Hair transplantation is a procedure that involves implanting multiple hair follicles or follicular units, from a donor site of a donor, into a recipient site of a patient. This procedure is generally done by first identifying a hair follicle in the donor site, coring around the hair follicle, and removing the hair follicle from the donor site. Then, a small opening is created in the recipient site. After the small opening has been created the hair follicle is implanted within the opening, and the opening is allowed to heal around the implanted hair follicle.
Presently, this procedure is generally performed using differing tools for extraction of the hair follicle, creation of the small opening, and implantation of the hair follicle. Further, the procedure is typically done by implanting a single hair follicle at a time. A single hair transplant session may implant anywhere from 1,500 to 3,000 hair follicles. With each hair follicle taking as long as twenty seconds to transplant, each session is very labor intensive and can last as long as eight to ten hours. As such, the current process for hair transplantation is tedious, time-consuming, and costly.
The present disclosure overcomes the above and other drawbacks by providing systems and methods for hair transplants using a hair transplant device that can extract a hair follicle from a donor site, create an opening in a recipient site, and implant the hair follicle within the opening in the recipient site. The systems and methods of the present disclosure are capable of extracting multiple hair follicles from the donor site simultaneously, creating multiple openings in the recipient site simultaneously, and implanting multiple hair follicles within the multiple openings in the recipient site. This process may be done, in some implementations, simultaneously. As such, systems and methods are provided for improved hair transplant procedures that increase extraction speed, opening speed, and implantation speed, thereby increasing efficacy and reducing cost.
In accordance with one aspect of the disclosure, a hair transplant device is provided. The hair transplant device comprises a coring needle, a splitting needle, a housing, and a user interface, the coring needle forms a coring lumen configured to extract a hair follicle from a donor site. The splitting needle is configured to create an opening in a recipient site. The housing at least partially surrounds one of the coring needle and the splitting needle. The user interface extends from the housing and is movable relative to the coring needle to push the hair follicle from the coring lumen into the opening in the recipient site formed by the splitting needle.
In accordance with another aspect of the disclosure, a hair transplant device is provided. The hair transplant device comprises a coring needle, a housing, and a user interface. The coring needle forms a coring lumen configured to extract a hair follicle from a donor site of a donor. The coring needle has a distal cutting end configured to move between an opened position and a closed position based on a heat memory of a material of the distal cutting end. The housing at least partially surrounds the coring needle. The user interface extends from the housing and is movable relative to the coring needle to push the hair follicle from the coring lumen into a recipient site of a subject.
In accordance with another aspect of the disclosure, a hair transplant system is provided. The hair transplant system comprises a matrix arranging a plurality of hair transplant devices to perform multiple extractions and implantations of hair follicles in a coordinated manner. Each of the plurality of hair transplant devices comprises a coring needle, a needle, and a user interface. The coring needle forms a coring lumen configured to extract a hair follicle from a donor site of a subject. The needle is configured to create an opening in a recipient site of the subject. The user interface is movable relative to the coring lumen to implant the hair follicle within the recipient site by pushing the hair follicle from within the coring lumen into the opening in the recipient site.
In accordance with another aspect of the disclosure, a method of performing a hair transplant procedure using an automated transplant device is provided. The method comprises engaging a user interface device to cause a coring needle having a coring lumen to engage a donor site of a subject to arrange a hair follicle within the coring lumen of the coring needle. The method further comprises further engaging the user interface to cause a splitting needle to create an opening within a recipient site of the subject. The method further comprises further engaging the user interface to displace the hair follicle from the coring lumen to implant the hair follicle within the opening in the recipient site.
In accordance with another aspect of the disclosure, a method of performing a hair transplant procedure using a hair transplant device and a mold is provided. The method comprises engaging a user interface device to cause a coring needle having a coring lumen to engage a donor site of a donor to arrange a hair follicle within the coring lumen of the coring needle. The method further comprises further engaging the user interface to displace the hair follicle from the coring lumen into a mold. The method further comprises molding a biomaterial around the hair follicle to form a biomaterial mold containing the hair follicle. The method further comprises implanting the biomaterial mold containing the hair follicle within a recipient site of a subject.
The foregoing and other advantages of the invention will appear from the following description. In the description, reference is made to the accompanying drawings that form a part hereof, and in which there is shown by way of illustration a preferred embodiment of the invention. Such embodiment does not necessarily represent the full scope of the invention, however, and reference is made therefore to the claims and herein for interpreting the scope of the invention.
