Patent Application
20190151062
The present invention relates to animal insemination and in-vitro fertilization, and more particularly to methods and apparatus for depositing embryos or inseminating livestock, particularly bovine and related animals.
Artificial insemination and in-vitro fertilization of livestock are a common practices, and extensive research and studies have been done to confirm the benefits of both practices, including increased conception rates. A few devices are currently on the market for use in insemination and in-vitro fertilization (embryo insertion), especially with respect to the cattle and dairy industry. Most devices currently in use include a syringe of some general design, which contains a unit of semen or one or more embryos. The syringe is inserted into the reproductive tract of the animal to deposit the semen or embryos in such a location to ensure heightened reproductive success.
The primary goal of and benefit derived from artificial insemination and in-vitro fertilization is the ability to select and ensure the delivery of superior genetic traits and to provide improved pregnancy rates. Many factors can affect the pregnancy rate of female members of a herd being artificially inseminated or fertilized in-vitro. One factor is the ability to detect when members of the herd are in heat and should be inseminated or fertilized in-vitro. Another is the general reproductive health of the female members of the herd. Another factor is the effectiveness of the semen or the quality of the embryo(s) to be used. Another factor is the effectiveness of the artificial insemination or embryo insertion procedure being used. Improving the first three factors requires close study of the herd, testing the reproductive tracts of the female members of the herd, testing the units of semen to be used, and determining the quality, sex and/or compatibility of the embryo(s) to be implanted. A final factor, the effectiveness of the artificial insemination or embryo insertion technique, is largely affected by the artificial insemination or embryo insertion devices used, and the processes and techniques that are used. With regard to these issues, devices for artificial insemination and embryo insertion have been created to be able to quickly and safely deliver semen or embryos to a given animal. While a few devices are on the market, there are disadvantages to such devices that either lower their efficiency or make them difficult to use, dissuading a large percentage of technicians from choosing to use them.
Pregnancy efficiency levels are critical since they correlate directly to the cost of breeding livestock. If efficiency is low, more insemination or embryo insertion attempts will be needed on average to result in a pregnant animal. This translates to a loss of time and profit while the animal is not pregnant, labor costs for the breeder to continue the insemination or embryo insertion attempts on the animal, the money cost for more semen or embryos to be used, and extra insemination or embryo insertion supplies needed for the extra attempts. Thus, an overall increase in efficiency can greatly increase the profitability of a given herd.
One of the more common devices used for the artificial insemination is a gun or syringe having a plunger rod inside that may be enclosed within a sheath. Such a device is disclosed in U.S. Pat. No. 4,493,700. In such a device, a straw containing a unit of semen is placed into the tubular body of the gun, and the sheath placed over the gun-and-straw combination. The contents of the straw may be expelled when the plunger inside the tubular body is depressed. A typical semen straw is sealed at one end by cotton plugs, and at the other end by a crimp seal. When the straw is ready for use, the crimped end of the straw is cut off, opening this end of the straw for passage of the semen. The straw is then inserted into the tubular body of the gun, with the closed end against the plunger, and the open end extending out from the tubular body. Then, the plastic sheath is placed over the tubular body and straw. Both ends of the sheath are open, with the proximal end being of a slightly larger diameter in order to receive the semen straw and tubular body, the distal end having a more narrow frustoconical pointed end or tip. The open split (proximal) end is secured to the gun by means of a locking ring. The tip of the sheath (distal end) is pointed but open to allow for the delivery of semen from the straw. The sheath-covered “loaded” gun is then inserted into the vaginal tract of the animal to be inseminated and, at the proper location, semen is delivered by depressing the plunger. It is to be appreciated that proper insertion and maneuvering of the sheathed gun involves considerable skill as the technician must first direct the pointed end of the sheathed gun assembly through the vaginal canal, then carefully guide it to and through the cervix, and finally to an optimum delivery point at the entrance of the uterine body before the semen is delivered. For delivery of embryos, the sheath must be inserted further through the cervix and into one of the uterine horns where ovulation has occurred. This horn is adjacent (ipsilateral) to the ovary that possesses a corpus luteum (or CL—the structure that forms on the ovary at the site from which the egg was released at the time of ovulation). The gun is guided as far up the horn as is reasonably possible without excessive manipulation, and the embryo is deposited. The slender makeup of such devices makes them well suited for such maneuvering. However, the open-ended sheath suffers from the significant drawback of potential loss of sterility during the long journey to the delivery point, such that even if delivery is made at an optimum location, the semen or embryo(s) may have become contaminated along the way rendering it ineffective and/or unusable.
