TW202027694A - 脈管內部署導管、心室組織錨定件遞送系統及方法、血管內縫合線切割器及方法、瓣葉錨定件及其部署系統、縫合線及動態瓣葉管理系統、心臟同步瓣葉錨定件部署系統及方法、新腱索部署系統、經血管人造腱索的植入方法以及經導管二尖瓣弦修復的系統等應用 - Google Patents

脈管內部署導管、心室組織錨定件遞送系統及方法、血管內縫合線切割器及方法、瓣葉錨定件及其部署系統、縫合線及動態瓣葉管理系統、心臟同步瓣葉錨定件部署系統及方法、新腱索部署系統、經血管人造腱索的植入方法以及經導管二尖瓣弦修復的系統等應用 Download PDF

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Publication number
TW202027694A
TW202027694A TW108145547A TW108145547A TW202027694A TW 202027694 A TW202027694 A TW 202027694A TW 108145547 A TW108145547 A TW 108145547A TW 108145547 A TW108145547 A TW 108145547A TW 202027694 A TW202027694 A TW 202027694A
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Taiwan
Prior art keywords
suture
anchor
leaflet
lock
needle
Prior art date
Application number
TW108145547A
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English (en)
Chinese (zh)
Inventor
戈登 Ｂ 比夏普
艾瑞克 葛里斯伍德
史蒂芬 Ｒ 麥克丹尼爾
忠 Ｈ 范
卡梅倫 Ｐ 普賽爾
賢 Ｎ 藍
Original Assignee
美商派普萊恩醫療科技股份有限公司
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Priority claimed from US16/297,422 external-priority patent/US11083580B2/en
Application filed by 美商派普萊恩醫療科技股份有限公司 filed Critical 美商派普萊恩醫療科技股份有限公司
Publication of TW202027694A publication Critical patent/TW202027694A/zh

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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
    • A61F2/2442—Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2454—Means for preventing inversion of the valve leaflets, e.g. chordae tendineae prostheses
    • A61F2/2457—Chordae tendineae prostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • 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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0467—Instruments for cutting sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00778—Operations on blood vessels
    • A61B2017/00783—Valvuloplasty
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0406—Pledgets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409—Instruments for applying suture anchors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0417—T-fasteners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/044—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors with a threaded shaft, e.g. screws
    • A61B2017/0441—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors with a threaded shaft, e.g. screws the shaft being a rigid coil or spiral
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0464—Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors for soft tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A61B2017/0488—Instruments for applying suture clamps, clips or locks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B2017/06052—Needle-suture combinations in which a suture is extending inside a hollow tubular needle, e.g. over the entire length of the needle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/04—Surgical instruments, devices or methods for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/061—Needles, e.g. needle tip configurations hollow or tubular
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • 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
    • A61F2220/0008—Fixation appliances for connecting prostheses to the body
    • A61F2220/0016—Fixation appliances for connecting prostheses to the body with sharp anchoring protrusions, e.g. barbs, pins, spikes
    • 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
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0091—Three-dimensional shapes helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section
    • 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
    • A61F2250/0058—Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098—Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers

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  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Rheumatology (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
TW108145547A 2018-12-12 2019-12-12 脈管內部署導管、心室組織錨定件遞送系統及方法、血管內縫合線切割器及方法、瓣葉錨定件及其部署系統、縫合線及動態瓣葉管理系統、心臟同步瓣葉錨定件部署系統及方法、新腱索部署系統、經血管人造腱索的植入方法以及經導管二尖瓣弦修復的系統等應用 TW202027694A (zh)

Applications Claiming Priority (14)

Application Number Priority Date Filing Date Title
US201862778662P 2018-12-12 2018-12-12
US201862778624P 2018-12-12 2018-12-12
US62/778,624 2018-12-12
US62/778,662 2018-12-12
US16/297,422 US11083580B2 (en) 2016-12-30 2019-03-08 Method of securing a leaflet anchor to a mitral valve leaflet
US16/297,422 2019-03-08
US201962875265P 2019-07-17 2019-07-17
US62/875,265 2019-07-17
US201962897207P 2019-09-06 2019-09-06
US62/897,207 2019-09-06
US201962897809P 2019-09-09 2019-09-09
US62/897,809 2019-09-09
US201962905267P 2019-09-24 2019-09-24
US62/905,267 2019-09-24

Publications (1)

Publication Number Publication Date
TW202027694A true TW202027694A (zh) 2020-08-01

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Application Number Title Priority Date Filing Date
TW108145547A TW202027694A (zh) 2018-12-12 2019-12-12 脈管內部署導管、心室組織錨定件遞送系統及方法、血管內縫合線切割器及方法、瓣葉錨定件及其部署系統、縫合線及動態瓣葉管理系統、心臟同步瓣葉錨定件部署系統及方法、新腱索部署系統、經血管人造腱索的植入方法以及經導管二尖瓣弦修復的系統等應用

Country Status (8)

Country Link
US (1) US11696828B2 (https=)
EP (1) EP3893810A4 (https=)
JP (1) JP2022513793A (https=)
CN (2) CN113286566B (https=)
AU (2) AU2019397490B2 (https=)
CA (1) CA3123034A1 (https=)
TW (1) TW202027694A (https=)
WO (1) WO2020123719A1 (https=)

