JP6546988B2 - 防腐キャップのためのストリップパッケージ - Google Patents
防腐キャップのためのストリップパッケージ Download PDFInfo
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- JP6546988B2 JP6546988B2 JP2017510460A JP2017510460A JP6546988B2 JP 6546988 B2 JP6546988 B2 JP 6546988B2 JP 2017510460 A JP2017510460 A JP 2017510460A JP 2017510460 A JP2017510460 A JP 2017510460A JP 6546988 B2 JP6546988 B2 JP 6546988B2
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- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/10—Tube connectors; Tube couplings
- A61M39/16—Tube connectors; Tube couplings having provision for disinfection or sterilisation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
-
- 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
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/20—Closure caps or plugs for connectors or open ends of tubes
-
- 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/007—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests for contrast media
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- 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
- A61M5/31—Details
- A61M5/315—Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
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- 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
- A61M5/31—Details
- A61M5/315—Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
- A61M5/31511—Piston or piston-rod constructions, e.g. connection of piston with piston-rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B2050/005—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover
- A61B2050/0051—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover closable by rotation
- A61B2050/0054—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover closable by rotation about the central longitudinal axis perpendicular to the lid plane
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B2050/005—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover
- A61B2050/0065—Peelable cover
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B2050/005—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover
- A61B2050/0067—Types of closures or fasteners
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B2050/005—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover
- A61B2050/0067—Types of closures or fasteners
- A61B2050/0068—Cooperating dimples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
- A61B2050/3005—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments containing a preservative liquid, e.g. an antiseptic liquid
-
- 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
- A61M2209/00—Ancillary equipment
