JP5588511B2 - ステントグラフト - Google Patents
ステントグラフト Download PDFInfo
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- JP5588511B2 JP5588511B2 JP2012522980A JP2012522980A JP5588511B2 JP 5588511 B2 JP5588511 B2 JP 5588511B2 JP 2012522980 A JP2012522980 A JP 2012522980A JP 2012522980 A JP2012522980 A JP 2012522980A JP 5588511 B2 JP5588511 B2 JP 5588511B2
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- Prior art keywords
- graft
- stent
- opening
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- blood
- Prior art date
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Classifications
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- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
-
- 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
- A61F2/00—Filters 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/856—Single tubular stent with a side portal passage
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/24—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
- A61F2/2412—Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body with soft flexible valve members, e.g. tissue valves shaped like natural valves
-
- 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
- A61F2/00—Filters 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/89—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements comprising two or more adjacent rings flexibly connected by separate members
-
- 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
- A61F2/00—Filters 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
- A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
- A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2002/065—Y-shaped blood vessels
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2002/065—Y-shaped blood vessels
- A61F2002/067—Y-shaped blood vessels modular
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
- A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching
-
- 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
- A61F2/00—Filters 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
- A61F2/02—Prostheses implantable into the body
- A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
- A61F2/06—Blood vessels
- A61F2/07—Stent-grafts
- A61F2002/077—Stent-grafts having means to fill the space between stent-graft and aneurysm wall, e.g. a sleeve
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/005—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements using adhesives
-
- 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
- A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
- A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
-
- 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
- A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2250/0014—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
- A61F2250/0023—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in porosity
- A61F2250/0024—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in porosity made from both porous and non-porous parts, e.g. adjacent parts
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (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)
- Gastroenterology & Hepatology (AREA)
- Pulmonology (AREA)
- Prostheses (AREA)
Description
この出願は、2009年7月27日に出願された米国仮出願第61/228,938号および2009年10月2日に出願された米国仮出願第61/248,105号に対する35U.S.C.§119(e)の下での優先権に関する恩典を主張するものであり、前述の両仮出願は、参照により、それらの仮出願が恰も本明細書に完全な形態で記載されているかの如くにして、本明細書に組み入れられる。
この開示は、II型エンドリークを低減もしくは排除するための新規なステント・グラフト・システムおよび方法に関する様々な実施形態について開述する。また、本設計は、困難な解剖学的状況におけるステントグラフトの密封状態を改善するためにも使用することができる。差し当たり、以下の詳細な説明は本開示に関する特定の具体的な実施形態を対象として行われる。この説明において、添付図面への参照が成され、そこでは、本説明および添付図面全体を通じ、同様なパーツには同様な数字が割り振られている。
Claims (15)
- ステント・グラフト・システムであって、当該システムが:
第1のステントグラフトであって、該ステントグラフトが:
第1のステント;
前記第1のステントによって支えられた第1のインナーグラフト部分;
該第1のステントによって支えられた第2のインナーグラフト部分;
上記第1のインナーグラフト部分と上記第2のインナーグラフト部分との間の開口またはギャップ;
および、アウターグラフト;
を含んでいる、第1のステントグラフト;
を含み、
ここで:
