WO2004108058A2 - Hazardous material handling system and method - Google Patents

Hazardous material handling system and method Download PDF

Info

Publication number
WO2004108058A2
WO2004108058A2 PCT/US2004/017443 US2004017443W WO2004108058A2 WO 2004108058 A2 WO2004108058 A2 WO 2004108058A2 US 2004017443 W US2004017443 W US 2004017443W WO 2004108058 A2 WO2004108058 A2 WO 2004108058A2
Authority
WO
WIPO (PCT)
Prior art keywords
vial
valve
adaptor
body portion
isolation enclosure
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.)
Ceased
Application number
PCT/US2004/017443
Other languages
English (en)
French (fr)
Other versions
WO2004108058A3 (en
Inventor
Edward G. Connell
Marwan Fathallah
Kenneth A. Hsu
John Norman
William L. Rudzena
Karl J. Sprague
John S. Ziegler
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Hospira Inc
Original Assignee
Hospira Inc
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 Hospira Inc filed Critical Hospira Inc
Priority to AU2004245055A priority Critical patent/AU2004245055A1/en
Priority to CA 2527924 priority patent/CA2527924C/en
Priority to EP20040754122 priority patent/EP1633301A2/en
Priority to JP2006515115A priority patent/JP4664906B2/ja
Publication of WO2004108058A2 publication Critical patent/WO2004108058A2/en
Publication of WO2004108058A3 publication Critical patent/WO2004108058A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J1/00Containers specially adapted for medical or pharmaceutical purposes
    • A61J1/14Details; Accessories therefor
    • A61J1/20Arrangements for transferring or mixing fluids, e.g. from vial to syringe
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22Valves or arrangement of valves
    • A61M39/26Valves closing automatically on disconnecting the line and opening on reconnection thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/162Needle sets, i.e. connections by puncture between reservoir and tube ; Connections between reservoir and tube
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J1/00Containers specially adapted for medical or pharmaceutical purposes
    • A61J1/14Details; Accessories therefor
    • A61J1/20Arrangements for transferring or mixing fluids, e.g. from vial to syringe
    • A61J1/2003Accessories used in combination with means for transfer or mixing of fluids, e.g. for activating fluid flow, separating fluids, filtering fluid or venting
    • A61J1/2006Piercing means
    • A61J1/201Piercing means having one piercing end
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J1/00Containers specially adapted for medical or pharmaceutical purposes
    • A61J1/14Details; Accessories therefor
    • A61J1/20Arrangements for transferring or mixing fluids, e.g. from vial to syringe
    • A61J1/2003Accessories used in combination with means for transfer or mixing of fluids, e.g. for activating fluid flow, separating fluids, filtering fluid or venting
    • A61J1/2048Connecting means
    • A61J1/2055Connecting means having gripping means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J1/00Containers specially adapted for medical or pharmaceutical purposes
    • A61J1/14Details; Accessories therefor
    • A61J1/20Arrangements for transferring or mixing fluids, e.g. from vial to syringe
    • A61J1/2003Accessories used in combination with means for transfer or mixing of fluids, e.g. for activating fluid flow, separating fluids, filtering fluid or venting
    • A61J1/2068Venting means
    • A61J1/2072Venting means for internal venting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J1/00Containers specially adapted for medical or pharmaceutical purposes
    • A61J1/14Details; Accessories therefor
    • A61J1/20Arrangements for transferring or mixing fluids, e.g. from vial to syringe
    • A61J1/2096Combination of a vial and a syringe for transferring or mixing their contents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22Valves or arrangement of valves
    • A61M39/26Valves closing automatically on disconnecting the line and opening on reconnection thereof
    • A61M2039/267Valves closing automatically on disconnecting the line and opening on reconnection thereof having a sealing sleeve around a tubular or solid stem portion of the connector

