ES2192593T3 - Procedimiento y dispositivo para calcular parametros hemodinamicos durante un tratamiento extracorporal de la sangre. - Google Patents

Procedimiento y dispositivo para calcular parametros hemodinamicos durante un tratamiento extracorporal de la sangre.

Info

Publication number
ES2192593T3
ES2192593T3 ES96117473T ES96117473T ES2192593T3 ES 2192593 T3 ES2192593 T3 ES 2192593T3 ES 96117473 T ES96117473 T ES 96117473T ES 96117473 T ES96117473 T ES 96117473T ES 2192593 T3 ES2192593 T3 ES 2192593T3
Authority
ES
Spain
Prior art keywords
sub
extracorporal
temperature
blood treatment
arterial
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.)
Expired - Lifetime
Application number
ES96117473T
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English (en)
Other versions
ES2192593T5 (es
Inventor
Matthias Dr Kramer
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.)
Fresenius Medical Care Deutschland GmbH
Original Assignee
Fresenius Medical Care Deutschland GmbH
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Application filed by Fresenius Medical Care Deutschland GmbH filed Critical Fresenius Medical Care Deutschland GmbH
Application granted granted Critical
Publication of ES2192593T3 publication Critical patent/ES2192593T3/es
Publication of ES2192593T5 publication Critical patent/ES2192593T5/es
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Classifications

    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621—Extra-corporeal blood circuits
    • A61M1/367—Circuit parts not covered by the preceding subgroups of group A61M1/3621
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/34—Filtering material out of the blood by passing it through a membrane, i.e. hemofiltration or diafiltration
    • A61M1/3403—Regulation parameters
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3607—Regulation parameters
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3607—Regulation parameters
    • A61M1/3609—Physical characteristics of the blood, e.g. haematocrit, urea
    • A61M1/361—Physical characteristics of the blood, e.g. haematocrit, urea before treatment
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3607—Regulation parameters
    • A61M1/3609—Physical characteristics of the blood, e.g. haematocrit, urea
    • A61M1/3612—Physical characteristics of the blood, e.g. haematocrit, urea after treatment
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621—Extra-corporeal blood circuits
    • A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621—Extra-corporeal blood circuits
    • A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
    • A61M1/3655—Arterio-venous shunts or fistulae
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621—Extra-corporeal blood circuits
    • A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
    • A61M1/3656—Monitoring patency or flow at connection sites; Detecting disconnections
    • A61M1/3658—Indicating the amount of purified blood recirculating in the fistula or shunt
    • 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
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3621—Extra-corporeal blood circuits
    • A61M1/3663—Flow rate transducers; Flow integrators
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3331—Pressure; Flow
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3368—Temperature
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • 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
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/20—Blood composition characteristics
    • 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
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S210/00—Liquid purification or separation
    • Y10S210/929—Hemoultrafiltrate volume measurement or control processes

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Urology & Nephrology (AREA)
  • Emergency Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Fluid Mechanics (AREA)
  • External Artificial Organs (AREA)

