CN109715078B - 组织抓握装置和相关方法 - Google Patents
组织抓握装置和相关方法 Download PDFInfo
- Publication number
- CN109715078B CN109715078B CN201780056353.5A CN201780056353A CN109715078B CN 109715078 B CN109715078 B CN 109715078B CN 201780056353 A CN201780056353 A CN 201780056353A CN 109715078 B CN109715078 B CN 109715078B
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- CN
- China
- Prior art keywords
- arms
- valve
- leaflet
- arm
- capture
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/128—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
-
- 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
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/246—Devices for obstructing a leak through a native valve in a closed condition
-
- 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
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
- A61F2/2466—Delivery devices therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00681—Aspects not otherwise provided for
- A61B2017/00694—Aspects not otherwise provided for with means correcting for movement of or for synchronisation with the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on blood vessels
- A61B2017/00783—Valvuloplasty
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00831—Material properties
- A61B2017/0084—Material properties low friction
- A61B2017/00849—Material properties low friction with respect to tissue, e.g. hollow organs
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22057—Optical properties
- A61B2017/22059—Optical properties transparent
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/22—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22062—Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation to be filled with liquid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/373—Surgical systems with images on a monitor during operation using light, e.g. by using optical scanners
- A61B2090/3735—Optical coherence tomography [OCT]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3995—Multi-modality markers
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Cardiology (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Surgery (AREA)
- Public Health (AREA)
- Transplantation (AREA)
- Reproductive Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201662361953P | 2016-07-13 | 2016-07-13 | |
| US62/361,953 | 2016-07-13 | ||
| PCT/US2017/042003 WO2018013856A1 (en) | 2016-07-13 | 2017-07-13 | Tissue grasping devices and related methods |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN109715078A CN109715078A (zh) | 2019-05-03 |
| CN109715078B true CN109715078B (zh) | 2022-05-27 |
Family
ID=60951925
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201780056353.5A Active CN109715078B (zh) | 2016-07-13 | 2017-07-13 | 组织抓握装置和相关方法 |
Country Status (4)
| Country | Link |
|---|---|
| EP (1) | EP3484375A4 (enExample) |
| JP (3) | JP7206191B2 (enExample) |
| CN (1) | CN109715078B (enExample) |
| WO (1) | WO2018013856A1 (enExample) |
Families Citing this family (65)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10517719B2 (en) | 2008-12-22 | 2019-12-31 | Valtech Cardio, Ltd. | Implantation of repair devices in the heart |
| US8449599B2 (en) | 2009-12-04 | 2013-05-28 | Edwards Lifesciences Corporation | Prosthetic valve for replacing mitral valve |
| US8945177B2 (en) | 2011-09-13 | 2015-02-03 | Abbott Cardiovascular Systems Inc. | Gripper pusher mechanism for tissue apposition systems |
| US9439763B2 (en) | 2013-02-04 | 2016-09-13 | Edwards Lifesciences Corporation | Prosthetic valve for replacing mitral valve |
| US9622863B2 (en) | 2013-11-22 | 2017-04-18 | Edwards Lifesciences Corporation | Aortic insufficiency repair device and method |
| EP3226810A4 (en) | 2014-12-04 | 2018-08-15 | Edwards Lifesciences Corporation | Percutaneous clip for repairing a heart valve |
| EP4512372A3 (en) | 2015-05-14 | 2025-05-14 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
| US11219746B2 (en) | 2016-03-21 | 2022-01-11 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
| US10799675B2 (en) | 2016-03-21 | 2020-10-13 | Edwards Lifesciences Corporation | Cam controlled multi-direction steerable handles |
