Patent Application
20170000117
This invention relates to wipes for killing spores, and more particularly, to a wipe comprising an absorbent sheet holding an aqueous composition, and a sealed package containing the absorbent sheet, wherein the aqueous composition contains an antimicrobial agent (e.g., peracetic acid) and a peroxide (e.g., hydrogen peroxide).
Spores are a highly resistant, dormant cell type formed by some types of bacteria. Endospores (or simply spores) form within the vegetative mother cell in response to adverse changes in the environment, most commonly nutrient depletion. The mother cell undergoes an asymmetrical cell division, where it replicates its genetic material, which is then surrounded by multiple concentric and spore specific layers. The mother cell then disintegrates, releasing the mature dormant spore which requires neither nutrients, water nor air for survival and is protected against a variety of trauma, including extremes of temperature, radiation, and chemical assault. Spore forming bacteria cause a number of serious diseases in humans, including botulism, gas gangrene, tetanus, and acute food poisoning. Anthrax results from infection by the aerobic spore form Bacillus anthracis.
Spores are difficult to kill and a problem in the art of sterilization relates to providing effective wipes for killing spores. This invention provides a solution to this problem. This invention relates to a wipe for killing spores comprising an absorbent sheet holding an aqueous composition, and a sealed package containing the absorbent sheet. The aqueous composition may comprise water, an antimicrobial agent (e.g., peracetic acid) and a peroxide (e.g., hydrogen peroxide). The concentration of the peroxide may be in the range from about 0.01 to about 14% by weight, or from about 0.1 to about 6.5% by weight. The concentration of the antimicrobial agent is in the range from about 0.001 to about 5% by weight, or from about 0.001 to about 0.075% by weight. The weight ratio of the antimicrobial agent to the peroxide may be in the range from about 0.001 to about 0.5, or from about 0.003 to about 0.4, or from about 0.006 to about 0.3, or from about 0.008 to about 0.2, or from about 0.01 to about 0.1. In an embodiment, the aqueous composition may comprise water, peracetic acid and hydrogen peroxide, the concentration of peracetic acid in the water may be in the range from about 0.005 to about 0.075% by weight; the concentration of the hydrogen peroxide in the water may be in the range from about 0.1 to about 6.5% by weight; and the weight ratio of peracetic acid to hydrogen peroxide may be in the range from about 0.001 to about 0.5.
The above-indicated wipe may be used in a process for killing spores positioned on a substrate. The process may comprise wiping the spores from the substrate using the absorbent sheet holding the aqueous composition and contacting the spores with the aqueous composition held by the absorbent sheet; and maintaining the aqueous composition in contact with the spores for an effective period of time to effect at least a 4 log reduction, or at least a 5 log reduction, or at least a 6 log reduction in the number of spores capable of returning to vegetative growth. The effective period of time may be in the range from about 30 seconds to about 20 minutes, or from about 30 seconds to about 10 minutes.
In the annexed drawings, like parts and features have like designations.
All ranges and ratio limits disclosed in the specification and claims may be combined in any manner. It is to be understood that unless specifically stated otherwise, references to “a,” “an,” and/or “the” may include one or more than one, and that reference to an item in the singular may also include the item in the plural.
The phrase “and/or” should be understood to mean “either or both” of the elements so conjoined, i.e., elements that are conjunctively present in some cases and disjunctively present in other cases. Other elements may optionally be present other than the elements specifically identified by the “and/or” clause, whether related or unrelated to those elements specifically identified unless clearly indicated to the contrary. Thus, as a non-limiting example, a reference to “A and/or B,” when used in conjunction with open-ended language such as “comprising” can refer, in one embodiment, to A without B (optionally including elements other than B); in another embodiment, to B without A (optionally including elements other than A); in yet another embodiment, to both A and B (optionally including other elements); etc.
The word “or” should be understood to have the same meaning as “and/or” as defined above. For example, when separating items in a list, “or” or “and/or” shall be interpreted as being inclusive, i.e., the inclusion of at least one, but also including more than one, of a number or list of elements, and, optionally, additional unlisted items. Only terms clearly indicated to the contrary, such as “only one of” or “exactly one of,” may refer to the inclusion of exactly one element of a number or list of elements. In general, the term “or” as used herein shall only be interpreted as indicating exclusive alternatives (i.e. one or the other but not both“) when preceded by terms of exclusivity, such as “either,” one of,” “only one of,” or “exactly one of.”
