CN116453677A - Defibrillator with remote medical support function - Google Patents

Defibrillator with remote medical support function Download PDF

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Publication number
CN116453677A
CN116453677A CN202310453826.2A CN202310453826A CN116453677A CN 116453677 A CN116453677 A CN 116453677A CN 202310453826 A CN202310453826 A CN 202310453826A CN 116453677 A CN116453677 A CN 116453677A
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China
Prior art keywords
defibrillator
data
medical support
remote
medical
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Withdrawn
Application number
CN202310453826.2A
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Chinese (zh)
Inventor
陈伟力
陈思敏
陈思杰
陈思远
陈思宇
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Shenzhen Simin Medical Technology Co ltd
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Shenzhen Simin Medical Technology Co ltd
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Priority to CN202310453826.2A priority Critical patent/CN116453677A/en
Publication of CN116453677A publication Critical patent/CN116453677A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3904External heart defibrillators [EHD]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3925Monitoring; Protecting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39Heart defibrillators
    • A61N1/3993User interfaces for automatic external defibrillators
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Cardiology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Human Computer Interaction (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Epidemiology (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Electrotherapy Devices (AREA)

Abstract

The embodiment of the invention discloses a defibrillator with a remote medical support function, which comprises the following components: the monitoring unit is used for acquiring physical sign data in real time; wherein the sign data includes impedance and electrocardiographic data; a processing unit for constructing user characteristic data based on the sign data; a communication unit configured to: the user characteristic data is sent to a remote medical support center, so that the medical support center realizes remote monitoring; remotely interacting with the medical support center; the remote interaction includes at least one of a video session, remote voice, and medical guidance; the display unit is used for displaying the physical sign data and the remote interactive process so as to provide corresponding medical support; the effect is that: the obtained remote medical support is more targeted while the medical support center is realized to realize remote monitoring; thereby overcoming the defect that the prior art can not provide more medical support for defibrillation treatment.

