IN2012DN03218A - - Google Patents
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- Publication number
- IN2012DN03218A IN2012DN03218A IN3218DEN2012A IN2012DN03218A IN 2012DN03218 A IN2012DN03218 A IN 2012DN03218A IN 3218DEN2012 A IN3218DEN2012 A IN 3218DEN2012A IN 2012DN03218 A IN2012DN03218 A IN 2012DN03218A
- Authority
- IN
- India
- Prior art keywords
- implant
- rim
- fastener
- extension
- edge
- Prior art date
Links
Classifications
-
- 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
- A61F2/28—Bones
- A61F2/2875—Skull or cranium
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
- A61B17/17—Guides or aligning means for drills, mills, pins or wires
- A61B17/1739—Guides or aligning means for drills, mills, pins or wires specially adapted for particular parts of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- 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 or setting implements
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/84—Fasteners therefor or fasteners being internal fixation devices
- A61B17/86—Pins or screws or threaded wires; nuts 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
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30772—Apertures or holes, e.g. of circular cross section
- A61F2002/30774—Apertures or holes, e.g. of circular cross section internally-threaded
-
- 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
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30772—Apertures or holes, e.g. of circular cross section
- A61F2002/30784—Plurality of holes
- A61F2002/30787—Plurality of holes inclined obliquely with respect to each other
-
- 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
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30772—Apertures or holes, e.g. of circular cross section
- A61F2002/3079—Stepped or enlarged apertures, e.g. having discrete diameter changes
-
- 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
- A61F2/3094—Designing or manufacturing processes
- A61F2/30942—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques
- A61F2002/30948—Designing or manufacturing processes for designing or making customized prostheses, e.g. using templates, CT or NMR scans, finite-element analysis or CAD-CAM techniques using computerized tomography, i.e. CT scans
-
- 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
- A61F2310/00179—Ceramics or ceramic-like structures
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Veterinary Medicine (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Transplantation (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Dentistry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Neurosurgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Abstract
An Implant, such as a cranial implant (3), for attachment to a defect (2) in a bone structure (1) having an edge (4) is described. The implant comprises a direction of extension and a rim (5) extending substantially perpendicular to the direction of extension of the implant. The rim is configured to be attached to the edge of the bone structure and comprises at least one mounting portion (6) configured to accommodate a fastener (7) such that at least a portion (7B) of the fastener is extendible in a direction extending away from the rim at an angle (a) which is at most acute with respect to the direction of extension of the implant. The implant is configured such that upon placing the implant in the defect, the fastener is extendible into the edge of the bone defect in a controllable manner.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| EP09171189 | 2009-09-24 | ||
