JP2007509693A5 - - Google Patents

Download PDF

Info

Publication number
JP2007509693A5
JP2007509693A5 JP2006537907A JP2006537907A JP2007509693A5 JP 2007509693 A5 JP2007509693 A5 JP 2007509693A5 JP 2006537907 A JP2006537907 A JP 2006537907A JP 2006537907 A JP2006537907 A JP 2006537907A JP 2007509693 A5 JP2007509693 A5 JP 2007509693A5
Authority
JP
Japan
Prior art keywords
outlet opening
catheter
passage
catheter according
temperature sensor
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.)
Granted
Application number
JP2006537907A
Other languages
English (en)
Japanese (ja)
Other versions
JP4776542B2 (ja
JP2007509693A (ja
Filing date
Publication date
Priority claimed from NL1024658A external-priority patent/NL1024658C2/nl
Application filed filed Critical
Publication of JP2007509693A publication Critical patent/JP2007509693A/ja
Publication of JP2007509693A5 publication Critical patent/JP2007509693A5/ja
Application granted granted Critical
Publication of JP4776542B2 publication Critical patent/JP4776542B2/ja
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

JP2006537907A 2003-10-29 2004-10-20 特にアブレーション及び同様の技法のためのカテーテル及び方法 Expired - Fee Related JP4776542B2 (ja)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
NL1024658 2003-10-29
NL1024658A NL1024658C2 (nl) 2003-10-29 2003-10-29 Katheter en werkwijze, in het bijzonder voor ablatie en dergelijke techniek.
PCT/NL2004/000741 WO2005048858A1 (en) 2003-10-29 2004-10-20 Catheter and method, in particular for ablation and like technique

Publications (3)

Publication Number Publication Date
JP2007509693A JP2007509693A (ja) 2007-04-19
JP2007509693A5 true JP2007509693A5 (enExample) 2007-12-13
JP4776542B2 JP4776542B2 (ja) 2011-09-21

Family

ID=34617593

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2006537907A Expired - Fee Related JP4776542B2 (ja) 2003-10-29 2004-10-20 特にアブレーション及び同様の技法のためのカテーテル及び方法

Country Status (11)

Country Link
US (3) US7815635B2 (enExample)
EP (1) EP1686908B1 (enExample)
JP (1) JP4776542B2 (enExample)
KR (1) KR101218957B1 (enExample)
CN (1) CN100586393C (enExample)
AU (1) AU2004290563B2 (enExample)
BR (1) BRPI0415696B8 (enExample)
CA (1) CA2543524C (enExample)
NL (1) NL1024658C2 (enExample)
RU (1) RU2006118345A (enExample)
WO (1) WO2005048858A1 (enExample)