Description

Defibrillator with remote medical support function
Technical Field
The invention relates to the technical field of medical equipment, in particular to a defibrillator with a remote medical support function.
Background
The defibrillator is a medical instrument for eliminating arrhythmia by using stronger pulse current to pass through the heart, so that the defibrillator recovers sinus rhythm, and is necessary first-aid equipment for various departments in hospitals. The defibrillator mainly comprises a monitoring part, an electric cardioversion machine, an electrode plate, a battery and the like, and is medical equipment which can be used by non-professional personnel for rescuing patients suffering from cardiac arrest.
At present, some defibrillators with screen displays appear, but only can realize fixed animation playing to conduct operation guidance of use; in another example, in chinese patent No. CN208524852U, an electrocardiograph monitoring defibrillator is described, which comprises a body, a handle is arranged on the upper side of the body, a display screen, a power switch, a defibrillation switch, a monitoring switch and a control keyboard are embedded on the front surface of the body, two sides of the body are connected with the defibrillator through a defibrillation connecting wire, the defibrillator is used for defibrillation, one side of the body is connected with a branching ring through an electrocardiograph monitoring wire, the branching ring is connected with an electrocardiograph electrode through an electrode connecting wire, and the electrocardiograph electrode is fixed at a corresponding position for electrocardiograph monitoring; the display screen is embedded on the front surface of the body, and is used for realizing the function of displaying the monitoring effect, so that the function of the display screen is very limited, and more medical support can not be provided for defibrillation and rescue; thus, there is a disadvantage in that it is difficult to pertinently provide effective medical support for different defibrillation populations.
Disclosure of Invention
In view of the above problems, a defibrillator with a remote medical support function is proposed to overcome the defect that the prior art cannot provide more medical support for defibrillation treatment.
The technical scheme provided by the invention is as follows: a defibrillator having a telemedicine support function, the defibrillator comprising:
the monitoring unit is used for acquiring physical sign data in real time; wherein the sign data includes impedance and electrocardiographic data;
a processing unit for constructing user characteristic data based on the sign data;
a communication unit configured to:
the user characteristic data is sent to a remote medical support center, so that the medical support center realizes remote monitoring;
remote interaction is carried out with the medical support center, and issued medical support data are obtained; wherein the remote interaction includes at least one of a video session, remote voice, and medical guidance;
and the display unit is used for displaying the physical sign data and the remote interactive process so as to provide corresponding medical support.
Preferably, the constructing user characteristic data specifically includes:
slicing the physical sign data according to a monitoring period;
and correlating the segmented physical sign data with the impedance value in the corresponding period.
Preferably, the remote monitoring specifically includes:
the received electrocardio data passes through a low-pass filter to eliminate high-frequency noise, and then the electrocardio data passing through the low-pass filter is filtered again through the high-pass filter;
drawing waveforms of the filtered electrocardiographic data;
and calculating the interval between R waves by using a mathematical morphology method, thereby calculating the heart rate.
Preferably, during filtering, band-stop filtering is performed on the electrocardiograph data subjected to low-pass and high-pass filtering so as to further eliminate power frequency noise.
Preferably, the processing unit is further configured to:
automatically defibrillation the user characteristic data by combining the acquired operation data; the operation data is obtained by operation based on the remote interaction result.
Preferably, the medical support center is also used for being connected with an external rescue center so as to realize emergency alarm.
Preferably, the communication unit adopts a wireless communication mode, including any one of Bluetooth, wiFi and mobile network.
Preferably, the medical support includes mode selection of the defibrillator, operational support, pre-defibrillation preparation support, and emergency operation support.
Preferably, the processing unit dynamically adjusts parameters of discharge waveform, energy, voltage, current and duration according to the changed impedance value, so as to achieve better defibrillation effect and reduce defibrillation energy.
Preferably, the defibrillator uses a biphasic wave defibrillator.
By adopting the technical scheme, the defibrillator with the remote medical support function constructs user characteristic data for the sign data acquired in real time through the processing unit, and then sends the user characteristic data to a remote medical support center through the communication unit, so that the remote monitoring is realized by the medical support center, and meanwhile, the defibrillator with the remote medical support center also performs remote interaction, and the acquired remote medical support is more targeted; finally, displaying the physical sign data and displaying the remote interactive process by adopting a set display unit so as to provide corresponding medical support; thereby overcoming the defect that the prior art can not provide more medical support for defibrillation treatment.
Drawings
Fig. 1 is a diagram of an overall architecture of a defibrillator with telemedicine support according to an embodiment of the present invention;
fig. 2 is a schematic diagram of a process of the remote interaction according to an embodiment of the present invention.
Detailed Description
Specific embodiments of the invention will be described in detail below, it being noted that the embodiments described herein are for illustration only and are not intended to limit the invention. In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention. However, it will be apparent to one of ordinary skill in the art that: no such specific details are necessary to practice the invention.
It should be noted that the terms "first," "second," and the like in the description and claims of the present application and the above figures are used for distinguishing between similar objects and not necessarily for describing a particular sequential or chronological order. It is to be understood that the data so used may be interchanged where appropriate in order to describe the embodiments of the present application described herein. Furthermore, the terms "comprises," "comprising," and "having," and any variations thereof, are intended to cover a non-exclusive inclusion, such that a process, method, system, article, or apparatus that comprises a list of steps or elements is not necessarily limited to those steps or elements expressly listed but may include other steps or elements not expressly listed or inherent to such process, method, article, or apparatus.
