EP3073943A1 - Guide-aiguille pour biopsie - Google Patents

Guide-aiguille pour biopsie

Info

Publication number
EP3073943A1
EP3073943A1 EP14833115.0A EP14833115A EP3073943A1 EP 3073943 A1 EP3073943 A1 EP 3073943A1 EP 14833115 A EP14833115 A EP 14833115A EP 3073943 A1 EP3073943 A1 EP 3073943A1
Authority
EP
European Patent Office
Prior art keywords
manipulator
needle
coordinate
frame
biopsy
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Withdrawn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
EP14833115.0A
Other languages
German (de)
English (en)
Inventor
Hubert Noras
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 EP3073943A1 publication Critical patent/EP3073943A1/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/0233Pointed or sharp biopsy instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3405Needle locating or guiding means using mechanical guide means
    • A61B2017/3407Needle locating or guiding means using mechanical guide means including a base for support on the body

Definitions

  • the invention relates to a biopsy device and an associated method for the use thereof.
  • a biopsy needle guide according to the prior art shows EP2347717B1, wherein the biopsy needle guide described therein can be pivoted in a plane.
  • the pivoting is not reproducible by a scale or similar device.
  • Much more disadvantageous, however, is that the entire device can not be moved in a predetermined manner in a translation plane.
  • Another alternative biopsy needle guide is in
  • US20120203095A1 discloses. Here a pivoting of the biopsy direction is possible. However, there is only one translational degree of freedom, namely a displacement along a rotatable axis, against which the biopsy needle can be pivoted further. This prior art lacks the ability to move the biopsy needle to any point of a translation plane without changing direction simultaneously.
  • the invention is therefore based on the object reproduzier displaceable and pivotally form a biopsy needle guide in a translation plane.
  • the invention proposes a device with the features specified in claim 1. It is advantageous to provide in the biopsy device a frame in which a first manipulator is mounted.
  • the frame can serve as a mounting frame of the biopsy device.
  • the needle guide is connected to the first manipulator via other components.
  • the first manipulator thereby indirectly moves the needle guide along a first coordinate.
  • the first coordinate lies in a translation plane which lies in or parallel to the plane defined by the frame.
  • the translation plane may be replaced by planes that are parallel to the original translation plane, and coordinates may be replaced by corresponding parallel-shifted coordinates.
  • first frame-side manipulator part belonging to the first manipulator is connected to the frame
  • first needle-side manipulator part likewise belonging to the first manipulator is connected to a second manipulator.
  • the needle guide is connected to the second manipulator via at least one of the further components mentioned below.
  • the second manipulator moves the needle guide along a second coordinate.
  • the second coordinate is also in the translation level.
  • First and second coordinates are chosen as not parallel. Preferably, they are optionally selected after parallel displacement in a common translation plane at least locally mutually perpendicular. This includes the use of translational as well as rotary manipulators.
  • first and second manipulator are installed parallel to the frame.
  • the translation plane is spanned by the frame as well as by the first and second manipulator.
  • the translation plane of the first and second manipulator is clamped.
  • a cross slide is an advantageous embodiment of the first and second manipulator.
  • the first and second coordinates are perpendicular to each other.
  • First and second manipulator are translationally formed.
  • the first pivot axis corresponding to the first joint extends, possibly after parallel displacement, likewise in the translation plane.
  • the needle guide is indirectly connected to the first pivot axis directly or via at least one of the other components mentioned below.
  • the needle guide When the needle guide is directly connected to the first hinge, the needle guide is preferably attached, possibly after parallel displacement, with a direction perpendicular to the direction of the first pivot axis.
  • Pivot axis and the needle guide to provide a second joint which has a different direction from the first pivot axis direction.
