CN1259030A - A transurethral device - Google Patents
A transurethral device Download PDFInfo
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- CN1259030A CN1259030A CN98805903A CN98805903A CN1259030A CN 1259030 A CN1259030 A CN 1259030A CN 98805903 A CN98805903 A CN 98805903A CN 98805903 A CN98805903 A CN 98805903A CN 1259030 A CN1259030 A CN 1259030A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0034—Urogenital system, e.g. vagina, uterus, cervix, penis, scrotum, urethra, bladder; Personal lubricants
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
- A61F5/41—Devices for promoting penis erection
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M2025/0062—Catheters; Hollow probes characterised by structural features having features to improve the sliding of one part within another by using lubricants or surfaces with low friction
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Abstract
一种经尿道装置(10;110),包括具有一根细长杆(9;109)的经尿道插入部件(1;101),该细长杆有一个自由前端(11;111),并且在细长杆前段部分的前端可插入到人体或动物体的尿道内,例如插到阳萎男性的尿道中或动物体内,以注入阳萎治疗药物。为了便于至少将细长杆的前段部分插入尿道,所述装置还包括用于润滑细长杆的至少前段部分的至少一部分的外表面的润滑装置(29;130)。所述装置还可包括一个罩(7;107),该罩在经尿道插入部件的细长杆的至少前端部分插入人体或动物体之前可撤去地罩住所述部分。
A transurethral device (10; 110) includes a transurethral insertion member (1; 101) having an elongated rod (9; 109) with a free tip (11; 111), the tip of which is insertable into the urethra of a human or animal body, for example, into the urethra of an impotent man or into an animal body, to inject an impotence treatment drug. To facilitate insertion of at least the tip of the elongated rod into the urethra, the device further includes a lubrication device (29; 130) for lubricating at least a portion of the outer surface of the tip of the elongated rod. The device may also include a cover (7; 107) that removably covers the tip of the elongated rod before insertion into the human or animal body.
Description
本发明涉及一种经尿道装置,包括具有一个细长杆的经尿道插入部件,其中所述细长杆有一个用于插入人体或动物体的尿道内的自由前端,特别是(但不局限于)涉及前述类型的用于治疗男性或动物体的勃起机能障碍,如阳萎、阴茎异常勃起、佩罗尼氏病等的经尿道装置。本发明还涉及用于罩住经尿道插入部件的罩。The present invention relates to a transurethral device comprising a transurethral insertion member having an elongated shaft having a free front end for insertion into the urethra of a human or animal body, in particular (but not limited to ) relates to a transurethral device of the aforementioned type for the treatment of erectile dysfunction, such as impotence, priapism, Peyronie's disease, etc., in the male or animal body. The invention also relates to a cover for covering a transurethral insertion component.
男性存在阳萎的情况为男性不能使阴茎勃起或保持其处于勃起状态进行令人满意的性交。已证实的产生阳萎的原因有许多,例如阳萎是由于血供出现紊乱,如流向阴茎内动脉的血流不充分或静脉流出的血液过多而引起的。出现阴茎异常勃起情况的特点是阴茎持续勃起,并且往往勃起时疼痛;佩罗尼氏病的特点是阴茎的海绵体组织纤维化,从而引起疼痛和勃起紊乱。Impotence in men is the inability of a man to get an erection or keep it erect for satisfactory sexual intercourse. There are many proven causes of impotence. For example, impotence is caused by disturbances in the blood supply, such as insufficient blood flow to the internal arteries of the penis or excessive blood flow from the veins. Priapism is characterized by persistent and often painful erections; Peyronie's disease is characterized by fibrosis of the cavernous tissue of the penis, causing pain and erectile disturbances.
本发明的一个方面是涉及将勃起机能障碍的治疗药物局部注入尿道,从而治疗如阳萎、阴茎异常勃起和佩罗尼氏病等勃起机能障碍。One aspect of the present invention relates to the topical injection of an erectile dysfunction treatment into the urethra for the treatment of erectile dysfunction such as impotence, priapism and Peyronie's disease.
现有的国际专利申请公开文件WO95/26158和WO96/28142公开了一种通过将勃起机能障碍的治疗药物注入男性的尿道,从而来治疗存在阳萎等勃起机能障碍的男性的经尿道装置。这些现有的经尿道装置包括一个经尿道插入部件,该部件具有一个药物盛放元件部分、一个可在药物盛放部分内移动的柱塞元件部分以及一个罩住经尿道插入部件的可插入部分的罩。The existing international patent application publications WO95/26158 and WO96/28142 disclose a transurethral device for treating erectile dysfunction such as impotence by injecting a drug for treating erectile dysfunction into the male urethra. These existing transurethral devices include a transurethral insertion member having a drug-retaining member portion, a plunger member portion movable within the drug-retaining portion, and an insertable portion housing the transurethral insertion member the hood.
所述药物盛放元件部分包括一个用于插入到男性尿道内的细长杆部分,该细长杆部分形成轴向间隔开的前端和后端,药物盛放部分还包括与细长杆部分的后端相连的手持部分。药物盛放元件部分设有一个开放的轴向镗孔,该轴向镗孔包括具有第一宽度的后段和具有小于第一宽度的第二宽度的前段,其中所述后段穿过手持部分,所述前段内有细长杆穿过。轴向镗孔的前段适合用来盛放勃起机能障碍的治疗药物。The medicine containing element part includes an elongated rod part for being inserted into the male urethra, the elongated rod part forms an axially spaced front end and a rear end, and the medicine containing part also includes a connection with the elongated rod part. The hand-held part connected to the rear end. The medicine containing element portion is provided with an open axial bore comprising a rear section having a first width and a front section having a second width less than the first width, wherein the rear section passes through the handle portion , a slender rod passes through the front section. The front section of the axial bore is suitable for holding erectile dysfunction treatment medicine.
