US20050119641A1 - Manipulator for an instrument for minimally invasive surgery and such an instrument - Google Patents
Manipulator for an instrument for minimally invasive surgery and such an instrument Download PDFInfo
- Publication number
- US20050119641A1 US20050119641A1 US10/966,547 US96654704A US2005119641A1 US 20050119641 A1 US20050119641 A1 US 20050119641A1 US 96654704 A US96654704 A US 96654704A US 2005119641 A1 US2005119641 A1 US 2005119641A1
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- US
- United States
- Prior art keywords
- instrument
- manipulator
- carriage
- handle
- mouthpiece
- 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.)
- Abandoned
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
- A61B2017/3405—Needle locating or guiding means using mechanical guide means
- A61B2017/3409—Needle locating or guiding means using mechanical guide means including needle or instrument drives
-
- 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
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
- A61B2090/506—Supports for surgical instruments, e.g. articulated arms using a parallelogram linkage, e.g. panthograph
Definitions
- the invention relates to a manipulator for an instrument for minimally invasive surgery, provided with a first moveable carriage, on which first carriage the instrument can be mounted, wherein the first carriage is positioned on a first arm of a parallelogram construction to provide the instrument with a virtual pivoting point in the plane in which—during use—the instrument intersects the body of a patient.
- the invention also relates to an instrument to be used with such a manipulator, comprising a tube provided at its first end with a mouthpiece and wherein control means for the mouthpiece pass through the tube.
- the manipulator according to the invention is characterised in that the proximal end of the manipulator is provided with a handle for operating the instrument, with the handle being placed on, or forming part of a second arm of the parallelogram construction opposite the first arm, such that a body axis of the handle always extends parallel to the instrument.
- the manipulator according to the invention has the advantage that there are no motor drives, and with respect to positioning there is a one-to-one coupling between the handle of the manipulator and the instrument being operated with the aid of the manipulator. This is an inestimable advantage to the surgeon using the manipulator, which especially aids the operational ease and the applicability of the manipulator for surgical uses.
- the handle is further advantageous for the handle to be positioned on a moveable second carriage coupled with the first carriage such that when moving the second carriage, the first carriage carries out a corresponding movement in the longitudinal direction of the instrument.
- the instrument is further desirable for the instrument to be detachable from the first carriage. This affords the possibility of easily adapting the instrument to the actions to be carried out during the surgical operation, while the necessary sterilisation activities can be limited to this instrument.
- the manipulator according to the invention may be suitably embodied such that a first carriage is provided with couplers designed to co-operate with control organs of the instruments, which couplers are coupled with the handle via interpositioned pull wires.
- the application of pull wires is favourable both with respect to limiting the weight of the manipulator that has to be displaced during use, and also to limiting friction and to avoiding possible play.
- the manipulator is characterised in that the instrument is coupled with the handle in order to be able to conduct in unison (not delayed) a rotation about the respective body axes.
- the invention is also embodied in an instrument that is equipped for use with a manipulator as described above.
- this instrument is characterised in that at a second end of the tube opposite to the first end comprising the mouthpiece, control organs are provided that are coupled with the control means for the mouthpiece that are passing through the tube.
- control organs are flanges mounted on pull tubes passing through the tube and constituting part of the control means.
- the use of flanges affords the possibility of a readily detachable coupling between the control organs of the instrument and the couplers of the manipulator, which in turn are operated by means of the handle.
- the advantage of using pull tubes is that they are also suitable for exerting a pushing force.
- the instrument according to the invention is preferably characterised in that the mouthpiece is a jaw-like gripping organ comprising two cooperating jaw portions, wherein each jaw portion is coupled with one of the pull tubes.
- the jaw portions are spring-activated so as to force the jaw portions apart to open the gripping organ.
- the freedom of movement of the manipulator may be designed to include the possibility of locking by means of (for example) break shoes operated by means of (for example) a foot pedal. In this way it is possible to use the manipulator hands-free so as to simultaneously allow other tasks to be performed.
