Container for an inhalation anesthetic

Information

  • Patent Grant
  • 6558679
  • Patent Number
    6,558,679
  • Date Filed
    Tuesday, December 19, 2000
    23 years ago
  • Date Issued
    Tuesday, May 6, 2003
    21 years ago
Abstract
A pharmaceutical product. The pharmaceutical product includes a container constructed from a material containing one or more of polypropylene, polyethylene, and ionomeric resins. The container defines an interior space. A volume of a fluoroether-containing inhalation anesthetic is contained in the interior space defined by the container.
Description




BACKGROUND OF THE INVENTION




The present invention relates to a container for an inhalation anesthetic and a method for storing an inhalation anesthetic. In particular, the present invention is directed to a container constructed from a material that provides a barrier to vapor transmission through a wall of the container and that is non-reactive with an inhalation anesthetic contained therein.




Fluoroether inhalation anesthetic agents such as sevoflurane (fluoromethyl-2,2,2-trifluoro-1-(trifluoromethyl)ethyl ether), enflurane (2-chloro-1,1,2-trifluoroethyl difluoromethyl ether), isoflurane (1-chloro-2,2,2-trifluoroethyl difluoromethyl ether), methoxyflurane (2,2-dichloro-1,1-difluoroethyl methyl ether) and desflurane (2-difluoromethyl 1,2,2,2-tetrafluoroethyl ether) are typically distributed in containers constructed of glass. Although these fluoroether agents have been shown to be excellent anesthetic agents, it has been found that under certain conditions the fluoroether agent and the glass container may interact, thereby facilitating degradation of the fluoroether agent. This interaction is believed to result from the presence of Lewis acids in the glass container material. Lewis acids have an empty orbital which can accept an unshared pair of electrons and thereby provide a potential site for reaction with the alpha fluoroether moiety (—C—O—C—F) of the fluoroether agent. Degradation of these fluoroether agents in the presence of a Lewis acid may result in the production of degradation products such as hydrofluoric acid.




The glass material currently used to contain these fluoroether agents is referred to as Type III glass. This material contains silicon dioxide, calcium hydroxide, sodium hydroxide and aluminum oxide. Type III glass provides a barrier to the transmission of vapor through the wall of the container, thereby preventing the transmission of the fluoroether agent therethrough and preventing the transmission of other vapors into the container. However, the aluminum oxide contained in glass materials such as type III glass tend to act as Lewis acids when exposed directly to the fluoroether agent, thereby facilitating degradation of the fluoroether agent. The degradation products produced by this degradation, e.g., hydrofluoric acid, may etch the interior surface of the glass container, thereby exposing additional quantities of aluminum oxide to the fluoroether compound and thereby facilitating further degradation of the fluoroether compound. In some cases, the resulting degradation products may compromise the structural integrity of the glass container.




Efforts have been made to inhibit the reactivity of glass to various chemicals. For example, it has been found that treating glass with sulfur will protect the glass material in some cases. However, it will be appreciated that the presence of sulfur on the surface of a glass container is not acceptable in many applications.




Furthermore, glass containers present a breakage concern. For example, glass containers may break when dropped or otherwise subjected to a sufficient force, either in use or during shipping and handling. Such breakage can cause medical and incidental personnel to be exposed to the contents of the glass container. In this regard, inhalation anesthetic agents evaporate quickly. Thus, if the glass container contains an inhalation anesthetic such as sevoflurane, breakage of the container may necessitate evacuation of the area immediately surrounding the broken container, e.g., an operating room or medical suite.




Efforts to address breakage concerns typically have involved coating the exterior, non-product contact surfaces of the glass with polyvinyl chloride (PVC) or synthetic thermoplastic resin such as Surlyn® (a registered trademark of E.I. Du Pont De Nemours and Company). These efforts increase the cost of the containers, are not aesthetically pleasing, and do not overcome the above-discussed problems related to degradation which can occur when using glass to contain fluoroether-containing inhalation anesthetic agents.




For these reasons, it is desirable to provide a container constructed from a material other than glass in order to store, transport, and dispense inhalation anesthetics, thereby avoiding the above-discussed shortcomings of glass. The preferred material does not contain Lewis acids which can promote the degradation of the inhalation anesthetic agent, provides a sufficient barrier to vapor transmission into and out of the container, and increases the container's resistance to breakage relative to a glass container.