| PCT/EP2010/063887 WO2011036148A1 (en) | 2009-09-24 | 2010-09-21 | Cranial implant |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| IN2012DN03218A true IN2012DN03218A (en) | 2015-10-23 |
Family
ID=41694919
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| IN3218DEN2012 IN2012DN03218A (en) | 2009-09-24 | 2010-09-21 |
Country Status (10)
| Country | Link |
|---|---|
| US (2) | US9744042B2 (en) |
| EP (1) | EP2480170B1 (en) |
| JP (1) | JP5676619B2 (en) |
| CN (1) | CN102596103B (en) |
| AU (1) | AU2010299948B2 (en) |
| BR (1) | BR112012006526B8 (en) |
| ES (1) | ES2481872T3 (en) |
| IN (1) | IN2012DN03218A (en) |
| RU (1) | RU2545445C2 (en) |
| WO (1) | WO2011036148A1 (en) |
Families Citing this family (32)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20120172711A1 (en) * | 2009-02-04 | 2012-07-05 | Marshall Kerr | Injectable Vascular Access Port with Discernable Markers for Identification |
| IN2012DN03218A (en) | 2009-09-24 | 2015-10-23 | Academisch Ziekenhuis Maastricht | |
| CN102490350B (en) * | 2011-10-10 | 2014-12-17 | 黄登峰 | Process using poly ether ether ketone (PEEK) materials to manufacture cerebral cranium bones and special equipment and application thereof |
| EP2786854B1 (en) * | 2011-11-29 | 2018-02-14 | Wuhan Constant Science and Technology Ltd. | Process utilizing peek material to manufacture cerebral cranium bone and special equipment |
| JP5997934B2 (en) * | 2012-05-25 | 2016-09-28 | 京セラメディカル株式会社 | Skull plate |
| US9216084B2 (en) | 2013-08-09 | 2015-12-22 | Howmedica Osteonics Corp. | Patient-specific craniofacial implants |
| US10639158B2 (en) | 2013-08-09 | 2020-05-05 | Plastic Surgery Llc | Patient-specific craniofacial implants |
| FR3010628B1 (en) | 2013-09-18 | 2015-10-16 | Medicrea International | METHOD FOR REALIZING THE IDEAL CURVATURE OF A ROD OF A VERTEBRAL OSTEOSYNTHESIS EQUIPMENT FOR STRENGTHENING THE VERTEBRAL COLUMN OF A PATIENT |
| FR3012030B1 (en) | 2013-10-18 | 2015-12-25 | Medicrea International | METHOD FOR REALIZING THE IDEAL CURVATURE OF A ROD OF A VERTEBRAL OSTEOSYNTHESIS EQUIPMENT FOR STRENGTHENING THE VERTEBRAL COLUMN OF A PATIENT |
| EP3171800B1 (en) | 2014-07-24 | 2018-09-12 | Xilloc Medical B.V. | Implant with suture anchors and method |
| JP6632313B2 (en) * | 2015-10-16 | 2020-01-22 | HOYA Technosurgical株式会社 | Implant |
| EP3370657B1 (en) | 2015-11-04 | 2023-12-27 | Medicrea International | Apparatus for spinal reconstructive surgery and measuring spinal length |
| US20180042726A1 (en) * | 2015-11-25 | 2018-02-15 | Michael J. Yaremchuk | Cranial implant |
| WO2017190126A1 (en) * | 2016-04-29 | 2017-11-02 | University Of Iowa Research Foundation | Rapid matching process for cranioplasty plates and template |
| US10912648B2 (en) | 2016-08-30 | 2021-02-09 | Longeviti Neuro Solutions Llc | Method for manufacturing a low-profile intercranial device and the low-profile intercranial device manufactured thereby |
| WO2018109556A1 (en) | 2016-12-12 | 2018-06-21 | Medicrea International | Systems and methods for patient-specific spinal implants |
| RU175525U1 (en) * | 2017-02-09 | 2017-12-07 | Общество с ограниченной ответственностью "Айкон Лаб ГмбХ" | COMBINED IMPLANT FOR RECONSTRUCTION OF SKULL BASIS DEFECTS |