  • the needle guide to two independent axes, namely the two pivot axes are pivoted.
  • This together with the translations of the first and second manipulators, provides maximum flexibility in biopsy. It is favorable to select the direction of the first pivot axis perpendicular to the direction of the second pivot axis.
  • the frame has a circular opening and forms a circular first frame-side manipulator part.
  • the first needle-side manipulator part can be rotated or rotated about a rotation axis of the first manipulator.
  • the axis of rotation is chosen perpendicular to the translation plane.
  • Attached to the first needle-side manipulator part is the second manipulator.
  • Its second frame-side manipulator part has two parallel rails, on which slides a carriage as a second needle-side manipulator part.
  • the position of the second needle-side manipulator part is designed to be displaceable as a function of the angle of rotation of the first manipulator and the position of the second manipulator in the manner of a polar coordinate system.
  • the movement of the second needle-side manipulator part always runs perpendicular to the second coordinate upon rotation of the first manipulator, ie along the first coordinate.
  • the first and second coordinates are rotated in this case.
  • the axis of the biopsy needle on the mantle of a double cone Because then moves on rotation of the first manipulator, the axis of the biopsy needle on the mantle of a double cone. If the tip of the double cone at the site to be biopsied is selected by suitable adjustment of the second manipulator and the first joint, the path on which the biopsy needle arrives at the site to be biopsied can advantageously be achieved by mere rotation of the first manipulator Double cones can be chosen freely. Of course, the rotational symmetry axis and thus also the tip of the double cone lie on the axis of rotation of the first manipulator. In order to be able to freely choose the location to be biopsied despite this restriction, if necessary, the entire frame can be made displaceable by two further manipulators mounted outside.
  • Fig. 4 biopsy device with translational manipulators seen from the side in the middle position of the needle guide
  • Fig. 5 biopsy device with translational manipulators in section from the side seen in the middle position of the needle guide
  • FIG. 6 Biopsy device with rotatory manipulator and translatory manipulator in overall view
  • FIG. 8 Biopsy device with rotatory manipulator and translatory manipulator seen from above
  • FIG. 9 Biopsy device with rotatory manipulator and translatory manipulator seen from the side
  • FIG. 1 shows a biopsy device with translationally designed manipulators seen from above in the central position of the needle guide 4.
  • FIG. 2 shows the same biopsy device, but in the shifted and pivoted position of the needle guide 4.
  • FIG. 3 it is seen from above shown in the middle position of the needle guide 4, seen in Fig. 4 from the side in the middle position of the needle guide 4, in Fig. 5 in section from the side seen in the middle position of the needle guide. 4
  • He carries, locked by a first screw 301, a first frame-side manipulator part 1 1 1, which is connected via dovetail rails with a first needle-side manipulator part 1 12
  • the first manipulator 1 1 comprises the first frame-side manipulator part 1 first 1 and the first needle-side manipulator part 1 12.
  • the first manipulator 1 1 can be locked by a second screw 302 and a third screw 303.
  • the first needle-side manipulator part 1 12 is a carriage which is relatively to the first frame-side manipulator part 1 1 1 and frame 3 can be moved along a first coordinate 12. This shift can be read on a first scale 1 13, which can be attached to the first frame-side manipulator part 1 1 1.
  • the first screw 301 serves at the same time for a possible tilting of the first frame-side manipulator part 1 1 1 and all other components connected to the frame 3. This can be seen by comparing FIG. 1 without this tilting and FIG. 2 with this tilting , As a result of this tilting, the first coordinate 12 and the second coordinate 14 and the translation plane 31 embedding it are also tilted.
  • the translation plane 31 may then not be parallel to the plane defined by the frame 3. This may be beneficial if the patient's surface is also not parallel to the plane defined by the frame 3.
  • the first needle-side manipulator part 1 12 also serves as a carrier for a second frame-side manipulator part 131.
