WO2007086832A2 - Attaches chirurgicales et dispositifs de greffes associes a composants bioabsorbables - Google Patents

Attaches chirurgicales et dispositifs de greffes associes a composants bioabsorbables Download PDF

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Publication number
WO2007086832A2
WO2007086832A2 PCT/US2006/001092 US2006001092W WO2007086832A2 WO 2007086832 A2 WO2007086832 A2 WO 2007086832A2 US 2006001092 W US2006001092 W US 2006001092W WO 2007086832 A2 WO2007086832 A2 WO 2007086832A2
Authority
WO
WIPO (PCT)
Prior art keywords
base
diameter
shank
head
surgical
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.)
Ceased
Application number
PCT/US2006/001092
Other languages
English (en)
Other versions
WO2007086832A3 (fr
Inventor
James D. Ralph
Stephen L. Tatar
Thomas N. Troxell
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Biodynamics LLC
Original Assignee
Biodynamics LLC
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Biodynamics LLC filed Critical Biodynamics LLC
Priority to PCT/US2006/001092 priority Critical patent/WO2007086832A2/fr
Priority to JP2008550278A priority patent/JP2009527261A/ja
Priority to EP06718192A priority patent/EP1981417A4/fr
Priority to AU2006336475A priority patent/AU2006336475A1/en
Priority to CA002635486A priority patent/CA2635486A1/fr
Publication of WO2007086832A2 publication Critical patent/WO2007086832A2/fr
Anticipated expiration legal-status Critical
Publication of WO2007086832A3 publication Critical patent/WO2007086832A3/fr
Ceased legal-status Critical Current

Links

Classifications

    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B17/0642—Surgical staples, i.e. penetrating the tissue for bones, e.g. for osteosynthesis or connecting tendon to bone
    • 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
    • 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
    • A61B17/864—Pins or screws or threaded wires; nuts therefor hollow, e.g. with socket or cannulated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00004—(bio)absorbable, (bio)resorbable or resorptive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0412—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from suture anchor body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0414—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having a suture-receiving opening, e.g. lateral opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0427—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors having anchoring barbs or pins extending outwardly from the anchor body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0438—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors slotted, i.e. having a longitudinal slot for enhancing their elasticity
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/044—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors with a threaded shaft, e.g. screws
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0445—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors cannulated, e.g. with a longitudinal through-hole for passage of an instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446—Means for attaching and blocking the suture in the suture anchor
    • A61B2017/0458—Longitudinal through hole, e.g. suture blocked by a distal suture knot
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/064—Surgical staples, i.e. penetrating the tissue
    • A61B2017/0647—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks
    • A61B2017/0648—Surgical staples, i.e. penetrating the tissue having one single leg, e.g. tacks threaded, e.g. tacks with a screw thread
    • 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
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006—Properties of materials and coating materials
    • A61F2002/30062—(bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
    • A61F2002/30064—Coating or prosthesis-covering structure made of biodegradable material