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US11471282B2 (en) 2019-03-19 2022-10-18 Shifamed Holdings, Llc Prosthetic cardiac valve devices, systems, and methods
US11672657B2 (en) 2018-10-05 2023-06-13 Shifamed Holdings, Llc Prosthetic cardiac valve devices, systems, and methods
US11833034B2 (en) 2016-01-13 2023-12-05 Shifamed Holdings, Llc Prosthetic cardiac valve devices, systems, and methods
US12053371B2 (en) 2020-08-31 2024-08-06 Shifamed Holdings, Llc Prosthetic valve delivery system
US12201521B2 (en) 2021-03-22 2025-01-21 Shifamed Holdings, Llc Anchor position verification for prosthetic cardiac valve devices
US12290456B2 (en) 2018-08-21 2025-05-06 Shifamed Holdings, Llc Prosthetic cardiac valve devices, systems, and methods
US12329635B2 (en) 2020-12-04 2025-06-17 Shifamed Holdings, Llc Flared prosthetic cardiac valve delivery devices and systems
US12403008B2 (en) 2018-10-19 2025-09-02 Shifamed Holdings, Llc Adjustable medical device

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US11083580B2 (en) 2016-12-30 2021-08-10 Pipeline Medical Technologies, Inc. Method of securing a leaflet anchor to a mitral valve leaflet
US11696828B2 (en) 2016-12-30 2023-07-11 Pipeline Medical Technologies, Inc. Method and apparatus for mitral valve chord repair
US10925731B2 (en) 2016-12-30 2021-02-23 Pipeline Medical Technologies, Inc. Method and apparatus for transvascular implantation of neo chordae tendinae
US12472062B2 (en) 2016-12-30 2025-11-18 Pipeline Medical Technologies, Inc. Method and apparatus for mitral valve chord repair
US9877833B1 (en) 2016-12-30 2018-01-30 Pipeline Medical Technologies, Inc. Method and apparatus for transvascular implantation of neo chordae tendinae
US11173030B2 (en) 2018-05-09 2021-11-16 Neochord, Inc. Suture length adjustment for minimally invasive heart valve repair
US11376126B2 (en) 2019-04-16 2022-07-05 Neochord, Inc. Transverse helical cardiac anchor for minimally invasive heart valve repair
US11844695B2 (en) 2019-10-11 2023-12-19 Opus Medical Therapies, LLC Devices for transcatheter chordal implantation and methods of implantation
US11622859B2 (en) * 2019-11-08 2023-04-11 Evalve, Inc. Medical device delivery system with locking system
CN115151220A (zh) * 2020-01-13 2022-10-04 爱德华兹生命科学公司 用于经导管输送系统的手柄锁定机构
US12208007B2 (en) 2020-01-16 2025-01-28 Neochord, Inc. Helical cardiac anchors for minimally invasive heart valve repair
JP7701390B2 (ja) 2020-06-17 2025-07-01 パイプライン メディカル テクノロジーズ， インコーポレイテッド 僧帽弁腱索修復のための方法及び装置
CN115968273A (zh) * 2020-09-25 2023-04-14 波士顿科学国际有限公司 使迁移最小化并且使接合最大化的组织锚固件
CN116157097A (zh) * 2020-09-30 2023-05-23 波士顿科学国际有限公司 用于可调整地张紧心脏中的人工腱索的装置、系统和方法
EP4259042A1 (en) * 2020-12-10 2023-10-18 Boston Scientific Scimed, Inc. Anchoring devices, systems, and methods for implantable device
CN112773566B (zh) * 2021-02-07 2025-08-26 中国医学科学院阜外医院 一种通用型心脏瓣膜病介入器械稳定器
WO2022232070A1 (en) * 2021-04-25 2022-11-03 Pipeline Medical Technologies, Inc. Pericardial anchoring system
CN115500883A (zh) * 2021-06-23 2022-12-23 上海竞微扶生医学科技有限公司 输送器、勾线器及隧道式过线系统
CN115227308B (zh) * 2022-09-26 2022-12-02 上海汇禾医疗器械有限公司 一种锁剪一体式装置
JP2025540120A (ja) 2022-12-06 2025-12-11 ボストン サイエンティフィック サイムド，インコーポレイテッド 低侵襲処置中に縫合糸を切断するための医療デバイス
CN115990077A (zh) * 2023-01-31 2023-04-21 科瑞迈吉(北京)医疗科技有限公司 钳夹器输送装置和钳夹器输送系统
US20240268811A1 (en) * 2023-02-09 2024-08-15 Biomet Manufacturing, Llc Handheld self-punching device
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AU2019397490B2 (en) 2025-05-22
AU2019397490A1 (en) 2021-07-29
AU2025220849A1 (en) 2025-09-11
AU2019397490A2 (en) 2022-01-27
CN121129502A (zh) 2025-12-16
CA3123034A1 (en) 2020-06-18
CN113286566B (zh) 2025-12-05
WO2020123719A1 (en) 2020-06-18
EP3893810A1 (en) 2021-10-20
JP2022513793A (ja) 2022-02-09
US11696828B2 (en) 2023-07-11

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