LV10570B - Device and method for closing the wound - Google Patents

Device and method for closing the wound Download PDF

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Publication number
LV10570B
LV10570B LVP-93-663A LV930663A LV10570B LV 10570 B LV10570 B LV 10570B LV 930663 A LV930663 A LV 930663A LV 10570 B LV10570 B LV 10570B
Authority
LV
Latvia
Prior art keywords
wound
strips
adhesive
zipper
fasteners
Prior art date
Application number
LVP-93-663A
Other languages
English (en)
Other versions
LV10570A (lv
Inventor
Hans-Juergen Kaessmann
Original Assignee
Opti Patent Forschung Fab
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Opti Patent Forschung Fab filed Critical Opti Patent Forschung Fab
Publication of LV10570A publication Critical patent/LV10570A/lv
Publication of LV10570B publication Critical patent/LV10570B/lv

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • 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
    • A61B17/085—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • 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
    • A61B2017/088—Sliding fasteners
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T24/00—Buckles, buttons, clasps, etc.
    • Y10T24/25—Zipper or required component thereof
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T24/00—Buckles, buttons, clasps, etc.
    • Y10T24/25—Zipper or required component thereof
    • Y10T24/2509—Plural independently movable sliders

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Materials For Medical Uses (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Vending Machines For Individual Products (AREA)
  • Surgical Instruments (AREA)
  • Power-Operated Mechanisms For Wings (AREA)
  • Replacement Of Web Rolls (AREA)
  • Yarns And Mechanical Finishing Of Yarns Or Ropes (AREA)
  • Treatments For Attaching Organic Compounds To Fibrous Goods (AREA)
  • Steering Control In Accordance With Driving Conditions (AREA)
  • Fixed Capacitors And Capacitor Manufacturing Machines (AREA)
  • Pipe Accessories (AREA)
  • Winding, Rewinding, Material Storage Devices (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Adhesive Tapes (AREA)
  • Discharge Heating (AREA)
  • Operating, Guiding And Securing Of Roll- Type Closing Members (AREA)
  • Nonmetallic Welding Materials (AREA)
  • Mechanical Coupling Of Light Guides (AREA)
  • Selective Calling Equipment (AREA)
  • Electromechanical Clocks (AREA)
  • Closing Of Containers (AREA)
  • Electrical Discharge Machining, Electrochemical Machining, And Combined Machining (AREA)
  • Manufacture Of Motors, Generators (AREA)
  • Slide Fasteners, Snap Fasteners, And Hook Fasteners (AREA)

Description

LV 10570
nPHCnOCOEJlEHHE JJJ1Ā 3AKPEIBAIMH PAH H CriOCOE ΕΓΟ PEAJ1H3ALIHH
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PemeHHe 3Τθή 3ajļaAH OTJiHMaerca KOMČHHannefi caejiyioniHx npH3HaK0B: 1) 3aMOK (1, 2, 3) ”mojihhh” npeacTaBiiaeT cočon oTHocnTejibHo paņoB (2) COeAHHBT&ITbHHX 3BeHbeB H HeCymHX nOJIOC (1) ofihRHblH JIJĪJļ TeKCTHJIbHbtX ΓΒβκκή 33MOK ”mojihhh” c xapaKrepH3yioimiMHCH MajībiM pacTOaceHHeM HecynmMH noJiocaMH (1) n OTJirnaiornHMHca conpoTHBJieHHeM ηβφορΜΒίΐΗΗ πρη ca<aTHH pajļaMH (2) COeflHHHTeJIbHbLX 3BeHbeB H3 ΟΙΟΧΗΟΓΟ ΠΟΑΗΟφΗρΒ BJIH ŪOJIHaMHAa. 2) Ha oftpameHHoft κ paHe HHHCHett CTOpOHe Ha ynaJieHHH ot pajļOB (2) coeBHHHTCJibHbix 3B6HbCB Ha HecymHX nojiocax pacnoao)KeHbi o6pa3yioiHHe cBočoAHoe iīpocrpaHCTBO paHBi AHCTaHnHOHHbre no/rocbi (5). 3) npHcnocoČJieHHe jvih KJieāKoro coeAHHeHHH coctoht H3 coeAHHeHHbix c HecymHMH noJiocaMH (1), BbiCTynaiomHX BbicnynaMH (4a) Han HecymHMH noJiocaMH (I) κπβήκΗΧ hojioc (4) c HaHeceHHbiM Ha cropoHe conpHKOCHOBeHHH c κωκβή Hepa3jipa>Kaio[iiHM KJieftKHM cjioeM, npHAeM Hecymne nojiochi (1) npoJiojKeHbi no MeHbraeft Mepe Ha AacTH hx nrapHHbi KJieāKHMH nonocaMe (4), a κπεήκηε nojiocbi (4), Biononaa BbicTynw (4a), HMeror ππφΗΗγ, npH κοτοροή oSecnenHBaerca B03MoacHocTb rrpneMa vchjihh nonepeAHoro pacrsDKeHHH npHMemrrenbHO κ paHe, 3aKpbrroft nocpeacTBOM 3aMxa (1, 2, 3) mojihhh co β33Ημηο cjicaTbiMH KpanMH, 06maho jum
TSKCTBJlbBbDC Η3ΗΟΗΗή ΠΐβΚΗβ 33MKH "MOJIHHil” C OTJIHnaiOmHMHCH MajībiM pacTOKenneM HecymHMH noaocaMH h conpoTHBJieHHeM ^εφορMannu npn cncamu paflaMH COeAHHHTCJIbHbCC 3JieM€HT0B HCHOJlb3yiOTCH Β pa3JIHAHblX neJVDL CpeUH cneuHajiHCTOB, oahako, ao Hacroamero bpcmchh cymecTBOBajio MHeHne ο tom, ato TaKHe 3aMKH ”μοληηη” HenpHroAHbi joyia 3aKpbiBaHHn panbi n jvm Hcn0Jn>3OBaHHH hx b KanecTBe npHcnocoSjieHHŽ απη 3aicpbiBaHHH paH npn neneHHH (cm. ”Surgical use of zippers worries manufacturer” β H3AamiH China Post ot 8 HonOpa 1986 r.).
