GB2563440B - Securing a sensor at the heart - Google Patents
Securing a sensor at the heart Download PDFInfo
- Publication number
- GB2563440B GB2563440B GB1709621.5A GB201709621A GB2563440B GB 2563440 B GB2563440 B GB 2563440B GB 201709621 A GB201709621 A GB 201709621A GB 2563440 B GB2563440 B GB 2563440B
- Authority
- GB
- United Kingdom
- Prior art keywords
- heart
- sensor
- anchor
- lead
- main lead
- 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
Links
- 230000033001 locomotion Effects 0.000 claims description 46
- 230000000747 cardiac effect Effects 0.000 claims description 40
- 210000000038 chest Anatomy 0.000 claims description 29
- 238000012545 processing Methods 0.000 claims description 28
- 238000012544 monitoring process Methods 0.000 claims description 17
- 230000006870 function Effects 0.000 claims description 13
- 210000000779 thoracic wall Anatomy 0.000 claims description 10
- 230000008878 coupling Effects 0.000 claims description 6
- 238000010168 coupling process Methods 0.000 claims description 6
- 238000005859 coupling reaction Methods 0.000 claims description 6
- 230000004217 heart function Effects 0.000 claims description 5
- 239000007943 implant Substances 0.000 claims description 5
- 238000004891 communication Methods 0.000 claims description 2
- 230000000694 effects Effects 0.000 claims description 2
- 239000013013 elastic material Substances 0.000 claims description 2
- 210000004165 myocardium Anatomy 0.000 description 19
- 238000000034 method Methods 0.000 description 14
- 238000002513 implantation Methods 0.000 description 11
- 238000005259 measurement Methods 0.000 description 6
- 238000005538 encapsulation Methods 0.000 description 5
- 230000000661 pacemaking effect Effects 0.000 description 5
- 230000008901 benefit Effects 0.000 description 4
- 239000000463 material Substances 0.000 description 3
- 230000005540 biological transmission Effects 0.000 description 2
- 230000036541 health Effects 0.000 description 2
- 210000005240 left ventricle Anatomy 0.000 description 2
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 230000033764 rhythmic process Effects 0.000 description 2
- 229910000811 surgical stainless steel Inorganic materials 0.000 description 2
- 239000010966 surgical stainless steel Substances 0.000 description 2
- 239000004698 Polyethylene Substances 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- 239000004020 conductor Substances 0.000 description 1
- 238000005260 corrosion Methods 0.000 description 1
- 230000007797 corrosion Effects 0.000 description 1
- 230000008713 feedback mechanism Effects 0.000 description 1
- 208000028867 ischemia Diseases 0.000 description 1
- 229920002529 medical grade silicone Polymers 0.000 description 1
- 230000002107 myocardial effect Effects 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229910052697 platinum Inorganic materials 0.000 description 1
- -1 polyethylene Polymers 0.000 description 1
- 229920000573 polyethylene Polymers 0.000 description 1
- 238000005086 pumping Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 231100000331 toxic Toxicity 0.000 description 1
- 230000002588 toxic effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium
- A61N1/059—Anchoring means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/25—Bioelectric electrodes therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6879—Means for maintaining contact with the body
- A61B5/6882—Anchoring means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/056—Transvascular endocardial electrode systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium
- A61N1/0595—Temporary leads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
- A61N1/36578—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by mechanical motion of the heart wall, e.g. measured by an accelerometer or microphone
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/37—Monitoring; Protecting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
- A61B2017/042—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion
- A61B2017/0422—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors plastically deformed during insertion by insertion of a separate member into the body of the anchor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
- A61B5/1107—Measuring contraction of parts of the body, e.g. organ or muscle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6867—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
