CN108992107A - Heart defect stitching unstrument - Google Patents
Heart defect stitching unstrument Download PDFInfo
- Publication number
- CN108992107A CN108992107A CN201810911611.XA CN201810911611A CN108992107A CN 108992107 A CN108992107 A CN 108992107A CN 201810911611 A CN201810911611 A CN 201810911611A CN 108992107 A CN108992107 A CN 108992107A
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- Prior art keywords
- stitch
- transmission pipeline
- docking facilities
- needle
- rotation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0491—Sewing machines for surgery
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of heart defect stitching unstruments, traction rope is set inside transmission channel, transmission pipeline lower end hinging rotary stitch, the rotation stitch connect traction rope, make traction rope that the rotation stitch be driven to be in position parallel or in set angle with transmission pipeline.The rotation stitch opens up wire guide close to both ends, and lower docking facilities are respectively set inside the guide hole, upper docking facilities are arranged inside the transmission pipeline, the upper docking facilities are separately connected suture.The lower docking facilities lower end at the rotation stitch both ends is connected by connecting line.The upper docking facilities upper end connection pushes needle, and the promotion needle is made to drive upper docking facilities and lower docking facilities snapping under pushing meanss promotion.The heart defect stitching unstrument, overall structure is simple, and can reach preferable therapeutic purposes completely by the therapeutic modality of intervention operation to heart septal defect, reduce the secondary injury to patient, and can further decrease the Operative risk to patient.
Description
Technical field
The present invention relates to heart atrial septums or ventricular septal defects training equipment more particularly to a kind of heart defect to stitch
Clutch.
Background technique
With the development of industrialization, in people's living environment, all there is contaminated risk in various substances.Environment
With the pollution of substance, result in that the congenital and posteriority disease of people is more and more, and especially heart disease is even more serious shadow
Ring people's lives.
Heart septal defect (atrial septal defect and ventricular septal defect) is that more disease is accounted in heart disease.Existing skill
In art, in secondary openings, size can be treated less than 4cm by the method for interventional blocking device.But in Occluder
In the presence of: plugging device, which is fallen, to be easy to cause the serious secondary injury of patient in heart.And for larger-size secondary openings with
And foramen primum all cannot achieve the treatment by plugging device.There are also a kind for the treatment of methods in the prior art, are reached by open chest surgery
To therapeutic purposes, but open chest surgery is at high cost, serious to patient's secondary injury, and Operation Fee is expensive, and many families are complete
The Operation Fee of great number can not be undertaken.The patient poor for system, the risk of open chest surgery are also larger.
It can be seen that in the prior art, for the disease of heart septal defect, none is applied widely, wind is treated
Low, the low treatment device for the treatment of cost in danger.
Summary of the invention
In view of this, the main purpose of the present invention is to provide a kind of overall structure is simple, and intervention can be passed through completely
The therapeutic modality of operation reaches preferable therapeutic purposes to heart septal defect, reduces the secondary injury to patient, and can be with
Further decrease the heart defect stitching unstrument to patient's Operative risk.
In order to achieve the above objectives, the technical scheme of the present invention is realized as follows:
Heart defect stitching unstrument, comprising: traction rope, transmission pipeline lower end is arranged in transmission pipeline, the transmission channel inside
Portion's hinging rotary stitch, the rotation stitch connect traction rope, make traction rope that the rotation stitch be driven to be in and transmission pipeline
Position parallel or in set angle;
The rotation stitch opens up wire guide close to both ends, and lower docking facilities, institute are respectively set inside the guide hole
It states and upper docking facilities is set inside transmission pipeline, the upper docking facilities are separately connected suture;
The lower docking facilities lower end at the rotation stitch both ends is connected by connecting line;
The upper docking facilities upper end connection pushes needle, drives the promotion needle to tipping under pushing meanss promotion
It sets and lower docking facilities snapping.
In a preferred embodiment, the rotation stitch setting is multiple, and the adjacent rotation stitch is in set angle
Degree.
In a preferred embodiment, the rotation stitch is arranged two, and two rotation stitch are in 90 °.
In a preferred embodiment, the transmission pipeline outer wall is recessed with stitch slot, make the rotation stitch with
When the transmission pipeline is parallel inside the stitch slot.
In a preferred embodiment, further includes: auxiliary device, the auxiliary device lower end are fixedly connected with transfer tube
Pushing meanss are arranged in road, the auxiliary device upper end, by pushing silk connection between promotion needle and the pushing meanss.