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cBoCiojļHoro npocTpancTBa npeAOTBpaiuaercfl BpacraHHe coeAHHHTCJihHbix iBeHheB paaoB coeAHHHrejibHbix iBeHbeB. B paMKax H3o6pereHHH ripenycMompeuo ūOKpbieaHHe p«AOB COeAHHHTCJIbHhiX WeHhČR Ha HH>KHeH CTOpOHe, npH Heo6xoJIHMOCTH BKjnoiaH necymHe nojiocbi, ne oKa3biBaiomHM pa3flpa»caioiņero bjihhhhh Ha paHy caoeM CHJIHKOHOBOH MbICCbl. HaKOHeiļ, Ta C^eT HaJTHMHH cBo6ojļHoro npOCTpaHCTBa
AocTHraeTca, ητο nojnyHOK Μθ>κετ nepeMemaTbca npa aaKpbieaHHH paHbi, He βχοαη npH 3T0M b Memaioinee conpHKOCHOBeHHe c KpaaMH paebi, a acKJnoaaeTca onacHOCTb Toro, ato b nponecce cochhhchhh paaoB coeflHHereJibHbix 3BeHbee jcpaa paHbi nonanyT b nocjieAHHe. B peajaibTaTe Kpaa paHbi cpacraiOTCH 3HaqnrejibHO Jiyame h 6ea MemaiomHX πο6οαημχ ηβικηηΉ no cpaBHeHHio co cjiyqaeM 0cnojib3o Balina ο6μαημχ ΓΠΒΟΒ hjih cko6ok. ĪTpopecc JieaeHH» h Bnemnnfi bha He noABepraioTCH MemaionieMy bjihmhhk), o6ycJioBJieHHOMy Hcnojn>30BaHHeM pacnpeflejieHHbix Bflojib njiHHbi pamn nraoB hjīh cko6. Bce onHcaHHhie npeHMymecTBa AeftcTByioT, b aacTHOCTH, b tom cjiyqae, ecjra onepaijHOHHbift raoB nepen peara3anHež cooTBercTBjTomero H3o6pereeHio npncnocofijTeHHH, HecKOJibKo noABepraerca, HanpHMep, c noMombK) XHpypnmecKoro 3axBaTa, nairpjoKcnaio pacTSDKeHHa b npoAOJībHOM HanpaBJienaa, KaK 3to noacHaerca HHace. B ocTaiibHOM yoioBHa OTHOcarejibHo Aocniniyrbix npenMyiHecTB hbjiaiotch HAeHTHAHbiMH, ecjra cooTBeTCTBjromee H3o6pereHHio HpacnocoČJieeee Hcnojib3yeTCH He npa npoAOJibHO pacnoaoJKeHHoft onepanHOHHofli paHe, a npH ΑεφεκτΗοΛ paHe.
B OTnejitHOCTH b paMKax H3o6pereHHa cymecTByeT HecKOJibKo B03M0XH0CTeft flaabHeftmero HcnojiHeHHa npHcnoco6neHHA b nejioM a oxAejibHbix KOHCipyKTHBHbix y3JIOB. OTHOCHTeJIbHO paAOB COeAHHHTCAbHbIX 3BeHbeB OAHa HpeflnOHTHTeJlbHaa φορΜΒ KOHCTpyKTHBHOrO HCnOJTHeHHH Η3θ6ρβΤβΗΗΗ OTJTHAaeTCH TeM, <m> pHJļbl coejmHirrejn>Hbix 3BeHbee BbmojraeHbi b BHfle HenpepbiBHbix panoe coenHHarejibHbix 3BeHbeB H3 nojraaMHAa hjih cjio>KHoro nojra^Hpa, a HMeHHo coctoat H3 μοηοβολοκηη. rinacTHKOBoe μοηοποαοτηο aojdkho xapaKTep03OBaTbca τοΛπρίΗοή ΗΗτεή okojio 0,5 mm hjīh MeHee. Coejinncnne paflOB coenHHHTeJibHbix 3BeHbeB c HecymHMH noJiocaMH b paMKax H3o6peTeHHH MoaceT 6bm> jūo6mm. OflHa npennoaTHTejībeaa φορΜ3 HcnojraeHHa H3o(5pereHHa, KOTopaa Hanfionee 3φφεκτΗΒΗο ofiecneaHBaeT onHcaHHbie npeaMynxecTBa, oTjraaaeTca TeM, ato panti coenHHHreJibHbix 3BeHbeB a HecymHe nojīochi coenHHeHbi τκβακημ cnocofioM. TaKoe coeAHHeHHe paAOB coeAHHHTejibHbix 3BeHbeB C HecyiDHMH HOAOCaMH o6yCAaBAHBaeT B03HHKH0BeHHe ΤΒΚΗΧ MexaHHqeCKHX napaMeipoB 3aMKa ”MojīHHa” n npHcnocofSjieHna b ne/ioM, KOTopbie nonnepacHBaioT OIīHCaHHbie οφφεΚΤΜ, B AaCTHOCTH OTHOCHTeJIbHO COIipOTHBJieHHIO ΑεφορΜβΗΗΗ npa CKpyHHBaHHH Η οφφεΚΤΒ IlīHHbl B COeAHHeHHOM COCTOaHHH. PaAbI COeAHHHTeJībHbIX 3BeHbeB ΗΜεκϊτ b coenHHeHHOM coctoahhh Henecoo6pa3Hyio mapHHy okoao 5 mm.