The phrase “at least one,” in reference to a list of one or more elements, should be understood to mean at least one element selected from any one or more of the elements in the list of elements, but not necessarily including at least one of each and every element specifically listed within the list of elements and not excluding any combinations of elements in the list of elements. This definition also allows that elements may optionally be present other than the elements specifically identified within the list of elements to which the phrase “at least one” refers, whether related or unrelated to those elements specifically identified. Thus, as a non-limiting example, at least one of A and B″ (or, equivalently, “at least one of A or B,” or, equivalently at least one of A and/or B″) can refer, in one embodiment, to at least one, optionally including more than one, A, with no B present (and optionally including elements other than B); in another embodiment, to at least one, optionally including more than one, B, with no A present (and optionally including elements other than A); in yet another embodiment, to at least one, optionally including more than one, A, and at least one, optionally including more than one, B (and optionally including other elements); etc.
The transitional words or phrases, such as “comprising,” “including,” “carrying,” “having,” “containing,” “involving,” “holding,” and the like, are to be understood to be open-ended, i.e., to mean including but not limited to. The term “killing” (or “kill”) spores refers to rendering the spores incapable of returning to vegetative growth. In an embodiment, the term killing spores refers to rendering the spores incapable of reproduction, metabolism and/or growth.
The term “log reduction” is a mathematical term to show the number of live spores killed by contacting the spores with the aqueous composition of the invention. A “4 log reduction” means that the number of live spores is 10,000 times smaller. A “5 log reduction” means that the number of live spores is 100,000 times smaller. A “6 log reduction” means that the number of live spores is 1,000,000 times smaller.
The term “antimicrobial agent” refers to a substance that kills microorganisms or inhibits their growth. The term “disinfectant” refers to a substance that is applied to non-living objects to kill or inhibit the growth of microorganisms that are on the objects.
The term “antibiotic” refers to a substance that kills or inhibits the growth of microorganisms within the body.
The term “antiseptic” refers to a substance that kills or inhibits the growth of microorganisms on living tissue.
The term “biocide” refers to a substance that kills or inhibits the growth of living organisms. The biocide can be a pesticide. The biocide can be a fungicide, herbicide, insecticide, algaecide, molluscicide, miticide or rodenticide.
The term “sanitizes” refers to a substance that cleans and disinfects. The term “biodegradable” refers to a material which decomposes upon exposure to air.
The inventive wipe may be described with reference to
The absorbent sheet 12 holding the aqueous composition may be referred to as a saturated absorbent sheet. The absorbent sheet may be referred to as a towelette. The absorbent sheet may comprise a wiping pad suitable for wiping a substrate. The absorbent sheet may be made of a material that resists disintegration while in use to effect a suitable wiping of a substrate. The absorbent sheet may be biodegradable. The absorbent sheet may comprise a woven material, a non-woven material, or a combination thereof. The absorbent sheet may comprise natural fibers, synthetic fibers, or a combination thereof. The absorbent sheet may comprise paper, cotton, jute, rayon, polyester, acrylonitrile, nylon, or a combination thereof. The absorbent sheet may comprise a sponge material, polyurethane foam, or a combination thereof. The absorbent sheet may have a surface area in the range from about 5 to about 2000 cm2, or about 10 to about 1500 cm2, or about 20 to about 1000 cm2, or about 50 to about 750 cm2, or about 75 to about 500 cm2, or about 100 to about 250 cm2. The absorbent sheet may have a thickness that is sufficient to absorb and retain the aqueous composition. The absorbent sheet may have a thickness in the range from about 0.01 to about 0.5 cm, or about 0.02 to about 0.4 cm, or about 0.05 to about 0.2 cm. The absorbent sheet may be folded to allow for storage in the sealed package 14.
The sealed package 14 may be square or rectangular in shape. The sealed package may have an air and liquid impermeable construction. The sealed package may have a light impermeable construction. The sealed package may be made of aluminum foil, plastic sheet, coated paper, or a combination thereof. The sealed package may be made of two non-porous sheets with common peripheral edges sealed together. The sealed package may include tear line 24 and notch 26 to facilitate tearing of the sealed package along the tear line. The sealed package may have sufficient dimensions to allow for receiving the absorbent sheet.