The vaginal canal of most livestock may be unsanitary, the passageway containing bacteria, yeast, and other deleterious organisms. Another problem with bovines is that the vagina is located below the anus, and as such, it is commonplace for some amount of manure to find its way into the vaginal cavity. The manure by nature is unsanitary, and if it is introduced into the cervix or uterus, it will most likely lower reproductive levels to a minimum and cause infection and/or disease. An open-tipped insemination or embryo insertion gun may come into contact with and collect these contaminants as it passes through the vaginal cavity, causing them to be deposited with the semen or embryo(s) at the delivery point. It is therefore desirable to provide methods and apparatus for artificial insemination and embryo insertion that assure sanitary and efficient delivery of the semen or embryo(s) to the uterine body.
This problem is partially addressed in U.S. Pat. No. 4,457,313. The devices disclosed in this patent use a disposable rigid protective or outer sheath that fits over the inner sheath of the insemination gun to maintain the sterility of the inner sheath and semen or embryo straw inside. The outer protective sheath is formed of a hard plastic and is not as long as the inner sheath. The outer sheath is provided with a perforated rubber cap at one end and a flared gripping surface at the other. The rubber cap prevents contaminants from entering the open end of the pointed sheath and straw inside during the long trip through the reproductive tract. When the delivery point is reached, the flared gripping surface is grasped and pulled, sliding the outer sheath relative to the inner sheath (which is why it is shorter than the inner sheath), and causing the inner sheath to push or poke through the perforated rubber cap. The semen or embryo(s) can then be delivered by depressing the plunger.
Unfortunately, devices of this sort suffer from numerous drawbacks. The most significant is the obstacle created by the large rubberized cap. While this cap aids sterility, it is bulky and tends to get caught or snag during the trip through the vagina, and is likely to become entangled or stopped (plugged) in the fibrous tissues of the cervix. This makes it difficult for the user to maneuver the tip to the optimum location for deposit of the semen or embryo(s). For smaller animals, the cap may simply be too large to even fit into the cervix. In either case, the rubberized cap prevents the gun from being maneuvered all the way to the uterine body for optimal semen or embryo(s) delivery. As a result, at the point where the rubber cap prevents further insertion, the inner sheath must then be pushed through the perforated end of the cap to travel further toward its destination. If the cap has bogged down in the vagina, extending the inner sheath will expose it to the very contaminants sought to be avoided. If the cap has made it to the cervix, further contaminants may still be picked up. In either case, the now bogged-down cap tends to inhibit further maneuvering of the inner sheath (which is passing through it), leading to imprecise positioning and less than optimum deposition of semen or embryo(s). In addition, since the outer protective sheath is of a certain length, even when the user extends the inner sheath the maximum distance through the perforated end of the cap (this distance is the difference between the lengths of the inner and outer sheaths), there is only so much traveling space before the outer sheath rests upon the base of the gun at the plunger, thereby preventing the inner sheath from traveling any further on its own. Oftentimes, this distance is less than the length of the cervix, thereby preventing the tip of the inner sheath from reaching the optimum location for semen deposit at the entrance of the uterine body, much less extending further up into one of the horns for proper embryo deposit.
Another drawback is that the use of the outer sheath increases the size and diameter of the insemination gun, which already includes a first sheath placed over the gun tube, plunger and straw. The outer sheath is loosely attached (so that it can slide against the inner sheath), making it more difficult to maneuver. All of these things inhibit the technician from feeling the depth of the insemination gun, contributing to a general lack of ability to feel the placement of the tip of the gun, and making it less likely to deposit the semen or embryo(s) in an optimal location.
Because of these problems, many breeders have a difficult time inseminating animals with such devices, and oftentimes choose to use the unsanitary gun or sheath without the protective device. This is usually because the insemination or embryo insertion process is based largely on the “feel” the breeder has leading the device through the reproductive tract of the animal, and the sense of location that an experienced breeder acquires though repeated breeding. When breeders discuss “feeling” placement of the artificial insemination or embryo insertion gun in the reproductive tract, a central focus is on the travel of the instrument to and though the cervix. The cervix is much more rigid than the vaginal lining, and creates more resistance on the artificial insemination or embryo insertion instrument. Depending on the animal and its age, the size, shape, and diameter of the cervix can vary greatly. In general, the cervix in both older and larger livestock is larger and longer than that of younger, smaller livestock. Often times, the angle at which the cervix rests is more downward with an older animal. These differences in cervix size and shape underscore the problems with many of the sanitary devices currently on the market.
