WO2002007625A2 - Cryotreatment device and method - Google Patents
Cryotreatment device and method Download PDFInfo
- Publication number
- WO2002007625A2 WO2002007625A2 PCT/US2001/041026 US0141026W WO0207625A2 WO 2002007625 A2 WO2002007625 A2 WO 2002007625A2 US 0141026 W US0141026 W US 0141026W WO 0207625 A2 WO0207625 A2 WO 0207625A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- coolant
- cooling
- lumen
- catheter
- recited
- Prior art date
Links
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/10—Cooling bags, e.g. ice-bags
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/12—Devices for heating or cooling internal body cavities
- A61F7/123—Devices for heating or cooling internal body cavities using a flexible balloon containing the thermal element
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00243—Type of minimally invasive operation cardiac
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00831—Material properties
- A61B2017/00867—Material properties shape memory effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22001—Angioplasty, e.g. PCTA
- A61B2017/22002—Angioplasty, e.g. PCTA preventing restenosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
- A61B2017/22051—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
- A61B2017/22065—Functions of balloons
- A61B2017/22067—Blocking; Occlusion
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
- A61B2018/00041—Heating, e.g. defrosting
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00184—Moving parts
- A61B2018/00196—Moving parts reciprocating lengthwise
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/0022—Balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0231—Characteristics of handpieces or probes
- A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
- A61B2018/0268—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow
- A61B2018/0275—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow using porous elements
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0231—Characteristics of handpieces or probes
- A61B2018/0262—Characteristics of handpieces or probes using a circulating cryogenic fluid
- A61B2018/0268—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow
- A61B2018/0281—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow using a tortuous path, e.g. formed by fins or ribs
- A61B2018/0287—Characteristics of handpieces or probes using a circulating cryogenic fluid with restriction of flow using a tortuous path, e.g. formed by fins or ribs the fluid flowing through a long thin tube with spiral shape
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
- A61B2018/1861—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument inserted into a body lumen or cavity, e.g. a catheter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/04—Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery
- A61B2090/0463—Protection of tissue around surgical sites against effects of non-mechanical surgery, e.g. laser surgery against cooling or freezing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/37—Surgical systems with images on a monitor during operation
- A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
- A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0001—Body part
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0059—Heating or cooling appliances for medical or therapeutic treatment of the human body with an open fluid circuit
- A61F2007/0063—Heating or cooling appliances for medical or therapeutic treatment of the human body with an open fluid circuit for cooling
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2001281280A AU2001281280A1 (en) | 2000-07-25 | 2001-06-18 | Cryotreatment device and method |
