The present invention relates to a forceps-type treatment instrument provided with an end effector in which a space between a pair of clamps is openable and closable.
U.S. Patent Application Publication No. 2013/303949 discloses a forceps-type treatment instrument provided with an end effector in which a space between a pair of clamps is openable and closable. In this forceps-type treatment instrument, a first clamp as one of the clamps includes a supporting section and a swinger swingable around a swing axis with respect to the supporting section. The swinger is extended along an extending axis from a proximal portion to a distal portion, and the swing axis is extended along a direction intersecting with the extending axis of the swinger and intersecting with an open and close direction of the first clamp. Furthermore, the forceps-type treatment instrument is provided with a vibration transmission member capable of transmitting ultrasonic vibration from a proximal side to a distal side, and the distal portion of the vibration transmitting member (projecting part from a sheath) forms a second clamp as the other clamp. The swinger of the first clamp includes a pad made of resin and a holding member made of metal. By closing the space between the clamps, the pad can abut on the second clamp. In a state where the pad abuts on the second clamp, the holding member is separated from the second clamp.
According to one aspect of the invention, a forceps-type treatment instrument, including: an end effector including a first clamp, and a second clamp that is openable and closable relative to the first clamp; a supporting section provided in the first clamp; a swinger provided in the first clamp to be opposed to the second clamp, and extended along an extending axis from a distal portion to a proximal portion, the swinger swinging with respect to the supporting section around a swing axis, which is extended along a direction intersecting with the extending axis and intersecting with an open and close direction of the first clamp, the swinger swinging in a swinging range between a position where the distal portion comes closest to the second clamp and a position where the proximal portion comes closest to the second clamp; and a regulating section regulating movement of the swinger in the direction along the swing axis in at least two portions separated from each other in a direction along the extending axis, and thereby preventing rotation of the swinger around a rotation axis along the open and close direction of the first clamp, in a state where the swinger is located at any position in the swinging range.
Advantages of the invention will be set forth in the description which follows, and in part will be obvious from the description, or may be learned by practice of the invention. The advantages of the invention may be realized and obtained by means of the instrumentalities and combinations particularly pointed out hereinafter.
The accompanying drawings, which are incorporated in and constitute a part of the specification, illustrate embodiments of the invention, and together with the general description given above and the detailed description of the embodiments given below, serve to explain the principles of the invention.
The first embodiment of the present invention will be described with reference to
The forceps-type treatment instrument 2 includes a holdable housing 3. The housing 3 includes a housing main body 5 extended along the longitudinal axis C, and a grip (stationary handle) 6 extended from the housing main body 5 toward a direction intersecting with the longitudinal axis C. A handle (movable handle) 7 is rotatably attached to the housing 3, and when the handle 7 is rotated with respect to the housing 3, the handle 7 is opened and closed with respect to the grip 6. A rotation knob (rotation operation section) 8 is coupled to the housing main body 5 of the housing 3 from the distal side. The rotation knob 8 is rotatable around the longitudinal axis C with respect to the housing 3. An operation button 9 as an operation input section for inputting energy operation is attached to the housing 3.
A transducer case 11 is coupled to the housing main body 5 from the proximal side. A vibration generator 12 is provided inside the transducer case 11. The vibration generator 12 is attached to the transducer case 11 and includes a piezoelectric element (not shown). One end of a cable 13 is connected to the transducer case 11. The other end of the cable 13 is detachably connected to an energy control device 10. The energy control device 10 includes a conversion circuit that converts DC electric power or AC electric power (e.g., electric power from a battery or an outlet) into electrical energy (vibration generation electrical energy), a processor including a central processing unit (CPU) or application specific integrated circuit (ASIC), and a storage medium such as a memory. The energy control device 10 is electrically connected to a switch (not shown) provided inside the housing 3, and detects an operation input performed by the operation button 9 based on the open/close state of the switch. The energy control device 10 outputs electrical energy based on the detection of the operation input by the operation button 9. The operation input section is not limited to the operation button 9 and may be, for example, a foot switch separate from the forceps-type treatment instrument 2.