柱塞元件部分包括一个膨大的头部和一个从膨大的头部向前伸出的细长的杆。柱塞元件部分适合于向前插入药物盛放元件部分内的镗孔中的回缩位置。在该位置处,膨大的头部部分位于镗孔的后段,这样膨大的头部后段从镗孔中向后伸出;同时细长杆部分向前伸至轴向镗孔的前段,这样细长杆的自由前端向后与勃起机能障碍的治疗药物相隔。The plunger member portion includes an enlarged head and an elongated stem extending forwardly from the enlarged head. The plunger member portion is adapted to be inserted forwardly into a retracted position in the bore in the drug containing member portion. In this position, the enlarged head portion is located in the rear section of the bore, such that the enlarged head rear section protrudes rearwardly from the bore; The free front end of the rod is spaced rearwardly from the erectile dysfunction treatment drug.
经尿道装置的罩包括一细长的主体,该主体具有轴向间隔的前面和后面,并且在主体上设有一个细长凹槽,该凹槽从后面的一个开口端向前延伸至后面与前面之间的一位置。药物盛放元件部分的细长杆部分可移去地放在罩上的凹槽中,以便在细长杆部分插入男性尿道之前保护其结构不被损坏和/或污染。The cover of the transurethral device includes an elongated body having axially spaced front and rear faces and having an elongated groove in the body extending forwardly from an open end of the rear face to the rear face and the rear face. A position between the front. The elongated stem portion of the drug containing element portion is removably seated in a recess in the cover to protect the structure of the elongated stem portion from damage and/or contamination prior to insertion into the male urethra.
在使用中,使用者将药物盛放元件部分的手持部分握在手指中,撤去罩,露出药物盛放元件部分的细长杆部分。然后将药物盛放元件部分的细长杆部分插入使用者的尿道,柱塞元件部分从回缩位置向前推压进入药物盛放元件部分,引起柱塞元件部分的细长杆的自由前端将勃起机能障碍的治疗药物从药物盛放元件部分向前注入尿道中。In use, the user holds the handle portion of the drug containing element portion in the fingers and removes the cover to expose the elongated stem portion of the drug containing element portion. The elongated rod portion of the drug-containing member portion is then inserted into the user's urethra, and the plunger member portion is pushed forward from the retracted position into the drug-containing member portion, causing the free front end of the elongated rod of the plunger member portion to The drug for treating erectile dysfunction is injected forward from the drug containing member portion into the urethra.
尽管前述现有经尿道装置能够有效地将勃起机能障碍的治疗药物局部注入,例如在阳萎情况下使阴茎得以勃起并保持勃起状态,但申请人已发现该装置存在可以加以改进的地方。为了便于现有拟改进的经尿道装置的药物盛放元件部分的细长杆部分的插入,建议在药物盛放元件部分的细长杆部分插入尿道之前使用者先排尿,以便湿润尿道。很明显这样做不总是很实际的。但是离开该步骤很显然在将药物盛放元件部分的细长杆部分插入尿道时会产生疼痛。While the aforementioned prior art transurethral devices are effective for local infusion of erectile dysfunction therapy, such as enabling and maintaining a penile erection in the event of impotence, applicants have found that there is room for improvement in this device. In order to facilitate the insertion of the elongated rod portion of the drug containing element portion of the existing transurethral device to be improved, it is suggested that the user urinate before the elongated rod portion of the drug containing element portion is inserted into the urethra, so as to moisten the urethra. Obviously it's not always practical to do this. But leaving this step is obviously painful when inserting the elongated stem portion of the drug containing element portion into the urethra.
作为另一种选择,在撤去罩之后,使用者将润滑剂独立施加到经尿道插入部件的药物盛放元件部分的细长杆的外表面上。同样这样做不总是很方便和实际的,并且润滑剂还易于粘到使用者的手上和衣服上。更重要的是,这一增加的步骤导致可能污染经尿道插入部件的药物盛放元件部分的细长杆部分。Alternatively, the user applies lubricant independently to the outer surface of the elongated shaft of the drug-containing element portion of the transurethral insertion member after removal of the cover. It is also not always convenient and practical to do so, and the lubricant also tends to stick to the user's hands and clothing. More importantly, this added step results in the possibility of contaminating the elongated shaft portion of the drug-retaining element portion of the transurethral insertion component.
本发明欲克服迄今为此已有的经尿道装置的这些缺点。本发明的第一方面是提供一种治疗男性或动物体勃起机能障碍的经尿道装置,该装置包括用于注入勃起机能障碍治疗药剂的经尿道插入部件,该经尿道插入部件包括一个细长的杆,该杆有一个自由前端,并且细长杆至少有一个位于所述前端的前段,该前端适于插入到男性或动物体的尿道内;所述经尿道装置还包括用于将细长杆的至少前段插入尿道,从而将勃起机能障碍治疗药剂从经尿道插入部件注入尿道的装置;以及用于润滑细长杆的至少前段的至少一部分的外表面,从而促进经尿道插入部件的细长杆的至少前段插入人体或动物体尿道内的润滑装置。The present invention aims to overcome these disadvantages of the transurethral devices known hitherto for this purpose. A first aspect of the present invention is to provide a transurethral device for treating erectile dysfunction in a male or animal body, the device comprising a transurethral insertion member for injecting a therapeutic agent for erectile dysfunction, the transurethral insertion member comprising an elongated rod, the rod has a free front end, and the elongated rod has at least one front section located at the front end, the front end is adapted to be inserted into the urethra of a male or animal body; means for inserting at least the anterior segment of at least the anterior portion of the elongated rod into the urethra, thereby injecting an erectile dysfunction treatment agent into the urethra from the transurethral insertion member; A lubricating device inserted into the urethra of a human or animal body at least in the front.
在后面将描述的本发明实施例中,经尿道装置还包括用于可撤去地罩住经尿道插入部件的细长杆的至少前段的罩和构成该罩一部分的润滑装置。In an embodiment of the invention to be described later, the transurethral device further comprises a cover for removably covering at least the front section of the elongated shaft of the transurethral insertion member and lubricating means forming part of the cover.