| EP4108201B1 (en) | 2017-04-21 | 2024-03-27 | Medicrea International | A system for developing one or more patient-specific spinal implants |
| US10918422B2 (en) | 2017-12-01 | 2021-02-16 | Medicrea International | Method and apparatus for inhibiting proximal junctional failure |
| FR3078879B1 (en) | 2018-03-14 | 2020-03-06 | Assistance Publique Hopitaux De Paris | SURGICAL KIT TO BE USED DURING A CRANIECTOMY PROCEDURE |
| CN213217528U (en) * | 2018-03-20 | 2021-05-18 | 姜国 | Skull decompression connector |
| DE102018121553A1 (en) * | 2018-09-04 | 2020-03-05 | Karl Leibinger Medizintechnik Gmbh & Co. Kg | Bone implant for the reconstruction of a bony defect and for guiding a marking and / or processing tool for transferring the necessary osteotomy situations |
| WO2020201353A1 (en) | 2019-04-02 | 2020-10-08 | Medicrea International | Systems, methods, and devices for developing patient-specific spinal implants, treatments, operations, and/or procedures |
| US11944385B2 (en) | 2019-04-02 | 2024-04-02 | Medicrea International | Systems and methods for medical image analysis |
| US11925417B2 (en) | 2019-04-02 | 2024-03-12 | Medicrea International | Systems, methods, and devices for developing patient-specific spinal implants, treatments, operations, and/or procedures |
| FR3103389B1 (en) | 2019-11-25 | 2022-09-09 | Carthera | IMPLANTABLE MEDICAL DEVICE FOR IMAGING AND/OR TREATMENT OF BRAIN TISSUE |
| US11769251B2 (en) | 2019-12-26 | 2023-09-26 | Medicrea International | Systems and methods for medical image analysis |
| JP2023514442A (en) * | 2020-02-24 | 2023-04-05 | アキュームド・エルエルシー | Craniofacial implant for neuroplasty |
| US12318144B2 (en) | 2021-06-23 | 2025-06-03 | Medicrea International SA | Systems and methods for planning a patient-specific spinal correction |
| USD955582S1 (en) | 2021-11-02 | 2022-06-21 | CraniUS LLC | Cranial implant |
| CN114404113A (en) * | 2022-01-30 | 2022-04-29 | 宁波市第一医院 | Cranial implant |
| CN115040192A (en) * | 2022-06-14 | 2022-09-13 | 苏州医典医疗器械有限公司 | Subdural drilling drainage bone hole cover hole plate assembly and using method thereof |
Family Cites Families (25)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CH645264A5 (en) * | 1980-05-28 | 1984-09-28 | Straumann Inst Ag | FITTING WITH A PLATE AND SCREWS THAT FIX IT TO A BONE. |
| SU942708A1 (en) * | 1980-07-24 | 1982-07-15 | Кемеровский государственный медицинский институт | Cranioplasty method |
| US4629451A (en) * | 1985-09-23 | 1986-12-16 | Victory Engineering Corp. | Stereotaxic array plug |
| DE4111856C1 (en) * | 1991-04-11 | 1992-07-16 | Oswald Leibinger Gmbh, 7202 Muehlheim, De | |
| US5569250A (en) * | 1994-03-01 | 1996-10-29 | Sarver; David R. | Method and apparatus for securing adjacent bone portions |
| US5501685A (en) | 1994-04-26 | 1996-03-26 | Spetzler; Robert F. | Method for securing a cranial piece in position |
| US5954723A (en) * | 1994-04-26 | 1999-09-21 | Spetzler; Robert F. | Method and apparatus for securing a cranial plate with pins |
| RU2133113C1 (en) * | 1997-11-20 | 1999-07-20 | Государственный научно-клинический центр охраны здоровья шахтеров | Device for endoprosthetics of cranial bones defects |
| US6197030B1 (en) * | 1997-12-30 | 2001-03-06 | Christopher J. Pham | Elastic loaded retractable pin device for cranial bone attachment |
| DE19907354C2 (en) * | 1999-02-20 | 2002-11-28 | Aesculap Ag & Co Kg | Implant to fix a bone plate |