A sheath 15 is fixed to the rotation knob 8 while being inserted inside the rotation knob 8 from the distal side. The sheath 15 is extended along the longitudinal axis C. A vibration transmission member (probe) 16 is extended from the inside of the housing main body 5 through the inside of the sheath 15 toward the distal side. The longitudinal axis C is extended through the inside of the vibration transmission member 16. A first clamp (jaw) 21 is rotatably attached to the distal portion of the sheath 15. A second clamp (probe treatment section) 22 is formed in the distal portion of the vibration transmission member 16, and the second clamp 22 projects from the distal end of the sheath 15 to the distal side. In the present embodiment, a pair of clamps (clamp portions) 21 and 22 form an end effector 20 that treats a treated target. By rotating the rotation knob 8, the vibration generator 12, the sheath 15, the vibration transmission member 16 (including the second clamp 22), and the first clamp 21 rotate together around the longitudinal axis C.
In the first clamp 21, a swinger 32 is attached to the supporting section 31 through a supporting pin 27. The swinger 32 is extended along an extending axis (second extending axis) E2 from the distal portion to the proximal portion, and is swingable with respect to the supporting section 31 around a swing axis Y formed by the supporting pin 27. The swing axis Y is extended along a direction intersecting with (substantially perpendicular to) the extending axis E2 of the swinger 32 (extending axis E1 of the supporting section 31) and intersecting with (substantially perpendicular to) the open and close direction of the first clamp 21 (the direction indicated by the arrow A in
The swinger 32 swings around the swing axis Y, with a position where the extending axis E2 of the swinger 32 is substantially parallel to the extending axis E1 of the supporting section 31 (the position shown in
The holding member 37 includes a member main body 41, and a base 42 continuous to the proximal side of the member main body 41. The member main body 41 forms the distal end of the holding member 37, and forms a part of the opposed surface 33 and a part of the back surface 35 of the first clamp 21. The base 42 forms the proximal end of the holding member 37, and forms a part of the opposed surface 33 of the first clamp 21. The member main body 41 and the base 42 of the holding member 37 integrally form the opposed surface 33 without any seam or step. The member main body 41 and the base 42 are formed across the entire width (from the edge to the edge) of the holding member 37 in the width direction of the end effector 20 (the direction indicated by the arrow W in each of
The dimension B3 of the distal side projection 43, the dimension B4 of the proximal side projection 45, and the dimension B5 of the coupling projection 46 are smaller as compared to the dimension B1 of the member main body 41 and the dimension B2 of the base 42 in the width direction of the end effector 20 (the direction along the swing axis Y). Thus, the widths of the distal side projection 43, the proximal side projection 45 and the coupling projection 46 along the width direction W of the end effector 20 are smaller than the full width of the holding member 37 of the end effector 20. The dimension B3 of the distal side projection 43 and the dimension B4 of the proximal side projection 45 are smaller than the dimension B5 of the coupling projection 46 in the width direction of the end effector 20. In the coupling projection 46, a through-hole 47 is formed along the width direction of the end effector 20, and the supporting pin 27 defining the swing axis Y is inserted through the through-hole 47.
The supporting section 31 includes a supporting section main body 51, and a concave section 52 continuous to the distal side of the supporting section main body 51. The concave section 52 is concaved to the back surface 35 side from the opposed surface 33 side in the open and close direction of the first clamp 21, and includes side walls 55A and 55B and a bottom wall 56. By the concave section 52, a hollow 57 is extended toward the proximal side from the distal end of the supporting section 31. The distal side projection 43, the proximal side projection 45, and the coupling projection 46 of the swinger 32 are inserted into the hollow 57, and the distal side projection 43, the proximal side projection 45, and the coupling projection 46 engage with the concave section 52 in the hollow 57. In each of the side walls 55A and 55B of the concave section 52, a corresponding fixed hole (corresponding one of 58A and 58B) is formed. With the supporting pin 27 being inserted through the through-hole 47 of the swinger 32 (coupling projection 46), one end of the supporting pin 27 is fixed to the side wall 55A by the fixed hole 58A, and the other end of the supporting pin 27 is fixed to the side wall 55B by the fixed hole 58B in the width direction of the end effector 20. In this manner, the supporting pin 27 is fixed to the supporting section 31, and the swing axis Y is defined along the direction intersecting with the extending axis E2 of the swinger 32 and intersecting with the open and close direction of the first clamp 21 (the direction indicated by the arrow A in each of
The supporting section 31 includes engaging pieces 53A and 53B that project toward the opposed surface 33 side from the supporting section main body 51 in the open and close direction of the first clamp 21. It is preferable that the engaging piece 53A is integrated with the side wall 55A of the concave section 52 and the engagement piece 53B is integrated with the side wall 55B of the concave section 52. The engaging pieces 53A and 53B are separated from each other and a hollow 59 is formed between the engaging pieces 53A and 53B in the width direction of the end effector 20. The proximal portion of the base 42 of the swinger 32 (holding member 37) is inserted into the hollow 59, and the proximal portion of the base 42 engages with the engaging pieces 53A and 53B in the hollow 59. In a state where the swinger 32 is located at the neutral position, the proximal portion of the base 42 has no contact with the supporting section main body 51.