  • the second manipulator 13 comprises the second frame-side manipulator part 131 and the second needle-side manipulator part 132.
  • the second frame-side manipulator part 131 has, transverse to the direction of the first coordinate 12, a first bushing 213 which receives the second needle-side manipulator part 132.
  • the second needle-side manipulator part 132 has a second scale 133, at which the displacement of the second needle-side manipulator part 132 relative to the second frame-side manipulator part 131 can be read along the second coordinate 14.
  • the first bushing 213 simultaneously serves to realize the first joint 21.
  • the second frame-side manipulator part 131 serves namely at the same time as a first frame-side joint part 21 1 and the second needle-side manipulator 132 also serves as a first needle-side joint portion 212.
  • First frame-side joint part 21 1 and first needle-side joint part 212 are merged in the first socket 213.
  • the first joint 21 comprises the first frame-side joint part 21 1, the first bush 213 and the first needle-side joint part 212.
  • the first bushing 213 is designed as a plain bearing bush, for which reason the second manipulator 13 is simultaneously the first joint 21.
  • Second manipulator 13 and first joint 21 together form a sliding bearing which has two mechanical degrees of freedom, one translational and one parallel rotational.
  • first pivot axis 22 Coaxially with the first needle-side joint part 212 is the associated first pivot axis 22, about which the first needle-side joint part 212 can be pivoted.
  • the first pivot axis 22 is parallel to the second coordinate 14 or is identical to it.
  • the second manipulator 13 can be locked by a fourth screw 304.
  • the first hinge 21 can be locked by a fifth screw 305.
  • the first needle-side joint part 212 is connected to a perpendicularly projecting first angle indicator 214, the setting of which can be read on a first angle-side scale 215 provided on the first frame-side joint part 21 1.
  • the first needle-side joint part 212 also serves as a second frame-side joint part 231. This is associated with a second needle-side joint part 232. Second frame-side joint part 231 and second needle-side joint part 232 are brought together in a second sleeve 233.
  • the second joint 23 comprises the second frame-side joint part 231, the second bushing 233 and the second needle-side joint part 232.
  • the axis of the second joint 23 is the second pivot axis 24.
  • the second needle-side joint part 232 is connected to a second angle indicator 234 projecting perpendicularly therefrom, whose setting can be read on a second angle scale 235 provided on the second frame-side joint part 231 and / or on the second angle indicator 234.
  • the second hinge 23 can be locked by a sixth screw 306, which, as can be seen in FIG. 5, is located coaxially in the second frame-side hinge part 231 and can press on the second needle-side hinge part 232 via a guide pin 316.
  • a retaining plate 317 which can be locked by a seventh screw 307 is used.
  • the needle guide 4 Connected to the second needle-side joint part 232 is the needle guide 4 with the biopsy needle 41.
  • the direction of the needle guide 4 and the biopsy needle 41 is selected perpendicular to the second pivot axis 24.
  • the biopsy needle 41 is adjustable by the manipulators 1 1, 13 and joints 21, 23 in four degrees of mechanical freedom. Fifth and sixth degrees of mechanical freedom can be achieved by moving or rotating the biopsy sienadel 41 given in the needle guide 4, which forms a plain bearing yes. It is advantageous to make the needle guide 4 lockable by clamping the biopsy needle 41 so that the biopsy needle 41 can not penetrate into the patient in an uncontrolled manner. This can be done for example by a longitudinally slotted and provided with a conical external thread sleeve, which can be compressed by screwing a nut. Coaxial through sleeve and nut passes the biopsy needle 41, which is thereby clamped. Clamp the biopsy needle 41 from the side, such as through a
  • FIG. 6 shows a base plate 50 having first to eighth biopsy device openings 51 to 58.
  • the fourth and sixth biopsy device openings 54 and 56 each incorporate one of the biopsy devices shown in FIGS. 1 to 5.
  • the needle guide 4 and biopsy needle 41 are provided with identifiers by these biopsy devices.
  • Other biopsy devices can also be incorporated into the base plate 50.
  • the base plate 50 with inserted biopsy devices makes it possible to make biopsies at several and different locations.
