This invention relates to an improved method of sealing a medical cartridge or other medical container containing a medicament, drug or vaccine, which eliminates the problems associated with malleable metal caps or collars, such as aluminum. The method of this invention may be used to seal a cartridge having an elastomeric stopper with a polymeric cap or closure.
It is conventional to store medicaments, drugs or vaccines in a sealed cartridge or other container for later use. Such medicaments, drugs or vaccines may be in liquid or dry or powdered form to increase the shelf life of the drugs and reduce inventory space. Such dry or powdered medicaments, drugs or vaccines are generally stored in a sealed cartridge and reconstituted in liquid form for administration to a patient by adding a diluent or solvent. A conventional medical cartridge for storing medicaments generally includes an open end, a radial rim portion surrounding the open end and a reduced diameter neck portion adjacent the rim portion. The cartridge is conventionally sealed with an elastomeric stopper or septum which generally includes a central portion overlying the open end of the cartridge and a planar radial rim portion which overlies the cartridge rim. The stopper is normally secured to the cartridge with a thin malleable metal cap, such as aluminum. The aluminum cap includes a tubular portion which surrounds the rim portions of the stopper and cartridge, an inwardly projecting annular portion which overlies the rim portion of the stopper and a distal end portion which is crimped radially into the neck of the cartridge beneath the rim portion. Because aluminum is malleable, the collar accommodates the buildup of tolerances of the dimensions of the stopper and rim. The dimensions and tolerances of standard cartridges and stoppers are set by the International Standards Organization (ISO).
The radial portion of the aluminum cap which overlies the stopper rim portion may be closed, in which case the aluminum cap is removed by “peeling” the aluminum cap from the cartridge. A pre-slit tab located in the middle area may be provided which overlies the cartridge rim, permitting the cap to be torn from the top and peeled from the cartridge prior to use. This closed embodiment of an aluminum cap has several disadvantages. First, the tearing of the metal cap creates sharp edges which may cut or damage sterile gloves and cut the person administering the drug, thereby exposing both the healthcare worker and the patient to disease and contamination of the drug. Second, the tearing of the aluminum cap generates metal particles which may also contaminate the drug, medicament or vaccine. The dangers associated with the tearing of an aluminum cap has been solved in part by adding a “flip-off” plastic cap. In one such embodiment, the aluminum collar includes a central opening and a shallow plastic cup-shaped cap is received over the aluminum collar having a central projecting riveting portion which is received and secured in the central opening of the aluminum collar. The plastic cap is then removed by forcing the flip-off cap away from the aluminum collar, which tears an annular serrated portion surrounding the central opening and exposes an opening in the collar for receipt of a needle cannula or the like. This embodiment reduces but does not eliminate the possibility of tearing the sterile gloves of the healthcare worker. More importantly, however, aluminum dust is still created during crimping of the aluminum cap which may contaminate the medicament, drug or vaccine contained in the cartridge. It is also important to note that metallic dust is also created simply by forming and affixing the aluminum cap or collar to the cartridge because aluminum dust is created in forming the aluminum collar, crimping of the collar and removal.
Various types of medical cartridges are now available for delivery of a medicament, drug or vaccine. A medical cartridge includes a tubular barrel portion, typically formed of glass, having open proximal and distal ends, wherein the proximal end includes a radial rim portion and a reduced diameter neck portion adjacent the rim portion. The proximal open end of the cartridge is sealed with an elastomeric stopper having a central portion overlying the open proximal end of the cartridge and a rim portion overlying the rim portion of the cartridge. The proximal open end of the cartridge is sealed with a malleable metal cap generally formed of aluminum including a tubular collar portion surrounding the rim portion of the cartridge which is crimped around the rim portion into the neck portion of the cartridge. The cap further includes a radial portion overlying the rim portion of the elastomeric stopper and the cap generally includes a central circular opening coaxially aligned with the opening through the proximal end of the cartridge. The cap is secured to the proximal end of the cartridge by resiliently compressing the radial portion of the cap against the rim portion of the elastomeric stopper and crimping the free end of the collar portion into the neck portion of the cartridge.