- A61M2209/06—Packaging for specific medical equipment
-
- 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
- A61M2209/00—Ancillary equipment
- A61M2209/10—Equipment for cleaning
Description
本出願は、その全体が参照により本明細書に明確に組み込まれている、2014年5月2日に出願した米国仮出願第61/987,981号の優先権を主張するものである。
一形態において、防腐剤はクエン酸塩の溶液であり、本発明の別の形態では、クエン酸塩溶液は高張液である。高張という用語は、本明細書では、患者の血液の浸透圧濃度および密度よりも大きい浸透圧濃度および密度を有する流体を指すために使用される。防腐剤液は、好ましくは、クエン酸塩を、重量パーセントで約1.5%から約50%の濃度範囲で、約300から約6400mOsmの浸透圧で含む。より好ましくは、防腐剤液は、クエン酸塩を約10%から約40%の濃度範囲で、さらにより好ましくは約20%から約30%の濃度範囲で含む。
本発明の抗菌剤含有防腐剤液は、少なくとも1つのアルコールと、少なくとも1つの抗菌剤と、少なくとも1つのキレート剤および/または抗凝固剤とを含有していてもよい。本明細書に開示されているような、当業者によく知られている様々な抗菌物質が、感染を抑制するためにロッキング溶液と組み合わされてもよい。本発明の抗菌ロッキング溶液は、埋め込まれたカテーテルなどの留置装置などの医療デバイスを充填し、またはフラッシングするために使用されてもよい。この発明での使用が企図されている他の医療デバイスは、本明細書において開示されている。
1つの好ましい防腐剤液は、濃度が約820mgから約900mgの塩化ナトリウムまたは同様のものなどの薬理学的に許容可能なナトリウム塩、濃度が約30.0mgから約36.0mgの塩化カルシウム二水和物または同様のものなどの薬理学的に許容可能なカルシウム塩、濃度が約28.5から約31.5mgの塩化カリウムまたは同様のものなどの薬理学的に許容可能なカリウム塩、およびU.S.P.注射用水100ミリリットルとの水性混合物において1ミリリットル当たり約1ミリグラムのポリヘキサメチレンビグアニド塩酸塩を含む。特定の用途については、本発明の溶液は、また、100ミリリットルの水性混合物中の濃度が約290mgから約330mgの乳酸ナトリウムを含んでいてもよい。
本発明の別の好ましい形態において、防腐剤液は、抗凝固剤と光酸化剤とを含む。いくつかの実施形態において、殺菌効果がある光酸化剤が選択される。本明細書で使用されているように、「光酸化剤」という用語は、光酸化特性を有する化合物(普通は有機染料)を指すことが意図されており、この化合物は、光などの放射エネルギーにさらされると高い酸化可能性を呈する。「光酸化剤」という用語は、また、光が当たると1つまたは複数の電子を放出する組成物も指す。
本発明の別の好ましい形態において、防腐剤液は、増粘剤と混合された低粘性抗菌剤を含む。使用され得る抗菌剤の例は、上で説明されているものに加えて、アルコール、クロルヘキシジン、クロルパクチン、ヨウ素、タウロリン、クエン酸、および可溶性クエン酸塩、特にオプションで水と混合されたクエン酸ナトリウムを含む。
本発明の防腐剤液は、凝固およびバイオフィルム形成を防止するために、タウロリジンおよび/またはタウルルタムを含むことができ、さもなければ、要素は他の抗微生物剤と結合するおそれがある。本発明の一実施形態は、使用の合間の時間間隔の間、溶液を防腐キャップの内に保持し、こぼれないようにする、チクソトロピー性を有するゲルである。これは、生体適合性の抗微生物剤を単独で、または特定の目的にとって有用となり得る別の活性剤とともに含有する薬剤送達賦形剤として、ヒドロゲルマトリックスを作ることによって達成される。ヒドロゲルマトリックスは生体適合性を有し、血流中で生分解性を有する。マトリックスは、ヒドロゲル(たとえば、ペクチン、ゼラチンなど)、タンパク質(たとえば、コラーゲン、ヘモグロビンなど)、コロイド物質(たとえば、血清アルブミンなど)、乳剤、または他の補助剤であってよい。好ましくは、マトリックスは構造的完全性を有し、チクソトロピー性を有するものとする。チクソトロピー性とは、いくつかのゲルが示す特性である。それは、揺らされるか、攪拌されるか、または高い剪断力を受けたときに流体のようになって流れることができ、次いで力および/運動が止められたときに半固体状態に戻る、固体または半固体の物質によって特徴付けられる特性である。代替的に、ゲルは、高い剪断力が流体に与えられるまで運動または流れに抵抗し、その後容易に流れるコロイド分散液の性質に類似する特性を有するものとしてもよい。
本発明の1つの好ましい防腐剤液は、抗菌性、抗真菌性、抗ウイルス性、および抗アメーバ性を備え、抗凝固剤としても働き得る。エチレンジアミン四酢酸(EDTA)(C10H12N2Na4O8)の指定された塩および組成物が、特定された濃度およびpHレベルで使用される。
「抗菌性酵素」とは、細菌種またはそれの特定の株を致死または損傷させる、任意のタンパク質分解酵素、孔形成酵素、分解酵素、または阻害酵素を指す。細菌の細胞壁を損傷し、細胞壁に関連する、もしくは細菌内にある細胞膜を破壊し、細菌内のタンパク質合成を阻害し、糖骨格を破壊することによって、または当業者によって抗菌性酵素であると考えられているペプチドまたはタンパク質に起因する他の機構によって、結果が達成され得る。酵素は、天然の野生型酵素であるか、従来の手法によって改質されるか、他の分子に結合されるか、組換え発現されるか、または合成的に構築され得る。
本明細書で説明されているデバイスは、一部を防腐剤液に浸すなどの好適な手法によって、一部を防腐剤液でスプレーコーティングすることによって、デバイスを加工するために使用されたポリマー材料中に防腐剤液または防腐剤材料を混合することによって、防腐剤コーティングでコーティングされ得ることが企図される。
