WO2023220151A1 - Novel silicone liner - Google Patents

Novel silicone liner Download PDF

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Publication number
WO2023220151A1
WO2023220151A1 PCT/US2023/021696 US2023021696W WO2023220151A1 WO 2023220151 A1 WO2023220151 A1 WO 2023220151A1 US 2023021696 W US2023021696 W US 2023021696W WO 2023220151 A1 WO2023220151 A1 WO 2023220151A1
Authority
WO
WIPO (PCT)
Prior art keywords
silicone
liner
making
sidewalls
microcraters
Prior art date
Application number
PCT/US2023/021696
Other languages
French (fr)
Inventor
Aldo Laghi
Original Assignee
Alps South Europe, S.R.O.
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
Priority claimed from US17/742,721 external-priority patent/US20220266481A1/en
Application filed by Alps South Europe, S.R.O. filed Critical Alps South Europe, S.R.O.
Publication of WO2023220151A1 publication Critical patent/WO2023220151A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F2/00Filters 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
    • A61F2/50Prostheses not implantable in the body
    • A61F2/78Means for protecting prostheses or for attaching them to the body, e.g. bandages, harnesses, straps, or stockings for the limb stump
    • A61F2/7812Interface cushioning members placed between the limb stump and the socket, e.g. bandages or stockings for the limb stump
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C33/00Moulds or cores; Details thereof or accessories therefor
    • B29C33/38Moulds or cores; Details thereof or accessories therefor characterised by the material or the manufacturing process
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B29WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29CSHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C33/00Moulds or cores; Details thereof or accessories therefor
    • B29C33/42Moulds or cores; Details thereof or accessories therefor characterised by the shape of the moulding surface, e.g. ribs or grooves

