WO2006049725A8 - Surgical systems and devices to enhance gastric restriction therapies - Google Patents

Surgical systems and devices to enhance gastric restriction therapies

Info

Publication number
WO2006049725A8
WO2006049725A8 PCT/US2005/033683 US2005033683W WO2006049725A8 WO 2006049725 A8 WO2006049725 A8 WO 2006049725A8 US 2005033683 W US2005033683 W US 2005033683W WO 2006049725 A8 WO2006049725 A8 WO 2006049725A8
Authority
WO
WIPO (PCT)
Prior art keywords
devices
therapies
surgical systems
gastric restriction
enhance gastric
Prior art date
Application number
PCT/US2005/033683
Other languages
French (fr)
Other versions
WO2006049725A3 (en
WO2006049725A2 (en
Inventor
Michael Gertner
Original Assignee
Minimus Surgical Systems
Michael Gertner
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
Priority claimed from US10/974,248 external-priority patent/US7255675B2/en
Priority claimed from US11/148,519 external-priority patent/US20050228415A1/en
Priority claimed from US11/153,791 external-priority patent/US7946976B2/en
Application filed by Minimus Surgical Systems, Michael Gertner filed Critical Minimus Surgical Systems
Priority to US11/295,281 priority Critical patent/US7832407B2/en
Priority to US11/334,105 priority patent/US20060142790A1/en
Priority to US11/391,126 priority patent/US20060195139A1/en
Priority to US11/278,806 priority patent/US8001976B2/en
Publication of WO2006049725A2 publication Critical patent/WO2006049725A2/en
Publication of WO2006049725A8 publication Critical patent/WO2006049725A8/en
Priority to US11/741,705 priority patent/US20070233170A1/en
Publication of WO2006049725A3 publication Critical patent/WO2006049725A3/en
Priority to US11/774,613 priority patent/US7775967B2/en
Priority to US11/980,945 priority patent/US20080147002A1/en
Priority to US11/981,383 priority patent/US20080300618A1/en
Priority to US12/099,752 priority patent/US8343031B2/en
Priority to US12/109,373 priority patent/US20080281347A1/en
Priority to US12/168,134 priority patent/US20080275484A1/en
Priority to US12/788,009 priority patent/US7963907B2/en
Priority to US12/857,531 priority patent/US20100312147A1/en
Priority to US13/164,244 priority patent/US20110245598A1/en

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
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • 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
    • A61B17/1114—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis of the digestive tract, e.g. bowels or oesophagus
    • 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
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/0003—Apparatus for the treatment of obesity; Anti-eating devices
    • A61F5/0013—Implantable devices or invasive measures
    • A61F5/0083—Reducing the size of the stomach, e.g. gastroplasty
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36007—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
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    • 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
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • A—HUMAN NECESSITIES
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    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A—HUMAN NECESSITIES
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
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    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00818—Treatment of the gastro-intestinal system
    • A61B2017/00827—Treatment of gastro-esophageal reflux
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A61B2017/0404—Buttons
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    • 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
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A61B2017/0417—T-fasteners
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A61B2017/0419—H-fasteners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A61B2017/0454—Means for attaching and blocking the suture in the suture anchor the anchor being crimped or clamped on the suture
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A61B2017/0456—Surface features on the anchor, e.g. ribs increasing friction between the suture and the anchor
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
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    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A61B2017/0461—Means for attaching and blocking the suture in the suture anchor with features cooperating with special features on the suture, e.g. protrusions on the suture
    • A61B2017/0462—One way system, i.e. also tensioning the suture
    • A—HUMAN NECESSITIES
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets 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
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • A—HUMAN NECESSITIES
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A61B2017/0488—Instruments for applying suture clamps, clips or locks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
    • A61B2017/1135—End-to-side connections, e.g. T- or Y-connections
    • 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
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2002/044—Oesophagi or esophagi or gullets

