WO2016093788A1 - Mélange éjectable ou pulvérisable fournissant des images de vaisseaux sanguins - Google Patents

Mélange éjectable ou pulvérisable fournissant des images de vaisseaux sanguins Download PDF

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Publication number
WO2016093788A1
WO2016093788A1 PCT/TR2015/050244 TR2015050244W WO2016093788A1 WO 2016093788 A1 WO2016093788 A1 WO 2016093788A1 TR 2015050244 W TR2015050244 W TR 2015050244W WO 2016093788 A1 WO2016093788 A1 WO 2016093788A1
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WO
WIPO (PCT)
Prior art keywords
ejectable
blood vessel
polymers
vessel imaging
imaging according
Prior art date
Application number
PCT/TR2015/050244
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English (en)
Inventor
Ibrahim IŞILDAK
Ilkay ŞENEL
Melda ALTIKATOĞLU
Original Assignee
Işildak Ibrahim
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 Işildak Ibrahim filed Critical Işildak Ibrahim
Publication of WO2016093788A1 publication Critical patent/WO2016093788A1/fr

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00—Preparations for testing in vivo
    • A61K49/001—Preparation for luminescence or biological staining
    • A61K49/0063—Preparation for luminescence or biological staining characterised by a special physical or galenical form, e.g. emulsions, microspheres
    • A61K49/0069—Preparation for luminescence or biological staining characterised by a special physical or galenical form, e.g. emulsions, microspheres the agent being in a particular physical galenical form
    • A61K49/0073—Preparation for luminescence or biological staining characterised by a special physical or galenical form, e.g. emulsions, microspheres the agent being in a particular physical galenical form semi-solid, gel, hydrogel, ointment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
    • A61B5/015—By temperature mapping of body part
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4887—Locating particular structures in or on the body
    • A61B5/489—Blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00—Preparations for testing in vivo
    • A61K49/001—Preparation for luminescence or biological staining
    • A61K49/006—Biological staining of tissues in vivo, e.g. methylene blue or toluidine blue O administered in the buccal area to detect epithelial cancer cells, dyes used for delineating tissues during surgery

Definitions

  • the invention relates to a mixture that can be used in certain therapeutic or healthcare-related applications to provide blood vessel imaging and a spray device by which this mixture is applied.
  • the invention particularly relates to a spray device containing a sprayable hydrogel or polymer in order to ensure imaging of blood vessel on the basis of temperature difference due to a thermochromic substance it comprises.
  • Medical applications and tests used in healthcare generally comprise taking a blood sample and analyzing this sample or injecting liquid into the blood vessel of the patient.
  • the location of the blood vessel should be determined. While locating the blood vessel is not difficult if the vessel is visible or apparent, usually an elastic band is tied down between the point of injection and the hearth of the patient in order to increase visibility or apparency.
  • This method called as tourniquet does not provide good results in people with dark skin, children, and obese people, and also causes psychological and physiological problems in patents.
  • not being able to find the blood vessels during injection and bloodletting operations becomes a significant problem for many people.
  • thermal techniques that are simple and effective in determining the positions of blood vessels below the skin surface.
  • the thermal technique is based on the fact that the temperature of skin around areas adjacent to a blood vessel is higher than the temperature of the skin at the remaining parts. For determining this region that has higher temperature, liquid crystal and thermochromic substances that change colour at the desired temperatures are used.
  • the purpose of the invention is to form an ejectable blood vessel imaging mixture for imaging and determining vascular accesses, comprising a hydrogel and/or polymeric formulation with thermochromic substance(s).
  • a hydrogel and/or polymeric formulation with thermochromic substance(s) comprising a hydrogel and/or polymeric formulation with thermochromic substance(s).
  • the ejectable or sprayable mixture for blood vessel imaging according to the invention comprises at least two solutions comprising thermochromic components, monomer and/or polymers and/or biocompatible monomers and/or polymers.
  • the ejectable or sprayable mixture according to the invention may comprise an anti-microbial and painkiller agent or a combination thereof in low levels in dispersed form.
  • the ejectable or sprayable mixture for blood vessel imaging according to the invention comprises at least one redox couple, which is polymerized by cross-linking and rapid polymerization reaction, and in which each oxidizing agent is found in a solution, while each reducing agent is found in another solution.
