EP1383562A1 - Dispositifs de manipulation de fluide, destines notamment a une utilisation medicale - Google Patents
Dispositifs de manipulation de fluide, destines notamment a une utilisation medicaleInfo
- Publication number
- EP1383562A1 EP1383562A1 EP02720255A EP02720255A EP1383562A1 EP 1383562 A1 EP1383562 A1 EP 1383562A1 EP 02720255 A EP02720255 A EP 02720255A EP 02720255 A EP02720255 A EP 02720255A EP 1383562 A1 EP1383562 A1 EP 1383562A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- hub
- stop element
- plunger
- needle
- blocking portion
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
Classifications
-
- 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
-
- 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
- A61M5/31—Details
- A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
- A61M5/3205—Apparatus for removing or disposing of used needles or syringes, e.g. containers; Means for protection against accidental injuries from used needles
- A61M5/321—Means for protection against accidental injuries by used needles
- A61M5/322—Retractable needles, i.e. disconnected from and withdrawn into the syringe barrel by the piston
- A61M5/3234—Fully automatic needle retraction, i.e. in which triggering of the needle does not require a deliberate action by the user
-
- 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
- A61M5/31—Details
- A61M5/32—Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
-
- 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
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/50—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests having means for preventing re-use, or for indicating if defective, used, tampered with or unsterile
- A61M5/508—Means for preventing re-use by disrupting the piston seal, e.g. by puncturing
Definitions
- This invention relates to fluid handling devices, such as medical syringes, in which a plunger is used to deliver fluid from a barrel of the device via a needle.
- the present invention seeks to provide a fluid handling device having a simplified needle retraction mechanism.
- a fluid handling device comprising a barrel for containing fluid to be delivered through a needle, a needle-mounting hub at one end of the barrel, a biasing element arranged to urge the hub inwardly of the barrel, a stop element blocking inward movement of the hub into the barrel, a hollow plunger which is movable within the barrel to deliver fluid from the barrel via the needle and has at its forward end a portion which is severable in response to movement of the plunger over the final part of, or at the conclusion of, its delivery stroke to allow retraction of the needle-mounting hub into the hollow plunger, the hub and the stop element being formed as plastics mouldings in such a way that the stop element is axially captive with the hub and the plunger being arranged to disengage the stop element and the hub during said final part of, or at the conclusion of, the delivery stroke to allow the biasing element to drive the needle into the hollow plunger.
- the stop element may incorporate an integral seal, e.g. a lip seal, which may be
- the stop element and the hub may have interengaged formations at the location of the moulding interface which are caused to separate from one another during said final part of, or at the conclusion of, the delivery stroke of the plunger.
- the stop element and the hub may alternatively or additionally be at least partially united, e.g. partially fused, together at the moulding interface, the arrangement being such that the connection is fractured or broken during said final part of, or at the conclusion of, the delivery stroke.
- the hub may be elongate and may have a central bore for reception of the needle.
- the needle-receiving bore may be of reducing cross-section.
- the hub may be produced with some degree of draft, i.e. so as to be of reducing cross section in a direction of travel of the plunger during its delivery stroke.
- the biasing element may be a helical spring, usually a compression spring, which may be arranged in encircling relation with the hub.
- One end of the spring may coact with a forward end of the barrel or an end cap attached to the main body of the barrel and the opposite end of the spring may coact with the hub at a location inwardly of the forward end of the barrel.
- the forward end of the plunger may comprise a rim portion and a central blocking portion, the latter forming said severable portion.
- the arrangement may be such that, during the final part of or at the conclusion of the plunger delivery stroke, the rim portion of the plunger is arranged to engage the stop element while the hub is arranged to engage the blocking portion, the engagement between the two sets of components being effective to free the hub from the stop element and to free the blocking portion from the rim portion at least to the extent necessary to allow the hub to enter the interior of the plunger.
- the hub is freed from the stop element before the blocking portion is at least partially freed from the rim portion; however, if desired the blocking portion may be freed first or alternatively the hub and the blocking portion may be freed substantially simultaneously.
- the arrangement may be such that the hub and stop element are united together by the moulding process to afford a well-defined threshold at which they break away from one another in response to the application of force to the stop element in the course of operating the plunger.
- one of the components is produced as a plastics moulding in a mould having moulding surfaces defined, in part, by the other component, i.e. moulding of one component being effected with the other component in situ.