Other devices have also been developed to attempt to further sanitize the process. One such device is disclosed in U.S. Pat. No. 4,453,936. This device is a sleeve of thin plastic material such as a film, which covers the gun and inner sheath. The gun is inserted in the reproductive tract of the animal with the film in place over the gun, and once the gun is in the proper location, the technician pulls on the film to create a lateral force to tear the film by the pressure on the sleeve at the end of the gun, thereby allowing a passage for the semen or embryo(s) from the tip of the inner sheath. Many problems have been encountered with such devices, making them unpopular to breeders and rarely used. While the sleeve is intended to make the insemination or insertion process more sanitary, it is found that the sleeve bunches in places during insertion creating pockets where contaminants from the vagina are carried further into the cervix and uterus actually increasing the chance of infection. Another problem with such devices is that the edge of the sleeve where the plastic film is connected tends to cut the vaginal lining, causing bleeding in the animal. This causes general discomfort for the animal and increases the chance for infection. It is also known that blood can kill sperm. Finally, many breeders also complain that the film sleeve affects the “feel” needed to properly impregnate the animal.
In response to the above drawbacks, an insemination sheath having a thin protective membrane at the tip with a pre-scored or pre-pricked area thereon was developed, as disclosed in U.S. Pat. No. 8,323,178 and its ancestry. The pre-scored or pre-pricked area is ruptured using fluid pressure from the semen straw during semen delivery. However, the pre-scored or pre-pricked area may develop a slight indentation that can collect unwanted materials as it travels through the reproductive tract. Because the indentation is located at the end of the tip of the sheath, it may not be possible for the breeder/user to wipe it completely clean using the other hand in the rectal tract.
A number of other artificial insemination devices have been developed which include a nozzle having a generally spherical head attached to a hollow neck located at the end of an insemination sheath, where lateral openings are provided in the neck. See U.S. Pat. No. 4,654,025, French Patent No. FR2574656 and U.S. Patent Application Publication No. 2015/0112124. In each of these inventions, sliding movement imparted to the semen straw itself causes the head and neck apparatus to be extended out from the end of an insemination sheath, exposing the lateral openings in the neck through which semen may then be delivered. However, each of these devices requires mechanical pressure to push the nozzle open, thereby requiring a second plunger (one plunger to move the semen straw, and another to eject the semen itself). These devices also require an additional internal sheath requiring additional space inside the outer sheath, resulting in a bulky and cumbersome apparatus that is more rigid and difficult for the user to maneuver. The additional parts in these devices also make them more likely to clog or otherwise fail in comparison to less-complicated devices with fewer parts.
It is therefore desirable to provide methods and apparatus for providing sanitary artificial insemination or embryo insertion of a wide variety of livestock, while also allowing the breeder to have the necessary tactile sensation for proper placement of the insemination or insertion gun for delivery of semen or embryo(s) at an optimal location to improve the chances of pregnancy.
The present invention provides an artificial insemination and in-vitro fertilization apparatus and methods for use with livestock that maintains the sterility of the semen or embryo(s) until deposited at an optimum location in the reproductive tract of the animal without the maneuvering or tissue injury problems associated with prior art devices. Embodiments of the present invention comprise a uniquely shaped opening that is provided at the tip of a sheath that is used with an artificial insemination/in-vitro fertilization gun, and a movable or deformable plug or diaphragm that fits into and covers this opening. The plug or diaphragm has a rounded (convex) exterior surface, and may be made of a rigid or rubberized material that completely covers the opening at the tip of the sheath, and seals it closed in a smooth, flush engagement to prevent contaminants from collecting upon the tip, or entering into the sheath during the trip through the reproductive tract of the animal.
