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
  • A61B50/20—Holders specially adapted for surgical or diagnostic appliances or instruments
• • 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
  • A61B90/50—Supports for surgical instruments, e.g. articulated arms
• • 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
  • A61M25/00—Catheters; Hollow probes
  • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
  • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
  • A61M25/0111—Aseptic insertion devices
• • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
  • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
  • F16L—PIPES; JOINTS OR FITTINGS FOR PIPES; SUPPORTS FOR PIPES, CABLES OR PROTECTIVE TUBING; MEANS FOR THERMAL INSULATION IN GENERAL
  • F16L3/00—Supports for pipes, cables or protective tubing, e.g. hangers, holders, clamps, cleats, clips, brackets
  • F16L3/01—Supports for pipes, cables or protective tubing, e.g. hangers, holders, clamps, cleats, clips, brackets for supporting or guiding the pipes, cables or protective tubing, between relatively movable points, e.g. movable channels
• • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
  • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
  • F16L—PIPES; JOINTS OR FITTINGS FOR PIPES; SUPPORTS FOR PIPES, CABLES OR PROTECTIVE TUBING; MEANS FOR THERMAL INSULATION IN GENERAL
  • F16L3/00—Supports for pipes, cables or protective tubing, e.g. hangers, holders, clamps, cleats, clips, brackets
  • F16L3/26—Supports for pipes, cables or protective tubing, e.g. hangers, holders, clamps, cleats, clips, brackets specially adapted for supporting the pipes all along their length, e.g. pipe channels or ducts
• • 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
  • A61M25/00—Catheters; Hollow probes
  • A61M25/0043—Catheters; Hollow probes characterised by structural features
  • A61M2025/0056—Catheters; Hollow probes characterised by structural features provided with an antibacterial agent, e.g. by coating, residing in the polymer matrix or releasing an agent out of a reservoir
• • 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
  • A61M25/00—Catheters; Hollow probes
  • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
  • A61M25/09—Guide wires
  • A61M25/09041—Mechanisms for insertion of guide wires
• • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
  • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
  • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
  • Y10T29/00—Metal working
  • Y10T29/49—Method of mechanical manufacture
  • Y10T29/49826—Assembling or joining

Definitions

• the present invention relates to a device for supporting medical equipment.
• the device according to the invention is particularly suitable for receiving medical equipment having a great length relative to its width.
• a medical device that can be introduced is a surgical guide, a catheter, an expansion balloon, an implant introduction device, such as a stent, a stent, a stent-graft, a valve, or a device for introducing a probe.
• the medical equipment is intended to be used for example in interventional radiology, interventional cardiology, neurosurgery, vascular surgery, cardiac surgery (percutaneous or transapical valve) or neurovascular (embolization, stent covered).
• endoluminal techniques of introducing medical equipment through the patient's vascular system are being used more and more.
• vascular system For this purpose, a large number of medical devices can be conducted in the vascular system to a point of treatment or diagnosis in the patient's body.
• the material is introduced into the body through an incision or a percutaneous puncture in an artery or vein, for example, at the level of a wrist, or femoral, inside the thigh.
• the practitioner first introduces a distal part of the medical equipment into the patient's body, after making the incision.
• the medical equipment is inherently long, to allow its introduction to the point of treatment or diagnosis.
• the proximal part of the medical equipment remains on an operating field and is introduced as and when in the patient.
• the length of the medical equipment may be large, for example greater than one meter and in particular of the order of 1.80 meters or even up to 3.20 meters. Medical equipment is also likely to twist or curl, and it is sometimes difficult to keep it in a linear fashion on the operative field.
• the proximal part of the medical equipment intended to be introduced into the body must remain sterile during the entire procedure. If it is poorly maintained on the operative field, it is may fall to the ground or touch a non-sterile part of the operative field or its perioperative environment, which may cause microbial contamination.
• medical equipment is generally provided with a non-stick or hydrophilic coating to facilitate its proper navigation in the vascular system. To ensure the anti-adherent or hydrophilic properties, the coating must generally remain wet, which is difficult to achieve in the context of an operating room.
• An object of the invention is therefore to provide a device that simplifies the handling of medical equipment, before its introduction into a patient, while preserving the asepsis and the properties of this material.