SUMMARY OF THE INVENTION




The present invention is directed to a pharmaceutical product. The product includes a container constructed from a material containing one or more of polypropylene, polyethylene, and ionomeric resins. The container defines an interior space in which a volume of a fluoroether-containing inhalation anesthetic is contained.




In an alternative embodiment, the present invention is directed to a pharmaceutical product in which a container defining an interior space has an interior surface adjacent to the interior space. The interior surface of the container is constructed from a material containing one or more of polypropylene, polyethylene, and ionomeric resins. A volume of a fluoroether-containing inhalation anesthetic is contained in the interior space of the container.




The present invention is further directed to a method for storing an inhalation anesthetic. The method includes the step of providing a predetermined volume of a fluoroether-containing inhalation anesthetic. A container also is provided, the container being constructed from a material containing one or more of polypropylene, polyethylene, and ionomeric resins. The container defines an interior space. The predetermined volume of fluoroether-containing inhalation anesthetic is placed in the interior space of the container.




In an alternative embodiment of the method of the present invention, a predetermined volume of a fluoroether-containing inhalation anesthetic is provided. In addition, a container having an interior surface defining an interior space is provided. The interior surface of the container is constructed from a material containing one or more of polypropylene, polyethylene, and ionomeric resins. The predetermined volume of a fluoroether-containing inhalation anesthetic is placed in the interior space of the container.











BRIEF DESCRIPTION OF THE DRAWINGS




For a more complete understanding of the present invention, reference may be had to the following Detailed Description read in connection with the accompanying drawing in which:





FIG. 1

is cross-sectional view of a pharmaceutical product constructed in accordance with the present invention.











DETAILED DESCRIPTION




A pharmaceutical product constructed in accordance with the present invention is generally indicated at


10


of FIG.


1


. Pharmaceutical product


10


includes container


12


having an interior surface


14


. Interior surface


14


defines an interior space


16


within container


12


. An inhalation anesthetic


18


is contained within interior space


16


of container


12


. In a preferred embodiment of the present invention, inhalation anesthetic


18


contains a fluoroether compound. Fluoroether-containing inhalation anesthetics useful in connection with the present invention include, but are not necessarily limited to, sevoflurane, enflurane, isoflurane, methoxyflurane, and desflurane. Inhalation anesthetic


18


is a fluid, and may include a liquid phase, a vapor phases, or both liquid and vapor phases.

FIG. 1

depicts inhalation anesthetic


18


in a liquid phase.




The purpose of container


12


is to contain inhalation anesthetic


18


. In the embodiment of the present invention depicted in

FIG. 1

, container


12


is in the shape of a bottle. However, it will be appreciated that container


12


can have a variety of configurations and volumes without departing from the spirit and scope of the present invention. For example, container


12


can be configured as a shipping vessel for large volumes (e.g., tens or hundreds of liters) of inhalation anesthetic


18


. Such shipping vessels can be rectangular, spherical, or oblong in cross-section without departing from the intended scope of the invention.




Container


12


preferably is constructed of a material that minimizes the amount of vapor transmission into and out of container


12


, thereby minimizing the amount of inhalation anesthetic


18


that is released from interior space


16


of container


12


and thereby minimizing the amount of vapor transmission, e.g., water vapor transmission, from an external environment of container


12


into interior space


16


and thus into inhalation anesthetic


18


. Container


12


also is preferably constructed of a material that does not facilitate degradation of inhalation anesthetic


18


. In addition, container


12


preferably is constructed of a material that minimizes the potential for breakage of container


12


during storage, shipping, and use.




It has been found that containers constructed from a material that contains polyethylene napthalate provide the desired vapor barrier, chemical interaction, and strength characteristics when used with inhalation anesthetics


18


. One of ordinary skill will appreciate that there are many different types of polyethylene napthalate polymers which vary in their molecular weight, additives, and napthalate content. These polymers can be categorized into three distinct groups; namely, homopolymers, copolymers and blends. It has been found that polyethylene napthalate homopolymers provide higher barriers to vapor transmission when compared to copolymers and blends. For this reason, it is preferable that the material from which container


12


of the present invention is constructed contains a polyethylene napthalate homopolymer. However, it will be appreciated that certain copolymers and blends of polyethylene napthalate can be used in connection with the present invention, provided they provide an adequate barrier to the transmission of vapors, e.g., inhalation anesthetic and water vapors, therethrough, and provided that they provide the desired strength and non-reactivity to inhalation anesthetic


18


.




