JP7121528B2 - リポーザブル複数回発射外科用クリップアプライヤ - Google Patents
リポーザブル複数回発射外科用クリップアプライヤ Download PDFInfo
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B17/083—Clips, e.g. resilient
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/10—Surgical instruments, devices or methods, e.g. tourniquets for applying or removing wound clamps, e.g. containing only one clamp or staple; Wound clamp magazines
- A61B17/105—Wound clamp magazines
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0023—Surgical instruments, devices or methods, e.g. tourniquets disposable
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00389—Button or wheel for performing multiple functions, e.g. rotation of shaft and end effector
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
- A61B2017/00407—Ratchet means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- A—HUMAN NECESSITIES
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- A61B2017/0053—Loading magazines or sutures into applying tools
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
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Description
本出願は、2017年5月4日に出願された米国仮特許出願第62/501,125号の利益及び優先権を主張し、この開示全体は、参照によって本明細書に組み込まれる。
本開示は、外科用クリップアプライヤ、より具体的には、任意の使い捨て構成要素の使い捨て及び更なる使用のための任意の再使用可能な構成要素の再処理を容易化するように選択的分解のために構成される、ハンドルアセンブリ、シャフトアセンブリ、及びクリップカートリッジアセンブリを含むリポーザブル複数回発射外科用クリップアプライヤに関する。
例えば、本願は以下の項目を提供する。
(項目1)
リポーザブル外科用クリップアプライヤであって、
ハンドルアセンブリであって、
ハウジングと、
上記ハウジングに対して離間位置と近接位置との間で可動な少なくとも1つのハンドルと、
上記ハウジング内に配設され、近位プッシャ及び近位駆動装置を含む内部作動アセンブリであって、上記内部作動アセンブリが上記近接位置の方への上記少なくとも1つのハンドルの運動が上記近位プッシャを近位に及び上記近位駆動装置を遠位に動かし、かつ上記離間位置への上記少なくとも1つのハンドルの運動が上記近位プッシャを遠位に及び上記近位駆動装置を近位に動かすように、上記少なくとも1つのハンドルに動作可能に連結されている、内部作動アセンブリと、を含む、ハンドルアセンブリと、
上記ハンドルアセンブリと解放可能に係合可能なシャフトアセンブリであって、
外管と、
上記外管の遠位端部分で支持された顎アセンブリと、
上記外管内に摺動自在に配設された内部駆動装置であって、上記外管を通した上記内部駆動装置の遠位運動が上記顎アセンブリを作動するように上記顎アセンブリに動作可能に連結された、内部駆動装置と、を含む、シャフトアセンブリと、
上記シャフトアセンブリ内で解放可能に係合可能なクリップカートリッジアセンブリであって、上記クリップカートリッジアセンブリが、その中に外科用クリップの積み重ねを保持し、上記外科用クリップの積み重ねの最遠位の外科用クリップに動作可能に連結された遠位プッシャを含み、それにより、上記クリップカートリッジアセンブリが上記シャフトアセンブリ内で解放可能に係合されたとき、上記遠位プッシャの遠位運動が上記最遠位の外科用クリップを上記顎アセンブリ内に装填する、クリップカートリッジアセンブリと、を備え、
上記シャフトアセンブリが上記ハンドルアセンブリと解放可能に係合され、かつ上記クリップカートリッジアセンブリが上記シャフトアセンブリ内で解放可能に係合されたとき、
上記近位駆動装置は、上記近接位置の方への上記少なくとも1つのハンドルの運動が上記顎アセンブリを作動させるように、上記内部駆動装置に近位に隣接して位置付けられ、
上記近位プッシャは、上記離間位置の方への上記少なくとも1つのハンドルの運動が上記最遠位の外科用クリップを上記顎アセンブリ内に装填するように、上記遠位プッシャに近位に隣接して位置付けられている、リポーザブル外科用クリップアプライヤ。
(項目2)
