CN204484205U - A kind of surgical wound exempts to stitch device - Google Patents
A kind of surgical wound exempts to stitch device Download PDFInfo
- Publication number
- CN204484205U CN204484205U CN201520121043.5U CN201520121043U CN204484205U CN 204484205 U CN204484205 U CN 204484205U CN 201520121043 U CN201520121043 U CN 201520121043U CN 204484205 U CN204484205 U CN 204484205U
- Authority
- CN
- China
- Prior art keywords
- movable plate
- nut
- wound
- exempts
- surgical wound
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 208000002847 Surgical Wound Diseases 0.000 title claims abstract description 17
- 206010052428 Wound Diseases 0.000 claims abstract description 67
- 208000027418 Wounds and injury Diseases 0.000 claims abstract description 67
- 239000002390 adhesive tape Substances 0.000 claims abstract description 16
- 230000003467 diminishing effect Effects 0.000 claims abstract description 4
- 210000000416 exudates and transudate Anatomy 0.000 claims description 9
- 230000035876 healing Effects 0.000 abstract description 7
- 210000000589 cicatrix Anatomy 0.000 abstract description 6
- 230000000694 effects Effects 0.000 abstract description 6
- 238000010008 shearing Methods 0.000 abstract description 3
- 208000004221 Multiple Trauma Diseases 0.000 abstract description 2
- 230000029663 wound healing Effects 0.000 description 8
- 230000007812 deficiency Effects 0.000 description 4
- 238000010586 diagram Methods 0.000 description 3
- 208000015181 infectious disease Diseases 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 239000012530 fluid Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000000474 nursing effect Effects 0.000 description 2
- 239000000565 sealant Substances 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 241000131808 Scolopendra Species 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 238000010030 laminating Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000003756 stirring Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
- A61B17/085—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound with adhesive layer
Abstract
This utility model provides a kind of surgical wound and exempts to stitch device, comprise the first movable plate and the second movable plate, a surface of the first movable plate and the second movable plate is installed respectively and makes two diminishing clamp devices of movable plate neighbor distance, another of the first movable plate and the second movable plate installs the first adhesive tape and the second adhesive tape on the surface respectively.Described clamp device is nut and screw rod, and the first movable plate and the second movable plate install the first nut and the second nut respectively, screw rod and the first nut and the second nut screw connection.This utility model can form extruding force to wound, and wound is made up, plays the effect of wound suture, can also protect wound not by the impact of tension force, shearing force, forms one not by the protection domain of external interference.Feature of the present utility model be structure simple, adapt to multiple wound, clinical manipulation convenient, alleviate patient pain, cicatrix is few, healing is fast.
Description
Technical field
This utility model relates to medical apparatus and instruments, is that a kind of surgical wound exempts to stitch device.
Background technology
At present, suture and skin nailing machine are the major appliances used in surgical wound closing course, although go through improvement, still have deficiency, and mainly stitching holes produces new wound, increase infection chance; Scolopendra shape cicatrix is left after healing; Wound protection dynamics after closed is not enough, and when especially patient body stirs, produce wound and tear, pain is obvious, is also unfavorable for wound healing; Simultaneously suturing skill is also an important basic training of surgeon, time-consuming, require great effort, take a lot of work.For this reason, those skilled in the art provide and exempt from seam fluid sealant, skin Closure Srips and exempting from seam slide fastener, exempting from product such as seam pulling buckle etc., for realizing Wound suturing-free object.But, exempt from seam fluid sealant, skin Closure Srips and wound is sealed completely, be only applicable to the wound without transudate; Exempt from seam slide fastener, sew up pulling buckle, wound can not be protected well to avoid the impact of tension force and shearing force.Meanwhile, these products engage due to the more difficult wound that accurately makes during operation, and when slightly moving, wound is in be protected without powerful fixing, and very easily wound pulled apart, cicatrizes a wound and slow, and sometimes easily causes repeated infection.These products cause clinical application range extremely narrow owing to there is above-mentioned deficiency, and it is main that current wound still continues to use suture technology.
Utility model content
The purpose of this utility model is, provide a kind of surgical wound to exempt to stitch device, it can solve the deficiencies in the prior art.