HeeymHe noJiochi Moryr βμποαηατβοα H3 pa3JTHAHhix MaTepaajioB, KOTopbie amiaiOTca ο6μαπμμη hjia TeKcnuibiioa τεχιΐΗΚΗ η, b AacTHocTH, b τεχΗΗκε LV 10570 5. nepeBJBoqHbix MarepnanoB. B cooTBercrBHH c npennonniTenhHoft φορΜοή HcnojiHemm H3o6percHEN HecymHe nonocu coctoht B3 noJiHaMima hjih cnonoioro nonH3<f)Hpa. B cnyqae cooTBercTByioinero H3o6pereHHio npHcnoco6neHHa o6pa3yionme CBo6oflHoe npocTpaHCTBO paHbi flHCTaHUHOHHbie nojiocu flOJDKHbi pacnonaraTbca ot cpenHeft jīhhhh coejļHHeHHi)ix paaoB coejļHHHTeiif>HWX 3BeHheB Ha yaaneHira ot 4 ao 10 mm., npeanoBTHrejitHO ynaiieHHe okojio 7 mm. 06pa3yiomHe CBoGoflHoe npocrpaHCTBo paHHi jīHCTaHpHOHHbie nojiocbi b peJiecooāpa3HOM cnyqae hmcjot ToamHHy οτ 0,5 ao 1,5 mm, npejmoqraTejn>HO 1 mm. npeanoaTHTejcbHaa <ļ>opMa HcnojraeHHa H3o6pereHHn oTOHBaercH, κροΜε τογο, tcm, qro o6pa3yK>mHe cBo6onHoe npocrpaHCTBo paHbi aHcraHOHOHHbie nonocbi BbmonHeHbi KJie&KHMH Ha CTOpOHe Hanonceran Ha κοχγ, b pe3yjibTaTe qero yjiyqmaioTCH yxe onHcaHHbie ycnoBHH npn 3aKpbmaHHH 3a\nca ”mojihhh” cooTBercTBjTomero H3o6pereHHK> npacnocoOneHHH, a TaicKe ycnoBan npH 3aicpbiTOM 3aMKe ”mojihhh”. 3aKpbiraa paša qacro BbiaejiaeT οεκρβτ. 3to He OKaabiBaeT Memaiomero bjihhhhh npn Hcnojn>30BaHHH cooTBercTByiornero H3o6pereHHK) npHcnocočneHHH ynce noxoMy, qro ceKper creicaeT qepe3 CBoSoaHoe npocTpaHCTBO pam>i. OraocHrenbHO ΟΠΌ Ka ceKpera onra npennonTHTejibHan (ļ)opMa acnojmeHHn H3o6pereHHH omHnaercfl, κροΜε τογο, TeM, qro Hecynme nonocbi b očnacrH Me*ay pnnaMH coenHHHrenbHHX 3BenbeB n o6pa3yioinHMH cBoOoaHoe npocTpaHCTBO pam>i αηοτβηηηοηημμη nojiocaMH BbinojiHeHbi b KanecTBe npeHa>KHbix o6nacreā, HanpHMep, ocHameHhi περφορηΗΗΟΗΗΒίΜΗ OTBcpcTHHMH. ΠρΗ paccMOTpeHHH co cTopoHu Marepaana npHMemrrejEbHo κ o6pa3yK>mHM CBo6oflHoe npocTpaHCTBO pami flHcraHnHOHHHM nojiocaM paOoTbi Moncer ocyinecTBJiaTbca c caMbiMH pa3Hoo6pa3HbiMH MaTepnanaMH. Taitace η b 3Tom cnyqae peKOMeHnyercn, onnaKO, Hcnojn>30BaTb tojilko re MaTepaanu, Komopbie yxe nononcHTenbHO 3apeKOMeHflOBanH ce6n Ha npaicraKe nepeaiBonHoā τεχΗΗΚΗ. B aroft B3aHMOCBH3H H3o6pereHHeM peKOMeHayercH BbmojraeHHe o6pa3yionmx cBodonHoe npocrpaHCTBo paHbt nacTaHnaoHHbtx nonoc b Kanecrae 3JiacTHqHbix neHonnacroBbrc κηεήκηχ nonoc b φορΜβ MHKponopHcroro nnacrbipn, ο6ι>ριηογο pa MejnmHHCKoll nq>eBB3oqHoft tcxhhkh. B nenoM MincponopHCTbift Maicpnaji coctoht H3 3aKpbrn>ix ποηΗΒΗΗΗηχηορΗηΗΜΧ aqeeK tum nojiH3TaneHOBbix aneeK. Κηεήκπε hojiocu Moryr 6bm> BbinonHeHbi rajoKe c nenbfo KpenneHHH Hecynņax nonoc Bflonb Kpaee paHbi b KanecTBe ariacTHqHbix nonoc H3 neHonnacra, b nacrnocra, b φορΜε MHKponopHcroro nnacTbipH. Enīman nonoca mohcct Hcnonb30BaTbcn xajc>Kc b BHne flHCTaHHHOHHož nonocbi, raK η κηεήκκχ nonoc. <t>aKraqecKHe TaKHe neHonnacTOBbie nonocbi xapaicrepH3yioTCH xapaicrepHCTHKaMH pacranceHim, cxojīhumh c xapaicrepHCTHKaMH pacmnceHHH kojkh. CymecTByeT raiOKe βο3μο>κηοοπ> raKoro BbiOopa KOHcipjncrHBHoro pemeHHH, npn κοτοροΜ κηεΛκκε nonocbr jvw KpenneHHn Hecynmx nonoc enonb Kpan paew BbinonHeHbi b BHne κηεΰκπχ c imnoiefl cropoHbi 6. περαΜΟΟΜΗΜΧ MapjieBhix nojioc, Korophie othochtcjiIīHO 3aMKa "mojihhji” oTJiH'iaKrrca MajībiM pacTJDKeHHeM b nponoJibHOM HanpaBJieHHH η βοιμοκηοοίικ) pacnDKeHHH b nonepenHOM HanpaBJieHHH. CaMO co6oft pa3yMeeTCfl, qro Hecynnie nojiocbi nojraoibi 6bm> coeflHHeHbi c KJieŽKHMH nojiocaMH. 3to coeflHHeeae mo^kct ocymecTBJum>cji paajIHHHMM o6paTOM, HanpHMep, nOCpenCTBOM npHKJieHBaHHH, CBapHBaHHH, C □OMOIUbK) HIBeHHOrO mea HJIH ΠρΗΧΒΗΤΚΗ HJIH nOCpenCTBOM HC0OJIb3OBaHHH KOMČ)HHaiIHH 3ΤΗΧ CnOCOČOB. B cjiyqae peajm3aiiHH cooTBercrByiomero H3o6pereHHio npHcnocoSjieHHH h 3aKpwBaHH« paHM onHcaHHbiM Bhime o6pa30M nocpencTBOM aaKpbiBaHHH 3aMKa ”mojihhh” B03HHKaiouiHe npa 3TOM, BoijieācTBVTomHe b npofloJibHOM HanpaBJieHHH 3aMKa "mojihhh” yciuiHii npojiojibHoro HaTiDKeHHn b nejiecoo6pa3HOM c;iyqae He npHHHMaiOTca Koacež qepe3 KJieāioie nojiocbi, a, HanpoTHB, orBOimrcn. C aroi nejibio H3o6pereHHeM peKOMeHjiyercn, qro6bi Hecymne nojiocbi Ha 3aKpbiTOM h/hjīh οτκρΜΤΟΜ KOHije 3aMKa "mojihhh” conepacajm ynepxcHBaiomyio nerrao, Koropaa Hcnojn>3yerca hjih npHeMa Harpy30K pacTOJKeHHa npn saKpbiBaHHH hjih oncpbiBaHHH 3aMKa "mojihhh”. rionepenHbie ycEJiHJi bocnpHHHMaiorcn KJieŽKHMH nojiocaMH.
