KR102256358B1 - 수술 기구 구동 요소 및 관련 장치, 시스템 및 방법 - Google Patents
수술 기구 구동 요소 및 관련 장치, 시스템 및 방법 Download PDFInfo
- Publication number
- KR102256358B1 KR102256358B1 KR1020157029608A KR20157029608A KR102256358B1 KR 102256358 B1 KR102256358 B1 KR 102256358B1 KR 1020157029608 A KR1020157029608 A KR 1020157029608A KR 20157029608 A KR20157029608 A KR 20157029608A KR 102256358 B1 KR102256358 B1 KR 102256358B1
- Authority
- KR
- South Korea
- Prior art keywords
- end effector
- drive element
- surgical instrument
- push
- exemplary embodiment
- 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
Links
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- 239000012636 effector Substances 0.000 claims abstract description 87
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- 238000005859 coupling reaction Methods 0.000 claims 1
- 230000033001 locomotion Effects 0.000 description 22
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- -1 for example Substances 0.000 description 1
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Images
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
- A61B18/1447—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod wherein sliding surfaces cause opening/closing of the end effectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B34/35—Surgical robots for telesurgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
- A61B2017/2933—Transmission of forces to jaw members camming or guiding means
- A61B2017/2936—Pins in guiding slots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2947—Pivots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00059—Material properties
- A61B2018/00071—Electrical conductivity
- A61B2018/00077—Electrical conductivity high, i.e. electrically conducting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00059—Material properties
- A61B2018/00071—Electrical conductivity
- A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00172—Connectors and adapters therefor
- A61B2018/00178—Electrical connectors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00595—Cauterization
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Veterinary Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Public Health (AREA)
- Robotics (AREA)
- Physics & Mathematics (AREA)
- Plasma & Fusion (AREA)
- Otolaryngology (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
- Manipulator (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201361803046P | 2013-03-18 | 2013-03-18 | |
| US61/803,046 | 2013-03-18 | ||
| PCT/US2014/026137 WO2014151633A1 (en) | 2013-03-18 | 2014-03-13 | Surgical instrument drive element, and related devices, systems, and methods |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| KR20150127284A KR20150127284A (ko) | 2015-11-16 |
| KR102256358B1 true KR102256358B1 (ko) | 2021-05-27 |
Family
ID=51531098
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| KR1020157029608A Active KR102256358B1 (ko) | 2013-03-18 | 2014-03-13 | 수술 기구 구동 요소 및 관련 장치, 시스템 및 방법 |
Country Status (6)
| Country | Link |
|---|---|
| US (4) | US9498242B2 (enExample) |
| EP (2) | EP3488807B1 (enExample) |
| JP (4) | JP6383780B2 (enExample) |
| KR (1) | KR102256358B1 (enExample) |
| CN (4) | CN113331951B (enExample) |
| WO (1) | WO2014151633A1 (enExample) |
Families Citing this family (33)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP3488807B1 (en) | 2013-03-18 | 2020-09-09 | Intuitive Surgical Operations Inc. | Surgical instrument drive element, related devices and systems |
| ITUB20154977A1 (it) | 2015-10-16 | 2017-04-16 | Medical Microinstruments S R L | Strumento medicale e metodo di fabbricazione di detto strumento medicale |