Referring to
The housing 12 extends between a proximal end 20 and a distal end 22. The housing 12 includes an opening 24 in the distal end 22. In some instances, the housing 12 may taper toward the distal end 22, as illustrated in
As will be further described, the housing 12 may be configured for connection with an automated system, such as, for example a computer-aided manufacturing (CAM) system, for automated use of the hair transplant device 10. As will also be described, the housing 12 may additionally be configured for connection with several other similar hair transplant devices, such that an array of hair transplant devices similar to the hair transplant device 10 is provided to allow for automated extraction and/or implantation of multiple hair follicles in series or simultaneously. In some instances, the housing 12 may additionally or alternatively be configured for manual manipulation (e.g., can include a handle).
The coring element 14 is disposed within the housing 12 proximate the distal end 22. The coring element 14 includes a central lumen 26 extending axially through both a coring element flange 28 and a coring needle 30. The central lumen 26 is centrally disposed within and may extend through the coring element 14, from a proximal surface of the coring element flange 28 through a distal end of the coring needle 30. The coring element flange 28 extends radially outward at a proximal end of the coring element 14, terminating at an outer surface 31. The outer surface 31 of the coring element flange 28 slidably engages an inner surface 33 of the housing 12.
The coring needle 30 extends distally from a distal surface of the coring element flange 28, beyond the opening 24 in the distal end 22 of the housing 12. As best illustrated in
The coring element 14 is movable between a retracted position (shown in
Referring again to
The splitting element flange 40 extends radially outward at a proximal end of the splitting element 16, terminating at an outer surface 44. The outer surface 44 of the splitting element flange 40 slidably engages the inner surface 33 of the housing 12. The splitting element flange 40 is further disposed more proximate the distal end 22 of the housing 12 than the coring element flange 28.
The splitting needle 42 is coaxially disposed around the coring needle 30 and extends distally from the splitting element flange 40. As best illustrated in
The splitting element 16 is movable between a retracted position (shown in
Referring again to
The spring 54 is disposed around the pin 50, between a distal surface of the head 52 and the proximal surface of the coring element flange 28 of the coring element 14. The spring 54 is configured to compress when the user interface 18 is advanced distally, thereby providing a resistive force preventing the user interface 18 from entering the central lumen 26 of the coring element 14.
The user interface 18 is movable between a retracted position (shown in
In some instances, the user interface 18 may further include a central lumen 58 extending axially from a proximal surface of the head 52 through the distal tip surface 56 of the pin 50. The central lumen 58 may be included to allow for flow of a gas or a liquid through the user interface 18. In these cases, the head 52 may be coupled to a fluid delivery system and/or a fluid aspiration system to provide gas or liquid through the user interface 18 and/or to suction gas or liquid through the user interface 18.
Now that the general structure of the hair transplant device 10 has been described above, exemplary methods of use will be described below. It should be noted that the methods of use described below are given as examples, and are not meant to be limiting in any way.
The hair transplant device 10 can be used to perform multiple different procedures to complete a hair transplant operation on a patient. For example, the device 10 is designed to perform an extraction procedure (shown in
As described below, the coring needle 30 can be inserted at varying angles to extract the skin core 102 having the hair follicle in a desired orientation. This variation of the angle of insertion can be controlled using the automated system described above. After insertion, the coring needle 30 can then be removed from the donor site 100, still containing the skin core 102 within the coring needle 30, thereby leaving a small opening 106 in the donor site 100.
It should be noted that, during the extraction procedure, in the instances where the user interface 18 includes the central lumen 58 (as shown in
In some instances, the user interface 18 may be configured to remain in contact with the skin core 102 while the coring needle 30 and the splitting needle 42 are withdrawn from the recipient site 200. Specifically, in these instances, the user interface 18 may be long enough to protrude distally out of both the coring needle 30 and the splitting needle 42 when they are moved into their corresponding retracted positions within the hair transplant device 10. As such, the user interface 18 can provide pressure to the skin core 102 to keep the skin core 102 within the opening 204 while the coring needle 30 and the splitting needle 42 are withdrawn. In some cases, the pressure from the user interface 18 can be maintained for an extended period of time (e.g., one to two minutes) to aid in the reduction of bleeding from the recipient site 200.