Definitions

  • the present invention has to do with surgical fasteners and related devices which are implanted in the body.
  • the invention has to do with improved surgical implants which are made with a base comprising metals and/or high strength plastic materials.
  • Bioabsorbable materials are molded or otherwise applied onto the base and attached thereto.
  • the base is made with elements which enhance the mechanical attachment of the bioabsorbable material to the base.
  • the products of the invention can accordingly withstand the torques and stresses encountered during surgery and following surgery, in the body, while providing the benefits of bioabsorbability to the patient.
  • Bioabsorbable surgical fastening devices such as screws, pins, tacks, bolts, nails, suture anchors, staples, etc.
  • Coated implants have been described to a limited extent and for limited purposes such as in U.S. Patent No. 5,571 ,139 which describes a bidirectional suture anchor which can be constructed of a non-absorbable biocompatible material coated with a bioabsorbable coating having a low coefficient of friction. The low coefficient of friction is said to assist in the installation of the implant.
  • the invention has to do with improved surgical fasteners and related devices having as a base a tissue friendly metallic material or high strength plastic material which is not bioabsorbable.
  • the fasteners include any kind of surgical fastener which may be completely or partially implanted in the body. Examples of such fasteners include screws, cannulated screws, suture anchors, bone anchors, pins, tacks, bolts, nails, staples, etc.
  • Related devices include rods, plates, wires and the like.
  • the base is completely or partially coated with a bioabsorbable material and the bioabsorbable material is attached to the base.
  • the base is made with attachment elements which provide for the mechanical attachment of the bioabsorbable material thereto.
  • the bioabsorbable material optionally can have functional mechanical features which are not features of the base.
  • the bioabsorbable material can be threaded even though the base is not threaded.
  • Figs. 1-4 are views of various surgical screws according to the invention.
  • Fig. 5 is a section view of a base for a surgical screw of the invention.
  • Fig. 20 illustrates in section a base 55 for a surgical screw of the invention.
  • Transverse bore 56 is made across and through the entire diameter of the shank 57.
  • Fig. 25 illustrates a bolt 70 having bioabsorbable threads 71 attached thereto and a nut 72.
  • Suitable materials for the base of the invention include tissue friendly metals, alloys, synthetic metals, ceramics, plastics and reinforced plastics which are commonly used in surgical implants of all kinds. Such materials include materials that have sufficient strength to meet the objectives of the invention and that have been approved by the United States Food and Drug Administration (FDA) for surgical implant applications.
  • FDA United States Food and Drug Administration
  • Bioactive materials can be admixed with the bioabsorbable materials, impregnated in the bioabsorbable materials and/or coated on the outer surface thereof and/or coated on the base or otherwise provided at the interface of the base with the bioabsorbable material.
  • These materials can include, for example, bioactive ceramic particles, capsules or reinforcement fibers and they can contain, for example, antimicrobial fatty acids and related coating materials such as those described in Published U.S. Patent Application No. 2004/0153125 A1 ; antibiotics and antibacterial compositions; immunostimulating agents; tissue or bone growth enhancers and other active ingredients and pharmaceutical materials known in the art.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Neurology (AREA)
  • Rheumatology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)

Abstract

La présente invention concerne des greffes chirurgicales comprenant des attaches et des dispositifs associés qui sont partiellement bioabsorbables. Les greffes sont construites sur une base non bioabsorbable comprenant des métaux et ou des matériaux plastiques d’une grande robustesse. La base est partiellement ou complètement enduite d’une matière bioabsorbable qui peut avoir ses propres caractéristiques mécaniques, telles que le filetage d’une vis. Des pièces sont jointes sur la base pour améliorer la jonction mécanique de la matière bioabsorbable à la base. Les greffes peuvent supporter les torsions et les pressions exercées lors de l’opération chirurgicale et, suite à l’implantation, dans le corps.
PCT/US2006/001092 2006-01-13 2006-01-13 Attaches chirurgicales et dispositifs de greffes associes a composants bioabsorbables Ceased WO2007086832A2 (fr)

Priority Applications (5)

Application Number Priority Date Filing Date Title
PCT/US2006/001092 WO2007086832A2 (fr) 2006-01-13 2006-01-13 Attaches chirurgicales et dispositifs de greffes associes a composants bioabsorbables
JP2008550278A JP2009527261A (ja) 2006-01-13 2006-01-13 生体吸収性構成要素を有する外科用ファスナーおよびそれに関連するインプラント装置
EP06718192A EP1981417A4 (fr) 2006-01-13 2006-01-13 Attaches chirurgicales et dispositifs de greffes associes a composants bioabsorbables
AU2006336475A AU2006336475A1 (en) 2006-01-13 2006-01-13 Surgical fasteners and related implant devices having bioabsorbable components
CA002635486A CA2635486A1 (fr) 2006-01-13 2006-01-13 Attaches chirurgicales et dispositifs de greffes associes a composants bioabsorbables

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/US2006/001092 WO2007086832A2 (fr) 2006-01-13 2006-01-13 Attaches chirurgicales et dispositifs de greffes associes a composants bioabsorbables

Publications (2)

Publication Number Publication Date
WO2007086832A2 true WO2007086832A2 (fr) 2007-08-02
WO2007086832A3 WO2007086832A3 (fr) 2009-04-09

Family

ID=38309628

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2006/001092 Ceased WO2007086832A2 (fr) 2006-01-13 2006-01-13 Attaches chirurgicales et dispositifs de greffes associes a composants bioabsorbables

Country Status (5)

Country Link
EP (1) EP1981417A4 (fr)
JP (1) JP2009527261A (fr)
AU (1) AU2006336475A1 (fr)
CA (1) CA2635486A1 (fr)
WO (1) WO2007086832A2 (fr)