The open distal end of the cartridge is sealed with a stopper, generally formed of an elastomeric material, which serves as a plunger to propel the fluid through the proximal open end of the cartridge. The cartridge may be utilized in a delivery pen, for example, as disclosed in U.S. Pat. No. 5,549,575 assigned to the assignee of the present application, the disclosure which is incorporated herein by reference. A delivery pen typically includes a needle assembly received on the proximal end of the body portion having a needle cannula which pierces the elastomeric stopper or septum which seals the proximal end of the cartridge and the stopper in the distal end of the cartridge is then driven through the barrel portion to dispense a liquid medicament, drug or vaccine through the needle cannula during an injection. The medical cartridge may also include a third stopper centrally located within the barrel portion which, during injection, intermixes the substances contained in the barrel portion between the stoppers as discussed further below.
The need therefore remains for a method of sealing cartridges and other medical containers which may be utilized for sealing conventional medical cartridges, which assures sealing of the container and which achieves a good level of cleanliness, without metal particles or dust which may contaminate the medicament, drug or vaccine, and which does not expose the health care worker to sharp edges. The method of sealing a medical container of this invention solves these problems and permits sealing of medical containers in an aseptic environment.
As set forth above, the method of sealing a cartridge or other medical container with a plastic closure of this invention eliminates the problems associated with malleable metal or aluminum caps or collars, but which accommodates build-up of tolerances of the rim portion of the container and the elastomeric stopper, when used. The plastic or polymeric closure of this invention is relatively inexpensive to manufacture and use in the method of this invention. The method of this invention may be utilized to seal a conventional medical cartridge with a polymeric cap and for transferring fluids between the stoppers of a medical cartridge. As used herein, the term “closure” is generic to either a cap or collar.
As stated above, the method of sealing a container with a plastic closure of this invention may be utilized with a conventional cartridge or other medical container having an open proximal end, a radial rim portion surrounding the proximal open end and a reduced diameter neck portion adjacent the rim portion. The method of sealing a medical cartridge or other container with a plastic closure of this invention includes forming a plastic closure from a polymer, preferably formed by injection molding, which is sufficiently malleable to permit radial deformation, yet sufficiently rigid to retain its shape following deformation and sufficiently resistant to creep to maintain a seal between the plastic closure and the cartridge rim following radial deformation. The plastic closure formed by the method of this invention includes a generally cylindrical tubular collar portion having an internal diameter generally equal to or preferably slightly greater than an outside diameter of the rim portion of the container and an integral radial rim portion preferably having a central opening. In the preferred method of this invention, the plastic closure is formed by injection molding a polymer alloy comprising a relatively malleable soft polymer and a relatively rigid polymer. The closure may be formed by co-injecting a polymer alloy which preferably includes a polycarbonate as the relatively rigid polymer.
The method of this invention then includes telescopically disposing the tubular portion of the closure over the rim portion of the container with the radial rim portion of the closure overlying the rim portion of the container and the generally cylindrical tubular portion surrounding the container rim having a free end surrounding the reduced diameter neck portion of the container. The tubular portion of the closure adjacent the free end is then incrementally deformed and rolled radially inwardly into the neck portion of the container beneath the rim portion and preferably against the rim portion adjacent the neck portion, permanently securing the closure on the container and sealing the container open end, wherein the free end of the plastic closure retains its shape beneath the radial rim portion following deformation and the polymer is sufficiently resistant to creep to permanently maintain the seal. In the preferred method of sealing a cartridge having medicament, drug or vaccine therein, the cartridge is initially sealed with an elastomeric stopper having a planar rim portion which overlies the rim portion of the cartridge. The method of this invention then preferably includes compressing the radial rim portion of the plastic closure against the radial portion of the stopper to seal the plastic closure to the stopper and substantially simultaneously radially incrementally deforming and rolling the free end of the closure tubular portion into the reduced diameter neck portion of the cartridge as described above.