根据本发明的第二方面提供的经尿道装置包括一个具有一细长杆的经尿道插入部件,该杆有一个自由前端,并且细长杆至少有一个位于所述前端的前段,该前端适于插入到人体或动物体的尿道内;所述经尿道装置还包括在经尿道插入部件的细长杆的至少前段插入男性或动物体的尿道之前可撤去地罩住该部分的罩,该罩上设有用于润滑细长杆的至少前段的至少一部分的外表面的润滑装置,以便促进经尿道插入部件的细长杆的至少前段插入人体或动物体的尿道内。According to a second aspect of the present invention there is provided a transurethral device comprising a transurethral insertion member having an elongated shaft having a free front end, and the elongated shaft has at least one front section located at said front end, the front end being adapted to Inserted into the urethra of a human or animal body; said transurethral device further comprising a cover that removably covers at least the anterior portion of the elongated shaft of the transurethral insertion member before it is inserted into the urethra of a male or animal body, on the cover Lubricating means are provided for lubricating at least a portion of the outer surface of at least the front section of the elongated shaft to facilitate insertion of at least the front section of the elongated shaft of the transurethral insertion member into the urethra of the human or animal body.
在本发明的一个实施例中,润滑装置适于润滑整个或基本上为整个细长杆的至少前段。In one embodiment of the invention, the lubricating means are adapted to lubricate the whole or substantially the whole of at least the front section of the elongated rod.
在后面将描述的本发明实施例中,当细长杆的至少前段的至少一部分的外表面罩在罩中时,润滑装置适于润滑上述外表面。In an embodiment of the invention which will be described later, the lubricating means is adapted to lubricate the outer surface of at least a part of at least the front section of the elongated rod when it is housed in the housing.
在后面将描述的本发明实施例中,罩具有一个主体,主体有一个镗孔,该镗孔在主体的外表面上有一个开口端,并且该镗孔可移动地接纳经尿道插入部件的细长杆的至少前段。In an embodiment of the invention to be described hereinafter, the shield has a main body with a bore having an open end on the outer surface of the main body, and the bore removably receives the thin end of the transurethral insertion member. At least the front section of the pole.
本发明的第三方面是为具有一个细长杆的经尿道插入元件提供一个罩,其中所述细长杆有一个自由前端,并且在细长杆的前端有至少一个前段,该前端适于插入到人体或动物体的尿道内,所述罩有一个主体,在主体内有一个用于可移动地接纳经尿道插入部件的细长杆的至少前段的镗孔,该镗孔在主体的外表面上有一个开口端;并且罩上设有用于润滑经尿道插入部件的细长杆的至少前段的至少一部分的外表面的润滑装置,以便有利于将细长杆的至少前段插入人体或动物体的尿道内。A third aspect of the present invention is to provide a cover for a transurethral insertion element having an elongated shaft, wherein said elongated shaft has a free front end, and at least one front section at the front end of the elongated shaft, the front end being adapted for insertion into into the urethra of the human or animal body, said shield having a main body within which there is a bore for movably receiving at least the forward portion of the elongated rod of the transurethral insertion member, the bore being formed on the outer surface of the main body There is an open end; and the cover is provided with lubricating means for lubricating the outer surface of at least a part of at least the front section of the elongated rod of the transurethral insertion member, so as to facilitate the insertion of at least the front section of the elongated rod into the human or animal body inside the urethra.
在后面将描述的本发明的实施例中,润滑装置包括在罩内的润滑容器,该装置在预定情况下能够将润滑容器内的润滑剂涂到经尿道插入部件的细长杆的至少前段的至少一部分的外表面上。In an embodiment of the invention to be described hereinafter, the lubricating device comprises a lubricating container within the housing, the device being capable of applying lubricant in the lubricating container to at least the front section of the elongated rod of the transurethral insertion part under predetermined conditions. at least a portion of the outer surface.
在后面将描述的本发明的实施例中,润滑容器为在罩主体内的有一个边界壁的润滑隔室,该隔室与在罩主体内的镗孔的边界壁的至少一部分是共有的,并且共有的边界壁能够在预定情况下变成打开的布置状态,从而使润滑隔室内的润滑剂能够排入罩主体的镗孔内,并且当经尿道插入部件的细长杆的至少前段的至少一部分的外表面插入镗孔内时涂在其上面。In an embodiment of the invention to be described hereinafter, the lubrication container is a lubrication compartment in the housing body having a boundary wall which is common to at least a portion of the boundary wall of the bore in the housing body, And the common boundary wall can be turned into an open arrangement under predetermined conditions, so that the lubricant in the lubrication compartment can be discharged into the bore of the cover body, and when at least the front section of the elongated rod of the transurethral insertion member Coating is applied to the outer surface of a portion of the bore as it is inserted into the bore.
在后面将描述的本发明的实施例中,共有边界壁构造成在施加预定压力时可破裂而贴向罩主体的外表面,以便将润滑剂从润滑隔室排至镗孔中,并当经尿道插入部件的细长杆的至少前段的至少一部分的外表面插入镗孔内时涂在其上面。润滑隔室的尺寸和在罩主体内的布置可设计成当经尿道插入部件的细长杆的至少前段的至少一部分的外表面插入镗孔内时共有边界壁环绕着该部分。实际上,润滑隔室也可将尺寸和在罩主体内的布置设计成当经尿道插入部件的细长杆的至少前段插入镗孔内时共有边界壁环绕着该部分,从而使细长杆的所有插入部分均被润滑。In an embodiment of the invention to be described hereinafter, the common boundary wall is configured to be ruptured against the outer surface of the housing body upon application of a predetermined pressure, so as to discharge the lubricant from the lubrication compartment into the bore, and when passed The outer surface of at least a portion of at least a portion of the elongated shaft of the urethral insertion member is coated upon insertion into the bore. The lubrication compartment may be sized and arranged within the shield body to share a boundary wall surrounding at least a portion of the outer surface of at least a portion of the elongated shaft of the transurethral insert when inserted into the bore. In fact, the lubricating compartment can also be dimensioned and arranged in the body of the shield so that when at least the front section of the elongated shaft of the transurethral insertion part is inserted into the bore, a common boundary wall surrounds this portion, so that the elongated shaft All inserts are lubricated.
