EP2026710A1 - Conditionnement stérile d'un article médical - Google Patents

Conditionnement stérile d'un article médical

Info

Publication number
EP2026710A1
EP2026710A1 EP07701876A EP07701876A EP2026710A1 EP 2026710 A1 EP2026710 A1 EP 2026710A1 EP 07701876 A EP07701876 A EP 07701876A EP 07701876 A EP07701876 A EP 07701876A EP 2026710 A1 EP2026710 A1 EP 2026710A1
Authority
EP
European Patent Office
Prior art keywords
packaging
article
sterile
space
needle
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.)
Withdrawn
Application number
EP07701876A
Other languages
German (de)
English (en)
Inventor
Simon Scheurer
Reto Aeschlimann
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
F Hoffmann La Roche AG
Roche Diagnostics GmbH
Original Assignee
F Hoffmann La Roche AG
Roche Diagnostics GmbH
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
Application filed by F Hoffmann La Roche AG, Roche Diagnostics GmbH filed Critical F Hoffmann La Roche AG
Publication of EP2026710A1 publication Critical patent/EP2026710A1/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B50/36—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for collecting or disposing of used articles
    • A61B50/362—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for collecting or disposing of used articles for sharps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B50/3001—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for sharps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B2050/005—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover
    • A61B2050/0051—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover closable by rotation
    • A61B2050/0056—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover closable by rotation about a lateral axis in the lid plane
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B2050/005—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover
    • A61B2050/0065—Peelable cover
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B2050/005—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover
    • A61B2050/0067—Types of closures or fasteners
    • A61B2050/008—Pegs inserted, e.g. forced, into openings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/002—Packages specially adapted therefor, e.g. for syringes or needles, kits for diabetics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178—Syringes
    • A61M5/31—Details
    • A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
    • A61M5/3205—Apparatus for removing or disposing of used needles or syringes, e.g. containers; Means for protection against accidental injuries from used needles

