WO2006023578A2 - Stapling support structures - Google Patents
Stapling support structures Download PDFInfo
- Publication number
- WO2006023578A2 WO2006023578A2 PCT/US2005/029280 US2005029280W WO2006023578A2 WO 2006023578 A2 WO2006023578 A2 WO 2006023578A2 US 2005029280 W US2005029280 W US 2005029280W WO 2006023578 A2 WO2006023578 A2 WO 2006023578A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- support structure
- medical device
- mold
- hydroxyethylmethacrylate
- combinations
- Prior art date
Links
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
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/04—Macromolecular materials
- A61L31/048—Macromolecular materials obtained by reactions only involving carbon-to-carbon unsaturated bonds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/12—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material
- A61L31/125—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix
- A61L31/129—Composite materials, i.e. containing one material dispersed in a matrix of the same or different material having a macromolecular matrix containing macromolecular fillers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L31/00—Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
- A61L31/14—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L31/16—Biologically active materials, e.g. therapeutic substances
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00491—Surgical glue applicators
-
- 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
- A61B17/07292—Reinforcements for staple line, e.g. pledgets
-
- 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
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00884—Material properties enhancing wound closure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00893—Material properties pharmaceutically effective
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
- A61L2300/60—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a special physical form
- A61L2300/606—Coatings
Definitions
- FIG. 1 C is a cross-sectional side elevational view of an alternative embodiment of the support structure of FIG. 1, as would be seen along line A-A;
- FIGS. 2-4 show various views of a linear stapler equipped with a support structure in accordance with one embodiment of the present disclosure.
- FIG. 5 is a top plan view of an alternative embodiment of a support structure in accordance with the present disclosure.
- PHEMA support structures can be prepared using radiation polymerization (600 mC source, 295 - 1180 rad/min, 0.05 - 1 Mrad) without the need of chemical initiator or crosslinker, and using the same washing/drying regiment.
- polymerization can also be conducted using aqueous monomer solutions of various concentration to afford buttress materials of varied mechanical and physical properties (films tailored for different tissues, staples, procedures, etc.).
- the equilibrium water content (EWC), swelling, and mechanical properties of the PHEMA support structures are controlled by crosslink density (radiation conditions or DEOGMA concentration).
- the thickness of the support structure is controlled by the volume of the monomer composition polymerized in the mold. Suitable thickness for the support structures is in the range of about 0.1 to about 5 mm.
- the present support structures can also be surface modified following film formation.
- a PHEMA support structure can be surface modified with polymeric phospholipids for improved hemocompatibility and tissue interaction using gamma radiation grafting.
- composition from which the support structure is made may also contain one or more medically and/or surgically useful substances such as drugs, enzymes, growth factors, peptides, proteins, dyes, diagnostic agents or hemostasis agents or any other pharmaceutical used in the prevention of stenosis.
- medically and/or surgically useful substances such as drugs, enzymes, growth factors, peptides, proteins, dyes, diagnostic agents or hemostasis agents or any other pharmaceutical used in the prevention of stenosis.
- these agents can be incorporated in situ into the composition used the make the support structure or post loaded onto the polymerized support structure using techniques within the purview of those skilled in the art.
- the medically and/or surgically useful substances can be freely mixed or loaded, electronically or ionically bound, covalently immobilized, chelated, or encapsulated in particles, micelles, aggregates, or any nano-meso-micro solids of varied dimension, shape morphology and dispersion/suspension ability.
- adhesives which can be employed include protein derived, aldehyde-based adhesive materials, for example, the commercially available albumin/glutaraldehyde materials sold under the trade designation BioGlueTM by Cryolife, Inc., and cyanoacrylate-based materials sold under the trade designations IndermilTM and Derma BondTM by Tyco Healthcare Group, LP and Ethicon Endosurgery, Inc., respectively.
- sealants which can be employed, include fibrin sealants and collagen-based and synthetic polymer-based tissue sealants.
- commercially available sealants are synthetic polyethylene glycol-based, hydrogel materials sold under the trade designation CoSealTM by Cohesion Technologies and Baxter International, Inc.
- hemostat materials examples include fibrin-based, collagen-based, oxidized regenerated cellulose-based and gelatin- based topical hemostats.