In the preferred method of sealing a container, such as a medical cartridge, with a plastic or polymeric closure of this invention, the cylindrical tubular portion of the closure is incrementally deformed radially and rolled into the neck portion of the container using a crimping tool or tools having inclined, chamfered or tapered surfaces and the cartridge or container and the crimping tool are relatively rotated and driven together to deform or incrementally roll the tubular portion of the closure both radially into the neck portion of the collar and axially against the adjacent rim portion of the container to permanently secure the closure on the container and seal the container. In one preferred embodiment of the method of this invention, the crimping tool includes a plurality of frustoconical chamfered surfaces which are rotated and driven against the tubular portion of the closure, incrementally rolling the collar into the neck portion of the cartridge as described. In this embodiment, the cartridge or container may be simultaneously rotated to incrementally crimp and seal the entire periphery of the rim portion. In another embodiment, the crimping tool includes an arcuate or circular stationary rail having an inclined or frustoconical chamfered surface and the method of crimping the closure includes simultaneously driving the cartridge and closure assembly against the rail and rotating the cartridge assembly to incrementally roll the free end of the tubular portion of the closure radially inwardly into the reduced diameter neck portion and axially against the adjacent rim portion of the cartridge as described. In either embodiment, the method is preferably a cold forming process dependent upon the material of the polymeric closure, which as described as above is sufficiently malleable to permit radial deformation, yet sufficiently rigid to retain its shape following deformation and sufficiently resistant to creep to maintain the seal between the plastic closure and the cartridge following radial deformation.
In both preferred embodiments of cold forming by incrementally rolling the free end of the plastic closure into the reduced diameter neck portion of the cartridge or other container, the free end of the tubular collar portion is preferably gradually or incrementally deformed radially into the neck portion to assure permanent deformation, reduced creep and reduce damage to the closure, such as stress cracking or discoloration of a clear plastic closure. In the first embodiment of the method of this invention described above, the free end of the tubular closure is deformed incrementally by a series of rotating crimping tools, wherein the first tool has a relatively steep angle of inclination, such as 45 degrees. The angle of inclination of the next crimping tool is then reduced, etc. to the desired angle of the deformed lip, which may be, for example, 20 to 30 degrees. In the second embodiment of the method of this invention described above, the angle of inclination of the crimping surface of the rail is gradually and continuously reduced as the cartridge or other container is rolled or rotated along the rail gradually cold forming and rolling the free end of the closure into the cartridge neck thereby avoiding damage to the cartridge rim portion and the closure, including cracking and discoloration.
One important advantage of the method of sealing a cartridge or other medical container of this invention is that the container may be a conventional medical cartridge, as described above, having a conventional elastomeric stopper.
The method of sealing a transfer set on a cartridge or other medical container with a plastic closure of this invention then includes first assembling the stopper or stoppers on the medical cartridge. The closure is then assembled on the cartridge or other medical container by telescopically receiving the tubular collar portion of the closure over the rim portion of the cartridge such that the tubular collar portion surrounds the rim portion of the cartridge and at least a portion of the reduced diameter neck portion. The method of this invention then includes incrementally rolling and radially deforming the free end of the tubular collar portion of the closure into the reduced diameter neck portion of the container and preferably against the adjacent radial rim portion, permanently securing the closure on the cartridge and sealing the cartridge as described above. That is, the tubular collar portion is preferably gradually or incrementally deformed or cold rolled as described above. In the most preferred embodiment of the method of sealing a cartridge of this invention, the radial portion of the closure is simultaneously compressed against the radial planar rim portion of the elastomeric stopper on the proximal open end of the cartridge as the tubular collar portion is incrementally crimped into the neck portion of the cartridge
As set forth above, the method of sealing a cartridge or other medical container with a plastic closure of this invention utilizes a polymer for the closure having the requisite physical properties to provide and maintain a seal between the plastic closure and the cartridge or other medical container and permanently secure the closure on the container. In the preferred embodiment, the plastic closure is formed of a polymer alloy or melt blend which includes a relatively tough soft malleable copolymer and a relatively rigid copolymer. In the most preferred embodiment, the composite polymer is a polymeric alloy of a relatively soft malleable copolymer and a relatively rigid polymer. The preferred rigid polymer is a polyamid or a polycarbonate and the preferred relatively soft copolymer may be selected from polyesters or polyolefins. The resultant polymer alloy or composite preferably has an elongation at yield between 5% and 10% and an elongation at break greater than 100% with a flectural modulus of greater than 1,900 MPa.