In a preferred embodiment, the auxiliary device includes: tubular shell, hinged in the middle part of the tubular shell
Spanner, the traction rope other end connect spanner, make the spanner rotation traction or push the traction rope, drive the rotation
Rotating the needle foot is in position parallel or in set angle with transmission pipeline;
The tubular shell side wall is provided with handle;
The tubular shell side wall opens up notch, the shear knife in setting vertical slot direction inside the notch.
In a preferred embodiment, the pushing meanss include: pushing part and tractive unit;The tractive unit is arranged
Inside the pushing part, the pushing part lower end is by pushing silk connection to push needle, the tractive unit lower end and the promotion
Silk connection, pushes the promotion needle when making the pushing part to the auxiliary device internal slide, the tractive unit is to described auxiliary
It helps the traction of device slide outside to drive the promotion silk and needle is pushed to pull out transmission pipeline.
In a preferred embodiment, the transmission pipeline lower end connects guide duct.
In a preferred embodiment, the upper docking facilities are conical syringe needle, and the lower docking facilities are set
Cylinder makes the syringe needle be inserted into the sleeve and is connected together.
In a preferred embodiment, the transmission pipeline lower end opens up label chamber and is open, in the transmission pipeline
Setting flag lumen road, the label lumen road are pierced by the transmission pipeline upper end.
In a preferred embodiment, the promotion silk and/or the traction rope are straight seal wire.
In a preferred embodiment, the transmission pipeline is sheath.
Heart defect stitching unstrument of the invention, has the following beneficial effects:
The heart defect stitching unstrument transmits therapy component by transmission pipeline, and by rotation stitch, realizes suture
It is sutured at the cardiac septum of heart defect two sides.It avoids in the prior art, interventional therapy uses plugging device, and plugging device is fallen
It causes to injure the treatment that serious and plugging device is unable to satisfy foramen primum and larger-size secondary openings to patient, influences to make
With with treatment use scope;It further reduced in the prior art by opening chest treatment to the serious defect of patient's secondary injury.
The heart defect stitching unstrument, overall structure is simple, and can be completely by the therapeutic modality of intervention operation, to heart septal defect
Reach preferable therapeutic purposes, reduces the secondary injury to patient, and the Operative risk to patient can be further decreased.
Detailed description of the invention
Fig. 1 is according to structural schematic diagram at the rotation stitch of the heart defect stitching unstrument of an embodiment of the present invention;
Fig. 2 is according to structural schematic diagram at the auxiliary device of the heart defect stitching unstrument of an embodiment of the present invention;
Fig. 3 is according to structural representation when suturing at the heart defect of the heart defect stitching unstrument of an embodiment of the present invention
Figure;
Fig. 4 is the lower docking facilities structural representation of the heart defect stitching unstrument shown in Fig. 3 according to an embodiment of the present invention
Figure.
[primary clustering symbol description]
1, transmission pipeline, 2, rotation stitch, 3, upper docking facilities, 31, preceding syringe needle, 32, rear syringe needle;
4, lower docking facilities, 41, front sleeve, 42, after sleeve;
5, suture, 6, connecting line;
7, needle, 71, preceding needle, 72, rear needle are pushed;
8, pushing meanss;
9, auxiliary device, 91, tubular shell, 92, spanner, 93, handle, 94, notch;
10, guide duct, 11, label chamber opening, 12, label lumen road, 13, cardiac septum, 14, secondary openings/foramen primum.
Specific embodiment
With reference to the accompanying drawing and the embodiment of the present invention makees further details of theory to heart defect stitching unstrument of the invention
It is bright.
As shown in Figure 1, Figure 2, Figure 3 and Figure 4, heart defect stitching unstrument, comprising: the portion out of the human body that provides is inserted into suturing part
Part provides the transmission pipeline 1 in channel for all suture parts.One of them component required for suture has traction rope, will draw
Rope be located inside the transmission channel 1, be traction rope one end out of the human body portion one end inside human heart.Needed for another suture
The component wanted is rotation stitch 2, and 1 lower end hinging rotary stitch 2 of transmission pipeline rotates stitch 2 and connects traction rope, makes traction rope
Rotation stitch 2 is driven to be in position parallel or in set angle with transmission pipeline 1.I.e. traction rope is with certain rigidity
Rope can be steel wire, the preferred seal wire being often used using medical field.Preferably, traction rope and rotation 2 connection position of stitch
It sets in the side of rotation stitch 2, not in the articulated position of rotation stitch 2, thus when making traction rope to rotation 2 active force of stitch,
Rotating stitch 2, so that rotation stitch 2 be driven to rotate, can be realized the needs of suture by biggish torque.