As shown in
As shown in
As described above, the swinger 32 swings between a position where the proximal portion of the swinger 32 (opposed surface 33) comes closest to the second clamp 22 and a position where the distal portion of the swinger 32 (opposed surface 33) comes closest to the second clamp 22. The swinging range of the swinger 32 includes the neutral position.
In the hollow 57, the side wall 55A of the concave section 52 abuts on the coupling projection 46 from one side in the width direction of the end effector 20, and the side wall 55B of the concave section 52 abuts on the coupling projection 46 from the other side in the width direction of the end effector 20. In each of the states where the swinger 32 is located at the neutral position, the swinger 32 is positioned where the proximal portion of the swinger 32 comes closest to the second clamp 22, and the swinger 32 is positioned where the distal portion of the swinger 32 comes closest to the second clamp 22, the side walls 55A and 55B of the concave section 52 of the supporting section 31 abut on the coupling projection 46 (see
In the hollow 59, the engaging piece 53A abuts on the proximal portion of the base 42 from one side in the width direction of the end effector 20, and the engagement piece 53B abuts on the proximal portion of the base 42 from the other side in the width direction of the end effector 20. In each of the states where the swinger 32 is located at the neutral position, the swinger 32 is positioned where the proximal portion of the swinger 32 comes closest to the second clamp 22, and the swinger 32 is positioned where the distal portion of the swinger 32 comes closest to the second clamp 22, the engaging pieces 53A and 53B of the supporting section 31 abut on the proximal portion of the base 42 (see
As described above, even in a state where the swinger 32 is located at any position in the swinging range, at the coupling projection 46 (the portion through which the swing axis Y passes in the swinger 32) and the proximal portion of the base 42 (the proximal portion in the swinger 32), movement of the swinger 32 in the direction along the swing axis Y is regulated. That is, the side walls 55A and 55B of the concave section 52 and the engaging pieces 53A and 53B form regulating sections. The regulating sections (53A, 53B, 55A, 55B), even in a state where the swinger 32 is located at any position in the swinging range, at two portions separated from each other in the direction along the extending axis E2 (the coupling projection 46 and the proximal portion of the base 42), regulate movement of the swinger 32 in the direction along the swing axis Y.
Next, the function and advantageous effects of the forceps-type treatment instrument 2 according to the present embodiment will be explained. When treatment is performed using the treatment system 1, the end effector 20 is inserted into a body cavity such as an abdominal cavity. Then, a treated target such as living tissue is placed between the clamps 21 and 22, and the handle 7 is closed with respect to the grip 6. The space between the clamps 21 and 22 is closed to grasp the treated target between the clamps 21 and 22. When an operator inputs the energy operation through the operation button 9, electronic energy is supplied from the energy control device 10 to the vibration generator 12, and ultrasonic vibration is generated by the vibration generator 12. The ultrasonic vibration generated by the vibration generator 12 is transmitted from the proximal side to the distal side through a vibration transmission member 16. The ultrasonic vibration is then transmitted to the second clamp 22, and the vibration transmission member 16 including the second clamp 22 vibrates. By vibration of the second clamp 22 with the treated target being grasped between the clamps 21 and 22, friction heat is generated between the second clamp 22 and the treated target, and the treated target is treated by the friction heat.