In some embodiments, the plug or diaphragm is designed to slide forward under the pressure from the fluid being provided by the force of the plunger of the insemination gun. This pressure is applied once the tip has been maneuvered into position. The motion of the plug or diaphragm is arrested after it slides forward a short distance, without becoming detached. This prevents the plug or diaphragm from being left behind in the reproductive tract after insemination. The movement of the plug or diaphragm in these embodiments exposes the uniquely shaped opening at the tip of the insemination sheath. This opening includes at least one side channel through which semen or embryo(s) may escape from inside the sheath. The plug or diaphragm is designed to fit flush with the end of the sheath providing a smooth tip so as to avoid accumulating unwanted impurities or causing damage to the reproductive tract during the trip to the uterine area. In these embodiments, the plug or diaphragm is preferably made of a rigid or semi-rigid material.
In most embodiments, a specially shaped head or cap is provided which is designed to be attached to the end of the sheath. This head or cap has a rounded tip and includes the special opening having one or more side channels therein that is covered by the plug or diaphragm. In most embodiments, this head or cap is designed to fit into the end of the sheath so as to provide the desired rounded tip without increasing the diameter of the sheath, and without requiring any additional outer sheath or film that might otherwise interfere with maneuvering the device. As a result, embodiments of the present invention allow the breeder to have optimum tactile sensitivity for proper placement of the device and deposit of semen or embryo(s). In alternative embodiments, the opening with the one or more side channels therein is provided as part of the rounded end of the insemination sheath itself, such that no additional head or cap is required, this opening being covered by a plug or diaphragm.
Other embodiments of an apparatus of the present invention include a deformable plug or membrane provided over the uniquely shaped opening at the tip of the insemination sheath or cap. In these embodiments, instead of sliding a short distance forward when fluid pressure is applied, the edges of the plug or membrane deform under this pressure. This deformation exposes the one or more channels in the opening at the end of the insemination sheath or cap, allowing the semen or embryo(s) to escape. As with other embodiments, the specially shaped opening is provided at the end of the insemination sheath (either in an attachable cap or head, or as part of the sheath itself), and the deformable plug or membrane provides a flush covering of the opening which seals it closed during the trip through the reproductive tract, thereby avoiding accumulation of unwanted materials and avoiding injury to the reproductive tissues.
The process of using the sealed sheath of the present invention with an insemination gun first requires preparation of the sheath, semen or embryo straw and gun. The plug or diaphragm should be inserted into the uniquely shaped opening at the tip of the sheath to seal it closed. This may be done by the user, but is preferably accomplished as part of the process of manufacturing the sheath or cap, such that the sheath or cap comes with the plug or diaphragm already in place in the unique opening. The plug or diaphragm should be flush with the surface of the sheath or cap, with a slightly outwardly rounded shape. The plug or diaphragm may be designed to react in one of two ways when fluid pressure is applied: it either slides out a short distance, or it deforms slightly, thereby exposing one or more channels in the unique opening. If the sheath is provided with the opening as part of the sheath itself, then the user need only confirm that the plug or diaphragm is properly in place before attaching the sheath to the insemination gun. If the opening is provided in a separate cap, then the cap must be inserted onto or attached to the end of the sheath, and the plug or diaphragm checked to be sure it is properly in place before attaching the sheath to the insemination gun.
In preparing a semen or embryo straw, it is first thawed from a frozen state. The straw comes completely sealed, having a slidable plunger seal at one end and a plastic (crimp) seal at the other end. Once thawed, the crimped end of the straw is cut off. The straw is then inserted into the insemination/fertilization gun, with open end extending out.
The gun comprises a cylindrical tube of slightly larger diameter than the semen or embryo straw, in which an elongate plunger mechanism is situated. The straw is inserted into the tube and the plunger mechanism of the insemination gun rests upon the slidable plunger seal at the base of the straw. A sheath of the present invention (having the unique end opening that is covered flush by a plug or diaphragm) is then placed over the length of the gun. The sheath is approximately the same length as the gun such that the base of the sheath (proximal end) fits snugly against a flared lower portion of the gun tube. The cylindrical tube of the insemination/fertilization gun flares out slightly to a larger diameter at the base to allow for the sheath to be properly attached. An “O” ring is then slid over the plastic sheath and is locked into place over this larger diameter area near the base of the gun, holding the proximal end of the sheath firmly against the gun tube. The plunger of the gun should be depressed to the point of contacting the cotton plunger in the straw. Because of the narrow circumference of the sheath tip (distal end), it is not possible for the straw itself to exit the sheath and gun assembly. At this point in time, the gun is prepped, and the unit of semen or embryo(s) is loaded and open, but remains sealed to the external environment because the plug or diaphragm is covering the unique opening at the tip of the sheath.