| CN108289691B (zh) * | 2015-11-13 | 2021-04-09 | 直观外科手术操作公司 | 具有二自由度腕部的推拉式缝合器 |
| US10973517B2 (en) | 2015-11-13 | 2021-04-13 | Intuitive Surgical Operations, Inc. | Stapler with composite cardan and screw drive |
| NL2017630B1 (en) * | 2016-10-17 | 2018-04-24 | Surge On Medical B V | A surgical device |
| US11364067B2 (en) * | 2017-10-06 | 2022-06-21 | Cilag Gmbh International | Electrical isolation of electrosurgical instruments |
| EP3727140B1 (en) | 2017-12-22 | 2023-11-01 | Briteseed, LLC | A compact system used to determine tissue or artifact characteristics |
| EP3578118B1 (de) | 2018-06-05 | 2022-08-31 | Erbe Elektromedizin GmbH | Chirurgisches instrument |
| KR20210032998A (ko) * | 2018-07-17 | 2021-03-25 | 인튜어티브 서지컬 오퍼레이션즈 인코포레이티드 | 감소된 커패시턴스를 갖는 수술 기구, 관련 디바이스, 및 관련 방법 |
| USD904611S1 (en) | 2018-10-10 | 2020-12-08 | Bolder Surgical, Llc | Jaw design for a surgical instrument |
| JP7066875B2 (ja) * | 2018-11-30 | 2022-05-13 | オリンパス株式会社 | 把持機構 |
| WO2020131685A1 (en) | 2018-12-21 | 2020-06-25 | Intuitive Surgical Operations, Inc. | Surgical instruments with switches for deactivating and/or identifying stapler cartridges |
| CN113194847A (zh) * | 2018-12-21 | 2021-07-30 | 直观外科手术操作公司 | 用于外科手术器械的致动机构 |
| WO2020214258A1 (en) | 2019-04-15 | 2020-10-22 | Intuitive Surgical Operations, Inc. | Staple cartridge for a surgical instrument |
| EP3975875B1 (en) | 2019-05-31 | 2025-09-24 | Intuitive Surgical Operations, Inc. | Staple cartridge for a surgical instrument |
| CA3165884A1 (en) * | 2019-12-30 | 2021-07-08 | Beijing Surgerii Technology Co., Ltd. | Surgical effector, surgical tool and surgical robot |
| WO2021141971A1 (en) | 2020-01-07 | 2021-07-15 | Intuitive Surgical Operations, Inc. | Surgical instruments for applying multiple clips |
| WO2022150212A1 (en) | 2021-01-08 | 2022-07-14 | Intuitive Surgical Operations, Inc. | Surgical instrument with linear and purse string suture staples |
| DE102021201311A1 (de) * | 2021-02-11 | 2022-08-11 | Aesculap Ag | Chirurgisches Instrument, Werkzeugeinrichtung für ein solches chirurgisches Instrument und Verfahren zur Herstellung einer solchen Werkzeugeinrichtung |
| US12433664B2 (en) | 2021-05-03 | 2025-10-07 | Covidien Lp | Motor position control and methods for robotic assisted sealing instrument |
| US12257014B2 (en) * | 2021-06-22 | 2025-03-25 | Intuitive Surgical Operations, Inc. | Devices and methods for crimp interface for cable tension sensor |
| US12065076B2 (en) * | 2021-06-28 | 2024-08-20 | Dana Automotive Systems Group, Llc | High efficiency electrical conduit |
| GB2611346B (en) * | 2021-10-01 | 2024-08-07 | Cmr Surgical Ltd | A robotic surgical instrument |
| WO2023101968A1 (en) | 2021-11-30 | 2023-06-08 | Endoquest Robotics, Inc. | Steerable overtube assemblies for robotic surgical systems |
| KR20240153547A (ko) | 2021-11-30 | 2024-10-23 | 엔도퀘스트 로보틱스 인코포레이티드 | 로봇 수술 시스템용 배리어 드레이프 어댑터 |
| TWI838986B (zh) | 2021-11-30 | 2024-04-11 | 美商安督奎斯特機器人公司 | 患者控制台、具有該患者控制台的機器人手術系統及其執行方法 |
| KR20240134850A (ko) | 2021-11-30 | 2024-09-10 | 엔도퀘스트 로보틱스 인코포레이티드 | 로봇 수술 시스템용 마스터 제어 시스템 |
| WO2023101974A1 (en) | 2021-11-30 | 2023-06-08 | Endoquest Robotics, Inc. | Force transmission systems for robotically controlled medical devices |
| KR20240144086A (ko) | 2021-11-30 | 2024-10-02 | 엔도퀘스트 로보틱스 인코포레이티드 | 일회용 엔드 이펙터 |
| IT202300012834A1 (it) | 2023-06-21 | 2024-12-21 | Medical Microinstruments Inc | Strumento attivo elettrochirurgico e cuffia di protezione, particolarmente per teleoperazione medico-chirurgica, e relativo sistema robotizzato |