The method of this invention thus eliminates the problems and hazards associated with the use of a malleable metal closure or collar, such as aluminum, and plastic coated aluminum caps or collars while assuring sealing of the cartridge or other medical container or damage to the plastic closure or cartridge rim portion. In the most preferred embodiment of the method of this invention, the plastic closure or collar is formed by injection molding the plastic closure from a polymeric alloy or composite as described. A thermoplastic elastomer may also be co-injected with the polymer forming the closure to form a coating or film on the inside surface of the closure, which is integrally bonded to the polymer of the closure. As used herein, the terms “composite” and “alloy” are used in their broadest sense to include alloys or melt blends, composites and copolymers.
Other advantages and meritorious features of the method of sealing a cartridge or other medical container with a plastic closure or collar of this invention will be more fully understood from the following description of the preferred embodiments, the appended claims and the drawings, a brief description of which follows.
A preferred embodiment of the closure or cap 40 is shown in
The closure 40 is then assembled on the cartridge 22 and stopper 32 as shown in FIG. 2. In a typical application, a second stopper 50 is first inserted into the distal end 52 of the cartridge 22, after the cartridge is filled as shown in FIG. 6. As set forth above, the plastic closure 40 of this invention may be used with various containers particularly including conventional medical cartridges as shown. Thus, in a typical application, the cartridge 22 may be filled with a medicament, vaccine or drug prior to or after securing the closure 40 on the proximal end of the cartridge. The tubular portion 42 of the closure 40 is then received over the rim portion 36 of the stopper and the rim portion 26 of the cartridge as shown in FIG. 3 and describe below.
A method of crimping the closure or cap 40 on the cartridge 22 is schematically shown in FIG. 3. The free end 44 of the tubular collar portion 42 of the closure is crimped or rolled on the cartridge by a crimping tool 58 having an inclined or tapered surface 60 which, in the disclosed embodiment, is frustoconical. The crimping tool 58 is rotated in one direction as shown by arrow 62 and, in this embodiment, the assembly of the closure 40 and cartridge 22 is rotated at the same speed in the opposite direction as shown by arrow 64 and thereby rolled into the neck 28 of the cartridge. The inclined frustoconical surface 60 is driven against the tubular portion 42 of the closure as shown by arrow 68 or vice versa, which deforms the free end 44 radially inwardly against the reduced diameter neck portion 28 and against the rounded edge 66 of the rim portion 26 adjacent the neck portion 28. The radial portion 46 of the closure is preferably simultaneously compressed against the planar radial rim portion 36 of the elastomeric stopper 32 to assure complete sealing of the cartridge. In the preferred method of sealing a medical container with a closure of this invention, the tubular portion 42 is incrementally deformed and rolled into the reduced diameter neck portion 28 by cold forming. That is, the crimping tool 58 is not heated to soften or partially melt the polymeric closure as would be required with certain polymers. Thus, as described below, the preferred polymer for the closure is selected based upon its physical properties, as described above. In the most preferred embodiment of the method of sealing a cartridge or medical container with a closure of this invention, the tubular portion 42 of the closure is gradually or incrementally deformed and rolled into the reduced diameter neck portion 28 of the cartridge using a plurality of crimping tools having different degrees of inclination or pitch or the rim portion is deformed against a crimping tool having a gradual change of pitch as described below with regard to