The breeder then inserts the gun in the reproductive tract of the animal in the usual fashion. In one method, the breeder inserts the gun the majority of the length of the vagina, and then using his or her other hand, proceeds to gently wipe off the tip of the sheath to ensure that no contaminants are stuck or lodged near the tip. This is possible due to the elastic nature of the intestinal and vaginal lining through which the breeder can feel and manipulate the tip. The flush, rounded fit between the plug and the opening at the end of the sheath makes it possible to wipe the tip of the sheath completely clean. The tip of the sheath is then inserted and navigated into the cervix of the animal for depositing semen, or into one of the uterine horns for depositing embryos. For in-vitro fertilization, it is preferable to navigate the tip of the sheath about half-way into the recently ovulated uterine horn, if this can be accomplished without injury to the delicate tissues of the reproductive tract. If this cannot be accomplished, navigating a shorter distance into the horn (e.g. ⅓ of the way in) may still be sufficient, so long as the embryo is deposited into the horn.
The breeder then navigates the tip of the insemination gun to the appropriate area in the uterine body where the semen or embryos are to be deposited. At this point, the breeder depresses the plunger or other mechanism. The fluid pressure caused by this action dislodges or deforms the plug or membrane, thereby exposing the one or more channels in the opening at the end of the sheath, allowing the semen or embryo(s) to be released into the uterine body. Once the semen or embryo(s) are deposited, the gun is removed from the animal, and the used outer sheath is discarded along with the used straw.
Because of the conforming nature of the cap and cover on the sheath of the present invention, it does not affect the movement of the gun, or the tactile sensitivity of the gun to the breeder, allowing the breeder to properly navigate the tip of the gun to the proper location for discharge of semen or embryo(s) at an optimum location in the uterine body.
In addition to increasing pregnancy rates, a further benefit of the present invention is a reduction in the rate of ovarian cysts in animals inseminated compared to animals inseminated by the prior art. Cystic ovaries is a condition that naturally occurs in a small percentage of animals, the occurrence of which lowers reproductivity rates in said animals. A cystic state can approximate that of the animal being in estrous causing a breeder to attempt to inseminate the animal to no effect. In addition, ovarian cysts require medical attention to prevent harm to the reproductive tract. The treatment for cysts takes usually at least 3 weeks, which is time lost for the possible insemination of the animal. The exact cause of ovarian cysts is unknown, but it is possible that the reduction in cysts is based on the fact that the present invention creates less irritation to the animal's reproductive tract when used due to the increased level of sanitation and reduction in circumference in the device. The use of the prior art large rubber tipped sheath protector is a possible cause of trauma to the reproductive tract and likely causes the secretion of prostaglandin which would trigger a short heat cycle, and an infertile heat. The use of the present invention reduces the trauma level of the animal due to its reduced size, which is potentially a direct corollary to reduced numbers of cystic ovaries.
Another concern with inseminating or in-vitro fertilization of animals is the possibility of infection. Oftentimes, if an animal is subject to an infection in the reproductive tract, the animal will skip a reproductive cycle. Such an infection could be caused by the contaminants deposited in the reproductive tract that were picked up by an unsealed sheath tip. The reproductive cycle for cattle is roughly 3 weeks. If an animal is infected, and skips a reproductive cycle, then the breeder will have to wait 6 weeks before insemination can be attempted, and an overall loss of revenue.
It is therefore an object of the present invention to improve pregnancy rates among artificially inseminated livestock by providing methods and apparatus for avoiding contamination of semen or embryo(s) to be deposited during artificial insemination or in-vitro fertilization that do not interfere with the breeder's navigation of the insemination device through the animal's reproductive tract.
It is a further object of the present invention to provide a sheath for use with an artificial insemination or in-vitro fertilization gun having a uniquely shaped opening at the end thereof that is covered by a plug or diaphragm to prevent contaminants from entering the sheath as it travels through the reproductive tract of an animal, the plug or diaphragm being dislodged or deformed upon the application of the pressure used to discharge the semen or embryo(s), thereby allowing semen or embryo(s) to pass through one or more channels in said unique opening.