上記クリップカートリッジアセンブリは、上記遠位プッシャを近位に付勢するように構成された付勢部材をさらに含む、上記項目に記載のリポーザブル外科用クリップアプライヤ。
(項目3)
上記シャフトアセンブリは、上記内部駆動装置を近位に付勢するように構成された付勢部材をさらに含む、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目4)
上記シャフトアセンブリの上記外管は、細長い切欠を画定し、上記クリップカートリッジアセンブリは、上記クリップカートリッジアセンブリを上記シャフトアセンブリ内で解放可能に係合するために上記細長い切欠内に取り外し可能に挿入可能である、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目5)
上記クリップカートリッジアセンブリは、上記細長い切欠内で上記クリップカートリッジアセンブリを解放可能に係止するために係止解除位置と係止位置との間で可動なスライダを含む、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目6)
上記スライダは、上記係止位置及び上記係止解除位置の各々内で解放可能に保持可能である、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目7)
上記ハンドルアセンブリの上記ハウジングは、中央通路を画定する遠位口及び上記中央通路内に内方に延在する保持リングを含み、上記シャフトアセンブリは、上記外管の近位端部分の周りに配設された近位カラーを含み、上記近位カラーが、上記シャフトアセンブリを上記ハンドルアセンブリと解放可能に係合するために、上記遠位口内への上記近位カラーの挿入に際して上記保持リングを受容するように構成された環状凹部を画定する、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目8)
上記近位カラーは、面取りされた近位表面を画定し、上記保持リングは、上記遠位口への上記近位カラーの挿入に際して上記面取りされた近位表面上及び上記環状凹部内にカム動作を行うように構成されている、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目9)
上記ハンドルアセンブリは、上記ハウジングに回動自在に連結され、その反対側から延在する一対のハンドルを含む、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目10)
上記ハンドルアセンブリの上記ハウジングは、上記ハウジングの内部へのアクセスを選択的に提供するように開位置と閉位置との間で可動な扉を含む、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目11)
上記クリップカートリッジアセンブリは、少なくとも部分的に透明なカバーを含み、このため上記少なくとも部分的に透明なカバーを通して上記外科用クリップの積み重ねの視覚化を可能にする、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目12)
上記外科用クリップの積み重ねの最近位のクリップは、上記最近位のクリップが上記顎アセンブリ内に装填されたとき、上記顎アセンブリの作動が阻止されるように、固体円板構成を画定する、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目13)
上記クリップカートリッジアセンブリは、上記外科用クリップの積み重ねを遠位に付勢するように構成されたクリップフォロワをさらに含む、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目14)
上記顎アセンブリ内への上記外科用クリップの積み重ねの最近位の外科用クリップの装填に際して、上記クリップフォロワは、上記遠位プッシャと係合するように構成されている、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目15)
上記ハンドルアセンブリの上記内部作動アセンブリの上記近位プッシャは、ロッドを含み、上記ハンドルアセンブリの上記内部作動アセンブリの上記近位駆動装置は、腔を画定するダボを含み、上記ロッドは、上記ダボの上記腔内に摺動自在に配設されている、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目16)
上記顎アセンブリの少なくとも一部分は、上記外管から取り外し可能である、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目17)
上記内部駆動装置の少なくとも一部分は、上記外管から取り外し可能である、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目18)
上記内部駆動装置は、近位駆動プランジャ及び上記近位駆動プランジャに係合された遠位駆動バーを含む、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目19)
上記シャフトアセンブリが上記ハンドルアセンブリと解放可能に係合され、かつ上記クリップカートリッジアセンブリが上記シャフトアセンブリ内で解放可能に係合されたとき、上記近接位置の方への上記少なくとも1つのハンドルの運動は、上記近位駆動装置を遠位に推進して上記近位駆動プランジャに接触させ、これによって上記顎アセンブリを作動するために上記遠位駆動バーを遠位に動かす、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(項目20)