According to the present embodiment, in the first clamp 21, the swinger 32 is provided to be swingable around the swing axis Y with respect to the supporting section 31. Thus, as shown in
As shown in
A configuration in which the supporting section 31 is not provided with the engaging pieces 53A and 53B is exemplified as a comparative example. In this case, at the coupling projection 46, movement of the swinger 32 in the direction along the swing axis Y is regulated in the manner similar to the present embodiment, but unlike the present embodiment, at the proximal portion of the base 42, movement of the swinger 32 in the direction along the swing axis Y is not regulated. In the comparative example, at only one portion (the coupling projection 46), movement of the swinger 32 in the direction along the swing axis Y is regulated. Thus, when the swinger 32 moves in the direction along the swing axis Y at portions other than the coupling projection 46, the swinger 32 rotates (rattles) with respect to the supporting section 31 around the rotation axis R that is substantially parallel to the open and close direction of the first clamp 21 and passes through the coupling projection 46. That is, in the comparative example, there is a possibility that the swinger 32 rotates (rattles) in the rotation directions of the rotation axis R (the directions indicated by the arrows R1 and R2 in each of
In contrast, in the present embodiment, at the two portions separated from each other in the direction along the extending axis E2 of the swinger 32 (the coupling projection 46 and the proximal portion of the base 42), movement of the swinger 32 in the direction along the swing axis Y is regulated. Thus, the swinger 32 is prevented from rotating (rattling) around the rotation axis (along the open and close direction of the first clamp 21) substantially parallel to the open and close direction of the first clamp 21 (the direction indicated by the arrow A in
In the present embodiment, moreover, even in a state where the swinger 32 is located at any position in the swinging range, at the coupling projection 46 (i.e., the portion through which the swing axis Y passes in the swinger 32) and the proximal portion of the base 42 (the proximal portion in the swinger 32), movement of the swinger 32 in the direction along the swing axis Y is regulated. Thus, at any positions in the swinging range of the swinger 32 (between the position where the distal portion of the swinger 32 comes closest to the second clamp and the position where the proximal portion of the swinger 32 comes closest to the second clamp 22), the swinger 32 is prevented from rotating around the rotation axis substantially parallel to the open and close direction of the first clamp 21, and the position change of the swinger 32 with respect to the second clamp 22 in the width direction of the end effector 20 is prevented.
Moreover, in the present embodiment, the distal side projection 43 and the proximal side projection 45 have spaces with respect to the side walls 55A and 55B of the concave section 52 in the direction along the swing axis Y. Thus, in the swinger 32, members (including the supporting section 31) other than the swinger 32 abut only on the proximal portion of the base 42 and the coupling projection 46 from both sides in the direction along the swing axis Y. Thus, even if the swinger 32 swings to the supporting section 31, no friction is generated at portions other than the proximal portion of the base 42 and the coupling projection 46 in the swinger 32. It is thus possible to reduce adverse effects of the friction on the swing of the swinger 32.
In the first embodiment, at the coupling projection (the portion through which the swing axis Y passes) and the proximal portion of the base 42 (the proximal portion of the swinger 32), movement of the swinger 32 in the direction along the swing axis Y is regulated, however, it is not limited to this. For example, in the first modification shown in
As shown in
In this modification, in the hollow 57, the side wall 55A of the concave section 52 abuts on the abutment projection 61 from one side in the width direction of the end effector 20, and the side wall 55B of the concave section 52 abuts on the abutment projection 61 from the other side in the width direction of the end effector 20. Moreover, in this modification, even in a state where the swinger 32 is located at any position in the swinging range, the side walls 55A and 55B of the concave section 52 abut on the abutment projection 61. Thus, even in a state where the swinger 32 is located at any position in the swinging range, the abutment projection 61 is sandwiched between the side walls 55A and 55B in the direction along the swing axis Y (the width direction of the end effector 20), and at the abutment projection 61 (i.e., the distal portion of the swinger 32), movement of the swinger 32 in the direction along the swing axis Y is regulated. In this modification, moreover, even in a state where the swinger 32 is located at any position in the swinging range, at the coupling projection 46 (i.e., the portion through which the swing axis Y passes in the swinger 32), movement of the swinger 32 in the direction along the swing axis Y is regulated. Furthermore, in this modification, even in a state where the swinger 32 is located at any position in the swinging range, the distal side projection 43 and the proximal side projection 45 in the direction along the swing axis Y are separated from the side walls 55A and 55B, and the distal side projection 43 and the proximal side projection 45 have no contact with the side walls 55A and 55B.