在后面将描述的本发明的实施例中,润滑容器是一个具有开口端的管,该管有环状前端和后端,以便在罩的主体内的镗孔中定位,使细长杆的至少前段的至少前面部分穿过该管或被该管容纳,该管具有一个容纳润滑剂的内表面,并且该管的尺寸设计成能够使细长杆的至少前段在镗孔内相对于管移动时使润滑剂涂覆到细长杆的至少前段的至少前面部分上。In an embodiment of the invention to be described hereinafter, the lubrication container is an open-ended tube having annular front and rear ends for positioning in a bore in the body of the shroud such that at least the front section of the elongated rod At least a front portion of the tube passes through or is received by the tube, the tube has an inner surface containing lubricant, and the size of the tube is designed to enable at least the front section of the elongated rod to move within the bore relative to the tube. A lubricant is applied to at least a front portion of at least the front section of the elongated rod.
在本发明的一个实施例中,细长杆的至少前段的至少前面部分是细长杆的至少前段的前部,并且前部能够穿过上述管,将细长杆的至少前段的剩余部分任意留在管中。这样,至少前段的整个或几乎整个外表面得以润滑。In one embodiment of the present invention, at least a front part of at least the front section of the elongated rod is a front part of at least the front section of the elongated rod, and the front part can pass through the above-mentioned tube, and the remaining part of at least the front section of the elongated rod can be arbitrarily Leave in tube. In this way, at least the entire or almost the entire outer surface of the front section is lubricated.
在后面将描述的本发明的实施例中,上述管位于罩主体内的镗孔中,以便细长杆的至少前段的至少前面部分穿过其中,并且管的环状前端设有径向向内的环状凸缘,从而在经尿道插入部件的细长杆插入罩主体内的镗孔时环绕该杆形成密封圈,防止或基本上防止当细长杆的至少前段的至少前面部分的外表面通过管时润滑剂从管的内表面跑到该表面上。这样润滑剂被基本限制为在细长杆从镗孔中抽出时仅从管的内表面传到细长杆的至少前段的至少前面部分。可取的是,细长杆的至少前段的至少前面部分是细长杆的至少前段的前部,而细长杆的至少前段的剩余部分任意处于管中,由此从镗孔中抽出细长杆导致可插入部分的全部或基本全部外表面得以润滑。In an embodiment of the invention to be described later, the tube is located in a bore in the housing body so that at least a front portion of at least the front section of the elongated rod passes therethrough, and the annular front end of the tube is provided with a radially inward an annular flange, thereby forming a sealing ring around the elongated rod of the transurethral insertion member when it is inserted into the bore in the housing body, preventing or substantially preventing Lubricant runs from the inner surface of the tube onto that surface as it passes through the tube. Lubricant is thus substantially limited to only passing from the inner surface of the tube to at least a front portion of at least the front section of the elongated rod as it is withdrawn from the bore. Preferably, at least a front portion of at least the front section of the elongated rod is a front portion of at least the front section of the elongated rod, while the remainder of at least the front section of the elongated rod is optionally in the tube, whereby the elongated rod is extracted from the bore All or substantially all of the outer surface of the insertable portion is caused to be lubricated.
按照后面将说明的本发明第一和第二方面的实施例中,经尿道插入部件包括一个颈圈,该颈圈有一个与细长杆的后端相连的前端,并且颈圈在其前端上有一个前段,当细长杆插入罩主体的镗孔内时,该前端可接纳至罩主体的镗孔内。颈圈的前段宽度大于细长杆的宽度,并且因此选择成当该颈圈前段被接纳至镗孔内时,其外表面适于与镗孔壁的相邻边界形成紧密贴合。另外,当细长杆被插入镗孔内时,颈圈的前端适于抵靠在管的环状后端。这样颈圈可形成又一个密封圈。According to an embodiment of the first and second aspects of the present invention to be described hereinafter, the transurethral insertion member includes a collar having a front end connected to the rear end of the elongated rod, and the collar is on the front end thereof. There is a front section that is receivable into the bore of the housing body when the elongated rod is inserted into the bore of the housing body. The front section of the collar is wider than the elongated rod and is therefore selected such that when the front section of the collar is received into the bore, its outer surface is adapted to form a close fit with the adjacent border of the bore wall. Additionally, the front end of the collar is adapted to abut against the annular rear end of the tube when the elongated rod is inserted into the bore. This collar forms yet another sealing ring.
在后面将说明的本发明实施例中,管由可压缩材料制成,并且该管的外表面形状为其尺寸与镗孔相应,即管的放置为从未压缩状态变为处于镗孔内管的位置时的压缩状态,使管在镗孔内膨胀固定。作为例子,管可具有小块状圆锥外表面形状。In an embodiment of the invention which will be described later, the tube is made of a compressible material and the outer surface of the tube is shaped such that its dimensions correspond to the bore, i.e. the tube is placed from an uncompressed state to inside the bore. The compressed state at the time of the position causes the tube to expand and fix in the bore. As an example, the tube may have a block-like conical outer surface shape.
按照后面将说明的本发明第三方面的实施例中,经尿道插入部件包括一个颈圈,该颈圈有一个与细长杆的后端相连的前端,并且颈圈在其前端上有一个前段。颈圈前段宽度大于细长杆的宽度,当细长杆被接纳入镗孔内时,镗孔适于接纳颈圈的前段,并且颈圈的前段的外表面周边与镗孔壁的相邻边界形成紧密贴合,并且管的尺寸设计成能够位于镗孔内,以便使颈圈的前段抵靠管的环状后端,从而形成又一个密封圈。In an embodiment according to the third aspect of the invention to be described hereinafter, the transurethral insertion member includes a collar having a front end connected to the rear end of the elongated rod, and the collar has a front section at its front end . The front section of the collar is wider than the width of the elongated rod, the bore is adapted to receive the front section of the collar when the elongated rod is received in the bore, and the periphery of the outer surface of the front section of the collar adjoins the wall of the bore A snug fit is formed, and the tube is sized to sit within the bore so that the front section of the collar rests against the annular back end of the tube, creating yet another seal.