上記シャフトアセンブリが上記ハンドルアセンブリと解放可能に係合され、かつ上記クリップカートリッジアセンブリが上記シャフトアセンブリ内で解放可能に係合されたとき、上記離間位置の方への上記少なくとも1つのハンドルの運動は、上記近位プッシャを遠位に推進して上記遠位プッシャに接触させ、これによって上記顎アセンブリ内に上記最遠位の外科用クリップを装填する、上記項目のいずれか一項に記載のリポーザブル外科用クリップアプライヤ。
(摘要)
リポーザブル外科用クリップアプライヤは、ハンドルアセンブリ、ハンドルアセンブリと解放可能に係合可能なシャフトアセンブリ、及びシャフトアセンブリ内で解放可能に係合可能なクリップカートリッジアセンブリを含む。リポーザブル外科用クリップアプライヤが組み立てられるとき、ハンドルアセンブリの近位駆動装置は、近接位置の方へのハンドルアセンブリのハンドルの運動がシャフトアセンブリの顎アセンブリを作動するように、シャフトアセンブリの内部駆動装置に近位に隣接して位置付けられる。リポーザブル外科用クリップアプライヤが組み立てられるとき、ハンドルアセンブリの近位プッシャは、離間位置の方へのハンドルの運動が最遠位の外科用クリップをクリップカートリッジアセンブリから顎アセンブリ内に装填するように、クリップカートリッジアセンブリの遠位プッシャに近位に隣接して位置付けられる。
Claims (20)
- リポーザブル外科用クリップアプライヤであって、
ハンドルアセンブリであって、
ハウジングと、
前記ハウジングに対して離間位置と近接位置との間で可動な少なくとも1つのハンドルと、
前記ハウジング内に配設され、近位プッシャ及び近位駆動装置を含む内部作動アセンブリであって、前記内部作動アセンブリが前記近接位置の方への前記少なくとも1つのハンドルの運動が前記近位プッシャを近位に及び前記近位駆動装置を遠位に動かし、かつ前記離間位置への前記少なくとも1つのハンドルの運動が前記近位プッシャを遠位に及び前記近位駆動装置を近位に動かすように、前記少なくとも1つのハンドルに動作可能に連結されている、内部作動アセンブリと、を含む、ハンドルアセンブリと、
前記ハンドルアセンブリと解放可能に係合可能なシャフトアセンブリであって、
外管と、
前記外管の遠位端部分で支持された顎アセンブリと、
前記外管内に摺動自在に配設された内部駆動装置であって、前記外管を通した前記内部駆動装置の遠位運動が前記顎アセンブリを作動するように前記顎アセンブリに動作可能に連結された、内部駆動装置と、を含む、シャフトアセンブリと、
前記シャフトアセンブリ内で解放可能に係合可能なクリップカートリッジアセンブリであって、前記クリップカートリッジアセンブリが、その中に直列に配置された複数の外科用クリップを保持し、前記複数の外科用クリップの最遠位の外科用クリップに動作可能に連結された遠位プッシャを含み、それにより、前記クリップカートリッジアセンブリが前記シャフトアセンブリ内で解放可能に係合されたとき、前記遠位プッシャの遠位運動が前記最遠位の外科用クリップを前記顎アセンブリ内に装填する、クリップカートリッジアセンブリと、を備え、
前記シャフトアセンブリが前記ハンドルアセンブリと解放可能に係合され、かつ前記クリップカートリッジアセンブリが前記シャフトアセンブリ内で解放可能に係合されたとき、
前記近位駆動装置は、前記近接位置の方への前記少なくとも1つのハンドルの運動が前記顎アセンブリを作動させるように、前記内部駆動装置に近位に隣接して位置付けられ、
前記近位プッシャは、前記離間位置の方への前記少なくとも1つのハンドルの運動が前記最遠位の外科用クリップを前記顎アセンブリ内に装填するように、前記遠位プッシャに近位に隣接して位置付けられている、リポーザブル外科用クリップアプライヤ。 - 前記クリップカートリッジアセンブリは、前記遠位プッシャを近位に付勢するように構成された付勢部材をさらに含む、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記シャフトアセンブリは、前記内部駆動装置を近位に付勢するように構成された付勢部材をさらに含む、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記シャフトアセンブリの前記外管は、細長い切欠を画定し、前記クリップカートリッジアセンブリは、前記クリップカートリッジアセンブリを前記シャフトアセンブリ内で解放可能に係合するために前記細長い切欠内に取り外し可能に挿入可能である、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記クリップカートリッジアセンブリは、前記細長い切欠内で前記クリップカートリッジアセンブリを解放可能に係止するために係止解除位置と係止位置との間で可動なスライダを含む、請求項4に記載のリポーザブル外科用クリップアプライヤ。
- 前記スライダは、前記係止位置及び前記係止解除位置の各々内で解放可能に保持可能である、請求項5に記載のリポーザブル外科用クリップアプライヤ。
- 前記ハンドルアセンブリの前記ハウジングは、中央通路を画定する遠位口及び前記中央通路内に内方に延在する保持リングを含み、前記シャフトアセンブリは、前記外管の近位端部分の周りに配設された近位カラーを含み、前記近位カラーが、前記シャフトアセンブリを前記ハンドルアセンブリと解放可能に係合するために、前記遠位口内への前記近位カラーの挿入に際して前記保持リングを受容するように構成された環状凹部を画定する、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記近位カラーは、面取りされた近位表面を画定し、前記保持リングは、前記遠位口への前記近位カラーの挿入に際して前記面取りされた近位表面上及び前記環状凹部内にカム動作を行うように構成されている、請求項7に記載のリポーザブル外科用クリップアプライヤ。