12 防腐キャップ搭載プランジャ(またはピストン)アセンブリ
12' キャップホルダ搭載プランジャアセンブリ
14 シリンジバレル
16 側壁
18 チャンバ
20 近位端
22 遠位端
23 開口部
24 フランジ
26 上面
28 下面
30 端壁
32 細長い先端部
34 通路
35 ロッキングルアーカラー
37 ねじ山
38 アクセス部位
39 弁
40 細長いシャフト
41 チュービング
42 近位端
44 遠位端
50 ピストン
54 内面
60 ハウジング
62 壁
63 内面
64 チャンバ
66 開放端
68 箔材料
80 キャップアセンブリ
82 キャップ
83 壁
84 チャンバ
86 吸収材料
87 内面
88 ねじ山
100 内側リブ
102 底壁
104 頂部
106 底
108 内側スロット
109 戻り止め
111 環状間隙
113 頂部
120 外側リブ
122 外側スロット
123 環状フランジ
124 近位端
126 遠位端
130 隆起部
150 ウイング
152 歯
160 環状隆起部
162 環状戻り止め
170 逆流防止シリンジアセンブリ
200 防腐キャップアセンブリ
202 環状壁
204 ディスク
206 プラスチックシート
220 作動ポスト
230 中央開口部
231 エネルギーディレクタ
232 超音波溶接器
240 充填デバイス
242 管腔
244 分注ヘッド
300 防腐キャップ
302 ねじ山カバー
304 接着層
304a、304b 接着層
305 環状壁
306 第1の端部
308 第1の脚部
310 第2の脚部
312 中央開口部
320 第2の端部
323 開放端
330 遠位端
332 外面
336 座繰り
340 頂面
350 Cardinal SMART SITEアクセス部位
352 Hospira (ICU) C1000クレーブアクセスデバイス
400 代替的実施形態
402 キャップホルダ
404 防腐キャップホルダアセンブリ
406 チャンバ
408 近位端
410 遠位端
412 内壁面
414 外壁面
416 開口部
418 フランジ
419 底壁
420 リブ
424 スロット
426 底部分
428 頂点部分
430 スロット底部分
432 頂点部分
434 プランジャリブ
436 プランジャスロット
440 環状隆起部
442 環状溝
450 歯
500 第3の実施形態
502 防腐キャップアセンブリ
504 標準プランジャ
506 外壁(第1の円筒形の壁)
508 近位端
510 遠位端
512 ボタン
514 開口部
516 タブ
518 内壁面
520 頂部環状フランジ
522 開口部
524 第2の円筒形の壁
600 ストリップパッケージ
602 防腐キャップホルダアセンブリ
602a キャップホルダ
602b 防腐キャップ
604 ストリップ
606 シール
610 ハンガー
Claims (17)
- 少なくとも2つのキャップアセンブリであって、前記少なくとも2つのキャップアセンブリの各々が、キャップホルダおよび前記キャップホルダ内に位置決めされた防腐キャップを備え、前記防腐キャップが、チャンバを画定する側壁および前記チャンバ内の防腐物質を備える、キャップアセンブリと、
前記少なくとも2つのキャップアセンブリ上に延在するストリップであって、前記キャップホルダに係合された第1のシール、および前記防腐キャップに係合された第2のシールを備えるストリップと、
を備えるストリップパッケージ。 - 前記少なくとも2つのキャップアセンブリの各々が、前記ストリップから個別に取り外し可能である、請求項1に記載のストリップパッケージ。
- 前記ストリップと前記キャップホルダとの間に前記第1のシールがあり、前記ストリップと前記防腐キャップとの間に前記第2のシールがある、請求項1または2に記載のストリップパッケージ。
- 前記ストリップが穴を備える、請求項1から3のいずれか一項に記載のストリップパッケージ。
- 未封止部分が前記第1のシールと前記第2のシールとの間にある、請求項1から4のいずれか一項に記載のストリップパッケージ。
- 前記防腐キャップが、キャップ開口端に近接するキャップフランジをさらに備える、請求項1から5のいずれか一項に記載のストリップパッケージ。
- 前記キャップホルダが、ホルダフランジを備える、請求項1から6のいずれか一項に記載のストリップパッケージ。
- 前記防腐物質が、液体を含み、前記液体が、キャップチャンバ内に位置決めされた吸収材料内に放出可能に保持されている、請求項1から7のいずれか一項に記載のストリップパッケージ。
- 前記防腐キャップが、キャップ外面上で周方向に間隔をあけて並ぶ複数のキャップリブをさらに備え、前記複数のキャップリブが、前記側壁から径方向外向きに、且つ前記側壁に沿って軸方向に延在する、請求項1から8のいずれか一項に記載のストリップパッケージ。
- 前記キャップホルダが、ホルダ内面上で周方向に間隔をあけて並ぶ複数のホルダリブをさらに備え、前記複数のホルダリブが、前記複数のキャップリブに係合するように構成されている、請求項9に記載のストリップパッケージ。
- 前記ストリップが、使用者が前記ストリップパッケージから前記少なくとも2つのキャップアセンブリを切り離すことを可能にするように構成された1つ又は複数のミシン目を備える、請求項1から10のいずれか一項に記載のストリップパッケージ。
- 前記防腐キャップが、キャップ内面上に一組のねじ山をさらに備える、請求項1から11のいずれか一項に記載のストリップパッケージ。
- 前記ストリップが、箔を含む、請求項1から12のいずれか一項に記載のストリップパッケージ。
- 前記キャップアセンブリを取り外すことのできる剥離力が、2重量ポンド未満である、請求項1から13のいずれか一項に記載のストリップパッケージ。
- 前記防腐物質が、前記防腐キャップの前記側壁の少なくとも一部の上のコーティングを含む、請求項1から14のいずれか一項に記載のストリップパッケージ。
- 前記第1のシールおよび前記第2のシールのうちの少なくとも一方が、熱接合を含む、請求項1から15のいずれか一項に記載のストリップパッケージ。
