CA2617299A1 - Surgical stapling and cutting device and method for using the device - Google Patents
Surgical stapling and cutting device and method for using the device Download PDFInfo
- Publication number
- CA2617299A1 CA2617299A1 CA002617299A CA2617299A CA2617299A1 CA 2617299 A1 CA2617299 A1 CA 2617299A1 CA 002617299 A CA002617299 A CA 002617299A CA 2617299 A CA2617299 A CA 2617299A CA 2617299 A1 CA2617299 A1 CA 2617299A1
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- CA
- Canada
- Prior art keywords
- end effector
- articulation joint
- medical device
- articulation
- control handle
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00389—Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07271—Stapler heads characterised by its cartridge
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07285—Stapler heads characterised by its cutter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2927—Details of heads or jaws the angular position of the head being adjustable with respect to the shaft
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2931—Details of heads or jaws with releasable head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320052—Guides for cutting instruments
Abstract
A medical device (1000) comprises a laparoscopic shaft (226, 1110, 1130) having proximal and distal ends and defining a shaft axis, a surgical end effector (1002, 1020, 1030, 1040) at the distal end of the shaft (226, 1110, 1130), a locking device (120, 1120) operable to selectively unlock the end effector (1002, 1020, 1030, 1040) when actuated, and a rotating knob (1100) at the proximal end of the shaft (226, 1110, 1130). The rotating knob (1100) comprises a bias device that imparts a biasing force on the rotating knob (1100) in a distal direction, the rotating knob (1100) rotating the end effector (1002, 1020, 1030, 1040) with respect to the shaft (226, 1110, 1130) about the shaft axis when rotated, and actuating the locking device (120, 1120) when slid in a proximal direction to overcome the biasing force.
Claims (41)
1. A medical device end effector connection assembly, comprising:
a passive articulation joint for connecting an end effector to a control handle.
a passive articulation joint for connecting an end effector to a control handle.
2. In a medical device having an end effector connected to a control handle, an end effector connection assembly comprising:
a passive articulation joint connecting the end effector to the control handle.
a passive articulation joint connecting the end effector to the control handle.
3. A medical device, comprising:
a control handle; and a surgical end effector connected to said control handle through a passive articulating connection.
a control handle; and a surgical end effector connected to said control handle through a passive articulating connection.
4. A medical device, comprising:
a control handle; and a surgical end effector passively articulated with respect to said control handle.
a control handle; and a surgical end effector passively articulated with respect to said control handle.
5. A medical device, comprising:
a control handle having a first portion of a passive articulation joint; and a surgical end effector having a second portion of said passive articulation joint, said first and second portions of said passive articulation joint connecting said end effector to said control handle.
a control handle having a first portion of a passive articulation joint; and a surgical end effector having a second portion of said passive articulation joint, said first and second portions of said passive articulation joint connecting said end effector to said control handle.
6. A medical device, comprising:
a control handle; and a surgical end effector having a passive articulation joint connecting said end effector to said control handle.
a control handle; and a surgical end effector having a passive articulation joint connecting said end effector to said control handle.
7. A medical device, comprising:
a control handle;
a surgical end effector; and a passive articulating joint connecting said end effector to said control handle.
a control handle;
a surgical end effector; and a passive articulating joint connecting said end effector to said control handle.
8. The medical device according to claim 7, wherein said control handle has an articulation joint actuator connected to said passive articulation joint to change an articulation state of said passive articulation joint.
9. The medical device according to claim 8, wherein said passive articulation joint:
articulatingly holds said end effector in position when said articulation joint actuator is not actuated; and articulatingly releases said end effector when said articulation joint actuator is actuated.
articulatingly holds said end effector in position when said articulation joint actuator is not actuated; and articulatingly releases said end effector when said articulation joint actuator is actuated.
10. The medical device according to claim 8, wherein said passive articulation joint:
articulatingly holds said end effector in a given articulated position when said articulation joint actuator is not actuated;
and articulatingly releases said end effector to articulate freely when said articulation joint actuator is actuated.
articulatingly holds said end effector in a given articulated position when said articulation joint actuator is not actuated;
and articulatingly releases said end effector to articulate freely when said articulation joint actuator is actuated.
11. The medical device according to claim 8, wherein said articulation joint actuator causes said passive articulation joint :
to articulatingly hold said end effector in position when said articulation joint actuator is not actuated: and to articulatingly release said end effector when said articulation joint actuator is actuated.
to articulatingly hold said end effector in position when said articulation joint actuator is not actuated: and to articulatingly release said end effector when said articulation joint actuator is actuated.