The sterilization of spores is often taken as referring to a process for achieving a total absence of living spores. Processes that are less rigorous than sterilization may include, for example, disinfection, sanitization, decontamination, cleaning, and the like. The wipe provided for herein may be used to achieve at least a 4 log reduction, or at least a 5 log reduction, or at least a 6 log reduction in the number of spores capable of returning to vegetative growth, or in an embodiment, capable of reproduction, metabolism and/or growth. When at least a 6 log reduction is achieved, the result may be referred to as a sterilization. When a 4 log reduction or a 5 log reduction is achieved, the result may be considered to be less rigorous than a sterilization, but nevertheless useful for various disinfection, sanitization, decontamination and/or cleaning applications.
Spores typically comprise multiple concentric layers surrounding a central core. This is illustrated in
The water may comprise tap water, deionized water, distilled water, water purified by osmosis, or a mixture of two or more thereof.
The peroxide may comprise any compound containing an oxygen-oxygen single bond, or a peroxide group or peroxide ion. Examples include hydrogen peroxide; organic peroxides (e.g., benzoyl peroxide, acetyl acetone peroxide, acetyl benzoyl peroxide, diacetyl peroxide, methyl ethyl ketone peroxide, methyl isobutyl ketone peroxide, acetone peroxide, or a mixture of two or more thereof); peroxy acids (e.g., peroxy carboxylic acid); organic hydroperoxides (e.g., t-butyl hydroperoxide, ethylhydroperoxide, or cumene hydroperoxide); inorganic peroxides such as peroxide salts (e.g., alkali metal or alkaline earth metal peroxides); acid peroxides (e.g., peroxymonosulfuric acid or peroxydisulfuric acid); and mixtures of two or more thereof.
The hydrogen peroxide may be derived from any source of hydrogen peroxide. Hydrogen peroxide is typically available as a solution in water. Hydrogen peroxide concentrations of about 3 to about 8% by weight may be used. Commercial grades of about 30% to about 40% by weight, or about 35% by weight, hydrogen peroxide may be used. Commercial grades of about 70 to about 98% by weight hydrogen peroxide may be used. The higher concentrations would be diluted to provide the desired concentrations of hydrogen peroxide that are indicated above.
The concentration of the peroxide in the water may be in the range from about 0.01 to about 14% by weight, or from about 0.01 to about 12% by weight, or from about 0.01 to about 10% by weight, or from about 0.01 to about 8% by weight, or from about 0.01 to about 7% by weight, or from about 0.05 to about 7% by weight, or from about 0.1 to about 7% by weight, or from about 0.1 to about 6.5% by weight.
The antimicrobial agent may comprise a disinfectant, antibiotic, antiseptic, biocide and/or sanitizer. The antimicrobial agent may comprise peracetic acid. The antimicrobial agent may comprise an alcohol, chlorine, a chlorine compound, an aldehyde, an oxidizing agent, iodine, ozone, a phenolic, a quaternary ammonium compound, or a mixture of two or more thereof. The antimicrobial agent may comprise formaldehyde, ortho-phthalaldehyde, glutaraldehyde, silver dihydrogen citrate, polyaminopropyl biguanide, sodium bicarbonate, lactic acid, chlorine bleach, or a mixture of two or more thereof. The antimicrobial agent may comprise methanol, ethanol, n-propanol, 1-propanol, 2-propanol, isopropanol, or a mixture of two or more thereof. The antimicrobial agent may comprise a hypochlorite, chlorine dioxide, a dichloroisocyanurate, a monochloroisocyanurate, a halogenated hydantoin, or a mixture of two or more thereof. The antimicrobial agent may comprise sodium hypochlorite, calcium hypochlorite, sodium dichloroisocyanurate, sodium chlorite, N-chloro-4-methylbenzenesulfonamide sodium salt, 2,4-dichorobenzyl alcohol, or a mixture of two or more thereof. The antimicrobial agent may comprise performic acid, potassium permanganate, potassium peroxymonosulfate, or a mixture of two or more thereof. The antimicrobial agent may comprise phenol, o-phenylphenol, chloroxylenol, hexachlorophene, thymol, amylmetacresol, or a mixture of two or more thereof. The antimicrobial agent may comprise benzalkonuim chloride, cetyltrimethyl ammonium bromide, cetylpyridinium chloride, benzethonium chloride, boric acid, Brilliant green, chlorhexidine gluconate, tincture of iodine, providone-iodine, mercurochrome, manuka honey, octenidine dihydrochloride, polyhexamethylene biguamide, balsam of Peru, or a mixture of two or more thereof. Many of these antimicrobial agents may not be effective in the killing of spores on their own, but when combined with hydrogen peroxide at the concentration levels indicated above many of these antimicrobial agents are useful for killing spores.