The cartridge 22 is now ready for use. As will be understood by those skilled in this art, the cartridge may be filled with a medicament, drug or vaccine and used with a variety of delivery devices, such as the medicament delivery pen disclosed in the above referenced U.S. Pat. No. 5,549,575. The stopper 50 is conventionally received in the distal end 52 of the cartridge 22, which is generally referred to as the barrel of the cartridge. A cartridge of this type may be utilized to deliver liquid medicaments, drugs or vaccines or used to reconstitute a dry or lyophilized medicament, drug or vaccine powder as discussed further in regard to
The polymer selected for the plastic cap or closure 40 and method of this invention can best be described by its required physical properties. The polymer must be sufficiently malleable to permit radial deformation or crimping, yet sufficiently rigid to retain its shape following deformation. The polymer must also be sufficiently resistant to creep to maintain the seal between the plastic collar portion and the container following radial deformation. It has been found that a polymer having an elongation at yield between 5% and 10% and an elongation at break greater than 100%, combined with a flexural modulus of greater than 1900 MPa has superior performance. Where the plastic closure of this invention is utilized for sealing cartridges containing a medicament, vaccine or drug, the polymer should also be sterilizable and, in certain applications such as the plastic closure for a cartridge transfer set described below, the polymer is preferably relatively clear and maintains its clarity under the stress of deformation or crimping. It has been found that certain polymer alloys or composite polymers including melt blends or alloys and co-polymers having polymers of different malleability and rigidity are preferred in these applications. That is, the plastic closure used in the method of this invention is preferably formed of a polymer alloy, composite polymer or co-polymer including a relatively rigid polymer and a tough relatively soft malleable co-polymer. The most preferred polymer is a polymer alloy or melt blend including a polyamid or polycarbonate as the rigid polymer providing the strength and resistance to creep desired for this application. The relatively soft malleable co-polymer may be selected from various polymers including polyesters and polyolefins; however, a polymer alloy including a polycarbonate or polyamid and a polyester has been found particularly suitable for this application.
As will be understood, various polymeric melt blends, alloys, composites and copolymers are being developed on a rapidly increasing basis and therefore the plastic collar of this invention is not limited to a specific polymer, provided the polymer has the desired physical properties described above. Suitable polymers for the plastic closures of this invention include EASTAR® MB polymers, which are melt blend and alloy polymers and EASTAR® thermoplastic polymers, which are neat polymers sold by Eastman Chemical Company of Kingsport, Tennessee and Eastman Chemical AG of Zug, Switzerland under the trade names “DA003, DN003” and “DN004”. These materials are polymeric melt blends, alloys and copolymers of polycarbonate or