- A61B5/6869—Heart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0587—Epicardial electrode systems; Endocardial electrodes piercing the pericardium
- A61N1/0592—Introducing the lead through the pericardium with a needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/18—Applying electric currents by contact electrodes
- A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
- A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
- A61N1/362—Heart stimulators
- A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
- A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
- A61N1/36542—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by body motion, e.g. acceleration
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Biophysics (AREA)
- Surgery (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Pathology (AREA)
- Physics & Mathematics (AREA)
- Hematology (AREA)
- Physiology (AREA)
- Vascular Medicine (AREA)
- Electrotherapy Devices (AREA)
Priority Applications (6)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB1709621.5A GB2563440B (en) | 2017-06-16 | 2017-06-16 | Securing a sensor at the heart |
| US16/008,830 US10384058B2 (en) | 2017-06-16 | 2018-06-14 | Methods and devices for securing a sensor at the heart |
| EP18746273.4A EP3638358B1 (en) | 2017-06-16 | 2018-06-15 | Devices for securing a sensor at the heart |
| PCT/IB2018/054432 WO2018229726A1 (en) | 2017-06-16 | 2018-06-15 | Methods and devices for securing a sensor at the heart |
| JP2019569889A JP7166296B2 (ja) | 2017-06-16 | 2018-06-15 | 心臓にセンサを固定するための方法およびデバイス |
| CA3065744A CA3065744A1 (en) | 2017-06-16 | 2018-06-15 | Methods and devices for securing a sensor at the heart |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB1709621.5A GB2563440B (en) | 2017-06-16 | 2017-06-16 | Securing a sensor at the heart |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| GB201709621D0 GB201709621D0 (en) | 2017-08-02 |
| GB2563440A GB2563440A (en) | 2018-12-19 |
| GB2563440B true GB2563440B (en) | 2019-06-05 |
Family
ID=59462287
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| GB1709621.5A Active GB2563440B (en) | 2017-06-16 | 2017-06-16 | Securing a sensor at the heart |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US10384058B2 (enExample) |
| EP (1) | EP3638358B1 (enExample) |
| JP (1) | JP7166296B2 (enExample) |
| CA (1) | CA3065744A1 (enExample) |
| GB (1) | GB2563440B (enExample) |
| WO (1) | WO2018229726A1 (enExample) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB2641249A (en) | 2024-05-21 | 2025-11-26 | Cardiaccs As | Wireless monitoring of cardiac function |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0211166A2 (de) * | 1985-06-28 | 1987-02-25 | Peter Dr. Ing. Osypka | Defibrillations-Elektrode |
| US20030105496A1 (en) * | 2001-12-05 | 2003-06-05 | Cardiac Pacemakers, Inc. | Cardiac resynchronization system employing mechanical measurement of cardiac walls |
| US20140243593A1 (en) * | 2013-02-26 | 2014-08-28 | Endostim, Inc. | Implantable Electrical Stimulation Leads |
| WO2016201082A1 (en) * | 2015-06-10 | 2016-12-15 | Cardio Thrive, Inc. | Multivector patient electrode system and method of use |
Family Cites Families (44)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4437475A (en) * | 1981-08-28 | 1984-03-20 | Medtronic, Inc. | Transvenous cardiovascular integrated lead anchoring sleeve, protector, and permanent lead introducer stop gap |
| US4414986A (en) * | 1982-01-29 | 1983-11-15 | Medtronic, Inc. | Biomedical stimulation lead |
| DE3631155A1 (de) | 1986-09-12 | 1988-03-24 | Alt Eckhard | Frequenzvariabler herzschrittmacher mit belastungsadaequatem frequenzverhalten |
| US4967755A (en) * | 1989-02-28 | 1990-11-06 | Medtronic, Inc. | Electromedical lead with pressure sensor |
| JPH02277468A (ja) * | 1989-04-18 | 1990-11-14 | Nippon Zeon Co Ltd | センサ構成素子付きカテーテル |
| US5324323A (en) * | 1992-09-09 | 1994-06-28 | Telectronics Pacing Systems, Inc. | Multiple channel cardiosynchronous myoplasty apparatus |
| US5350419A (en) * | 1992-09-18 | 1994-09-27 | Ethicon, Inc. | Cardiac pacing lead |
| US5353800A (en) * | 1992-12-11 | 1994-10-11 | Medtronic, Inc. | Implantable pressure sensor lead |
| US5376108A (en) * | 1993-05-20 | 1994-12-27 | Telectronics Pacing Systems, Inc. | Electrode lead anchoring apparatus and method employing dual suture collars |
| US5609612A (en) | 1993-10-05 | 1997-03-11 | Sorin Biomedica Cardio S.P.A. | Device for determining myocardial function and corresponding procedure and method |