下面将结合附图对作为例子的本发明实施例进行说明,其中:An embodiment of the present invention as an example will be described below in conjunction with the accompanying drawings, wherein:
图1为按照本发明第一实施例的用于治疗男性勃起机能障碍如阳萎的经尿道装置的透视图,该装置包括用于插入到男性尿道内的经尿道插入部件,该部分具有一个药物盛放部分、一个柱塞部分和一个用于罩住经尿道插入部件的可插入部分的罩;1 is a perspective view of a transurethral device for treating male erectile dysfunction such as impotence according to a first embodiment of the present invention, the device includes a transurethral insertion part for insertion into the male urethra, the part having a drug a holding portion, a plunger portion and a cover for covering the insertable portion of the transurethral insertion component;
图2为图1所示经尿道装置在组装好状态下的剖视图;Figure 2 is a cross-sectional view of the transurethral device shown in Figure 1 in an assembled state;
图3为图1所示经尿道装置在组装好状态下的侧视图;Figure 3 is a side view of the transurethral device shown in Figure 1 in an assembled state;
图4为图1所示经尿道装置在组装好状态下从下面看去的平面图;Figure 4 is a plan view from below of the transurethral device shown in Figure 1 in an assembled state;
图5为图1所示经尿道装置在组装好状态下从上面看去的平面图;Figure 5 is a plan view from above of the transurethral device shown in Figure 1 in an assembled state;
图6为按照本发明第二实施例的用于治疗男性勃起机能障碍如阳萎的经尿道装置的透视图,该装置包括用于插入到男性尿道内的经尿道插入部件,该部分具有一个药物盛放部分、一个柱塞部分和一个用于罩住经尿道插入部件的可插入部分的罩,该罩包括一个透明的主体部分和一个开放的环状部分;6 is a perspective view of a transurethral device for treating male erectile dysfunction such as impotence according to a second embodiment of the present invention, the device comprising a transurethral insertion part for insertion into the male urethra, the part having a drug a holding portion, a plunger portion and a cover for covering the insertable portion of the transurethral insertion member, the cover comprising a transparent body portion and an open ring portion;
图7为图6所示经尿道装置在组装好状态下的剖视图;Figure 7 is a cross-sectional view of the transurethral device shown in Figure 6 in an assembled state;
图8为图6所示经尿道装置在组装好状态下的侧视图;Figure 8 is a side view of the transurethral device shown in Figure 6 in an assembled state;
图9为图6所示经尿道装置在组装好状态下从下面看去的平面图;Figure 9 is a plan view from below of the transurethral device shown in Figure 6 in an assembled state;
图10为图6所示经尿道装置在组装好状态下从上面看去的平面图;Figure 10 is a plan view from above of the transurethral device shown in Figure 6 in an assembled state;
附图1至5示出了本发明第一实施例的用于治疗男性患者勃起机能障碍如阳萎的经尿道装置10。从附图1所示的处于未组装状态的经尿道装置10中可以看出,经尿道装置10包括一个用于插入到男性体的尿道内的经尿道插入部件1,该部件具有一个药物盛放部分3、一个柱塞部分5和一个在使用前用于储存经尿道插入部件1的罩7。最好是,经尿道装置10的前述可分离部分为由塑料材料注塑而成的一体式主体。1 to 5 illustrate a
药物盛放部分3具有一个细长杆9,该细长杆有一个适于插入到男性尿道内的前端11、一个便于使男性握住经尿道插入部件1的手持件13和一个将手持件13的前端连到细长杆9的后端的项圈14。如图2所示,轴向镗孔15在位于细长杆9的前端11处的前开口端17和在手持件13的后端内的后开口端19之间延伸穿过药物盛放部分3。镗孔15阶梯状形成从前开口端17向后延伸至细长杆9的第一宽度的前段16和从后开口端19向前延伸至手持件13的第二宽度的后段18,其中第二宽度大于第一宽度。镗孔15的前段16适于用来盛放勃起机能障碍治疗药物(未示出),该药物如后面将如描述的那样由柱塞部分5输送至男性尿道内。The medicine holding part 3 has an elongated rod 9 which has a
参见图1和2,经尿道插入部件1的柱塞部分5具有一个细长杆21,且该柱塞部分有一个自由前端23和一个与细长杆21的后端相连的膨大的头部25。当经尿道插入部件1组装之后,细长杆21和柱塞部分5的膨大的头部25分别被在药物盛放部分3内的镗孔15内的前段16和后段18接纳。Referring to Figures 1 and 2, the plunger portion 5 of the transurethral insertion member 1 has an elongated
特别参见图2,罩7设有一个孔27,该孔的尺寸适于可拆地接纳药物盛放部分3的细长杆9和颈圈14,直到使用经尿道插入部件1时才去掉该罩这样细长杆9不会被损坏和/或污染。如后面将详细描述的那样,罩7还设有适于在将细长杆插入男性尿道前用润滑剂涂敷药物盛放部分3的细长杆9的外表面的润滑剂盛放隔室29。Referring particularly to Figure 2, the cover 7 is provided with an aperture 27 sized to removably receive the elongated shaft 9 and
下面将参照图2至5描述预备使用的经尿道装置10组件。The ready-to-use