- 前記第1のシールおよび前記第2のシールのうちの少なくとも一方が、接着ボンドを含む、請求項1から15のいずれか一項に記載のストリップパッケージ。
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US61/987,981 | 2014-05-02 | ||
PCT/US2015/029019 WO2015168677A1 (en) | 2014-05-02 | 2015-05-04 | Strip package for antiseptic cap |
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JP2017515766A JP2017515766A (ja) | 2017-06-15 |
JP2017515766A5 JP2017515766A5 (ja) | 2018-06-21 |
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EP (1) | EP3137122B1 (ja) |
JP (1) | JP6546988B2 (ja) |
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CA (1) | CA2945406C (ja) |
ES (1) | ES2755352T3 (ja) |
PH (1) | PH12016502041A1 (ja) |
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AU2015353815B2 (en) | 2014-11-24 | 2020-12-03 | Merit Medical Systems, Inc. | Disinfecting cap for medical connectors |
US9527660B2 (en) | 2014-12-31 | 2016-12-27 | Hyprotek, Inc. | Individually sealed antiseptic applicators |
CA3015157A1 (en) | 2016-02-18 | 2017-08-24 | Smiths Medical Asd, Inc. | Closed system catheter |
US11202897B2 (en) | 2016-07-06 | 2021-12-21 | Smiths Medical Ads, Inc. | Closed system catheter vent cap |
DK3525865T3 (da) | 2016-10-14 | 2022-10-24 | Icu Medical Inc | Desinficerende hætter til medicinsk konnektorer |
WO2018237090A1 (en) | 2017-06-21 | 2018-12-27 | Icu Medical, Inc. | PRIMING CAP |
EP3765123A4 (en) | 2018-03-16 | 2021-12-15 | ICU Medical, Inc. | DISINFECTING CAPS FOR MEDICAL CONNECTORS |
-
2015
- 2015-05-04 ES ES15786554T patent/ES2755352T3/es active Active
- 2015-05-04 EP EP15786554.4A patent/EP3137122B1/en active Active
- 2015-05-04 WO PCT/US2015/029019 patent/WO2015168677A1/en active Application Filing
- 2015-05-04 CA CA2945406A patent/CA2945406C/en active Active
- 2015-05-04 JP JP2017510460A patent/JP6546988B2/ja active Active
- 2015-05-04 US US14/703,134 patent/US10046156B2/en active Active
- 2015-05-04 AU AU2015252808A patent/AU2015252808B2/en active Active
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WO2015168677A1 (en) | 2015-11-05 |
EP3137122B1 (en) | 2019-09-04 |
PH12016502041B1 (en) | 2017-01-09 |
AU2015252808B2 (en) | 2019-02-21 |
JP2017515766A (ja) | 2017-06-15 |
EP3137122A4 (en) | 2018-04-18 |
CA2945406C (en) | 2022-10-18 |
PH12016502041A1 (en) | 2017-01-09 |
US20210308442A1 (en) | 2021-10-07 |
CA2945406A1 (en) | 2015-11-05 |
SA516380197B1 (ar) | 2019-12-19 |
EP3137122A1 (en) | 2017-03-08 |
US20150314120A1 (en) | 2015-11-05 |
US20190038888A1 (en) | 2019-02-07 |
US10046156B2 (en) | 2018-08-14 |
ES2755352T3 (es) | 2020-04-22 |
US10821278B2 (en) | 2020-11-03 |
AU2015252808A1 (en) | 2016-10-27 |
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