Definitions

  • the present invention relates to a method for disposing of a medical article with a needle or blade-like physicality for piercing or cutting into the body of a patient, an application of the method and a sterile packaging of such a medical article according to the preambles of the independent claims.
  • Ports or infusion sets for insulin pumps are nowadays mostly provided as disposables in sterile packs.
  • This development has led to a significant simplification in the management of such articles, especially in the field of outpatient medicine, but the safe disposal of contaminated after use articles represents a previously unsatisfactorily solved problem which in recent years by the increasing prevalence of diseases such as AIDS has become more explosive.
  • While inadvertently contacting a person with the sterile article while being removed from the package is merely painful and usually renders the article unusable for further use, but does not normally result in any health consequences for the injured person, there is one Damage with a contaminated article increases the risk that dangerous diseases will be transmitted. Accordingly, it is of the utmost importance to design the handling and disposal process in such a way that the injury danger with the contaminated article is kept as low as possible.
  • infusion needles are collected in special collection containers after use and then disposed of together, but with the disadvantage that the contaminated needles are left unattended for an extended period of time, leaving you with a latent risk of infection, e.g. through the air or through any liquid leaking from the sump.
  • the contaminated needles must be handled once more for final disposal, again causing injury.
  • US Pat. Nos. 5,293,993 and 4,979,616 disclose disposal containers for used syringes in which the syringes, including the needle, are inserted and permanently protected against irreversible occlusion by them, so that they can be disposed of in normal waste.
  • such solutions have the disadvantage that the disposal containers must be procured and farmed separately, which is costly and also carries the risk that temporarily no disposal containers are present, although contaminated syringes would be disposed of.
  • 6,235,006 discloses catheters having an infusion needle connected at the end, which have arranged around the catheter a protective housing, into which the infusion needle can be drawn in after use and irreversibly latched in a protected position, so that problem-free disposal in normal household waste is possible ,
  • a protective housing into which the infusion needle can be drawn in after use and irreversibly latched in a protected position, so that problem-free disposal in normal household waste is possible .
  • a first aspect of the invention relates to a method of disposing of a medical article having a needle or blade-like physical nature for piercing or incising into the body of a patient, such as a patient. an infusion needle, a scalpel, a port or an infusion set for an insulin pump.
  • the article or at least the needle or blade-like physicality providing part of the article after removal of the sterile article from a package and the intended use of the article or needle-like or blade-like physicality providing part of the article in one of the packaging provided Disposal space introduced and thereby secured simultaneously or subsequently with provided by the packaging securing means against removal from the disposal room, so that an inadvertent Intitleêt of people with the contaminated needle or blade-like corporeality is reliably prevented.
  • the article or the part of the article which forms the needle-like or blade-like corporeality after the intended use, is again introduced into a space in the packaging in which it was already arranged during the provision.
  • the demanding disposal space here therefore corresponds to the original packaging space.
  • the article or the part of the article which forms the needle-like or blade-like corporeality is, after the intended use, introduced into a space in the packaging in which it was not arranged during the provision.
  • the claimed disposal space in this embodiment is therefore a different space than the original packaging space.
  • the disposal space for securing the article or the needle or blade-like part of the article against being removed from the disposal space is closed with a securing cover provided by the packaging, it being preferred that the Closure of the sorgungsraumes irreversible, so it is not possible to open the same or only by force or destruction of packaging and / or article elements.
  • the article or the needle-like or blade-like part of the article is provided for securing against removal from the disposal space during or after introduction into the disposal space in a position in which an unauthorized sighted contacting of persons with the contaminated needle- or blade-like corporeality is not possible with one or more locking elements provided by the packaging, it being preferred that the locking takes place irreversibly, ie not releasing the locking or only by force or force Destruction of packaging and / or article elements is possible.
  • one or the other of these embodiments or a combination of both embodiments may be more preferable.
  • a second aspect of the invention relates to the use of the method according to the first aspect of the invention for the disposal of infusion sets or parts of infusion sets for the subcutaneous delivery of liquid medicaments, preferably insulin, into a person's body.
  • liquid medicaments preferably insulin
  • a third aspect of the invention relates to a sterile packaging of a medical article for
  • the sterile package comprises a sterile packaged medical article with a needle or blade-like physicality for piercing or incising into the body of a patient arranged in a packaging space formed by a packaging.
  • This packaging space can be opened by hand without tools, so that the article can be removed from the packaging space, possibly with another sterile packaging wrapper surrounding it.
  • the packaging of the sterile packaging is designed such that the medical article or a needle or blade-like physicality providing part of the article after removal of the article from the packaging space and the intended use of the medical article or at least after the intended use of the needle or part of the article providing sounding to the body can thus be introduced into a disposal space formed by the packaging and secured there with securing means formed by the packaging, so that an inadvertent contact of persons with the contaminated needle or blade-like corporeality is not possible.