| US10835714B2 (en) | 2016-03-21 | 2020-11-17 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
| US10973638B2 (en) | 2016-07-07 | 2021-04-13 | Edwards Lifesciences Corporation | Device and method for treating vascular insufficiency |
| US11185413B2 (en) | 2016-07-13 | 2021-11-30 | Medfree, Inc. | Tissue grasping devices and related methods |
| US10653862B2 (en) | 2016-11-07 | 2020-05-19 | Edwards Lifesciences Corporation | Apparatus for the introduction and manipulation of multiple telescoping catheters |
| US10905554B2 (en) | 2017-01-05 | 2021-02-02 | Edwards Lifesciences Corporation | Heart valve coaptation device |
| US11224511B2 (en) | 2017-04-18 | 2022-01-18 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
| CN115990075A (zh) | 2017-04-18 | 2023-04-21 | 爱德华兹生命科学公司 | 心脏瓣膜密封装置及其递送装置 |
| US10799312B2 (en) | 2017-04-28 | 2020-10-13 | Edwards Lifesciences Corporation | Medical device stabilizing apparatus and method of use |
| US10959846B2 (en) | 2017-05-10 | 2021-03-30 | Edwards Lifesciences Corporation | Mitral valve spacer device |
| WO2019010370A1 (en) | 2017-07-06 | 2019-01-10 | Raghuveer Basude | FABRIC PREVENTION DEVICES AND ASSOCIATED METHODS |
| US11051940B2 (en) | 2017-09-07 | 2021-07-06 | Edwards Lifesciences Corporation | Prosthetic spacer device for heart valve |
| US11065117B2 (en) | 2017-09-08 | 2021-07-20 | Edwards Lifesciences Corporation | Axisymmetric adjustable device for treating mitral regurgitation |
| US11110251B2 (en) | 2017-09-19 | 2021-09-07 | Edwards Lifesciences Corporation | Multi-direction steerable handles for steering catheters |
| US10123873B1 (en) | 2018-01-09 | 2018-11-13 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
| US10245144B1 (en) | 2018-01-09 | 2019-04-02 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
| US10105222B1 (en) | 2018-01-09 | 2018-10-23 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
| US10973639B2 (en) | 2018-01-09 | 2021-04-13 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
| US10111751B1 (en) | 2018-01-09 | 2018-10-30 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
| US10136993B1 (en) | 2018-01-09 | 2018-11-27 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
| PL3964175T3 (pl) * | 2018-01-09 | 2025-02-24 | Edwards Lifesciences Corporation | Urządzenia do naprawy zastawek naturalnych |
| US10238493B1 (en) | 2018-01-09 | 2019-03-26 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
| US10231837B1 (en) | 2018-01-09 | 2019-03-19 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
| US10076415B1 (en) | 2018-01-09 | 2018-09-18 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
| US10159570B1 (en) | 2018-01-09 | 2018-12-25 | Edwards Lifesciences Corporation | Native valve repair devices and procedures |
| JP7349997B2 (ja) * | 2018-01-16 | 2023-09-25 | メドフリー, インコーポレイテッド | 組織把持デバイスおよび関連方法 |
| WO2019178244A1 (en) * | 2018-03-14 | 2019-09-19 | Boston Scientific Scimed, Inc. | Tissue retraction device and delivery system |
| US11389297B2 (en) | 2018-04-12 | 2022-07-19 | Edwards Lifesciences Corporation | Mitral valve spacer device |
| US11207181B2 (en) | 2018-04-18 | 2021-12-28 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
| CN112312863B (zh) * | 2018-04-24 | 2024-12-27 | 拉古维尔·巴苏德 | 可取回的组织抓取装置、间隔物、人造瓣膜及相关方法 |
| US11147673B2 (en) | 2018-05-22 | 2021-10-19 | Boston Scientific Scimed, Inc. | Percutaneous papillary muscle relocation |
| US10945844B2 (en) | 2018-10-10 | 2021-03-16 | Edwards Lifesciences Corporation | Heart valve sealing devices and delivery devices therefor |
| SG11202105160XA (en) | 2018-11-20 | 2021-06-29 | Edwards Lifesciences Corp | Deployment tools and methods for delivering a device to a native heart valve |
| AU2019384540B2 (en) | 2018-11-21 | 2025-01-02 | Edwards Lifesciences Corporation | Heart valve sealing devices, delivery devices therefor, and retrieval devices |
| CA3120859A1 (en) | 2018-11-29 | 2020-06-04 | Edwards Lifesciences Corporation | Catheterization method and apparatus |
| CR20210427A (es) | 2019-02-14 | 2022-03-30 | Edwards Lifesciences Corp | Dispositivos de sellado de válvulas cardíacas y dispositivos de suministro para los mismos |
