EP2625977A1 - Bewegungsstützvorrichtung - Google Patents

Bewegungsstützvorrichtung Download PDF

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Publication number
EP2625977A1
EP2625977A1 EP13154662.4A EP13154662A EP2625977A1 EP 2625977 A1 EP2625977 A1 EP 2625977A1 EP 13154662 A EP13154662 A EP 13154662A EP 2625977 A1 EP2625977 A1 EP 2625977A1
Authority
EP
European Patent Office
Prior art keywords
straps
strap
combination
foot
knee
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.)
Granted
Application number
EP13154662.4A
Other languages
English (en)
French (fr)
Other versions
EP2625977B1 (de
Inventor
Hervé Teyssedre
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.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Publication of EP2625977A1 publication Critical patent/EP2625977A1/de
Application granted granted Critical
Publication of EP2625977B1 publication Critical patent/EP2625977B1/de
Not-in-force legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A41—WEARING APPAREL
    • A41D—OUTERWEAR; PROTECTIVE GARMENTS; ACCESSORIES
    • A41D13/00—Professional, industrial or sporting protective garments, e.g. surgeons' gowns or garments protecting against blows or punches
    • A41D13/0015—Sports garments other than provided for in groups A41D13/0007 - A41D13/088
    • A—HUMAN NECESSITIES
    • A41—WEARING APPAREL
    • A41D—OUTERWEAR; PROTECTIVE GARMENTS; ACCESSORIES
    • A41D13/00—Professional, industrial or sporting protective garments, e.g. surgeons' gowns or garments protecting against blows or punches
    • A41D13/05—Professional, industrial or sporting protective garments, e.g. surgeons' gowns or garments protecting against blows or punches protecting only a particular body part
    • A41D13/0543—Legs
    • A—HUMAN NECESSITIES
    • A41—WEARING APPAREL
    • A41D—OUTERWEAR; PROTECTIVE GARMENTS; ACCESSORIES
    • A41D31/00—Materials specially adapted for outerwear
    • A41D31/04—Materials specially adapted for outerwear characterised by special function or use
    • A41D31/18—Elastic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00—Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02—Stretching or bending or torsioning apparatus for exercising
    • A61H1/0237—Stretching or bending or torsioning apparatus for exercising for the lower limbs
    • A61H1/0255—Both knee and hip of a patient, e.g. in supine or sitting position, the feet being moved together in a plane substantially parallel to the body-symmetrical plane
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00—Appliances for aiding patients or disabled persons to walk about
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/00181—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices comprising additional means assisting the user to overcome part of the resisting force, i.e. assisted-active exercising
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/02—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters
    • A63B21/055—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices using resilient force-resisters extension element type
    • A63B21/0552—Elastic ropes or bands
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4001—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor
    • A63B21/4011—Arrangements for attaching the exercising apparatus to the user's body, e.g. belts, shoes or gloves specially adapted therefor to the lower limbs
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B21/00—Exercising apparatus for developing or strengthening the muscles or joints of the body by working against a counterforce, with or without measuring devices
    • A63B21/40—Interfaces with the user related to strength training; Details thereof
    • A63B21/4023—Interfaces with the user related to strength training; Details thereof the user operating the resistance directly, without additional interface
    • A63B21/4025—Resistance devices worn on the user's body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/165—Wearable interfaces
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H7/00—Devices for suction-kneading massage; Devices for massaging the skin by rubbing or brushing not otherwise provided for
    • A61H7/001—Devices for suction-kneading massage; Devices for massaging the skin by rubbing or brushing not otherwise provided for without substantial movement between the skin and the device