  • the needle-like or blade-like physicality of the article is no longer accessible, or at least no longer accessible, without specific manipulations in this regard, so that unintentional contact and injury to persons is reliably prevented.
  • the parts of the packaging surrounding the contaminated needle or blade-like corporeality must be formed so tightly that puncturing or cutting them with this physicality under normal disposal conditions is not possible.
  • Articles with a needle-like or blade-like physicality for piercing or cutting into the body of a patient within such a sterile packaging are automatically provided with a disposal container adapted to the article, without having to be provided separately for this purpose.
  • the medical article or the the needle- or blade-like physicality providing part thereof can be disposed of with the normal household waste directly after the intended use using the original packaging, which has the advantage that can be dispensed with problematic intermediate storage and only once with the Contaminated needle or blade-like physicality must be handled, so that the risk of injury can be reduced to an absolute minimum.
  • the securing means are designed such that the securing of the article introduced into the disposal space or the part of the article providing the needlelike or blade-like physicality is irreversible. This backup can not be canceled or only by force or destruction of packaging and / or article elements. As a result, maximum security against a later incontroverting of persons with the contaminated needle- or blade-like physicality is achieved.
  • the packaging space is designed as a sterile space, in contrast to likewise provided embodiments, in which the article is arranged in sterile packaging in a non-sterile packaging space in a secondary packaging.
  • the packaging comprises a base part, which forms the packaging space, and a lid part, which closes the packaging space formed by the base part, the lid part being separable without tools, partially or completely separable from the base part or tool-free Enabling a removal of the article from the packaging space.
  • the cover part can thus be destroyed by hand at least to the extent or solve the base part that a trouble-free removal of the sterile article from the packaging space is possible. It is conceivable that the cover part is completely separated from the base part or remains captive attached to a partial separation on the base part, which offers the advantage that this does not have to be disposed of separately.
  • the disposal space and the securing means are formed by the base part, preferably by integrally forming correspondingischenticianen with the same. As a result, particularly cost-effective solutions are possible.
  • the connection between the cover part and the base part is designed in such a way that the cover part allows the removal of the article along one or more predetermined separation points without tools from the base part is separable, and preferably in such a way that the connection is irreversibly destroyed in the area of the predetermined separation points.
  • sterile packages have the advantage that opened packages can be immediately and unambiguously distinguished from unopened packages, which is of essential importance in the packaging of sterile articles. It is also preferred in sterile packaging, the packaging of which comprises a base part and a cover part, that the cover part is sealed onto a flange part formed by the base part, since good and favorable packaging solutions can be realized by this construction method.
  • the packaging of which comprises a base part and a lid part
  • the base part is formed by injection molding from a thermoplastic or by thermoforming a thermoplastic plastic film.
  • Such bases are inexpensive to manufacture and generate relatively little packaging waste.
  • lid part of a medical paper, a paper-like nonwoven fabric (such as available under the name "Tyvek” from Du Pont) or from a Such lidding materials are particularly well suited for the packaging of sterile medical articles.
  • the disposal space is formed by the original packaging space, in another preferred embodiment the disposal space is formed separately from the packaging space.
  • the disposal space is formed separately from the packaging space.
  • the securing means comprise a securing cover with which the disposal space can be closed after the article or the needle or blade-like part of the article has been introduced, preferably irreversibly, so that a reopening of the same not or only by force or destruction tion of packaging and / or article elements is possible. In this way, a maximum of security against contact of a person with the contaminated needle- or blade-like physicality can be achieved.
  • the packaging includes a base part and a cover part
  • it is preferred for the securing cover to be formed integrally with the base part, since this makes possible particularly simple and cost-effective solutions.
  • the securing means according to the invention comprise one or more latching elements with which the article or the part of the article providing the needlelike or blade-like physical appearance during introduction or after introduction into the disposal space a position can be locked in which the contaminated needle- or blade-like physicality is not accessible, so that an inadvertent contacting of persons with the same is reliably prevented. It is particularly preferred if the latching takes place irreversibly, that is to say a cancellation of the
  • Locking is not possible or only by force or destruction of packaging and / or article elements.
  • the packaging of which comprises a base part and a cover part
  • the latching elements are formed integrally with the base part, since material-saving and cost-effective solutions can thus be realized.
  • the article is a disposable article, preferably an infusion set for subcutaneous delivery of a liquid drug, particularly insulin, into the body of a patient.
  • a liquid drug particularly insulin
  • the advantages of the invention are particularly significant.
  • the sterile package comprises exactly one article, in another preferred embodiment it comprises several articles, in which case it then has a separate disposal space as well as separate securing means for each article.
  • each article is arranged in a packaging space which can be opened separately.
  • FIG. 1 shows a perspective top view of a first sterile packaging according to the invention of an infusion set in the original state
  • Fig. 2 is a top perspective view of the sterile package of Fig. 1 after removal of the sealing cap from the packaging tray;