Similar to the extraction procedure above, the skin core 102 can be implanted at various angles to create a more natural hair appearance in the recipient site by implanting the skin core 102 having the hair follicle in a desired orientation, as described below.
As shown in
Once implanted, the hair 103 of the hair follicle will grow in the direction of the hair follicle axis 108. As such, extracting the skin core 102 with the central lumen 26 of the coring element 14 aligned with the hair follicle axis 108 allows the skin core 102 to be implanted such that the hair 103 will grow at a known angle relative to the skin surface 210 of the recipient site 200. Accordingly, the skin core 102 can be implanted at varying angles to produce a natural-looking hair line in the recipient site 200. In some instances, the skin cores 102 can be extracted and/or implanted at angles of up to 60 degrees relative to the donor site 100 and/or the recipient site 200.
For example, these non-normal orientations may be facilitated by the arrangement of cutting surfaces and/or arrangement of the device relative to the subject. In fully automated implementations, angle control or selection can be controlled by the automated system described above. In manual implementations, device selection from among different devices with differing geometries and/or user orientation of device during the process may control angle selection.
Further, during the implantation procedure, in the instances where the user interface 18 includes the central lumen 58 (as shown in
For example, in some instances, during an extraction procedure, the hair transplant device 10 can be used to inject a saline solution under the donor site 100 to make the hair follicles stand up more normal to the donor site 100. In some other instances, the hair transplant device 10 can be used to apply tumescent anesthesia to the donor site 100.
Further, as shown in
Referring now to
As illustrated, there are two hair transplant device 304 separated from a third hair transplant device 304 by three sets of ellipses 306. The ellipses 306 illustrate that the hair transplant device 300 can include any number of hair transplant devices 304 desired for a given hair transplant operation. For example, the hair transplant device 300 can include a two dimensional array of including tens, hundreds, or thousands of hair transplant devices 304 configured to allow for the simultaneous extraction of tens, hundreds, or thousands of hair follicles from a donor site, the simultaneous opening of tens, hundreds, or thousands of small openings on a recipient site, and the simultaneous implantation of tens, hundreds, or thousands of hair follicles within a recipient site.
The hair transplant device 300 can again be configured for use with an automated system, as will be described below. As such, the angle, distribution, and separation between the plurality of hair transplant devices 304 can be controlled by the automated system to effectively control the angle, distribution, and separation between simultaneous extractions, such that every one of the plurality of hair transplant devices 304 extracts an aligned hair follicle. Similarly, the angle, distribution, and separation between the plurality of hair transplant devices 304 can be controlled by the automated system to effectively control the angle, distribution, and separation between simultaneous implantations.
Referring now to
In some instances, a coring needle 406 of the coring element 402 can then be inserted through a central lumen 504 of the splitting element 502 to implant the hair follicle into the small opening created in the recipient site by the splitting element 502. However, in the case that the central lumen 504 of the splitting element 502 is not large enough for the coring element 402 to fit through, with the coring element 402 positioned behind the splitting element 502, the user interface 404 can be configured to push the hair follicle into and through the central lumen 504 of the splitting element 502, into the small opening in the recipient site.
Referring to
As such, during a hair transplant operation, the coring device 400 can first be attached to the rotating chamber container 600 using the device port 602. With the coring device 400 attached to the rotating chamber container 600, the coring element 402 can then be used to extract a hair follicle from a donor site, as described above. After the coring element 402 has extracted a hair follicle from a donor site, suction can be applied through the central lumen 408 of the user interface 404 to move the hair follicle up, through the device port 602, and into one of the hair follicle chambers 604, thereby loading the hair follicle chamber 604. Once the hair follicle chamber 604 has been loaded with the hair follicle, the rotating chamber container 600 can be rotated to align the device port 602 with the next unloaded hair follicle chamber 604. The coring device 400 can then similarly be used to load that hair follicle chamber 604. This process can be repeated until a desired number (or every one) of the hair follicle chambers 604 of the rotating chamber container 600 has been loaded.