- the two portions may be of plastics materials having different chemical compositions and or characteristics or they may both be of substantially the same or a similar plastics material.
- the hub and stop element may be capable of being broken away from each other without deformation of either of the two portions and, to this end, the moulding interface may be shaped so that no deformation of either component occurs when breaking one from the other.
- the hub and the stop element may be interlocked with each other so that some deformation of at least one of the parts occurs when effecting the break.
- annular surface of one of the components may be have a configuration complementary with an annular surface of the other component.
- the annular surfaces may be cylindrical or of other configuration, e.g. conical.
- the components may intimately contact each other with a degree of fusion bonding consistent with securing fracture preferentially at the interface region during the break.
- the assembly of the hub and stop element may include a detent arrangement acting between the components.
- the detent arrangement may be provided at or in the vicinity of said moulding interface.
- the hub and the stop element may, by virtue of the mould design, have interengaging formations which lock the components together to prevent separation, and at least one of the formations may be resiliently deformable to allow the disengagement of the formations on application of sufficient loading to the stop element relative to the hub.
- Resistance to separation of the two components may additionally or alternatively be afforded by the nature of the interaction between material or materials of the hub and the stop element at the moulding interface. For instance, there may a shrink type fit between the components at the moulding interface obtained by material shrinkage during cooling following the moulding process.
- resistance to separation may be provided by fusion bonding between the components at the moulding interface.
- fusion bonding may range from relatively weak, e.g. as a result of some degree of diffusion of material from one component across the moulding interface into the other component, through to relatively strong.
- the material or materials from which said portions are produced may be selected so as to secure the desired extent of fusion bonding, if any.
- the materials employed will usually differ in chemical and/or physical characteristics and will be such that no significant diffusion of material takes place across the moulding interface as a result of the moulding process.
- the materials can be appropriately selected to obtain the desired degree of fusion bonding where there is a requirement to develop a fusion bond at the moulding interface.
- the hub and the stop element may be composed of the same material so that significant fusion of the material takes place between the two components.
- the width of the moulding interface and hence the zone of contact between the two components may be selected with regard to the required effectiveness of the seal and/or with regard to the resistance to separation of the components required at said interface. For instance, a given degree of resistance may be secured by a relatively narrow interface where the components are strongly fusion bonded together whereas a wider interface may be required if resistance is afforded by shrinkage and/or a weak fusion bond.
- the arrangement may be such that the resistance to separation of the two parts is greater with respect to forces applied in one direction compared with forces applied in the opposite direction.
- the first part to be moulded may have a higher heat distortion temperature than the second part so that the first part is not deformed during moulding of the second part.
- the stop element and the hub may advantageously be formed in a two- shot moulding process in which one component, e.g. the hub, is initially formed and located so that an annular surface thereof forms a boundary surface of the mould cavity in which the other component is produced so that, during formation of the second component, an annular surface of the latter is conformed with the annular surface of the first component.
- Figure 1 is a side view of a syringe which may embody features of the present invention
- Figure 2 is a fragmentary sectional view of the syringe showing the plunger approaching the final part of its delivery stroke
- Figure 3 is a similar view to that of Figure 2 but with the plunger shown at its point of initial contact with the crown associated with the needle- mounting hub;
- Figure 4 is similar view to that of Figure 2 at the conclusion of the plunger delivery stroke and showing the needle undergoing retraction into the hollow plunger;
- Figure 5 is detail view of the needle-mounting hub and crown.
- the disposable medical syringe 10 comprises a hollow barrel 12, from the rear of which (upper end as viewed in Figure 1) protrudes a plunger 14.
- a seal 15 is mounted on the plunger to ensure a fluid tight seal with the internal wall of the barrel.
- the barrel 12 includes an end cap 12A including a cylindrical section 16 which is engaged with a annular collar 18 of the main body of the barrel 12 and a generally conical section 20.
- the end cap 12A may be permanently bonded to the main body of the barrel 12 or it may be releasably attached thereto.
- a needle-mounting hub 22 is accommodated within the end cap 12A and is encircled by a spring 24 which engages at its forward end with a flange 26 of the conical section 20 and at its rear end with a radial shoulder 28 on the hub 22 and serves to bias the hub 22 and needle 30 inwardly relative to the barrel 12.
- the hub 22 is of generally cylindrical configuration and has an axial bore 32 for reception of the needle 30.