Families Citing this family (104)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP4511935B2 (ja) 2002-08-24 2010-07-28 サブラマニアム シー． クリシュナン 経中隔穿刺装置
NL1024658C2 (nl) 2003-10-29 2005-05-02 Univ Medisch Centrum Utrecht Katheter en werkwijze, in het bijzonder voor ablatie en dergelijke techniek.
US20080091193A1 (en) * 2005-05-16 2008-04-17 James Kauphusman Irrigated ablation catheter having magnetic tip for magnetic field control and guidance
US7857810B2 (en) * 2006-05-16 2010-12-28 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation electrode assembly and methods for improved control of temperature and minimization of coagulation and tissue damage
US8128621B2 (en) 2005-05-16 2012-03-06 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated ablation electrode assembly and method for control of temperature
EP1933787A1 (en) * 2005-08-19 2008-06-25 Werner Francois De Neve Device and method for assisting heat ablation treatment of the heart
US8551085B2 (en) 2006-10-10 2013-10-08 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation electrode assembly with insulated distal outlet
US8690870B2 (en) 2006-12-28 2014-04-08 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated ablation catheter system with pulsatile flow to prevent thrombus
US7951143B2 (en) 2006-12-28 2011-05-31 St. Jude Medical, Artial Fibrillation Divsion, Inc. Cooled ablation catheter with reciprocating flow
US7591816B2 (en) 2006-12-28 2009-09-22 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated ablation catheter having a pressure sensor to detect tissue contact
US7824406B2 (en) 2006-12-28 2010-11-02 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated ablation catheter having a valve to prevent backflow
US8460285B2 (en) * 2006-12-29 2013-06-11 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation catheter electrode having multiple thermal sensors and method of use
US7914528B2 (en) 2006-12-29 2011-03-29 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation catheter tip for generating an angled flow
US8187267B2 (en) 2007-05-23 2012-05-29 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation catheter with flexible tip and methods of making the same
US8764742B2 (en) 2007-04-04 2014-07-01 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated catheter
US8517999B2 (en) 2007-04-04 2013-08-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated catheter with improved fluid flow
US8979837B2 (en) 2007-04-04 2015-03-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Flexible tip catheter with extended fluid lumen
WO2009023385A1 (en) 2007-07-03 2009-02-19 Irvine Biomedical, Inc. Magnetically guided catheter with flexible tip
US8734440B2 (en) 2007-07-03 2014-05-27 St. Jude Medical, Atrial Fibrillation Division, Inc. Magnetically guided catheter
US8974454B2 (en) 2009-12-31 2015-03-10 St. Jude Medical, Atrial Fibrillation Division, Inc. Kit for non-invasive electrophysiology procedures and method of its use
US11395694B2 (en) 2009-05-07 2022-07-26 St. Jude Medical, Llc Irrigated ablation catheter with multiple segmented ablation electrodes
US10220187B2 (en) 2010-06-16 2019-03-05 St. Jude Medical, Llc Ablation catheter having flexible tip with multiple flexible electrode segments
US9579148B2 (en) 2007-11-13 2017-02-28 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated ablation electrode having recessed surface portions
US8128620B2 (en) 2007-11-13 2012-03-06 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated ablation electrode having proximal direction flow
US8052684B2 (en) * 2007-11-30 2011-11-08 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated ablation catheter having parallel external flow and proximally tapered electrode
US8273082B2 (en) 2007-12-21 2012-09-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated ablation catheter assembly having a flow member to create parallel external flow
US8216225B2 (en) 2007-12-21 2012-07-10 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated ablation electrode assembly having a polygonal electrode
US8226641B2 (en) * 2007-12-21 2012-07-24 St. Jude Medical, Atrial Fibrillation Division, Inc. Medical catheter with deflection pull ring and distal tip attachment apparatus
US8221409B2 (en) 2007-12-21 2012-07-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Thermally insulated irrigation catheter assembly
US9675411B2 (en) * 2008-07-15 2017-06-13 Biosense Webster, Inc. Catheter with perforated tip