It is a further object of the invention to provide a protective seal for an artificial insemination or in-vitro fertilization sheath without the need for another larger sheath or plastic film covering.
It is a further object of the invention to provide a protective cover for an artificial insemination or in-vitro fertilization sheath that does not affect the tactile sensation of the breeder navigating the gun to the proper location within the reproductive tract of an animal.
It is a further object of the invention to provide cost effective and efficient methods for avoiding contamination of semen or embryo(s) used in artificial insemination or in-vitro fertilization of livestock.
It is a further object of the invention to provide methods and apparatus for depositing semen, embryo(s), antibiotics or other materials into the reproductive tract of an animal.
It is further object of the invention to provide methods for installing a protective cap on the end of a standard artificial insemination or in-vitro fertilization sheath.
Additional objects of the invention will be apparent from the detailed descriptions and the claims herein.
Referring to the drawings wherein like reference characters designate like or corresponding parts throughout the several views, and referring particularly to the prior art devices of
The gun is completed by a cylindrical breeding sheath 70 which slides over and covers the whole of the body 54 and the straw 63. The straw 63 bears by its front end against the inner surface of a convergent portion 72 of this sheath which has an ejection orifice 74. At its other end, the sheath is elastically clamped against a flared frustoconical portion of the head 52 by means of a clamping or “O” ring 64. The semen straws are crimp sealed on one end, and the crimped end of the straw is removed before use, creating an opening 61 through which the semen can be expelled. Sheath 70 is disposable, and is employed for each insemination operation and is slipped over the gun before its insertion into the reproductive passages of the animal. The sheath 70 is discarded once the apparatus has been withdrawn from the animal, so that the gun proper 54 is not soiled and may be again employed without inconvenience on another animal after having been covered with another sheath.
Once the straw 63 is in place, the sheath 70 is slid over the artificial insemination gun shaft 51 and the semen straw. The sheath is made of a thin plastic material that is of slightly larger diameter than the shaft 51 of the insemination gun 54. When the open end of the semen straw 61 reaches the convergent portion of the sheath 72, a snug and/or airtight fit is accomplished and creates a seal with the convergent portion of the sheath 72. This seal is maintained by a locking ring which is slid over the sheath 70, and is of a diameter just slightly larger than a portion of the base of the sheath, as to allow the locking ring 64 to be manually secured on the sheath by applying downward force on the ring 64. Once secured, the semen straw 63 is secured in place as the tip of the sheath 72 narrows in diameter creating a lip or edge preventing the semen straw from exiting the sheath.
After securing the sheath 70 in the prior art embodiment of
As shown in the cross-sectional view of
The interior portion 71 of cap 72 in this embodiment extends into sheath 70, and is tapered on the inside so as to snugly engage straw 63. The extended interior portion 71 includes a plurality of ridges or barbs 75 on the outside which frictionally engage the interior of sheath 70 to prevent the cap 72 from becoming detached from the sheath 70 when fluid pressure is applied to the straw. When such pressure is applied, plug 111 is either deformed or slidably extended out to uncover opening 102 to allow semen or embryo(s) to flow out through channel(s) 103.
It is to be appreciated that all of the features of all of the embodiments of the cap and plug structures of the present invention may be incorporated into and made part of the outer sheath itself, so that no attachment of a separate cap 72 to a sheath 70 is required. In such embodiments, all of these features (e.g., tapered interior to receive straw, opening with channels at rounded end, deformable or slidable plug, stop structures, etc.) are integrated into the end of the sheath itself. It is also to be appreciated that either the deformable plug embodiments, or the slidable plug embodiments may be used with either the attached cap embodiments or the incorporated cap embodiments of the invention.
Finally, it is to be appreciated that different versions of the invention may be made from different combinations of the various features described above, all of which may be used for artificial insemination or in-vitro fertilization. It is to be understood that other variations and modifications of the present invention may be made without departing from the scope thereof. It is also to be understood that the present invention is not to be limited by the specific embodiments disclosed herein, but only in accordance with the appended claims when read in light of the foregoing specification.
This is a continuation-in-part and claims the benefit of pending U.S. patent application Ser. No. 15/063,780 filed on Mar. 8, 2016 which is incorporated herein by this reference in its entirety.
| Number | Date | Country | |
|---|---|---|---|
| Parent | 15063780 | Mar 2016 | US |
| Child | 16250925 | US |