In order to realize that suture penetrates the atrial septum by heart or the edge cardiac septum 13 of interventricular septum defect, rotate
Stitch 2 opens up wire guide close to both ends, and lower docking facilities 4, setting Shang pair inside transmission pipeline 1 are respectively set inside guide hole
Connection device 3, upper docking facilities 3 are separately connected suture 5;4 lower end of lower docking facilities for rotating 2 both ends of stitch passes through connecting line 6
Connection;Upper 3 upper end of docking facilities connection pushes needle 7, makes that needle 7 is pushed to drive upper docking facilities 3 under under the promotion of pushing meanss 8
4 snapping of docking facilities.
I.e.: in use, by all parts inside transmission pipeline 1 and transmission pipeline 1 along Venous Blood pipe
Be inserted into patient's heart position, by drawing the traction rope in exterior, make to rotate stitch 2 and transmission pipeline 1 it
Between be in set angle, it is preferred that it is vertical between the rotation stitch 2 and transmission pipeline 1 (to rotate between stitch 2 and transmission pipeline 1
Angle is 90 °).And needle 7 is pushed by pushing meanss 8, it pushes needle 7 further to push upper docking facilities 3, makes to tipping
4 snapping of lower docking facilities setting 3 and being located in the wire guide for rotating stitch 2.Again by drawing upper 3 suture 5 of docking facilities,
I.e. the suture 5 of two sides draws side, loosens the other side, so that suture enters endocardial, when connecting line 6 leaves completely
It when human body, knots by suture, is cut extra suture by suture adjuster, to realize to the secondary of endocardial
The suture of hole/foramen primum 14.
Facilitate suture to realize, and doctor is facilitated to operate it.Upper docking facilities 3 include: preceding syringe needle 31 and rear needle
First 32;Lower docking facilities 4 include: front sleeve 41 and after sleeve 42;The promotion needle 7, which divides, is: preceding needle 71 and rear needle 72;Passing through will
Preceding syringe needle 31 and rear syringe needle 32 are connected to 72 end of preceding needle 71 and rear needle, and are fixedly connected in preceding syringe needle 31 with rear 32 tail portion of syringe needle
Suture 5 pushes silk by pushing meanss 8, silk is pushed to push preceding needle 71 and rear needle 72, thus drive preceding syringe needle 31, after
It is clamped between syringe needle 32 and front sleeve 41, after sleeve 42;It is socketed, can be smoothly separated between needle 72 and rear syringe needle 32 afterwards, it is preceding
It is completely embedded between needle 71 and front sleeve 41, syringe needle 31, front sleeve before being driven by the suture 5 that syringe needle 31 before drawing connects
41, the suture 5 that connecting line 6, after sleeve 42, rear syringe needle 32 and rear syringe needle 32 connect, to realize that suture 5 passes through heart
The cardiac septum 13 at edge at atrial septum or ventricular septal defect, then tightening by suture 5 are realized scarce to interval 13 is newly made
Secondary openings/foramen primum 14 of damage sutures.
The stitching unstrument structure is simple, avoids in interventional therapy in the prior art through ductus arteriosus occluder secondary openings, operation
Complexity, plugging device can only can be only achieved treatment after secondary hole site is fallen by open chest surgery, and risk is higher.And it blocks
Device is unable to satisfy the closure of foramen primum, and when the size of secondary openings is larger, can not can only also be passed through by Occluder
Open chest surgery treatment.In the prior art, although can have the function that quality, open chest surgery process are numerous by open chest surgery
It is trivial, it is serious to patient's secondary injury, influence patient body health.The stitching unstrument can satisfy the secondary openings and original of sizes
Hair engaging aperture can preferably reach therapeutic purposes.The stitching unstrument has reached in such a way that interventional minimally-invasive is performed the operation to heart defect (room
Septal defect or ventricular septal defect) therapeutic purposes, improve the popularity rate for the treatment of, reduce the secondary injury to patient.
Preferably, under the premise of meeting 1 size of transmission pipeline can accommodate, multiple, adjacent rotation is arranged in rotation stitch 2
Stitch 2 is in set angle.Preferably, the angle between adjacent rotation stitch 2 is identical, to be that suture is more uniform, reaches
Better sewing effect.Multiple rotation stitch 2 can once reach larger range for the treatment of, reduce intervention number, improve operation
Efficiency.
Excessive in order to solve the promotion needle 7 needed, transmission pipeline 1 is unable to satisfy, and more rotation stitch 2 can be more
The fast contradiction for meeting procedure efficiency, most preferably, rotation stitch 2 are arranged two, and two rotation stitch 2 are in 90 °.That is: it rotates
Stitch 2 is vertical between each other, and rotates 2 place plane of stitch and transmission pipeline 1 in the angle of setting.
