JP5116856B2 - 患者の生理学的パラメータの測定 - Google Patents
患者の生理学的パラメータの測定 Download PDFInfo
- Publication number
- JP5116856B2 JP5116856B2 JP2010540934A JP2010540934A JP5116856B2 JP 5116856 B2 JP5116856 B2 JP 5116856B2 JP 2010540934 A JP2010540934 A JP 2010540934A JP 2010540934 A JP2010540934 A JP 2010540934A JP 5116856 B2 JP5116856 B2 JP 5116856B2
- Authority
- JP
- Japan
- Prior art keywords
- baroreflex
- signal
- control system
- electrodes
- parameter
- 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
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
- A61B5/02007—Evaluating blood vessel condition, e.g. elasticity, compliance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/0215—Measuring pressure in heart or blood vessels by means inserted into the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/053—Measuring electrical impedance or conductance of a portion of the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/053—Measuring electrical impedance or conductance of a portion of the body
- A61B5/0538—Measuring electrical impedance or conductance of a portion of the body invasively, e.g. using a catheter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/40—Detecting, measuring or recording for evaluating the nervous system
- A61B5/4029—Detecting, measuring or recording for evaluating the nervous system for evaluating the peripheral nervous systems
- A61B5/4035—Evaluating the autonomic nervous system
-
- 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
- A61B5/6847—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 mounted on an invasive device
- A61B5/6862—Stents
-
- 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
- A61B5/6876—Blood vessel
-
- 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
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/36128—Control systems
- A61N1/36135—Control systems using physiological parameters
- A61N1/36139—Control systems using physiological parameters with automatic adjustment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
- A61B5/024—Measuring pulse rate or heart rate
-
- 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
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
- A61N1/36062—Spinal stimulation
-
- 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
- A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
- A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
- A61N1/36114—Cardiac control, e.g. by vagal stimulation
- A61N1/36117—Cardiac control, e.g. by vagal stimulation for treating hypertension
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biophysics (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Pathology (AREA)
- Surgery (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Neurology (AREA)
- Physiology (AREA)
- Cardiology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Neurosurgery (AREA)
- Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US1749607P | 2007-12-28 | 2007-12-28 | |
| US61/017,496 | 2007-12-28 | ||
| US1818807P | 2007-12-31 | 2007-12-31 | |
| US61/018,188 | 2007-12-31 | ||
| PCT/US2008/088488 WO2009086536A1 (en) | 2007-12-28 | 2008-12-29 | Measurement of patient physiological parameters |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2011507667A JP2011507667A (ja) | 2011-03-10 |
| JP2011507667A5 JP2011507667A5 (enExample) | 2012-02-23 |
| JP5116856B2 true JP5116856B2 (ja) | 2013-01-09 |
Family
ID=40824740
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2010540934A Active JP5116856B2 (ja) | 2007-12-28 | 2008-12-29 | 患者の生理学的パラメータの測定 |
Country Status (4)
| Country | Link |
|---|---|
| US (4) | US8116873B2 (enExample) |
| EP (1) | EP2224847A4 (enExample) |
| JP (1) | JP5116856B2 (enExample) |
| WO (1) | WO2009086536A1 (enExample) |