Abstract

Methods and devices to perform gastroplasty procedures. In some embodiments, gastroplasty devices and methods are enhanced by feedback control though sensors which reside on or near the device. In some embodiments, an extragastric device is used to create a satiety in a patient. In some embodiments, a band device is the restriction device and in some embodiments a transgastric fastening assembly is the restriction device.
PCT/US2005/033683 2004-03-23 2005-09-19 Surgical systems and devices to enhance gastric restriction therapies WO2006049725A2 (en)

Priority Applications (14)

Application Number Priority Date Filing Date Title
US11/295,281 US7832407B2 (en) 2004-03-23 2005-12-06 Obesity treatment systems
US11/334,105 US20060142790A1 (en) 2004-03-23 2006-01-17 Methods and devices to facilitate connections between body lumens
US11/391,126 US20060195139A1 (en) 2004-03-23 2006-03-27 Extragastric devices and methods for gastroplasty
US11/278,806 US8001976B2 (en) 2004-03-23 2006-04-05 Management systems for the surgically treated obese patient
US11/741,705 US20070233170A1 (en) 2004-03-23 2007-04-27 Extragastric Balloon
US11/774,613 US7775967B2 (en) 2004-03-23 2007-07-09 Closed loop gastric restriction devices and methods
US11/981,383 US20080300618A1 (en) 2004-03-23 2007-10-31 Obesity treatment systems
US11/980,945 US20080147002A1 (en) 2004-03-23 2007-10-31 Obesity treatment systems
US12/099,752 US8343031B2 (en) 2004-03-23 2008-04-08 Obesity treatment systems
US12/109,373 US20080281347A1 (en) 2004-03-23 2008-06-09 Transoral Placement of Extragastric Devices
US12/168,134 US20080275484A1 (en) 2004-03-23 2008-07-06 Per Os Placement of Extragastric Devices
US12/788,009 US7963907B2 (en) 2004-03-23 2010-05-26 Closed loop gastric restriction devices and methods
US12/857,531 US20100312147A1 (en) 2004-03-23 2010-08-16 Obesity Treatment Systems
US13/164,244 US20110245598A1 (en) 2004-03-23 2011-06-20 Closed loop gastric restriction devices and methods

Applications Claiming Priority (14)

Application Number Priority Date Filing Date Title
US55600404P 2004-03-23 2004-03-23
US58421904P 2004-07-01 2004-07-01
US60394404P 2004-08-23 2004-08-23
US10/974,248 US7255675B2 (en) 2004-03-23 2004-10-27 Devices and methods to treat a patient
US10/974,248 2004-10-27
USPCT/US05/09322 2005-03-19
PCT/US2005/009322 WO2005094447A2 (en) 2004-03-23 2005-03-19 Devices and methods to treat a patient
US11/125,547 2005-05-10
US11/125,547 US7670279B2 (en) 2004-03-23 2005-05-10 Percutaneous gastroplasty
US11/148,519 US20050228415A1 (en) 2004-03-23 2005-06-09 Methods and devices for percutaneous, non-laparoscopic treatment of obesity
US11/148,519 2005-06-09
US11/153,791 2005-06-15
US11/153,791 US7946976B2 (en) 2004-03-23 2005-06-15 Methods and devices for the surgical creation of satiety and biofeedback pathways
US11/295,281 US7832407B2 (en) 2004-03-23 2005-12-06 Obesity treatment systems

Related Parent Applications (2)

Application Number Title Priority Date Filing Date
US11/148,519 Continuation-In-Part US20050228415A1 (en) 2004-03-23 2005-06-09 Methods and devices for percutaneous, non-laparoscopic treatment of obesity
US11/153,791 Continuation-In-Part US7946976B2 (en) 2004-03-23 2005-06-15 Methods and devices for the surgical creation of satiety and biofeedback pathways

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US11/295,281 Continuation-In-Part US7832407B2 (en) 2004-03-23 2005-12-06 Obesity treatment systems