  • the ejectable or sprayable mixture for blood vessel imaging according to the invention comprises at least two solutions, each of which comprising monomer and/or polymer structures and/or biocompatible monomers and/or polymers, thermochromic components, and a redox couple.
  • the thermochromic components found in the ejectable thermochromic substance have colour-switching characteristics with regard to temperature difference.
  • the ejectable or sprayable mixture according to the invention is used for blood vessel imaging and determination purposes in the main application of the invention.
  • the ejectable or sprayable mixture for blood vessel imaging according to the invention comprises the redox couple as two individual agents, one being an oxidizing agent in a solution, while the other being a reducing agent in another solution.
  • the mixture preserved in two separate media, is combined at the moment of application on the skin.
  • the ejectable or sprayable mixture for blood vessel imaging according to the invention comprises a reaction initiating agent in the first solution and a reduction agent in the second solution as the redox couple.
  • the redox couples, oxidizing, or reducing agents used in the ejectable or sprayable mixture for blood vessel imaging according to the invention are selected from peroxydiphosphate systems, organic-inorganic redox couples (For instance oxidation via Ce +4 ), and besides the redox type, thermal free radical initiators that cause initiation at low temperatures.
  • the oxidizing or reducing agents used in the ejectable or sprayable mixture according to the invention are selected from Ferric/Ferrous, Cupric/Cuprous, Seric/Serous, Cobalt (ll)/Cobalt (III), Vanadate (V) Vanadate (VI), permanganate, Manganic/Manganese, and peroxygen-containing compounds, for instance, peroxides and hydrogen peroxides, benzyl peroxide, t-butyl hydroperoxide, t-butyl peroxide, benzoyl peroxide, and cumyl peroxide.
  • biocompatible polymer and/or monomer and/or polymers and/or monomers found in the solutions used in the ejectable or sprayable mixture according to the invention are selected from polymers and/or monomers suitable for physical and/or chemical cross linking.
  • the polymer and/or monomer and/or biocompatible polymers and/or monomers found in the solutions used in the ejectable or sprayable mixture according to the invention are selected from among polymers with ionic structure suitable for physical cross linking, metal ions with divalent cationic structure, poly(styrene), poly(caprolactone), poly(oxyethylene), poly(butadiene), poly(n- alkylacrylamide) etc. other block and graft copolymers of water soluble and insoluble polymers, some natural polymers such as gelatine and glucosaminoglycans, and pH-sensitive polymers and/or monomers.
  • the polymers with ionic structure used in the ejectable or sprayable mixture according to the invention are selected from alginates, xanthan gums, gum acacia, natural gum, agar, agarose, seaweed, fucoidane, furcellarane, laminarane, hypnea, eucheuma, karaya gum, arabinogalactan, pectin, and amylopectin.
  • biocompatible polymers and/or monomers used in the ejectable or sprayable mixture according to the invention are selected from large monomers and polymers comprising all small or polymerizing groups such as acrylic acid and vinylprolactam that can form a biocompatible surface coating via chemical and/or physical cross linking.
  • the biocompatible monomers and/or polymers used in the ejectable or sprayable mixture according to the invention are selected from acrylic acid, vinylcaprolactam, polyethylene glycol diacrylate, polymers comprising ethylene unsaturated groups, PVA (Polyvinyl alcohol) and derivatives, PVP (Polyvinylpyrrolidone) and derivatives, polyacrylic acid and derivatives, polyacrylamides and derivatives, hydroxypropyl methacrylamide and derivatives, divinyl ether anhydride and derivatives, polyoxazoline and derivatives, polyphosphates and derivatives, polyphosphazenes and derivatives, polyethylene glycol and derivatives.
  • PVA Polyvinyl alcohol
  • PVP Polyvinylpyrrolidone
  • thermochromic components used in the ejectable or sprayable mixture according to the invention are selected from thermochromic dye and ink, liquid crystals (e.g. cholesteryl pelargonate, cholesteryl benzoate, cholesteryl oleyl carbonate etc.), other thermochromic materials or polymers that change colour with the impact of heat such as NIPAAM.
  • thermochromic dye and ink liquid crystals (e.g. cholesteryl pelargonate, cholesteryl benzoate, cholesteryl oleyl carbonate etc.), other thermochromic materials or polymers that change colour with the impact of heat such as NIPAAM.