Families Citing this family (40)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2007013065A2 (en) | 2005-07-25 | 2007-02-01 | Rainbow Medical Ltd. | Electrical stimulation of blood vessels |
| US7949398B1 (en) * | 2007-12-27 | 2011-05-24 | Pacesetter, Inc. | Acquiring nerve activity from carotid body and/or sinus |
| US7848816B1 (en) | 2007-12-27 | 2010-12-07 | Pacesetter, Inc. | Acquiring nerve activity from carotid body and/or sinus |
| EP2224847A4 (en) | 2007-12-28 | 2013-01-23 | Cvrx Inc | MEASURE THE PHYSIOLOGICAL PARAMETERS OF A PATIENT |
| US9005106B2 (en) | 2008-01-31 | 2015-04-14 | Enopace Biomedical Ltd | Intra-aortic electrical counterpulsation |
| US8538535B2 (en) | 2010-08-05 | 2013-09-17 | Rainbow Medical Ltd. | Enhancing perfusion by contraction |
| US8401652B2 (en) | 2008-06-16 | 2013-03-19 | Cvrx, Inc. | Devices and methods for treatment of heart failure and associated conditions |
| US8326430B2 (en) * | 2008-06-16 | 2012-12-04 | Cvrx, Inc. | Devices and methods for treatment of heart failure and associated conditions |
| US8321024B2 (en) | 2008-06-16 | 2012-11-27 | Cvrx, Inc. | Devices and methods for treatment of heart failure and associated conditions |
| US9220444B2 (en) * | 2010-06-07 | 2015-12-29 | Zephyr Technology Corporation | System method and device for determining the risk of dehydration |
| JP5969512B2 (ja) * | 2011-02-17 | 2016-08-17 | クアルコム ライフ インコーポレイテッドQualcomm Life,Inc. | 哺乳動物の心血管の量を判定する方法およびシステム |
| US9986919B2 (en) * | 2011-06-21 | 2018-06-05 | Masimo Corporation | Patient monitoring system |
| US9532722B2 (en) | 2011-06-21 | 2017-01-03 | Masimo Corporation | Patient monitoring system |
| JP2014522713A (ja) * | 2011-08-10 | 2014-09-08 | 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 | 頚部インピーダンスを使用する生理学的パラメータの判定 |
| US9526637B2 (en) | 2011-09-09 | 2016-12-27 | Enopace Biomedical Ltd. | Wireless endovascular stent-based electrodes |
| US8855783B2 (en) | 2011-09-09 | 2014-10-07 | Enopace Biomedical Ltd. | Detector-based arterial stimulation |
| US20130110190A1 (en) | 2011-10-31 | 2013-05-02 | Medtronic, Inc. | Method to assess hemodynamic performance during cardiac resynchronization therapy optimization using admittance waveforms and derivatives |
| US8868185B2 (en) | 2011-10-31 | 2014-10-21 | Medtronic, Inc. | Use of thoracic and extra-thoracic impedance for diagnostic monitoring |
| US8812130B2 (en) | 2012-02-07 | 2014-08-19 | Cardiac Pacemakers, Inc. | Control of neural modulation therapy using cervical impedance |
| US10076384B2 (en) | 2013-03-08 | 2018-09-18 | Symple Surgical, Inc. | Balloon catheter apparatus with microwave emitter |
| US9101275B2 (en) | 2013-03-14 | 2015-08-11 | Cardiac Pacemakers, Inc. | Determining systolic time intervals using heart sounds |
| WO2014204980A1 (en) | 2013-06-18 | 2014-12-24 | Cardiac Pacemakers, Inc. | System and method for mapping baroreceptors |
| CN105377361B (zh) | 2013-07-14 | 2018-09-14 | 心脏起搏器股份公司 | 用于机械/压力感受器刺激的具有背衬的多电极导线 |
| WO2015020911A2 (en) | 2013-08-05 | 2015-02-12 | Cercacor Laboratories, Inc. | Blood pressure monitor with valve-chamber assembly |
| WO2015068167A2 (en) | 2013-11-06 | 2015-05-14 | Enopace Biomedical Ltd. | Wireless endovascular stent-based electrodes |
| US9839785B2 (en) | 2013-12-13 | 2017-12-12 | Cardiac Pacemakers, Inc. | Surgical instrument for implanting leads for baroreceptor stimulation therapy |
| US10029091B2 (en) | 2014-02-20 | 2018-07-24 | Cardiac Pacemakers, Inc. | Apparatus for baroreceptor stimulation therapy |
| EP3157617B1 (en) | 2014-06-19 | 2018-04-11 | Cardiac Pacemakers, Inc. | Baroreceptor mapping system |
| US9572975B2 (en) | 2014-09-02 | 2017-02-21 | Cardiac Pacemakers, Inc. | Paddle leads configured for suture fixation |
| CN106604761B (zh) | 2014-09-16 | 2019-05-21 | 心脏起搏器股份公司 | 具有非对称电极配置的桨状引线 |
| EP2997996B1 (fr) | 2014-09-19 | 2019-01-09 | Sorin CRM SAS | Dispositif implantable comprenant une sonde de stimulation permettant une mesure de bioimpédance sur un flux sanguin |