US8882761B2 (en) 2008-07-15 2014-11-11 Catheffects, Inc. Catheter and method for improved ablation
US8974453B2 (en) * 2008-12-02 2015-03-10 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated ablation catheter having a flexible manifold
US9757189B2 (en) * 2008-12-03 2017-09-12 Biosense Webster, Inc. Prevention of kinks in catheter irrigation tubes
US9227036B2 (en) 2008-12-05 2016-01-05 Cathrx Ltd Irrigation catheter and a method of fabricating
US8475450B2 (en) * 2008-12-30 2013-07-02 Biosense Webster, Inc. Dual-purpose lasso catheter with irrigation
US9629678B2 (en) 2008-12-30 2017-04-25 St. Jude Medical, Atrial Fibrillation Division, Inc. Controlled irrigated catheter ablation systems and methods thereof
US8864757B2 (en) * 2008-12-31 2014-10-21 St. Jude Medical, Atrial Fibrillation Division, Inc. System and method for measuring force and torque applied to a catheter electrode tip
US10105177B2 (en) * 2008-12-31 2018-10-23 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated ablation electrode assembly having off-center irrigation passageway
US9226791B2 (en) 2012-03-12 2016-01-05 Advanced Cardiac Therapeutics, Inc. Systems for temperature-controlled ablation using radiometric feedback
US8954161B2 (en) 2012-06-01 2015-02-10 Advanced Cardiac Therapeutics, Inc. Systems and methods for radiometrically measuring temperature and detecting tissue contact prior to and during tissue ablation
US8926605B2 (en) 2012-02-07 2015-01-06 Advanced Cardiac Therapeutics, Inc. Systems and methods for radiometrically measuring temperature during tissue ablation
US9277961B2 (en) 2009-06-12 2016-03-08 Advanced Cardiac Therapeutics, Inc. Systems and methods of radiometrically determining a hot-spot temperature of tissue being treated
KR101379647B1 (ko) * 2009-07-13 2014-03-28 보스톤 싸이엔티픽 싸이메드 인코포레이티드 난류를 갖는 개방 관주식 절제 카테터
US8920415B2 (en) 2009-12-16 2014-12-30 Biosense Webster (Israel) Ltd. Catheter with helical electrode
US9616199B2 (en) * 2009-12-31 2017-04-11 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigated catheter employing multi-lumenal irrigation tubing
US9949791B2 (en) 2010-04-26 2018-04-24 Biosense Webster, Inc. Irrigated catheter with internal position sensor
US9943363B2 (en) * 2010-04-28 2018-04-17 Biosense Webster, Inc. Irrigated ablation catheter with improved fluid flow
US9943362B2 (en) * 2010-04-28 2018-04-17 Biosense Webster, Inc. Irrigated ablation catheter with improved fluid flow
US9510894B2 (en) 2010-04-28 2016-12-06 Biosense Webster (Israel) Ltd. Irrigated ablation catheter having irrigation ports with reduced hydraulic resistance
JP2013533065A (ja) 2010-08-13 2013-08-22 キャスアールエックス リミテッド カテーテルシースおよび製造方法
US10016233B2 (en) * 2010-12-06 2018-07-10 Biosense Webster (Israel) Ltd. Treatment of atrial fibrillation using high-frequency pacing and ablation of renal nerves
US9788891B2 (en) 2010-12-28 2017-10-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Ablation electrode assemblies and methods for using same
US8979840B2 (en) 2010-12-17 2015-03-17 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigant distribution system for flexible electrodes
US9855094B2 (en) 2010-12-28 2018-01-02 St. Jude Medical, Atrial Fibrillation Division, Inc. Multi-rate fluid flow and variable power delivery for ablation electrode assemblies used in catheter ablation procedures
US8814857B2 (en) 2010-12-17 2014-08-26 St. Jude Medical, Atrial Filbrillation Division, Inc. Irrigated ablation electrode assemblies
EP3498208A1 (en) 2011-04-12 2019-06-19 Thermedical, Inc. Devices for heating fluid in fluid enhanced ablation therapy
JP5731668B2 (ja) * 2011-06-16 2015-06-10 セント・ジュード・メディカル・エイトリアル・フィブリレーション・ディヴィジョン・インコーポレーテッド 可撓性電極のための潅注液分散システム
US8956353B2 (en) * 2011-12-29 2015-02-17 Biosense Webster (Israel) Ltd. Electrode irrigation using micro-jets
CN103284786B (zh) * 2012-02-29 2015-11-11 四川锦江电子科技有限公司 可控双向偏转的灌注电生理导管
CN103315808A (zh) * 2012-03-23 2013-09-25 心诺普医疗技术（北京）有限公司 一种消融电极及采用该电极的灌注型电极导管
CN102631240A (zh) * 2012-04-13 2012-08-15 上海微创电生理医疗科技有限公司 冷盐水灌注型射频消融导管
US9861738B2 (en) 2012-05-07 2018-01-09 St. Jude Medical, Cardiology Division, Inc. Flex tip fluid lumen assembly with termination tube
US10004877B2 (en) 2012-05-07 2018-06-26 St. Jude Medical, Atrial Fibrillation Division, Inc. Deflectable catheter shaft section, catheter incorporating same, and method of manufacturing same
US10022176B2 (en) 2012-08-15 2018-07-17 Thermedical, Inc. Low profile fluid enhanced ablation therapy devices and methods