In the present application, the terms "upper", "lower", "left", "right", "front", "rear", "top", "bottom", "inner", "outer", "middle", "vertical", "horizontal", "lateral", "longitudinal" and the like indicate an azimuth or a positional relationship based on that shown in the drawings. These terms are used primarily to better describe the present application and its embodiments and are not intended to limit the indicated device, element or component to a particular orientation or to be constructed and operated in a particular orientation.
Also, some of the terms described above may be used to indicate other meanings in addition to orientation or positional relationships, for example, the term "upper" may also be used to indicate some sort of attachment or connection in some cases. The specific meaning of these terms in this application will be understood by those of ordinary skill in the art as appropriate.
Throughout the specification, references to "one embodiment," "an embodiment," "one example," or "an example" mean: a particular feature, structure, or characteristic described in connection with the embodiment or example is included within at least one embodiment of the invention. Thus, the appearances of the phrases "in one embodiment," "in an embodiment," "one example," or "an example" in various places throughout this specification are not necessarily all referring to the same embodiment or example. Furthermore, the particular features, structures, or characteristics may be combined in any suitable combination and/or sub-combination in one or more embodiments or examples.
It should be noted that technical terms of the present embodiment are the common meanings understood in the art unless otherwise specified.
As shown in fig. 1 and 2, a defibrillator with a remote medical support function according to an embodiment of the present invention includes:
the monitoring unit is used for acquiring physical sign data in real time; wherein the sign data includes impedance and electrocardiographic data;
when the defibrillator is applied, the defibrillator adopts a biphasic wave defibrillator; the same parts as those of the defibrillator are not described in detail; for example, the device also comprises a corresponding shell, a power supply part, a sound unit and the like;
the monitoring unit is realized by adopting a corresponding hardware circuit; the physical sign data can also have data of blood pressure, blood oxygen and respiration monitoring.
And the processing unit is used for constructing user characteristic data based on the sign data.
Specifically, the construction of the user characteristic data specifically includes:
slicing the physical sign data according to a monitoring period;
and correlating the segmented physical sign data with the impedance value in the corresponding period.
That is, the user characteristic data includes a plurality of the sign data; correlating the physical sign data of the corresponding monitoring object with the impedance value in the corresponding period according to the monitoring period; thus, the dynamic change trend of the corresponding electrocardio and impedance is obtained, and the dynamic change trend is stored to obtain dynamic data for further subsequent use, so that the information acquisition of defibrillation crowds is more targeted.
A communication unit configured to:
the user characteristic data is sent to a remote medical support center, so that the medical support center realizes remote monitoring;
remote interaction is carried out with the medical support center, and issued medical support data are obtained; wherein the remote interaction includes at least one of a video session, remote voice, and medical guidance.
Specifically, the communication unit adopts a wireless communication mode, including any one of Bluetooth, wiFi and mobile network; wherein the mobile network comprises at least one of the following networks: a 3G network, a 4G network, a 5G network, or a future communication network;
the medical support center comprises a server, and the server is used for remotely monitoring the received user characteristic data;
the remote interaction process is to carry out remote medical support; when the method is applied, a plurality of combined modes can be adopted; that is, the medical support data includes at least one of text data and multimedia data;
the medical support comprises mode selection, operation support, preparation support before defibrillation and emergency operation support of the defibrillator;
the mode selection of the defibrillator includes selectable adult modes and pediatric modes, if the patient is 8 years old and older or weighs 25kg and older, if the patient is less than 8 years old or weighs less than 25kg, pediatric modes;
the operation support comprises the steps of attaching an electrode pad to the chest skin of a patient according to an instruction, and adjusting the position of the electrode pad according to a remote monitoring condition; operating in accordance with the voice instructions of the AED. While the AED is analyzing the electrocardiogram, the AED is directed by voice and away from the patient, avoiding interference with the analysis.
When defibrillation indication exists, the patient is not required to be contacted, other people nearby are told to be away from the patient, and an operator presses a discharging key to defibrillate;
the pre-defibrillation preparation support includes the patient's inability to use the AED in water, the patient's chest requiring preparation for quick drying of the chest if there is sweat, etc.;
emergency operation support includes cardiopulmonary resuscitation, artificial respiration, and the like.
And the display unit is used for displaying the physical sign data and the remote interactive process so as to provide corresponding medical support.
When the method is implemented, the display unit displays the corresponding electrocardiogram, and displays medical support data acquired in a remote interaction process as medical guidance in a text form; or medical guidance is directly carried out in a remote dialogue mode, so that the current state of the patient is better known and judged; and the remote diagnosis and guidance are carried out in a video session mode, so that the patient can receive the treatment and nursing under the medical guidance in situ, and the treatment can be carried out in time in the golden time.
Compared with the traditional internet APP mode, the system adopts a central platform management mode, related data are safe and controlled, corresponding APP is not required to be installed, and the system can be used for medical support by directly utilizing hardware equipment, so that the implementation mode is more convenient.
Further, for better implementation of telemedicine guidance, the remote monitoring specifically includes:
the received electrocardio data passes through a low-pass filter to eliminate high-frequency noise, and then the electrocardio data passing through the low-pass filter is filtered again through the high-pass filter; noise and other interference signals in the electrocardiosignal are effectively removed, such as baseline drift, myoelectric interference suppression and the like, so that accuracy of a measurement result is improved;
baseline wander is one of the major noises of ECG (electrocardiogram) signals, caused by electrode patch slippage, etc., and the frequency is typically below 1Hz, which appears as a slowly varying sinusoidal-like curve;