Definitions

  • This invention relates to liners for use in a prosthetic assembly. Specifically, the described invention relates to liners having a silicone lining that is smooth to the touch via the use of sand-blasting the molds used to create the liners.
  • Silicone liners have been used since the 1980s in the prosthetic industry such as those described in U.S. Patent No. 4,923,474 granted to Klassen and Kristinsson.
  • Other examples of such liners include U.S. Pat. No. 5,728,168 to Laghi et al., U.S. Pat. 5,830,237 granted to Kania, U.S Patent No. 5,507,834 to Laghi et al., U.S. Patent No. 5,443,525 to Laghi et al., and U.S. Patent 5,728,168 to Laghi et al.
  • silicone liners have historically been difficult to take on an off due to the high coefficient of static friction of silicone. As such, they tend to stick to the skin of a residual limb. This prevents relative movement at the interface skin/liner and therefore induces high shear forces on the skin in localized portions of the residual limb as the ground reaction to ambulation is transmitted to the skeleton through the silicone interface and the skin. These resulting shear forces increase the likelihood of blistering of the skin, especially for patients with sensitive skin. It is therefore desired to develop a silicone liner having a reduced frictional effect such that the user can easily don and doff their prosthetic liner.
  • the present invention utilizes a novel sandblasting technique so as to create “microcraters” in the silicone of the prosthetic liner, as it is molded, which allow for the liner to be donned and doffed with ease and which is skin-friendly.
  • the method described herein is particularly effective for silicone liners because silicones, when in the liquid state, have low surface tension which allows them to penetrate tiny holes and cracks and, therefore, to create the microcraters. Silicones’ viscosity is also inversely proportional to temperature which makes silicone flow easier as they get closer to the surface of the hold mold. As a result, silicones produce a faithful mirror image of the cratered mold surface.
  • Another object of the invention is to provide a silicone liner with a more comfortable interior silicone lining.
  • Another object of the invention is to provide a method of manufacturing silicone liners having reduced frictional characteristics.
  • Another object of the invention is to provide a liner having microcraters.
  • Another object of the invention is to describe a method of making silicone liners by molding the liners using mold mandrels that have been sandblasted.
  • the present invention relates generally to a liner for use in a prosthetic assembly having a silicone interior comprising microcraters by sandblasting the silicone mandrel using #36 grit at 100 psi. Using a sandblasted mold mandrel, a silicone liner can be manufactured having improved friction characteristics.
  • the liner of the present invention may optionally include a fabric cover bonded to the exterior surface.
  • F ig. l is a front view of the improved silicone liner
  • Fig. 2 is a sectional view 7 of a silicone sheet formed using a mandrel that has not been sandblasted.
  • Fig. 3 is a sectional view 7 of a silicone sheet formed using a mandrel sandblasted with #36 grit at 100 psi.
  • Fig. 4 is a sectional view of a silicone sheet formed using a mandrel sandblasted with #320 grit at 100 psi.
  • Fig. 5 is a graph showing the effect of sandblasting on the pulling force necessary to remove a silicone sheet from a steel substrate showing the effect on the static coefficient of friction.
  • the present invention relates to a liner 100 for use with prosthetic devices.
  • the liner 100 for use with a prosthetic assembly comprises an open upper end 12 for receiving a residual limb, not shown, a closed botom end 14, and sidewalls 16 of predetermined thickness.
  • the liner is airtight when donned over a residual limb.
  • the preferred thickness of the sidewalls 16 is about 1.5mm to 3.0 mm. Note that the thickness is greater at the bottom end than in the sidewalls; the preferred thickness of the silicone at said bottom end 14 is about 3.0 mm to 12.0 mm.
  • the sidewalls 16 have an inner layer 18 of the improved silicone described herein.
  • the sidewalls 16 can be fabric or another layer of more durable and higher friction silicone.
  • a mandrel Prior to molding the silicone, a mandrel is sandblasted using #36 grit at 100 psi.
  • the particular grit and pressure used provide the beneficial characteristics of the present invention. Other grits and pressures did not produce the benefits of reduced frictional hold and less chance of skin irritation. .
  • the silicone is molded over it, allowing the silicone to seep into the microcraters formed by the sandblasting. As can be seen in Figs. 2-4, the size of grit used during sandblasting has a sizeable effect.
  • Fig. 2 depicts a sheet of silicone 20 that has not been sandblasted. As can be seen by the cross-section 2-2, not sandblasting the mandrel results in a smooth exterior surface 22 which maintains the high frictional characteristics of silicone.
  • Figs. 3 and 4 show' a microscopic view of exterior surface 22 after the mandrel sandblasted.
  • Fig. 3 shows the microcrating the exterior surface 22 is subjected to using #36 grit at 100 psi thereby creating microcraters 24. Along line 3-3, the microcraters created generally have a depth of about 0.0195 mm.
  • FIG. 4 shows the microcrating the exterior surface 22 is subjected to using #320 grit at 100 psi.
  • Sandblasting with #320 grit may be done alone or after the mandrel has been sandblasted with #36 grit.
  • the microcraters created generally have a depth of about 0.0100 mm. The deeper microcraters create a lower static coefficient of friction for silicone because there is less surface area for the exterior surface 22 to be in contact with, as can be seen when comparing the sheet in Fig, 3 with the sheet in Fig. 4.
  • Sandblasting between #36 and #320 grit may also be performed.
  • microcraters 24 of differing depths include, but are not limited to, modification of the mandrel surface via rolling, compression of the mold against a textured surface, chemical etching, laser engraving, computer numerical control (CNC) engraving, electro-erosion (i.e. electric discharge machining), electrodeposition, laser micro melting, shot blasting, shot peening, and pinwheeling. Similar methods now know 7 or to be discovered which are equivalent to the methods included (i.e. methods that create microcraters in the exterior surface of a silicone layer in a prosthetic liner) are intended to be included in the above listing

Abstract

A silicone prosthetic liner for use with a prosthetic assembly that acts as the interface between the residual limb of an amputee and the socket assembly. The prosthetic liner comprises an open proximal end, a closed distal end, and sidewalls comprising an inner layer of molded silicone. The silicone is molded over a mandrel that has been sandblasted using #36 grit and, optionally, #320 grit at 100 psi so as to form microcraters and reduce the coefficient of static friction.