- FIGS. 1 and 2 the manipulator with the instrument according to the invention
- FIG. 3 the whole instrument according to the invention and a detailed view of the mouthpiece
- FIG. 4 the whole instrument according to the invention, as well as a detailed view of a first end and a detailed view of a second end;
- FIG. 5 the instrument according to the invention as shown in FIG. 4 , with the mouthpiece being slightly rotated;
- FIG. 6 the instrument according to the invention in mounted position together with a portion of the manipulator.
- FIG. 1 this figure shows an instrument 1 for laparoscopic surgery, which may be partly within the body of a patient and enjoying six degrees of freedom indicated at the mouthpiece of the instrument, being the three translations x, y and z and the three rotations ⁇ , ⁇ and ⁇ . All these movements are controlled by operating a handle 2 , which enjoys the same degrees of freedom, and which during operation of the handle relays the same one-to-one to the mouthpiece of the instrument.
- a handle 2 which enjoys the same degrees of freedom, and which during operation of the handle relays the same one-to-one to the mouthpiece of the instrument.
- there is a seventh degree of freedom formed by the open and close movement of the handle 2 and the open and close movement of the jaws of the mouthpiece coupled thereto, as will be explained below.
- the instrument 1 has, according to the invention, an invariant point 3 .
- this invariant point 3 forms a virtually fixed point of rotation for the instrument 1 .
- the basis of the manipulator is formed by a main axis 4 that is capable of carrying out a rotation ⁇ due to said main axis 4 being accommodated in a bearings 5 coupled with the solid world.
- This solid world is preferably formed by an operating table.
- a known so-called parallelogram mechanism is connected of which plates 6 and 7 and a tube 8 are elements.
- a rotation ⁇ of the handle 2 about axis 9 a is translated into a correspondihg rotation ⁇ about the axes 9 b and 9 c and axis 10 , which is located outside the parallelogram mechanism and (in its extended direction) intersects the main rotation axis 4 .
- the instrument is capable of, there are, for example, pull-wires leading from the handle 2 through the manipulator to the instrument.
- the movement of handle 2 and instrument 1 in the longitudinal direction z of the instrument occurs, for example, due to the handle and instrument being situated on carriages 12 and 13 that are moveable along guidings.
- the mouthpiece of the instrument 1 is embodied as jaw-like gripping organ comprising two cooperating jaw portions 15 , 16 , each of which is able to rotate individually about axis 17 .
- the rotations ⁇ and ⁇ of the jaw portions 15 and 16 are each controlled separately by means of cables that are connected to pull tubes 23 and 22 extending in the instrument 1 (see also FIG. 4 ).
- the jaw portions are also spring-activated by means of a spring 18 (see FIG. 3 ), which produces an opening force for the jaw portions 15 , 16 .
- FIG. 5 shows that when only pull tube 22 is contracted and pull tube 23 is slack, both jaw portions 15 , 16 will rotate about axis 17 in direction ⁇ .
- the instrument 1 is further embodied such that the jaw portions 15 , 16 are also able to rotate about an axis 19 .
- a pull-push tube is used which, when pushing in the direction of the jaw portions 15 , 16 , will rotate the same in the direction of rotation indicated by ⁇ .
- FIGS. 4 and 5 further show that at the end furthest from the jaw portions 15 , 16 , the pull tubes 22 and 23 are provided with flanges 25 and 26 . At the respective end, pull-push rod 24 is provided with a ball 27 .
- the function of the flanges 25 and 26 and the ball 27 will become clear in the explanation below referring to FIG. 6 .
- FIG. 6 shows the instrument 1 mounted on the carriage 13 and moveable along a guiding.
- the flanges 25 and 26 that are coupled via the above-mentioned pull rods with the jaw portions 15 , 16 of the mouthpiece, are operated by means of levers 28 and 29 , which are part of the manipulator.