  • thermochromic substance used in the ejectable or sprayable formulation according to the invention comprises thermochromic components that change colour at different temperatures (28- 40 ) for use at different blood vessel temperature s.
  • thermochromic components, monomers and/or polymers and/or biocompatible monomers and/or polymers, and redox couples found in both of the solutions used in the ejectable or sprayable mixture according to the invention have suitable characteristics for chemical, mechanical, or electronic ejection and transformation into sprayable forms.
  • the ejectable or sprayable mixture for blood vessel imaging according to the invention forms a hydrogel layer on the skin in 1 to 120 seconds, after it is applied on the skin.
  • the thickness of the gel to be formed on the skin can be between 0.001 to 10 mm.
  • Said gel thickness can preferably be between 0.1 mm to 4 mm.
  • the gel formed on the skin surface comprises pores, into which injectors or catheters used in invasive applications can enter.
  • the ejectable or sprayable mixture according to the invention may also comprise antibiotic, antiseptic, and analgesic substances, besides the monomers and/or polymers and/or biocompatible monomers, thermochromic components, and redox couple.
  • the ejectable or sprayable mixture according to the invention is also used in early diagnosis of cancers such as skin and breast cancer by making use of the thermal difference that occur between the cancerous tissue and normal tissue, since cancerous tissues have more blood vessels than normal tissues.
  • the ejectable or sprayable mixture according to the invention is placed in a bottle or container comprising at least two sections and ensuring ejection or spraying.
  • Figure 1 is a schematic view of the spray and the bottle of the spray according to the invention that comprises thermochromic substance and ensures imaging blood vessels.
  • Figure 2 is a view of the spray and the bottle of the spray according to the invention that comprises thermochromic substance and ensures imaging blood vessels, during application on forearm surface.
  • Figure 3 is a view of the spray and the bottle of the spray according to the invention that comprises thermochromic substance and ensures imaging blood vessels, showing the thermal appearance of blood vessels following the application made on the forearm surface as in Figure 2.
  • the mixture (1 ) for blood vessel imaging according to the invention comprises one or more thermochromic substances that change colour at different temperatures and it is formed of two separate solutions found in two separate sections.
  • the ejectable or sprayable mixture (1 ) for blood vessel imaging comprises a monomer and/or polymer structure and/or a biocompatible polymer and/or monomer structure with hydrogelling and polymerizing characteristics and it is formed of two separate solutions found in two separate sections.
  • the mixture (1 ) for blood vessel imaging according to the invention is also formed of two separate solutions each comprising a different redox couple in the two separate sections.
  • the mixture (1 ) for blood vessel imaging according to the invention may also comprise antibiotic, antiseptic, and analgesic substances, besides the monomers and/or polymers and/or biocompatible monomers, thermochromic components, and redox couple.
  • the solution comprising the thermochromic substance, redox couples, and monomer and/or polymer molecules is found in two separate sections found within the spray bottle, and it has ejectable characteristic and fluidity.
  • the redox couples found in the ejectable or sprayable mixture (1 ) for blood vessel imaging according to the invention may be preserved in two separate media and combined at the moment of application on the skin.
  • the monomers and/or polymers found in the mixture (1 ) for blood vessel imaging according to the invention have suitable structure for cross linking via physical and/or chemical method.
  • Physical cross linking is performed by intermolecular or intramolecular bonding. Intermolecular linking, for instance, can be performed between the ionic-structure polymers and the divalent cationic-structure metal ions. Therefore, the monomers and/or polymers found in the mixture (1 ) comprising the thermochromic substance, redox couples, and monomer and/or polymers for blood vessel imaging can be ionic-structure polymers presenting physical cross linking.
  • Said ionic-structure polymers are selected from among alginates, xanthan gums, gum acacia, natural gum, agar, agarose, seaweed, fucoidane, furcellarane, laminarane, hypnea, eucheuma, karaya gum, arabinogalactan, pectin, and amylopectin.
  • the polymer and/or monomer and/or biocompatible polymers and/or monomers found in the solution (1 ) for blood vessel imaging can be selected from other block and graft copolymers of water soluble and insoluble polymers, e.g. poly(styrene), poly(caprolactone), poly(oxyethylene), poly(butadiene), since the hydrophobic interactions cause physical cross linking.