With the configuration as described above, in this modification, even in a state where the swinger 32 is located at any position in the swinging range, at the coupling projection 46 (the portion through which the swing axis Y passes in the swinger 32) and the abutment projection 61 (the distal portion of the swinger 32), movement of the swinger 32 in the direction along the swing axis Y is regulated. That is, the side walls 55A and 55B of the concave section 52 form regulating sections. The regulating sections (55A, 55B), even in a state where the swinger 32 is located at any position in the swinging range, at two portions separated from each other in the direction along the extending axis E2 (the coupling projection 46 and the abutment projection 61), regulate movement of the swinger 32 in the direction along the swing axis Y. Thus, also in this modification, the swinger 32 is prevented from rotating (rattling) around the rotation axis substantially parallel to the open and close direction of the first clamp 21 (the direction indicated by the arrow A in
In a second modification shown in
As shown in
In this modification, in the concave section 63 of the swinger 32 (holding member 37), the supporting section projection 62 of the supporting section 31 abuts on the engaging piece 65A from one side in the width direction of the end effector 20, and the supporting section projection 62 abuts on the engaging piece 65B from the other side in the width direction of the end effector 20. Moreover, in this modification, even in a state where the swinger 32 is located at any position in the swinging range, the supporting section projection 62 abuts on the engaging pieces 65A and 65B. Thus, even in a state where the swinger 32 is located at any position in the swinging range, the supporting section projection 62 is sandwiched between the engaging pieces 65A and 65B in the direction along the swing axis Y (the width direction of the end effector 20), and at the engaging pieces 65A and 65B (i.e., the distal portion of the swinger 32), movement of the swinger 32 in the direction along the swing axis Y is regulated. In this modification, moreover, even in a state where the swinger 32 is located at any position in the swinging range, at the coupling projection 46 (i.e., the portion through which the swing axis Y passes in the swinger 32), movement of the swinger 32 in the direction along the swing axis Y is regulated.
With the configuration as described above, in this modification, even in a state where the swinger 32 is located at any position in the swinging range, at the coupling projection 46 (the portion through which the swing axis Y passes in the swinger 32) and the engaging pieces 65A and 65B (the proximal portion of the swinger 32), movement of the swinger 32 in the direction along the swing axis Y is regulated. That is, the side walls 55A and 55B of the concave section 52 and the supporting section projection 62 form regulating sections. The regulating sections (55A, 55B, 62), even in a state where the swinger 32 is located at any position in the swinging range, at two portions separated from each other in the direction along the extending axis E2 (the coupling projection 46 and the engaging pieces 65A and 65B), regulate movement of the swinger 32 in the direction along the swing axis Y. Thus, in this modification, the swinger 32 is prevented from rotating (rattling) around the rotation axis (e.g., rotation axis R) substantially parallel to the open and close direction of the first clamp 21 (the direction indicated by the arrow A in
In a third modification shown in
As shown in
In this modification, between the engaging pieces 67A and 67B, the engaging piece 67A abuts on the proximal portion of the base 42 from one side in the width direction of the end effector 20, and the engaging piece 67B abuts on the proximal portion of the base 42 from the other side in the width direction of the end effector 20. In this modification, in a state where the swinger 32 is located at any position in the swinging range, the engaging pieces 67A and 67B abut on the proximal portion of the base 42 of the swinger 32. Thus, even in a state where the swinger 32 is located at any position in the swinging range, the proximal portion of the base 42 is sandwiched between the engaging pieces 67A and 67B in the direction along the swing axis Y (the width direction of the end effector 20), and at the proximal portion of the base 42 (i.e., the proximal portion of the swinger 32), movement of the swinger 32 in the direction along the swing axis Y is regulated. In this modification, moreover, even in a state where the swinger 32 is located at any position in the swinging range, at the coupling projection 46 (i.e., the portion through which the swing axis Y passes in the swinger 32), movement of the swinger 32 in the direction along the swing axis Y is regulated.