• the subject of the invention is a device of the aforementioned type, characterized in that it comprises:
• a gutter defining an interior receiving space for medical equipment, opening upwards, the gutter being deformable reversibly between a first stable spatial conformation and at least a second stable spatial conformation;
• a plurality of supports for holding the gutter, intended to hold the gutter on a support surface carrying the device
• the device according to the invention may comprise one or more of the following characteristics, taken separately or in any technically possible combination:
• the gutter is sealingly attached to at least one of said gutter supports;
• proximal support and a distal support, the proximal wall being carried by the proximal gutter support and the distal wall being carried by the distal gutter support;
• At least one of said gutter supports is removable relative to the gutter
• the or each gutter support comprises a base intended to be placed on a bearing surface and a concave stirrup intended to be engaged on the gutter;
• the or each retaining member comprises a transverse retaining wall delimiting at least one notch for receiving the material; the retaining wall is attached to one of the proximal wall and the distal wall, or is formed by one of the proximal wall and the distal wall;
• proximal gutter support a proximal gutter support, a distal gutter support, and at least one intermediate gutter support disposed between the proximal gutter support and the distal gutter support, the gutter having disjointed sections connecting said supports in pairs; gutter;
• the gutter has a variable active length, the gutter having transverse folds, preferably in the form of accordion;
• the invention also relates to a treatment kit comprising a support device and medical equipment received in the interior space of the gutter, the medical equipment being advantageously selected from a surgical guide, an implant introduction device , such as a stent, catheter, catheter, endoprosthesis, heart valve, stent, filter and / or coil.
• an implant introduction device such as a stent, catheter, catheter, endoprosthesis, heart valve, stent, filter and / or coil.
• It comprises a set of humidification and / or lubrication of medical equipment disposed in the interior space of the gutter.
• the subject of the invention is also a method for preparing medical equipment, before it is introduced into the body of a patient, characterized in that it comprises the following steps:
• FIG. 1 is a schematic perspective view of three-quarter faces of a first treatment kit comprising a support device according to the invention
• FIG. 2 is a front view of a first gutter support for the device of FIG. 1;
• FIG. 3 is a view similar to Figure 2, for a second gutter support;
• FIG. 4 is a side view of a jumper intended to form a device for retaining medical equipment;
• FIG. 5 is a front view of a first variant of the jumper of FIG. 4;
• FIG. 6 is a view similar to Figure 5 of a second variant of the jumper of Figure 4.
• FIG. 7 is a schematic view of another device for retaining medical equipment
• FIG. 8 is a view similar to FIG. 2 of a variant of a jumper comprising a retaining member for medical equipment;
• FIG. 9 is a side view of a second support device according to the invention.
• FIG. 10 is a view from above of the support device of FIG. 9 in a configuration of use
• FIG. 1 1 is a schematic top view illustrating the use of the support device in an operating room, for the introduction of medical equipment retrograde femoral route;
• FIG. 12 is a view similar to FIG. 11, illustrating a retrograde femoral introduction to two operators;
• Figure 13 is a view similar to Figure 1 1, illustrating an introduction sub-claval, axillary, humeral or radial.
• Figure 14 is a view similar to Figure 1 1, illustrating the use of the support device during an introduction femoral anterograde.
• a first treatment kit 10 according to the invention is illustrated by the figures.
• the first necessary 10 comprises at least one medical device 12 intended to be introduced into a patient, and a device 14 for supporting the medical equipment 12 for the packaging and handling of the equipment 12 before its introduction into the patient and during the introduction. It also comprises a humidification and / or lubrication assembly 16 for medical equipment 12 disposed in the support device 14.
• the medical equipment 12 is elongated. It has a length much greater than its other dimensions, for example at least twice greater than its other dimensions.
• the length of the medical equipment 12 may be greater than one meter.
• the medical equipment 12 is for example intended to be used in interventional radiology, interventional cardiology, neurosurgery, vascular surgery, cardiac surgery (percutaneous or transapical valve) and / or Neurovascular. It is intended to be introduced into the patient, for example into the vascular system of the patient or by another natural conduit, for the diagnosis and / or the treatment of pathologies.
• the medical equipment 12 is chosen in particular from a guide, a catheter, a dilatation balloon, an implant introduction device, for example a tubular stent, a valve, a stent or a stent. covered, or a device for introducing a probe.
• an implant introduction device for example a tubular stent, a valve, a stent or a stent. covered, or a device for introducing a probe.
• Medical equipment 12 is intended to be introduced for example axillary, subclavian, humeral, radial, femoral, popliteal or leg.
• the material 12 is represented by a single filiform line.
• the support device 14 may contain several different medical devices 12, as defined above.
• the support device 14 comprises a receiving channel 20 delimiting an interior space 22 for receiving the medical equipment 12, and a plurality of gutter supports 24A to 24E distributed along the length of the channel 20.