- examples of commercially available hemostat materials are fibrinogen-thrombin combination materials under sold the trade designations CoStasisTM by Tyco Healthcare Group, LP, and TisseelTM sold by Baxter International, Inc. Hemostats herein include astringents, e.g., aluminum sulfate, and coagulants.
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP05786652A EP1791473A4 (en) | 2004-08-17 | 2005-08-16 | Stapling support structures |
JP2007527981A JP2008510515A (en) | 2004-08-17 | 2005-08-16 | Stapling support structure |
AU2005277448A AU2005277448B2 (en) | 2004-08-17 | 2005-08-16 | Stapling support structures |
CA002576441A CA2576441A1 (en) | 2004-08-17 | 2005-08-16 | Stapling support structures |
US11/660,576 US20080140115A1 (en) | 2004-08-17 | 2005-08-16 | Stapling Support Structures |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US60219904P | 2004-08-17 | 2004-08-17 | |
US60/602,199 | 2004-08-17 |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2006023578A2 true WO2006023578A2 (en) | 2006-03-02 |
WO2006023578A3 WO2006023578A3 (en) | 2009-04-02 |
Family
ID=35968142
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2005/029280 WO2006023578A2 (en) | 2004-08-17 | 2005-08-16 | Stapling support structures |
Country Status (6)
Country | Link |
---|---|
US (1) | US20080140115A1 (en) |
EP (1) | EP1791473A4 (en) |
JP (2) | JP2008510515A (en) |
AU (1) | AU2005277448B2 (en) |
CA (1) | CA2576441A1 (en) |
WO (1) | WO2006023578A2 (en) |
Cited By (291)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1994890A1 (en) * | 2007-05-25 | 2008-11-26 | Tyco Healthcare Group, LP | Staple buttress retention system |
JP2009006137A (en) * | 2007-06-27 | 2009-01-15 | Tyco Healthcare Group Lp | Buttress and surgical stapling apparatus |
EP2039302A3 (en) * | 2007-09-18 | 2009-06-10 | Ethicon Endo-Surgery, Inc. | Devices for reduction of post operative ileus |
CN101933824A (en) * | 2009-06-29 | 2011-01-05 | Tyco医疗健康集团 | Self-sealing compositions |
US8011550B2 (en) | 2009-03-31 | 2011-09-06 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8016178B2 (en) | 2009-03-31 | 2011-09-13 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
US8028883B2 (en) | 2006-10-26 | 2011-10-04 | Tyco Healthcare Group Lp | Methods of using shape memory alloys for buttress attachment |
US8083119B2 (en) | 2007-06-18 | 2011-12-27 | Tyco Healthcare Group Lp | Interlocking buttress material retention system |
US20120035629A1 (en) * | 2007-05-15 | 2012-02-09 | Cook Medical Technologies Llc | Viscerotomy closure device and method of use |
US8146791B2 (en) | 2004-10-18 | 2012-04-03 | Tyco Healthcare Group Lp | Annular adhesive structure |
US8157151B2 (en) | 2009-10-15 | 2012-04-17 | Tyco Healthcare Group Lp | Staple line reinforcement for anvil and cartridge |
US8157149B2 (en) | 2009-03-31 | 2012-04-17 | Tyco Healthcare Group Lp | Crimp and release of suture holding buttress material |
US8167895B2 (en) | 2005-03-15 | 2012-05-01 | Tyco Healthcare Group Lp | Anastomosis composite gasket |
US8192460B2 (en) | 2002-06-17 | 2012-06-05 | Tyco Healthcare Group Lp | Annular support structures |
US8225799B2 (en) | 2004-10-18 | 2012-07-24 | Tyco Healthcare Group Lp | Support structures and methods of using the same |
US8231043B2 (en) | 2007-03-06 | 2012-07-31 | Tyco Healthcare Group Lp | Surgical stapling apparatus |
EP2481359A1 (en) * | 2011-01-26 | 2012-08-01 | Tyco Healthcare Group LP | Buttress film with hemostatic action for surgical stapling apparatus |
US8235273B2 (en) | 2009-03-31 | 2012-08-07 | Tyco Healthcare Group Lp | Center cinch and release of buttress material |
US8286849B2 (en) | 2006-02-28 | 2012-10-16 | Tyco Healthcare Group Lp | Hub for positioning annular structure on a surgical device |
US8348130B2 (en) | 2010-12-10 | 2013-01-08 | Covidien Lp | Surgical apparatus including surgical buttress |
CN102892361A (en) * | 2010-05-11 | 2013-01-23 | 伊西康内外科公司 | Methods and apparatus for delivering tissue treatment compositions to stapled tissue |