The concentration of the antimicrobial agent in the aqueous composition may be in the range from about 0.001 to about 5% by weight, or from about 0.001 to about 4%, or from about 0.001 to about 3% by weight, or from about 0.001 to about 2% by weight, or from about 0.001 to about 1.5% by weight, or from about 0.001 to about 1% by weight, or from about 0.001 to about 0.8% by weight, or from about 0.001 to about 0.5% by weight, or from about 0.001 to about 0.2% by weight, or from about 0.001 to about 0.18% by weight, or from about 0.001 to about 0.16% by weight, or from about 0.001 to about 0.14% by weight, or from about 0.001 to about 0.12% by weight, or from about 0.001 to about 0.1% by weight, or from about 0.001 to about 0.08% by weight, or from about 0.001 to about 0.075% by weight, or from about 0.001 to about 0.07% by weight, or from about 0.001 to about 0.06% by weight, or from about 0.001 to about 0.05% by weight, or from about 0.001 to about 0.04% by weight. The concentration of the antimicrobial agent may be in the range from about 0.005 to about 0.5% by weight, or from about 0.005 to about 0.4% by weight, or from about 0.005 to about 0.3% by weight, or from about 0.005 to about 0.2% by weight, or from about 0.005 to about 0.18% by weight, or from about 0.005 to about 0.16% by weight, or from about 0.005 to about 0.12% by weight, or from about 0.005 to about 0.1% by weight, or from about 0.005 to about 0.08% by weight, or from about 0.005 to about 0.075% by weight, or from about 0.005 to about 0.07% by weight, or from about 0.005 to about 0.06% by weight, or from about 0.005 to about 0.05% by weight, or from about 0.005 to about 0.04% by weight.
The weight ratio of the antimicrobial agent to peroxide may be in the range from about 0.001 to about 0.5, or from about 0.003 to about 0.4, or from about 0.006 to about 0.3, or from about 0.008 to about 0.2, or from about 0.01 to about 0.1.
The aqueous composition may further comprise acetic acid, sulfuric acid, or a mixture thereof. The concentration of acetic acid may range up to about 60% by weight, or from about 0.001 to about 60% by weight, or from about 0.001 to about 30% by weight, or from about 0.001 to about 10% by weight, or from about 0.001 to about 5% by weight, or from about 0.001 to about 2% by weight. The concentration of sulfuric acid may range up to 3% by weight, or from about 0.001 to about 2% by weight. The concentration of each of these may be in the range up to about 1% by weight, or from about 0.001 to about 1% by weight, or from about 0.001 to about 0.5% by weight, or from about 0.001 to about 0.3% by weight.
The aqueous composition may further comprise one or more surfactants to provide the aqueous composition with surface active properties, one or more buffers to provide buffering capability (pH modulation), one or more corrosion inhibitors to provide corrosion inhibiting properties, and/or one or more chelators to provide chelation capacity (water softening).
The surfactant may comprise any compound that lowers surface tension or provides greater wettability. The surfactant may comprise one or more detergent, wetting agents, emulsifiers, foaming agents and/or dispersants. The surfactant may comprise one or more organic compounds that contain both hydrophobic groups and hydrophilic groups. The surfactant may comprise both a water insoluble component and a water soluble component. The surfactant may comprise one or more anionic, cationic, zwitterionic and/or nonionic compounds. The surfactant may comprise one or more alkanolamines, alkylarylsulfonates, amine oxides, poly(oxyalkylene)s, block copolymers comprising alkylene oxide repeat units, carboxylated alcohol ethoxylates, ethoxylated alcohols, alkyl phenols, ethoxylated alkyl phenols, ethoxylated amines, ethoxylated am ides, oxiranes, ethoxylated fatty acids, ethoxylated fatty esters, ethoxylated oils, fatty esters, fatty acid amides, glycerol esters, glycol esters, sorbitan, sorbitan esters, imidazolines, lecithin, lignin, glycerides (e.g., mono-, di- and/or triglyceride), olefin sulfonates, phosphate esters, ethoxylated and/or propoxylated fatty acids and/or alcohols, sucrose esters, sulfates and/or alcohols and/or ethoxylated alcohols of fatty esters, sulfonates of dodecyl and/or tridecyl benzenes, sulfosuccinates, dodecyl and/or tridecyl benzene sulfonic acids, mixtures of two or more thereof, and the like. The surfactant may comprise ethanolamine, triethanolamine, octyldimethylam ine oxide, nonylphenoxy poly(ethyleneoxy)ethanol, polyalkylene glycol, or a mixture of two or more thereof.