Abstract

SE DESCRIBE UN PROCEDIMIENTO Y UN DISPOSITIVO PARA LA DETERMINACION DE PARAMETROS HEMODINAMICOS DURANTE UN TRATAMIENTO EXTRACORPORAL DE LA SANGRE, EN EL CUAL LA SANGRE SALE A UN DIALIZADOR (10) O A UN FILTRO DEL DISPOSITIVO DEL TRATAMIENTO SANGUINEO A TRAVES DE LA RAMA ARTERIAL (20) DEL CIRCUITO EXTRACORPORAL (9) DEL DISPOSITIVO DEL TRATAMIENTO SANGUINEO (7), EL CUAL ESTA EN COMUNICACION DE FLUIDOS CON LA PARTE ARTERIAL (21) MEDIANTE UNA FISTULA (6); Y VUELVE A TRAVES DE LA PARTE VENOSA (23) DEL CIRCUITO EXTRACORPORAL, QUE ESTA EN COMUNICACION DE FLUIDOS CON LA PARTE VENOSA (23) DE LA FISTULA (6). SE MIDE LA TEMPERATURA T{SUB,A} EN LA RAMA ARTERIAL (20) DEL CIRCUITO EXTRACORPORAL (9)CON VARIACION DEL FLUJO SANGUINEO, MANTENIENDO CONSTANTE LA TEMPERATURA T{SUB,V} DE LA RAMA VENOSA (22) DEL CIRCUITO EXTRACORPORAL. A PARTIR DE LOS PARES DE VALORES MEDIDOS DE LA TEMPERATURA ARTERIAL T{SUB,A} Y DEL FLUJO SANGUINEO EXTRACORPORAL Q{SUB,B} SE DETERMINAN LOS PARAMETROS SEGUN UNA FUNCION PREDETERMINADA T{SUB,A}(Q{SUB,B}) QUE RELACIONA LA TEMPERATURA EN LA RAMA ARTERIAL DEL CIRCUITO EXTRACORPORAL (9) CON EL FLUJO SANGUINEO Q{SUB,B}, QUE SIRVEN PARA DETERMINAR EL FLUJO DE LA FISTULA Q{SUB,F} Y/O LA TEMPERATURA CORPORAL T{SUB,B} Y/O EL VOLUMEN CARDIACO POR MINUTO CO.
ES96117473T 1995-11-09 1996-10-31 Dispositivo para calcular parametros hemodinamicos durante un tratamiento extracorporal de la sangre. Expired - Lifetime ES2192593T5 (es)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19541783 1995-11-09
DE19541783A DE19541783C1 (de) 1995-11-09 1995-11-09 Verfahren zum Betreiben einer Blutbehandlungsvorrichtung zur Ermittlung hämodynamischer Parameter während einer extrakorporalen Blutbehandlung und Vorrichtung zur Ermittlung hämodynamischer Parameter während einer extrakorporalen Blutbehandlung

Publications (2)

Publication Number Publication Date
ES2192593T3 true ES2192593T3 (es) 2003-10-16
ES2192593T5 ES2192593T5 (es) 2007-03-16

Family

ID=7777022

Family Applications (1)

Application Number Title Priority Date Filing Date
ES96117473T Expired - Lifetime ES2192593T5 (es) 1995-11-09 1996-10-31 Dispositivo para calcular parametros hemodinamicos durante un tratamiento extracorporal de la sangre.

Country Status (5)

Country Link
US (1) US5866015A (es)
EP (1) EP0773035B2 (es)
JP (1) JP3812978B2 (es)
DE (2) DE19541783C1 (es)
ES (1) ES2192593T5 (es)