Publications (3)

Publication Number Publication Date
WO2006049725A2 WO2006049725A2 (en) 2006-05-11
WO2006049725A8 true WO2006049725A8 (en) 2006-06-15
WO2006049725A3 WO2006049725A3 (en) 2007-06-14

Family

ID=36295748

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2005/033683 WO2006049725A2 (en) 2004-03-23 2005-09-19 Surgical systems and devices to enhance gastric restriction therapies

Country Status (2)

Country Link
US (5) US7832407B2 (en)
WO (1) WO2006049725A2 (en)

Cited By (12)

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US8840541B2 (en) 2010-02-25 2014-09-23 Apollo Endosurgery, Inc. Pressure sensing gastric banding system
US8845513B2 (en) 2002-08-13 2014-09-30 Apollo Endosurgery, Inc. Remotely adjustable gastric banding device
US8876694B2 (en) 2011-12-07 2014-11-04 Apollo Endosurgery, Inc. Tube connector with a guiding tip
US8900117B2 (en) 2004-01-23 2014-12-02 Apollo Endosurgery, Inc. Releasably-securable one-piece adjustable gastric band
US8900118B2 (en) 2008-10-22 2014-12-02 Apollo Endosurgery, Inc. Dome and screw valves for remotely adjustable gastric banding systems
US8905915B2 (en) 2006-01-04 2014-12-09 Apollo Endosurgery, Inc. Self-regulating gastric band with pressure data processing
US8961394B2 (en) 2011-12-20 2015-02-24 Apollo Endosurgery, Inc. Self-sealing fluid joint for use with a gastric band
US8961393B2 (en) 2010-11-15 2015-02-24 Apollo Endosurgery, Inc. Gastric band devices and drive systems
US9155528B2 (en) 2012-01-08 2015-10-13 Vibrynt, Inc. Methods, instruments and devices for extragastic reduction of stomach volume
US9192501B2 (en) 2010-04-30 2015-11-24 Apollo Endosurgery, Inc. Remotely powered remotely adjustable gastric band system
US9295573B2 (en) 2010-04-29 2016-03-29 Apollo Endosurgery, Inc. Self-adjusting gastric band having various compliant components and/or a satiety booster
US9314362B2 (en) 2012-01-08 2016-04-19 Vibrynt, Inc. Methods, instruments and devices for extragastric reduction of stomach volume

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US7616996B2 (en) * 2005-09-01 2009-11-10 Intrapace, Inc. Randomized stimulation of a gastrointestinal organ
US7643887B2 (en) * 2001-05-01 2010-01-05 Intrapace, Inc. Abdominally implanted stimulator and method
US7979127B2 (en) * 2001-05-01 2011-07-12 Intrapace, Inc. Digestive organ retention device
US7747322B2 (en) * 2001-05-01 2010-06-29 Intrapace, Inc. Digestive organ retention device
US7756582B2 (en) * 2001-05-01 2010-07-13 Intrapace, Inc. Gastric stimulation anchor and method
US7689284B2 (en) * 2001-05-01 2010-03-30 Intrapace, Inc. Pseudounipolar lead for stimulating a digestive organ
US20050143784A1 (en) * 2001-05-01 2005-06-30 Imran Mir A. Gastrointestinal anchor with optimal surface area
US7702394B2 (en) 2001-05-01 2010-04-20 Intrapace, Inc. Responsive gastric stimulator
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US7775967B2 (en) 2010-08-17
WO2006049725A2 (en) 2006-05-11
US20070276293A1 (en) 2007-11-29
US20110245598A1 (en) 2011-10-06
US7832407B2 (en) 2010-11-16
US7963907B2 (en) 2011-06-21
US20100234682A1 (en) 2010-09-16
US20100312147A1 (en) 2010-12-09
US20060089571A1 (en) 2006-04-27

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