- the bore 32 may be a throughbore as illustrated.
- the bore 32 is of tapering configuration to allow the needle to be fitted to the hub as a press-fit or by spin-welding either before or after the end cap 12A has been assembled to the main body of the barrel.
- a stop element in the form of a crown 34 which is carried by hub 22 and is received within the annular collar 18.
- the crown 34 is of generally cylindrical configuration and comprises a forward portion 36 incorporating an integral annular lip seal 38 and a reduced diameter portion 40.
- the lip seal flares outwardly as shown in Figure 5 and is resiliently flexible so that, on insertion into the collar, it is deflected radially inwardly so as to bear against and make sealing engagement with the inner surface of the collar 18.
- the collar 18 includes a lead-in portion 42 to facilitate insertion of the crown 34.
- the hub and crown are produced as plastics mouldings by two-shot moulding which serves to integrate the two components and render them captive with each other so that they effectively constitute a one-piece component designed to fracture at the interface between the hub and the crown when subjected to a predetermined forwardly directed axial force.
- the assembly of hub and crown incorporates the lip seal 38 which may be integral with the crown since the latter can be moulded from polyethylene for example. In this way, needle mounting and sealing at the forward end of the barrel is considerably simplified compared for example with the arrangement disclosed in our prior European Patent No. 776225.
- the components may have interfitting formations, e.g. mating frusto-conical surfaces, which may determine at least in part the force needed to separate the two components.
- the plunger 14 is hollow and has a closed trailing end.
- the forward end of the plunger is arranged to receive a closure assembly comprising an insert 52 which engages firmly in the plunger to form an end wall of the plunger while defining an aperture 54 which is sufficiently large to allow the needle 30 and hub 22 to pass through during needle retraction.
- the insert 52 comprises a rim portion 55 fitted with a forwardly projecting blocking portion 56 of generally frusto-conical configuration so that the blocking portion 56 closes and seals the aperture 54.
- the blocking portion 56 and rim portion 55 seal the forward end of the plunger to prevent ingress of liquid into the plunger interior from the interior of barrel 12.
- the rim and blocking portions 55- 56 axe also formed as plastics mouldings by two-shot moulding so that the two portions 55 and 56 are integrated and captive with each other.
- a closure assembly of this form is disclosed in International Patent Application No.GB00/04573 (the entire contents of which are incorporated herein by this reference) and the design of these components may be as described and illustrated therein.
- the rim and blocking portions 55, 56 are coupled together in such a way that they can be separated from each other in response to the application of a predetermined axial force as described in International Patent Application No. GBOO/04573.
- the hub 22 and crown 34 and also the rim and blocking portions 55, 56 may have interengaging formations at the interface between them such that these formations render the respective components captive to one another and contribute to the resistance to separation of the components, such interengaging formations are not essential as long as sufficient resistance to separation at the interface is available, e.g. as described below. Whether or not such formations are provided, it will be appreciated that the "force-to-break" or allow the components to separate from each other can be tailored according to requirements by appropriate design of features such as the angle of the interface between the two parts and/or the surface texture present at the interface and/or extent of the interface.
- each assembly comprising parts 22, 34 and 55, 56 respectively is produced by a two-shot moulding process, for instance a first stage in which the inner part 22, 56 is produced followed by a second stage in which the outer part 34, 55 is moulded onto the inner part 22, 56 thereby connecting the two parts together, e.g. through the interengaging formations (if present) and/or through a zone of intimate contact which sealingly engages the two parts with each other at the moulding interface.
- Two-shot moulding technology may be carried out for instance using a multi-stack moulding machine such as available from Milacron Inc of Cincinnati, Ohio, USA in which a two-sided pivoting centre platen allows two simultaneous moulding operations to be carried out.
- the process starts with a preform injected into cavities on one mould face.
- the mold opens, the centre platen swivels through 180 degrees in a vertical plane, locks into position, the mold closes, and a second material component is injected.
- another pre-form is injected into the opposite mould face of the centre platen.
- a two-shot moulding machine is also disclosed in US-A-6139305.
- the two parts may be moulded using materials which are compatible with each other and have different characteristics.
- some degree of fusion bonding between the rim and closure parts may be desirable, e.g. to ensure sealing and, where desired, to play a role in predetermining the loading necessary to break the blocking portion away from the rim portion.