12. The medical device according to claim 7, wherein actuation of at least a part of said control handle articulatingly frees said passive articulation joint when said part is actuated.
13. The medical device according to claim 7, wherein actuation of at least a part of said control handle releases said passive articulation joint to freely articulate when said part is actuated.
14. The medical device according to claim 7, wherein said control handle has an articulation joint actuator holding said passive articulation joint in position when not actuated and releasing said passive articulation joint when actuated.
15. The medical device according to claim 7, wherein said control handle articulatingly releases said passive articulation joint when actuated.
16. The medical device according to claim 7, wherein:
said control handle has an articulation joint actuator having an unactuated state and an actuated state;
said end effector has an articulation lock with a locked articulation state and an unlocked articulation state; and said articulation joint actuator:
changes said articulation lock from said locked articulation state to said unlocked articulation state when changed from said unactuated state to said actuated state;
and changes said articulation lock from said unlocked articulation state to said locked articulation state when changed from said actuated state to said unactuated state.
said control handle has an articulation joint actuator having an unactuated state and an actuated state;
said end effector has an articulation lock with a locked articulation state and an unlocked articulation state; and said articulation joint actuator:
changes said articulation lock from said locked articulation state to said unlocked articulation state when changed from said unactuated state to said actuated state;
and changes said articulation lock from said unlocked articulation state to said locked articulation state when changed from said actuated state to said unactuated state.
17. The medical device according to claim 8, wherein said articulation joint actuator has an unactuated state and an actuated state and articulatingly releases said passive articulation joint when in said actuated state.
18. The medical device according to claim 17, wherein said end effector articulates when:
said articulation joint actuator is actuated; and an external force is applied to said end effector.
said articulation joint actuator is actuated; and an external force is applied to said end effector.
19. The medical device according to claim 17, wherein said end effector freely articulates dependent upon forces acting upon said end effector when said articulation joint actuator is actuated.
20. The medical device according to claim 17, wherein said end effector:
freely responds to forces acting upon said end effector to cause articulation motion thereof when said articulation joint actuator is actuated; and is locked in a given articulation position when said articulation joint actuator is unactuated.
freely responds to forces acting upon said end effector to cause articulation motion thereof when said articulation joint actuator is actuated; and is locked in a given articulation position when said articulation joint actuator is unactuated.
21. The medical device according to claim 17, wherein:
said end effector is a surgical stapling end effector having at least one of a stapling device with staples and a cutting device with a blade; and said control handle has:
a stapler closing actuator closing said stapling device when actuated;
a staple firing actuator at least one of stapling said staples and cutting tissue with said cutting device when actuated; and said stapler closing actuator and said staple firing actuator are different from said articulation joint actuator.
said end effector is a surgical stapling end effector having at least one of a stapling device with staples and a cutting device with a blade; and said control handle has:
a stapler closing actuator closing said stapling device when actuated;
a staple firing actuator at least one of stapling said staples and cutting tissue with said cutting device when actuated; and said stapler closing actuator and said staple firing actuator are different from said articulation joint actuator.
22. The medical device according to claim 21, further comprising:
at least one first flexible beam connecting said control handle to said staple firing actuator through said passive articulation joint;
at least one second flexible beam longitudinally connecting said end effector to said control handle through said passive articulation joint; and said at least one first flexible beam and said at least one second flexible beam flexing in a corresponding way to an articulation of said passive articulation joint.
at least one first flexible beam connecting said control handle to said staple firing actuator through said passive articulation joint;
at least one second flexible beam longitudinally connecting said end effector to said control handle through said passive articulation joint; and said at least one first flexible beam and said at least one second flexible beam flexing in a corresponding way to an articulation of said passive articulation joint.
23. The medical device according to claim 7, wherein:
said control handle has a first longitudinal axis;
said end effector has a second longitudinal axis;
at least one of said control handle, said end effector, and said passive articulating joint has an alignment device; and said alignment device biases said end effector to substantially align said first and said longitudinal axes when said articulation joint actuator is actuated.
said control handle has a first longitudinal axis;
said end effector has a second longitudinal axis;
at least one of said control handle, said end effector, and said passive articulating joint has an alignment device; and said alignment device biases said end effector to substantially align said first and said longitudinal axes when said articulation joint actuator is actuated.
24. The medical device according to claim 23, wherein said alignment device is a center-biasing device.
25. The medical device according to claim 24, wherein said center-biasing device is a set of spring-loaded plungers disposed on opposing sides of said first longitudinal axis and independently urging said end effector to align said second longitudinal axis with said first longitudinal axis.