| CA3131522A1 (en) | 2019-02-25 | 2020-09-03 | Edwards Lifesciences Corporation | Heart valve sealing devices |
| EP3996606B1 (en) * | 2019-07-12 | 2025-09-10 | Boston Scientific Scimed, Inc. | Systems for clamping an artificial chordae tendineae to a leaflet of a heart valve |
| CN112206075B (zh) * | 2019-07-12 | 2025-08-05 | 上海形状记忆合金材料有限公司 | 一种经导管植入式心脏瓣膜夹合器 |
| CA3147583C (en) | 2019-07-15 | 2025-06-10 | Evalve Inc | METHODS FOR ACTUATING INDEPENDENT PROXIMAL ELEMENT |
| CN112274297B (zh) * | 2019-07-24 | 2025-08-01 | 上海形状记忆合金材料有限公司 | 一种经导管心脏瓣膜夹合系统 |
| CN112386367B (zh) * | 2019-08-12 | 2025-08-12 | 杭州德晋医疗科技有限公司 | 可回收的瓣膜夹合器及瓣膜夹合器回收系统 |
| EP4062873A4 (en) * | 2019-11-19 | 2023-01-04 | Hangzhou Valgen Medtech Co., Ltd. | INDEPENDENTLY CONTROLLABLE VALVE CLAMPING SYSTEM |
| US12208008B2 (en) * | 2019-12-09 | 2025-01-28 | Boston Scientific Scimed, Inc. | Edge to edge repair device for valves |
| US20230355391A1 (en) * | 2020-03-25 | 2023-11-09 | Raghuveer Basude | Tissue grasping devices and related methods |
| CN111920549A (zh) * | 2020-09-10 | 2020-11-13 | 上海纽脉医疗科技有限公司 | 二尖瓣夹持装置的夹子主体、二尖瓣夹持装置和修复设备 |
| CN114376766B (zh) * | 2020-10-21 | 2025-09-23 | 杭州端佑医疗科技有限公司 | 一种可调节可移除的瓣膜夹持装置 |
| CN114432004B (zh) * | 2020-11-03 | 2025-08-29 | 深圳市健心医疗科技有限公司 | 组织闭合器械 |
| EP4308042A1 (en) | 2021-03-19 | 2024-01-24 | Evalve, Inc. | Systems for tissue grasping and assessment |
| CN113017929B (zh) * | 2021-04-02 | 2025-02-25 | 上海汇禾医疗科技有限公司 | 夹合器械 |
| JP2024524670A (ja) * | 2021-07-14 | 2024-07-05 | ボストン サイエンティフィック サイムド,インコーポレイテッド | 僧帽弁尖クリップ |
| JP2025510412A (ja) * | 2022-03-25 | 2025-04-14 | ブイ2ブイメドテック インコーポレイテッド | 心臓及び大血管に埋め込まれ、それらの完全な又は部分的な除去を可能とするクリップ、そのような除去を行うためのキット及び方法 |
| CN118973520A (zh) * | 2022-04-04 | 2024-11-15 | 爱德华兹生命科学公司 | 心脏瓣膜修复装置及用于其的递送装置 |
| US20230404565A1 (en) * | 2022-06-21 | 2023-12-21 | Boston Scientific Scimed, Inc. | Devices, systems, and methods for delivering and deploying an implantable device |
| EP4629904A1 (en) | 2022-12-06 | 2025-10-15 | Boston Scientific Scimed Inc. | Medical device for cutting a suture during a minimally invasive procedure |
| USD1071198S1 (en) | 2023-06-28 | 2025-04-15 | Edwards Lifesciences Corporation | Cradle |
| US20250073034A1 (en) * | 2023-08-31 | 2025-03-06 | Evalve, Inc. | Fixation system with leaflet capture assessment |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6752813B2 (en) * | 1999-04-09 | 2004-06-22 | Evalve, Inc. | Methods and devices for capturing and fixing leaflets in valve repair |
| US7563267B2 (en) | 1999-04-09 | 2009-07-21 | Evalve, Inc. | Fixation device and methods for engaging tissue |
| US9011468B2 (en) * | 2011-09-13 | 2015-04-21 | Abbott Cardiovascular Systems Inc. | Independent gripper |
| EP2785256A4 (en) * | 2011-12-01 | 2016-03-30 | Neochord Inc | SURGICAL NAVIGATION FOR THE REPAIR OF CARDIAC VALVES |
| WO2014136056A1 (en) * | 2013-03-04 | 2014-09-12 | Medical Research, Infrastructure And Health Services Fund Of The Tel-Aviv Medical Center | Cardiac valve commissure brace |
| US9572666B2 (en) | 2014-03-17 | 2017-02-21 | Evalve, Inc. | Mitral valve fixation device removal devices and methods |
| US10667815B2 (en) * | 2015-07-21 | 2020-06-02 | Evalve, Inc. | Tissue grasping devices and related methods |
-
2017
- 2017-07-13 WO PCT/US2017/042003 patent/WO2018013856A1/en not_active Ceased
- 2017-07-13 CN CN201780056353.5A patent/CN109715078B/zh active Active
- 2017-07-13 JP JP2019522620A patent/JP7206191B2/ja active Active
- 2017-07-13 EP EP17828492.3A patent/EP3484375A4/en active Pending
-
2022
- 2022-01-07 JP JP2022001622A patent/JP2022033350A/ja not_active Withdrawn
-
2023
- 2023-12-22 JP JP2023216469A patent/JP2024019679A/ja not_active Withdrawn
Also Published As
| Publication number | Publication date |
|---|---|
| JP7206191B2 (ja) | 2023-01-17 |
| JP2019522555A (ja) | 2019-08-15 |
| CN109715078A (zh) | 2019-05-03 |
| EP3484375A1 (en) | 2019-05-22 |
| JP2022033350A (ja) | 2022-02-28 |
| EP3484375A4 (en) | 2020-07-22 |
| WO2018013856A1 (en) | 2018-01-18 |
| JP2024019679A (ja) | 2024-02-09 |
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| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |