ES3042430T3 - Monitoring a neuromuscular blockade status - Google Patents

Monitoring a neuromuscular blockade status

Info

Publication number
ES3042430T3
ES3042430T3 ES23179047T ES23179047T ES3042430T3 ES 3042430 T3 ES3042430 T3 ES 3042430T3 ES 23179047 T ES23179047 T ES 23179047T ES 23179047 T ES23179047 T ES 23179047T ES 3042430 T3 ES3042430 T3 ES 3042430T3
Authority
ES
Spain
Prior art keywords
state
tof
pulse
predefined
stimulation
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.)
Active
Application number
ES23179047T
Other languages
English (en)
Spanish (es)
Inventor
Olive José Javier Rodiera
Martinez Antonio Gonzalez
Herranz Francisco Javier Corral
Nolasco Ricardo Ruiz
Espinola Carlos Carenas
Haro Marmolejo Carmen De
Gutierrez Rosa Rodriguez
Casals Antoni Cami
Gisbert Francisco Javier Calzadilla
Paul Dominique Lacharmoise
Canto Marta Cot
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.)
RGB MEDICAL DEVICES S A
Fundacio Eurecat
Original Assignee
RGB MEDICAL DEVICES S A
Fundacio Eurecat
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
Priority claimed from ES201331489U external-priority patent/ES1099880Y/es
Priority claimed from ES201430202U external-priority patent/ES1106785Y/es
Application filed by RGB MEDICAL DEVICES S A, Fundacio Eurecat filed Critical RGB MEDICAL DEVICES S A
Application granted granted Critical
Publication of ES3042430T3 publication Critical patent/ES3042430T3/es
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1104Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb induced by stimuli or drugs
    • A61B5/1106Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb induced by stimuli or drugs to assess neuromuscular blockade, e.g. to estimate depth of anaesthesia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/022Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A61B5/02233Occluders specially adapted therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1107Measuring contraction of parts of the body, e.g. organ or muscle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/389Electromyography [EMG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/389Electromyography [EMG]
    • A61B5/395Details of stimulation, e.g. nerve stimulation to elicit EMG response
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4519Muscles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4821Determining level or depth of anaesthesia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4848Monitoring or testing the effects of treatment, e.g. of medication
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6813Specially adapted to be attached to a specific body part
    • A61B5/6824Arm or wrist
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6813Specially adapted to be attached to a specific body part
    • A61B5/6828Leg
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/683Means for maintaining contact with the body
    • A61B5/6831Straps, bands or harnesses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7203Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271Specific aspects of physiological measurement analysis
    • A61B5/7275Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0408Use-related aspects
    • A61N1/0452Specially adapted for transcutaneous muscle stimulation [TMS]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0472Structure-related aspects
    • A61N1/0492Patch electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0472Structure-related aspects
    • A61N1/0492Patch electrodes
    • A61N1/0496Patch electrodes characterised by using specific chemical compositions, e.g. hydrogel compositions, adhesives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0551Spinal or peripheral nerve electrodes
    • A61N1/0556Cuff electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0551Spinal or peripheral nerve electrodes
    • A61N1/0558Anchoring or fixation means therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36003Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of motor muscles, e.g. for walking assistance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014External stimulators, e.g. with patch electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/05Surgical care
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0219Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0247Pressure sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0472Structure-related aspects
    • A61N1/0484Garment electrodes worn by the patient

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physiology (AREA)
  • Cardiology (AREA)
  • Dentistry (AREA)
  • Neurology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Chemical & Material Sciences (AREA)
  • Neurosurgery (AREA)
  • Vascular Medicine (AREA)
  • Signal Processing (AREA)
  • Anesthesiology (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Psychiatry (AREA)
  • Artificial Intelligence (AREA)
  • Medicinal Chemistry (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • General Chemical & Material Sciences (AREA)
  • Ophthalmology & Optometry (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Rheumatology (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
ES23179047T 2013-12-24 2014-12-22 Monitoring a neuromuscular blockade status Active ES3042430T3 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ES201331489U ES1099880Y (es) 2013-12-24 2013-12-24 Conector hibrido 'aire-senal' para manguito de electroestimulacion
ES201430202U ES1106785Y (es) 2014-02-13 2014-02-13 Electrodo de electroestimulacion, para su aplicacion en seco sobre la piel integra de un paciente

Publications (1)

Publication Number Publication Date
ES3042430T3 true ES3042430T3 (en) 2025-11-20

Family

ID=53479737

Family Applications (2)

Application Number Title Priority Date Filing Date
ES23179047T Active ES3042430T3 (en) 2013-12-24 2014-12-22 Monitoring a neuromuscular blockade status
ES14821182T Active ES2954112T3 (es) 2013-12-24 2014-12-22 Monitorización de un estado de bloqueo neuromuscular

Family Applications After (1)

Application Number Title Priority Date Filing Date
ES14821182T Active ES2954112T3 (es) 2013-12-24 2014-12-22 Monitorización de un estado de bloqueo neuromuscular

Country Status (7)

Country Link
US (3) US10537267B2 (enExample)
EP (3) EP3086837B1 (enExample)
JP (1) JP6588912B2 (enExample)
CN (1) CN105873510B (enExample)
BR (1) BR112016014791B1 (enExample)
ES (2) ES3042430T3 (enExample)
WO (1) WO2015097174A2 (enExample)