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CA2345965C (en) * 1998-10-23 2010-12-14 Jan Sternby Method and device for measuring access flow
DE19917197C1 (de) * 1999-04-16 2000-07-27 Fresenius Medical Care De Gmbh Verfahren und Vorrichtung zur Ermittlung des Blutflusses in einem Gefäßzugang
IT1308680B1 (it) * 1999-12-21 2002-01-09 Gambro Dasco Spa Metodo di determinazione del ricircolo di sangue in un accessovascolare.
WO2001095956A1 (en) * 2000-06-15 2001-12-20 Gambro Lundia Ab Method and apparatus for calcium profiling in dialysis
ITMI20012829A1 (it) * 2001-12-28 2003-06-28 Gambro Dasco Spa Apparecchiatura e metodo di controllo in un circuito extracorporeo disangue
ITTO20011222A1 (it) 2001-12-27 2003-06-27 Gambro Lundia Ab Apparecchiatura per il controllo di flusso sanguigno in un circuito-extracorporeo di sangue.
FR2836831B1 (fr) * 2002-03-07 2004-06-25 Centre Nat Rech Scient Combinaison chimiotherapie et antisens de la dna demethylase
DE10259437B3 (de) * 2002-12-19 2004-09-16 Fresenius Medical Care Deutschland Gmbh Verfahren und Vorrichtung zur Bestimmung des Blutflusses in einer blutführenden Leitung
AU2004208554B2 (en) 2003-01-28 2008-11-06 Gambro Lundia Ab An apparatus and method for monitoring a vascular access of a patient
EP1691862A1 (en) 2003-11-20 2006-08-23 Gambro Lundia AB Method, apparatus and software program for measurement of a parameter relating to a heart-lung system of a mammal.
EP1691885B1 (en) 2003-12-11 2014-04-02 Gambro Lundia AB Switching device and apparatus for controlling flow of a fluid
DE102005001051B4 (de) * 2005-01-07 2007-10-31 Fresenius Medical Care Deutschland Gmbh Vorrichtung und Verfahren zur Erkennung von Komplikationen während einer extrakorporalen Blutbehandlung
US7794419B2 (en) 2005-05-18 2010-09-14 Gambro Lundia Ab Apparatus for controlling blood flow in an extracorporeal circuit
JP4925159B2 (ja) * 2005-10-12 2012-04-25 日機装株式会社 血液浄化装置
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JP4573860B2 (ja) * 2007-08-22 2010-11-04 日機装株式会社 血液浄化装置
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DE102007056475A1 (de) * 2007-11-22 2009-06-04 Fresenius Medical Care Deutschland Gmbh Verfahren und Vorrichtung zum Bestimmen der Rezirkulation in einer Fistel oder der kardiopulmonalen Rezirkulation sowie Blutbehandlungsvorrichtung mit einer Vorrichtung zur Bestimmung der Fistelrezirkulation oder des kardiopulmonalen Rezirkulationsanteils
DE102008003714A1 (de) 2008-01-09 2009-07-16 Fresenius Medical Care Deutschland Gmbh Verfahren zum Bestimmen des Anteils der Rezirkulation in einer Fistel und/oder der kardiopulmonalen Rezirkulation an der Summe von Fistelrezirkulation und kardiopulmonaler Rezirkulation
DE102010015664A1 (de) * 2010-04-20 2011-10-20 Up-Med Gmbh Verfahren und Vorrichtung zur Bestimmung des Fistelflusses einer Fistel für die Dialysebehandlung
CN103260670A (zh) 2010-10-15 2013-08-21 塞托弗尔克斯股份有限公司 细胞分离灌流器及其用途
EP2766065A4 (en) 2011-10-14 2016-06-15 Cytopherx Inc CARTRIDGE AND METHOD FOR INCREASING MYOCARDIAL FUNCTION
EP3297703A4 (en) 2015-05-18 2019-01-16 The General Hospital Corporation PHOTOTHERAPY SYSTEM AND METHOD FOR PREVENTING OR TREATING CARBON MONOXIDE POISONING
US10668206B2 (en) * 2015-10-09 2020-06-02 Nxstage Medical, Inc. Body temperature measurement devices, methods, and systems
DE102016001710B4 (de) 2016-02-15 2022-08-25 Fresenius Medical Care Deutschland Gmbh Gerät zur extrakorporalen Blutbehandlung mit einer Auswerte- und Steuereinheit
DE102016010722A1 (de) * 2016-09-05 2018-03-08 Fresenius Medical Care Deutschland Gmbh Verfahren und Vorrichtung zur Bestimmung der Körpertemperatur eines Patienten
CN111182929B (zh) 2017-09-17 2023-08-15 S·P·凯勒 用于体外去除二氧化碳的系统、装置和方法

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Also Published As

Publication number Publication date
ES2192593T5 (es) 2007-03-16
EP0773035A3 (de) 1997-11-12
EP0773035A2 (de) 1997-05-14
US5866015A (en) 1999-02-02
DE59610147D1 (de) 2003-03-27
EP0773035B2 (de) 2006-09-27
JPH09173444A (ja) 1997-07-08
JP3812978B2 (ja) 2006-08-23
DE19541783C1 (de) 1997-03-27
EP0773035B1 (de) 2003-02-19

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