Definitions

  • the present invention relates to a walking aid device for persons who have partially lost the use of the muscles of at least one lower limb.
  • the present invention relates to a device adapted to initialize and / or assist movements of triple flexion hip / knee / ankle of the leg during walking.
  • the invention is intended for persons who have partially lost the use of at least one lower limb. More specifically, these people have lost the ability to flex the hip and / or knee and / or ankle, which significantly handicaps them for walking.
  • the present invention aims to restore the motor skills of patients having partially lost the use of leg muscles, by the action of a device in the form of a garment.
  • This garment has elastic straps reproducing the trajectory of the main muscles of the walk.
  • the present invention relates to a device for assisting the movements of the human body, said device comprising: a textile suit capable of marrying at least a portion of the bust and shoulders, and at least a portion of the lower limbs of the human body ; two elastic straps each forming a closed path, each of said straps connecting a shoulder with the opposite lower limb, said two straps crossing one another on the chest and on the back of the suit. Furthermore, the trajectory of each strap crosses itself above and below a knee of the suit, one of said crossovers being on one front face of the suit and the other crossing on one side dorsal of said combination.
  • the elastic straps are able to slide in slides arranged on the combination, along the trajectories of said straps.
  • the elastic straps are arranged to follow the anatomical path of the main muscles of the walk.
  • the slides allow traction of the elastic straps without pulling on the suit.
  • the device requires the upright position of the wearer.
  • the device according to the invention acts by the constraint of the body weight that will stretch the elastic straps at the time of full load, that is to say when the lower member is in full support on the ground .
  • the elastic straps contract.
  • the straps thus assist the uprising of said non-bearing leg, as well as the simultaneous flexion of the hip, knee and possibly the ankle.
  • each strap crosses itself above the knee on a front face of the combination.
  • each strap crosses itself below the knee on a dorsal side of the suit.
  • the action of the strap during its contraction tends to bring the heel back towards the back of the body, and the thigh towards the front of the body. It would be possible, however, to have the crosses on the leg in reverse, that is to say above the knee at the back of the suit, and below the knee at the front of the suit. This arrangement would have the effect of projecting the foot forward at the time of contraction of the strap.
  • each strap is fixed integrally to the combination in at least one point. This attachment keeps the strap in position and prevents it from turning on itself inside its slide.
  • the point of attachment of the strap is preferably located at the shoulder. More preferably, the strap is fixed integrally to the combination in at least a second point, located lower than a knee of the lower limb opposite said shoulder.
  • the path of at least one of the two straps passes under the sole of the foot of the corresponding lower limb.
  • the strap is split into two parallel straps, one of the straps passing under a front portion of the foot and the other under a rear portion of said foot.
  • This arrangement tends to reproduce the action of muscles that stabilize the foot during walking, thus reducing the risk of sprains.
  • At least one of the two straps is connected to a leg strap of a foot orthosis, said bracelet being located at a calf of the combination.
  • Said leg strap is connected to a sole of the foot by an elastic cylinder.
  • a foot orthosis is for example described in the document EP1382317 or the document FR2953129 , in the name of the Applicant.
  • This other embodiment allows to combine the dynamic action of the cylinder and that of elastic straps to restore traction during walking.
  • the combination is at least partially formed of an elastic textile capable of exerting compression on the body of the wearer.
  • the combination can notably produce a compression effect of the lower limbs and / or draining massage, for a better comfort of the patient.
  • FIGS. 1 and 2 show a schematic representation of a device 10 according to one embodiment of the invention, carried by a patient.
  • the device 10 comprises a textile combination 11, preferably formed of an elastic material.
  • the combination 11 comprises a superior element 12, adapted to fit at least a portion of the bust and the shoulders of a human body.
  • the element 12 has for example the shape of a jersey straps, which may further comprise sleeves.
  • the combination 11 further comprises a lower element 13 adapted to fit at least a portion of the lower limbs of the human body.
  • the element 13 has for example the shape of a tights.
  • the combination 11 is formed in one piece and is for example in the form of an academic leotard.
  • the combination 11 comprises a liner 14.
  • the device 10 further comprises two elastic straps (15, 16) each forming a closed path.
  • Each strap (15, 16) is slidable in a slide (17, 18) fixed to the surface of the combination 11.
  • the slides (17, 18) are preferably sewn on the combination 11.
  • the slides (17, 18) have substantially the shape of flattened tubes, in which the straps (15, 16) pass. Said slides are preferably continuous to protect the straps, including friction against the combination 11 or against other clothing of the patient, carried over the device 10.
  • the slides may have one or more discontinuities, to give punctual access to the straps (15, 16).
  • each strap (15, 16) is fixed integrally to the combination 11 in at least one point.
  • the strap is for example sewn on the combination in this point, through the slide. In this way, the strap can not turn on itself inside the slide.
  • a strap 15 is attached to the suit 11 at a point 19 located on the right shoulder.
  • the slide 17, in which the strap 15 slides, is arranged obliquely on the chest of the suit, then bypasses the left thigh 26 above the left knee 27.
  • the slide 17 then bypasses the left calf 28 from the back and joins the left ankle inside the foot.
  • the strap 15 and the slide 17 split into two parallel branches (21, 22) which pass under the left foot 32.