| IT202300017115A1 (it) | 2023-08-10 | 2025-02-10 | Medical Microinstruments Inc | Strumento elettrochirurgico bipolare per teleoperazione medico-chirurgica e metodo di fabbricazione |
| IT202300025815A1 (it) | 2023-12-04 | 2025-06-04 | Medical Microinstruments Inc | Strumento chirurgico o microchirurgico per teleoperazione robotizzata comprendente un manicotto flessibile munito di almeno una pista elettricamente conduttiva |
| CN119632663B (zh) * | 2025-02-14 | 2025-12-02 | 温州医科大学附属第一医院 | 手术执行器、手术工具及手术机器人 |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1999015089A1 (en) | 1997-09-25 | 1999-04-01 | Allegiance Corporation | Surgical device with malleable shaft |
| US20060217706A1 (en) | 2005-03-25 | 2006-09-28 | Liming Lau | Tissue welding and cutting apparatus and method |
| US20100057085A1 (en) * | 2008-09-03 | 2010-03-04 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| JPS60107291U (ja) * | 1983-12-27 | 1985-07-22 | 株式会社 ニチベイ | ロ−ルスクリ−ン |
| US5396900A (en) | 1991-04-04 | 1995-03-14 | Symbiosis Corporation | Endoscopic end effectors constructed from a combination of conductive and non-conductive materials and useful for selective endoscopic cautery |
| WO1994024947A1 (en) * | 1993-04-30 | 1994-11-10 | Minnesota Mining And Manufacturing Company | Surgical instrument having an articulated jaw structure and a detachable knife |
| US5395369A (en) * | 1993-06-10 | 1995-03-07 | Symbiosis Corporation | Endoscopic bipolar electrocautery instruments |
| US5782749A (en) * | 1994-05-10 | 1998-07-21 | Riza; Erol D. | Laparoscopic surgical instrument with adjustable grip |
| CA2194775A1 (en) * | 1994-07-14 | 1996-02-01 | Symbiosis Corporation | Track guided end effector assembly |
| US5478350A (en) * | 1994-07-14 | 1995-12-26 | Symbiosis Corporation | Rack and pinion actuator handle for endoscopic instruments |
| US5695511A (en) * | 1994-11-29 | 1997-12-09 | Metamorphic Surgical Devices | Surgical instruments for minimally invasive procedures |
| US5904702A (en) * | 1997-08-14 | 1999-05-18 | University Of Massachusetts | Instrument for thoracic surgical procedures |
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| US6193718B1 (en) * | 1998-06-10 | 2001-02-27 | Scimed Life Systems, Inc. | Endoscopic electrocautery instrument |
| US20040249374A1 (en) * | 1998-10-23 | 2004-12-09 | Tetzlaff Philip M. | Vessel sealing instrument |
| CA2442960C (en) * | 2001-04-06 | 2011-03-22 | Sherwood Services Ag | Vessel sealing instrument |
| US6733514B2 (en) | 2001-10-05 | 2004-05-11 | Pilling Weck Incorporated | Jaw assembly for endoscopic instruments |
| DE202004010780U1 (de) * | 2004-07-02 | 2004-09-09 | Karl Storz Gmbh & Co. Kg | Medizinisches Instrument für die Elektrochirurgie |
| US7918848B2 (en) * | 2005-03-25 | 2011-04-05 | Maquet Cardiovascular, Llc | Tissue welding and cutting apparatus and method |
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| CN102264307A (zh) * | 2008-12-12 | 2011-11-30 | 伊顿株式会社 | 手术器械 |
| US8333780B1 (en) * | 2009-06-05 | 2012-12-18 | Okay Industries, Inc. | Surgical tool and method of operation |
| JP4841705B2 (ja) * | 2009-09-15 | 2011-12-21 | オリンパスメディカルシステムズ株式会社 | 内視鏡用処置具 |
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| US9339341B2 (en) | 2010-02-08 | 2016-05-17 | Intuitive Surgical Operations, Inc. | Direct pull surgical gripper |
| RO126740A2 (ro) * | 2010-04-02 | 2011-10-28 | Cătălin Eşanu | Instrument chirurgical endoscopic cu clamp detaşabil, instrument extractor al clamp-ului şi metodă de utilizare |