polyamid and polyester. As used herein, the terms melt blends and alloys refer to polymeric compositions having two or more polymers of different physical properties or characteristics, such as the EASTAR® polymers of Eastman Chemical Company described above which include a polycarbonate or polyamid and a polyester. The polymer selected for the plastic collar of this invention may also include fillers and other constituents which would be more accurately described as a composite, although the base polymers may still be a polymeric melt blend or alloy. As used herein, the term alloy is used in its broadest sense to include alloys or melt blends, composites and co-polymers. As will be understood, the manufacturer or supplier of the raw material will normally blend the polymers based upon the specifications of the customer. The polymers may be co-injected to form a polymeric melt blend, alloy or composite or formed by any other suitable processes. It is anticipated, however, that other polymers having the described physical characteristics may also be utilized in the plastic collar or cap of this invention. In certain applications, it may also be desirable to coat at least the interior surface 43 of the collar shown in
In the embodiment of the crimping or capping apparatus disclosed in
The distal open end 352 of the cartridge barrel includes a second stopper 350 as described above. In this embodiment, however, the cartridge assembly includes a third stopper 354 spaced from the second stopper 350 adjacent the bypass 324. Thus, the cartridge assembly 320 best shown in
With the crimping apparatus 200 illustrated in
Thus, in both of the preferred embodiments of the disclosed apparatus for cold forming the free end of the plastic closure into the reduced diameter neck portion of the cartridge or other medical container as described above and shown in
In this embodiment of the cartridge assembly 420, the cartridge includes a second stopper 450 received in the open distal end 452 as described above and a third stopper 354 received in an integral radial bridging portion 356 separating the container portion 430 into two compartments 370 and 372 separated by the third stopper 354. The radial deformation of the free end 444 of the cap or stopper 440 is schematically illustrated in
The deformation of the free end of the collar portion in each of these embodiments is a cold forming process which, as set forth above, also relies upon the polymer selected for the collar or closure. That is, the polymer selected must be sufficiently malleable to permit radial deformation or crimping without forming stress cracking or fractures. Further, the polymer must be sufficiently rigid to retain its shape following deformation. Finally, the polymer must also be sufficiently resistant to creep to maintain the seal between the plastic closure or collar and the container following radial deformation to prevent leakage or contamination of the materials stored in the container. One important advantage of the method of this invention is that the crimping process may be performed in an aseptic environment preventing contamination of the material within the cartridge and the assembly. As set forth above, another important advantage of the method of this invention is that the improved polymeric closure eliminates the potential contamination and hazards associated with malleable metal closures, such as aluminum. As will be understood, various modifications to the disclosed methods of sealing a cartridge or other container with a polymeric closure of this invention within the purview of the appended claims.