Once the desired number (or every one) of the hair follicle chambers 604 has been loaded, the coring device 400 can be detached from the rotating chamber container 600, and the splitting device 500 can similarly be attached to the rotating chamber container 600 using the device port. With the splitting device 500 attached to the rotating chamber container 600, the splitting element 502 can be used to create a small opening in a recipient site, as described above. Then, positive pressure can move the hair follicle from a hair follicle chamber 604, through the central lumen 504 of the splitting element 502, and into the small opening, thereby implanting the hair follicle within the recipient site. This process can repeated several times until every hair follicle within the loaded hair follicle chambers 604 has been implanted into the recipient site.
Referring now to
The hair transplant devices 610 of the rotating container 608 can be used to extract a plurality of skin cores containing hair follicles from a donor site, as described above with respect to the hair transplant device 10. As such, the rotating container 608 can first extract a first skin core having a first hair follicle with a first hair transplant device 610. Then the rotating container 608 can be rotated, and a second skin core having a second hair follicle can be extracted using a second hair transplant device 610. This can be repeated until the rotating container 608 is loaded (i.e., each of the hair transplant devices 610 contains a skin core having a hair follicle).
Once the rotating container 608 is loaded, the hair transplant devices 610 of the rotating container 608 can similarly be used to implant the skin cores having the hair follicles within a recipient site, as described above with respect to the hair transplant device 10. As such, the rotating container 608 can create a first opening using the first hair transplant device 610, and can subsequently implant the first skin core from the first hair transplant device 610 within the first opening. The rotating container 608 can then be rotated and used to create a second opening with the second hair transplant device 610. Subsequently, the rotating container 608 can implant the second skin core from the second hair transplant device 610 within the second opening. This can be repeated until the rotating container 608 is unloaded (i.e., each of the skin cores within the hair transplant devices 610 have been implanted into the recipient site).
As such, the rotating container 608 can be operated in this manner (i.e., loading and unloading the rotating container 608) repetitively to complete a hair transplant procedure.
Referring to
The hair transplant system 700 may include, access, or communicate with one or more user interfaces 714 and/or an imaging system 716, by way of a wired or wireless connection to the inputs 702. In various implementations, the hair transplant system 700 may include any computing device, apparatus or system configured for carrying out instructions and providing input/output capabilities, and may operate as part of, or in collaboration with other computing devices and sensors/detectors (local and remote). In this regard, the hair transplant system 700 may be a system that is designed to integrate a variety of software and hardware capabilities and functionalities, and/or may be capable of operating autonomously. In addition, in various configurations, the components illustrated in
The input 702 may include any one or more different input elements, such as a mouse, keyboard, touchpad, touch screen, buttons, and the like, for receiving various selections and operational instructions from a user through touch, movement, speech, etc. The input 702 may also include various drives and receptacles, such as flash-drives, USB drives, CD/DVD drives, and other computer-readable medium receptacles, for receiving various data and information. To this end, input 702 may also include various communication ports and modules, such as Ethernet, Bluetooth, or Wi-Fi, for exchanging data and information with these, and other external computers, systems, devices, machines, mainframes, servers or networks.
In addition to being configured to carry out various steps for operating the hair transplant system 700, the processor 704 may be configured to execute instructions, stored in the memory 706 in a non-transitory computer-readable media 718. The instructions executable by the processor 704 may correspond to various instruction for completing a hair transplant procedure. Although the non-transitory computer-readable media 718 is shown in
In some aspects, the processor 704 may be configured to receive and process image data from a subject 720, such as a donor or a recipient, captured by the imaging system 716 to identify hair follicles and hair follicle orientations within a donor site of the donor and/or to determine implantation locations and necessary implantation angles within a recipient site of the recipient. In some aspects, the processor 704 may access information and data, including video signals, stored in or emitted by the imaging system 716 and/or the user interface 714. In some aspects, the imaging system 716 may acquire either a single image or a continuous video signal using, for example, a camera, an infrared scanning system, or any other image capturing or video recording device that can be used to periodically image and/or scan and/or continuously record the subject 720.
The output 708 of the hair transplant system 700 is configured to effectuate the operation of the matrix 710 of hair transplant devices 712. As such, the output 708 may include various robotic devices capable of manipulating and operating the hair transplant devices 712 to effectuate extraction of hair follicles from a donor site, creation of openings within the recipient, and implantation of the hair follicles within the openings of the recipient, as described above, with reference to any of the hair transplant devices 10, 300, 400, 500, 600. The hair transplant devices 712 can be disposed between approximately 0.5 mm and 1.5 mm away from each other to provide a natural-looking hair implant disbursement.
