WO2018102214A1 - Dispositif et système numériques de stimulation - Google Patents

Dispositif et système numériques de stimulation Download PDF

Info

Publication number
WO2018102214A1
WO2018102214A1 PCT/US2017/062987 US2017062987W WO2018102214A1 WO 2018102214 A1 WO2018102214 A1 WO 2018102214A1 US 2017062987 W US2017062987 W US 2017062987W WO 2018102214 A1 WO2018102214 A1 WO 2018102214A1
Authority
WO
WIPO (PCT)
Prior art keywords
stem
motor
user
catheter
bellows
Prior art date
Application number
PCT/US2017/062987
Other languages
English (en)
Inventor
Jerome A. HENRY
William K. Arnold
Stephen COLLUM
Denise GAMBLIN
Ruchi SETH
Adam Foley
Original Assignee
Hollister Incorporated
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 Hollister Incorporated filed Critical Hollister Incorporated
Publication of WO2018102214A1 publication Critical patent/WO2018102214A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H21/00—Massage devices for cavities of the body, e.g. nose, ears and anus ; Vibration or percussion related aspects A61H23/00
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/02—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
    • A61H23/0254—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive with rotary motor
    • A61H23/0263—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive with rotary motor using rotating unbalanced masses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0233—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs
    • A61M3/025—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs supplied directly from the pressurised water source, e.g. with medicament supply
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0279—Cannula; Nozzles; Tips; their connection means
    • A61M3/0295—Cannula; Nozzles; Tips; their connection means with inflatable balloon
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01—Constructive details
    • A61H2201/0161—Size reducing arrangements when not in use, for stowing or transport
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12—Driving means
    • A61H2201/1207—Driving means with electric or magnetic drive
    • A61H2201/1215—Rotary drive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/1635—Hand or arm, e.g. handle
    • A61H2201/1638—Holding means therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1657—Movement of interface, i.e. force application means
    • A61H2201/1671—Movement of interface, i.e. force application means rotational
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M2210/00—Anatomical parts of the body
    • A61M2210/10—Trunk
    • A61M2210/1042—Alimentary tract
    • A61M2210/1067—Anus