The drive for rotating stitch 2 in order to facilitate 1 pair of transmission pipeline is moved in the blood vessel, is reduced the damage to blood vessel, is being passed
Defeated 1 outer wall of pipeline is recessed with stitch slot, when keeping rotation stitch 2 parallel with transmission pipeline 1 inside stitch slot.
As shown in Figure 1, in order to realize facilitate medical staff out of the human body portion to intervention patient's heart at operation of components, should
Stitching unstrument further include: be located at the auxiliary device 9 that human external is connect with intervention component, 9 lower end of auxiliary device is fixedly connected with transmission
Pushing meanss 8 are arranged in pipeline 1,9 upper end of auxiliary device, push between needle 7 and pushing meanss 8 by pushing silk connection.Push dress
8 tail portions for being removably attachable to auxiliary device 9 are set, the globality of portion's component out of the human body is further ensured, facilitates medical care
Personnel operate with.
Control to traction rope set distance for convenience, to realize the control for rotating angle to rotation stitch 2.Auxiliary
Device 9 includes: tubular shell 91, and hingedly spanner 92, the traction rope other end connect spanner 92, make spanner 92 at tubular shell 91 middle part
Rotation traction perhaps pushes traction rope that rotation stitch 2 is driven to be in position parallel or in set angle with transmission pipeline;It should
One or more is arranged in spanner 92, can control a rotation stitch 2 by a spanner 92, be also possible to a spanner 92
Individually one rotation stitch 2 of control.
In order to which medical staff holds auxiliary device 9,91 side wall of tubular shell is provided with handle 93.
Cutting in order to facilitate medical staff to suture 5, facilitates medical staff to use, and opens up in 91 side wall of tubular shell
The shear knife in 94 direction of vertical slot is arranged inside notch 94 for notch 94.Medical staff only needs to tense the both ends of suture 5,
Suture 5 is placed in notch 94, the cutting to suture 5 had both may be implemented in the shear knife in notch.
In order to realize the draw of 8 pairs of pushing meanss promotion needles 7, there is realization draw.Pushing meanss 8 include: to push away
Dynamic portion 81 and tractive unit 82.Tractive unit 82 is set in inside pushing part 81, and 81 lower end of pushing part is by pushing silk connection to push needle
7,82 lower end of tractive unit connect (setting two individually pushes silk, connect respectively with preceding needle 71 and rear needle 72) with silk is pushed, and makes
Needle 7 is pushed when pushing part 81 is to 9 internal slide of auxiliary device, tractive unit 82 draws to 9 slide outside of auxiliary device and drives
Push silk and push needle 7 (tractive unit 82 is only connect with the promotion silk of preceding needle 71, and is not connected to the promotion silk of rear needle 72, thus
Syringe needle 31 before pulling, pulls out rear syringe needle along preceding 31 pull direction of syringe needle) transmission pipeline 1 is pulled out, to realize to suture 5
It pulls in.
Preferably, at preceding needle 71, suture 5 is in Grapevine knot, convenient to be lacked by pulling suture 5 to lock cardiac septum
Damage.
In order to reduce damage of the transmission pipeline 1 to blood vessel, guide duct 10 is connected in 1 lower end of transmission pipeline.By right
The selection of 1 unlike material of wire duct 10 and transmission pipeline, achieve the effect that it is different, and can to blood vessel reduce damage.
Preferably, upper docking facilities 3 are conical syringe needle, and lower docking facilities 4 are sleeve, are connected to syringe needle insertion sleeve
Together.Structure is simple, reduces the overall cost of stitching unstrument, and the quick letter of docking facilities 3 and lower docking facilities 4 may be implemented
Easily connection.In order to endocardial sampling, guarantee the safety of operation in time, label chamber opening 11 is opened up in 1 lower end of transmission pipeline,
Setting flag lumen road in transmission pipeline 1, label lumen road 12 are pierced by 1 upper end of transmission pipeline.Preferably, lumen road 12 is marked
It is pierced by the side of auxiliary device 9, stretches out the distance of 1mm-20mm.
Preferably, it pushes silk and/or traction rope is to use more straight seal wire in medical treatment.Transmission pipeline 1 is also medical treatment
It is middle to use more sheath.Reduce the cost of stitching unstrument material selection.
The foregoing is only a preferred embodiment of the present invention, is not intended to limit the scope of the present invention.
