EP4103088A4 - Systeme und verfahren zur sensorischen erweiterung in medizinischen eingriffen - Google Patents

Systeme und verfahren zur sensorischen erweiterung in medizinischen eingriffen Download PDF

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Publication number
EP4103088A4
EP4103088A4 EP21753965.9A EP21753965A EP4103088A4 EP 4103088 A4 EP4103088 A4 EP 4103088A4 EP 21753965 A EP21753965 A EP 21753965A EP 4103088 A4 EP4103088 A4 EP 4103088A4
Authority
EP
European Patent Office
Prior art keywords
systems
methods
medical procedures
during medical
sensory augmentation
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.)
Pending
Application number
EP21753965.9A
Other languages
English (en)
French (fr)
Other versions
EP4103088A1 (de
Inventor
Matthew William RYAN
Andrew Philip HARTMAN
Nicholas Van Der Walt
Jonathan Kirk NIELSEN
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Insight Medical Systems Inc
Original Assignee
Insight Medical Systems Inc
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 US16/786,938 external-priority patent/US11071596B2/en
Application filed by Insight Medical Systems Inc filed Critical Insight Medical Systems Inc
Publication of EP4103088A1 publication Critical patent/EP4103088A1/de
Publication of EP4103088A4 publication Critical patent/EP4103088A4/de
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/14Surgical saws
    • A61B17/15Guides therefor
    • A61B17/154Guides therefor for preparing bone for knee prosthesis
    • A61B17/155Cutting femur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25User interfaces for surgical systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/10Instruments, 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 for stereotaxic surgery, e.g. frame-based stereotaxis
    • A61B90/11Instruments, 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 for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/50Supports for surgical instruments, e.g. articulated arms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/90Identification means for patients or instruments, e.g. tags
    • A61B90/94Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text
    • A61B90/96Identification means for patients or instruments, e.g. tags coded with symbols, e.g. text using barcodes
    • GPHYSICS
    • G02OPTICS
    • G02BOPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B27/00Optical systems or apparatus not provided for by any of the groups G02B1/00 - G02B26/00, G02B30/00
    • G02B27/01Head-up displays
    • G02B27/017Head mounted
    • G02B27/0176Head mounted characterised by mechanical features
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00203Electrical control of surgical instruments with speech control or speech recognition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00216Electrical control of surgical instruments with eye tracking or head position tracking control
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101Computer-aided simulation of surgical operations
    • A61B2034/105Modelling of the patient, e.g. for ligaments or bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/107Visualisation of planned trajectories or target regions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/108Computer aided selection or customisation of medical implants or cutting guides
    • AHUMAN NECESSITIES
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2048Tracking techniques using an accelerometer or inertia sensor
    • AHUMAN NECESSITIES
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    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
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    • A61B2034/2046Tracking techniques
    • A61B2034/2055Optical tracking systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046Tracking techniques
    • A61B2034/2065Tracking using image or pattern recognition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/20Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2068Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis using pointers, e.g. pointers having reference marks for determining coordinates of body points
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/25User interfaces for surgical systems
    • A61B2034/256User interfaces for surgical systems having a database of accessory information, e.g. including context sensitive help or scientific articles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B2090/364Correlation of different images or relation of image positions in respect to the body
    • A61B2090/365Correlation of different images or relation of image positions in respect to the body augmented reality, i.e. correlating a live optical image with another image
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/371Surgical systems with images on a monitor during operation with simultaneous use of two cameras
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/372Details of monitor hardware
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/376Surgical systems with images on a monitor during operation using X-rays, e.g. fluoroscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/378Surgical systems with images on a monitor during operation using ultrasound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3904Markers, e.g. radio-opaque or breast lesions markers specially adapted for marking specified tissue
    • A61B2090/3916Bone tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3937Visible markers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/39Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3954Markers, e.g. radio-opaque or breast lesions markers magnetic, e.g. NMR or MRI
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/50Supports for surgical instruments, e.g. articulated arms
    • A61B2090/502Headgear, e.g. helmet, spectacles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Robotics (AREA)
  • Optics & Photonics (AREA)
  • General Physics & Mathematics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Gynecology & Obstetrics (AREA)
  • Human Computer Interaction (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Transplantation (AREA)
  • Dentistry (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
  • Processing Or Creating Images (AREA)
  • Surgical Instruments (AREA)
EP21753965.9A 2020-02-10 2021-02-09 Systeme und verfahren zur sensorischen erweiterung in medizinischen eingriffen Pending EP4103088A4 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US16/786,938 US11071596B2 (en) 2016-08-16 2020-02-10 Systems and methods for sensory augmentation in medical procedures
PCT/US2021/017222 WO2021163039A1 (en) 2020-02-10 2021-02-09 Systems and methods for sensory augmentation in medical procedures

Publications (2)

Publication Number Publication Date
EP4103088A1 EP4103088A1 (de) 2022-12-21
EP4103088A4 true EP4103088A4 (de) 2024-03-20

Family

ID=77291896

Family Applications (1)