首先,经尿道插入部件1组装成将柱塞部分5插入药物盛放部分3内的轴向镗孔15内的回缩位置,在该位置处,膨大的头部25部分位于镗孔15的后段18内,从而从后开口端19处向后突出,而细长杆21向前突入至轴向镗孔15的前段16,但细长杆21的前端23位于盛放在药物盛放部分3内的镗孔15的前段16内的勃起机能障碍药物之后。First, the transurethral insertion component 1 is assembled into the retracted position for insertion of the plunger portion 5 into the axial bore 15 in the drug containing portion 3, where the enlarged head portion 25 is partially located behind the bore 15. Section 18, thereby protruding backward from the rear open end 19, and the
其次,罩7和经尿道插入部件1组装成将药物盛放部分3的细长杆9和颈圈14插入罩7内的镗孔27内,直到手持件13的前端安座在罩7的后端上。在目前的实施例中,药物盛放部分3的细长杆9的整个部分容纳在罩7的镗孔27内。对本领域技术人员来说可以看出,如果细长杆9的长度大于杆可以插入到尿道内的部分,则至少细长杆9的可插入长度足以容纳在罩7的镗孔27中。Next, the cover 7 and the transurethral insertion part 1 are assembled to insert the elongated rod 9 and the
如前所述,罩7中设有润滑剂盛放隔室29。参考图2可看出,润滑剂盛放隔室29的边界壁31也作为罩7内镗孔27的边界壁的一部分。共有边界壁31构造成在预定情况下的使用中或者可被刺破,或者可开口,在这种情况下,将施加到罩7的外表面上的预定压力传输给共有边界壁31时,引起该共有边界壁31处于开口状态。使共有边界壁31处于开口状态导致润滑剂能够从隔室29内排出进入罩7内的镗孔27内,并与药物盛放部分3的细长杆9的外表面相邻。As previously mentioned, the housing 7 is provided with a lubricant containing compartment 29 . As can be seen with reference to FIG. 2 , the boundary wall 31 of the lubricant containing compartment 29 also acts as part of the boundary wall of the bore 27 in the housing 7 . The common boundary wall 31 is configured to be either punctureable or openable in use under predetermined circumstances, in which case, when a predetermined pressure applied to the outer surface of the cover 7 is transmitted to the common boundary wall 31, causing The common boundary wall 31 is in an open state. Leaving the common boundary wall 31 open enables lubricant to escape from the compartment 29 into the bore 27 in the cover 7 adjacent the outer surface of the elongated shaft 9 of the drug containing portion 3 .
盛放在隔室29内的润滑剂类型将取决于药物盛放部分3的细长杆9的可插入长度的外表面的材料。一般地,润滑剂呈胶状形式,例如为纤维素胶。当药物盛放部分3的细长杆9的可插入长度的外表面为亲水性的时,则可采用水或盐作为润滑剂。无论采用何种润滑剂,均不能损害勃起机能障碍治疗药物的功效。The type of lubricant contained in the compartment 29 will depend on the material of the outer surface of the insertable length of the elongated rod 9 of the drug containing part 3 . Typically, the lubricant is in the form of a gel, such as cellulose gum. When the outer surface of the insertable length of the elongated rod 9 of the drug containing portion 3 is hydrophilic, water or salt may be used as a lubricant. Regardless of the type of lubricant used, it should not compromise the efficacy of erectile dysfunction medications.
可相对于罩7操纵经尿道插入部件1,使润滑剂涂敷药物盛放部分3的细长杆9的整个外表面。此时药物盛放部分3的颈圈14作为一密封圈防止润滑剂从罩7的镗孔27内漏出。作为另一种选择,润滑剂盛放隔室29的尺寸和在罩27内的镗孔27的并置位置可设计成从隔室29中排出的润滑剂自动涂敷到由镗孔27界定的药物盛放部分3的细长杆9上。例如,润滑剂盛放隔室29可构成为界定与药物盛放部分3的细长杆9相邻的几乎整个镗孔。The transurethral insertion member 1 can be manipulated relative to the shield 7 such that the lubricant coats the entire outer surface of the elongated shaft 9 of the drug containing portion 3 . At this time, the
尽管优选的药物盛放部分3的细长杆的几乎整个可插入长度被润滑,但即使可插入长度只有部分被润滑,例如细长杆9的前段被润滑也足以使细长杆很舒适地插入至男性尿道内。Although it is preferred that almost the entire insertable length of the elongated shaft of the drug containing part 3 is lubricated, even if only part of the insertable length is lubricated, for example the front section of the elongated shaft 9 is lubricated enough to allow the elongated shaft to be inserted comfortably into the male urethra.
在使用中,首先药物盛放部分3的细长杆以在前面段落描述的方式被润滑。然后握住经尿道装置1的手持件13,并从罩7中抽出经尿道装置,暴露被润滑的药物盛放部分3的细长杆9。将药物盛放部分3的细长杆9插入男性尿道内,并且将柱塞部分5向前推至被推压位置,即膨大头部25的前端抵靠在位于药物盛放部分3的镗孔15的前段16和后段18之间的阶梯。将柱塞部分5推压至被推压位置导致柱塞部分5的细长杆21的自由前端23将勃起机能障碍治疗药物从药物盛放部分3内镗孔15的前开口端17推入男性尿道内,从而使阳萎病人能够保持阴茎勃起。In use, first the elongated shaft of the medicine containing part 3 is lubricated in the manner described in the preceding paragraph. The
在附图6至10中示出了本发明第二实施例用于治疗勃起机能障碍,如男性阳萎的经尿道装置110。A