  • the incorporation of biopsy devices in the base plate 50 is possible in various ways, such as by locking bent resilient tabs, by clamping, by retaining clips or by screws.
  • FIG. 7 shows a biopsy device with rotary manipulator and translatory manipulator in an overall view.
  • Fig. 8 the same biopsy device is shown, but seen from above, seen in Fig. 9 from the side and in Fig. 10 seen in section from the side.
  • this biopsy device is the first manipulator 1 1 'designed to be rotatable and the second manipulator 13' translationally formed.
  • Basis of the biopsy device is the frame 3 'with, apart from rounded corners, square outer dimensions. These outer dimensions are suitable for base plates with base plates 50 with square biopsy device openings 51 to 58. Other, in particular circular outer dimensions of the frame 3 'are also possible.
  • the frame 3 ' has a large circular opening which simultaneously defines the translation plane 31' corresponding to a surface of the frame 3 '. In its center is perpendicular to the translation plane 31 'the axis of rotation 15'.
  • First frame-side manipulator part 1 1 1 'and the first needle-side manipulator part 1 12' engage by a circular curved dovetail rail 1 14 'into one another.
  • the dovetail profile can be seen in section in FIG. 10.
  • the first manipulator 1 1 ' comprises the first frame-side manipulator part 1 1 1' and the first needle-side manipulator part 1 12 '.
  • the first manipulator 1 1 ' can be locked by a second and third screw 302', 303 'or by other means.
  • the first needle-side manipulator part 1 12 ' is a carriage with a dovetail profile running on a circle, which can be rotated along the first, here circular, coordinate 12'. This rotational displacement can be read on a first scale 1 13 ', which is designed according to the rotational character of the first manipulator 1 1' as an angle scale.
  • the second manipulator 13 ' comprises the second frame-side manipulator part 131' and the second needle-side manipulator part 132 '.
  • the second frame-side manipulator part 131' has two parallel rails 131 1 ', 1312', on which the second needle-side manipulator part 132 'designed as a slide is displaced along the second, linearly and translationally formed coordinate 14' can be, which extends radially from the axis of rotation 15 '.
  • the second frame-side manipulator part 131 ' is axisymmetric in the translation plane 31' along the second coordinate 14 'and center line.
  • the second needle-side manipulator part 132 ' can be locked by a fourth screw 304' on the rails 131 1 ', 1312' of the second frame-side manipulator part 131 '.
  • the second needle-side manipulator part 132 ' has a first joint 21' parallel to the translation plane 31 'and perpendicular to the second coordinate 14'.
  • the first needle-side joint part 212' can be pivoted about the first pivot axis 22 'characterizing the first joint 21'.
  • the first joint 21 ' comprises the first frame-side joint part 21 1' and the first needle-side joint part 212 '.
  • a first angle indicator 214 ' is attached to the first needle-side joint part 212'.
  • the first joint 21 ' can be locked with a fifth screw 305' which is coaxial with the first joint axis 22 '.
  • the second coordinate 14 ', the first pivot axis 22' and the axis of rotation 15 ' are selected in an advantageous manner in pairs perpendicular to each other.
  • Connected to the first needle-side joint part 212 ' is the needle guide 4' with the biopsy needle 41 '.
  • the direction of the needle guide 4 'and the biopsy needle 41' is selected perpendicular to the first pivot axis 22 '.
  • the biopsy needle 41 ' is adjustable by the manipulators 1 1', 13 'and the first joint 21' in three degrees of mechanical freedom.
  • a fourth degree of mechanical freedom is not present in this biopsy device.
  • Fifth and sixth degree of mechanical freedom is given by moving or rotating the biopsy needle 41 'in the needle guide 4', which forms a plain bearing. It is again advantageous to design the needle guide 4 'by clamping the biopsy needle 41' in a lockable manner.
  • the needle guide 4 ' has five arranged in the form of the cube-eye five parallel holes, as in the above-mentioned perforated plates through which the biopsy needle 41' can optionally be stuck.
  • Other bore arrangements for example, 25 holes in 5 rows and 5 columns square, are possible.
  • the sectional drawing Fig. 10 shows in addition to many of the aforementioned components, a biopsy needle 41 ', which is received in a receiving device 42'. LIST OF REFERENCE NUMBERS