• the device 14 also comprises at least one proximal wall 26 and at least one distal wall 28 closing the interior space 22 longitudinally.
• the device 14 further comprises at least one member 30A,
• the channel 20 is formed by a half-tube 34 opening transversely upwards with respect to a longitudinal axis of the device 14.
• the half-tube 34 thus has a concave cross section open upwards.
• This cross section is for example U-shaped or V-shaped.
• the channel 20 is deformable longitudinally and transversely in at least two planes, advantageously along three axes.
• the channel 20 is manually manipulable to go from a configuration of minimum length to a configuration of maximum length.
• the local curvature of the channel 20 can be modified between linear configurations (see for example Figure 12), and a plurality of curved configurations (see for example Figures 1, 1 1 and 13), depending on the constraints of use of equipment 12. This deformability of the gutter 20 is ensured without significant plastic deformation. It makes it possible to obtain a plurality of stable configurations of the gutter 20, advantageously without elastic return to another configuration.
• the half-tube 34 comprises, in an advantageous embodiment, a plurality of transverse folds 36 extending in a cross section perpendicular to a local longitudinal axis of the gutter 20.
• the half-tube 34 thus has an accordion structure, which can be folded and contracted to reduce its length, or otherwise unfolded and deployed to increase the length and / or change its curvature.
• the minimum length of the channel 20 is for example less than 80% of its maximum length.
• the minimum length of the gutter is for example between 15 cm and 50 cm and its maximum length is for example between 200 cm and 300 cm.
• the width of the channel 20, taken perpendicularly to a longitudinal axis of the channel 20 is between 5 cm and 15 cm.
• the distance separating two consecutive transverse folds 36 is between 2 mm and 30 mm.
• Gutter 20 is liquid tight.
• the wall forming the half-tube 34 is able to retain a liquid in the interior space 22.
• the half-tube 34 forming the channel 20 is formed of plastic, such as a polyolefin, especially polypropylene, or PVC.
• the half-tube 34 is formed of a fabric provided with a sealing coating.
• the interior space 22 is delimited laterally and downwards by the trough 20 and / or locally by the gutter supports 24A to 24E.
• the interior space 22 opens upwards, advantageously over the entire length of the channel 20, to allow the introduction and removal of medical equipment 12 in the interior space 22.
• the internal space 22 extends continuously over the entire length of the device 14. It is closed transversely at the ends of the device 14 by the proximal wall 26 and by the distal wall 28.
• the dimensions of the gutter 20 and the interior space 22 therefore allow to accommodate different medical devices depending on the dimensions of the equipment.
• the support device 14 comprises a proximal support 24A secured to a proximal end of the trough 20, a distal support 24E integral with a distal end of the trough 20 and at least one support intermediate 24B to 24D engaged under the channel 20 between the proximal support 24A and the distal support 24E.
• the supports 24A to 24E are spaced longitudinally from each other. They delimit between them free sections 35 of the gutter 20.
• each gutter support 24A to 24E comprises a support base 40 on a support surface intended to carry the device 14, and a stirrup 42 projecting from the base 40 to be engaged on the gutter 20.
• Each support 24A to 24E is made of a more rigid material than the gutter
• the base 40 and the bracket 42 are made of material. Alternatively, they are made by an assembly of parts.
• the base 40 advantageously has a flat bottom surface 43. It is for example formed by a support plate intended to rest on a flat panel.
• the lower surface 43 is advantageously provided with releasable attachment means 44 on the support surface intended to carry the device 14.
• the attachment means 44 are for example formed by an adhesive, a ferromagnetic element such as a magnet, a snap-in device and / or an attachment band such as a velcro.
• each gutter support 24A to 24E is adapted to be immobilized locally on the support surface by the attachment means 44 to maintain the gutter 20 in a given conformation.
• the stirrup 42 has a convex shape and a cross section similar to that of the channel 20.
• each support 24A, 24E delimits an internal cavity 46 forming a longitudinal part of the space inside 22.
• a transverse end edge of the channel 20 is fixed on a transverse end edge of the yoke 42 at each end support 24A, 24E.
• each intermediate support 24B to 24D advantageously all the intermediate supports 24B to 24D are removable relative to the gutter 20. They are thus able to be assembled and disassembled reversibly and manually by a user, without the use of an editing tool.
• each intermediate support 24B to 24D receives, in the inner cavity 46, a portion of the channel 20, over the entire length of the support 24B to 24D.
• the stirrup 42 is thus engaged around the outer surface of the half-tube 34, outside the internal space 22.