首先参见图6,图中所示的经尿道装置110处于未组装状态,经尿道装置110对应于前面参照图1至5描述的经尿道装置10。经尿道装置110包括一个经尿道插入部件101和一个罩107。另外,经尿道插入部件101对应于前面参照图1至5描述的经尿道插入部件1。Referring first to FIG. 6, a
首先经尿道装置110的经尿道插入部件101包括一个药物盛放部分103,该部分有一个具有用于插入到男性尿道内的自由前端111的细长杆109,一个用于握持经尿道插入部分101的手持件113和一个将手持件113的前端连到细长杆109后端的项圈114。另外如图7所示,轴向镗孔115在位于细长杆109的前端111处的前开口端117和在手持件113的后端116的后开口端119之间延伸穿过药物盛放部分103。镗孔115阶梯状形成从前开口端117向后延伸至细长杆109的第一宽度的前段116和从后开口端119向前延伸至手持件113的第二宽度的后段118,其中第二宽度大于第一宽度。镗孔115的前段116适于用来盛放勃起机能障碍治疗药物(未示出),该药物如后面将描述的那样被输入男性尿道内。Firstly, the
其次,经尿道插入部件101包括用于将勃起机能障碍治疗药物从药物盛放部分103排出至男性尿道内的柱塞部分105。柱塞部分105具有一个细长杆121,且该柱塞部分有一个自由前端123和一个与细长杆121的后端相连的膨大的头部125,该膨大头部的尺寸为可容纳在药物盛放部分103内轴向镗孔115的后段118内。Next, the
现在参见图6至8,罩107包括一个主体部分120和一个开口端管状部分130,其中所述主体部分内设有一个在主体部分120的后端具有一个开口端的轴向镗孔127,所述管状部分具有略呈圆锥形的外形,可以插入到罩107的主体部分120内的镗孔127内。特别是参见图7可以看出,管状部分130的前端具有一个径向向内的环状凸缘140,设置凸缘的目的将在后面描述。管状部分130由可压缩材料制成,其尺寸相对于罩107内的主体部分120内的镗孔127来说,当管状部分130插入至罩107的主体部分120内的镗孔127时,管状部分130向内由来压缩状态转变成压缩状态。Referring now to FIGS. 6 to 8, the
下面将参照附图7至10介绍经尿道装置110的组装。Assembly of the
首先,经尿道插入部件101的柱塞部分105向前插入药物盛放部分103内的轴向镗孔115内而处于回缩位置,在该位置处膨大的头部125部分位于镗孔115的后段118,这样头部125的后端从镗孔115的后开口端119向后突出,而细长杆121向前突入镗孔115的前段116,此时细长杆121的前端123位于盛放在镗孔115的前段116的勃起机能障碍治疗药物的后面。First, the
其次,将罩107的管状部分130插入罩107的主体部分120内的镗孔127内。Next, the
第三也即最后,将细长杆109和药物盛放部分103的颈圈114的前段插入罩107的主体部分120内的轴向镗孔127,并使细长杆109穿过管状部分130而将经尿道部件101与罩107组装在一起。Third and finally, the
在将经尿道插入部件101和罩107组装在一起之前,如前所述管状部分130的内表面涂敷有润滑剂。如图7所示,当组装经尿道装置110时润滑层150夹在罩107的管状部分130的内表面和经尿道插入部件101的药物盛放部分103的细长杆的相邻外表面之间。设在管状部分130的前端的径向向内的环状凸缘140在药物盛放部分103的细长杆109的外表面插入到罩107的主体部分120内的镗孔127内时与该部分接触。这样凸缘在药物盛放部分103的细长杆109向前经过凸缘140插入至罩107的主体部分120内的镗孔127内时能够防止润滑剂从管状部分130的内表面流到药物盛放部分103的细长杆109的外表面上。Prior to assembling together the
实际上,当经尿道装置110组装之后,管状部分130的内表面和凸缘140限定环绕药物盛放部分103的细长杆109的相邻外表面的润滑剂容器的边界壁。考虑到这一点,当经尿道装置110处于组装形式时,药物盛放部分103的颈圈14的前段的外圆周表面突入罩107的主体部分内的镗孔127内,与镗孔127的相邻边界壁和靠在管状部分130的后端上的颈圈114的前端紧密贴合。因此颈圈114还作为“润滑剂容器”盛放润滑剂。In effect, when
当男性需要使用经尿道装置110时,抓住手持件113并相对于罩107向后拉经尿道插入部件101,从罩107中抽出经尿道插入部件101。从罩107中抽出经尿道插入部件101导致润滑剂从罩107的管状部分130的内表面输送至从管状部分130抽出的药物盛放部分103的细长杆109的外表面上。When the male desires to use the
尽管这里示出的实施例构造和安置成药物盛放部分103的细长杆109的整个外表面穿过管状部分130回抽以涂敷润滑剂,但对本领域技术人员来说将很清楚,并不是十分必需将药物盛放部分103的细长杆109的整个外表面涂敷有润滑剂以促进将其插入至男性尿道内。例如,如果不必将盛放部分103的细长杆109的整个长度均插入至尿道内,则仅需将插入长度部分涂敷润滑剂。在药物盛放部分103的细长杆109至少可插入长度的一部分上,例如在细长杆109的前段涂敷润滑剂将足以促进插入。Although the embodiment shown here is constructed and arranged so that the entire outer surface of the
一旦药物盛放部分103的细长杆109插入至男性尿道内,柱塞部分105从回缩位置向前压向被压位置,在该位置处,膨大头部25的前端靠在位于药物盛放部分103的镗孔115的前段116和后段118之间构成过渡的阶梯上。将柱塞部分105前压至被压位置导致柱塞部分105的细长杆121的自由前端123将勃起机能障碍治疗药物从药物盛放部分103内镗孔115的前段116推入男性尿道内,从而使阳萎病人能够保持阴茎勃起。Once the
因此可以看出,本发明提供的用于治疗男性或动物体勃起机能障碍的经尿道装置所具有的优点是,该装置包括促进将经尿道插入部件的可插入部分插入至男性或动物体尿道内的机械,而不需要(i)男性或动物体首先排尿;或(ii)增加附加步骤来润滑经尿道插入部件的可插入部分的步骤,该步骤伴随着可能污染可插入部分。应该理解,本发明并不局限于用于药物输送的经尿道装置,而是包括经尿道装置的基本领域的广泛应用。It can thus be seen that the present invention provides a transurethral device for the treatment of erectile dysfunction in a male or animal having the advantage that the device comprises a device that facilitates insertion of the insertable portion of the transurethral insertion member into the urethra of a male or animal. without the need for (i) the male or animal body to urinate first; or (ii) the addition of an additional step to lubricate the insertable portion of the transurethral insertion component, with the attendant potential contamination of the insertable portion. It should be understood that the present invention is not limited to transurethral devices for drug delivery, but includes broad applications of the basic field of transurethral devices.
