JP7633185B2 - 人工心臓弁を植え込むための送達装置および方法 - Google Patents

人工心臓弁を植え込むための送達装置および方法 Download PDF

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Publication number
JP7633185B2
JP7633185B2 JP2021573906A JP2021573906A JP7633185B2 JP 7633185 B2 JP7633185 B2 JP 7633185B2 JP 2021573906 A JP2021573906 A JP 2021573906A JP 2021573906 A JP2021573906 A JP 2021573906A JP 7633185 B2 JP7633185 B2 JP 7633185B2
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shaft
delivery device
handle
actuation
actuating
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Japanese (ja)
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JP2023519039A (ja
JP2023519039A5 (https=
Inventor
オーレン・コーエン
エラザール・リーヴァイ・シュワルツ
デニス・ズマキン
オフィル・ウィッツマン
ノーム・ミラー
エイタン・アティアス
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Edwards Lifesciences Corp
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Edwards Lifesciences Corp
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Priority to JP2025018370A priority Critical patent/JP2025072538A/ja
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2409—Support rings therefor, e.g. for connecting valves to tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2412—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with soft flexible valve members, e.g. tissue valves shaped like natural valves
    • A61F2/2418—Scaffolds therefor, e.g. support stents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2427—Devices for manipulating or deploying heart valves during implantation
    • A61F2/243—Deployment by mechanical expansion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2427—Devices for manipulating or deploying heart valves during implantation
    • A61F2/243—Deployment by mechanical expansion
    • A61F2/2433—Deployment by mechanical expansion using balloon catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2427—Devices for manipulating or deploying heart valves during implantation
    • A61F2/2436—Deployment by retracting a sheath
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2427—Devices for manipulating or deploying heart valves during implantation
    • A61F2/2439—Expansion controlled by filaments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2466—Delivery devices therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/9517—Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0091—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/001—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting a diameter

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Prostheses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
JP2021573906A 2020-03-16 2021-03-16 人工心臓弁を植え込むための送達装置および方法 Active JP7633185B2 (ja)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP2025018370A JP2025072538A (ja) 2020-03-16 2025-02-06 人工心臓弁を植え込むための送達装置および方法

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US202062990299P 2020-03-16 2020-03-16
US62/990,299 2020-03-16
PCT/US2021/022467 WO2021188476A1 (en) 2020-03-16 2021-03-16 Delivery apparatus and methods for implanting prosthetic heart valves

Related Child Applications (1)

Application Number Title Priority Date Filing Date
JP2025018370A Division JP2025072538A (ja) 2020-03-16 2025-02-06 人工心臓弁を植え込むための送達装置および方法

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Publication Number Publication Date
JP2023519039A JP2023519039A (ja) 2023-05-10
JP2023519039A5 JP2023519039A5 (https=) 2024-03-21
JP7633185B2 true JP7633185B2 (ja) 2025-02-19

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JP2021573906A Active JP7633185B2 (ja) 2020-03-16 2021-03-16 人工心臓弁を植え込むための送達装置および方法
JP2025018370A Pending JP2025072538A (ja) 2020-03-16 2025-02-06 人工心臓弁を植え込むための送達装置および方法

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Country Link
US (1) US20230024690A1 (https=)
EP (2) EP4120963B1 (https=)
JP (2) JP7633185B2 (https=)
KR (1) KR20220155251A (https=)
CN (2) CN113993484A (https=)
AU (1) AU2021236612A1 (https=)
BR (1) BR112021024115A2 (https=)
CA (1) CA3142466A1 (https=)
CL (1) CL2021003381A1 (https=)
CR (1) CR20210658A (https=)
IL (1) IL288463B2 (https=)
MX (1) MX2021014907A (https=)
WO (1) WO2021188476A1 (https=)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2025072538A (ja) * 2020-03-16 2025-05-09 エドワーズ ライフサイエンシーズ コーポレイション 人工心臓弁を植え込むための送達装置および方法
US12551658B2 (en) 2022-03-25 2026-02-17 St. Jude Medical, Cardiology Division, Inc. Steerable introducer with slide block divider