DE60122897T DE60122897T2 (en) | 2000-07-25 | 2001-06-18 | DEVICE FOR CYCLING |
JP2002513366A JP4833494B2 (en) | 2000-07-25 | 2001-06-18 | Cryotherapy apparatus and method |
CA2419107A CA2419107C (en) | 2000-07-25 | 2001-06-18 | Cryotreatment device and method |
EP01959758A EP1303226B1 (en) | 2000-07-25 | 2001-06-18 | Cryotreatment device |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/625,163 | 2000-07-25 | ||
US09/625,163 US7220257B1 (en) | 2000-07-25 | 2000-07-25 | Cryotreatment device and method |
Publications (3)
Publication Number | Publication Date |
---|---|
WO2002007625A2 true WO2002007625A2 (en) | 2002-01-31 |
WO2002007625A3 WO2002007625A3 (en) | 2002-04-18 |
WO2002007625A9 WO2002007625A9 (en) | 2003-10-23 |
Family
ID=24504859
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2001/041026 WO2002007625A2 (en) | 2000-07-25 | 2001-06-18 | Cryotreatment device and method |
Country Status (9)
Country | Link |
---|---|
US (5) | US7220257B1 (en) |
EP (1) | EP1303226B1 (en) |
JP (1) | JP4833494B2 (en) |
AT (1) | ATE338517T1 (en) |
AU (1) | AU2001281280A1 (en) |
CA (1) | CA2419107C (en) |
DE (1) | DE60122897T2 (en) |
ES (1) | ES2271060T3 (en) |
WO (1) | WO2002007625A2 (en) |
Cited By (37)
Publication number | Priority date | Publication date | Assignee | Title |
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US6514245B1 (en) | 1999-03-15 | 2003-02-04 | Cryovascular Systems, Inc. | Safety cryotherapy catheter |
US6602246B1 (en) | 2000-08-18 | 2003-08-05 | Cryovascular Systems, Inc. | Cryotherapy method for detecting and treating vulnerable plaque |
WO2003088857A2 (en) * | 2002-04-19 | 2003-10-30 | Boston Scientific Limited | Cryo balloon |
US6648879B2 (en) | 1999-02-24 | 2003-11-18 | Cryovascular Systems, Inc. | Safety cryotherapy catheter |
WO2004019798A1 (en) * | 2002-08-30 | 2004-03-11 | Boston Scientific Limited | Cryo ablation coil |
US6786901B2 (en) | 1999-03-15 | 2004-09-07 | Cryovascular Systems, Inc. | Cryosurgical fluid supply |
US6786900B2 (en) | 2001-08-13 | 2004-09-07 | Cryovascular Systems, Inc. | Cryotherapy methods for treating vessel dissections and side branch occlusion |
EP1464296A1 (en) * | 2003-04-01 | 2004-10-06 | Cryocor, Inc. | Catheter for cryoablation with a cryotip having a spiral and a straight configuration |
WO2004098427A1 (en) * | 2003-04-30 | 2004-11-18 | Boston Scientific Limited | Radio frequency ablation cooling shield |
US6955174B2 (en) | 2000-08-18 | 2005-10-18 | Uryovascular Systems, Inc. | Cryotherapy method for detecting and treating vulnerable plaque |
EP1613232A2 (en) * | 2003-04-14 | 2006-01-11 | Galil Medical Ltd | Apparatus and method for protecting tissues during cryoablation |
US7220257B1 (en) | 2000-07-25 | 2007-05-22 | Scimed Life Systems, Inc. | Cryotreatment device and method |
JP2008508072A (en) * | 2004-08-02 | 2008-03-21 | ボストン サイエンティフィック リミテッド | Cooling of body tissues |
WO2008157042A1 (en) * | 2007-06-14 | 2008-12-24 | Boston Scientific Scimed, Inc. | Cryogenic balloon ablation instruments and systems |
EP1494603B1 (en) * | 2002-03-12 | 2009-02-11 | Cryocath Technologies inc. | Cryogenic apparatus |
WO2010033785A1 (en) * | 2008-09-22 | 2010-03-25 | Boston Scientific Scimed, Inc. | Biasing a catheter balloon |
WO2010111122A1 (en) * | 2009-03-23 | 2010-09-30 | Boston Scientific Scimed, Inc. | Systems apparatus for distributing coolant within a cryo-ablation device |
WO2012057912A1 (en) * | 2010-10-28 | 2012-05-03 | Medtronic Ablation Frontiers Llc | Cryo-ablation device with deployable injection tube |
WO2012058156A1 (en) * | 2010-10-26 | 2012-05-03 | Medtronic Ardian Luxembourg S.A.R.L. | Neuromodulation cryotherapeutic devices associated systems and methods |