- 前記ハンドルアセンブリは、前記ハウジングに回動自在に連結され、その反対側から延在する一対のハンドルを含む、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記ハンドルアセンブリの前記ハウジングは、前記ハウジングの内部へのアクセスを選択的に提供するように開位置と閉位置との間で可動な扉を含む、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記クリップカートリッジアセンブリは、少なくとも部分的に透明なカバーを含み、このため前記少なくとも部分的に透明なカバーを通して前記複数の外科用クリップの視覚化を可能にする、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記複数の外科用クリップの最近位のクリップは、前記最近位のクリップが前記顎アセンブリ内に装填されたとき、前記顎アセンブリの作動が阻止されるように、固体円板構成を画定する、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記クリップカートリッジアセンブリは、前記複数の外科用クリップを遠位に付勢するように構成されたクリップフォロワをさらに含む、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記顎アセンブリ内への前記複数の外科用クリップの最近位の外科用クリップの装填に際して、前記クリップフォロワは、前記遠位プッシャと係合するように構成されている、請求項13に記載のリポーザブル外科用クリップアプライヤ。
- 前記ハンドルアセンブリの前記内部作動アセンブリの前記近位プッシャは、ロッドを含み、前記ハンドルアセンブリの前記内部作動アセンブリの前記近位駆動装置は、腔を画定するダボを含み、前記ロッドは、前記ダボの前記腔内に摺動自在に配設されている、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記顎アセンブリの少なくとも一部分は、前記外管から取り外し可能である、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記内部駆動装置の少なくとも一部分は、前記外管から取り外し可能である、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記内部駆動装置は、近位駆動プランジャ及び前記近位駆動プランジャに係合された遠位駆動バーを含む、請求項1に記載のリポーザブル外科用クリップアプライヤ。
- 前記シャフトアセンブリが前記ハンドルアセンブリと解放可能に係合され、かつ前記クリップカートリッジアセンブリが前記シャフトアセンブリ内で解放可能に係合されたとき、前記近接位置の方への前記少なくとも1つのハンドルの運動は、前記近位駆動装置を遠位に推進して前記近位駆動プランジャに接触させ、これによって前記顎アセンブリを作動するために前記遠位駆動バーを遠位に動かす、請求項18に記載のリポーザブル外科用クリップアプライヤ。
- 前記シャフトアセンブリが前記ハンドルアセンブリと解放可能に係合され、かつ前記クリップカートリッジアセンブリが前記シャフトアセンブリ内で解放可能に係合されたとき、前記離間位置の方への前記少なくとも1つのハンドルの運動は、前記近位プッシャを遠位に推進して前記遠位プッシャに接触させ、これによって前記顎アセンブリ内に前記最遠位の外科用クリップを装填する、請求項1に記載のリポーザブル外科用クリップアプライヤ。
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2018
- 2018-04-09 US US15/947,936 patent/US10675043B2/en not_active Expired - Fee Related
- 2018-04-12 CA CA3001224A patent/CA3001224A1/en not_active Abandoned
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US20200229825A1 (en) | 2020-07-23 |
EP3398525A1 (en) | 2018-11-07 |
CN108784774A (zh) | 2018-11-13 |
AU2018202841A1 (en) | 2018-11-22 |
US10675043B2 (en) | 2020-06-09 |
US11464521B2 (en) | 2022-10-11 |
EP3398525B1 (en) | 2020-04-29 |
CA3001224A1 (en) | 2018-11-04 |
CN115721370A (zh) | 2023-03-03 |
CN108784774B (zh) | 2022-12-16 |
JP2018187378A (ja) | 2018-11-29 |
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