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EP2140824A1 (fr) * 2008-07-01 2010-01-06 BIEDERMANN MOTECH GmbH Ancrage canulé d'os avec élément de prise et outil d'insertion de l'élément de prise dans l'ancrage d'os
WO2010002667A1 (fr) * 2008-07-02 2010-01-07 Zimmer Dental, Inc. Implant poreux avec des filets non poreux
CN102266595A (zh) * 2011-07-14 2011-12-07 王学凡 一种以壳聚糖明胶为载体的药物涂层钛钉
CN102266596A (zh) * 2011-07-26 2011-12-07 王学凡 一种以藻酸钙纤维为载体的药物涂层钛钉
US8075312B2 (en) 2005-08-30 2011-12-13 Zimmer Dental, Inc. Dental implant with improved osseointegration features
DE102012004070A1 (de) * 2012-03-02 2013-09-05 Marius von Knoch Unterlegscheibe mit Fadenöse zur vereinfachten Durchführung von Sehnennähten
US8562346B2 (en) 2005-08-30 2013-10-22 Zimmer Dental, Inc. Dental implant for a jaw with reduced bone volume and improved osseointegration features
DE102012011266A1 (de) * 2012-06-08 2013-12-12 Marius von Knoch Unterlegteil mit Fadenaufnahme für Schrauben zur vereinfachten Durchführung von Sehnennähten
US8814567B2 (en) 2005-05-26 2014-08-26 Zimmer Dental, Inc. Dental implant prosthetic device with improved osseointegration and esthetic features
US8851891B2 (en) 2008-11-06 2014-10-07 Zimmer Dental, Inc. Expandable bone implant
EP2410929A4 (fr) * 2009-03-24 2014-11-12 Stabiliz Orthopedics Llc Dispositif de fixation orthopédique avec couche biorésorbable
US8899982B2 (en) 2008-07-02 2014-12-02 Zimmer Dental, Inc. Implant with structure for securing a porous portion
US9000066B2 (en) 2007-04-19 2015-04-07 Smith & Nephew, Inc. Multi-modal shape memory polymers
US9066771B2 (en) 2008-07-02 2015-06-30 Zimmer Dental, Inc. Modular implant with secured porous portion
US9095396B2 (en) 2008-07-02 2015-08-04 Zimmer Dental, Inc. Porous implant with non-porous threads
US9120919B2 (en) 2003-12-23 2015-09-01 Smith & Nephew, Inc. Tunable segmented polyacetal
US9149345B2 (en) 2007-08-30 2015-10-06 Zimmer Dental, Inc. Multiple root implant
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WO2017121870A1 (fr) * 2016-01-13 2017-07-20 Neosurgical Limited Système de distribution de dispositif de fixation
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US10357292B2 (en) 2008-10-15 2019-07-23 Smith & Nephew, Inc. Composite internal fixators
RU2695623C1 (ru) * 2018-09-10 2019-07-24 Сергей Сергеевич Горшков Способ имплантации остеинтегрируемого протеза
EP3698750A1 (fr) * 2019-02-21 2020-08-26 DENTSPLY SIRONA Inc. Dispositif dentaire pour la préservation de la crête et la promotion de la régénération de l'os maxillaire dans un site d'extraction
US10980582B2 (en) 2014-07-09 2021-04-20 Nipro Corporation Locking plate system for treatment of distal radius fracture
RU206864U1 (ru) * 2021-05-26 2021-09-30 федеральное государственное бюджетное образовательное учреждение высшего образования «Донской государственный технический университет» (ДГТУ) Ветеринарный остеоинтегрируемый имплантат

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Cited By (52)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9120919B2 (en) 2003-12-23 2015-09-01 Smith & Nephew, Inc. Tunable segmented polyacetal
US8814567B2 (en) 2005-05-26 2014-08-26 Zimmer Dental, Inc. Dental implant prosthetic device with improved osseointegration and esthetic features
US10070945B2 (en) 2005-08-30 2018-09-11 Zimmer Dental, Inc. Dental implant for a jaw with reduced bone volume and improved osseointegration features
US8075312B2 (en) 2005-08-30 2011-12-13 Zimmer Dental, Inc. Dental implant with improved osseointegration features
US8899981B2 (en) 2005-08-30 2014-12-02 Zimmer Dental, Inc. Dental implant for a jaw with reduced bone volume and improved osseointegration features
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CA2635486A1 (fr) 2007-08-02
JP2009527261A (ja) 2009-07-30

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