Hecyimie nojiocbi 3aMKa "mojihhh” cooTBeTCTByiomero H3o6pereHHio npHcnocočjieHHn Moryr 6bm> BbinojmeHbi b Bane hjiockhx dojioc h pacnojiaraTbcn b oAHoft njiocKocm, npHneM pnjibi coejiHHHTejibHbix 3BeHbeB co cropoHbi kohch ojiHHaKOBO nonnoaceHbi HecyniHMH nojiocaMH. CymecTByeT, oneaKo, TaKace B03M0»CH0CTb pafioTbi c TaK Ha3biBaeMbiMH CKpbiTbiMH 3aMKaMH "mojihhjT. Taican φορΜΒ HcnoJiHeHHa cooTBercTByiomero H3o6percHHio npHcnocoCjieniūi oTJmnaercn TeM, qro Hecynnie nojiocbi b o6jiacra panoB coejiHHHTejn>Hbix 3BeHbeB V-o6pa3Ho H3orHyn>i BOKpyr npofloJibHOŽ och, qro panbi coeflHHHTejibHbix 3BeHbee pacnojioaceHbi Ha V-o6pa3HOM H3ra6e h hto V-o6pa3Hbie η3γη6μ coneftcTByioT TOJimaHe AHCTamiHO HHbix nojioc hjih o6pa3yioT ee. JļocTHrHyn>ie npeHMyinecTBa cjieayeT ycMaTpHBaTb b o6o6meHHOM BHqe b tom, hto cooTBercTBVTomee H3o6pereHHio npHcnocoČJieHHe Μθ>κετ Hcnojn>30BaTbca KaK 3aKpbiBaHHa paHbi, xax h b nponecce Kypca JieneHHH h Bener κ 3HaqHTejn>HO JiyqnmM pe3yjibxaxaM, qeM miaccnnecKoe 3aKpbiBaHHe paHbi nocpejicTBOM πιβοβ hjih cko6. 3to cnpaBenjiHBO, b qacTHocTH, b tom cjiyqae, ecjīH peajnnanHH npHMeHnrejibHO κ προχοηΗΠίεΗ b ochobhom b npo/iojibHOM HanpaBJieHHH onepanHOHHOH paMe c nepBOHanajībHo oTKpbrroā noBepxHocTbio ocyiuecTBJineTca TaKHM oC5pa30M, qro onepanHOHHan paHa, HanpHMep, c πομοπο>κ> XHpyprHqecKoro 3axBaxa; pacrarHBaeTCH b nponoJibHOM HanpaBJieHHH h b pe3yjibTaTe 3τογο yMeHbinaercH noBepxHocn. paHbi; qro b/iojib Kpan yMeHbmeHHOH noBepxHocTH paHbi Ha Koacy HaKJieHBaeTCH mieftKan nojioca npHcnocočJieHHH npH OTKpbiroM 3aMKe "mojihhh”, a HMeHHo TaKHM o6pa30M, qro yjianeHHe ot icpan paHM no tcpan flHCTaHUHOHHOH nojiocbi coeraBJiHeT npH6jiH3HrejibHO noJioBHHy BejiHHHiibi ιπκρΗΠΜ lv ir cBofio/iHoro npocTpaHCTBa paHhi, ’rro BROJih npoTHBOJiejKamero Kpaa yMem>nieHHOH □oBcpxHocTH paHbi Ha Koacy cooTBercTByiomHM o6pa30M eaKJieHBaeTca iīpyraH KJieŽKaa nojioca η mto nocJie aroro 3aMOK ”mojihhh” 3aKpMBaerca nocpejicTBOM nojnyHKa h b pe3yjn>xaxe aroro Kpaa paHbi npiDKHMaiOTCfl flpyr κ apyiy. PeKOMeHflyercH pačoTaTb c rrpHcnoco6jienHeM, jļJiHHa 3aMKa ”mojihhh” Koroporo npHfijimHTeJihHO Ha 4 cm npeBbiiuaeT λπηηυ paHbi, h ycraHaBJiHBaeT npHcnocoČJieHHe TaKHM o6pa30M, qro6bi 33MOK ”mojihhh” Ha o6eHX KOHnax paHw BbicTynaji npnC)jra3HTCHbHO Ha 2 cm. CaMO co6oā pa3yMeercH, qro b cjiyqae ΑβφααΉΜΧ paH fleficrejTOT aHajiorHHHbiM o6pa30M, to ecn. Kpaa paHW raKJKe cMMKaiOTCH nocpejicTBOM 3aicpbiBaRHH 3aMKa ”mojihhh”. ΓΤρπ □tom nponecc jieaeHHH MoaceT npoBOHHTbca b HecKOJibKo 3xanoB h ot arana κ 3rany MOHteT ocyiuecTBJiHTbCH HOBaa peajiH3ai(HH cooTRercrByiomero H3o6pereHHK) npHCQOCo6jieHHH.