In addition to the desirable vapor barrier characteristics of materials containing polyethylene napthalate, polyethylene napthalate does not contain Lewis acids and therefore does not pose any threat of facilitating the degradation of a fluoroether-containing inhalation anesthetic contained in a container constructed therefrom.




An example of a polyethylene napthalate material useful in connection with the present invention is HiPERTUF™ 90000 polyester resin (trademark of Shell Chemical Company), a 2,6 dimethyl napthalate based polyethylene napthalate. One of ordinary skill will appreciate that other polyethylene napthalates can be used without departing from the scope of the invention set forth in the appended claims.




In a first embodiment of the present invention, container


12


is constructed of a single layer of material. That is, container


12


is substantially homogenous throughout its thickness. In this embodiment, as above-discussed, container


12


is constructed of a material that contains polyethylene napthalate.




In an alternative embodiment of the present invention, container


12


is multi-laminar. As used herein, the term multi-laminar is intended to include (i) materials constructed of more than one lamina where at least two of the lamina are constructed of different materials, i.e., materials that are chemically or structurally different, or materials that have different performance characteristics, wherein the lamina are bonded to one another or otherwise aligned with one another so as to form a single sheet; (ii) materials having a coating of a different material; (iii) materials having a liner associated therewith, the liner being constructed of a different material; and (iv) known variations of any of the above. In this alternative embodiment of the present invention, interior surface


14


of container


12


is preferably constructed of a material containing polyethylene napthalate. It will be appreciated that the surface of container


14


in contact with a fluoroether-containing inhalation anesthetic contained therein will preferably contain polyethylene napthalate in order to provide the desired vapor barrier characteristics and simultaneously minimize the likelihood of degradation of the fluoroether-containing inhalation anesthetic.




In an alternative embodiment of the present invention, container


12


is constructed of a material containing polymethylpentene. In a preferred embodiment, a polycyclomethylpentene is used. An example of a polymethylpentene material useful in connection with the present invention is “Daikyo Resin CZ” which is manufactured and distributed by the Daikyo/Pharma-Gummi/West Group. This is a polycyclomethylpentene material. Alternatively, interior surface


14


of container


12


is constructed of a material containing polymethylpentene. In this alternative embodiment, interior surface


14


can be in the form of (i) a liner positioned within a body defined by a different material, e.g., glass; or (ii) a coating applied to a body defined by a different material; or (iii) one layer of a multi-laminar material, as above-discussed with respect to polyethylene napthalate.




In a second alternative embodiment of the present invention, container


12


is constructed of a material containing one or more of polypropylene, polyethylene, and ionomeric. Alternatively, interior surface


14


of container


12


is constructed of a material containing one or more of polypropylene, polyethylene, and ionomeric resins such as a SURLYN® ionomeric resin manufactured by DuPont. As used herein, the term “ionomeric resin” refers to a thermoplastic polymer that is ionically cross-linked. In this alternative embodiment, interior surface


14


can be in the form of (i) a liner positioned within a body defined by a different material, e.g., glass; or (ii) a coating applied to a body defined by a different material; or (iii) one layer of a multi-laminar material, as above-discussed with respect to polyethylene napthalate.




One of ordinary skill in the art will appreciate that a coating can be applied to an interior surface of container


12


using a variety of known techniques. The preferred technique will vary dependent upon (i) the material from which container


12


is made; and (ii) the coating material being applied to container


12


. For example, if container


12


is constructed of a known glass material, a coating can be applied to the interior surface of container


12


by heating container


12


to at least the melting point of the coating material being applied thereto. The coating material is then applied to the heated container


12


using a variety of known techniques, e.g., by spraying atomized coating material onto the interior surface. The container


12


is then allowed to cool to a temperature below the melting point of the coating material, thereby causing the coating material to form a single, unbroken film or layer, i.e., interior surface


14


.




As depicted in

FIG. 1

, container


12


defines an opening


20


. Opening


20


facilitates the filling of container


12


and provides access to the contents of container


12


, thereby allowing the contents to be removed from container


12


when they are needed. In the embodiment of the present invention depicted in

FIG. 1

, opening


20


is a mouth of a bottle. However, it will be appreciated that opening


20


can have a variety of known configurations without departing from the scope of the present invention.