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* Cited by examiner, † Cited by third party
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WO2018071860A2 (en) * 2016-10-14 2018-04-19 Centurion Medical Products Corporation Quantitative neuromusculature blockade sensing systems and methods
US10888379B2 (en) * 2017-01-25 2021-01-12 Biosense Webster (Israel) Ltd. Analyzing and mapping ECG signals and determining ablation points to eliminate brugada syndrome
US10893819B2 (en) 2017-01-25 2021-01-19 Biosense Webster (Israel) Ltd. Analyzing and mapping ECG signals and determining ablation points to eliminate Brugada syndrome
WO2019165219A1 (en) * 2018-02-23 2019-08-29 Northwestern University Intraoperative monitoring of neuromuscular function with soft, tissue-mounted wireless devices
CZ308216B6 (cs) * 2018-10-19 2020-03-04 Fakultní nemocnice Hradec Králové Zařízení pro měření svalové síly a způsob testování svalového výkonu sportovců
JP7540688B2 (ja) * 2020-04-20 2024-08-27 金田 相元 電気治療用端子及び電気治療用装置
JP7569047B2 (ja) * 2020-06-03 2024-10-17 国立研究開発法人産業技術総合研究所 筋肉電気刺激装置およびトレーニングシステム
JP7673498B2 (ja) * 2021-05-28 2025-05-09 オムロンヘルスケア株式会社 カフカバー
CN114306805B (zh) * 2022-01-17 2023-11-24 中国科学院苏州生物医学工程技术研究所 一种自动注射系统
EP4676320A1 (en) 2024-03-20 2026-01-14 Rodiera Olive, José Javier Air-pressure cuffs
JP2025180887A (ja) * 2024-05-31 2025-12-11 株式会社 Mtg 電気刺激装置
WO2026005688A1 (en) * 2024-06-26 2026-01-02 Senzime Ab (Publ.) Anesthetizing monitoring system, unit and method therefore
WO2026032209A1 (en) * 2024-08-03 2026-02-12 The Hong Kong Polytechnic University Method and apparatus for monitoring neuromuscular blockade, electronic device and storage medium

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US4387723A (en) * 1980-12-09 1983-06-14 Wisconsin Alumni Research Foundation Method and apparatus for determining the level of neuromuscular block in a patient
US4453547A (en) * 1981-04-06 1984-06-12 Physio Technology, Inc. T-Wave inhibiting system
US5131401A (en) * 1990-09-10 1992-07-21 Axon Medical Inc. Method and apparatus for monitoring neuromuscular blockage
WO1997005923A1 (es) * 1995-08-04 1997-02-20 Rodiera Olive Jose Javier Metodo y aparato para la monitorizacion y/o el control del bloqueo neuromuscular, en especial del bloqueo producido for farmacos relajantes musculares utilizados durante la anestesia
US6532388B1 (en) * 1996-04-30 2003-03-11 Medtronic, Inc. Method and system for endotracheal/esophageal stimulation prior to and during a medical procedure
US6132387A (en) * 1997-07-01 2000-10-17 Neurometrix, Inc. Neuromuscular electrode
JP2000342690A (ja) * 1999-06-09 2000-12-12 Nippon Colin Co Ltd 麻酔深度監視装置
US6445955B1 (en) * 1999-07-08 2002-09-03 Stephen A. Michelson Miniature wireless transcutaneous electrical neuro or muscular-stimulation unit
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US20070118198A1 (en) * 2005-11-07 2007-05-24 Prager Joshua P Neurostimulation lead with concentric electrodes
WO2007063900A1 (ja) * 2005-11-30 2007-06-07 Japan As Represented By The President Of National Cardiovascular Center 身体表面刺激治療装置ならびに身体表面刺激治療プログラムおよびこれを記録したコンピュータ読み取り可能な記録媒体
JP5108787B2 (ja) * 2006-01-23 2012-12-26 リハブトロニクス インコーポレイテッド 埋め込まれた受動導体を介して電流を体組織へルーティングする方法
FI120482B (fi) * 2006-06-08 2009-11-13 Suunto Oy Anturointijärjestely
WO2008031209A1 (en) * 2006-09-16 2008-03-20 Terence Gilhuly Improved sensors and sensing for monitoring neuromuscular blockade
US8175718B2 (en) * 2006-12-19 2012-05-08 Ethicon, Inc. Electrode patch and method for neurostimulation
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US20140128747A1 (en) * 2011-04-26 2014-05-08 The Regents Of The University Of California Assessing endothelial function using a blood pressure cuff
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Also Published As

Publication number Publication date
US20160296140A1 (en) 2016-10-13
BR112016014791B1 (pt) 2022-04-26
EP3086837B1 (en) 2023-06-14
EP4241667C0 (en) 2025-07-16
US20160296141A1 (en) 2016-10-13
EP4241667A3 (en) 2023-10-04
US20160296139A1 (en) 2016-10-13
EP4241666B1 (en) 2024-10-02
JP6588912B2 (ja) 2019-10-09
JP2017503576A (ja) 2017-02-02
EP4241666A2 (en) 2023-09-13
EP4241667B1 (en) 2025-07-16
EP3086837A2 (en) 2016-11-02
US10537267B2 (en) 2020-01-21
US10299703B2 (en) 2019-05-28
WO2015097174A3 (en) 2015-10-08
BR112016014791A8 (pt) 2020-06-02
EP4241666A3 (en) 2023-10-11
EP4241667A2 (en) 2023-09-13
CN105873510A (zh) 2016-08-17
BR112016014791A2 (enExample) 2017-08-08
US10045714B2 (en) 2018-08-14
ES2954112T3 (es) 2023-11-20
EP3086837C0 (en) 2023-06-14
CN105873510B (zh) 2019-10-22
WO2015097174A2 (en) 2015-07-02
EP4241666C0 (en) 2024-10-02

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