| CN201752400U (zh) * | 2010-06-25 | 2011-03-02 | 深圳市第二人民医院 | 宫腔检查电切镜 |
| JP5704858B2 (ja) * | 2010-08-24 | 2015-04-22 | Hoya株式会社 | 内視鏡用鉗子 |
| US9918731B2 (en) * | 2012-07-06 | 2018-03-20 | Intuitive Surgical Operations, Inc. | Remotely actuated surgical gripper with seize resistance |
| KR101753504B1 (ko) * | 2013-02-07 | 2017-07-03 | 텔리플렉스 메디컬 인코포레이티드 | 엔드 이펙터 연결 및 작동 시스템 |
| EP3488807B1 (en) | 2013-03-18 | 2020-09-09 | Intuitive Surgical Operations Inc. | Surgical instrument drive element, related devices and systems |
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2014
- 2014-03-13 EP EP19151045.2A patent/EP3488807B1/en active Active
- 2014-03-13 JP JP2016504313A patent/JP6383780B2/ja active Active
- 2014-03-13 WO PCT/US2014/026137 patent/WO2014151633A1/en not_active Ceased
- 2014-03-13 CN CN202110773839.9A patent/CN113331951B/zh active Active
- 2014-03-13 CN CN201711154054.3A patent/CN108113756B/zh active Active
- 2014-03-13 US US14/209,043 patent/US9498242B2/en active Active
- 2014-03-13 KR KR1020157029608A patent/KR102256358B1/ko active Active
- 2014-03-13 CN CN202410987890.3A patent/CN118892366A/zh active Pending
- 2014-03-13 CN CN201480016495.5A patent/CN105188572B/zh active Active
- 2014-03-13 EP EP14768826.1A patent/EP2976026B1/en active Active
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2016
- 2016-11-10 US US15/348,127 patent/US10716617B2/en active Active
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2018
- 2018-08-06 JP JP2018147890A patent/JP6708710B2/ja active Active
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2020
- 2020-05-21 JP JP2020088721A patent/JP7019747B2/ja active Active
- 2020-07-01 US US16/918,026 patent/US11564734B2/en active Active
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2022
- 2022-02-02 JP JP2022014842A patent/JP7286818B2/ja active Active
- 2022-12-29 US US18/148,136 patent/US20230210584A1/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO1999015089A1 (en) | 1997-09-25 | 1999-04-01 | Allegiance Corporation | Surgical device with malleable shaft |
| US20030191494A1 (en) * | 1997-09-25 | 2003-10-09 | Allegiance Healthcare Corporation | Surgical device with malleable shaft |
| US20060217706A1 (en) | 2005-03-25 | 2006-09-28 | Liming Lau | Tissue welding and cutting apparatus and method |
| US20100057085A1 (en) * | 2008-09-03 | 2010-03-04 | Ethicon Endo-Surgery, Inc. | Surgical grasping device |
Also Published As
| Publication number | Publication date |
|---|---|
| US20230210584A1 (en) | 2023-07-06 |
| EP2976026A1 (en) | 2016-01-27 |
| JP7286818B2 (ja) | 2023-06-05 |
| US20200397502A1 (en) | 2020-12-24 |
| KR20150127284A (ko) | 2015-11-16 |
| WO2014151633A1 (en) | 2014-09-25 |
| JP2018164829A (ja) | 2018-10-25 |
| JP6383780B2 (ja) | 2018-08-29 |
| JP7019747B2 (ja) | 2022-02-15 |
| JP2016518171A (ja) | 2016-06-23 |
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| CN108113756A (zh) | 2018-06-05 |
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| JP6708710B2 (ja) | 2020-06-10 |
| CN105188572B (zh) | 2017-12-26 |
| CN113331951B (zh) | 2024-08-06 |
| US20170056098A1 (en) | 2017-03-02 |
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| CN113331951A (zh) | 2021-09-03 |
| CN108113756B (zh) | 2021-07-30 |
| EP2976026B1 (en) | 2019-02-27 |
| CN118892366A (zh) | 2024-11-05 |
| US11564734B2 (en) | 2023-01-31 |
| JP2022048308A (ja) | 2022-03-25 |
| EP2976026A4 (en) | 2016-11-09 |
| JP2020146477A (ja) | 2020-09-17 |
| EP3488807B1 (en) | 2020-09-09 |
| US10716617B2 (en) | 2020-07-21 |
| CN105188572A (zh) | 2015-12-23 |
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