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Pathology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

L'invention concerne un dispositif de biopsie doté d'un guide-aiguille (4, 4') pour une aiguille de biopsie (41, 41'), d'un cadre (3, 3'), d'un premier manipulateur (11, 11') lié à celui-ci, qui peut coulisser librement par rapport au cadre (3, 3') le long d'une première coordonnée (12, 12') dans et/ou parallèlement à un plan de translation (31, 31') défini par le cadre (3, 3') et/ou le premier et un deuxième manipulateur (11, 11'), (13, 13'), du deuxième manipulateur (13, 13') relié au premier manipulateur (11, 11'), qui peut coulisser librement par rapport au premier manipulateur (11, 11') le long d'une deuxième coordonnée (14, 14') divergeant linéairement de la première dans et/ou parallèlement du plan de translation (31, 31') défini par le cadre (3, 3') et/ou le premier et un deuxième manipulateur (11, 11'), (13, 13'), et d'une première articulation (21, 21') reliée au deuxième manipulateur (12, 12'), laquelle peut pivoter librement par rapport au deuxième manipulateur (13, 13') autour d'un premier axe de pivotement (22, 22') s'étendant dans et/ou parallèlement à ce plan de translation (31, 31'), et qui est reliée au guide-aiguille (4, 4').
EP14833115.0A 2013-11-29 2014-11-14 Guide-aiguille pour biopsie Withdrawn EP3073943A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102013113277.4A DE102013113277A1 (de) 2013-11-29 2013-11-29 Nadelführung für Biopsie
PCT/DE2014/100402 WO2015078445A1 (fr) 2013-11-29 2014-11-14 Guide-aiguille pour biopsie

Publications (1)

Publication Number Publication Date
EP3073943A1 true EP3073943A1 (fr) 2016-10-05

Family

ID=52434461

Family Applications (1)

Application Number Title Priority Date Filing Date
EP14833115.0A Withdrawn EP3073943A1 (fr) 2013-11-29 2014-11-14 Guide-aiguille pour biopsie

Country Status (3)

Country Link
EP (1) EP3073943A1 (fr)
DE (2) DE102013113277A1 (fr)
WO (1) WO2015078445A1 (fr)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102017104301A1 (de) * 2017-03-01 2018-09-06 Hubert Noras Biopsienadelführung mit zweistufiger Fixierung
DE102017104302A1 (de) 2017-03-01 2018-09-06 Hubert Noras Biopsienadelführung mit Pointer zur vereinfachten Angulierung
CN108742847B (zh) * 2018-06-12 2021-04-27 天津大学 一种宏动和微动结合的四自由度柔性针穿刺平台

Family Cites Families (8)

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Publication number Priority date Publication date Assignee Title
EP0297354B1 (fr) * 1987-06-30 1993-09-01 Siemens Aktiengesellschaft Dispositif de biopsie pour un appareil diagnostique à rayon-X
US5308352A (en) * 1989-11-17 1994-05-03 Koutrouvelis Panos G Stereotactic device
AU2002248360A1 (en) * 2001-01-16 2002-08-19 Microdexterity Systems, Inc. Surgical manipulator
WO2008024515A2 (fr) 2006-08-24 2008-02-28 Ultrasound Ventures, Llc Couverture stérile et guide d'aiguille pour un dispositif d'imagerie
US20100030219A1 (en) * 2007-07-01 2010-02-04 L.R.S. Ortho Ltd. Orthopedic navigation system and method
US8460206B2 (en) * 2008-12-18 2013-06-11 Devicor Medical Products, Inc. Multi-orientation targeting set for MRI biopsy device
JP5825753B2 (ja) * 2009-11-17 2015-12-02 富士フイルム株式会社 生検装置
US9913596B2 (en) 2010-11-25 2018-03-13 Invivo Corporation Systems and methods for MRI guided trans-orifice and transperineal intervention apparatus with adjustable biopsy needle insertion

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See references of WO2015078445A1 *

Also Published As

Publication number Publication date
WO2015078445A1 (fr) 2015-06-04
DE112014005435A5 (de) 2016-09-01
DE102013113277A1 (de) 2015-06-03

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