HnjKe H3o6pereHHe noHCHHerca 6oJiee ποχροδπο Ha ocHORaHHH qepne}Ka, noica3biBaK>mero hcκήοηητ&πβηο ohhh npHMep HcnojraeHHH. Φηγ. 1 cxeMaTHHecKH noKa3hiBaeT bh/| cBepxy Ha cooTBercTBjromee H3o6pereHHK> npHcnocoCjieBHe. Φηγ. 2 cxeMa"raqecKH noKa3biBaeT b npcmīBOnojioacHocTb φπΓ. 1 b yBejmqeHHOM Macnrra6e ceqeHHe A-A qepe3 npeHMer Φηγ. 2. Φηγ. 3 cxcMaTHqccKH noKa3MBaeT b cooTBercrBHH c φΗΓ. 2 ceqeHne qepe3 cooTBeTCTByiomee H3o6pereHHio npHcnocoČJieHHe npyrofl KOHCTpyKHHH. Φηγ. 4 noKa3hreaeT 3aKpbiBaHHe onepanHOHHOH paHbi c noMombio cooTBercTBjoomero H3o6pereHHio npHcnocočJieHHH. H3o6pa)KeHHoe Ha φκΓγρΗΧ irpHcnocofHieHHe cjiyaofT jyw 3aKpbiBaHHH paHbi, b qacTH0CTH, npoxojwmeft QpeHMymecTBeHHO b npHMOM HanpaBJieHHH onepanHOHHoā paHhl. B COCTaB OCHOBHOft KOHCTpyKHHH ΒΧΟΛΗΤ: COCTOHinHH H3 J|ByX TCKCTHJIbHbIX Hecynmx nojioc 1 h pacnojioaceHHbuc Ha hhx panoB 2 coeaHHHrejibHbix 3JieMeHT0B, a TaKJKe 3aKpbiBaiomero nojnyHa 3 33μοκ 1, 2, 3 ”mojihhh” h npHcnocofrneHHe 4 jvih KpeimeHHH HecymHX oojioc 1 3aMKa 1, 2, 3 ”mohhhh” Ha κοχε naaneera hjih ΗΟΙΒΟΤΗΟΓΟ BftOJIb KpaeB paHbl.
Ph cpaBHHreabHoro paccMOTpeHHH φπΓ. 1-3 mojkho 3aKjnoqHTb, qro 33mok 1, 2, 3 ”mojihhh” līpeACTaBjiaeT cofioft othocnrejibho pa/ioR 2 coe/ļHHHTejn>Hbfx iBCHbCB h HecymHX nonoc 1 očbiHHbift ara ofleacubr, γηΘκηΑ 3ημοκ ”mojihhh” c oT/niqaiomHMHca MajībiM pacTJOKeHHeM Hecyn|HMn nojiocaMH 1 h orraHaionpiMHCH conpoTHBJieHHeM ϋΰφθρΜ3ΗΗΗ ΓΓρΗ ΟΚργΠΗΒΗΗΗΗ B COeflHHeHHOM COCTOHHHH pHflaMH 2 COeHHHHTejIbHbIX 3BeHbeB. Φηγ. 2 h 3 nofcaaMBaioT, qro Ha o6pameHHoft κ paHe hhhchch CTOpoHe Ha paccTOHHHH ot p»v>B 2 coeflHHHTCJībHbK 3BeHbeB Ha HecymHX nojiocax 1 paCDOJlOHCeHbl o6pa3yionHie cBo6o/|Hoe npocTpaHCTBO paHbi HHCTaHHHOHHbie nojiocbi 5. npHcnoco6aeHHe hjih KpeiuietiHH HecyniHX nojioc BAOJib KpaeB paHbi coctoht h3 CBinaHHMX C HecyiīlHMH nOJIOCaMH 1 KJieHKHX IIOJIOC 4 C HaHeceHHhIM Ha CTOpOHy, očpameHHOH κ Koxce, laiefiKHM cnoeM, He oKaibieaioiiuiM pampancaioinero bjihhhhh na KO>Ky. BbicTyn 4a BbicTynaeT Haji necyiHHMH nojiocaMH 1. Hecynrae nojiocbi I npojioKeHbi KJie^KHMH nojiocaMH 4 no Meiibinen Mepe Ha nacra hx HrapHHbi h KJieHKHe nojiocbi 4 HMetor Ha hx oOpameHHOH κ κο>κε oOjiacra ππψΗΗγ, o6ecnenHBaioniyio npHeM ycHJiHH noaepenHoro pacTJDKeHHH npH 3aKpbiBaHHH paHbi h npH 3aKpbrroH c noMombio 3aMKa 1,2, 3 ”mojīhhh” paHe. B cjiynae npHMepa hcūojihchhh h b coorBercTBHH c npeflnomTrreJibHoft φορΜοή HCnOJIHeHHH H3o6peTeHHH pSAbl 2 COejļHHiTrejn>Hb[X IBeHbeB BbinOJmeHbl B BHfle Heirpq)bIBHbIX paflOB COeHHHHTejn>HbIX 3BeiIbeB H3 nJiaCTHKOBOrO MOHOBOnOKHa H coctoht b npeAnoHTHTejibHOM cnyqae H3 πο-imaMHAa aira cAOHCHoro nojn^Hpa. TojraraHa HHreā njiacTHKOBoro mohobojiokh3 mohcct cocraejum» npH6jra3HTejibHO 0,5 mm. B ocTanbHOM pHjiy 2 coejiHHHTejibHbix 3BeHbeB coeAHHeHbi c HecynraMH nojiocaMH nOCpeflCTBOM ΤΚ3ΗΗΟΓΟ COCAHHCHHH. B COeflHHeHHOM COCTOHHHH OHH HMCK3T IIIHpHey okojio 5 mm. Hecynrae nonocbi 1 Moryr cocTOjm» H3 nojraaMHjia aira cjioaraoro noJiH3<ļ)Hpa. 