This application is a continuation in part application of Ser. No. 09/732,538 filed Dec. 8, 2000 now U.S. Pat. No. 6,681,475 and Ser. No. 09/421,657 filed Oct. 20, 1999, abandoned, which applications are continuation-in-part applications of Ser. No. 09/168,502 filed Oct. 8, 1998, now U.S. Pat. No. 6,382,442 which claims priority under 35 U.S.C. Section 119e to U.S. Provisional Application Ser. No. 60/082,372, filed Apr. 20, 1998.
Number | Name | Date | Kind |
---|---|---|---|
37221 | Dunton | Dec 1862 | A |
659519 | De Oliveria | Oct 1900 | A |
2342215 | Perelson | Feb 1944 | A |
2388634 | De Woody | Nov 1945 | A |
2409788 | Osborne | Oct 1946 | A |
2524365 | Smith | Oct 1950 | A |
2607503 | Sonnenberg | Aug 1952 | A |
2653609 | Smith | Sep 1953 | A |
2659370 | Smith | Nov 1953 | A |
2665023 | Migneault | Jan 1954 | A |
2667986 | Perelson | Feb 1954 | A |
2953132 | Richter et al. | Mar 1960 | A |
3033202 | Richter et al. | May 1962 | A |
3164303 | Trautmann | Jan 1965 | A |
3206080 | Scislowicz | Sep 1965 | A |
3243070 | Hoyle | Mar 1966 | A |
3278063 | Kranzhoff | Oct 1966 | A |
3356093 | Monahon | Dec 1967 | A |
3357427 | Wittke et al. | Dec 1967 | A |
3610297 | Raaf et al. | Oct 1971 | A |
3674028 | Ogle | Jul 1972 | A |
3779371 | Rovinksi | Dec 1973 | A |
3810469 | Hurschman | May 1974 | A |
3826260 | Killinger | Jul 1974 | A |
3838689 | Cohen | Oct 1974 | A |
3872992 | Larson | Mar 1975 | A |
3940003 | Larson | Feb 1976 | A |
3977555 | Larson | Aug 1976 | A |
3995630 | van de Veerdonk | Dec 1976 | A |
4020839 | Klapp | May 1977 | A |
4048999 | Kobel | Sep 1977 | A |
4067440 | Lataix | Jan 1978 | A |
4153057 | Kobel | May 1979 | A |
4187893 | Bujan | Feb 1980 | A |
4210255 | Pan | Jul 1980 | A |
4296786 | Brignola | Oct 1981 | A |
4336891 | Smith | Jun 1982 | A |
4387879 | Tauschinski | Jun 1983 | A |
4412623 | Schmidt | Nov 1983 | A |
4418827 | Butterfield | Dec 1983 | A |
4425120 | Sampson et al. | Jan 1984 | A |
4460735 | Froix | Jul 1984 | A |
4462502 | Luenser | Jul 1984 | A |
4493348 | Lemmons | Jan 1985 | A |
4505709 | Froning et al. | Mar 1985 | A |
4507113 | Dunlap | Mar 1985 | A |
4564054 | Gustavsson | Jan 1986 | A |
4573506 | Paoletti | Mar 1986 | A |
4573976 | Sampson et al. | Mar 1986 | A |
4576211 | Valentini et al. | Mar 1986 | A |
4588403 | Weiss et al. | May 1986 | A |
4619651 | Kopfer et al. | Oct 1986 | A |
4624393 | Lopez | Nov 1986 | A |
4639250 | Rycroft | Jan 1987 | A |
4662878 | Lindmayer | May 1987 | A |
4672996 | Floyd et al. | Jun 1987 | A |
4673404 | Gustavsson | Jun 1987 | A |
4675020 | McPhee | Jun 1987 | A |
4699286 | Nolan | Oct 1987 | A |
4792053 | Towns et al. | Dec 1988 | A |
4822351 | Purcell | Apr 1989 | A |
4826491 | Schramm | May 1989 | A |
4834149 | Fournier et al. | May 1989 | A |
4834152 | Howson et al. | May 1989 | A |
4850994 | Zerbet et al. | Jul 1989 | A |
4884703 | O'Meara | Dec 1989 | A |
4909290 | Coccia | Mar 1990 | A |
4913945 | Maruhashi et al. | Apr 1990 | A |
4923447 | Morgan | May 1990 | A |
4927423 | Malmborg | May 1990 | A |
4932937 | Gustavsson et al. | Jun 1990 | A |
4982740 | Broden | Jan 1991 | A |
5006118 | Yule | Apr 1991 | A |
5024256 | Vadjer | Jun 1991 | A |
5035689 | Schroeder | Jul 1991 | A |
5060812 | Ogle, II | Oct 1991 | A |
5088996 | Kopfer et al. | Feb 1992 | A |
5092840 | Healy | Mar 1992 | A |
5116326 | Schmidt | May 1992 | A |
5169385 | Turnbull | Dec 1992 | A |
5171214 | Kolber et al. | Dec 1992 | A |
5215538 | Larkin | Jun 1993 | A |
5217433 | Bunin | Jun 1993 | A |
5232029 | Knox et al. | Aug 1993 | A |
5232109 | Tirrell et al. | Aug 1993 | A |
5250037 | Bitdinger | Oct 1993 | A |
5275299 | Konrad et al. | Jan 1994 | A |
5279576 | Loo et al. | Jan 1994 | A |
5291991 | Meyer | Mar 1994 | A |