| US6179839B1 (en) * | 1999-09-20 | 2001-01-30 | Kinetikos Medical Incorporated | Bone fusion apparatus and method |
| US6379363B1 (en) * | 1999-09-24 | 2002-04-30 | Walter Lorenz Surgical, Inc. | Method and apparatus for reattachment of a cranial flap using a cranial clamp |
| RU2181298C2 (en) * | 1999-10-13 | 2002-04-20 | Кемеровская городская клиническая больница № 3 им. М.А. Подгорбунского | Method for substituting cranial bone defect |
| US6190389B1 (en) | 1999-11-09 | 2001-02-20 | Bioplate, Inc. | Bone alignment and fixation device and method |
| US6618623B1 (en) | 2000-11-28 | 2003-09-09 | Neuropace, Inc. | Ferrule for cranial implant |
| JP2003070816A (en) | 2001-08-30 | 2003-03-11 | Pentax Corp | Implant design method and implant |
| DE10205912A1 (en) | 2002-02-13 | 2003-08-21 | Leibinger Medizintech | Re-fixing appliance for skull-cap removed after craniotomy consists of circular head part, main body and cutting edges, with incisions for inserting tool |
| DE60335005D1 (en) * | 2002-07-22 | 2010-12-30 | Acumed Llc | BONE FUSION SYSTEM |
| JP2006506194A (en) * | 2002-11-19 | 2006-02-23 | アキュームド・エルエルシー | Deformable bone plate |
| US8298292B2 (en) * | 2003-04-16 | 2012-10-30 | Howmedica Osteonics Corp. | Craniofacial implant |
| WO2005074580A2 (en) * | 2004-02-02 | 2005-08-18 | Acumed Llc | Bone plate with toothed aperture |
| US20070162017A1 (en) * | 2005-11-28 | 2007-07-12 | Gambale Michael A | Method and apparatus for treatment of bones |
| US20060287654A1 (en) * | 2006-08-11 | 2006-12-21 | Jeffrey Posnick | Implant securing device and method |
| ES2364161T3 (en) * | 2007-07-10 | 2011-08-26 | Maastricht Instruments B.V. | CRANIAL IMPLANT. |
| IN2012DN03218A (en) | 2009-09-24 | 2015-10-23 | Academisch Ziekenhuis Maastricht |
-
2010
- 2010-09-21 IN IN3218DEN2012 patent/IN2012DN03218A/en unknown
- 2010-09-21 JP JP2012530244A patent/JP5676619B2/en not_active Expired - Fee Related
- 2010-09-21 CN CN201080050794.2A patent/CN102596103B/en not_active Expired - Fee Related
- 2010-09-21 RU RU2012114921/14A patent/RU2545445C2/en active
- 2010-09-21 BR BR112012006526A patent/BR112012006526B8/en not_active IP Right Cessation
- 2010-09-21 ES ES10754532.9T patent/ES2481872T3/en active Active
- 2010-09-21 EP EP10754532.9A patent/EP2480170B1/en not_active Not-in-force
- 2010-09-21 US US13/497,532 patent/US9744042B2/en not_active Expired - Fee Related
- 2010-09-21 WO PCT/EP2010/063887 patent/WO2011036148A1/en not_active Ceased
- 2010-09-21 AU AU2010299948A patent/AU2010299948B2/en not_active Ceased
-
2017
- 2017-08-22 US US15/683,499 patent/US10383732B2/en not_active Expired - Fee Related
Also Published As
| Publication number | Publication date |
|---|---|
| AU2010299948B2 (en) | 2015-08-20 |
| US20180028318A1 (en) | 2018-02-01 |
| WO2011036148A1 (en) | 2011-03-31 |
| AU2010299948A1 (en) | 2012-04-12 |
| CN102596103B (en) | 2015-06-17 |
| EP2480170B1 (en) | 2014-04-30 |
| BR112012006526A2 (en) | 2016-04-26 |
| US20120203289A1 (en) | 2012-08-09 |
| JP5676619B2 (en) | 2015-02-25 |
| US10383732B2 (en) | 2019-08-20 |
| EP2480170A1 (en) | 2012-08-01 |
| RU2012114921A (en) | 2013-10-27 |
| BR112012006526B8 (en) | 2021-06-22 |
| RU2545445C2 (en) | 2015-03-27 |
| ES2481872T3 (en) | 2014-07-31 |
| BR112012006526B1 (en) | 2020-10-13 |
| CN102596103A (en) | 2012-07-18 |
| JP2013505754A (en) | 2013-02-21 |
| US9744042B2 (en) | 2017-08-29 |
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