US8365972B2 (en) | 2009-03-31 | 2013-02-05 | Covidien Lp | Surgical stapling apparatus |
US8371493B2 (en) | 2007-03-06 | 2013-02-12 | Covidien Lp | Surgical stapling apparatus |
US8479968B2 (en) | 2011-03-10 | 2013-07-09 | Covidien Lp | Surgical instrument buttress attachment |
US8512402B2 (en) | 2007-06-22 | 2013-08-20 | Covidien Lp | Detachable buttress material retention systems for use with a surgical stapling device |
US8511533B2 (en) | 2004-10-18 | 2013-08-20 | Covidien Lp | Annular adhesive structure |
EP2644110A1 (en) * | 2012-03-28 | 2013-10-02 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising resilient members |
EP2644123A1 (en) * | 2011-04-29 | 2013-10-02 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of medicaments |
US8584920B2 (en) | 2011-11-04 | 2013-11-19 | Covidien Lp | Surgical stapling apparatus including releasable buttress |
WO2013148764A3 (en) * | 2012-03-28 | 2013-12-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
WO2013148815A3 (en) * | 2012-03-28 | 2013-12-27 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a plurality of capsules |
US8668129B2 (en) | 2008-12-16 | 2014-03-11 | Covidien Lp | Surgical apparatus including surgical buttress |
US8684253B2 (en) | 2007-01-10 | 2014-04-01 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor |
WO2014004209A3 (en) * | 2012-06-26 | 2014-05-22 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator having improved visibility |
WO2013148836A3 (en) * | 2012-03-28 | 2014-05-22 | Ethicon Endo-Surgery, Inc. | Devices and methods for attaching tissue thickness compensating materials to surgical stapling instruments |
US8734478B2 (en) | 2011-03-14 | 2014-05-27 | Ethicon Endo-Surgery, Inc. | Rectal manipulation devices |
US8746530B2 (en) | 2007-01-10 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Surgical instrument with wireless communication between control unit and remote sensor |
US8746529B2 (en) | 2006-01-31 | 2014-06-10 | Ethicon Endo-Surgery, Inc. | Accessing data stored in a memory of a surgical instrument |
US8752749B2 (en) | 2008-02-14 | 2014-06-17 | Ethicon Endo-Surgery, Inc. | Robotically-controlled disposable motor-driven loading unit |
US8763875B2 (en) | 2006-09-29 | 2014-07-01 | Ethicon Endo-Surgery, Inc. | End effector for use with a surgical fastening instrument |
US8789741B2 (en) | 2010-09-24 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Surgical instrument with trigger assembly for generating multiple actuation motions |
US8789737B2 (en) | 2011-04-27 | 2014-07-29 | Covidien Lp | Circular stapler and staple line reinforcement material |
US8789739B2 (en) | 2011-09-06 | 2014-07-29 | Ethicon Endo-Surgery, Inc. | Continuous stapling instrument |
US8820606B2 (en) | 2012-02-24 | 2014-09-02 | Covidien Lp | Buttress retention system for linear endostaplers |
US8864009B2 (en) | 2010-09-30 | 2014-10-21 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator for a surgical stapler comprising an adjustable anvil |
US8893949B2 (en) | 2010-09-30 | 2014-11-25 | Ethicon Endo-Surgery, Inc. | Surgical stapler with floating anvil |
US8911471B2 (en) | 2006-03-23 | 2014-12-16 | Ethicon Endo-Surgery, Inc. | Articulatable surgical device |
US8925788B2 (en) | 2007-03-15 | 2015-01-06 | Ethicon Endo-Surgery, Inc. | End effectors for surgical stapling instruments |
US8931682B2 (en) | 2007-06-04 | 2015-01-13 | Ethicon Endo-Surgery, Inc. | Robotically-controlled shaft based rotary drive systems for surgical instruments |
CN104321023A (en) * | 2012-03-28 | 2015-01-28 | 伊西康内外科公司 | Tissue thickness compensator comprising at least one medicament |
CN104334096A (en) * | 2012-03-28 | 2015-02-04 | 伊西康内外科公司 | Tissue thickness compensator comprising a plurality of capsules |
US8967448B2 (en) | 2011-12-14 | 2015-03-03 | Covidien Lp | Surgical stapling apparatus including buttress attachment via tabs |
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US9010609B2 (en) | 2012-01-26 | 2015-04-21 | Covidien Lp | Circular stapler including buttress |