Application Number Title Priority Date Filing Date
EP21753965.9A Pending EP4103088A4 (de) 2020-02-10 2021-02-09 Systeme und verfahren zur sensorischen erweiterung in medizinischen eingriffen

Country Status (6)

Country Link
EP (1) EP4103088A4 (de)
JP (2) JP2023513692A (de)
KR (1) KR20220141308A (de)
CN (1) CN115361916A (de)
AU (1) AU2021220161A1 (de)
WO (1) WO2021163039A1 (de)

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Publication number Priority date Publication date Assignee Title
EP4553847A3 (de) 2013-10-10 2025-08-20 Stryker European Operations Limited Verfahren, systeme und vorrichtungen für präoperativ geplante schulterchirurgieführungen und implantate
ES2992065T3 (es) 2016-08-16 2024-12-09 Insight Medical Systems Inc Sistemas de aumento sensorial en procedimientos médicos
WO2019245862A1 (en) 2018-06-19 2019-12-26 Tornier, Inc. Visualization of intraoperatively modified surgical plans
JP7322183B2 (ja) 2019-05-14 2023-08-07 ホウメディカ・オステオニクス・コーポレイション 整形外科インプラント埋植のための骨壁追跡及びガイダンス
WO2021108268A1 (en) 2019-11-26 2021-06-03 Tornier, Inc. Virtual guidance for correcting surgical pin installation
AU2020404991B2 (en) 2019-12-18 2023-10-19 Howmedica Osteonics Corp. Surgical guidance for surgical tools
WO2021221749A1 (en) 2020-04-29 2021-11-04 Howmedica Osteonics Corp. Mixed-reality humeral-head sizing and placement
US12492953B2 (en) 2020-09-18 2025-12-09 Bard Access Systems, Inc. Ultrasound probe with pointer remote control capability
WO2023175587A1 (en) * 2022-03-18 2023-09-21 DePuy Synthes Products, Inc. Surgical systems, methods, and devices employing augmented reality (ar) for planning
DE102022107688A1 (de) * 2022-03-31 2023-10-05 Aesculap Ag Tag für Tracking und Navigation eines Medizinprodukts
CN114832243B (zh) * 2022-03-31 2024-07-30 西安大医集团股份有限公司 位置调整方法、头显设备及放疗系统
US12564373B2 (en) 2022-08-15 2026-03-03 Bard Access Systems, Inc. Spatially aware medical device configured for performance of insertion pathway approximation
EP4331664A1 (de) * 2022-08-31 2024-03-06 Vision RT Limited System zur überwachung der position eines patienten
US20240307126A1 (en) * 2023-03-18 2024-09-19 Covidien Lp Systems and methods for active tracking of electromagnetic navigation bronchoscopy tools with single guide sheaths
KR102935302B1 (ko) * 2023-08-11 2026-03-05 고려대학교 산학협력단 혼합현실 기반의 초음파 영상 디스플레이 장치, 방법 및 시스템
CN117687221B (zh) * 2024-02-04 2024-04-12 中国民用航空飞行学院 一种基于飞行模拟检查使用的vr眼镜
US20250339174A1 (en) * 2024-05-01 2025-11-06 Bard Access Systems, Inc. Needle-Guiding Systems and Methods for Establishing Vascular Access

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US20070273610A1 (en) * 2006-05-26 2007-11-29 Itt Manufacturing Enterprises, Inc. System and method to display maintenance and operational instructions of an apparatus using augmented reality
WO2010067267A1 (en) * 2008-12-09 2010-06-17 Philips Intellectual Property & Standards Gmbh Head-mounted wireless camera and display unit
US20180049622A1 (en) * 2016-08-16 2018-02-22 Insight Medical Systems, Inc. Systems and methods for sensory augmentation in medical procedures

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US10398514B2 (en) * 2016-08-16 2019-09-03 Insight Medical Systems, Inc. Systems and methods for sensory augmentation in medical procedures
ES2992065T3 (es) * 2016-08-16 2024-12-09 Insight Medical Systems Inc Sistemas de aumento sensorial en procedimientos médicos
KR102786412B1 (ko) * 2016-09-22 2025-03-25 매직 립, 인코포레이티드 증강 현실 분광기

Patent Citations (3)

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US20070273610A1 (en) * 2006-05-26 2007-11-29 Itt Manufacturing Enterprises, Inc. System and method to display maintenance and operational instructions of an apparatus using augmented reality
WO2010067267A1 (en) * 2008-12-09 2010-06-17 Philips Intellectual Property & Standards Gmbh Head-mounted wireless camera and display unit
US20180049622A1 (en) * 2016-08-16 2018-02-22 Insight Medical Systems, Inc. Systems and methods for sensory augmentation in medical procedures

Non-Patent Citations (1)

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Title
See also references of WO2021163039A1 *

Also Published As

Publication number Publication date
JP2026001156A (ja) 2026-01-06
KR20220141308A (ko) 2022-10-19
JP2023513692A (ja) 2023-04-03
CN115361916A (zh) 2022-11-18
WO2021163039A1 (en) 2021-08-19
AU2021220161A1 (en) 2022-08-18
EP4103088A1 (de) 2022-12-21

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