | Minimally Invasive Surgical Systems and Methods |
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US4190044A (en) * | 1978-08-16 | 1980-02-26 | Wood Eugene W | Telescoping intermedullary pin |
US4787907A (en) * | 1987-02-03 | 1988-11-29 | Techmedica, Inc. | Morse taper |
EP0450075A4 (en) * | 1989-10-23 | 1992-03-25 | Nauchno-Issledovatelsky Institut Radiofiziki Imeni Akademika A.A.Raspletina | Apparatus for osteosynthesis |
DE19633865A1 (de) * | 1996-08-16 | 1998-02-19 | Guenter Prof Dr Med Lob | Endoprothese |
US6602293B1 (en) * | 1996-11-01 | 2003-08-05 | The Johns Hopkins University | Polymeric composite orthopedic implant |
DE19912696A1 (de) * | 1999-03-20 | 2000-10-05 | Scholz Werner | Marknagel |
US20060149257A1 (en) * | 2002-05-30 | 2006-07-06 | Orbay Jorge L | Fracture fixation device |
US7060067B2 (en) * | 2002-08-16 | 2006-06-13 | Sdgi Holdings, Inc. | Systems, instrumentation and techniques for retaining fasteners relative to a bone plate |
US7476225B2 (en) * | 2003-03-14 | 2009-01-13 | J. Dean Cole | Percutaneous fixator method of insertion |
FR2861577B1 (fr) * | 2003-11-05 | 2006-02-10 | Ceravic | Orthese implantable et kit chirurgical pour l'arthrodese du genou |
CA2552727A1 (fr) * | 2004-01-16 | 2005-08-04 | Expanding Orthopedics, Inc. | Dispositifs de traitement de fractures de l'os |
ATE548992T1 (de) * | 2005-01-19 | 2012-03-15 | Nexgen Spine Inc | Befestigung von elastomer auf starren strukturen |
US8758343B2 (en) * | 2005-04-27 | 2014-06-24 | DePuy Synthes Products, LLC | Bone fixation apparatus |
US7785326B2 (en) * | 2005-10-14 | 2010-08-31 | Green Daniel W | System for intramedullary rod fixation and method therefor |
US20070118129A1 (en) * | 2005-11-22 | 2007-05-24 | Depuy Spine, Inc. | Implant fixation methods and apparatus |
US7513899B2 (en) * | 2006-01-27 | 2009-04-07 | Howmedica Osteonics Corp. | Acetabular reamer connection mechanism |
US20080027559A1 (en) * | 2006-07-31 | 2008-01-31 | Zimmer Technology, Inc. | Variable stiffness intramedullary stem |
US7988691B2 (en) * | 2007-02-13 | 2011-08-02 | Depuy Products, Inc. | Orthopaedic trauma bone plate kit |
US9474556B2 (en) * | 2008-11-19 | 2016-10-25 | Endoorthopaedics, Inc. | Intramedullary repair system for bone fractures |
-
2009
- 2009-11-19 WO PCT/US2009/065206 patent/WO2010059866A1/fr active Application Filing
- 2009-11-19 EP EP09828240.3A patent/EP2355726B1/fr active Active
- 2009-11-19 JP JP2011537630A patent/JP2012509157A/ja not_active Withdrawn
- 2009-11-19 AU AU2009316485A patent/AU2009316485B2/en active Active
- 2009-11-19 EP EP09828244A patent/EP2379014A1/fr not_active Withdrawn
- 2009-11-19 CN CN2009801549193A patent/CN102281829A/zh active Pending
- 2009-11-19 CA CA2744329A patent/CA2744329A1/fr not_active Abandoned
- 2009-11-19 CN CN2009801549206A patent/CN102281837A/zh active Pending
- 2009-11-19 US US12/622,320 patent/US20100137987A1/en not_active Abandoned
- 2009-11-19 JP JP2011537628A patent/JP5734864B2/ja active Active
- 2009-11-19 AU AU2009316491A patent/AU2009316491A1/en not_active Abandoned
- 2009-11-19 CA CA2744328A patent/CA2744328A1/fr not_active Abandoned
Patent Citations (6)
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US20080147075A1 (en) * | 2000-01-14 | 2008-06-19 | Peter M Bonutti | Minimally Invasive Surgical Systems and Methods |
US20040097930A1 (en) * | 2002-08-27 | 2004-05-20 | Justis Jeff R. | Systems and methods for intravertebral reduction |
US20050113924A1 (en) * | 2003-08-07 | 2005-05-26 | Dynamic Spine, Inc. | Apparatus and method for performing spinal surgery |
US20050278036A1 (en) * | 2004-06-09 | 2005-12-15 | Ceravic | Method for restoration of human or animal bone anatomy, and expansible prosthetic implant allowing implementation of this method |
US20070055274A1 (en) * | 2005-06-20 | 2007-03-08 | Andreas Appenzeller | Apparatus and methods for treating bone |
US20070233146A1 (en) * | 2006-01-27 | 2007-10-04 | Stryker Corporation | Low pressure delivery system and method for delivering a solid and liquid mixture into a target site for medical treatment |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2013540489A (ja) * | 2010-09-20 | 2013-11-07 | 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 | 外科用植え込み片の2つ以上のセグメントを接続する方法 |
US9956014B2 (en) | 2010-09-20 | 2018-05-01 | DePuy Synthes Products, Inc. | Method for joining two or more segments of a surgical implant |
KR101927682B1 (ko) * | 2010-09-20 | 2018-12-12 | 신세스 게엠바하 | 외과용 임플란트의 두 개 이상의 조각을 연결하는 방법 |
Also Published As
Publication number | Publication date |
---|---|
EP2379014A1 (fr) | 2011-10-26 |
EP2355726A4 (fr) | 2014-07-16 |
JP2012509156A (ja) | 2012-04-19 |
JP2012509157A (ja) | 2012-04-19 |
EP2355726A1 (fr) | 2011-08-17 |
CN102281837A (zh) | 2011-12-14 |
AU2009316491A1 (en) | 2010-05-27 |
JP5734864B2 (ja) | 2015-06-17 |
CA2744329A1 (fr) | 2010-05-27 |
CA2744328A1 (fr) | 2010-05-27 |
AU2009316485B2 (en) | 2013-12-19 |
CN102281829A (zh) | 2011-12-14 |
AU2009316485A1 (en) | 2010-05-27 |
EP2355726B1 (fr) | 2017-04-19 |
US20100137987A1 (en) | 2010-06-03 |
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