  • Fig. 3 is a plan view of the empty packaging tray of the sterile package of Fig. 2;
  • FIG. 4 shows a vertical section through the empty packaging tray along the line A-A in FIG. 3;
  • Fig. 5 is a perspective plan view of the packaging tray of FIG. 3 after the locking of the used handle part with guide needle in the disposal room of the same.
  • Fig. 6 is a vertical section along the line
  • FIG. 7 shows a perspective plan view of a second sterile packaging according to the invention of an infusion set in the original state
  • FIG. 8 is a side view of the sterile package of FIG. 7
  • FIG. 9 is a top perspective view of the sterile package of FIG. 7 after the protective cover has been opened;
  • FIG. 8 is a side view of the sterile package of FIG. 7
  • FIG. 9 is a top perspective view of the sterile package of FIG. 7 after the protective cover has been opened
  • FIG. 10 is a top perspective view of the sterile package of FIG. 9 after removal of the sealing cap from the packaging tray; FIG.
  • FIG. 11 is a perspective top view of the packaging tray of the second sterile packaging according to the invention after the introduction of the used handle part with guide needle into the disposal space;
  • FIG. 12 shows a perspective top view of the packaging tray from FIG. 11 after closing and latching of the protective lid;
  • FIG. 12 shows a perspective top view of the packaging tray from FIG. 11 after closing and latching of the protective lid;
  • FIG. 13 is a side view of the packaging tray of FIG. 12; FIG. and FIG. 14 shows the detail X from FIG. 13, partially cut away.
  • FIGS. 1 and 2 A first preferred embodiment of the sterile packaging according to the invention is in FIGS. 1 and 2 in perspective once completely and unopened in the original state (FIG. 1) and once after opening by removal .
  • FIGS . 3 to 6 show the packaging shell 3 .
  • This sterile packaging both in an empty state, in the plan view (Fig. 3) and in vertical section along the line A - A in Fig. 3 (A), as well as in a ready for disposal state with in the packaging tray. 3 secured handle part 9 with contaminated guide needle 2, in a perspective plan view of the packaging tray (Fig. 5) and in vertical section along the line B - B in Fig. 5 ( Figure 6).
  • the sterile packaging consists of a packaging, which is formed by a packaging tray 3 and a sealing lid 5, and a sterilized in the United States. Pack 3, 5 packed infusion set 1 for insulin.
  • the packaging tray 3 forms a packaging space 4 in which the infusion set 1 is accommodated and which in the original state is closed by the sealing lid 5.
  • the sealing lid 5 is sealed onto a flange section 6 formed by the packaging shell 3 such that it can be pulled off the flange section 6 by hand to open the packaging 3, 5, wherein the sealing connection with the flange section 6 is irreversibly destroyed.
  • the packaging shell 3 forms a separate disposal space 7, which in the original state is likewise closed off by the sealing lid 5.
  • two locking lugs 8 formed integrally with the packaging shell 3 are arranged in the disposal space 7, with which the grip part 9 of the infusion set 1, which carries the guide needle 2 and after the application of the infusion set 1 on the body of a patient together with this is removed from the rest, applied part of the infusion set, can be locked in a position in the disposal room 7, in which the infusion needle 2 is inaccessible. This situation is shown in FIGS. 5 and 6.
  • the packaging tray 3 is made by injection molding of a thermoplastic resin having a thickness of about 1.0 mm, and the sealing lid 5 is made of a nonwoven fabric coated on one side with a sealant adhesive.
  • FIGS. 7 to 10 A second preferred embodiment of the sterile packaging according to the invention is shown in FIGS. 7 to 10, completely and unopened in the original state in FIGS. 7 to 9 and in open position.
  • FIGS. 7 and 8 show the sterile packaging with the protective cover 10 closed once in the perspective top view (FIG. 7) and once in the side view (FIG. 8).
  • FIG. 9 shows the sterile packaging with the protective cover 10 open in a perspective plan view
  • FIG. 10 after opening by removing the sealing lid 5 from the packaging shell 3, likewise in a perspective plan view.
  • 11 shows a perspective top view of the packaging tray 3 of the sterile packaging after the handle part 9 with contaminated guide needle 2 has been introduced into the packaging space 4, which now serves as a demanding disposal space 4.
  • FIGS. 7 and 8 show the sterile packaging with the protective cover 10 closed once in the perspective top view (FIG. 7) and once in the side view (FIG. 8).
  • FIG. 9 shows the sterile packaging with the protective cover 10 open
  • the sterile packaging thus consists of a package 3, 5 and a sterile in the package 3, 5 packed infusion set 1 for insulin.
  • the package comprises a packaging tray 3 and a sealing lid 5, but the sealing lid 5 in the state of sale by a wegklappbaren protective cover 10 which is integrally formed with the packaging shell 3 and connected thereto along a hinge bar 13, protected from damage ( Figures 7 and 8th) .
  • the packaging tray 3 forms a packaging space 4, in which the infusion set 1 is accommodated and which in the original state is closed by the sealing lid 5.
  • the sealing lid 5 which, however, is accessible only after the protective cover 10 has been folded away (FIG. 9), is also sealed onto a flange section 6 provided by the packaging shell 3 in such a way that it opens the package 3, 5 can be removed by hand from the flange 6.
  • the sealing connection with the flange 6 is irreversibly destroyed and there are detent openings 11 exposed for later engagement of the protective cover 10 arranged locking projections 12. This situation is shown in FIG.
  • the packaging tray 3 is formed from a thermoformed PET film having a thickness of 0.7 mm, and the sealing lid 5 again consists of a nonwoven fabric coated on one side with a sealant adhesive.
  • the packaging tray 3 does not form an additional disposal space here, but the space 4 previously serving as the packaging space serves as a disposal space 4 for receiving the handle part 9 remote from the applied infusion set after removal and application of the sterile infusion set 1 originally arranged therein After this is introduced into the disposal chamber 4 (see FIG.
  • FIGS. 12 to 14 wherein the latching of the latching lugs 12 in the assigned latching opening 11 in FIG. 14 is shown as detail X from FIG. 13 in partial section.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Packages (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Refuse Receptacles (AREA)