- the pull-push rod 24 is operated by a disc 30 connected to the ball 27 .
- This latter connection is designed such that thanks to the shape of the ball 27 , the instrument 1 is rotatable about its longitudinal axis.
- the ball 27 and the disc 30 cooperating therewith may be replaced by another construction working in a similar manner, for example, by a rotatable flange controlled by means of a moveable carriage.
- Rotation ⁇ of the instrument 1 is effected by operating the disc 31 .
- the coupling of the levers 28 and 29 and disc 30 with the handle 2 is in the present exemplary embodiment effected by means of pull wires.
- Such couplings may be bowden cables, hydraulics, chains, bands or the like. All this lies within the scope of the person skilled in the art and requires no further explanation.
Abstract
A manipulator for an instrument for minimally invasive surgery, provided with a first moveable carriage, on which first carriage the instrument can be mounted, wherein the first carriage is positioned on a first arm of a parallelogram construction to provide the instrument with a virtual pivoting point in the plane in which during use the instrument intersects the body of a patient, wherein the proximal end of the manipulator is provided with a handle for operating the instrument with the handle being placed on, or forming part of a second arm of the parallelogram construction opposite the first arm, such that a body axis of the handle always extends parallel to the instrument.
Description
- The invention relates to a manipulator for an instrument for minimally invasive surgery, provided with a first moveable carriage, on which first carriage the instrument can be mounted, wherein the first carriage is positioned on a first arm of a parallelogram construction to provide the instrument with a virtual pivoting point in the plane in which—during use—the instrument intersects the body of a patient. The invention also relates to an instrument to be used with such a manipulator, comprising a tube provided at its first end with a mouthpiece and wherein control means for the mouthpiece pass through the tube.
- A manipulator of the kind mentioned in the preamble is known from the international patent application no. WO 00/30557.
- In the known manipulator the instrument is motor-driven. Such a manipulator is costly, requires the necessary training for use and has the additional disadvantage that the surgeon using the manipulator feels no force feedback from the resistance the instrument encounters during a surgical operation. In addition, the surgeon often experiences a delay between the movement of his hand and that of the instrument.
- It is the object of the invention to provide such a manipulator that is simple, less costly, smaller, lighter and providing the surgeon using the manipulator with an undelayed force feedback, as well as allowing the surgeon to assume a natural posture when operating that matches the positioning of the instrument at that moment.
- To this end the manipulator according to the invention is characterised in that the proximal end of the manipulator is provided with a handle for operating the instrument, with the handle being placed on, or forming part of a second arm of the parallelogram construction opposite the first arm, such that a body axis of the handle always extends parallel to the instrument.
- The manipulator according to the invention has the advantage that there are no motor drives, and with respect to positioning there is a one-to-one coupling between the handle of the manipulator and the instrument being operated with the aid of the manipulator. This is an inestimable advantage to the surgeon using the manipulator, which especially aids the operational ease and the applicability of the manipulator for surgical uses.
- To this end it is further advantageous for the handle to be positioned on a moveable second carriage coupled with the first carriage such that when moving the second carriage, the first carriage carries out a corresponding movement in the longitudinal direction of the instrument.
- It is further desirable for the instrument to be detachable from the first carriage. This affords the possibility of easily adapting the instrument to the actions to be carried out during the surgical operation, while the necessary sterilisation activities can be limited to this instrument.
- In this connection, the manipulator according to the invention may be suitably embodied such that a first carriage is provided with couplers designed to co-operate with control organs of the instruments, which couplers are coupled with the handle via interpositioned pull wires. The application of pull wires is favourable both with respect to limiting the weight of the manipulator that has to be displaced during use, and also to limiting friction and to avoiding possible play.
- In a further aspect of the invention the manipulator is characterised in that the instrument is coupled with the handle in order to be able to conduct in unison (not delayed) a rotation about the respective body axes.