Claims (10)
1. heart defect stitching unstrument characterized by comprising transmission pipeline (1), the internal setting traction of the transmission channel (1)
Rope, transmission pipeline (1) lower end hinging rotary stitch (2), the rotation stitch (2) connect traction rope, and traction rope is made to drive institute
It states rotation stitch (2) and is in position parallel or in set angle with transmission pipeline (1);
The rotation stitch (2) opens up wire guide close to both ends, and lower docking facilities (4) are respectively set inside the guide hole,
It is arranged inside the transmission pipeline (1) upper docking facilities (3), the upper docking facilities (3) are separately connected suture (5);
Lower docking facilities (4) lower end at described rotation stitch (2) both ends is connected by connecting line (6);
Upper docking facilities (3) the upper end connection pushes needle (7), drives the promotion needle (7) in the case where pushing meanss (8) push
Upper docking facilities (3) and lower docking facilities (4) snapping.
2. heart defect stitching unstrument according to claim 1, which is characterized in that multiple, phase is arranged in the rotation stitch (2)
The adjacent rotation stitch (2) is in set angle.
3. heart defect stitching unstrument according to claim 2, which is characterized in that described rotation stitch (2) setting two, two
A rotation stitch (2) is in 90 °.
4. described in any item heart defect stitching unstruments according to claim 1~3, which is characterized in that the transmission pipeline (1) is outside
Wall is recessed with stitch slot, when keeping the rotation stitch (2) parallel with the transmission pipeline (1) inside the stitch slot.
5. heart defect stitching unstrument according to claim 1, which is characterized in that further include: auxiliary device (9), it is described auxiliary
Device (9) lower end is helped to be fixedly connected transmission pipeline (1), pushing meanss (8) are arranged in auxiliary device (9) upper end, the promotion
By pushing silk to connect between needle (7) and pushing meanss (8).
6. heart defect stitching unstrument according to claim 5, which is characterized in that the auxiliary device (9) includes: tubular shell
Body (91), the hinged spanner (92) in tubular shell (91) middle part, the traction rope other end connect spanner (92), make described pull
Hand (92) rotation traction perhaps pushes the traction rope that the rotation stitch (2) is driven to be in parallel with transmission pipeline or be in
The position of set angle;
Tubular shell (91) side wall is provided with handle (93);
Tubular shell (91) side wall opens up notch (94), and setting vertical slot (94) direction cuts inside the notch (94)
Cutter.
7. heart defect stitching unstrument according to claim 5, which is characterized in that the pushing meanss (8) include: pushing part
(81) and tractive unit (82);The tractive unit (82) is set in the pushing part (81) inside, and pushing part (81) lower end is logical
It crosses the connection of promotion silk and pushes needle (7), tractive unit (82) lower end is connect with the promotion silk, makes the pushing part (81) to institute
The promotion needle (7) is pushed when stating auxiliary device (9) internal slide, the tractive unit (82) is external to the auxiliary device (9)
Sliding traction drives the promotion silk and needle (7) is pushed to pull out transmission pipeline (1).
8. heart defect stitching unstrument according to claim 1, which is characterized in that transmission pipeline (1) the lower end connection
Guide duct (10).
9. heart defect stitching unstrument according to claim 1, which is characterized in that the upper docking facilities (3) are cone
Syringe needle, the lower docking facilities (4) are sleeve, so that the syringe needle is inserted into the sleeve and are connected together;
Transmission pipeline (1) lower end opens up label chamber opening (11), the transmission pipeline (1) interior setting flag lumen road, institute
It states label lumen road (12) and is pierced by the transmission pipeline (1) upper end.
10. heart defect stitching unstrument according to claim 1, which is characterized in that the promotion silk and/or the traction rope
For straight seal wire;The transmission pipeline (1) is sheath.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201810911611.XA CN108992107A (en) | 2018-08-12 | 2018-08-12 | Heart defect stitching unstrument |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201810911611.XA CN108992107A (en) | 2018-08-12 | 2018-08-12 | Heart defect stitching unstrument |
Publications (1)
Publication Number | Publication Date |
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CN108992107A true CN108992107A (en) | 2018-12-14 |
Family
ID=64595626
Family Applications (1)
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CN201810911611.XA Pending CN108992107A (en) | 2018-08-12 | 2018-08-12 | Heart defect stitching unstrument |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN115300017A (en) * | 2021-09-15 | 2022-11-08 | 武汉创而研之科技发展有限公司 | Novel blood vessel stitching instrument |
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US20140180312A1 (en) * | 1999-03-04 | 2014-06-26 | Abbott Laboratories | Articulating suturing device and method |
CN1408320A (en) * | 2001-10-01 | 2003-04-09 | 尼普洛株式会社 | Endocardial suture device |
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Application publication date: 20181214 |