26. The medical device according to claim 8, wherein actuation of said articulation joint actuator removes an articulation lock on said end effector.
27. The medical device according to claim 8, wherein:
said articulation joint actuator has a pull-lock with distally directed teeth;
said passive articulation joint has a gear with proximally directed teeth interlocked with said distally directed teeth when said articulation joint actuator is unactuated; and said articulation joint actuator disengages said distally directed teeth from said proximally directed teeth to articulating unlock said end effector when said articulation joint actuator is unactuated.
said articulation joint actuator has a pull-lock with distally directed teeth;
said passive articulation joint has a gear with proximally directed teeth interlocked with said distally directed teeth when said articulation joint actuator is unactuated; and said articulation joint actuator disengages said distally directed teeth from said proximally directed teeth to articulating unlock said end effector when said articulation joint actuator is unactuated.
28. The medical device according to claim 8, wherein said articulation joint actuator is a pull-to-release and release-to-relock trigger assembly.
29. The medical device according to claim 7, wherein:
said passive articulation joint is a ball joint having:
a ball;
a cupping device; and a ball-cup locking device for locking and unlocking said ball and said cupping device with respect to one another, said ball-cup locking device being in a locked state when said control handle is in an unactuated state and in an unlocked state when said control handle is in an actuated state;
said end effector has one of said ball and said cupping device;
and said control handle has the other one of said ball and said cupping device.
said passive articulation joint is a ball joint having:
a ball;
a cupping device; and a ball-cup locking device for locking and unlocking said ball and said cupping device with respect to one another, said ball-cup locking device being in a locked state when said control handle is in an unactuated state and in an unlocked state when said control handle is in an actuated state;
said end effector has one of said ball and said cupping device;
and said control handle has the other one of said ball and said cupping device.
30. The medical device according to claim 29, wherein said ball is removably connected to said cupping device.
31. The medical device according to claim 29, wherein:
said end effector has two longitudinal ends; and said ball is two balls, each of said two balls being disposed on one of said two longitudinal ends; and said two balls are each removably connectable to said cupping device.
said end effector has two longitudinal ends; and said ball is two balls, each of said two balls being disposed on one of said two longitudinal ends; and said two balls are each removably connectable to said cupping device.
32. A medical device, comprising:
a control handle having an articulation joint actuator, said articulation joint actuator having an unactuated state and an actuated state;
a surgical end effector;
a passive articulating joint connecting said end effector to said control handle; and said articulation joint actuator:
when in said unactuated state, holding said passive articulation joint and, thereby, said end effector, in a substantially fixed articulation position; and when in said actuated state, releasing said passive articulation joint into a freely articulating state to permit free articulation of said end effector with respect to said control handle dependent upon external forces acting upon said end effector.
a control handle having an articulation joint actuator, said articulation joint actuator having an unactuated state and an actuated state;
a surgical end effector;
a passive articulating joint connecting said end effector to said control handle; and said articulation joint actuator:
when in said unactuated state, holding said passive articulation joint and, thereby, said end effector, in a substantially fixed articulation position; and when in said actuated state, releasing said passive articulation joint into a freely articulating state to permit free articulation of said end effector with respect to said control handle dependent upon external forces acting upon said end effector.
33. A medical device, comprising:
a surgical stapling end effector having at least one of a stapling device with staples and a cutting device with a blade;
a control handle having:
a stapler closing actuator closing said stapling device when actuated;
a staple firing actuator at least one of stapling said staples and cutting tissue with said cutting device when actuated; and an articulation joint actuator having an unactuated state and an actuated state;
a passive articulating joint connecting said end effector to said control handle; and said end effector:
freely articulating dependent upon forces acting upon said end effector when said articulation joint actuator is actuated; and being locked in a given articulation position when said articulation joint actuator is unactuated.
a surgical stapling end effector having at least one of a stapling device with staples and a cutting device with a blade;
a control handle having:
a stapler closing actuator closing said stapling device when actuated;
a staple firing actuator at least one of stapling said staples and cutting tissue with said cutting device when actuated; and an articulation joint actuator having an unactuated state and an actuated state;
a passive articulating joint connecting said end effector to said control handle; and said end effector:
freely articulating dependent upon forces acting upon said end effector when said articulation joint actuator is actuated; and being locked in a given articulation position when said articulation joint actuator is unactuated.