US9066725B2 (en) * 2012-12-06 2015-06-30 St. Jude Medical, Atrial Fibrillation Division, Inc. Irrigant distribution system for electrodes
US9050010B2 (en) * 2012-12-31 2015-06-09 Biosense Webster (Israel) Ltd. Double loop lasso with single puller wire for bi-directional actuation
ITPD20130020A1 (it) * 2013-01-30 2014-07-31 Gioachino Coppi Catetere a curvatura variabile
US9610396B2 (en) 2013-03-15 2017-04-04 Thermedical, Inc. Systems and methods for visualizing fluid enhanced ablation therapy
US9033972B2 (en) 2013-03-15 2015-05-19 Thermedical, Inc. Methods and devices for fluid enhanced microwave ablation therapy
GB201308901D0 (en) * 2013-05-17 2013-07-03 Gyrus Medical Ltd Electrosurgical instrument and system
GB2515493A (en) * 2013-06-24 2014-12-31 Gyrus Medical Ltd Electrosurgical instrument
CN108742830A (zh) * 2013-10-28 2018-11-06 圣犹达医疗用品心脏病学部门有限公司 具有增强诊断能力的消融导管设计以及方法
CN104622567B (zh) * 2013-11-15 2018-09-07 上海微创电生理医疗科技股份有限公司 消融电极以及具有该消融电极的医疗导管
DE102014201859A1 (de) * 2014-02-03 2015-08-06 Olympus Winter & Ibe Gmbh Elektrochirurgisches Instrument
CN103876826A (zh) * 2014-03-12 2014-06-25 张文伟 痔疮切割器
WO2015153815A1 (en) 2014-04-01 2015-10-08 Gregory Brucker Temperature-responsive irrigated ablation electrode with reduced coolant flow and related methods for making and using
AU2015349961A1 (en) 2014-11-19 2017-06-29 Epix Therapeutics, Inc. Ablation devices, systems and methods of using a high-resolution electrode assembly
JP6825789B2 (ja) 2014-11-19 2021-02-03 エピックス セラピューティクス，インコーポレイテッド 組織の高分解能マッピングのためのシステムおよび方法
EP3220841B1 (en) 2014-11-19 2023-01-25 EPiX Therapeutics, Inc. High-resolution mapping of tissue with pacing
US11064929B2 (en) * 2014-12-31 2021-07-20 St. Jude Medical, Cardiology Division, Inc. Flexible electrode tip with halo irrigation
US9636164B2 (en) 2015-03-25 2017-05-02 Advanced Cardiac Therapeutics, Inc. Contact sensing systems and methods
WO2016161209A1 (en) 2015-03-31 2016-10-06 St. Jude Medical, Cardiology Division, Inc. Methods and devices for delivering pulsed rf energy during catheter ablation
CN104825226A (zh) * 2015-05-04 2015-08-12 中国人民解放军总医院 消融大头以及消融装置
SG11201807618QA (en) 2016-03-15 2018-10-30 Epix Therapeutics Inc Improved devices, systems and methods for irrigated ablation
JP2019510531A (ja) * 2016-03-24 2019-04-18 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． 心臓カテーテルの局所フローセンサ
US10856937B2 (en) 2016-05-02 2020-12-08 Affera, Inc. Catheter sensing and irrigating
US9743984B1 (en) 2016-08-11 2017-08-29 Thermedical, Inc. Devices and methods for delivering fluid to tissue during ablation therapy
EP3522807B1 (en) 2016-10-04 2025-07-09 Avent, Inc. Cooled rf probes
US11246658B2 (en) 2016-10-04 2022-02-15 St. Jude Medical, Cardiology Division, Inc. Ablation catheter tip
WO2018200865A1 (en) 2017-04-27 2018-11-01 Epix Therapeutics, Inc. Determining nature of contact between catheter tip and tissue
EP3687430A4 (en) 2017-09-25 2021-09-01 Sirona Medical Technologies, Inc. CATHETER AND PROCEDURE FOR IMPROVED FLUSHING
WO2019071269A2 (en) 2017-10-06 2019-04-11 Powell Charles Lee SYSTEM AND METHOD FOR TREATING AN OBSTRUCTIVE SLEEP APNEA
US11083871B2 (en) 2018-05-03 2021-08-10 Thermedical, Inc. Selectively deployable catheter ablation devices
US11918277B2 (en) 2018-07-16 2024-03-05 Thermedical, Inc. Inferred maximum temperature monitoring for irrigated ablation therapy
JP7265014B2 (ja) * 2018-09-14 2023-04-25 杭州▲くん▼博生物科技有限公司 高周波アブレーションカテーテル、肺部高周波アブレーションシステム、それに対応する制御方法、制御装置およびコンピュータ読み取り可能な記憶媒体
US20220039798A1 (en) * 2018-11-07 2022-02-10 Vascular Graft Solutions Ltd. Sheath for Use in Performing Surgical Vascular Anastomotic Procedures, and Applications Thereof
US11471650B2 (en) 2019-09-20 2022-10-18 Biosense Webster (Israel) Ltd. Mechanism for manipulating a puller wire
JP7636417B2 (ja) 2019-12-16 2025-02-26 アフェラ， インコーポレイテッド 肺静脈絶縁カテーテルおよび関連付けられるデバイス、システム、ならびに方法
WO2021214546A1 (en) * 2020-04-21 2021-10-28 Alexander Mclellan Temperature sensing catheter
EP4192327A4 (en) * 2020-09-08 2024-01-10 Piccolo Medical, Inc. DEVICES AND METHODS FOR VASCULAR NAVIGATION, ASSESSMENT, TREATMENT AND/OR DIAGNOSIS
USD1014762S1 (en) 2021-06-16 2024-02-13 Affera, Inc. Catheter tip with electrode panel(s)
CN114288007B (zh) * 2021-12-31 2022-09-30 心诺普医疗技术（北京）有限公司 流体喷射装置及冷冻球囊导管
CN116458994B (zh) * 2023-06-12 2023-09-19 成都德倍佳医疗科技有限责任公司 一种流体可控式电凝电极体、前端组件、电极及其系统
CN116687553B (zh) * 2023-06-12 2023-10-10 成都德倍佳医疗科技有限责任公司 一种流体可控式止血前端组件、电极及其系统