- As already mentioned above, the invention is also embodied in an instrument that is equipped for use with a manipulator as described above. According to the invention, this instrument is characterised in that at a second end of the tube opposite to the first end comprising the mouthpiece, control organs are provided that are coupled with the control means for the mouthpiece that are passing through the tube.
- Advantageously this instrument is embodied such that the control organs are flanges mounted on pull tubes passing through the tube and constituting part of the control means. The use of flanges affords the possibility of a readily detachable coupling between the control organs of the instrument and the couplers of the manipulator, which in turn are operated by means of the handle. The advantage of using pull tubes is that they are also suitable for exerting a pushing force.
- The instrument according to the invention is preferably characterised in that the mouthpiece is a jaw-like gripping organ comprising two cooperating jaw portions, wherein each jaw portion is coupled with one of the pull tubes.
- An optimisation of the adjustment potential of the instrument according to the invention is possible if the gripping organ has two orthogonal directions of rotation, both of which are at right angles in relation to the longitudinal axis of the instrument.
- It is further preferred for the jaw portions to be spring-activated so as to force the jaw portions apart to open the gripping organ. By thus providing the-necessary opening force for opening the jaw portions of the gripping organ locally, by means of a spring, the diameter of the instrument can be kept to a limit; after all, in order to open the jaw portions there is no need for a separate control organ that would have to pass through the tube of the instrument.
- Mounting the manipulator on the operating table allows the manipulator to be used as instrument holder or clamp. The freedom of movement of the manipulator may be designed to include the possibility of locking by means of (for example) break shoes operated by means of (for example) a foot pedal. In this way it is possible to use the manipulator hands-free so as to simultaneously allow other tasks to be performed.
- Below the invention will be elucidated in more detail with reference to the drawing of a non-limiting preferred exemplary embodiment of the manipulator and the instrument according to the invention.
- The drawing shows in:
-
FIGS. 1 and 2 the manipulator with the instrument according to the invention; -
FIG. 3 the whole instrument according to the invention and a detailed view of the mouthpiece; -
FIG. 4 the whole instrument according to the invention, as well as a detailed view of a first end and a detailed view of a second end; -
FIG. 5 the instrument according to the invention as shown inFIG. 4 , with the mouthpiece being slightly rotated; and -
FIG. 6 the instrument according to the invention in mounted position together with a portion of the manipulator. - Identical reference numbers in the figures refer to similar parts.
- Referring to
FIG. 1 , this figure shows aninstrument 1 for laparoscopic surgery, which may be partly within the body of a patient and enjoying six degrees of freedom indicated at the mouthpiece of the instrument, being the three translations x, y and z and the three rotations α, β and γ. All these movements are controlled by operating ahandle 2, which enjoys the same degrees of freedom, and which during operation of the handle relays the same one-to-one to the mouthpiece of the instrument. In addition, there is a seventh degree of freedom formed by the open and close movement of thehandle 2 and the open and close movement of the jaws of the mouthpiece coupled thereto, as will be explained below. - At the place where via an incision the
instrument 1 is inserted in a patient's body, theinstrument 1 has, according to the invention, aninvariant point 3. When operating theinstrument 1 by means of thehandle 2, thisinvariant point 3 forms a virtually fixed point of rotation for theinstrument 1. - With reference to
FIG. 2 , it is shown that the basis of the manipulator is formed by amain axis 4 that is capable of carrying out a rotation ω due to saidmain axis 4 being accommodated in abearings 5 coupled with the solid world. This solid world is preferably formed by an operating table. With this main axis 4 a known so-called parallelogram mechanism is connected of whichplates tube 8 are elements. By means of this parallelogram mechanism a rotation δ of thehandle 2 aboutaxis 9 a is translated into a correspondihg rotation δ about theaxes axis 10, which is located outside the parallelogram mechanism and (in its extended direction) intersects themain rotation axis 4. This point of intersection coincides with the above-mentioned incision in the patient's body, which coincides with the above referred-to fixed virtual point of rotation. The fore-going thus explains that theinstrument 1 is capable of carrying out two rotations δ and ω about the fixed virtual point ofrotation 3. - For the control of other movements the instrument is capable of, there are, for example, pull-wires leading from the