Abstract

La présente invention concerne un conditionnement stérile d'un ensemble de perfusion pour insuline, l'ensemble de perfusion (1) étant disposé dans un compartiment d'emballage (4) formé par une barquette d'emballage (3) et fermé de manière stérile par un opercule (5). L'opercule (5) est scellé sur la partie de rebord (6) de la barquette d'emballage (3) et peut être séparé de la barquette d'emballage le long de la liaison scellée pour ouvrir le compartiment d'emballage (4). Outre le compartiment d'emballage (4), la barquette d'emballage (3) présente également un compartiment de mise au rebut séparé (7) pourvu d'ergots d'encliquetage (8), dans lequel la partie de préhension (9) portant l'aiguille (2) de l'ensemble de perfusion peut être placée, laquelle partie de préhension, après l'utilisation de l'ensemble de perfusion, est séparée dudit ensemble en même temps que l'aiguille (2), et peut être bloquée avec les ergots d'encliquetage (8) dans une position empêchant tout contact involontaire d'une personne avec l'aiguille contaminée (2). Après l'utilisation de l'ensemble de perfusion (1), la partie de préhension (9) et l'aiguille (2) peuvent être mises au rebut directement en toute sécurité, avec les déchets ménagers et en utilisant l'emballage d'origine. Le risque de blessure est donc réduit à un niveau extrêmement faible et des économies peuvent être réalisées sur le plan de l'approvisionnement et de la mise au rebut.
EP07701876A 2006-06-13 2007-02-13 Conditionnement stérile d'un article médical Withdrawn EP2026710A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CH9562006 2006-06-13
PCT/CH2007/000076 WO2007143863A1 (fr) 2006-06-13 2007-02-13 Conditionnement stérile d'un article médical

Publications (1)

Publication Number Publication Date
EP2026710A1 true EP2026710A1 (fr) 2009-02-25

Family

ID=37964985

Family Applications (1)

Application Number Title Priority Date Filing Date
EP07701876A Withdrawn EP2026710A1 (fr) 2006-06-13 2007-02-13 Conditionnement stérile d'un article médical

Country Status (4)

Country Link
US (1) US20090152148A1 (fr)
EP (1) EP2026710A1 (fr)
CN (1) CN101466323A (fr)
WO (1) WO2007143863A1 (fr)

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Title
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WO2007143863A1 (fr) 2007-12-21
CN101466323A (zh) 2009-06-24

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