| US11395635B1 (en) * | 2017-12-30 | 2022-07-26 | Cerner Innovation, Inc. | Forecasting acute inflammatory condition and decision support tool |
| WO2019143574A1 (en) | 2018-01-16 | 2019-07-25 | Boston Scientific Neuromodulation Corporation | An electrical stimulation system with a case-neutral battery and a control module for such a system |
| EP3762087B1 (en) | 2018-03-09 | 2023-04-26 | Boston Scientific Neuromodulation Corporation | Burr hole plugs for electrical stimulation systems |
| US11013913B2 (en) | 2018-03-16 | 2021-05-25 | Boston Scientific Neuromodulation Corporation | Kits and methods for securing a burr hole plugs for stimulation systems |
| US11559241B2 (en) | 2019-10-01 | 2023-01-24 | Pacesetter, Inc. | Methods and systems for reducing false declarations of arrhythmias |
| US20230165474A1 (en) * | 2021-02-26 | 2023-06-01 | Massachusetts Institute Of Technology | Methods to Simulate Metrics of Vascular Function From Clinical Data |
| US11400299B1 (en) | 2021-09-14 | 2022-08-02 | Rainbow Medical Ltd. | Flexible antenna for stimulator |
| CN116407755A (zh) * | 2021-12-29 | 2023-07-11 | 精能医学股份有限公司 | 可补偿阻抗值的电刺激方法和电刺激系统 |
| TW202508663A (zh) * | 2023-05-02 | 2025-03-01 | 美商阿比奥梅德公司 | 改善腎功能的方法和裝置 |
Family Cites Families (39)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5707400A (en) | 1995-09-19 | 1998-01-13 | Cyberonics, Inc. | Treating refractory hypertension by nerve stimulation |
| SE9600511D0 (sv) | 1996-02-12 | 1996-02-12 | Pacesetter Ab | Bipolar sensor electrode |
| US6115633A (en) * | 1996-10-28 | 2000-09-05 | Biotronik Mess-Und Therapiegeraete Gmbh & Co. Ingenieurbuero Berlin | Implantable stimulator |
| US6402689B1 (en) | 1998-09-30 | 2002-06-11 | Sicel Technologies, Inc. | Methods, systems, and associated implantable devices for dynamic monitoring of physiological and biological properties of tumors |
| US6371922B1 (en) | 2000-04-07 | 2002-04-16 | Cardiac Pacemakers, Inc. | Method for measuring baroreflex sensitivity and therapy optimization in heart failure patients |
| US7181261B2 (en) | 2000-05-15 | 2007-02-20 | Silver James H | Implantable, retrievable, thrombus minimizing sensors |
| US7840271B2 (en) | 2000-09-27 | 2010-11-23 | Cvrx, Inc. | Stimulus regimens for cardiovascular reflex control |
| US6985774B2 (en) | 2000-09-27 | 2006-01-10 | Cvrx, Inc. | Stimulus regimens for cardiovascular reflex control |
| US7499742B2 (en) | 2001-09-26 | 2009-03-03 | Cvrx, Inc. | Electrode structures and methods for their use in cardiovascular reflex control |
| US6522926B1 (en) | 2000-09-27 | 2003-02-18 | Cvrx, Inc. | Devices and methods for cardiovascular reflex control |
| US6926670B2 (en) * | 2001-01-22 | 2005-08-09 | Integrated Sensing Systems, Inc. | Wireless MEMS capacitive sensor for physiologic parameter measurement |
| US20030149450A1 (en) | 2002-02-01 | 2003-08-07 | Mayberg Marc R. | Brainstem and cerebellar modulation of cardiovascular response and disease |
| JP2005519680A (ja) | 2002-03-14 | 2005-07-07 | ブレインズゲート リミティド | 血圧制御技術 |
| US6963772B2 (en) * | 2002-04-17 | 2005-11-08 | The Board Of Trustees Of The Leland Stanford Junior University | User-retainable temperature and impedance monitoring methods and devices |
| US7313434B2 (en) | 2002-11-25 | 2007-12-25 | Regents Of The University Of Minnesota | Impedance monitoring for detecting pulmonary edema and thoracic congestion |
| JP4887138B2 (ja) | 2003-02-21 | 2012-02-29 | エレクトロ−キャット リミテッド ライアビリティ カンパニー | 内腔を有する器官の断面積および圧力勾配を測定するシステムおよび方法 |
| US7818053B2 (en) * | 2003-02-21 | 2010-10-19 | Dtherapeutics, Llc | Devices, systems and methods for plaque type determination |
| US6931272B2 (en) | 2003-04-29 | 2005-08-16 | Medtronic, Inc. | Method and apparatus to monitor pulmonary edema |