Definitions

  • the present invention relates to the field of handling hazardous materials, including but not limited to materials such as drugs used for medical purposes. More particularly, this invention relates to a means and method for enabling a user to transfer a hazardous material from a sealed vial or container without allowing significant leakage of the material to the environment.
  • hazardous materials to which the invention is. particularly applicable include but are not limited to liquid, freeze dried or powdered cytotoxic drugs that are used extensively in chemotherapy treatment of cancer patients and radiographic materials.
  • High toxicity materials including cytotoxic drugs and radiographic materials, are often enclosed in small bottles or vials that have an opening sealed by an elastomeric plug. It is highly desirable to prevent spillage or escape of even minimal amounts of hazardous materials in either liquid or gas form. Small droplets of materials could undesirably contaminate the ambient environment or come in contact with the person administering the substance.
  • Hazardous drugs are compounded in different ways. In large hospital pharmacies and homecare pharmacies, pharmacy technicians wearing gowns and double gloves compound hazardous drugs under vented biological laboratory hoods . These specially designed hoods are expensive and take up valuable floor space. In hospital wards, clinics, doctors' offices and other locations, laboratory hoods may not be readily available and the personnel compounding the drugs may not usually wear such elaborate protective equipment. Shelf life limitations and patient specific dosing requirements may demand that the drug be mixed closer in time and space to the point of care.
  • the user utilizes a sharp needle attached to a syringe to pierce an elastomeric plug or other cap that seals the vial and draw the drug out, often after injecting a suitable solvent or diluents into the vial .
  • the user then injects the drug into a reseal element on an intravenous (IV) container from which the drug is delivered to the patient.
  • IV intravenous
  • a principal object of this invention is to provide a method and means for securing a vial within an impermeable isolation enclosure.
  • a further object of the invention is to provide a method and means for piercing a vial within the impermeable isolation enclosure in a fixed position; and selectively accessing the contents of the vial .
  • Another object of the invention is to provide a method and means for safely transferring a portion of the vial contents, while the vial remains pierced within an impermeable isolation enclosure.
  • a method and system for handling hazardous materials contained in a vial includes an isolation enclosure having an opening selectively sealable about the vial, a bag body portion, and a cap portion.
  • a latching extraction element is attached to the cap portion and has a preceding engaging member to secure the vial to the isolation enclosure, an extraction member adapted to be inserted into the vial and remove material therefrom, and a primary engaging member to secure the vial to the extraction member.
  • a valve mounted outside the isolation enclosure controls the flow of fluid from the vial .
  • An adaptor having a reseal member permits flow when coupled to the valve and restricts flow when uncoupled from the valve. Once uncoupled, the adaptor is removably associated with a second valve located remotely from the
  • FIG. 1 is a top view of the material handling system of this invention
  • FIG. 2 is a partial sectional side view of the material handling system of this invention taken on line A-A of FIG. 1;
  • FIG. 3 is a partial sectional side view similar to FIG. 2 of an alternative embodiment of the material handling system of this invention.
  • FIG. 4 is a bottom view of a latching extraction element of the present invention.
  • FIG. 5 is a side view of the latching extraction element of the present invention
  • FIG. 6 is a sectional side view of the latching extraction element of the present invention taken on line B-B of FIG. 4;
  • FIGS. 7, 8 and 9 are sequential sectional side views of the latching extraction element of the present invention associating with a vial taken on line A-A of FIG. 4;
  • FIG. 10 is a rear view of an adaptor of the present invention.
  • FIG. 11 is a sectional side view of the adaptor of the present invention.
  • FIGS. 12 and 13 are sequential sectional side views of the adaptor attached to a syringe and associating with a valve .
  • a material handling system 10 for use with a sealed vial 12 includes an isolation enclosure 14 adapted to completely enclose the vial 12.
  • vial includes but is not limited to any type of sealed container, ampule, or bottle.
  • a sealing closure 13 is attached to or integrally formed with the vial 12.
  • an elastomeric stopper can seal the opening of the container.
  • the isolation enclosure 14 is impermeable and has a body portion 16, a cap portion 17, and an opening 20 that is selectively sealable by a closure portion 22.
  • the body portion 16 is a flexible bag constructed of a material that is transparent or translucent.
  • the cap portion 17 is constructed of a rigid material and has an inlet port 18 and an outlet port 19.
  • the body portion 16 can be semi-rigid or rigid and the cap portion 17 can be semirigid or even flexible in whole or part without detracting from the present invention.
  • Opening 20 is optionally located in any convenient location on the isolation enclosure 14.
  • the opening 20 is formed between the body portion 16 and the cap portion 17.
  • the closure portion 22 includes a fastener 24 located on the body portion 16 and a fitting 26 located on the cap portion 17.
  • the fastener 24 and fitting 26 mate to selectively seal the opening 20 and form the closure portion 22.
  • the closure portion 22 may be of any known design, including but not limited to snaps fittings, threaded fittings, latch fittings, hook fittings, and clamp fittings.
  • the opening 20 is formed in the body portion 16 in another embodiment.
  • the closure portion 22 includes a mated track 28 located on the body portion 16 about the opening 20 and a zipper element 30 located on body portion 16 and about the mated track 28.
  • the zipper element 30 is slidably associated with the mated track 28 to selectively close the opening 20.
  • the closure portion 22 may be of any known design, including but not limited to clips, clamps, zipper free mated track seals, and adhesive.
  • a latching extraction element 32 is attached to the cap portion 17 and has a preceding engaging member 34 to secure the vial 12 to the material handling system 10, an extraction member 36 to extend into and remove material from the vial 12, and a primary engaging member 38 to secure the vial 12 to the extraction member 36.
  • the preceding engaging member 34 is mounted on a body portion 40.
  • the preceding engaging member 34 has a plurality of latch arms 42 positioned, preferably equally spaced peripherally, around the body portion 40 and extending from the body portion 40 in the same direction as the extraction member 36.