Description

NOVEL SILTCONE LINER
[0001] Cross-Reference to Related Applications
[0002] This application claims priority to pending application Serial Number 17/742,721 filed May 12, 2022, which is a continuation-in-part of application Serial Number 16,868,776 entitled “Novel Silicone Liner, filed May 7, 2020 which claimed the benefit of provisional application number 62/844,253 filed May 7, 2019 and provisional application number 62/844,296 filed May 7, 2019, the disclosures of which are incorporated by reference herein.
[0003] BACKGROUND OF THE INVENTION
[0004] Field of the Invention
[0005] This invention relates to liners for use in a prosthetic assembly. Specifically, the described invention relates to liners having a silicone lining that is smooth to the touch via the use of sand-blasting the molds used to create the liners.
[0006] Description of the Background Art
[0007] Silicone liners have been used since the 1980s in the prosthetic industry such as those described in U.S. Patent No. 4,923,474 granted to Klassen and Kristinsson. Other examples of such liners include U.S. Pat. No. 5,728,168 to Laghi et al., U.S. Pat. 5,830,237 granted to Kania, U.S Patent No. 5,507,834 to Laghi et al., U.S. Patent No. 5,443,525 to Laghi et al., and U.S. Patent 5,728,168 to Laghi et al.
[0008] However, silicone liners have historically been difficult to take on an off due to the high coefficient of static friction of silicone. As such, they tend to stick to the skin of a residual limb. This prevents relative movement at the interface skin/liner and therefore induces high shear forces on the skin in localized portions of the residual limb as the ground reaction to ambulation is transmitted to the skeleton through the silicone interface and the skin. These resulting shear forces increase the likelihood of blistering of the skin, especially for patients with sensitive skin. It is therefore desired to develop a silicone liner having a reduced frictional effect such that the user can easily don and doff their prosthetic liner.
[0009] Further, most amputees have had amputations for vascular, as opposed to traumatic, reasons. This means that the amputation was because of poor circulation. Most amputees are also elderly. As such, most amputees have thinner, more delicate skin which is prone to damage and have reduced blood flow to the extremities giving them less ability to heal sores and wounds. Some elderly amputees end up having recurring amputations as the skin of their residual limbs becomes damaged and infected.
[0010] One method that has been developed to thwart these issues is to include additives that exude from the silicone matrix and act as a lubricant between the liner and skin. The issue with this solution is that the exudate can collect dirt on the inside surface of the liner, exacerbating skin damage. Exudates also require more thorough cleaning and make the liner slippery.
[0011] The present invention utilizes a novel sandblasting technique so as to create “microcraters” in the silicone of the prosthetic liner, as it is molded, which allow for the liner to be donned and doffed with ease and which is skin-friendly. The method described herein is particularly effective for silicone liners because silicones, when in the liquid state, have low surface tension which allows them to penetrate tiny holes and cracks and, therefore, to create the microcraters. Silicones’ viscosity is also inversely proportional to temperature which makes silicone flow easier as they get closer to the surface of the hold mold. As a result, silicones produce a faithful mirror image of the cratered mold surface.
[0012] Therefore, is it an object of this invention to provide an improvement which overcomes the overcomes the aforementioned inadequacies of the prior art devices and provides an improvement which is a significant contribution to the advancement of the liner art. [0013] Another object of the invention is to provide a silicone liner with a more comfortable interior silicone lining.
[0014] Another object of the invention is to provide a method of manufacturing silicone liners having reduced frictional characteristics.
[0015] Another object of the invention is to provide a liner having microcraters.
[0016] Another object of the invention is to describe a method of making silicone liners by molding the liners using mold mandrels that have been sandblasted.
[0017] The foregoing has outlined some of the pertinent objects of the invention. These objects should be construed to be merely illustrative of some of the illustrative of some of the more prominent features and applications of the intended invention. Many other beneficial results can be attained by applying the disclosed invention in a different manner or modifying the invention within the scope of the disclosure. Accordingly, other objects and a fuller understanding of the invention may be had by referring to the summary of the invention and the detailed description of the preferred embodiment in addition to the scope of the invention defined by the claims taken in conjunction with the accompanying drawings.
[0018] SUMMARY OF THE INVENTION
[0019] The present invention relates generally to a liner for use in a prosthetic assembly having a silicone interior comprising microcraters by sandblasting the silicone mandrel using #36 grit at 100 psi. Using a sandblasted mold mandrel, a silicone liner can be manufactured having improved friction characteristics. The liner of the present invention may optionally include a fabric cover bonded to the exterior surface.
[0020] The foregoing has outlined rather broadly the more pertinent and important features of the present inventi on in order that the detailed description of the invention that follows may be better understood so that the present contribution to the art can be more fully appreciated. Additional features of the invention will be described hereinafter which form the subject of the claims of the invention. It should be appreciated by those skilled in the art that the conception and the specific embodiment disclosed may be readily utilized as a basis for modifying or designing other structures for carrying out the same purposes of the present invention. It should also be realized by those skilled in the art that such equivalent constructions do not depart from the spirit and scope of the invention as set forth in the appended claims.