Claims (29)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SE97013957 | 1997-04-15 | ||
| SE9701395A SE9701395D0 (en) | 1997-04-15 | 1997-04-15 | A transurethral device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN1259030A true CN1259030A (en) | 2000-07-05 |
Family
ID=20406573
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN98805903A Pending CN1259030A (en) | 1997-04-15 | 1998-03-04 | A transurethral device |
Country Status (21)
| Country | Link |
|---|---|
| EP (1) | EP0975291A1 (en) |
| JP (1) | JP2001520538A (en) |
| KR (1) | KR20010049174A (en) |
| CN (1) | CN1259030A (en) |
| AR (1) | AR012405A1 (en) |
| AU (1) | AU6644098A (en) |
| BR (1) | BR9808675A (en) |
| CA (1) | CA2286070A1 (en) |
| EE (1) | EE9900456A (en) |
| HU (1) | HUP0002151A3 (en) |
| ID (1) | ID23679A (en) |
| IL (1) | IL132207A0 (en) |
| IS (1) | IS5213A (en) |
| NO (1) | NO995008L (en) |
| PL (1) | PL336421A1 (en) |
| SE (1) | SE9701395D0 (en) |
| SK (1) | SK133499A3 (en) |
| TR (1) | TR199902551T2 (en) |
| TW (1) | TW416848B (en) |
| WO (1) | WO1998046176A1 (en) |
| ZA (1) | ZA982770B (en) |
Families Citing this family (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| KR101014909B1 (en) * | 2008-06-12 | 2011-02-15 | 전북대학교산학협력단 | Prostate Surgery Device |
| EP2459264B1 (en) | 2009-07-29 | 2013-12-25 | C.R. Bard Inc. | Catheter having improved drainage |
| ES2828077T5 (en) | 2009-12-23 | 2024-03-26 | Bard Inc C R | Catheter packaging/unit utilizing a hydrating/hydrogel cuff |
| WO2011109393A1 (en) | 2010-03-04 | 2011-09-09 | C.R. Bard, Inc. | Catheter assembly/package utilizing a hydrating/hydrogel sleeve and a foil outer layer and method of making and using the same |
| US8998882B2 (en) | 2013-03-13 | 2015-04-07 | C. R. Bard, Inc. | Enhanced pre-wetted intermittent catheter with lubricious coating |
| CN111529910A (en) * | 2020-05-28 | 2020-08-14 | 重庆花想容信息科技有限公司 | Lubricating equipment for anorectal operation |
Family Cites Families (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4834711A (en) * | 1987-08-14 | 1989-05-30 | Greenfield Albert R | Dispensing appliance for insertion and maintenance of catheters, tubes and other articles of therapy |
| US5209726A (en) * | 1992-05-04 | 1993-05-11 | Goosen Carl C | Self-lubricating urethral catheter and method for self-catheterization |
| US5482039A (en) * | 1994-03-25 | 1996-01-09 | Vivus, Inc. | Process for diagnosing erectile dysfunction, and related methods of treatment |
| US5779670A (en) * | 1995-05-31 | 1998-07-14 | Bidwell; Robert E. | Catheter having lubricated sheathing |
-
1997
- 1997-04-15 SE SE9701395A patent/SE9701395D0/en unknown
-
1998
- 1998-03-04 CN CN98805903A patent/CN1259030A/en active Pending
- 1998-03-04 PL PL98336421A patent/PL336421A1/en unknown
- 1998-03-04 EP EP98908405A patent/EP0975291A1/en not_active Withdrawn
- 1998-03-04 HU HU0002151A patent/HUP0002151A3/en unknown
- 1998-03-04 WO PCT/SE1998/000385 patent/WO1998046176A1/en not_active Ceased
- 1998-03-04 SK SK1334-99A patent/SK133499A3/en unknown
- 1998-03-04 EE EEP199900456A patent/EE9900456A/en unknown
- 1998-03-04 AU AU66440/98A patent/AU6644098A/en not_active Abandoned
- 1998-03-04 JP JP54379398A patent/JP2001520538A/en active Pending
- 1998-03-04 CA CA002286070A patent/CA2286070A1/en not_active Abandoned
- 1998-03-04 KR KR1019997009441A patent/KR20010049174A/en not_active Withdrawn
- 1998-03-04 IL IL13220798A patent/IL132207A0/en unknown
- 1998-03-04 ID IDW991159A patent/ID23679A/en unknown
- 1998-03-04 TR TR1999/02551T patent/TR199902551T2/en unknown
- 1998-03-04 BR BR9808675-8A patent/BR9808675A/en not_active Application Discontinuation
- 1998-04-01 ZA ZA982770A patent/ZA982770B/en unknown
- 1998-04-02 TW TW087105013A patent/TW416848B/en active
- 1998-04-13 AR ARP980101683A patent/AR012405A1/en unknown
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1999
- 1999-10-13 IS IS5213A patent/IS5213A/en unknown
- 1999-10-14 NO NO995008A patent/NO995008L/en not_active Application Discontinuation
Also Published As
| Publication number | Publication date |
|---|---|
| ZA982770B (en) | 1998-10-15 |
| EE9900456A (en) | 2000-04-17 |
| JP2001520538A (en) | 2001-10-30 |
| ID23679A (en) | 2000-05-11 |
| TR199902551T2 (en) | 2000-03-21 |
| TW416848B (en) | 2001-01-01 |
| SK133499A3 (en) | 2000-05-16 |
| HUP0002151A2 (en) | 2000-10-28 |
| IS5213A (en) | 1999-10-13 |
| NO995008L (en) | 1999-12-15 |
| SE9701395D0 (en) | 1997-04-15 |
| BR9808675A (en) | 2000-07-11 |
| AU6644098A (en) | 1998-11-11 |
| EP0975291A1 (en) | 2000-02-02 |
| HUP0002151A3 (en) | 2001-02-28 |
| CA2286070A1 (en) | 1998-10-22 |
| PL336421A1 (en) | 2000-06-19 |
| KR20010049174A (en) | 2001-06-15 |
| AR012405A1 (en) | 2000-10-18 |
| IL132207A0 (en) | 2001-03-19 |
| NO995008D0 (en) | 1999-10-14 |
| WO1998046176A1 (en) | 1998-10-22 |
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