The concentration of the surfactant in the aqueous composition may be in the range up to about 10% by weight, or from about 0.5 to about 10% by weight, or from about 0.5 to about 6% by weight, or from about 1 to about 4% by weight.
The buffer may comprise an alkali metal phosphate, an alkali metal carbonate, or a mixture thereof. The alkali metal may comprise sodium or potassium. The buffer may comprise one or more of monosodium phosphate, disodium phosphate, trisodium phosphate, monopotassium phosphate, dipotassium phosphate, tripotassium phosphate, sodium carbonate, or a mixture of two or more thereof. Disodium phosphate may be used. The concentration of the buffer in the aqueous composition may be in the range up to about 50% by weight, or from about 1% by weight to about 50% by weight, or from about 1% by weight to about 40% by weight, or from about 5% by weight to about 40% by weight, or from about 5% by weight to about 35% by weight.
The corrosion inhibitor may comprise benzotriazole, a sodium salt of benzotriazole, tolyltriazole, a sodium salt of tolyltriazole, or a mixture of two or more thereof. Sodium benzotriazole may be used. A commercially available sodium benzotriazole that may be used is available under the trade designation Cobratec 40S which is believed to be a 40% by weight aqueous solution of sodium benzotriazole. The concentration of the corrosion inhibitor in the aqueous composition may be in the range up to about 10% by weight, or from about 0.01% by weight to about 10% by weight, or from about 0.01% by weight to about 5% by weight.
The chelator may comprise ethylenediaminetetraacetic acid, hydroxyethylidenediphosphonic acid, a sodium salt of either of these acids, or a mixture of two or more thereof. A sodium salt of ethylenediaminetetraacetic acid that may be ethylenediaminetetraacetic acid, tetrasodium salt, tetrahydrate. A commercially available ethylenediaminetetraacetic acid, tetrasodium salt, tetrahydrate that may be used may be available from Akzo Nobel under the trade designation Dissolvine 220-S. Dissolvine 220-S is identified by Akzo Nobel as being a chelating agent containing 83-85% by weight ethylenediaminetetraacetic acid, tetrasodium salt, tetrahydrate. The concentration of the chelator in the aqueous composition may be in the range up to about 50% by weight, or from about 0.01% by weight to about 50% by weight, or from about 0.1% by weight to about 30% by weight.
The aqueous composition may further comprise one or more fragrances, dyes, mixtures thereof, and the like.
The inventive process may comprise killing spores positioned on a substrate. This process may comprise wiping the spores from the substrate using the absorbent sheet holding the aqueous composition. The aqueous composition may contact the spores and kill them. The aqueous composition may remain in contact with the spores for an effective period of time to effect a desired level of reduction (e.g., at least a 4 log reduction, or at least a 5 log reduction, or at least a 6 log reduction) in the number of spores capable of returning to vegetative growth, or in an embodiment, capable of reproduction, metabolism and/or growth. The aqueous composition may remain in contact with the spores for about 30 seconds to about 20 minutes, or about 30 seconds to about 10 minutes.
The substrate may be made of any material including brass, copper, aluminum, stainless steel, carbon steel, rubber, plastic, glass, wood, painted surface, or a combination of two or more thereof. The substrate may comprise a table top, counter top, floor, wall, ceiling, window, door, door handle, sink, faucet, toilet, toilet seat, and the like. The substrate may comprise a medical, dental, pharmaceutical, veterinary or mortuary device. The substrate may comprise human skin.
The temperature of the aqueous composition when contacting the spores may be in the range from about 1° C. to about 40° C., or from about 5° C. to about 35° C., or from about 10° C. to about 30° C., or from about 15° C. to about 30° C., or from about 20° C. to about 26° C., or from about 21° C. to about 25° C., or from about 22° C. to about 24° C., or about 22° C., or about 23° C. The temperature may be room temperature.