- the closure assembly in Figures 2 to 4 is shown fitted into the forward end of the plunger 6; however, in an alternative embodiment, the rim portion may be formed integrally with at least the forward end portion of the plunger so that the plunger and rim portion can be produced as a single moulding.
- both the plunger and rim portion may be made from a plastics material such as polyethylene or polypropylene.
- the other end of the plunger may be closed by an end cap.
- the parts 22, 34 and 55, 56 may be held captive to one another by interengaging formations (as illustrated for parts 22, 34) which may act as a detent-type arrangement.
- the parts may be rendered captive to one another as a result of some degree of fusion or bonding of the materials at the interface and/or by virtue of an interference or shrink type fit between the parts at a zone of contact, e.g. as illustrated in Figure 3 of International Patent Application No. GBOO/04573.
- the shrink fit may be obtained during the moulding process by moulding the outer part 34, 55 around the inner part 22, 56 and exploiting material shrinkage on cooling to secure the interference fit.
- the inner part is held captive in this way, there is not necessarily any significant fusion bonding between the materials although, if desired, the material(s) maybe selected so that such fusion bonding is present, e.g. as a result of some degree of diffusion of material between the two parts.
- the rearward end of the lip seal 38 engages a shoulder 44 while the reduced diameter portion 40 of the crown projects beyond an annular end wall 46 of the main body of the barrel 12 for co-operation with the forward end of the plunger 14 as described below.
- the blocking portion 56 is arranged for entry into the opening defined by the crown 34 to contact the rearward end of the hub 22.
- the rim portion 55 displaces the crown 34 forwardly while engagement between the hub, which is blocked from forward movement by the forward end of the portion 12 A, and the blocking portion 56 exerts a rearwardly directed force on the latter.
- the spring 24 is no longer restrained and becomes effective to propel the hub through the crown, through the aperture created by freeing of the blocking portion 56 and into the interior of the plunger thereby concealing the needle and avoiding the risk of needle stick injury once the contents of the syringe have been delivered.
- Freeing of the hub and the blocking portion may occur substantially simultaneously or in sequence, freeing of the hub first being currently preferred.
- the forces required to effect freeing of the hub and the blocking portion may be readily tailored to requirements by for example appropriate selection of the dimensioning/configuration of the components, tuning of the two-shot moulding process etc.
- the hub may be of generally cylindrical configuration, it is desirable to produce it with a draft (i.e. of reducing cross-section from its trailing end towards its forward end) so as to facilitate easy ejection and prevent binding of the spring against the peripheral surface of the hub.
- the hub may be manufactured so that, when assembled as shown in Figure 2, there is a small clearance between the shoulder 28 and the adjacent end wall of the end cap 12A thereby eliminating any risk of the hub/crown hub connection being broken during assembly of the syringe (i.e. because of tolerance variations in the length of the hub). This clearance is taken up as when the rim portion of the plunger initially contacts and begins to displace the crown.
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Hematology (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Environmental & Geological Engineering (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Abstract
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
GB0110194 | 2001-04-26 | ||
GB0110194A GB2376889A (en) | 2001-04-26 | 2001-04-26 | Fluid handling devices |
PCT/GB2002/001865 WO2002087669A1 (fr) | 2001-04-26 | 2002-04-23 | Dispositifs de manipulation de fluide, destines notamment a une utilisation medicale |