US9010612B2 (en) | 2012-01-26 | 2015-04-21 | Covidien Lp | Buttress support design for EEA anvil |
US9010608B2 (en) | 2011-12-14 | 2015-04-21 | Covidien Lp | Releasable buttress retention on a surgical stapler |
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WO2015069486A1 (en) * | 2013-11-08 | 2015-05-14 | Ethicon Endo-Surgery, Inc. | Tissue ingrowth materials and method of using the same |
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US9161753B2 (en) | 2012-10-10 | 2015-10-20 | Covidien Lp | Buttress fixation for a circular stapler |
US9192383B2 (en) | 2013-02-04 | 2015-11-24 | Covidien Lp | Circular stapling device including buttress material |
US9192384B2 (en) | 2012-11-09 | 2015-11-24 | Covidien Lp | Recessed groove for better suture retention |
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US9204878B2 (en) | 2008-02-14 | 2015-12-08 | Ethicon Endo-Surgery, Inc. | Surgical stapling apparatus with interlockable firing system |
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US9226751B2 (en) | 2012-06-28 | 2016-01-05 | Ethicon Endo-Surgery, Inc. | Surgical instrument system including replaceable end effectors |
US9232941B2 (en) | 2010-09-30 | 2016-01-12 | Ethicon Endo-Surgery, Inc. | Tissue thickness compensator comprising a reservoir |
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US9237891B2 (en) | 2005-08-31 | 2016-01-19 | Ethicon Endo-Surgery, Inc. | Robotically-controlled surgical stapling devices that produce formed staples having different lengths |
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US9307986B2 (en) | 2013-03-01 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Surgical instrument soft stop |
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US9307987B2 (en) | 2009-12-24 | 2016-04-12 | Ethicon Endo-Surgery, Llc | Surgical cutting instrument that analyzes tissue thickness |
US9314246B2 (en) | 2010-09-30 | 2016-04-19 | Ethicon Endo-Surgery, Llc | Tissue stapler having a thickness compensator incorporating an anti-inflammatory agent |
US9320521B2 (en) | 2006-06-27 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Surgical instrument |
US9320523B2 (en) | 2012-03-28 | 2016-04-26 | Ethicon Endo-Surgery, Llc | Tissue thickness compensator comprising tissue ingrowth features |
US9326769B2 (en) | 2006-01-31 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Surgical instrument |
US9326768B2 (en) | 2005-08-31 | 2016-05-03 | Ethicon Endo-Surgery, Llc | Staple cartridges for forming staples having differing formed staple heights |
US9326773B2 (en) | 2012-01-26 | 2016-05-03 | Covidien Lp | Surgical device including buttress material |
US9332987B2 (en) | 2013-03-14 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Control arrangements for a drive member of a surgical instrument |
US9332974B2 (en) | 2010-09-30 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Layered tissue thickness compensator |
US9332984B2 (en) | 2013-03-27 | 2016-05-10 | Ethicon Endo-Surgery, Llc | Fastener cartridge assemblies |
US9345481B2 (en) | 2013-03-13 | 2016-05-24 | Ethicon Endo-Surgery, Llc | Staple cartridge tissue thickness sensor system |
US9351732B2 (en) | 2011-12-14 | 2016-05-31 | Covidien Lp | Buttress attachment to degradable polymer zones |
US9351731B2 (en) | 2011-12-14 | 2016-05-31 | Covidien Lp | Surgical stapling apparatus including releasable surgical buttress |
US9358005B2 (en) | 2010-09-30 | 2016-06-07 | Ethicon Endo-Surgery, Llc | End effector layer including holding features |
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CA2576441A1 (en) | 2006-03-02 |
AU2005277448B2 (en) | 2011-04-21 |
EP1791473A4 (en) | 2011-09-14 |
EP1791473A2 (en) | 2007-06-06 |
JP2012020140A (en) | 2012-02-02 |
AU2005277448A1 (en) | 2006-03-02 |
JP2008510515A (en) | 2008-04-10 |
WO2006023578A3 (en) | 2009-04-02 |
US20080140115A1 (en) | 2008-06-12 |
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