Definitions

  • the present disclosure relates generally to bowel management devices and, in particular, to devices and systems for digitally stimulating the rectum to promote a bowel movement.
  • the user in a number of bowel management programs, the user must access and stimulate the rectum using his or her gloved finger(s) to promote a bowel movement.
  • the user may need to manually stimulate the anus and rectum 12 with his or her finger 14 to promote a bowel movement to evacuate stools.
  • FIG. 1 sectional view of a rectum and colon showing a prior art method of digital stimulation
  • FIG. 2A is a perspective view of a first embodiment of a digital stimulation device
  • FIG. 2B is a schematic view of the digital stimulation device of Fig. 2A;
  • Fig. 3A is a perspective view of a second embodiment of a digital stimulation device;
  • Fig. 3B is a schematic view of the digital stimulation device of Fig. 3A;
  • FIG. 4 is a perspective view of a third embodiment of a digital stimulation device prior to assembly
  • FIG. 5 is a perspective view of the digital stimulation device of Fig. 4 after assembly and with the insertion tip cover being removed;
  • Fig. 6 is a perspective view of glove portion of the digital stimulation device of Fig. 4;
  • Fig. 7 is a side elevational view of the digital stimulation device of Fig. 6 being positioned at a user's rectum;
  • Fig. 8 is a side elevational view of the digital stimulation device of Fig. 7 being inserted into the user's rectum;
  • FIG. 9 is an enlarged perspective view of the insertion tip of the digital stimulation device of Figs. 4-8 with the annular balloon inflated.
  • a device for stimulating bowel movements includes a drive housing and a motor that is positioned within the drive housing.
  • a stem includes a portion external to the drive housing and is operatively connected to the motor so that the stem rotates about a longitudinal axis of the stem when the motor is activated.
  • a hand engagement portion is attached to the drive housing.
  • a device for inserting a catheter into a body cavity includes a glove having a thumb socket, a dorsal portion and a palm portion, with the dorsal and palm portions spaced apart so that a user's hand may be positioned therebetween when a thumb of the user is passing through the thumb socket.
  • a catheter holder is positioned on the dorsal portion.
  • a system for stimulating bowel movements includes a catheter.
  • the catheter has an insertion head adapted to be inserted into the bowel and includes an inflatable annular balloon, a bellows and a tube in fluid connection with the bellows and the annular balloon.
  • the system further includes a glove having a thumb socket, a dorsal portion and a palm portion, with the dorsal and palm portions spaced apart so that a user's hand may be positioned therebetween when a thumb of the user is passing through the thumb socket.
  • a catheter holder is positioned on the dorsal portion of the glove and is configured to hold the insertion head of the catheter.
  • a pocket is positioned on the palm portion of the glove and is configured to hold the bellows and squeeze the bellows when a user's hand opens and closes so that the annular balloon of the catheter insertion head is inflated.
  • a stimulator mitten embodiment of a digital stimulation device is indicated in general at 20 in Figs. 2A and 2B.
  • the stimulator mitten is a hand-held device that may have a combined rotation and vibration stem. More specifically, the device includes a hand engagement portion configured to engage a portion of a user's hand, such as finger housing 22 which defines a finger compartment 24.
  • the housing 22 has an open side 26 so that a user may insert his or her fingers, as illustrated in Fig. 1 .
  • the user's fingers are contained within the finger compartment 24 during use thus protecting them from faecal matter.
  • a stem 32 projects from the ventral or front side of the finger housing 22 while the electrical and/or mechanical drive and control systems may be positioned within a drive housing 34 positioned on the dorsal or back side of the finger housing.
  • the stem 32 is covered by a removable and disposable protective sheath 36 in preparation for use.
  • the stem and/or sheaths may be provided in different shapes and patterns providing alternative stimulation profiles for users.
  • the sheath may be formed from rubber, silicon or similar materials known in the art.
  • the stem is connected to a drive shaft 38 which may be attached to and driven by an electric motor 42 or a mechanical driver.
  • a drive shaft 38 which may be attached to and driven by an electric motor 42 or a mechanical driver.
  • the motor 42 of Fig. 2B is activated, the stem 32 rotates about its longitudinal axis, as illustrated by arrows 44 of Fig. 2A.
  • the motor may optionally be configured to vibrate the stem and/or may feature variable speed control.
  • the finger housing 22 is preferably provided with a slot 46.
  • the stem 32 is preferably attached to the drive shaft 38 in a hinged fashion via a pin (shown in phantom at 48 in Fig. 2B).
  • the stem 32 may be pivoted between a use position, illustrated in Figs. 2A and 2B, and a storage position, illustrated in phantom at 32' in Fig. 2B, as indicated by arrows 52 in Fig. 2A.
  • Alternative shaft hinge arrangements known in the art may be substituted for the pin 48 of Fig. 2B.
  • the drive housing 34 may contain electronic circuitry 54 and a battery 56 for controlling and powering the motor.
  • a switch, and other controls, for activating and controlling the motor may be positioned on the finger housing 22 in a position that is convenient for the user to access, as indicated in phantom at 62 in Fig. 2B.
  • the switch may be positioned in the vicinity of the user's thumb 64. Motor speed and vibration controls may be placed in similar locations.
  • the motor 42 may be powered by a spring or other windup mechanism.
  • a hand-held device in an alternative embodiment, indicated in general at 70 in Figs. 3A and 3B, includes an offset rotary stem, indicated in general at 72.
  • the stem 72 is covered with a protective disposable sheath 74 prior to being inserted into the user's rectum.
  • the stem (which is illustrated without the sheath 74 of Fig. 3A) features a tip portion 76 that curves away from the longitudinal axis of the stem, indicated at 78 in Fig. 3B.
  • the lower part of the stem 72 is provided with a cover 82.
  • the bottom end of the stem 72 of the hand-held device 70 is operatively attached to a motor 84 that is positioned within a drive housing 86.