Family Cites Families (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5098431A (en) * 1989-04-13 1992-03-24 Everest Medical Corporation RF ablation catheter
CN2176123Y (zh) * 1993-05-24 1994-09-07 西安市三兴科技实业公司 射频消融心脏导管
US6641580B1 (en) * 1993-11-08 2003-11-04 Rita Medical Systems, Inc. Infusion array ablation apparatus
US5462521A (en) * 1993-12-21 1995-10-31 Angeion Corporation Fluid cooled and perfused tip for a catheter
CA2217024A1 (en) * 1995-05-01 1996-11-21 Ep Technologies, Inc. Systems and methods for sensing sub-surface temperatures in body tissue during ablation with actively cooled electrodes
US5688267A (en) * 1995-05-01 1997-11-18 Ep Technologies, Inc. Systems and methods for sensing multiple temperature conditions during tissue ablation
US6059780A (en) * 1995-08-15 2000-05-09 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method with cooling element
AU702374B2 (en) * 1995-08-18 1999-02-18 Somnus Medical Technologies, Inc. Method and apparatus for treatment of air way obstructions
US5913854A (en) 1997-02-04 1999-06-22 Medtronic, Inc. Fluid cooled ablation catheter and method for making
US5843152A (en) * 1997-06-02 1998-12-01 Irvine Biomedical, Inc. Catheter system having a ball electrode
US6869431B2 (en) * 1997-07-08 2005-03-22 Atrionix, Inc. Medical device with sensor cooperating with expandable member
US6049737A (en) * 1998-05-05 2000-04-11 Cardiac Pacemakers, Inc. Catheter having common lead for electrode and sensor
US6740082B2 (en) * 1998-12-29 2004-05-25 John H. Shadduck Surgical instruments for treating gastro-esophageal reflux
US6123703A (en) * 1998-09-19 2000-09-26 Tu; Lily Chen Ablation catheter and methods for treating tissues
US6171275B1 (en) * 1998-12-03 2001-01-09 Cordis Webster, Inc. Irrigated split tip electrode catheter
US6405078B1 (en) * 1999-01-15 2002-06-11 Biosense Webster, Inc. Porous irrigated tip electrode catheter
US6466818B1 (en) * 1999-01-15 2002-10-15 Biosense Webster, Inc. Porous irrigated tip electrode catheter
US6662034B2 (en) * 2000-11-15 2003-12-09 Stereotaxis, Inc. Magnetically guidable electrophysiology catheter
US6611699B2 (en) * 2001-06-28 2003-08-26 Scimed Life Systems, Inc. Catheter with an irrigated composite tip electrode
US6939350B2 (en) * 2001-10-22 2005-09-06 Boston Scientific Scimed, Inc. Apparatus for supporting diagnostic and therapeutic elements in contact with tissue including electrode cooling device
WO2003049631A1 (en) * 2001-12-12 2003-06-19 Tissuelink Medical, Inc. Fluid-assisted medical devices, systems and methods
NL1024658C2 (nl) 2003-10-29 2005-05-02 Univ Medisch Centrum Utrecht Katheter en werkwijze, in het bijzonder voor ablatie en dergelijke techniek.