  • the anterior branch 21 passes under the forefoot relative to a vertex of the arch.
  • the posterior branch 22 passes under the back of the foot, substantially at the heel.
  • the branches (21, 22) meet at the level of the external malleolus 23.
  • the strap 15 may be sewn to the suit 11 through the slider 17 at the sole of the foot 32 or at the malleoli (20, 23).
  • a seam is not essential, since the splitting of the strap 15 into two branches (21, 22) restricts the possibilities of movement of said strap inside the slide 17.
  • the slide 17 then goes up bypassing the left calf by the back.
  • the trajectory of said slide 17 crosses itself at a point 24 at the back of the calf, under the left knee.
  • the two parts of the strap 15 passing through the point 24 are isolated from each other by the slide 17.
  • the slide 17 bypasses the left leg from the inside at the knee and passes again on the front of the thigh.
  • the trajectory of the slide 17 crosses itself at a point 25 located in front of the left thigh.
  • the two parts of the strap 15 passing through the point 25 are isolated from each other by the slide 17.
  • the trajectory of the slide 17 then bypasses the left hip and obliquely crosses the back of the combination 11, to find the point 19 at the right shoulder.
  • a strap 16 is attached to the combination 11 at a point 29 located on the right shoulder ( Figures 1 and 2 ).
  • the slideway 18, in which the strap 16 slides, follows a path symmetrical to that of the slideway 17.
  • the slides (17, 18) intersect at a point 30 on the chest of the suit 11, as well as at a point 31 on the back of said suit. In these points (30, 31), the slides (17, 18) are simply superimposed and do not communicate with each other.
  • the point 30 is substantially located in the lower portion of the sternum and the point 31 is substantially located between the shoulder blades.
  • the length of the elastic straps (15, 16) is configured so that when the patient is standing with both feet on the floor, as on the Figures 1 and 2 the body weight stretches said straps.
  • Each strap (15, 16) can be configured with a specific length and tension, depending on the disability of the corresponding lower limb.
  • the patient is considered to raise his or her left foot 32 to advance the corresponding leg.
  • the strap 15 contracts. This contraction exerts a traction force on the left calf 28 and the left thigh 26, through the lever arm formed by the fixed point 19 on the right shoulder.
  • the action of the strap 15 causes the uprising of the thigh 26 forwards, the lifting of the calf 28 towards the rear, as well as the flexion simultaneous left hip, left knee 27 and ankle (20, 23).
  • the trajectory of the straps (15, 16) at the torso substantially reproduces the path of the psoas muscle that starts from the spine and pulls on the lower limbs to raise them during walking.
  • connection made between a shoulder and the opposite leg allows to impose a scapulo-humeral counter-rotation during walking.
  • the device of the figure 1 imposes a rotation of the shoulders which opposes that of the pelvis during the walk, as in a person with normal motricity.
  • the strap In order to obtain such a counter-rotation, it is preferable for the strap to be fixed to the combination in at least one fixed point, located for example at the level of the shoulder.
  • a strap 15 is attached to the combination 11 in at least two points, one 19 at the shoulder and the other at the foot 32 or the bottom of the calf 28. It is then possible independently adjust the tension of two parts of the strap 15, a first 15a of said parts connecting the point 19 to the foot 32 passing on the chest, a second portion 15b connecting the point 19 to the foot 32 passing on the back.
  • an appropriate adjustment of the elastic tension of the corresponding strap portion allows the leg to be rotated inwardly or outwardly, depending on the needs of the patient.
  • the crossing 24 of the straps at the back of the calf generates a projection behind the foot when walking.
  • the device 10 thus prevents the knee 27 from being placed in recurvatum, that is to say, to lock back when walking.
  • a recurvatum disrupts the fluidity of walking and can cause knee injuries.
  • the elastic textile forming the combination 11 is able to exert a compression on the body of the wearer.
  • the tights 13 may exert a restraining and / or massage effect on the lower limbs.
  • the figure 3 shows a schematic representation of detail of a device 110 according to another embodiment of the invention, carried by a patient.
  • the device 110 is similar to the device 10, except for the location of the patient's left calf, shown in FIG. figure 3 .
  • the various elements of the device 110 are identified by the same references as the corresponding elements of the device 10 described above.
  • the two portions (15a, 15b) of the strap 15 of the left leg are connected to an orthosis 40 fitted to the left foot 32.
  • the orthosis 40 comprises a 41 leg strap and a foot sole 42, connected together by a structure 43.
  • the structure 43 comprises a resilient jack 44 offset on the back of the leg and foot.
  • the jack is longitudinally extendable to pivot the sole 42 around the hinge of the ankle of the foot 32.
  • the parts (15a, 15b) of the strap 15 of the device 110 are preferably connected to an upper portion 45 of the strap 41.
  • the point 24 of crossing of the parts (15a, 15b) to the back of the calf corresponds to a point of attachment of said branches with the bracelet.
  • the orthosis 40 comprises two straps (46, 47) connecting the sole 42 and the bracelet 41.
  • a first strap 46 connects the bracelet to an anterior portion of the sole; a second strap 47 connects the bracelet to a posterior part of the sole.
  • a boundary between said anterior and posterior portions substantially corresponds to a crown of the foot arch.
  • the orthosis 40 of the device 110 has a comparable effect at the bottom of the strap 15 of the device 10 described above.
  • an orthosis 40 as described in the patents EP1382317 and FR2953129 , has the ability to handle all the dynamic movements of the foot and ankle while walking, preventing foot position crashes (sprains) when walking in rough terrain.
  • an orthosis 40 by its jack system, can absorb the energy transmitted by the shock wave when the heel impacts the ground, avoiding injuries to the ankle / knee / hip and back (sciatica, cruralgie, etc.).