handle 2 through the manipulator to the instrument. The movement ofhandle 2 andinstrument 1 in the longitudinal direction z of the instrument occurs, for example, due to the handle and instrument being situated oncarriages - The working of the instrument according to the invention will now be further elucidated with reference to the
FIGS. 3-6 . - In
FIG. 3 is shown that the mouthpiece of theinstrument 1 is embodied as jaw-like gripping organ comprising two cooperatingjaw portions axis 17. The rotations β and ν of thejaw portions pull tubes FIG. 4 ). By contracting thepull tubes jaw portions FIG. 3 ), which produces an opening force for thejaw portions -
FIG. 5 shows that when onlypull tube 22 is contracted andpull tube 23 is slack, bothjaw portions axis 17 in direction ν. Theinstrument 1 is further embodied such that thejaw portions axis 19. To this end a pull-push tube is used which, when pushing in the direction of thejaw portions -
FIGS. 4 and 5 further show that at the end furthest from thejaw portions pull tubes flanges push rod 24 is provided with aball 27. The function of theflanges ball 27 will become clear in the explanation below referring toFIG. 6 . -
FIG. 6 shows theinstrument 1 mounted on thecarriage 13 and moveable along a guiding. Theflanges jaw portions levers push rod 24 is operated by adisc 30 connected to theball 27. This latter connection is designed such that thanks to the shape of theball 27, theinstrument 1 is rotatable about its longitudinal axis. By controlling thelevers disc 30, the rotations α, β and ν of thejaw portions ball 27 and thedisc 30 cooperating therewith, as also other construction parts, may be replaced by another construction working in a similar manner, for example, by a rotatable flange controlled by means of a moveable carriage. Rotation γ of theinstrument 1 is effected by operating thedisc 31. - The coupling of the
levers disc 30 with thehandle 2, is in the present exemplary embodiment effected by means of pull wires. However, within the scope of the invention it is also possible to provide other types of couplings between thehandle 2 and the operating members of theinstrument 1. Such couplings may be bowden cables, hydraulics, chains, bands or the like. All this lies within the scope of the person skilled in the art and requires no further explanation.
Claims (11)
1. A manipulator for an instrument for minimally invasive surgery, provided with a first moveable carriage, on which first carriage the instrument can be mounted, wherein the first carriage is positioned on a first arm of a parallelogram construction to provide the instrument with a virtual pivoting point in the plane in which during use the instrument intersects the body of a patient, wherein proximal end of the manipulator is provided with a handle for operating the instrument, with the handle being placed on, or forming part of a second arm of the parallelogram construction opposite the first arm, such that a body axis of the handle always extends parallel to the instrument.
2. A manipulator according to claim 1 , wherein the handle is positioned on a moveable second carriage coupled with the first carriage such that when moving the second carriage, the first carriage carries out a corresponding movement in a longitudinal direction of the instrument.
3. A manipulator according to claim 1 , wherein the instrument is detachable from the first carriage.
4. A manipulator according to claim 1 , wherein the first carriage is provided with couplers designed to co-operate with control organs of the instrument, which couplers are coupled with the handle via interpositioned pull wires.
5. A manipulator according to claim 1 , wherein the instrument is coupled with the handle in order to be able to conduct in unison a rotation about the respective body axes.
6. A manipulator according to claim 1 , additionally comprising adjustable locking facilities for fixing the manipulator in one or several directions.
7. An instrument for minimally invasive surgery suitable for use with a manipulator in accordance with claim 1 , comprising a tube provided at its first end with a mouthpiece wherein control means for the mouthpiece pass through the tube, and wherein at a second end of the tube opposite to the first end comprising the mouthpiece control organs are provided that are coupled with the control means for the mouthpiece that are passing through the tube.