the baseline drift is mainly a low-frequency component, and the baseline trend of the signal can be observed in the low-frequency coefficient of the decomposition through the multi-scale decomposition process of wavelet transformation, and the baseline trend is subtracted from the original signal.
Myoelectric interference is caused by irregular high-frequency electric disturbance generated by trembling of human body muscles, the frequency range is very wide, and is generally between 10 and 1000Hz, and the myoelectric interference is expressed as irregular rapid-change waveforms;
drawing waveforms of the filtered electrocardiographic data;
and calculating the interval between R waves by using a mathematical morphology method, thereby calculating the heart rate.
The mathematical morphology algorithm is based on the local characteristics of the signals, and can effectively highlight the peak and valley points of the signals. The self-adaptive threshold maximum value searching algorithm considering the characteristics of electrocardiosignals can sensitively detect the accurate position of R waves;
and during filtering, the low-pass and high-pass filtered electrocardiograph data is subjected to band-stop filtering so as to further eliminate power frequency noise.
The starting point, the ending point, the wave crest, the wave trough and the interval of the waveform in the ECG signal record the detailed information of the heart activity state;
thus also includes screening the ECG signal for conditions of:
each ECG signal period is between 0.6s and 1.0 s;
there is and only one QRS complex per ECG signal cycle;
the range of variation of the plurality of ECG signal cycles is small.
According to the scheme, the processing unit is used for constructing the user characteristic data for the sign data acquired in real time, the communication unit is used for transmitting the user characteristic data to the remote medical support center, remote monitoring is realized by the medical support center, and meanwhile, remote interaction is also carried out with the medical support center, so that the acquired remote medical support is more targeted; finally, displaying the physical sign data and displaying the remote interactive process by adopting a set display unit so as to provide corresponding medical support; thereby overcoming the defect that the prior art can not provide more medical support for defibrillation treatment.
Further, in another embodiment, on the basis of the foregoing technical solution, the processing unit is further configured to:
automatically defibrillation the user characteristic data by combining the acquired operation data; the operation data is obtained by operation based on the remote interaction result.
Specifically, the operator performs mode selection, voltage adjustment, energy value selection, and the like based on the medical support condition to derive the operation data; thereby realizing the combination of automatic defibrillation and remote medical support and timely providing medical-grade treatment so as to improve the corresponding treatment effect.
Further, in order to realize the linkage with an external system, the medical support center is also used for being connected with an external rescue center so as to realize emergency alarm.
Specifically, when the remote medical support is carried out, the remote medical support is connected with the rescue center to realize timely emergency alarm, so that the emergency and the alarm are carried out simultaneously, and a patient can carry out professional treatment timely; the first aid party can timely acquire the relevant sign data of the patient from the medical support center, and the data blank before the arrival of the emergency ambulance is made up;
meanwhile, the system can be connected with an intelligent equipment end of a user, so that more flexible electrocardio monitoring is realized, and further, the current state of the defibrillation equipment is also convenient to know, and information such as whether the equipment is used or not is also convenient to know.
Further, in another embodiment, it is considered that the current rather than the energy is used for determining the defibrillation effect, so the processing unit dynamically adjusts the parameters of the discharge waveform, energy, voltage, current and duration according to the changed impedance value, thereby achieving better defibrillation effect and reducing defibrillation energy; wherein the dynamic change of the impedance value is derived from the dynamic change trend of the stored electrocardio and impedance.
When the parameters are regulated, the gradient of the output bi-phase wave is controlled to reach the set range; wherein the gradient is the ratio of the discharge end voltage to the initial discharge voltage; this is because a discharge waveform with a low gradient can achieve a better defibrillation effect; by dynamically introducing the impedance values, similar waveform slopes can be achieved through adjustment when different patients with high impedance and low impedance are faced, so that defibrillation improvement can be performed for different groups of people in a targeted manner.
In use, the processing unit may be a central processing unit (Central Processing Unit, CPU), which may also be other general purpose processors, digital signal processors (Digital Signal Processor, DSPs), application specific integrated circuits (Application Specific Integrated Circuit, ASICs), off-the-shelf programmable gate arrays (Field-Programmable Gate Array, FPGAs) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components, or the like. A general purpose processor may be a microprocessor or the processor may be any conventional processor or the like.
And a corresponding storage medium, which may include Cache(s), high-speed Random Access Memory (RAM), such as the usual double data rate synchronous dynamic random access memory (DDR SDRAM), and nonvolatile memory (NVRAM), such as one or more Read Only Memory (ROM), magnetic disk storage devices, flash memory (Flash) storage devices, or other nonvolatile solid state memory devices such as compact disk (CD-ROM, DVD-ROM), floppy disk or data tape, etc. For example, the memory may also store information of the device type.
In several embodiments provided herein, it should be understood that the disclosed defibrillator may be implemented in other ways. For example, the above-described embodiments are merely illustrative, e.g., the division of the elements is merely a logical function division, and there may be additional divisions of actual implementation, e.g., multiple elements or components may be combined or integrated into another system or apparatus, or some features may be omitted, or not performed. In addition, the coupling or direct coupling or communication connection shown or discussed with each other may be an indirect coupling or communication connection via some interfaces, devices, or elements, or may be an electrical, mechanical, or other form of connection.
While the invention has been described with reference to certain preferred embodiments, it will be understood by those skilled in the art that various changes and substitutions of equivalents may be made and equivalents will be apparent to those skilled in the art without departing from the scope of the invention. Therefore, the protection scope of the invention is subject to the protection scope of the claims.