  • the cover 82 is secured to the top of the drive housing 86 so that the cover remains stationary with respect to the rotating stem 72.
  • a hand engagement portion is provided in the form of a holding loop 90 secured to the bottom of the drive housing 86.
  • the holding loop is sized to receive a user's fingers and palm portion so that the user may hold the device with the stem 72 extending upwards from the user's palm.
  • the hand engagement portion may take a variety of forms including a strap attached to opposite sides of the drive housing or a tab that is received between fingers of the user.
  • the drive housing 86 contains electronic circuitry 88 and a battery 92 for controlling and powering the motor.
  • the motor may optionally be configured to vibrate the stem and/or may feature variable speed control.
  • An On" switch for activating the device, indicated at 94, and an “Off” switch, indicated at 96, may be positioned on the finger housing 22 and/or the holding loop 90 in positions that are convenient for the user to access. For example, a user may easily turn on the device of Figs. 3A and 3B via switch 94 using his or her finger tips, and turn off the device via switch 96 using his or her thumb. Motor speed and vibration controls may be placed in similar locations. Of course the separate On" and “Off” switches 94 and 96 may be replaced with a single switch.
  • the stem 72 rotates about the longitudinal axis (78 in Fig. 3B), as illustrated by arrows 98 of Fig. 3A.
  • the stem and/or sheaths may be provided in different shapes and patterns providing alternative stimulation profiles for users.
  • the sheath may be formed from rubber, silicon or similar materials known in the art.
  • the motor 84 may be powered by a spring or other windup mechanism.
  • a hand Insertion device illustrated in general at 102, facilitates blind insertion of a rectal catheter, indicated in general at 1 04.
  • the device includes a glove, indicated in general at 106, with an integrated ergonomic catheter holder or fitting, indicated in general at 1 08.
  • the glove 106 features a thumb socket 1 12 with an opening 1 14 sized to receive a user's thumb 1 16, as illustrated in Fig. 6.
  • a palm portion 1 18 and a dorsal or back portion 122 extend away from the thumb socket and are spaced so as to permit a user's hand to pass therebetween, again as illustrated in Fig. 6.
  • the catheter holder 108 which is positioned on the dorsal portion 1 22, may take the form of a clamp having opposing resilient jaws 124a and 1 24b. The jaws are positioned and configured so that they receive and hold the collar 126 of the rectal catheter 104, as illustrated in Fig. 5.
  • the catheter holder 1 08 may be a loop, a boss, or any fitting that will removably receive and hold the collar 1 26 of the rectal catheter.
  • the rectal catheter 1 04 includes an insertion head 128 and a shield 130, where the shield is positioned adjacent to the collar 126.
  • the insertion head is provided with an annular balloon that is inflated after insertion through the user's anus and into his or her rectum.
  • the insertion head 128 is provided with a protective cover 132, which is removed during use of the rectal catheter.
  • a bellows 1 34 (Fig. 4) is attached to the annular balloon of the insertion head via tubing 136.
  • the inner surface of the palm portion 1 18 of the glove features a pocket, indicated in general at 142.
  • the pocket includes an elastic panel 144 that features an open side 146 so that the bellows 134 of the rectal catheter may be positioned within the pocket 142.
  • the panel 144 may be formed of mesh, a rubber or silicone sheet or any type of flexible fabric or material.
  • the rectal catheter head 1 28 is easily inserted into the anus and rectum.
  • the device may be used to insert catheters or other objects into other body cavities.
  • the user next opens and closes his or her fist so that the rectal catheter bellows, located in the palm portion pocket of the glove, is squeezed and released.
  • air flows through the tubing 136 and, as illustrated in Fig. 9, the annular balloon 152 of the insertion head 128 of the rectal catheter is inflated while it is in the user's rectum to provide bowel stimulation.
  • the annular balloon 1 52 is next deflated and the user removes the insertion head from his or her rectum and anus.
  • the glove 106 of Figs. 4-8 provides both an insertion aid for, and an integrated pump to assist in inflating the cuff or annular balloon 1 52 (of Fig. 9) of, the rectal catheter.
  • the device 70 of Figs. 3A and 3B could be attached to an extended handle.
  • both the mitten device 20 of Figs. 2A and 2B and the device 70 of Figs. 3A and 3B could be provided with a fluid passage and connected to a pressurized source of water or other liquid so as to also provide an irrigation system.
  • the glove device of Figs. 4-8 could be used to deliver medications.
  • a suppository loading function may be used in conjunction with the device.
  • the stems of the devices of Figs. 2A-3B could be removable and interchangeable so that pre-check and stool removal heads could be used.
  • the embodiments described above therefore enable a user to comfortably perform bowel management virtually anywhere (e.g., on the bed vs. in the bathroom, home vs. public toilet, etc.). They provide a small, discreet device that can be transported and utilized on the go to provide quick bowel stimulation. They also provide more controlled digital stimulation over rudimentary stimulation devices currently on the market. [0045]
  • the embodiments described above offer non-contact methods to promote rectal stimulation as the user does not need to use his or her finger directly to perform stimulation.
  • the embodiments of the disclosure therefore replace manual evacuation and thus remove the need for users to utilize their fingers by providing a discreet and adjustable hand-held stool evacuation device that is easy to use.
  • the embodiments may be utilized on their own or in conjunction with other bowel treatment methods (such as trans-anal irrigation) to check if there is stool remaining in the rectum after treatment.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pain & Pain Management (AREA)
  • Rehabilitation Therapy (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Epidemiology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Reproductive Health (AREA)
  • Otolaryngology (AREA)
  • Percussion Or Vibration Massage (AREA)