34. A method for operating an end effector of a medical device, which comprises:
retaining a passive articulation joint controlling articulation movement of an end effector in a stable position with an articulation lock; and actuating a release of the articulation lock to unlock the passive articulation joint and permit articulating motion of the end effector through the passive articulation joint dependent upon external forces acting upon the end effector.
retaining a passive articulation joint controlling articulation movement of an end effector in a stable position with an articulation lock; and actuating a release of the articulation lock to unlock the passive articulation joint and permit articulating motion of the end effector through the passive articulation joint dependent upon external forces acting upon the end effector.
35. The method according to claim 34, which further comprises passively moving the end effector into an articulated position.
36. The method according to claim 34, which further comprises passively moving the end effector into an articulated position by pressing a portion of the end effector against a feature of the environment.
37. A method for operating an end effector of a medical device, which comprises:
retaining a passive articulation joint in a locked state with an articulation lock; and actuating the articulation lock to unlock the passive articulation joint and permit articulating motion of the passive articulation joint dependent upon external forces acting upon the end effector.
retaining a passive articulation joint in a locked state with an articulation lock; and actuating the articulation lock to unlock the passive articulation joint and permit articulating motion of the passive articulation joint dependent upon external forces acting upon the end effector.
38. The method according to claim 37, which further comprises applying a force to the end effector to articulate the end effector into a desired articulated position.
39. The method according to claim 38, which further comprises removing the actuation of the articulation lock to lock the passive articulation joint and, thereby, prevent further articulating motion of the end effector.
40. The method according to claim 39, which further comprises carrying out the retaining, actuating, applying and removing steps with one-hand.
41. The method according to claim 39, which further comprises repeating the retaining, actuating, applying, and removing steps to place the end effector in the desired articulated position.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA2680860A CA2680860C (en) | 2005-07-26 | 2006-07-25 | Surgical stapling and cutting device and method for using the device |
Applications Claiming Priority (9)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US70264305P | 2005-07-26 | 2005-07-26 | |
US60/702,643 | 2005-07-26 | ||
US76000006P | 2006-01-18 | 2006-01-18 | |
US60/760,000 | 2006-01-18 | ||
US81195006P | 2006-06-08 | 2006-06-08 | |
US60/811,950 | 2006-06-08 | ||
US11/491,626 | 2006-07-24 | ||
US11/491,626 US8579176B2 (en) | 2005-07-26 | 2006-07-24 | Surgical stapling and cutting device and method for using the device |
PCT/US2006/028752 WO2007016060A2 (en) | 2005-07-26 | 2006-07-25 | Surgical stapling and cutting device and method for using the device |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2680860A Division CA2680860C (en) | 2005-07-26 | 2006-07-25 | Surgical stapling and cutting device and method for using the device |
Publications (2)
Publication Number | Publication Date |
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CA2617299A1 true CA2617299A1 (en) | 2007-02-08 |
CA2617299C CA2617299C (en) | 2009-12-08 |
Family
ID=37695327
Family Applications (5)
Application Number | Title | Priority Date | Filing Date |
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CA2915037A Active CA2915037C (en) | 2005-07-26 | 2006-07-25 | Surgical stapling and cutting device and method for using the device |
CA3026517A Active CA3026517C (en) | 2005-07-26 | 2006-07-25 | Surgical stapling and cutting device and method for using the device |
CA2680860A Active CA2680860C (en) | 2005-07-26 | 2006-07-25 | Surgical stapling and cutting device and method for using the device |
CA002617299A Active CA2617299C (en) | 2005-07-26 | 2006-07-25 | Surgical stapling and cutting device and method for using the device |
CA2810329A Active CA2810329C (en) | 2005-07-26 | 2006-07-25 | Surgical stapling and cutting device and method for using the device |
Family Applications Before (3)
Application Number | Title | Priority Date | Filing Date |
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CA2915037A Active CA2915037C (en) | 2005-07-26 | 2006-07-25 | Surgical stapling and cutting device and method for using the device |
CA3026517A Active CA3026517C (en) | 2005-07-26 | 2006-07-25 | Surgical stapling and cutting device and method for using the device |
CA2680860A Active CA2680860C (en) | 2005-07-26 | 2006-07-25 | Surgical stapling and cutting device and method for using the device |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2810329A Active CA2810329C (en) | 2005-07-26 | 2006-07-25 | Surgical stapling and cutting device and method for using the device |
Country Status (9)
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US (12) | US8579176B2 (en) |
EP (13) | EP2502574B1 (en) |
CN (2) | CN103181808B (en) |
AT (1) | ATE473696T1 (en) |
AU (8) | AU2006275954B2 (en) |
BR (1) | BRPI0614175B8 (en) |
CA (5) | CA2915037C (en) |
DE (1) | DE602006015474D1 (en) |
WO (1) | WO2007016060A2 (en) |
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