[0021] BRUT DESCRIPTION OF THE DRAWNGS
[0022] For a more complete understanding of the present disclosure and its advantages, reference is now made to the following descriptions, taken in conjunction with the accompanying drawings, in which:
[0023] F ig. l is a front view of the improved silicone liner,
[0024] Fig. 2 is a sectional view7 of a silicone sheet formed using a mandrel that has not been sandblasted.
[0025] Fig. 3 is a sectional view7 of a silicone sheet formed using a mandrel sandblasted with #36 grit at 100 psi.
[0026] Fig. 4 is a sectional view of a silicone sheet formed using a mandrel sandblasted with #320 grit at 100 psi.
[0027] Fig. 5 is a graph showing the effect of sandblasting on the pulling force necessary to remove a silicone sheet from a steel substrate showing the effect on the static coefficient of friction.
[0028] Similar reference numerals refer to similar parts throughout the several views of the drawings.
[0029] DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT
[0030] The following description is of the best mode presently contemplated for carrying out the invention. This description is not to be taken in a limiting sense, but is made merely for the purpose of describing one or more preferred embodiments of the invention. The scope of the invention should be determined with reference to the claims.
[0031] The present invention relates to a liner 100 for use with prosthetic devices. As shown in Fig. 1, the liner 100 for use with a prosthetic assembly comprises an open upper end 12 for receiving a residual limb, not shown, a closed botom end 14, and sidewalls 16 of predetermined thickness. The liner is airtight when donned over a residual limb. The preferred thickness of the sidewalls 16 is about 1.5mm to 3.0 mm. Note that the thickness is greater at the bottom end than in the sidewalls; the preferred thickness of the silicone at said bottom end 14 is about 3.0 mm to 12.0 mm. The sidewalls 16 have an inner layer 18 of the improved silicone described herein. The sidewalls 16 can be fabric or another layer of more durable and higher friction silicone.
[0032] Prior to molding the silicone, a mandrel is sandblasted using #36 grit at 100 psi. The particular grit and pressure used provide the beneficial characteristics of the present invention. Other grits and pressures did not produce the benefits of reduced frictional hold and less chance of skin irritation. .After sandblasting the mandrel, the silicone is molded over it, allowing the silicone to seep into the microcraters formed by the sandblasting. As can be seen in Figs. 2-4, the size of grit used during sandblasting has a sizeable effect.
[0033] Fig. 2 depicts a sheet of silicone 20 that has not been sandblasted. As can be seen by the cross-section 2-2, not sandblasting the mandrel results in a smooth exterior surface 22 which maintains the high frictional characteristics of silicone. Figs. 3 and 4, on the other hand, show' a microscopic view of exterior surface 22 after the mandrel sandblasted. Fig. 3 shows the microcrating the exterior surface 22 is subjected to using #36 grit at 100 psi thereby creating microcraters 24. Along line 3-3, the microcraters created generally have a depth of about 0.0195 mm. Fig. 4 shows the microcrating the exterior surface 22 is subjected to using #320 grit at 100 psi. Sandblasting with #320 grit may be done alone or after the mandrel has been sandblasted with #36 grit. Along line 4-4, the microcraters created generally have a depth of about 0.0100 mm. The deeper microcraters create a lower static coefficient of friction for silicone because there is less surface area for the exterior surface 22 to be in contact with, as can be seen when comparing the sheet in Fig, 3 with the sheet in Fig. 4. Sandblasting between #36 and #320 grit may also be performed.
[0034] Alternative methods of creating the microcraters 24 of differing depths include, but are not limited to, modification of the mandrel surface via rolling, compression of the mold against a textured surface, chemical etching, laser engraving, computer numerical control (CNC) engraving, electro-erosion (i.e. electric discharge machining), electrodeposition, laser micro melting, shot blasting, shot peening, and pinwheeling. Similar methods now know7 or to be discovered which are equivalent to the methods included (i.e. methods that create microcraters in the exterior surface of a silicone layer in a prosthetic liner) are intended to be included in the above listing
[0035] Three tests were performed to exhibit the beneficial properties of the present invention, the results of which are shown in Fig. 5. In the first, the mold was sandblasted using #36 grit at 100 psi and it took 1 .6 N of force in terms of pull resistance, i.e. prior to tearing. In the second test, the mold was sandblasted using #320 grit. The result was 2.33 N of force in terms of pull resistance. In the final test the mold was not sandblasted at all and required 9.33 N of feree. The tests were performed on smooth stainless steel using silicone strips that were 1 inch wide and 7 inches long while applying 100 grams of weight.
[0036] The present disclosure includes that contained in the appended claims, as well as that of the foregoing description. Although this invention has been described in its preferred form with a certain degree of particularity, it is understood that the present disclosure of the preferred form has been made only by way of example and that numerous changes in the details of construction and combination and arrangement of parts may be resorted to without departing from the spirit and scope of the invention.
[0037] Now that the invention has been described,
[0038] WHAT IS CLAIMED IS:

Claims

1 . A method of making a silicone liner comprising: modifying a mandrel surface using the method selected from the group consisting of rolling, chemical etching, laser engraving, computer numerical control engraving, electro-erosion, electrodeposition, laser micro melting, shot blasting, shot peening, and pinwheeling; molding silicone over the mandrel; forming fabric sidewalls over the silicone creating a composite wherein the composite further comprises an open upper end, a closed botom end, and fabric sidewalls having a thickness wherein said sidewalls further comprise an inner layer of silicone having a silicone thickness wherein said silicone has microcraters having a depth between 0.0100 and 0.0195 millimeters.
2. The method of making a silicone liner of Claim 1 wherein the thickness of the sidewalls is between 1.5 and 3 millimeters.
3. The method of making a silicone liner of Claim 1 wherein the silicone thickness at the bottom end is between 3 and 12 millimeters.
4. The method of making a silicone liner of Claim 1 further comprises less than 2.4 N of force in pull resistance prior to breaking.
5. The method of making a silicone liner of Claim 1 wherein the microcraters are further formed by compressing silicone against a textured surface after molding but before cooling.
PCT/US2023/021696 2022-05-12 2023-05-10 Novel silicone liner WO2023220151A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US17/742,721 US20220266481A1 (en) 2019-05-07 2022-05-12 Novel Silicone Liner
US17/742,721 2022-05-12

Publications (1)

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WO2023220151A1 true WO2023220151A1 (en) 2023-11-16

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5772864A (en) * 1996-02-23 1998-06-30 Meadox Medicals, Inc. Method for manufacturing implantable medical devices
US20170239070A1 (en) * 2014-07-23 2017-08-24 Uniprox GmbH & Co. KG Perforated Liner
US20190142574A1 (en) * 2016-05-11 2019-05-16 Establishment Labs S.A. Medical implants and methods of preparation thereof
US20200352746A1 (en) * 2019-05-07 2020-11-12 Aldo Laghi Sand-Blasted Silicone Prosthetic Liner
US20220266481A1 (en) * 2019-05-07 2022-08-25 Aldo Laghi Novel Silicone Liner

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5772864A (en) * 1996-02-23 1998-06-30 Meadox Medicals, Inc. Method for manufacturing implantable medical devices
US20170239070A1 (en) * 2014-07-23 2017-08-24 Uniprox GmbH & Co. KG Perforated Liner
US20190142574A1 (en) * 2016-05-11 2019-05-16 Establishment Labs S.A. Medical implants and methods of preparation thereof
US20200352746A1 (en) * 2019-05-07 2020-11-12 Aldo Laghi Sand-Blasted Silicone Prosthetic Liner
US20220266481A1 (en) * 2019-05-07 2022-08-25 Aldo Laghi Novel Silicone Liner

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