As such, a user 722, such as a doctor or other hair transplant procedure personnel, can interact with the user interface 714 to command the automated hair transplant system 700 to effectuate a hair transplant procedure on a subject 720 in accordance with any of the devices and methods described herein.
Referring now to
For example, in some instances, matrices can be designed to implant entire pre-designed hair line implants simultaneously. For example, if it is desired to create a natural-looking hair pattern, such as, for example, a widow's peak, a cowlick, or any other desired hair pattern, a matrix can be designed using a plurality of hair transplant devices in a desired shape, distribution, and angulation to create the desired hair pattern.
Further, each of the coring elements, splitting elements, and pins of the hair transplant devices within each of the arrays may be linked, such that the hair transplant system 700 can effectuate all of the coring elements, splitting elements, or pins simultaneously.
Alternatively, the hair transplant system 700 can be configured to rapidly effectuate the hair transplant device 709 to create any desired hair line and/or hair pattern in a hair-by-hair fashion.
Referring now to
Referring now to
The housing 1302, the coring element 1304, and the user interface 1308 each function identically to the housing 12, the coring element 14 and the user interface 18. The splitting element 1306, however, has a slightly different structure and function than the splitting element 16.
Specifically, the splitting element 1306 includes a distal cutting end 1310 having a pair of movable walls 1312 that are movable between a closed orientation, where the pair of movable walls 1312 form a distal cutting point 1314, as shown in
During the extraction procedure, the coring element 1304 can be pushed through the distal cutting end 1310, thereby forcing the pair of movable walls 1312 apart, into the opened orientation. With the coring element 1304 pushed through the distal cutting end 1310, the coring element 1304 can be used to extract the skin core 102 from the donor site 100. In some instances, with the coring element 1304 inserted into the donor site 100, the splitting element 1306 may be advanced, or the coring element 1304 may be retracted, such that the distal cutting end 1310 can move toward the closed orientation. This closure of the distal cutting end 1310 may aid in the extraction of the skin core 102 by cutting or grabbing the tissue of the skin core 102.
While creating the opening in the recipient site 200, the distal cutting end 1310 is in the closed orientation. With the distal cutting end 1310 in the closed orientation, the distal cutting point 1314 splits the tissue of the recipient site 200 to create the opening. With the distal cutting end 1310 disposed within the tissue of the recipient site 200, the coring element 1304, which, as illustrated, can contain a skin core 102, can be pushed through the distal cutting end 1310, thereby forcing the pair of movable walls 1312 apart, into the opened orientation. With the coring element 1304 pushed through the distal cutting end 1310, the skin core 102 can be implanted within the recipient site 200 at a desired depth within the recipient site 200, thereby allowing for precise positioning of the skin core 102 within the scalp tissue of the recipient site 200. Once the skin core 102 has been implanted within the recipient site 200, the hair transplant device 1300 can once again be used to extract another skin core 102 from the donor site 100.
In some instances, the pair of movable walls 1312 are made of a material that changes shape in response to external cues (e.g. temperature). As such, the pair of movable walls 1312 is configured to move between the closed and opened orientations based on a heat memory of the material of the splitting element 1306. For example, in some instances, when the splitting element 1306 is at room temperature, it can be configured to remain in the closed orientation. Then, when the splitting element 1306 is inserted into the tissue, the temperature increase associated with the tissue can result in the splitting element 1306 moving into the opened orientation, thereby providing a channel within the recipient site 200 for the skin core 102 to be implanted into. In some instances, the splitting element 1306 can be configured to remain in the opened orientation at room temperature. Then, when the splitting element 1306 is inserted into the tissue, the temperature increase associated with the tissue can result in the splitting element 1306 moving into the closed orientation, thereby aiding in the removal of the skin core 102 from the donor site 100.
Referring to
When the distal cutting end 1334 closes, the skin core is severed and trapped within the coring element 1304. With the distal cutting end 1334 in the closed orientation, the coring element 1304 can be used to insert the skin core 102 into the recipient site 200. With the coring element 1304 inserted into the recipient site 200, the distal cutting end 1334 can be opened by, for example, applying heat or cooling to the coring element 1304, so that the coring element 1304 can be withdrawn, leaving behind the skin core 102.