| IT1260692B (it) | 1993-10-05 | 1996-04-22 | Sorin Biomedica Spa | Dispositivo per la determinazione della funzione miocardica e relativoprocedimento. |
| US5476500A (en) * | 1993-12-20 | 1995-12-19 | Ventritex, Inc. | Endocardial lead system with defibrillation electrode fixation |
| EP0823263A1 (de) * | 1996-08-06 | 1998-02-11 | Dr.-Ing. P. Osypka GmbH | Verbindungselement für ein äusseres Endstück einer chirurgischen Elektrode |
| US6221024B1 (en) * | 1998-07-20 | 2001-04-24 | Medtronic, Inc. | Implantable pressure sensor and method of fabrication |
| US6434431B1 (en) | 2000-01-20 | 2002-08-13 | Medtronic, Inc. | Intramuscular medical electrical lead with fixation member |
| US6658292B2 (en) | 2001-08-24 | 2003-12-02 | Pacesetter, Inc. | Detection of patient's position and activity status using 3D accelerometer-based position sensor |
| US6937899B2 (en) * | 2001-08-30 | 2005-08-30 | Medtronic, Inc. | Ischemia detection |
| NO20016385L (no) | 2001-12-27 | 2003-06-30 | Medinnova Sf | System for å overvåke pulsendringer, fortrinnsvis en hjertemuskel |
| JP4505455B2 (ja) * | 2003-04-10 | 2010-07-21 | カーディアック ペースメイカーズ, インコーポレイテッド | 心臓電極固定システム |
| US7203551B2 (en) * | 2003-04-25 | 2007-04-10 | Medtronic, Inc. | Implantable lead-based sensor powered by piezoelectric transformer |
| US7142919B2 (en) | 2003-10-24 | 2006-11-28 | Medtronic, Inc. | Reconfigurable, fault tolerant multiple-electrode cardiac lead systems |
| EP1618919B1 (de) * | 2004-07-20 | 2012-07-04 | Biotronik CRM Patent AG | Fixierung für implantierbare Elektroden und Katheter |
| US7200437B1 (en) | 2004-10-13 | 2007-04-03 | Pacesetter, Inc. | Tissue contact for satellite cardiac pacemaker |
| US20060178586A1 (en) | 2005-02-07 | 2006-08-10 | Dobak John D Iii | Devices and methods for accelerometer-based characterization of cardiac function and identification of LV target pacing zones |
| US8406901B2 (en) | 2006-04-27 | 2013-03-26 | Medtronic, Inc. | Sutureless implantable medical device fixation |
| EP3527255B1 (en) * | 2006-10-13 | 2020-08-05 | Cyberonics, Inc. | Obstructive sleep apnea treatment devices and systems |
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| EP2679275B1 (de) * | 2012-06-28 | 2014-05-14 | Peter Osypka Stiftung | Epikardiale Mapping-Elektrode |
| DE102013001021B4 (de) * | 2013-01-22 | 2015-05-13 | Osypka Ag | Externer Herzschrittmacher mit einer über einen Steckverbinder angeschlossenen, temporär mit einem Herzen verbindbaren Elektrode |
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| US9211415B2 (en) | 2013-03-13 | 2015-12-15 | Cardiac Pacemakers, Inc. | Phrenic nerve stimulation detection with posture sensing |
| JP6640194B2 (ja) | 2014-05-09 | 2020-02-05 | バイオトレース メディカル, インコーポレイテッド | 体腔内に電極を配置するためのデバイスおよび方法 |
| US9278229B1 (en) | 2015-01-23 | 2016-03-08 | Medtronic, Inc. | Anti-tachyarrhythmia shock detection |
| WO2018142186A1 (en) | 2017-02-01 | 2018-08-09 | Tre Esse Progettazione Biomedica S.R.L. | A cardiac function sensor and corresponding implant device |
-
2017
- 2017-06-16 GB GB1709621.5A patent/GB2563440B/en active Active
-
2018
- 2018-06-14 US US16/008,830 patent/US10384058B2/en active Active
- 2018-06-15 WO PCT/IB2018/054432 patent/WO2018229726A1/en not_active Ceased
- 2018-06-15 CA CA3065744A patent/CA3065744A1/en active Pending
- 2018-06-15 EP EP18746273.4A patent/EP3638358B1/en active Active
- 2018-06-15 JP JP2019569889A patent/JP7166296B2/ja active Active
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0211166A2 (de) * | 1985-06-28 | 1987-02-25 | Peter Dr. Ing. Osypka | Defibrillations-Elektrode |
| US20030105496A1 (en) * | 2001-12-05 | 2003-06-05 | Cardiac Pacemakers, Inc. | Cardiac resynchronization system employing mechanical measurement of cardiac walls |
| US20140243593A1 (en) * | 2013-02-26 | 2014-08-28 | Endostim, Inc. | Implantable Electrical Stimulation Leads |
| WO2016201082A1 (en) * | 2015-06-10 | 2016-12-15 | Cardio Thrive, Inc. | Multivector patient electrode system and method of use |
Also Published As
| Publication number | Publication date |
|---|---|
| WO2018229726A1 (en) | 2018-12-20 |
| CA3065744A1 (en) | 2018-12-20 |
| JP2020523168A (ja) | 2020-08-06 |
| EP3638358A1 (en) | 2020-04-22 |
| EP3638358B1 (en) | 2023-03-15 |
| JP7166296B2 (ja) | 2022-11-07 |
| US10384058B2 (en) | 2019-08-20 |
| GB201709621D0 (en) | 2017-08-02 |
| US20180361141A1 (en) | 2018-12-20 |
| GB2563440A (en) | 2018-12-19 |
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