With the configuration as described above, in this modification, even in a state where the swinger 32 is located at any position in the swinging range, at the coupling projection 46 (the portion through which the swing axis Y passes in the swinger 32) and the proximal portion of the base 42 (the proximal portion of the swinger 32), movement of the swinger 32 in the direction along the swing axis Y is regulated. That is, the side walls 55A and 55B of the concave section 52 and the engaging pieces 67A and 67B of the sheath 15 form regulating sections. The regulating sections (55A, 55B, 67A, 67B), even in a state where the swinger 32 is located at any position in the swinging range, at two portions separated from each other in the direction along the extending axis E2 (the coupling projection 46 and the proximal portion of the base portion 42), regulate movement of the swinger 32 in the direction along the swing axis Y. Thus, in this modification, the swinger 32 is prevented from rotating (rattling) around the rotation axis (e.g., rotation axis R) substantially parallel to the open and close direction of the first clamp 21 (the direction indicated by the arrow A in
In the embodiment and the like described above, at the two portions separated from each other in the direction along the extending axis E2, movement of the swinger 32 in the direction along the swing axis Y is regulated, however, it is not limited to this. In one modification, at three or more portions separated from one another in the direction along the extending axis E2, movement of the swinger 32 in the direction along the swing axis Y may be regulated. In this case, for example, at the portion through which the swing axis Y passes in the swinger 32, the distal portion of the swinger 32, and the proximal portion of the swinger 32, movement of the swinger 32 in the direction along the swing axis Y is regulated. That is, it is only required that in at least two portions separated from each other in the direction along the extending axis E2, movement of the swinger 32 in the direction along the swing axis Y is regulated.
Furthermore, in one modification, instead of electric energy (vibration generation electric energy) supplied to the vibration generator 12 or in addition to the electric energy supplied to the vibration generator 12, high-frequency electric energy may be output from the energy control device 10 to supply high-frequency electric energy to the holding member 37 of the first clamp 21 and the second clamp 22. In this case, when the high-frequency electric energy is supplied to the holding member 37 and the second clamp 22, a high-frequency current is applied to the grasped treated target, and treatment is performed using the high-frequency current. In one modification, moreover, ultrasonic vibration and energies such as high-frequency electric energy may not be transmitted to the end effector 20.
The configuration in which the space between the clamps 21 and 22 is opened or closed is not limited to the configuration of the above-described embodiment and the like. For example, in one modification, a handle (7) and a first clamp (21) may be rotatable together with respect to a sheath (15) and a housing (3). In this case, by opening or closing the handle (7) with respect to the housing (3), the first clamp (21) rotates integral with the handle (7), and the space between a pair of clamps (21 and 22) is opened and closed. In a different modification, both clamps (21 and 22) may be rotatable with respect to the sheath 15. In this case, by opening and closing the handle (7) with respect to a grip (6), a movable body (18) moves along longitudinal axis (C) and both clamps (21 and 22) rotate with respect to the sheath (15). In this manner, a space between the clamps (21 and 22) is opened and closed.
In the embodiment and the like described above, the forceps-type treatment instrument (2) includes an end effector (20), and the end effector (20) includes the first clamp (21), and the second clap (22) that is openable and closable relative to the first clamp (21). The first clamp (21) includes a supporting section (31) and a swinger (32), and the swinger (32) is provided opposed to the second clamp (22) and extended along an extending axis (E2) from the distal portion to the proximal portion. The swinger (32) swings relative to the supporting section (31) around the swing axis (Y) that is along the direction intersecting with the extending axis (E2) and intersecting with the open and close direction (A) of the first clamp (21), and swings in a swinging range between a position where the distal portion comes closest to the second clamp (22) and a position where the proximal portion comes closest to the second clamp (22). Even in a state where the swinger (32) is located at any position in the swinging range, the regulating section (53A, 53B, 55A, 55B; 55A, 55B; 55A, 55B, 62; 55A, 55B, 67A, 67B), in at least two positions separated from each other in the direction along the extending axis (E2), regulates movement of the swinger (32) in the direction along the swing axis (Y), and the swinger (32) is prevented from rotating around the rotation axis (R) along the open and close direction (A) of the first clamp (21).
Additional advantages and modifications will readily occur to those skilled in the art. Therefore, the invention in its broader aspects is not limited to the specific details and representative embodiments shown and described herein. Accordingly, various modifications may be made without departing from the spirit or scope of the general inventive concept as defined by the appended claims and their equivalents.
Number | Date | Country | Kind |
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2015-154114 | Aug 2015 | JP | national |
This is a Continuation Application of PCT Application No. PCT/JP2016/072619, filed Aug. 2, 2016 and based upon and claiming the benefit of priority from prior Japanese Patent Application No. 2015-154114, filed Aug. 4, 2015, the entire contents of which are incorporated herein by reference.
Number | Date | Country | |
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Parent | PCT/JP2016/072619 | Aug 2016 | US |
Child | 15887631 | US |