US8343097B2 (en) | 2005-12-22 | 2013-01-01 | Hybernia Medical Llc | Systems and methods for intravascular cooling |
US8465481B2 (en) | 2008-10-20 | 2013-06-18 | Boston Scientific Scimed, Inc. | Providing cryotherapy with a balloon catheter having a non-uniform thermal profile |
WO2014014955A1 (en) * | 2012-07-17 | 2014-01-23 | Prospex Medical III | Devices to reduce myocardial reperfusion injury |
US8968282B2 (en) | 2011-04-13 | 2015-03-03 | Cryotherapeutics Gmbh | Plaque stabilisation using cryoenergy |
US9017317B2 (en) | 2012-12-06 | 2015-04-28 | Medtronic Ardian Luxembourg S.A.R.L. | Refrigerant supply system for cryotherapy including refrigerant recompression and associated devices, systems, and methods |
EP2760393A4 (en) * | 2011-09-28 | 2015-06-10 | Zoll Circulation Inc | Patient temperature control catheter with helical heat exchange paths |
US9060754B2 (en) | 2010-10-26 | 2015-06-23 | Medtronic Ardian Luxembourg S.A.R.L. | Neuromodulation cryotherapeutic devices and associated systems and methods |
EP2528528A4 (en) * | 2010-01-27 | 2015-11-04 | Medtronic Cryocath Lp | Cryoballoon refrigerant dispersion control |
US9872718B2 (en) | 2012-04-27 | 2018-01-23 | Medtronic Adrian Luxembourg S.a.r.l. | Shafts with pressure relief in cryotherapeutic catheters and associated devices, systems, and methods |
US10004550B2 (en) | 2010-08-05 | 2018-06-26 | Medtronic Ardian Luxembourg S.A.R.L. | Cryoablation apparatuses, systems, and methods for renal neuromodulation |
WO2019164991A1 (en) * | 2018-02-21 | 2019-08-29 | Csa Medical, Inc. | Systems and methods to enhance radial spray from a catheter |
US10441338B2 (en) | 2014-01-14 | 2019-10-15 | Medtronic Cryocath Lp | Balloon catheter with fluid injection elements |
US10492842B2 (en) | 2014-03-07 | 2019-12-03 | Medtronic Ardian Luxembourg S.A.R.L. | Monitoring and controlling internally administered cryotherapy |
US10588682B2 (en) | 2011-04-25 | 2020-03-17 | Medtronic Ardian Luxembourg S.A.R.L. | Apparatus and methods related to constrained deployment of cryogenic balloons for limited cryogenic ablation of vessel walls |
US10792788B2 (en) | 2013-10-22 | 2020-10-06 | Tosoh Smd, Inc. | Optimized textured surfaces and methods of optimizing |
US10905490B2 (en) | 2012-04-27 | 2021-02-02 | Medtronic Ardian Luxembourg S.A.R.L. | Cryotherapeutic devices for renal neuromodulation and associated systems and methods |
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US11871977B2 (en) | 2016-05-19 | 2024-01-16 | Csa Medical, Inc. | Catheter extension control |
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US20030149368A1 (en) * | 2000-10-24 | 2003-08-07 | Hennemann Willard W. | Method and apparatus for locating and detecting vascular plaque via impedence and conductivity measurements, and for cryogenically passivating vascular plaque and inhibiting vascular plaque progression and rupture |
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Also Published As
Publication number | Publication date |
---|---|
JP4833494B2 (en) | 2011-12-07 |
WO2002007625A9 (en) | 2003-10-23 |
DE60122897T2 (en) | 2007-04-12 |
US20110282272A1 (en) | 2011-11-17 |
EP1303226A2 (en) | 2003-04-23 |
WO2002007625A3 (en) | 2002-04-18 |
DE60122897D1 (en) | 2006-10-19 |
CA2419107A1 (en) | 2002-01-31 |
ATE338517T1 (en) | 2006-09-15 |
CA2419107C (en) | 2012-01-17 |
JP2004516042A (en) | 2004-06-03 |
US7220257B1 (en) | 2007-05-22 |
US20070250050A1 (en) | 2007-10-25 |
US8012147B2 (en) | 2011-09-06 |
AU2001281280A1 (en) | 2002-02-05 |
US8845707B2 (en) | 2014-09-30 |
EP1303226B1 (en) | 2006-09-06 |
US8409266B2 (en) | 2013-04-02 |
ES2271060T3 (en) | 2007-04-16 |
US20150018904A1 (en) | 2015-01-15 |
US20130238064A1 (en) | 2013-09-12 |
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