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US11730590B2 (en) * 2020-07-23 2023-08-22 St. Jude Medical, Cardiology Division, Inc. Low profile expandable heart valve
CN115942915B (zh) 2020-08-18 2025-11-28 圣犹达医疗用品心脏病学部门有限公司 具有磁性位置跟踪的高密度电极导管
CA3197045A1 (en) 2020-10-23 2022-04-28 Edwards Lifesciences Corporation Prosthetic valve docking device
EP4236875A1 (en) 2020-11-02 2023-09-06 Edwards Lifesciences Corporation Delivery apparatus for prosthetic implants
CN218106151U (zh) 2021-01-19 2022-12-23 爱德华兹生命科学公司 递送设备和对接套筒
WO2023059513A1 (en) 2021-10-08 2023-04-13 Edwards Lifesciences Corporation Prosthetic valve docking device
WO2023091471A1 (en) * 2021-11-17 2023-05-25 Neovasc Tiara Inc. Systems and methods for deploying and retrieving a prosthesis
EP4432979A1 (en) 2021-11-19 2024-09-25 Edwards Lifesciences Corporation Prosthetic valve docking device
WO2023096897A1 (en) * 2021-11-23 2023-06-01 Edwards Lifesciences Corporation Delivery apparatus for implanting prosthetic heart valves
WO2023200925A1 (en) 2022-04-14 2023-10-19 Edwards Lifesciences Corporation Delivery apparatus for a docking device
AU2023262477A1 (en) 2022-04-29 2024-12-05 Relief Cardiovascular, Inc. Systems, devices, and methods for controllably and selectively occluding, restricting, and diverting flow within a patient's vasculature
CA3257486A1 (en) 2022-05-19 2023-11-23 Edwards Lifesciences Corporation PROSTHETIC VALVE WITH SUPPORTING ELEMENTS BARS
EP4543309A1 (en) * 2022-06-21 2025-04-30 Boston Scientific Scimed, Inc. Devices, systems, and methods for delivering and deploying an implantable device
WO2023249993A1 (en) 2022-06-23 2023-12-28 Edwards Lifesciences Corporation Implant delivery apparatus with a telescopic shaft
CA3262024A1 (en) 2022-07-12 2024-01-18 Edwards Lifesciences Corporation PROSTHETIC HEART VALVE
JP2025530248A (ja) * 2022-09-07 2025-09-11 エドワーズ ライフサイエンシーズ コーポレイション 人工器官用の送達装置
EP4673087A1 (en) 2023-02-28 2026-01-07 Edwards Lifesciences Corporation Prosthetic heart valve
EP4731127A1 (en) 2023-06-21 2026-04-29 Edwards Lifesciences Corporation Outer skirt for prosthetic heart valve
WO2025054204A1 (en) 2023-09-05 2025-03-13 Edwards Lifesciences Corporation Prosthetic heart valve
WO2025059537A1 (en) * 2023-09-14 2025-03-20 inQB8 Medical Technologies, LLC Systems, devices, and methods for implanting and/or retrieving devices for controllable enhancement of diuresis
CN120227208A (zh) * 2023-12-29 2025-07-01 杭州启明医疗器械股份有限公司 方便控制的人工植入物的输送系统
WO2025193940A1 (en) * 2024-03-15 2025-09-18 Edwards Lifesciences Corporation Delivery apparatus with removable clip
CN119925038B (zh) * 2024-11-19 2025-08-08 迈得诺医疗科技集团有限公司 用于操控植入物的鞘管组件和输送系统

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US20070112355A1 (en) 2005-11-14 2007-05-17 Amr Salahieh Medical implant deployment tool
JP2019536576A (ja) 2016-12-06 2019-12-19 エドワーズ ライフサイエンシーズ コーポレイションＥｄｗａｒｄｓ Ｌｉｆｅｓｃｉｅｎｃｅｓ Ｃｏｒｐｏｒａｔｉｏｎ 機械的拡張型心臓弁およびその送達装置

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US12364596B2 (en) * 2011-10-21 2025-07-22 Edwards Lifesciences Cardiaq Llc Actively controllable stent, stent graft, heart valve and method of controlling same
EP3424469A1 (en) * 2012-02-22 2019-01-09 Syntheon TAVR, LLC Actively controllable stent, stent graft and heart valve
EP3068346B1 (en) 2013-11-11 2021-03-03 Edwards Lifesciences CardiAQ LLC Method for manufacturing a valve stent frame
US10869759B2 (en) 2017-06-05 2020-12-22 Edwards Lifesciences Corporation Mechanically expandable heart valve
US10806573B2 (en) 2017-08-22 2020-10-20 Edwards Lifesciences Corporation Gear drive mechanism for heart valve delivery apparatus
WO2021113507A1 (en) * 2019-12-06 2021-06-10 Edwards Lifesciences Corporation Delivery apparatus and methods for implanting prosthetic heart valves
CN113993484A (zh) * 2020-03-16 2022-01-28 爱德华兹生命科学公司 用于植入假体心脏瓣膜的递送设备和方法

Patent Citations (2)

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Publication number Priority date Publication date Assignee Title
US20070112355A1 (en) 2005-11-14 2007-05-17 Amr Salahieh Medical implant deployment tool
JP2019536576A (ja) 2016-12-06 2019-12-19 エドワーズ ライフサイエンシーズ コーポレイションＥｄｗａｒｄｓ Ｌｉｆｅｓｃｉｅｎｃｅｓ Ｃｏｒｐｏｒａｔｉｏｎ 機械的拡張型心臓弁およびその送達装置

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2025072538A (ja) * 2020-03-16 2025-05-09 エドワーズ ライフサイエンシーズ コーポレイション 人工心臓弁を植え込むための送達装置および方法
US12551658B2 (en) 2022-03-25 2026-02-17 St. Jude Medical, Cardiology Division, Inc. Steerable introducer with slide block divider

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US20230024690A1 (en) 2023-01-26
CN216854954U (zh) 2022-07-01
EP4120963A1 (en) 2023-01-25
JP2025072538A (ja) 2025-05-09
AU2021236612A1 (en) 2022-01-06
CL2021003381A1 (es) 2022-10-07
EP4470510A3 (en) 2025-01-08
CR20210658A (es) 2022-06-02
IL288463B1 (en) 2025-05-01
JP2023519039A (ja) 2023-05-10
CA3142466A1 (en) 2021-09-23
EP4120963B1 (en) 2024-09-04
EP4470510A2 (en) 2024-12-04
IL288463A (en) 2022-01-01
BR112021024115A2 (pt) 2022-12-06
MX2021014907A (es) 2022-01-18
IL288463B2 (en) 2025-09-01
CN113993484A (zh) 2022-01-28
WO2021188476A1 (en) 2021-09-23
KR20220155251A (ko) 2022-11-22

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