Publications (1)
Publication Number | Publication Date |
---|---|
EP1383562A1 true EP1383562A1 (fr) | 2004-01-28 |
Family
ID=9913470
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP02720255A Withdrawn EP1383562A1 (fr) | 2001-04-26 | 2002-04-23 | Dispositifs de manipulation de fluide, destines notamment a une utilisation medicale |
Country Status (8)
Country | Link |
---|---|
EP (1) | EP1383562A1 (fr) |
JP (1) | JP2004538050A (fr) |
KR (1) | KR20040012773A (fr) |
CN (1) | CN1585658A (fr) |
CA (1) | CA2445151A1 (fr) |
GB (1) | GB2376889A (fr) |
MX (1) | MXPA03009710A (fr) |
WO (1) | WO2002087669A1 (fr) |
Families Citing this family (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB0222167D0 (en) * | 2002-09-25 | 2002-10-30 | Nmt Group Plc | Prefilled fluid handling devices |
CN2640492Y (zh) * | 2003-05-09 | 2004-09-15 | 谢先文 | 一次性使用安全型注射器(ok)针头 |
GB0311226D0 (en) * | 2003-05-16 | 2003-06-18 | Nmt Group Plc | Fluid handling devices |
KR20060014421A (ko) | 2003-05-27 | 2006-02-15 | 엔엠티 그룹 피엘씨 | 제한기를 포함한 주사기 |
US20050070854A1 (en) * | 2003-09-25 | 2005-03-31 | Wright Alastair Douglas | Syringe |
WO2007112476A1 (fr) * | 2006-04-04 | 2007-10-11 | Imd Group Limited | Améliorations de seringues rétractables |
CN100408120C (zh) * | 2006-04-05 | 2008-08-06 | 刘文杰 | 一种用于针头回缩式注射器的可更换式针头结构及针头回缩式注射器 |
US9526846B2 (en) | 2009-08-19 | 2016-12-27 | Safety Syringes, Inc. | Patient-contact activated needle stick safety device |
Family Cites Families (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4460534A (en) * | 1982-09-07 | 1984-07-17 | International Business Machines Corporation | Two-shot injection molding |
US5019044A (en) * | 1989-08-14 | 1991-05-28 | Tsao Chien Hua | Safety hypodermic syringe |
US5125898A (en) * | 1990-03-22 | 1992-06-30 | Harry Kaufhold, Jr. | Disposable syringe with automatic needle retraction |
US5180370A (en) * | 1992-05-18 | 1993-01-19 | Gillespie Elgene R | Safety hypodermic syringe with retractable needle |
US5385551A (en) * | 1993-09-22 | 1995-01-31 | Shaw; Thomas J. | Nonreusable medical device with front retraction |
ATE171629T1 (de) | 1994-08-18 | 1998-10-15 | Nmt Group Plc | Vorrichtungen zum zurückziehen von nadeln |
DE19733667C2 (de) * | 1997-08-04 | 2002-02-07 | Ferromatik Milacron Maschb Gmb | Vorrichtung zur Herstellung von Spritzgießartikeln aus mindestens zwei Kunststoffschmelzen |
US6015438A (en) * | 1997-11-14 | 2000-01-18 | Retractable Technologies Inc. | Full displacement retractable syringe |
US5935104A (en) * | 1998-08-21 | 1999-08-10 | Safety Medical Manufacturing, Incorporated | Safety medical syringe with retractable needle |
US6010486A (en) * | 1998-12-18 | 2000-01-04 | Becton Dickinson And Company | Retracting needle syringe |
US6099500A (en) * | 1999-12-03 | 2000-08-08 | Dysarz; Edward D. | Safety needle cannula module that is activated by a safety syringe and plunger module |
GB9928884D0 (en) * | 1999-12-08 | 2000-02-02 | Nmt Group Plc | Closure assembly |
AU723060B3 (en) * | 2000-02-22 | 2000-08-17 | Occupational & Medical Innovations Ltd | A single use syringe |
-
2001
- 2001-04-26 GB GB0110194A patent/GB2376889A/en not_active Withdrawn
-
2002
- 2002-04-23 EP EP02720255A patent/EP1383562A1/fr not_active Withdrawn
- 2002-04-23 KR KR10-2003-7014056A patent/KR20040012773A/ko active IP Right Grant
- 2002-04-23 MX MXPA03009710A patent/MXPA03009710A/es unknown
- 2002-04-23 CA CA002445151A patent/CA2445151A1/fr not_active Abandoned
- 2002-04-23 WO PCT/GB2002/001865 patent/WO2002087669A1/fr not_active Application Discontinuation
- 2002-04-23 CN CNA028088956A patent/CN1585658A/zh active Pending
- 2002-04-23 JP JP2002585010A patent/JP2004538050A/ja active Pending
Non-Patent Citations (1)
Title |
---|
See references of WO02087669A1 * |
Also Published As
Publication number | Publication date |
---|---|
JP2004538050A (ja) | 2004-12-24 |
GB2376889A (en) | 2002-12-31 |
WO2002087669A1 (fr) | 2002-11-07 |
CN1585658A (zh) | 2005-02-23 |
GB0110194D0 (en) | 2001-06-20 |
KR20040012773A (ko) | 2004-02-11 |
MXPA03009710A (es) | 2005-03-07 |
CA2445151A1 (fr) | 2002-11-07 |
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