06pa3yionrae cBoOoAHoe npocTpaHCTBO paHbi AHcraHHHOHHbie nojiocbi 5 pacnojioHteHbi vnajieHHbiMH ot cpeAHen jihhhh coeAHHeHHbix panoB 2 coeAHHHrejn>Hbix 3BeHbeB, a HMeHHO, Ha paceromrae οτ 4 ao 6 mm. B cnjraae npHMepa HcnojraeHHH paceroHHHe Μοχβτ cocraBAim» okoao 7 mm. 06pa3yionrae cBočonHoe npocipaHCTBO paHbi AHCTaHHHOHHbie noAOCbi 5 HMeior b ocraiTbHOM TOjmraHy ot 0,5 ao 1,5 mm. B cjiynae npHMepa Hcno/meHHH TOAnraHa MoaceT cocraBJiinb 1 mm. ŪHCTannHOHHbie nOJIOCbl 5 HBJ1HIOTCH KJieftKHMH C HHJKHeft CTOpOHbl. H3 Φηγ. 1 η 4 bhaho, b nacTHOCTH, HTO Hecynrae nonocbi 1 b 06.iiacTH Mexny pHAaMH 2 coeAHHHTejn>Hbix iBenbeB h o6pa3yionraMH CBoOoAHoe npocrpaHCTBo paHbi AHCTaHHHOHHblMH HOAOCaMH 5 BbinOAHeHbl Β BHAC ApeHa)KHblX 30H H C 3T0Ž HeJIbiO OCHaraeHbl ΠερφορΒΗΗΟΗΗΜΜΗ OTBepCTHHMH 6. B cnyqae φορΜΜ HcnojraeHHH no φΗΓ. 1 h 2 o6pa3yjonrae cBoOoAHoe npocrpaHCTBo paHbi AHCTaHiraoHHbie nojiocbi 5 BbinojmeHbi b Bane airacTHHHbix κηεϋκΗχ neHoaiiacTOBbix nonoc β φορΜβ MHKponopHcroro nnacTbipH, οΟμηηογο hjib nepeBH3onHOH tcxhhkh. Μ ηκρ o nop hctbi ft Maropnaii coctoht, HanpHMep, H3 noJiHBHHHJuciiopHAHbix aneeic. Kohctpjtchhh BbiOpaHa b AeraiiHX tbkhm o6pa30M, nro Hecynrae nojiocbi 1 noAJioHceHbi neHonjiacroBbiMH nojiocaMH 5, aoropbie πομημο pacnoJioHteHHoro co cropOHbi kojkh KJieHKoro cjioh conepacaT pacnoJioaceHHbift ea cropoHe Hecymeft nojiocbi KJieftKHft cjioft, a hmchho no MeHbmen Mepe b oOjtacTH HecyraeH nojiocbi, h hto Ha oOpameimoft b cropoHy οτ kohch cropoHe 3thx neHonjiacTOBbix nonoc 5, HaKAeeHa cjieAyioraaH ncHonnacroBan nojioca, Koropaa onaieHBaeT necyume nonocbi 1 biuiott. ao npenanaioft 30Hbi c περφορβηΗβή 6. LV 105709.
KoHCTpyKUHH Bhidpana Ha φΗΓ. 1 h 2 TaKHM ofjpaioM, mto iciefiKHe nojiochi 4 ara KpeimeHHH Hecyunix nojioc I βαο;π> tcpaa paHbi Taoce Bbinoraeiibi b BHne 3JiacTHqHbix neHonjiacTOBbix nojioc b φορΜε MHKponopHCToro MaTepHajra. ,Πβοτβηπηοηηια nojioca 5 nepexoflHT b ιοιεήκγιο nojiocy 4. B οτιίΗΜκε ot aroro φΗΓ. 3 noKa3biBaeT φορΜγ HcnojraeHHH, πρπ κοτοροίί KneftKHe nojiochi 4 ara KpenneHHH HecyniHx nojToc 1 B/iora Kpaa paHbi BbinoraeHbi b KanecTBe κηεϋκΗΧ c HH>KHeā οτοροΗω nepeBjnoqHbix MapjreBbix nojioc, κοτορΜε, OTHOCHTejihHO laMKa 1, 2, 3 ”mojihhb” oTranaioTCH MaraiM pacnDKeHHeM b npoaoJibHOM HanpaBJieHHH h B03Mo*cnocTbio pacnDKeHHfl b nonepeqHOM HanpaBJieHHH. B npHMepe HcnoraeHiia HecymHe nojiocbi 1 h KJiefioe dojiocm 4 coeaHHeHbi MejKjiy co6oft nocpe^cTBOM KJien. Ohh Moryr. 6hrn> ofrbe/imieHbi c κηεήκΗΜΗ nojiocaMH, oflHaKO, TaiOKe ara AonoraHrejibHO c noMombio nroeāHoro mBa ara HpHXBaTKH.
Ha φΗΓ. 1 nomaHO, qro HecymHe nojiocbi Ha 3aicpbiTOM KOHne Moryr 6bm> ocHameHM yjiep>KHBaiomeft nemeft 7, Koropaa npejiycMOTpeHa jira npneMa HarpyiOK npojioHbHoro pacrscKeHHH npe 3aicpbiBaHHH 3aMxa 1, 2, 3 ”mojihhh”, npaqeM onepaTop 3axBaTbiBaeT ary yjļep>KHBaK>niyTo nerra) 7, ecra oh, c JĪpyroft cTopoHbi, npHBOHHT r HežcTBHe laKpbiBaioiHHŽ nojnyHOK 3 3aMKa "mojihhh” c neraio 3aicpbiBaHHH paHbi.