Abstract

Selon l'invention, un dispositif de stimulation de défécation comprend un boîtier d'entraînement dans lequel un moteur est positionné. Le dispositif comprend de plus une tige dont une partie se situe à l'extérieur du boîtier d'entraînement. La tige est reliée de manière fonctionnelle au moteur de façon à tourner autour d'un axe longitudinal lorsque le moteur est activé. Une partie de mise en prise manuelle est fixée au boîtier d'entraînement.
PCT/US2017/062987 2016-11-29 2017-11-22 Dispositif et système numériques de stimulation WO2018102214A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201662427349P 2016-11-29 2016-11-29
US62/427,349 2016-11-29

Publications (1)

Publication Number Publication Date
WO2018102214A1 true WO2018102214A1 (fr) 2018-06-07

Family

ID=60935932

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2017/062987 WO2018102214A1 (fr) 2016-11-29 2017-11-22 Dispositif et système numériques de stimulation

Country Status (1)

Country Link
WO (1) WO2018102214A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108904243A (zh) * 2018-07-27 2018-11-30 南通百佳医疗器械研究有限公司 一种神经源性直肠肛门牵张器
CN110353966A (zh) * 2019-06-13 2019-10-22 北京点域科技有限公司 肚胀解锁按摩器

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE9011708U1 (de) * 1990-08-11 1990-10-18 Kainka, Silvia, 2000 Hamburg Massagevorrichtung für Körperhöhlen
JPH0390151A (ja) * 1990-04-21 1991-04-16 Esuto:Kk マッサージ器
US6038719A (en) * 1999-02-26 2000-03-21 Castagna; Doris Novelty pillow
WO2006019285A1 (fr) * 2004-08-19 2006-02-23 Moon-Seok Yang Appareil de massage intestinal
CN102895100B (zh) * 2012-11-13 2015-01-14 常州大学 可交替正反转的腹部按摩装置
US9198824B2 (en) * 2013-12-10 2015-12-01 G-Lovin' Enterprisess Llc Stimulator

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0390151A (ja) * 1990-04-21 1991-04-16 Esuto:Kk マッサージ器
DE9011708U1 (de) * 1990-08-11 1990-10-18 Kainka, Silvia, 2000 Hamburg Massagevorrichtung für Körperhöhlen
US6038719A (en) * 1999-02-26 2000-03-21 Castagna; Doris Novelty pillow
WO2006019285A1 (fr) * 2004-08-19 2006-02-23 Moon-Seok Yang Appareil de massage intestinal
CN102895100B (zh) * 2012-11-13 2015-01-14 常州大学 可交替正反转的腹部按摩装置
US9198824B2 (en) * 2013-12-10 2015-12-01 G-Lovin' Enterprisess Llc Stimulator

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108904243A (zh) * 2018-07-27 2018-11-30 南通百佳医疗器械研究有限公司 一种神经源性直肠肛门牵张器
CN110353966A (zh) * 2019-06-13 2019-10-22 北京点域科技有限公司 肚胀解锁按摩器
CN110353966B (zh) * 2019-06-13 2021-12-28 青岛大学附属医院 腹胀缓解按摩器

Similar Documents

Publication Publication Date Title
DK2679261T3 (en) ENGINE RINSE SYSTEM
US5383827A (en) Inflatable hand orthosis
US11116891B2 (en) Device for trans anal irrigation
JP5474766B2 (ja) オストミー装置
DK2671602T3 (en) Rinse system which includes dual pumps
JP2010516315A (ja) 個別配置可能なポンプシステム
EP2776087B1 (fr) Kit d'irrigation transanale
EP3534863A1 (fr) Bras de traitement intestinal réglable
KR20020003537A (ko) 개인 휴대용 자동 때밀이 장치
WO2018102214A1 (fr) Dispositif et système numériques de stimulation
CA2297962A1 (fr) Dispositif de douche vaginale et/ou d'enteroclyse
AU2018256921B2 (en) Body cavity irrigation system controller
US3421506A (en) Relief container
JP2005296207A (ja) 排便器具
JP3206615U (ja) ストーマ装具着脱練習具
JP2003210571A (ja) 吸引洗浄摘便装置
CN214509663U (zh) 用于类风湿关节炎的手关节保护套
CN216124796U (zh) 一种按摩器
CN219021866U (zh) 一种防拔管罐
JP4712327B2 (ja) 排便器具
JP4716748B2 (ja) 排便器具
JPH07328052A (ja) 排便装具及びその使用方法
TWM309983U (en) Assembled equipment of artificial anus container

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 17825640

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 17825640

Country of ref document: EP

Kind code of ref document: A1