  • the latch arms 42 are positioned and adapted to secure the vial 12 to the extraction member 36 in a first or preceding fixed position wherein the extraction member 36 is outside the vial 13. Once the vial 12 is secured, the opening 20 is closed to seal the isolation enclosure 14.
  • the extraction member 36 is located at a proximal end of the body portion 40 and has an elongated fluid passage 44 extending through both the extraction member 36 and the body portion 40.
  • the extraction member 36 is adapted to be inserted into the vial 12 (preferably by puncturing the closure 13) and to remove material from the vial 12 through the fluid channel 44.
  • the extraction member 36 can be of any known design other than a needle, including but not limited to a spike or piercing pin, a blunt cannula, and a tube.
  • a spiking pin is illustrated in the figures.
  • a vent channel 46 extends through both the extraction member 36 and the body portion 40, to a vent port 48.
  • the vent channel 46 allows gas in the vial 12 to escape via the vent port 48 when fluid is inserted into the vial 12 by the fluid channel 44.
  • the primary engaging member 38 has a plurality of latch arms 50 positioned, preferably equally spaced peripherally, around the body portion 40 and extending from the body portion 40 in the same direction as the extraction member 36.
  • the latch arms 50 are preferably positioned in staggered relation to the latch arms 42 of the preceding engaging member 34 around the body portion 40.
  • the latch arms 50 are positioned and adapted to secure the vial 12 in a second latched or primary fixed position with the extraction member 36 extending thereinto.
  • the extraction member 36 extends a greater distance from the body portion 40 than the latch arms 50, but less than the latch arms 42.
  • a connecting member 52 is located at a distal end of the body portion 40.
  • the connecting member 52 is in fluid communication with the fluid passage 44 and is capable of attaching the latching extraction element 32 to the inlet port 18 of the cap portion 17.
  • valve 54 is mounted to the outlet port 19 of the cap portion 17, outside the isolation enclosure 14.
  • the valve 54 is in fluid communication with the fluid passage 44 and controls the flow of fluid to and from the vial 12.
  • the valve 54 has a threaded outer surface 56, a hollow spiked pin 58 connected in fluid flow communication with the fluid passage 44, and a seal member 60 positioned about the hollow spiked pin 58 to selectively restrict flow through the hollow spiked pin 58.
  • United States Patent No. 5,738,663 describes one embodiment of a valve suitable for the present invention; said description is expressly incorporated herein in its entirety.
  • the valve described in U.S. Patent No. 5,738,663 is commonly known as a CLAVE valve and is commercially available from ICU Medical Inc. of San Clemente, California, U.S.A.
  • an adaptor 62 permits flow through valve 54 when coupled to the valve 54 and restricts flow when uncoupled from the valve 54.
  • the adaptor 62 has a body 64 with an elongated fluid passage 66 therethrough.
  • a fastening element 68 which includes raised grips, threads, or lugs 69 thereon, is located at a proximal end of the body 64 for releasably coupling the adaptor 62 to the valve 54 and drawing them together in an axial direction. Such a coupling is commonly called a luer-lock connection.
  • An actuating post 70 is located at the proximal end of the body 64 and along the fluid passage 66. The actuating post 70 extends beyond the fastening element 68 in the proximal direction. The actuating post 70 is adapted to penetrate the valve 54, compress the seal member 60, and expose the hollow spiked pin 58, thus opening the valve 54.
  • the adaptor 62 has a reseal member 72 coupled to the actuating post 70 and in fluid communication with the fluid passage 66.
  • the reseal member 72 is preferably formed of a resilient elastomeric material and has a preslit opening 74 that is normally closed due to the resiliency of the reseal member 72.
  • the preslit opening 74 is adapted to receive the hollow spiked pin 58, opening the adaptor 62 to fluid flow from the valve 54.
  • the preslit opening 74 closes when uncoupled from the valve 54, thus restricting flow out of the fluid passage 66.
  • a port 76 is located at a distal end of the body 64 and along the fluid passage 66.
  • the port 76 is adapted to fluidly connect the adaptor 62 to a needleless syringe 78.
  • Raised grips, threads, or lugs 80 are provided on the body 64 for facilitating connecting the adaptor 62 to the needleless syringe 78.
  • the adaptor 62 and needleless syringe 78 could be made of a unitary construction.
  • the latching extraction element 32 is provided separate from the isolation enclosure 14.
  • the vial 12 is first secured to the preceding engaging member 34 outside the isolation enclosure 14. Once the latching extraction element 32 and vial 12 are secured together, they are placed within the open isolation enclosure 14. The connecting member 52 of the latching extraction element is then attached to the inlet port 18 of the cap portion 17, securing the vial 12 within the isolation enclosure 14. Once the vial 12 is secured, the isolation enclosure 14 is closed.
  • the vial 12 can then be safely punctured by gripping the vial through the flexible bag body portion 16 and forcing the vial 12 to simultaneously engage the extraction member 36 and the primary engaging member 38.
  • the extraction member 36 thus punctures the vial 12 and permits access to the vial 12.
  • the primary engaging member 38 secures the vial 12 to the extraction member 36.
  • a diluent will be added at this point to the vial 12.
  • a diluent containing needleless syringe 78 is equipped with the adaptor 62.
  • the adaptor 62 is engaged to the valve 54, opening both the hollow spiked pin 58 and the preslit opening 74 to fluid flow.
  • the diluent is added to the vial 12, and excess gas is vented from the vial through vent port 48.
  • the vial 12 Once diluted, a portion of the vial 12 contents is removed into the syringe 78.
  • the adaptor 62 and syringe 78 are disconnected from the valve 54.
  • the hollow spiked pin 58 and the preslit opening 74 are resealed, maintaining their respective contents in isolation.
  • the vial 12 remains pierced by the extraction ' member 36 and fixed by the primary engaging member 38.
  • the contents of the syringe 78 are now transferred to a desired destination. The transfer occurs by removably associating the adaptor 62 and syringe 78 to a second valve 54 located remotely from the isolation enclosure 14. Again, both the hollow spiked pin 58 and the preslit opening 74 are opened allowing fluid to pass into the second valve 54.
  • the present invention provides a method and means capable of securing a vial within an impermeable isolation enclosure.
  • the present invention further provides a method and means capable of piercing a vial within the impermeable isolation enclosure in a fixed position; and selectively accessing the contents of the vial.
  • the present invention also provides a method and means capable of safely transferring a portion of the vial contents, while the vial remains pierced within an impermeable isolation enclosure .