5297599 | Bucheli | Mar 1994 | A |
5342319 | Watson et al. | Aug 1994 | A |
5348548 | Meyer et al. | Sep 1994 | A |
5350372 | Ikeda et al. | Sep 1994 | A |
5352196 | Haber et al. | Oct 1994 | A |
5358501 | Meyer | Oct 1994 | A |
5360413 | Leason et al. | Nov 1994 | A |
5364386 | Fukuoka et al. | Nov 1994 | A |
5385546 | Kriesel et al. | Jan 1995 | A |
5397303 | Sancoff et al. | Mar 1995 | A |
5409125 | Kimber et al. | Apr 1995 | A |
5411499 | Dudar et al. | May 1995 | A |
5415374 | Carroll et al. | May 1995 | A |
5419256 | Pollich | May 1995 | A |
5421814 | Geary | Jun 1995 | A |
5423791 | Bartlett | Jun 1995 | A |
5425465 | Healy | Jun 1995 | A |
5429256 | Kestenbaum | Jul 1995 | A |
5433330 | Yatsko et al. | Jul 1995 | A |
5433703 | Utterberg et al. | Jul 1995 | A |
5435282 | Haber et al. | Jul 1995 | A |
5437648 | Graves et al. | Aug 1995 | A |
5441487 | Vedder | Aug 1995 | A |
5454409 | McAffer et al. | Oct 1995 | A |
5454805 | Brony | Oct 1995 | A |
5466219 | Lynn et al. | Nov 1995 | A |
5470319 | Mayer | Nov 1995 | A |
5470327 | Helgren et al. | Nov 1995 | A |
5474541 | Ritsky et al. | Dec 1995 | A |
5474544 | Lynn | Dec 1995 | A |
5487737 | Meyer | Jan 1996 | A |
5494170 | Burns | Feb 1996 | A |
5501676 | Niedospial et al. | Mar 1996 | A |
5514116 | Vaillancourt et al. | May 1996 | A |
5514117 | Lynn | May 1996 | A |
5520641 | Behnke et al. | May 1996 | A |
5520642 | Bigagli et al. | May 1996 | A |
5520661 | Lal et al. | May 1996 | A |
5520665 | Fleetwood | May 1996 | A |
5520666 | Choudhury et al. | May 1996 | A |
5533983 | Haining | Jul 1996 | A |
5533994 | Meyer | Jul 1996 | A |
5549575 | Giambattista et al. | Aug 1996 | A |
5549651 | Lynn | Aug 1996 | A |
5566729 | Grabenkort et al. | Oct 1996 | A |
5573516 | Tyner | Nov 1996 | A |
5573520 | Schwartz et al. | Nov 1996 | A |
5573525 | Watson et al. | Nov 1996 | A |
5573526 | Hess | Nov 1996 | A |
5576392 | Yamamoto et al. | Nov 1996 | A |
5598939 | Watson et al. | Feb 1997 | A |
5613291 | Solomon et al. | Mar 1997 | A |
5616129 | Mayer | Apr 1997 | A |
5616130 | Mayer | Apr 1997 | A |
5620434 | Brony | Apr 1997 | A |
5641010 | Maier | Jun 1997 | A |
5662230 | Finneran | Sep 1997 | A |
5685845 | Grimard | Nov 1997 | A |
5697915 | Lynn | Dec 1997 | A |
5702019 | Grimard | Dec 1997 | A |
5709666 | Reynolds | Jan 1998 | A |
5718348 | Manera | Feb 1998 | A |
5776124 | Wald | Jul 1998 | A |
5776125 | Dudar et al. | Jul 1998 | A |
5785701 | Sams et al. | Jul 1998 | A |
5803284 | Grimard | Sep 1998 | A |
5819964 | Grimard | Oct 1998 | A |
5833089 | Manni et al. | Nov 1998 | A |
5855575 | Solomon et al. | Jan 1999 | A |
5857579 | Finneran | Jan 1999 | A |
5863655 | Mock | Jan 1999 | A |
5873872 | Thibault et al. | Feb 1999 | A |
5879345 | Aneas | Mar 1999 | A |
5891129 | Daubert et al. | Apr 1999 | A |
5925029 | Jansen et al. | Jul 1999 | A |
5931828 | Durkee | Aug 1999 | A |
5954104 | Daubert et al. | Sep 1999 | A |
5957898 | Jepson et al. | Sep 1999 | A |
6003566 | Thibault et al. | Dec 1999 | A |
6050435 | Bush et al. | Apr 2000 | A |
6056135 | Widman | May 2000 | A |
6070623 | Aneas | Jun 2000 | A |
6071270 | Fowles et al. | Jun 2000 | A |
6159192 | Fowles et al. | Dec 2000 | A |
Number | Date | Country | |
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20030177629 A1 | Sep 2003 | US |
Number | Date | Country | |
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60082372 | Apr 1998 | US |
Number | Date | Country | |
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Parent | 09732538 | Dec 2000 | US |
Child | 09841371 | US | |
Parent | 09421657 | Oct 1999 | US |
Child | 09732538 | US | |
Parent | 09168502 | Oct 1998 | US |
Child | 09421657 | US |