| US7480532B2 (en) | 2003-10-22 | 2009-01-20 | Cvrx, Inc. | Baroreflex activation for pain control, sedation and sleep |
| US7647114B2 (en) | 2003-12-24 | 2010-01-12 | Cardiac Pacemakers, Inc. | Baroreflex modulation based on monitored cardiovascular parameter |
| US7873413B2 (en) | 2006-07-24 | 2011-01-18 | Cardiac Pacemakers, Inc. | Closed loop neural stimulation synchronized to cardiac cycles |
| US7643875B2 (en) * | 2003-12-24 | 2010-01-05 | Cardiac Pacemakers, Inc. | Baroreflex stimulation system to reduce hypertension |
| EP1742700A4 (en) * | 2004-03-02 | 2008-05-28 | Cvrx Inc | EXTERNAL ACTIVATION OF BAROREFLEX |
| US20060004417A1 (en) | 2004-06-30 | 2006-01-05 | Cvrx, Inc. | Baroreflex activation for arrhythmia treatment |
| EP1804902A4 (en) | 2004-09-10 | 2008-04-16 | Cleveland Clinic Foundation | INTRALUMINAL ELECTRODE ASSEMBLY |
| US20060074453A1 (en) | 2004-10-04 | 2006-04-06 | Cvrx, Inc. | Baroreflex activation and cardiac resychronization for heart failure treatment |
| US8244355B2 (en) * | 2004-10-29 | 2012-08-14 | Medtronic, Inc. | Method and apparatus to provide diagnostic index and therapy regulated by subject's autonomic nervous system |
| US7584004B2 (en) | 2005-06-13 | 2009-09-01 | Cardiac Pacemakers, Inc. | Vascularly stabilized peripheral nerve cuff assembly |
| NL1032272C2 (nl) * | 2005-09-15 | 2007-05-16 | Martil Instr B V | Werkwijze en inrichting voor het bepalen van het debiet in een bloedvat. |
| US7580746B2 (en) | 2005-12-07 | 2009-08-25 | Cardiac Pacemakers, Inc. | Implantable medical device for generating cardiac pressure-volume loop and optimizing therapy |
| US8442627B2 (en) | 2005-12-30 | 2013-05-14 | Medtronic, Inc. | Advanced thoracic fluid monitoring capability with impedance |
| US20080009916A1 (en) * | 2006-05-19 | 2008-01-10 | Cvrx, Inc. | Applications of heart rate variability analysis in electrotherapy affecting autonomic nervous system response |
| US20090132002A1 (en) | 2007-05-11 | 2009-05-21 | Cvrx, Inc. | Baroreflex activation therapy with conditional shut off |
| US8221323B2 (en) | 2007-08-03 | 2012-07-17 | Cardiac Pacemakers, Inc. | Using acoustic energy to compute a lung edema fluid status indication |
| US7835797B2 (en) | 2007-12-04 | 2010-11-16 | Cvrx, Inc. | Method and system for implantable pressure transducer for regulating blood pressure |
| EP2224847A4 (en) | 2007-12-28 | 2013-01-23 | Cvrx Inc | MEASURE THE PHYSIOLOGICAL PARAMETERS OF A PATIENT |
| US8401652B2 (en) | 2008-06-16 | 2013-03-19 | Cvrx, Inc. | Devices and methods for treatment of heart failure and associated conditions |
| US8321024B2 (en) | 2008-06-16 | 2012-11-27 | Cvrx, Inc. | Devices and methods for treatment of heart failure and associated conditions |
| US8326430B2 (en) | 2008-06-16 | 2012-12-04 | Cvrx, Inc. | Devices and methods for treatment of heart failure and associated conditions |
-
2008
- 2008-12-29 EP EP20080868910 patent/EP2224847A4/en not_active Withdrawn
- 2008-12-29 US US12/345,558 patent/US8116873B2/en active Active
- 2008-12-29 JP JP2010540934A patent/JP5116856B2/ja active Active
- 2008-12-29 WO PCT/US2008/088488 patent/WO2009086536A1/en not_active Ceased
-
2012
- 2012-02-13 US US13/372,412 patent/US8521293B2/en active Active
- 2012-11-20 US US13/682,317 patent/US8571664B2/en active Active
-
2013
- 2013-10-28 US US14/065,069 patent/US20140121556A1/en not_active Abandoned
Also Published As
| Publication number | Publication date |
|---|---|
| JP2011507667A (ja) | 2011-03-10 |
| US8116873B2 (en) | 2012-02-14 |
| US20140121556A1 (en) | 2014-05-01 |
| WO2009086536A1 (en) | 2009-07-09 |
| US20120149998A1 (en) | 2012-06-14 |
| US20090198302A1 (en) | 2009-08-06 |
| US8571664B2 (en) | 2013-10-29 |
| EP2224847A1 (en) | 2010-09-08 |
| US20130079617A1 (en) | 2013-03-28 |
| EP2224847A4 (en) | 2013-01-23 |
| US8521293B2 (en) | 2013-08-27 |
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