• At least one intermediate stirrup 24B to 24D advantageously all the intermediate stirrups 24B to 24D are interposed between two successive sections 35, so that their internal cavity 46 delimits a part of the interior space 22.
• proximal wall 26 and the distal wall 28 are secured respectively to the proximal support 24A and the distal support 24E.
• Each wall 26, 28 extends transversely in the cavity 46 defined by the support 24A to 24E to seal transversely the interior space 22.
• each wall 26, 28 is advantageously less than the height of the stirrup 42.
• the medical equipment 12 and the humidification and lubrication assembly 16 can be held tightly in the bottom of the interior space 22.
• the device 14 comprises at least one retaining member 30A, 30B of medical equipment, preferably a plurality of retaining members 30A, 30B.
• each retaining member 30A, 30B is formed by a rider
• the jumper 50 comprises a transverse wall 56 defining at least one notch 52, advantageously a plurality of notches 52, delimiting a receptacle for receiving and clasping medical equipment 12.
• each notch 52 has a transverse extent decreasing from top to bottom.
• the medical equipment 12 introduced into the notch 52 at a given height, the medical equipment is likely to be sandwiched between the edges of the notch 52 to ensure axial retention.
• At least one notch 52 has a plurality of successive housing 54A, 54B, 54C of decreasing transverse dimension.
• the housings 54A, 54B, 54C are separated by constrictions 56 for retaining the material 12 interposed between each pair of adjacent housings 54A-54C along the notch 52.
• the medical equipment 12 is selectively introduced into one of the housings 54A to 54C and is retained by the upper throat 56 located above the housing 54A to 54C.
• the retaining member 30A, 30B is formed directly in a transverse wall 56 secured to a support 24A to 24D. It is for example formed in one and / or the other of the proximal wall 26 and the distal wall 28. The notches 52 are then formed directly through the wall 56.
• the retaining member 30A, 30B is formed by an elastic member 57, for example filamentary and in particular folded loop.
• This elastic member 57 here has a gamma shape.
• the medical equipment 12 is thus adapted to be received and clamped between two sections 58 of the elastic member 57.
• the elastic member 57 is also fixed transversely at its ends 60 on a support 24A, 24E.
• Each retaining member 30A, 30B is thus able to immobilize longitudinally at least one medical device 12 to lock it longitudinally when the medical equipment 12 is engaged in the retaining member 30A, 30B.
• the retaining member 30A, 30B is also able to release the medical equipment 12 when it has to be extracted from the internal volume 22, for example for introduction into the body of a patient.
• the holding member 32A, 32B is intended to at least partially cover the inner space 22 above the channel 20 to prevent the untimely exit of medical equipment 12.
• the device 14 comprises a plurality of holding members 32A, 32B spaced along the channel 20.
• Each holding member 32A, 32B is for example formed by a strap having an end fixed to a first lateral edge of the channel 20 and a clean free end to be fixed on a second opposite side edge of the channel 20 to ride the space inside 22.
• the humidification and / or lubrication assembly 16 is for example formed by a liquid 70, such as water or a saline solution.
• the assembly 14 comprises a spongy material (not shown) retaining the liquid 70 in the bottom of the interior space 22.
• the spongy material is for example a compress or a sponge.
• the medical equipment 12 is thus able to be maintained in the liquid 70 or in contact with it at least.
• Gutter 20 and device 14 are deployable between at least one contracted configuration and a plurality of stable deployed configurations.
• the groove 20 is folded and contracted to bring the proximal support 24A of the distal support 24E.
• the length of the gutter 20 is then minimal.
• Intermediate supports 24B to 24D are brought closer together and are arranged between contracted free sections 35 of gutter 20.
• the length of the device 14 is then minimal.
• the device 14 can be stored for example in a package 70 such as a box.
• the device 14 is able to occupy at least one stable linear deployed configuration, as illustrated by FIG. 12, or left or right deployed configurations having elbows, as shown in FIGS. 1, 1 1, 13 and 14.
• device 14 is provided.
• the user extracts the device 14 from its package 70, and at least partially deploys the gutter 20 in the desired configuration.
• each intermediate support 24B to 24D under the channel 20 by separating them from each other along the channel 20. This ensures a stable hold of the channel 20 in the chosen configuration.
• the user fixes the bases 40 against the support surface carrying the device 14 by means of the fixing means 44.
• the user introduces the humidification and / or lubrication assembly 16 into the support 22, either by pouring liquid 70 or by introducing a spongy material embedded with liquid 70.
• the medical equipment 12 is immobilized axially in at least one of the retaining members 30A, 30B, for example by engagement in a notch 52 or in an elastic member 57.