該第1のインナーグラフト部分と該第2のインナーグラフト部分との間の上記開口またはギャップは、上記第1のステントの一部が上記第1のインナーグラフト部分または該第2のインナーグラフト部分のどちらによってもカバーされていない状態となるような仕方で位置付けられており
上記アウターグラフトの第1の部分および第2の部分が上記第1のステントに取り付けられており;
前記アウターグラフトは、少なくとも該アウターグラフトならびに、上記第1および上記第2のインナーグラフト部分との間に充満可能なスペースを形成するために、該アウターグラフトの前記第1の部分と前記第2の部分との間では該第1のステントによって支えられていない;
ステント・グラフト・システム。 - 上記第1および第2のインナーグラフト部分が上記第1のステントの外面に隣接している、請求項1記載のステント・グラフト・システム。
- 上記アウターグラフトの少なくとも中間部分が上記第1のインナーグラフト部分および上記第2のインナーグラフト部分よりも大きな外周を有している、請求項1記載のステント・グラフト・システム。
- 上記アウターグラフトは、血液が上記第1のインナーグラフト部分と上記第2のインナーグラフト部分との間の上記開口またはギャップを通って流れるときに、血管壁の内面に接触する状態にまで拡張することができるように構成されている、請求項1記載のステント・グラフト・システム。
- 上記第1のステントグラフトが分岐型のステントグラフトである、請求項1記載のステント・グラフト・システム。
- 更に、上記アウターグラフトによって支えられた1つもしくはそれ以上の放射線不透過性マーカーを含む、請求項1記載のステント・グラフト・システム。
- 上記第1のステントグラフトが血管枝内に位置付けられ、該第1のステントグラフトが主枝ステントグラフトによって支えられている、請求項1記載のステント・グラフト・システム。
- 上記血管枝が腸骨動脈である、請求項7記載のステント・グラフト・システム。
- ステント・グラフト・システムであって、当該システムが:
そこを通じる流動用管腔を有するステント;
上記ステントの長さの少なくとも一部に沿って支えられた第1のインナーグラフト;
上記第1のインナーグラフトの壁を通じて形成された1つもしくはそれ以上の開口;
上記1つもしくはそれ以上の開口と連通した状態にある1つもしくはそれ以上のバルブメンバーであって、該バルブメンバーは、血液が該管腔から前記開口を通って該スペース内へ流入することを可能に成し、且つ、前記スペースから該開口を通って該管腔内へ流入する血液の流れを少なくとも阻止することができるように構成されている、1つもしくはそれ以上のバルブメンバー;および
上記ステントの周りに位置付けられたアウターグラフトであって、少なくとも上記第1のインナーグラフトの壁を通じて形成された上記1つもしくはそれ以上の開口をカバーすることができるように構成されている、アウターグラフト;
を含み、
ここで、上記ステントグラフトが、上記アウターグラフトと、少なくとも上記第1のインナーグラフトと、更には上記1つもしくはそれ以上のバルブメンバーとの間に実質的に密閉されたスペースが創出されるような仕方で構成されている;
ステント・グラフト・システム。 - 上記第1のステントグラフトが分岐型のステントグラフトである、請求項9記載のステント・グラフト・システム。
- 上記1つもしくはそれ以上のバルブメンバーが、上記第1のインナーグラフトの壁を通じて形成された上記1つもしくはそれ以上の開口を選択的にカバーすることができるように構成された1つもしくはそれ以上のフラップメンバーを含んでいる、請求項9記載のステント・グラフト・システム。
- 上記第1のインナーグラフトが編組金属構造または多孔質材料から作られており、ここで、上記開口が該材料の細孔である、請求項9記載のステント・グラフト・システム。
- 更に、上記第1のインナーグラフト部分と上記第2のインナーグラフト部分との間の上記開口またはギャップを密封状態でカバーするために上記第1のステントグラフトの内側の範囲内で展開可能な第2のステントグラフトを含み、該第2のステントグラフトが第2のステントと第2のグラフトとを有しており、且つ、前記開口またはギャップの長さよりも大きい長さを有している、請求項1記載のステント・グラフト・システム。
- 請求項1記載のステント・グラフト・システムにおいて:
上記第1のステントグラフトが上記第1のインナーグラフト部分と上記第2のインナーグラフト部分との間に開口を有しており;そして
当該ステント・グラフト・システムが、更に、上記開口と連通した状態にあるバルブメンバーを含んでいて、該バルブメンバーが、上記第1のステントの管腔から前記開口を通じて上記充満可能なスペース内に血液が流入することを可能に成し、且つ、該充満可能なスペースから該開口を通じて前記管腔内へ流入する血液の流れを少なくとも阻止することができるように構成されている;
請求項1記載のステント・グラフト・システム。 - 請求項14記載のステント・グラフト・システムにおいて:
上記第1のステントグラフトが上記第1のインナーグラフト部分と上記第2のインナーグラフト部分との間に開口を有しており;そして
上記バルブメンバーが上記開口を選択的にカバーすることができるように構成されたフラップメンバーを含んでいる;
請求項14記載のステント・グラフト・システム。
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US22893809P | 2009-07-27 | 2009-07-27 | |
US61/228,938 | 2009-07-27 | ||
US24810509P | 2009-10-02 | 2009-10-02 | |
US61/248,105 | 2009-10-02 | ||
PCT/US2010/043432 WO2011017123A2 (en) | 2009-07-27 | 2010-07-27 | Stent graft |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2013500141A JP2013500141A (ja) | 2013-01-07 |
JP2013500141A5 JP2013500141A5 (ja) | 2013-08-29 |
JP5588511B2 true JP5588511B2 (ja) | 2014-09-10 |
Family
ID=43497982
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2012522980A Expired - Fee Related JP5588511B2 (ja) | 2009-07-27 | 2010-07-27 | ステントグラフト |
Country Status (5)
Country | Link |
---|---|
US (4) | US8118856B2 (ja) |
EP (1) | EP2459127B1 (ja) |
JP (1) | JP5588511B2 (ja) |
ES (1) | ES2549000T3 (ja) |
WO (1) | WO2011017123A2 (ja) |
Families Citing this family (100)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7147661B2 (en) | 2001-12-20 | 2006-12-12 | Boston Scientific Santa Rosa Corp. | Radially expandable stent |
US20080071343A1 (en) * | 2006-09-15 | 2008-03-20 | Kevin John Mayberry | Multi-segmented graft deployment system |
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ES2549000T3 (es) | 2015-10-22 |
JP2013500141A (ja) | 2013-01-07 |
WO2011017123A2 (en) | 2011-02-10 |
EP2459127A2 (en) | 2012-06-06 |
US20140358216A1 (en) | 2014-12-04 |
WO2011017123A3 (en) | 2011-06-16 |
US20110022153A1 (en) | 2011-01-27 |
EP2459127A4 (en) | 2012-12-12 |
EP2459127B1 (en) | 2015-09-23 |
US20120165917A1 (en) | 2012-06-28 |
US8821564B2 (en) | 2014-09-02 |
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