Claims (10)

1. A defibrillator having a telemedicine support function, the defibrillator comprising:
the monitoring unit is used for acquiring physical sign data in real time; wherein the sign data includes impedance and electrocardiographic data;
a processing unit for constructing user characteristic data based on the sign data;
a communication unit configured to:
the user characteristic data is sent to a remote medical support center, so that the medical support center realizes remote monitoring;
remote interaction is carried out with the medical support center, and issued medical support data are obtained; wherein the remote interaction includes at least one of a video session, remote voice, and medical guidance;
and the display unit is used for displaying the physical sign data and the remote interactive process so as to provide corresponding medical support.
2. The defibrillator of claim 1 wherein the constructing user characteristic data comprises:
slicing the physical sign data according to a monitoring period;
and correlating the segmented physical sign data with the impedance value in the corresponding period.
3. The defibrillator of claim 1 wherein the remote monitoring comprises:
the received electrocardio data passes through a low-pass filter to eliminate high-frequency noise, and then the electrocardio data passing through the low-pass filter is filtered again through the high-pass filter;
drawing waveforms of the filtered electrocardiographic data;
and calculating the interval between R waves by using a mathematical morphology method, thereby calculating the heart rate.
4. A defibrillator with telemedicine support according to claim 3, wherein the low-pass and high-pass filtered electrocardiograph data is band-reject filtered to further eliminate power frequency noise.
5. The defibrillator of any one of claims 1-4, wherein the processing unit is further configured to:
automatically defibrillation the user characteristic data by combining the acquired operation data; the operation data is obtained by operation based on the remote interaction result.
6. The defibrillator of claim 5, wherein the medical support center is further configured to connect with an external rescue center to provide emergency alerting.
7. The defibrillator of claim 5, wherein the communication unit is configured to communicate wirelessly, including any of bluetooth, wiFi, and mobile network.
8. The defibrillator of claim 1, wherein the medical support comprises mode selection of the defibrillator, operational support, pre-defibrillation preparation support, and emergency operation support.
9. The defibrillator of claim 2 wherein the processing unit further dynamically adjusts the discharge waveform, energy, voltage, current and duration parameters based on the varying impedance values to achieve better defibrillation and to reduce defibrillation energy.
10. The defibrillator of claim 1, wherein the defibrillator is configured to use a biphasic wave defibrillator.
CN202310453826.2A 2023-04-18 2023-04-18 Defibrillator with remote medical support function Withdrawn CN116453677A (en)

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Application Number Priority Date Filing Date Title
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Application Number Priority Date Filing Date Title
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