Cap


22


is constructed to seal fluidly opening


20


, thereby fluidly sealing inhalation anesthetic


16


within container


12


. Cap


22


can be constructed of a variety of known materials. However, it is preferable that cap


22


be constructed of a material that minimizes the transmission of vapor therethrough and that minimizes the likelihood of degradation of inhalation anesthetic


16


. In a preferred embodiment of the present invention, cap


22


is constructed from a material containing polyethylene napthalate. In an alternative embodiment of the present invention, cap


22


has an interior surface


24


that is constructed from a material containing polyethylene napthalate. In another alternative embodiment of the present invention, cap


22


, and/or interior surface


24


thereof, is constructed of a material containing polypropylene, polyethylene, and/or ionomeric, the material having vapor barrier characteristics sufficient to minimize the transmission of water vapor and inhalation anesthetic vapor therethrough. In still another alternative embodiment of the present invention, cap


22


, and/or interior surface


24


thereof, is constructed of a material containing polymethylpentene. In summary, it is to be appreciated that cap


22


, and/or interior surface


24


thereof, can be constructed of polypropylene, polyethylene, polyethylene napthalate, polymethylpentene, ionomeric resins, and combinations thereof. As above-discussed with respect to container


12


, cap


22


can be homogenous, or may be multi-laminar in nature.




Cap


22


and container


12


can be constructed such that cap


22


can be threadingly secured thereto. Containers and caps of this type are well known. Alternative embodiments of cap


22


and container


12


are also possible and will be immediately recognized by those of ordinary skill in the relevant art. Such alternative embodiments include, but are not necessarily limited to, caps that can be “snap-fit” on containers, caps that can be adhesively secured to containers, and caps that can be secured to containers using known mechanical devices, e.g., a ferrule. In the preferred embodiment of the present invention, cap


22


and container


12


are configured such that cap


22


can be removed from container


12


without causing permanent damage to either cap


22


or container


12


, thereby allowing a user to reseal opening


20


with cap


22


after the desired volume of inhalation anesthetic


18


has been removed form container


12


.




Container


12


may include additional features that form no part of the present invention. For example, container


12


can be configured to include a system for dispensing inhalation anesthetic


18


from container


12


into an anesthesia vaporizer. U.S. Pat. No. 5,505,236 to Grabenkort discloses such a system.




Methods for making containers of the type used in the present invention are known in the art. For example, it is known that polyethylene napthalate must be dried to a moisture level of approximately 0.005% prior to processing in order to yield the optimal physical properties in container


12


and cap


22


. A preferred method for making containers


12


and caps


22


useful in connection with the present invention entails the injection-stretch-blow molding of a material containing polyethylene napthalate. Machines manufactured by AOKI Technical Laboratory, Inc. of Tokyo, Japan are particularly useful in performing this molding operation. The polyethylene napthalate-containing material is injection molded into a preform which is then transferred to a blow station where it is stretched and blown to form the container. The container is then batch heated and annealed in a convective oven.




It has been found that annealing of a material containing polyethylene napthalate increases the degree of crystallization in the material to a level not attainable using a blow molding process alone. Increased crystallization results in a higher barrier to vapor transmission, thereby enhancing the vapor barrier performance characteristics of a container


12


constructed of an annealed material containing polyethylene napthalate. Increased crystallization also reduces the overall weight of container


12


(based upon the weight required to attain a selected container strength) and the amount of material required to achieve a given container strength for container


12


. Increased container strength allows a container to withstand greater loads during shipping, storage, and use, thereby minimizing breakage of the container. For example, greater container strength is desirable when containers


12


are placed one on top of another, as can occur when containers


12


, or cartons or pallets of containers


12


, are stacked for shipping or storage. It should be noted that a container constructed of a material containing an annealed polyethylene napthalate weighs less than a glass container having comparable strength characteristics, is less susceptible to breakage than a glass container of comparable weight, and costs less to manufacture than a glass container of comparable performance characteristics. A lower container weight also reduces the costs associated with shipping such containers. Further, such a container does not present the potential for degradation of a fluoroether-containing inhalation anesthetic that is present with a glass container.