  • the polymers and/or monomers found in the mixture (1 ) for blood vessel imaging according to the invention can also be selected from poly(n-alkylacrylamide), gelatine and glycosaminoglycans etc. other natural polymers and pH-sensitive polymer and/or monomers, which can perform bonding via physiological temperature which is another factor that may cause physical cross linking.
  • the biocompatible polymers and/or monomers found in the mixture (1 ) for blood vessel imaging according to the invention may be selected from among large monomers and polymers comprising all small or polymerizing groups that can form a biocompatible surface coating and generate chemical cross linking. For instance, they are selected from acrylic acid, vinylcaprolactam, polyethylene glycol diacrylate, ethylene, polymers comprising unsaturated groups, PVA (Polyvinyl alcohol) and derivatives, PVP (Polyvinylpyrrolidone) and derivatives, polyacrylic acid and derivatives, polyacrylamides and derivatives, hydroxypropyl methacrylamide and derivatives, divinyl ether anhydride and derivatives, polyoxazoline and derivatives, polyphosphates and derivatives, polyphosphazenes and derivatives, polyethylene glycol and derivatives.
  • PVA Polyvinyl alcohol
  • PVP Polyvinylpyrrolidone
  • the mixture (1 ) for blood vessel imaging according to the invention comprises biocompatible polymers and/or monomers and provides application opportunity without harming the body of patients.
  • thermochromic components found in the structure of the mixture (1 ) for blood vessel imaging according to the invention are selected from thermochromic dyes and inks, liquid crystals (e.g. cholesteryl pelargonate, cholesteryl benzoate, cholesteryl oleyl carbonate etc.), other thermochromic materials or polymers that change colour after gelling without addition of any thermochromic substance, such as NIPAAM.
  • thermochromic dyes and inks liquid crystals (e.g. cholesteryl pelargonate, cholesteryl benzoate, cholesteryl oleyl carbonate etc.), other thermochromic materials or polymers that change colour after gelling without addition of any thermochromic substance, such as NIPAAM.
  • the mixture (1 ) for blood vessel imaging according to the invention is either kept separately in at least two different sections (R) within a closed container (S) to be combined later on via spraying or kept in two separate spray containers.
  • Both of the solutions forming the thermochromic substance comprise a thermochromic component and a biocompatible monomer and/or polymer.
  • the first solution further comprises reaction initiating components and the second solution further comprises reduction agents.
  • the solutions (1 ) comprising the thermochromic substance; after being sprayed through two separate routes from the sections where they are stored, the reaction initiating components found in the first solution and the reduction agents found in the second solution are combined on a spraying surface and electron transfer occurs. The electron transfer occurring causes the reaction initiators to be decomposed into a free radical and an anion.
  • the free radical formed initiates polymerization by reacting with the monomer chain.
  • the redox couples found in two different solutions in two different sections that form the mixture (1 ) for blood vessel imaging according to the invention are selected from metal ions that one of them used as oxidizing and the other one used as reducing, peroxydiphosphate systems, organic- inorganic redox couples (For instance oxidation via Ce +4 ), and besides the redox type, thermal free radical initiators that cause initiation at low temperatures.
  • the metal ions that can be used as oxidizing agents or reducing agents are selected from Ferric/Ferrous, Cupric/Cuprous, Seric/Serous, Cobalt (ll)/Cobalt (III), Vanadate (V) Vanadate (VI), permanganate, Manganic/Manganese, and peroxygen-containing compounds, for instance, peroxides and hydrogen peroxides, benzyl peroxide, t-butyl hydroperoxide, t-butyl peroxide, benzoyl peroxide, and cumyl peroxide.
  • the biocompatible monomer and/or polymer found in both solutions comprising thermochromic components for instance, specifically comprise PEDGA monomer.
  • hydrogen peroxide is found in the first solution as reaction initiator component
  • iron-ll gluconate is found in the second solution as reduction agent.
  • hydrogen peroxide is combined with the iron-ll gluconate found in the second solution as reduction agent, and electron transfer occurs from the iron ion to the peroxide ion.
  • the electron transfer occurring causes the peroxide to be decomposed into a free radical and an anion.
  • the free radical formed initiates and sustains polymerization by reacting with the monomer chain.