• Medical equipment 12 is prepared and packaged for implantation in the patient by the practitioner. Once the medical equipment 12 has been prepared, a method of implanting the equipment can be conducted. For this purpose, the practitioner extracts at least a distal portion of the medical equipment 12 from the inner space 22 and introduces it into the patient.
• the proximal portion of the material 12 that is not introduced into the patient remains, however, housed in the interior space 22 of the support device 14, in contact with the humidification and / or lubrication assembly 16. This limits the risk microbial contamination or aseptic faults and maintains the medical equipment 12 in good operating conditions for its implementation.
• the device 14 can adapt to different configurations of uses, as shown in Figures 1 1 to 14.
• the device 14 is partially disposed on a support surface defined by an operating table 80 and partly by an auxiliary table 82 adjacent to the operating table 80.
• the device 14 is placed in a configuration comprising a distal linear section 84 perpendicular or inclined relative to the longitudinal axis AA 'of the patient on the operating table 80, and a proximal section 86 substantially parallel to the longitudinal axis AA' of the patient, the two sections 84 and 86 being separated by a bent section 88.
• Such a conformation of the device 14 allows for example the introduction by a single operator 92 of medical equipment 12 in a patient 90 by retrograde femoral pathway.
• a first support device 14 is placed in a linear conformation, substantially parallel to the axis A-A 'of the patient on the operating table 80 being partially inserted between the legs of the patient.
• a second support device 14 is arranged linearly in the axial extension of the first device 14 on an auxiliary table 82 disposed in the axial extension of the operating table 80.
• the medical equipment 12 can thus be manipulated by a second operator 92 located opposite the auxiliary table 82, before being introduced into the device 14 located on the operating table 80 to be manipulated by the practitioner 90.
• the device 14 comprises a proximal section 84 placed on an auxiliary table 82 disposed substantially perpendicular to a longitudinal axis AA 'of the patient on the operating table 80.
• the auxiliary table 82 is placed approximately between an upper limb and a lower limb of the patient.
• the proximal section 86 is placed parallel to the axis A-A 'of the patient.
• the device 14 thus has an elbow section 88 between the distal section 84 and the proximal section 86.
• the device 14 is then particularly suitable for anterograde femoral introduction of the medical device 12 into the patient 90.
• At least one support device 14 is linearly arranged on an auxiliary table 82, perpendicular to a longitudinal axis AA 'of the patient, and at least one support device 14 is arranged on the table support 80 with a proximal section 84 in the axis of the patient and a distal section 86 substantially perpendicular to the axis of the patient.
• This device is adapted for introduction by a way of the upper limb.
• FIG. 10 A second device 1 14 according to the invention is illustrated in FIG. 10. Unlike the first device 14 represented in FIG. 1, the supports 24A to 24E are all integral with the channel 20. Their cavities 46 each delimit a portion of the interior space 22.
• each support 24A, 24E is connected to another support 24A to 24E by a section 1 16 of the channel 20, the channel 20 interrupting between its different sections 1 16.
• Each intermediate support 24B to 24D is advantageously provided with a transverse wall 56 capable of supporting a retaining member 30A, 30B, or forming a retaining member 30A, 30B.
• the operation of the second device 1 14 is moreover analogous to that of the first device 14.
• proximal wall 26 and the distal wall 28 are formed directly in the groove 20.
• the supports 24A, 24B then receive in their internal cavity 46 the end of the channel 20, provided with the proximal wall 26 and the distal wall 28.
• the device according to the invention 14, 1 14 thus makes it possible to package a medical device 12 in an operating room, by keeping this medical device 12 in a chosen spatial conformation, while preserving the asepsis and maintaining the properties of the device. uses of the equipment.
• the device 14, 1 14 according to the invention is particularly simple to use and adapts easily to different techniques for introducing medical equipment into a patient and / or to different types of equipment 12.

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• Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
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• Surgery (AREA)
• Animal Behavior & Ethology (AREA)
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• Heart & Thoracic Surgery (AREA)
• General Health & Medical Sciences (AREA)
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• 2012
  • 2012-05-02 FR FR1254019A patent/FR2990126B1/fr not_active Expired - Fee Related
• 2013
  • 2013-04-30 WO PCT/EP2013/059014 patent/WO2013164350A1/fr active Application Filing
  • 2013-04-30 US US14/398,714 patent/US9445875B2/en not_active Expired - Fee Related
  • 2013-04-30 EP EP13719845.3A patent/EP2844328A1/de not_active Withdrawn

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