8. An instrument according to claim 7 , wherein the control organs are flanges mounted on pull tubes passing through the tube and constituting a part of the control means.
9. An instrument according to claim 7 , wherein the mouthpiece is a jaw-like gripping organ comprising two cooperating jaw portions, wherein each jaw portion is coupled with one of the pull tubes.
10. An instrument according to claim 9 , wherein the gripping organ has two orthogonal directions of rotation, both of which are at right angles in relation to the longitudinal axis of the instrument.
11. An instrument according to claim 9 , wherein the jaw portions are spring-activated so as to force the jaw portions apart to open the gripping organ.
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/966,547 US20050119641A1 (en) | 2002-04-16 | 2004-10-15 | Manipulator for an instrument for minimally invasive surgery and such an instrument |
US13/278,502 US8992564B2 (en) | 2002-04-16 | 2011-10-21 | Instrument for minimally invasive surgery |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
NL1020396A NL1020396C2 (en) | 2002-04-16 | 2002-04-16 | Manipulator for an instrument for minimally invasive surgery, as well as such an instrument. |
NL1020396 | 2002-04-16 | ||
PCT/NL2003/000165 WO2003086219A2 (en) | 2002-04-16 | 2003-03-05 | Manipulator for an instrument for minimally invasive surgery and such an instrument |
US10/966,547 US20050119641A1 (en) | 2002-04-16 | 2004-10-15 | Manipulator for an instrument for minimally invasive surgery and such an instrument |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/NL2003/000165 Continuation WO2003086219A2 (en) | 2002-04-16 | 2003-03-05 | Manipulator for an instrument for minimally invasive surgery and such an instrument |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US13/278,502 Division US8992564B2 (en) | 2002-04-16 | 2011-10-21 | Instrument for minimally invasive surgery |
Publications (1)
Publication Number | Publication Date |
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US20050119641A1 true US20050119641A1 (en) | 2005-06-02 |
Family
ID=29244987
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/966,547 Abandoned US20050119641A1 (en) | 2002-04-16 | 2004-10-15 | Manipulator for an instrument for minimally invasive surgery and such an instrument |
US13/278,502 Expired - Fee Related US8992564B2 (en) | 2002-04-16 | 2011-10-21 | Instrument for minimally invasive surgery |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US13/278,502 Expired - Fee Related US8992564B2 (en) | 2002-04-16 | 2011-10-21 | Instrument for minimally invasive surgery |
Country Status (9)
Country | Link |
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US (2) | US20050119641A1 (en) |
EP (1) | EP1496811B1 (en) |
JP (1) | JP4300472B2 (en) |
AT (1) | ATE334631T1 (en) |
AU (1) | AU2003212707A1 (en) |
CA (1) | CA2482160C (en) |
DE (1) | DE60307257T2 (en) |
NL (1) | NL1020396C2 (en) |
WO (1) | WO2003086219A2 (en) |
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Also Published As
Publication number | Publication date |
---|---|
NL1020396C2 (en) | 2003-10-17 |
CA2482160A1 (en) | 2003-10-23 |
JP2005522262A (en) | 2005-07-28 |
US20120041478A1 (en) | 2012-02-16 |
DE60307257T2 (en) | 2007-06-28 |
AU2003212707A1 (en) | 2003-10-27 |
EP1496811B1 (en) | 2006-08-02 |
JP4300472B2 (en) | 2009-07-22 |
WO2003086219A3 (en) | 2003-12-18 |
EP1496811A2 (en) | 2005-01-19 |
ATE334631T1 (en) | 2006-08-15 |
DE60307257D1 (en) | 2006-09-14 |
WO2003086219A2 (en) | 2003-10-23 |
CA2482160C (en) | 2011-12-20 |
US8992564B2 (en) | 2015-03-31 |
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