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Engineering & Computer Science (AREA)
  • Vascular Medicine (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Pulmonology (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Extraction Or Liquid Replacement (AREA)
PCT/US2004/017443 2003-06-03 2004-06-02 Hazardous material handling system and method Ceased WO2004108058A2 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
AU2004245055A AU2004245055A1 (en) 2003-06-03 2004-06-02 Hazardous material handling system and method
CA 2527924 CA2527924C (en) 2003-06-03 2004-06-02 Hazardous material handling system and method
EP20040754122 EP1633301A2 (en) 2003-06-03 2004-06-02 Hazardous material handling system and method
JP2006515115A JP4664906B2 (ja) 2003-06-03 2004-06-02 危険物質ハンドリングシステムおよび方法

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10/453,393 2003-06-03
US10/453,393 US20040249235A1 (en) 2003-06-03 2003-06-03 Hazardous material handling system and method

Publications (2)

Publication Number Publication Date
WO2004108058A2 true WO2004108058A2 (en) 2004-12-16
WO2004108058A3 WO2004108058A3 (en) 2005-02-24

Family

ID=33489533

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/017443 Ceased WO2004108058A2 (en) 2003-06-03 2004-06-02 Hazardous material handling system and method

Country Status (6)

Country Link
US (2) US20040249235A1 (enExample)
EP (1) EP1633301A2 (enExample)
JP (1) JP4664906B2 (enExample)
AU (1) AU2004245055A1 (enExample)
CA (1) CA2527924C (enExample)
WO (1) WO2004108058A2 (enExample)

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EP2351596A1 (en) * 2010-01-29 2011-08-03 Fresenius Medical Care Deutschland GmbH Insert for the infusion of drugs
US10660822B2 (en) 2015-03-23 2020-05-26 Jms Co., Ltd. Adapter

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US20070016161A1 (en) * 2005-06-13 2007-01-18 Vasogen Ireland Limited Controlled flow adapter with piercing end for medical fluid containers
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US11478623B2 (en) * 2006-02-09 2022-10-25 Deka Products Limited Partnership Infusion pump assembly
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KR102481494B1 (ko) 2011-12-22 2022-12-26 아이씨유 메디칼 인코퍼레이티드 의료용 유체 전달 시스템, 유체 전달 방법, 전자 의료용 유체 전달 시스템, 및 전자 의료용 유체 전달 시스템 이용 방법
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JP3205560U (ja) 2013-08-07 2016-08-04 メディモップ・メディカル・プロジェクツ・リミテッド 点滴液容器とともに使用するための液体移送デバイス
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CA2527924C (en) 2013-04-09
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EP1633301A2 (en) 2006-03-15
CA2527924A1 (en) 2004-12-16

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