Similar Documents

Publication Publication Date Title
JP2020525013A5 (enExample)
CN107371374B (zh) 吸管、尿素传感器以及选择性催化还原(scr)系统
RU2006118345A (ru) Катетер и способ, в частности, доля абляции и других подобных методов
PL1985908T3 (pl) Złączka przewodowa do przewodów dla mediów
ES2335234T3 (es) Dispositivo de calentamiento de liquido para aparato electrodomestico.
JP2019524325A5 (enExample)
PL1816901T3 (pl) Grzejnik rurowy z masą izolacyjną w przyłączeniowym obszarze końcowym
JP2017015382A5 (enExample)
CN105473993B (zh) 气体取样探头以及操作气体取样探头的方法
JP2009534237A (ja) 射出成形ノズル及びこのノズル用の先端部
PL1717520T3 (pl) Rozdzielacz rurowy dla instalacji grzewczej lub chłodniczej
WO2017085977A1 (ja) 蒸気発生装置
JP2006081612A (ja) 歯科用温水器
JP7607628B2 (ja) 電気ヒーター
JP4503322B2 (ja) 呼吸回路用の蛇管
CN201094172Y (zh) 红外线发热管式电吹风机
US9982419B1 (en) Apparatus and method for heating frozen pipes
CN201138051Y (zh) 储水式电热水器
JP5268874B2 (ja) 温度センサ
US6694093B2 (en) Antifreeze system for instant water heaters
JP5624303B2 (ja) 排水栓遠隔操作装置用コントロールケーブルおよびそれを用いた排水栓遠隔操作装置
JP4174478B2 (ja) 熱交換パイプ
JP4293007B2 (ja) 熱交換器とそれを備えた衛生洗浄装置
JP2010535688A5 (enExample)
US1324969A (en) A corpo