H3 φΗΓ. 4 bhaho, KaKHM o6pa30M peajiH3yercH rrpHcnoco6jieHHe ormcaHHoft KoacTpyKHHH b oiyqae npoxoramež npeHMymecTBčHHO b nponoJibHOM HanpaBJieHHH onepanHOHHoft paHe W c nepBOHaqain>HO οικρωτοή noBepxHocrbK) paHbi. Φηγ. 4 noKa3biBaeT, qro onepanHOHHaa pana W 6bwa pacraHyra b προηο;π>ηοΜ HanpaBJieHHH c noMonibK) xHpypniqecKoro 3axnaTa H. TeM caMbiM 6buia yMeHbnieHa noBepxHocTb paHbi. BflOJib apafl R paHbi c yMeHbmeHHoft noBepxHocTbio Ha κοκγ 6bina HaicieeHa KJieftKan nojioca 4 npHcnocofijieHHH npn οτκρΜΓΟΜ 3aMKe 1, 2, 3 "Morara”, a HMeHHo TaKHM o6pa30M, nro paccToraHe ot īcpaa R paHbi ao Kpaa αηο^ηηηοηηοζ nojiocbi 5 cooTBercTByeT npH6ra3Hrejn>Ho nojioBHHe nmpHHbi οβο6οαηογο npocTpaHCTBa paMbi Me>Kay racTaHnHOHHbiMH nonocaMH 5. Ilocjie 3Toro BflOJib npoTHBonesKamero Kpaa R paHbi c yMeHbmeHHOH noBepraocTbio Ha KO>Ky cooTBercTByiomHM o6pa30M 6bina HaiuieeHa apyran KJietticaa nojioca 4. Φηγ. 4 noKa3biBaeT Mepbi HenocpeacTBeHHo nepea 33KpbiBaHHeM onepaaHOHHoft paHbi W nyreM nepeMeineHHH 3aKpbiBaiOtnero nojnyHKa. OnepaiiHOHHafl paHa W TeM caMbiM 3aKpbiBaerca πρκ nepeMemeHHH nojrcvHKa 3 b HanpaBJieHHH φκΓ. 4 CHH3y BBepx. 3a cneT 3τογο aocniraeTCH R3anMHbift npHMCHM Kpaee R paHbi. B ocraraHOM H3 Φηγ. 4 bhhho, qro 33mok 1, 2, 3 ”mojihhh” npHcnoco6jieHHH npH6ra3HrenbHo Ha 4 cm uraHHee paiibi W h BbiciynaeT npH6nH3HrejibHO Ha 2 cm Ββερχ h bhhi. CaMO co6oh pa3yMeerca, nro npeAHa3HaqeHHhie jijīh KpenjieHHH npHcnocofijieHHH Ha Koace κπεΐίκΗε noBepxHocTH 10. otfbRHMM oOpaioM ^aRpbiTbi njreHKOH, nrpHMetvf 3Ta ruieHKa ynajiaeTca nenocpe^cTBeHHo nepea ycraHOBKOH npHcilocotfaeHHa.

Claims (20)

  1. LV 10570 IZGUDROJUMA FORMULA 1.Ierīce brūču aizvēršanai, it īpaši taisno operācijas brūču, ar rāvējslēdzi, kura sastāv no divām tekstilmateriāla joslām, uz tām novietotu savienotājelementu rindām un saslēdzoša slidena, pie kam rāvējslēdzim ir ierīce, lai nodrošinātu lipīgu fiksāciju uz pacienta vai dzīvnieka ādas gar brūces malām, kura atšķiras ar to, ka rāvējslēdzis (1,2,3) ar savienotājelementu rindām (2) un nesošajām joslām (1) ir tekstilizstrādājumiem lietotais parastais, lokanais rāvējslēdzis ar raksturīgo nesošo joslu mazo stiepjamību un savienotājelementu rindu no poliamīda vai poliēstera lielo pretestību spiedes deformācijai; uz nesošo joslu pret brūci vērstās apakšpuses, zināmā attālumā no savienotājelementu rindām (2), ir novietotas distancēšanās joslas (5), veidojot brīvu telpu brūcei; ierīce lipīgajai fiksācijai ietver nesošās joslas (1) un virs nesošajām joslām (1) lipīgās joslas ar izcilni (4a) un nekairinošas līmes kārtu ādas pusē, pie kam vismaz daļa nesošo joslu platuma ir klātas ar lipīgajām joslām un lipīgās joslas, ieskaitot izciļņus (4a), ir ar tādu platumu, lai nodrošinātu stiepi šķērsvirzienā attiecībā pret brūci, kura ir aizvērta ar rāvējslēdzi (1, 2, 3) un ir ar kopā saspiestām malām.
  2. 2. Ierīce saskaņā ar 1.p., kas atšķiras ar to, ka savienotājelementu rindas (2) ir nepārtrauktas, no poliamīda vai poliēstera izveidotas savienotājelementu rindas. 2.
  3. 3. Ierīce saskaņā ar 2.p., kas atšķiras ar to, ka savienotājelementu rindu (2) plastikāta monolentes šķiedru biezums ir 0,5 mm vai mazāk.
  4. 4. Ierīce saskaņā ar ikvienu p.1.- 3., kas atšķiras ar to, savienotājelementu rindas (2) un nesošās joslas (1) ir savstarpēji saaustas.
  5. 5. Ierīce saskaņā ar ikvienu p.1.-4., kas atšķiras ar to, ka savienotājelementu rindas (2) savienotā stāvoklī ir apmēram 5 mm platas.
  6. 6. Ierīce saskaņā ar ikvienu p.1.-5., kas atšķiras ar to, ka nesošās joslas ir izgatavotas no poliēstera vai poliamīda.
  7. 7. Ierīce saskaņā ar ikvienu p.1.-6., kas atšķiras ar to, ka distancēšanās joslas (5), kuras veido brīvo telpu brūcei, ir novietotas 4-10 mm, vislabāk ap 7 mm no savienotājelementu savienoto rindu (2) viduslīnijas.
  8. 8. Ierīce saskaņā ar ikvienu p.1.-7., kura atšķiras ar to, ka distancēšanās joslas (5), kuras veido brīvo telpu brūcei, ir ar biezumu no 0,5 līdz 1,5 mm, vislabāk ap 1 mm.