The spores that may be treated (i.e., killed) include bacterial spores. The spores may comprise bacteria of the Bacillus or Clostridia genera. The spores may comprise Geobacillus stearothermophilus, Bacillus atrophaeus, Bacillus subtilis, Bacillus pumilus, Bacillus coagulans, Clostridium sporogenes, Bacillus subtilis globigii, Bacillus cereus, Bacillus circulans, Bacillus anthracis, or a mixture of two or more thereof. The spores may comprise one or more Bacillus subtilis strains and/or wild type Bacillus subtilis spores.
The efficacy of the inventive process is assessed using a time kill suspension test method and spores of Bacillus subtilis.
Peracetic acid (PAA) and hydrogen peroxide (H2O2) are prepared as concentrated stocks (3× concentrate). Each test contains 100 μl of the PAA concentrate and 100 μl of the H2O2 concentrate. Controls containing only PAA or H2O2 are also prepared. These contain 100 μl of either the PAA concentrate or H2O2 concentrate and 100 μl of de-ionized water. To each test, 100 μl of spores are added while starting the timer concurrently. The samples are mixed thoroughly. The temperature of the samples is room temperature. At the appropriate contact times, 10 μl of the appropriate test sample are placed into 90 μl of the appropriate neutralizing solution, mixed thoroughly and incubated for at least 10 minutes. Ten fold serial dilutions are prepared through 10-6 and plated using the drop counting method. The plates are then incubated aerobically at 37° C. for 1-2 days. Following incubation, colony forming units (CFU) are counted using standard plate count techniques and converted to log10 values for analysis.
The results are indicated in the tables below.
The values shown in Table 1 represent the time taken (minutes) to achieve a 4 log reduction in spore count in the presence of either PAA or H2O2 alone, or in combination with each other. For PAA concentrations 0.005, 0.01, 0.02 and 0.04% (in the absence of H2O2), the values shown are extrapolated based on the experimental data obtained for PAA concentrations 0.08, 0.16 and 0.32%. Similarly, for H2O2 concentrations 0.1, 0.2 and 0.4% (in the absence of PAA), the values shown are extrapolated from experimental data. All other values are generated from spore kill data.
Table 2 illustrates the potentiation of spore killing by PAA when in the presence of H2O2. At higher PAA concentrations (0.08 and 0.16% PAA) relatively little activity is gained by the addition of even very high concentrations of H2O2. For example, 0.16% PAA is only 3.41 times more active in the presence of 6.4% H2O2, as compared to the activity of 0.16% PAA alone.
However, as the concentration of PAA is reduced, the effect of adding H2O2 becomes more dramatic, with PAA spore killing activity being hundreds, thousands and even tens of thousands of times greater when in the presence of low concentrations of H2O2. For example, 0.02% PAA is 333.11 times more active in combination with 0.8% H2O2 than when used alone.
Table 3 illustrates the potentiation of spore killing by H2O2 when in the presence of PAA. The enhancement of the spore killing activity of H2O2 when in the presence of PAA is far less pronounced, with relative improvement in the spore killing activity of H2O2 in combination with all but the highest concentrations of PAA being no greater than about 100 times.
While the invention has been explained in relation to various embodiments, it is to be understood that modifications thereof may become apparent to those skilled in the art upon reading the specification. Therefore, it is to be understood that the scope of the invention specified herein is intended to include all modifications that may fall within the scope of the appended claims.
This application is a continuation-in-part of U.S. application Ser. No. 14/262,840, filed Apr. 28, 2014. This application is also a continuation-in-part of U.S. application Ser. No. 14/525,497, filed Oct. 28, 2014. This application is also a continuation-in-part of U.S. application Ser. No. 14/538,011, filed Nov. 11, 2014. This application is also a continuation-in-part of U.S. application Ser. No. 14/537,958, filed Nov. 11, 2014. These prior applications are incorporated herein by reference.
| Number | Date | Country | |
|---|---|---|---|
| Parent | 14874940 | Oct 2015 | US |
| Child | 15267459 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 14537958 | Nov 2014 | US |
| Child | 14874940 | US | |
| Parent | 14538011 | Nov 2014 | US |
| Child | 14537958 | US | |
| Parent | 14525497 | Oct 2014 | US |
| Child | 14538011 | US | |
| Parent | 14262840 | Apr 2014 | US |
| Child | 14525497 | US | |
| Parent | 14262840 | Apr 2014 | US |
| Child | 14525497 | US | |
| Parent | 14525497 | Oct 2014 | US |
| Child | 14538011 | US | |
| Parent | 14525497 | Oct 2014 | US |
| Child | 14537958 | US |