The method of the present invention includes the step of providing a predetermined volume of a fluoroether-containing inhalation anesthetic


16


. The fluoroether-containing inhalation anesthetic


16


can be one or more of sevoflurane, enflurane, isoflurane, methoxyflurane, and desflurane. A container


12


constructed in accordance with the above-described pharmaceutical product also is provided. In particular, container


12


defines an interior space and is constructed of a material containing polyethylene napthalate, wherein the polyethylene napthalate is present on interior surface


14


of container


12


, either as a result of the homogenous material characteristics of container


12


, or as a result of interior surface


14


of a multi-laminar material being constructed of polyethylene napthalate, as above-discussed. The method of the present invention further includes the step of placing the predetermined volume of fluoroether-containing inhalation anesthetic


16


into the interior space defined by the container.




In an alternative embodiment of the method of the present invention, a predetermined volume of a fluoroether-containing inhalation anesthetic


16


is provided. The fluoroether-containing inhalation anesthetic


16


can be one or more of sevoflurane, enflurane, isoflurane, methoxyflurane, and desflurane. A container


12


constructed in accordance with the above-described product also is provided. In particular, container


12


defines an interior space and is constructed of a material containing polymethylpentene, wherein the polymethylpentene is present on interior surface


14


of container


12


, either as a result of the homogenous material characteristic of container


12


, or as a result of interior surface


14


of a multi-laminar material being constructed of polymethylpentene, as above-discussed. The method further includes the step of placing the predetermined volume of fluoroether-containing inhalation anesthetic into the interior space defined by the container.




In another alternative embodiment of the method of the present invention, a predetermined volume of a fluoroether-containing inhalation anesthetic


16


is provided. The fluoroether-containing inhalation anesthetic


16


can be one or more of sevoflurane, enflurane, isoflurane, methoxyflurane, and desflurane. A container


12


constructed in accordance with the above-described product also is provided. In particular, container


12


defines an interior space


16


and is constructed of a material containing one or more of polypropylene, polyethylene, and ionomeric resins, wherein the recited material(s) is present on interior surface


14


of container


12


either as a result of the homogenous material characteristic of container


12


, or as a result of interior surface


14


of a multi-laminar material being constructed of one of the referenced materials, as above-discussed. The method further includes the step of placing the predetermined volume of a fluoroether-containing inhalation anesthetic


16


into the interior space defined by the container.




It will be appreciated that container


12


, and interior surface


14


thereof, can be constructed of more than one of the above-referenced materials.




In each of the embodiments of the method of the present invention, container


12


can define an opening


20


therein whereby opening


20


provides fluid communication between interior space


16


of container


12


and an external environment of container


12


. Each of the embodiments of the present invention may further include the step of providing a cap


22


constructed of a material containing one or more of: polypropylene, polyethylene, an ionomeric resin, polyethylene napthalate, and polymethylpentene. In the alternative, cap


22


can be constructed such that an interior surface


24


thereof is constructed of a material containing one or more of: polypropylene, polyethylene, an ionomeric resin, polyethylene napthalate, and polymethylpentene. The method of the present invention further includes the step of sealing the opening defined by container


12


with cap


22


.




Although the pharmaceutical product and the method of the present invention have been described herein with respect to certain preferred embodiments, it will be apparent to one of ordinary skill in the art that various modifications can be made to the invention without departing from the spirit and scope of the invention disclosed herein as claimed in the appended claims.