  9. 9. Ierīce saskaņā ar ikvienu p.1.-8., kas atšķiras ar to, ka distancēšanās joslām (5), kuras veido brīvo telpu brūcei, ir lipīga uz ādas liekamā puse.
  10. 10. Ierīce saskaņā ar ikvienu p.1.9., kas atšķiras ar to, ka nesošās joslas - zonā starp savienotājelementu rindām un distancēšanās joslām, kuras veido brīvo telpu brūcei, ir izveidotas kā drenāžas zonas, piem. ar perforētiem caurumiem (6).
  11. 11. Ierīce saskaņā ar ikvienu p. 1.-10., kas atšķiras ar to, ka distancēšanās joslas (5), kuras veido brīvo telpu brūcei, ir izveidotas kā lipīgas, elastīgas putuplasta joslas mikroporu plākstera veidā, pie kam lipīgās putuplasta joslas izgatavotas, piem., no slēgtām polivinilhlorīda vai polietilēna šūnām. LV 105703.
  12. 12. Ierīce saskaņā ar ikvienu p.1-11., kas atšķiras ar to, ka lipīgās joslas, kuras paredzētas nesošo joslu fiksācijai uz brūces malām, arī ir izveidotas kā elastīgas, lipīgas putuplasta joslas mikroporu plākstera veidā un pāriet distancēšanās joslās (5).
  13. 13. Ierīce saskaņā ar ikvienu p.1.-11., kas atšķiras ar to, ka lipīgajām joslām (4), kas paredzētas nesošo joslu fiksācijai uz brūces malām, apakšpuse izveidota lipīgu savienotājjoslu veidā, kuras spēj šķērsvirzienā pret rāvējslēdzi (1, 2, 3) pastiepties, bet garenvirzienā to stiepjamība ir maza.
  14. 14. Ierīce saskaņā ar ikvienu p. 1.-13., kas atšķiras ar to, ka nesošās joslas (1) un lipīgās joslas (4) savstarpēji ir savienotas sametinot un/vai salīmējot.
  15. 15. Ierīce saskaņā ar ikvienu p.1.-14., kas atšķiras ar to, ka nesošās joslas (1) un lipīgās joslas (4) savstarpēji ir savienotas ar šūtu šuvi vai saķēri.
  16. 16. Ierīce saskaņā ar ikvienu p.1.-15., kas atšķiras arto, ka nesošajām joslām (1) aizvērtajā un/vai atvērtajā rāvējslēdža (1,2,3) galā ir turēšanas cilpa (7) rāvējslēdža (1, 2, 3) pieturēšanai aizvēršanas laikā, un tā paredzēta garenvirziena slodzes uzņemšanai, kura rodas rāvējslēdža (1, 2, 3) aizvēršanas un atvēršanas laikā.
  17. 17. Ierīce saskaņā ar ikvienu p. 1.-16., kas atšķiras arto, ka rāvējslēdža nesošās joslas (1) izveidotas plakanu joslu veidā, novietotas vienā plaknē un savienotājelementu rindas ir novietotas uz nesošajām joslām.
  18. 18. Ierīce saskaņā ar ikvienu p.1.-17., kas atšķiras ar to, ka nesošās joslas savienotājelementu rindu apvidū ir izliektas V-veidā ap garenasi, savienotājelementu rindas novietotas uz V-veida locījuma un V-veida locījumi veido distancēšanās joslām palielinātu biezumu.
  19. 19. Paņēmiens ierīces saskaņā ar ikvienu p.1.-18., uzlikšanai, sākumā ar atvērtu virsmu, uz operācijas brūces, galvenokārt tās garenvirzienā, kas atšķiras ar to, ka operācijas brūci, piem. ar ķirurģisku instrumentu, izstiepj garenvirzienā, samazinot brūces virsmu, uz ādas - gar malu brūcei ar samazināto virsmu - liek ierīces lipīgo joslu, rāvējslēdzim esot atvērtam, tādā veidā, lai attālums no brūces malas līdz distancējošās joslas malai atbilstu 4. aptuveni pusei brūces brīvās virsmas, ādai - gar pretējo malu brūcei ar samazināto virsmu - līdzīgā veidā pielīmē otru lipīgo joslu un pēc tam ar saslēdzošo slideni aizver rāvējslēdzi, piespiežot brūces malas vienu otrai.
  20. 20. Paņēmiens saskaņā ar 19.p., kas atšķiras ar to, ka darbu veic ar ierīci, kuras rāvējslēdža garums ir apmēram 4 mm lielāks par brūces garumu un ierīci novieto tā, lai rāvējslēdzis katrā brūces galā būtu tam pāri apmēram 2 cm.
LVP-93-663A 1986-12-16 1993-06-28 Device and method for closing the wound LV10570B (en)

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MX171073B (es) 1993-09-29
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HUT48447A (en) 1989-06-28
DD269550A5 (de) 1989-07-05
CA1319872C (en) 1993-07-06
US4881546A (en) 1989-11-21
KR880007050A (ko) 1988-08-26
IL84679A0 (en) 1988-05-31
ATE81762T1 (de) 1992-11-15
NO174654C (no) 1994-06-15
BR8706819A (pt) 1988-07-19
GR3006199T3 (lv) 1993-06-21
NO875175D0 (no) 1987-12-11
SK923787A3 (en) 1996-02-07
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AU8254387A (en) 1988-06-16
HK86494A (en) 1994-09-02
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JPS63240850A (ja) 1988-10-06
UA27024A1 (uk) 2000-02-28
RU2016550C1 (ru) 1994-07-30
EP0271741B1 (de) 1992-10-28
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IL84679A (en) 1992-02-16
NO875175L (no) 1988-06-17
FI94831B (fi) 1995-07-31
EP0271741A3 (en) 1989-07-26
DE3706599A1 (de) 1988-07-07
HU207433B (en) 1993-04-28
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FI875459A (fi) 1988-06-17
CN87108125A (zh) 1988-09-14
GEP19970919B (en) 1997-03-25
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CZ277971B6 (en) 1993-07-14
LV10570A (lv) 1995-04-20

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