  • the 1 st solution comprises: 580 ppm hydrogen peroxide, 3000 ppm ascorbic acid, 10ml 10% PEGDA polymer, and 0.3 g thermochromic ink;
  • the 2 nd solution comprises: 1000 ppm iron gluconate, 3000 ppm ascorbic acid, 10ml 10% PEGDA polymer, and 0.3 g thermochromic ink.
  • cross linking occurs with a sudden polymerization and the hydrogel or polymer is formed, in which the thermochromic component would be kept.
  • Said cross linking may be physical and/or chemical cross linking.
  • thermochromic components are kept in the ejectable or sprayable mixture (1 ) that turns into a polymeric gel form, and thus it is prevented from flowing off the skin surface on which it is applied.
  • the components of the first solution and the second solution found in the ejectable or sprayable mixture (1 ) for blood vessel imaging according to the invention have suitable characteristics for chemical, mechanical, or electronic ejection methods, by which the solutions are turned into spray form.
  • thermochromic components and the ejectable solutions are found in two separate sections (R) at certain volumes such as 50 cc or 100 cc. Both of the solutions are sprayed through individual carrier channels allocated for them and applied on the skin surface. The solutions are preserved in this two-section container, which comprises aerosol, and which is suitable for spraying.
  • the redox couples found in the solutions would form a free radical and then form hydrogel by cross linking the biocompatible monomer and/or polymer (such as PEGDA monomer) at the moment they come together, the two-section redox system is kept separate from each other until the moment of use.
  • the aerosol propellants required for transforming the solutions found in the container and comprising monomer, polymer, thermochromic component, and redox couples into ejectable form can be placed into the container via cold filling or pressurized filling method.
  • the triggering button found on the container is pressed, the first solution and the second solution found in the sections (R) are ejected through the carrier channel found in the container (S). Just a little before getting out, or in other words, at a small distance from the exit, the two-section redox system is combined and mixed.
  • the mixture (1 ) for blood vessel imaging according to the invention turns into a hydrogel layer on the skin in 1 to 120 seconds, after it is applied on the skin.
  • the thickness of the gel to be formed on the skin is between 0.001 to 10 mm, preferably between 0.1 mm to 4 mm.
  • the thermochromic component(s) change colour by being affected from the blood vessel temperature and thus ensure seeing the blood vessel.
  • invasive operation can be made by entering into the blood vessel via a device like an injector, by means of the pores found in the hydrogel formed on the skin surface.
  • the mixture (1 ) ensuring blood vessel imaging via gelling or polymerizing after being applied on the skin surface, can also be easily separated from the application surface.
  • the mixture (1 ) for blood vessel imaging according to the invention can be prepared for variable blood vessel temperatures and can be formed of thermochromic components that change colour at different temperatures (28-40 ).
  • the ejectable thermochromic substance can be applied on all skin areas, on which invasive application would be made, for imaging of vascular accesses in invasive applications.
  • the gel formed on the skin surface comprises pores, into which injectors or catheters used in invasive applications can enter.
  • the mixture (1 ) for blood vessel imaging according to the invention further comprises antibiotic, antiseptic, and analgesic substances, besides the biocompatible polymers or monomers, thermochromic components, and redox couples.
  • the mixture (1 ) for blood vessel imaging according to the invention is also used in different fields than blood vessel imaging, such as early diagnosis of cancers such as skin and breast cancer by making use of the thermal difference that occur between the cancerous tissue and normal tissue, since cancerous tissues have more blood vessels than normal tissues.
  • the mixture (1 ) for blood vessel imaging according to the invention is easily applicable. In children with blood vessel imaging problems, obese individuals, and individuals having thin vasculature, it provides great convenience in imaging vascular accesses.
  • the invention is not limited to the above disclosed embodiments and persons skilled in the related art can easily form other embodiments of the invention. These embodiments shall be evaluated according to the scope of protection claimed in the claims part of the invention.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
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  • General Health & Medical Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biophysics (AREA)
  • Epidemiology (AREA)
  • Vascular Medicine (AREA)
  • Biodiversity & Conservation Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oncology (AREA)
  • Optics & Photonics (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)

Abstract

La présente invention concerne un mélange éjectable ou pulvérisable (1) pour l'imagerie de vaisseaux sanguins, comprenant au moins deux solutions, qui comprennent des composants thermochromiques, un monomère et/ou des polymères, et/ou un monomère biocompatible et/ou des polymères biocompatibles, au moins un couple redox qui se polymérise par l'intermédiaire d'une réticulation et d'une réaction de polymérisation rapide.