Claims
  • 1. A pharmaceutical product comprising:a container constructed from a material comprising a polyester having an integral double ring structure, said container defining an interior space; and a volume of sevoflurane contained in said interior space defined by said container.
  • 2. A pharmaceutical product in accordance with claim 1, wherein said container defines an opening therein, said opening providing fluid communication between said interior space defined by said container and an external environment of said container, said pharmaceutical product further comprising a cap, said cap constructed to seal said opening defined in said container, said cap comprising a material comprising a compound selected from a group consisting of polyesters having integral double ring structures, polymethylpentene, and combinations thereof.
  • 3. A pharmaceutical product in accordance with claim 1, wherein said container defines an opening therein, said opening providing fluid communication between said interior space defined by said container and an external environment of said container, said pharmaceutical product further comprising a cap having an interior surface, said cap constructed to seal said opening defined in said container, said interior surface of said cap constructed from a material comprising a compound selected from a group consisting of polyesters having integral double ring structures, polymethylpentene, and combinations thereof.
  • 4. A pharmaceutical product comprising:a container defining an interior space, said container having an interior surface adjacent to said interior space, said interior surface constructed from a material comprising a polyester having an integral double ring structure; and a volume of sevoflurane contained in said container.
  • 5. A pharmaceutical product in accordance with claim 4, wherein said container defines an opening therein, said opening providing fluid communication between said interior space defined by said container and an external environment of said container, said pharmaceutical product further comprising a cap, said cap constructed to seal said opening defined in said container, said cap constructed from a material comprising a compound selected from a group consisting of polyesters having integral double ring structures, polymethylpentene, and combinations thereof.
  • 6. A pharmaceutical product in accordance with claim 4, wherein said container defines an opening therein, said opening providing fluid communication between said interior space defined by said container and an external environment of said container, said pharmaceutical product further comprising a cap having an interior surface, said cap constructed to seal said opening defined in said container, said interior surface of said cap constructed from a material comprising a compound selected from a group consisting of polyesters having integral double ring structures, polymethylpentene, and combinations thereof.
  • 7. A method for storing an inhalation anesthetic, said method comprising the steps of:providing a predetermined volume of sevoflurane; providing a container defining an interior space, said container constructed from a material comprising a polyester having an integral double ring structure; and placing said predetermined volume of sevoflurane in said interior space defined by said container.
  • 8. A method for storing an inhalation anesthetic, said method comprising the steps of:providing a predetermined volume of sevoflurane; providing a container defining an interior space, said container having an interior wall adjacent said interior space defined by said container, said interior wall of said container constructed from a material comprising a polyester having an integral double ring structure; and placing said predetermined volume of sevoflurane in said interior space defined by said container.
  • 9. A method for storing an anesthetic agent in accordance with claim 8 wherein said container defines an opening therein, said opening providing fluid communication between said interior space defined by said container and an external environment of said container, said method further comprising the steps of:providing a cap constructed to seal said opening defined by said container, said cap having an interior surface constructed from a material comprising a compound selected from a group consisting of polyesters having integral double ring structures, polymethylpentene and combinations thereof; and sealing said opening defined in said container with said cap.
  • 10. A pharmaceutical product in accordance with claim 1, wherein said polyester having an integral double ring structure is a polyethylene naphthalate homopolymer.
  • 11. A pharmaceutical product in accordance with claim 4, wherein said polyester having an integral double ring structure is a polyethylene naphthalate homopolymer.
  • 12. A method for storing an inhalation anesthetic in accordance with claim 7, wherein said polyester having an integral double ring structure is a polyethylene naphthalate homopolymer.
  • 13. A method for storing an inhalation anesthetic in accordance with claim 8, wherein said polyester having an integral double ring structure is a polyethylene naphthalate homopolymer.
CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. Ser. No. 09/205,460 filed Dec. 4, 1998, now U.S. Pat. No. 6,162,443, which is a continuation-in-part of U.S. Ser. No. 09/004,876 filed Jan. 9, 1998, now U.S. Pat. No. 6,074,668, and U.S. Ser. No. 09/004,792 filed Jan. 9, 1998, now U.S. Pat. No. 6,083,514.

US Referenced Citations (6)
Number Name Date Kind
5114715 Young et al. May 1992 A
5303834 Krishnakumar et al. Apr 1994 A
5505236 Grabenkort et al. Apr 1996 A
5780130 Hansen et al. Jul 1998 A
5804016 Schmidt et al. Sep 1998 A
6083514 Chang et al. Jul 2000 A
Foreign Referenced Citations (4)
Number Date Country
0088056 Sep 1983 EP
0367493 May 1990 EP
95 17152 Jun 1995 WO
9832430 Jul 1998 WO
Non-Patent Literature Citations (2)
Entry
Shell Chemical Company, HiPERTUF™ Polyester Resins Information Bulletin, between Mar. 25, 1996 and Jan. 9, 1998, U.S.A.
Dessing J., Sprenger A., Kievet O.S.: “Repertorium 94/95” (1994) S-Gravenhage, SDU, The Hague XP002101345.
Continuations (1)
Number Date Country
Parent 09/205460 Dec 1998 US
Child 09/740463 US
Continuation in Parts (2)
Number Date Country
Parent 09/004876 Jan 1998 US
Child 09/205460 US
Parent 09/004792 Jan 1998 US
Child 09/004876 US