Referring to
With fewer cutting edges 1436, the epidermal area may end up being cut in a semi-ovoid shape during extraction. This may result in a larger skin core being extracted from the donor site 100, as compared to a perfectly round skin core. In some instances, it may be beneficial to minimize the skin core size during extraction. In these cases, increasing the number of cutting edges 1436 may allow for a more uniform diameter skin core to be extracted. The additional cutting edges 1436 increase the force needed to push the coring needle 1430 through the scalp tissue.
Referring now to
Referring now to
During the extraction procedure, the coring needle 1530 can be actuated in a spring-loaded manner, using the spring 1532. For example, in the illustrated non-limiting example, the spring 1532 is coupled between a proximal surface 1534 of the coring needle 1530 and a surface 1538 within the corresponding hair transplant device, such as, for example, the user interface. The spring 1532 is initially stretched past its natural resting length, thereby spring-loading the coring needle 1530, as shown in
In some instances, a pin 1540, or multiple pins, may be included within the coring element 1514, or the several coring elements, and the distal end of the spring 1532 can be coupled to the pin 1540, such that pulling back on the spring 1532 creates a suction within the coring element 1514, to aid in pulling the skin core(s) 102 out of the donor site 100.
During the implantation procedure, the coring element(s) 1514 and corresponding splitting elements (not shown), similar to the splitting elements described above, may be positioned on the recipient site 200. The spring 1532 may be restretched or loaded, and subsequently similarly used to drive both a splitting needle of the splitting element and the coring needle 1530, disposed within the splitting needle, into the tissue. In some instances, the pin 1540 can be arranged on the inside of the spring 1532, and can be actuated to implant the skin core 102 into the recipient site 200. In some other instances, the spring 1532 may be arranged on the exterior
Prior to the implantation procedure, key holes may be formed in the recipient site 200 by using a hollow spike or a series of hollow spikes. The spikes may be positioned on the recipient site 200 and the skin cores 102 within the coring needles may be deployed into the recipient site 200 through the spikes using the pins. In some instances, the spikes may be made of two halves, attached by a spring-loaded mechanism (e.g., similar to the mechanism in a clothes pin), such that the spikes may be opened and removed after the skin cores 102 have been deployed into the recipient site 200.
As shown in
In some instances, the devices, systems, and methods disclosed herein may be automated, for example, using a robotic system. For example, a robotic arm made for medical uses may be utilized to increase precision of the processes disclosed herein. For example, a series of coring needles may be loaded onto the end of the robotic arm. The coring needles may be configured so that each coring needle may be positioned angularly or moved closer or further apart from each other. The robotic arm may be controlled by computer vision (i.e., a camera may be utilized to align the robotic arm along a hair shaft or a plurality of hair shalves).
In some non-limiting examples, the camera could be a standard Cmos camera or an OCT imaging device. The OCT imaging device may allow for more precise alignment of the robotic arm with reference to the hair shalves due to the capability of OCT imaging to see vertically into the tissue. Once the skin cores have been extracted, the robotic arm may position itself over the recipient site for implantation of the hairs. A computer image may similarly be obtained of the recipient site that may show a natural hair line for the patient and direct where the hairs should be implanted. The ability of the needles to move independently may allow for better shaping and following of a natural hair line. In some instances, the patient may be positioned in a support holder or laying down to limit movement during this process.
As such, the devices, systems, and methods described herein allow for a user to extract at least one hair follicle from a donor site, create at least one opening in a recipient site, and implant the at least one hair follicle in the at least one opening repetitively using a single device without the need for any physical manipulation of the at least one hair follicle. Accordingly, these devices, systems, and methods allow for more efficient, reliable, and predictable hair transplant procedures than compared to traditional devices, systems, and methods.
The present invention has been described in terms of one or more preferred embodiments, and it should be appreciated that many equivalents, alternatives, variations, and modifications, aside from those expressly stated, are possible and within the scope of the invention.
This application is based on, claims the benefit of, and incorporates herein by reference in their entirety U.S. Provisional Patent Application Ser. No. 62/532,892, filed on Jul. 14, 2017, and U.S. Provisional Patent Application Ser. No. 62/587,758, filed on Nov. 17, 2017.
Filing Document | Filing Date | Country | Kind |
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PCT/US2018/042303 | 7/16/2018 | WO | 00 |
Number | Date | Country | |
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62587758 | Nov 2017 | US | |
62532892 | Jul 2017 | US |