Landscapes

  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Textile Engineering (AREA)
  • Biophysics (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Rehabilitation Therapy (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Rehabilitation Tools (AREA)
EP13154662.4A 2012-02-08 2013-02-08 Bewegung Stützvorrichtung Not-in-force EP2625977B1 (de)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR1251171A FR2986402B1 (fr) 2012-02-08 2012-02-08 Dispositif d'aide a la marche

Publications (2)

Publication Number Publication Date
EP2625977A1 true EP2625977A1 (de) 2013-08-14
EP2625977B1 EP2625977B1 (de) 2015-09-09

Family

ID=47631385

Family Applications (1)

Application Number Title Priority Date Filing Date
EP13154662.4A Not-in-force EP2625977B1 (de) 2012-02-08 2013-02-08 Bewegung Stützvorrichtung

Country Status (2)

Country Link
EP (1) EP2625977B1 (de)
FR (1) FR2986402B1 (de)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111465371A (zh) * 2017-12-15 2020-07-28 史托科设计公司 用于稳定人类解剖关节的装置和方法

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11173090B2 (en) * 2015-06-10 2021-11-16 Burwood, LLC Nerve de-tensioning method and apparatus

Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4216547A (en) * 1979-02-02 1980-08-12 Picchione P Vincent Injury protection device for athletes
US5201074A (en) * 1991-06-10 1993-04-13 Dicker Timothy P Exercise suit with resilient reinforcing
US5606745A (en) * 1996-01-22 1997-03-04 Gray; James C. Resistance exercise suit with semi-rigid resistant ribs
US5819322A (en) * 1997-06-23 1998-10-13 Dicker; Timothy P. Energy conservative/expenditure garment
EP1382317A1 (de) 2002-07-19 2004-01-21 SNC Aeropneumatiss Dynamische Orthese
EP1618804A1 (de) * 2003-04-15 2006-01-25 Wacoal Corp. Bekleidungsartikel mit zwickel
GB2446032A (en) * 2007-01-23 2008-07-30 Maurice Anthony Lee Workout garment
GB2445913A (en) * 2007-01-23 2008-07-30 Maurice Lee Garment incorporating flexible strips
WO2008122873A1 (en) 2007-04-05 2008-10-16 Specialities S.R.L. Garment for assisting movement of the human body
DE102007051423A1 (de) * 2007-10-25 2009-04-30 Hennig, Jörg Bekleidungsstück, insbesondere Sportwäsche
FR2953129A1 (fr) 2009-11-30 2011-06-03 Pneumaflex Sarl Orthese dynamique
US20110209264A1 (en) * 2010-02-26 2011-09-01 Dexter Williams Exercise suit

Patent Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4216547A (en) * 1979-02-02 1980-08-12 Picchione P Vincent Injury protection device for athletes
US5201074A (en) * 1991-06-10 1993-04-13 Dicker Timothy P Exercise suit with resilient reinforcing
US5606745A (en) * 1996-01-22 1997-03-04 Gray; James C. Resistance exercise suit with semi-rigid resistant ribs
US5819322A (en) * 1997-06-23 1998-10-13 Dicker; Timothy P. Energy conservative/expenditure garment
EP1382317A1 (de) 2002-07-19 2004-01-21 SNC Aeropneumatiss Dynamische Orthese
EP1618804A1 (de) * 2003-04-15 2006-01-25 Wacoal Corp. Bekleidungsartikel mit zwickel
GB2446032A (en) * 2007-01-23 2008-07-30 Maurice Anthony Lee Workout garment
GB2445913A (en) * 2007-01-23 2008-07-30 Maurice Lee Garment incorporating flexible strips
WO2008122873A1 (en) 2007-04-05 2008-10-16 Specialities S.R.L. Garment for assisting movement of the human body
DE102007051423A1 (de) * 2007-10-25 2009-04-30 Hennig, Jörg Bekleidungsstück, insbesondere Sportwäsche
FR2953129A1 (fr) 2009-11-30 2011-06-03 Pneumaflex Sarl Orthese dynamique
US20110209264A1 (en) * 2010-02-26 2011-09-01 Dexter Williams Exercise suit

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111465371A (zh) * 2017-12-15 2020-07-28 史托科设计公司 用于稳定人类解剖关节的装置和方法

Also Published As

Publication number Publication date
FR2986402A1 (fr) 2013-08-09
FR2986402B1 (fr) 2014-03-14
EP2625977B1 (de) 2015-09-09

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