PCT/TR2015/050244 2014-12-11 2015-12-10 Mélange éjectable ou pulvérisable fournissant des images de vaisseaux sanguins WO2016093788A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TR201414971 2014-12-11
TR2014/14971 2014-12-11

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WO2016093788A1 true WO2016093788A1 (fr) 2016-06-16

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USD857217S1 (en) 2018-03-01 2019-08-20 Shanghai Chuangshi Industry Group Co., Ltd. Therapy pack
USD857218S1 (en) 2018-03-01 2019-08-20 Shanghai Chuangshi Industry Group Co., Ltd. Therapy pack
USD857216S1 (en) 2018-03-01 2019-08-20 Shanghai Chuangshi Industry Group Co., Ltd. Therapy pack
WO2019165643A1 (fr) 2018-03-02 2019-09-06 Shanghai Chuangshi Industry Group Co., Ltd. Polymères, agents thermochromes, et/ou compositions d'hydrogel et appareillage, comprenant des produits les contenant, et procédés et méthodes de fabrication de ces derniers
USD873429S1 (en) 2014-08-20 2020-01-21 Therapearl, Llc Thermal pack
USD886312S1 (en) 2018-03-01 2020-06-02 Shanghai Chuangshi Industry Group Co., Ltd. Therapy pack
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USD888976S1 (en) 2018-03-01 2020-06-30 Shanghai Chuangshi Industry Group Co., Ltd. Therapy pack
USD904633S1 (en) 2010-06-04 2020-12-08 Therapearl Llc Thermal pack
USD904632S1 (en) 2010-06-04 2020-12-08 Therapearl Llc Thermal pack
USD904631S1 (en) 2010-06-04 2020-12-08 Therapearl Llc Thermal pack
USD908902S1 (en) 2010-06-04 2021-01-26 Therapearl, Llc Thermal pack
USD950745S1 (en) 2009-06-06 2022-05-03 Therapearl, Llc Temperature therapy apparatus
USD951464S1 (en) 2010-06-04 2022-05-10 Therapearl, Llc Thermal pack
USD961099S1 (en) 2018-03-01 2022-08-16 Biofreeze Ip Holdings, Llc Therapy pack
USD961096S1 (en) 2018-03-01 2022-08-16 Biofreeze Ip Holdings, Llc Therapy pack
USD961100S1 (en) 2018-03-01 2022-08-16 Biofreeze Ip Holdings, Llc Therapy pack
USD961098S1 (en) 2018-03-01 2022-08-16 Biofreeze Ip Holdings, Llc Therapy pack
USD961095S1 (en) 2018-03-01 2022-08-16 Biofreeze Ip Holdings, Llc Therapy pack
USD961097S1 (en) 2018-03-01 2022-08-16 Biofreeze Ip Holdings, Llc Therapy pack
USD984659S1 (en) 2018-03-01 2023-04-25 Biofreeze Ip Holdings, Llc Therapy pack
USD985134S1 (en) 2018-03-01 2023-05-02 Biofreeze Ip Holdings, Llc Therapy pack

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USD950745S1 (en) 2009-06-06 2022-05-03 Therapearl, Llc Temperature therapy apparatus
USD951465S1 (en) 2010-06-04 2022-05-10 Therapearl, Llc Thermal pack
USD965804S1 (en) 2010-06-04 2022-10-04 Therapearl, Llc Thermal pack
USD959002S1 (en) 2010-06-04 2022-07-26 Therapearl, Llc Temperature therapy apparatus
USD952170S1 (en) 2010-06-04 2022-05-17 Therapearl, Llc Temperature therapy apparatus
USD904633S1 (en) 2010-06-04 2020-12-08 Therapearl Llc Thermal pack
USD951464S1 (en) 2010-06-04 2022-05-10 Therapearl, Llc Thermal pack
USD974577S1 (en) 2010-06-04 2023-01-03 Therapearl, Llc Thermal pack
USD950746S1 (en) 2010-06-04 2022-05-03 Therapearl, Llc Temperature therapy apparatus
USD908902S1 (en) 2010-06-04 2021-01-26 Therapearl, Llc Thermal pack
USD904631S1 (en) 2010-06-04 2020-12-08 Therapearl Llc Thermal pack
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