This utility model for achieving the above object, be achieved through the following technical solutions: a kind of surgical wound exempts to stitch device, comprise the first movable plate and the second movable plate, a surface of the first movable plate and the second movable plate is installed respectively and makes two diminishing clamp devices of movable plate neighbor distance, another of the first movable plate and the second movable plate installs the first adhesive tape and the second adhesive tape on the surface respectively.Described clamp device is nut and screw rod, and the first movable plate and the second movable plate install the first nut and the second nut respectively, screw rod and the first nut and the second nut screw connection.Described clamp device has a fastening strip, and fastening strip is arranged on the first movable plate, fastening strip is arranged several latch, and the upper surface of the second movable plate arranges several groove, latch and groove fit.Described first movable plate and the second movable plate are arc shape boards, and two arc shape board inside edges are rounded after touch mutually.First movable plate one end is connected with the 3rd movable plate one end by the first connector, 3rd movable plate is connected with the 4th movable plate by clamp device, 4th movable plate one end is connected with rebound by the second connector, one end of second movable plate is connected with the 5th movable plate by the 3rd connector, 5th movable plate is connected with the 6th movable plate by clamp device, and the 6th movable plate one end is connected with rebound by the 4th connector.The length being shorter in length than the 3rd movable plate of the 4th movable plate, the length being shorter in length than the 5th movable plate of the 6th movable plate.Described rebound is the triangular plate adapting to wound angle.First movable plate and the second movable plate are one group and are positioned at same plane, 3rd movable plate and the 4th movable plate are one group and are positioned at same plane, 5th movable plate and the 6th movable plate are one group and are positioned at same plane, three groups of movable plates lay respectively at three different directions, distribute within the scope of 360 °.Described clamp device is the cooperation of nut-screw or fastening strip tooth and the coordinating of groove.First movable plate and spongy layer is set between the second movable plate and adhesive tape or offers transudate spout at the bottom side end face of the first movable plate and the second movable plate.
The Wound suturing-free device that this utility model provides, can solve the deficiency that prior art exists.It makes Wound suturing-free enter the Clinical practice of operability.Seam device of exempting from described in the utility model can make the wound both sides skin opened follow movable plate to move to centre and fit tightly, and wound can be made neatly involutory, realize the wound closure state desired by surgeon, wound healing is fast, wound is in exposed state, the transudate being convenient to wound flows out, and can sterilize in time and observe wound healing situation, during patient activity, wound there will not be shifting phenomena, there is not relative motion, pin hole cicatrix after wound healing during Sutureless, the situation that skin tensioning is out of shape is there is not in wound when healing, reduce and infect, shorten operating time, patient suffering reduces, without distortion and darker cicatrix after wound healing.This utility model device according to the tautness of the fat thickness adjustment clamp device of different patient, also can according to circumstances can adjust wound laminating tightness.This utility model device can be suitable for multiple irregular wound, is more suitable for the wound of indwelling drainage tube, drainage tube can be directly fixed on movable plate.
Accompanying drawing explanation
Accompanying drawing 1 is one of this utility model embodiment structural representation; Accompanying drawing 2 is accompanying drawing 1 plan structure schematic diagrams; Accompanying drawing 3 is two structural representations of this utility model embodiment; Accompanying drawing 4 is plan structure schematic diagrams of accompanying drawing 3; Accompanying drawing 5 is three structural representations of this utility model embodiment; Accompanying drawing 6 is plan structure schematic diagrams of accompanying drawing 5; Accompanying drawing 7 is four structural representations of this utility model embodiment.
Detailed description of the invention
Contrast accompanying drawing is described further this utility model.
What this utility model provided exempts from seam device the first movable plate 4 and the second movable plate 3, a surface of the first movable plate 4 and the second movable plate 3 is installed respectively and makes two diminishing clamp devices of movable plate neighbor distance, another of the first movable plate 4 and the second movable plate 3 installs the first adhesive tape 2 and the second adhesive tape 1 on the surface respectively.Movable plate described in the utility model can adopt movable stand or mobile network to substitute.
One of preferred clamp device scheme is nut and screw rod, and the first movable plate 4 and the second movable plate 3 install the first nut 6 and the second nut 5 respectively, and screw rod 7 coordinates with the first nut 6 and the second nut 5.This is convenient operation, and elasticity is easy to the structure controlled.
Two of preferred clamp device scheme is: it has a fastening strip 8, and fastening strip 8 is arranged on the first movable plate 4, and upper surface fastening strip 8 being arranged several latch 10, second movable plate 3 arranges several groove 9, and latch 10 coordinates with groove 9.This clamp device is easy to the distance between adjustment two movable plates, and is easy to operation, and adjustment fast, succinctly.
Further program of the utility model is: described first movable plate 4 and the second movable plate 3 are arc shape boards, and two arc shape board inside edges are rounded after touch mutually.It makes up for Minimally Invasive Surgery wound, easy to use.
Another preferred version of this utility model is: first movable plate 4 one end is connected with the 3rd movable plate 21 one end by the first connector 38,3rd movable plate 21 is connected with the 4th movable plate 20 by clamp device, 4th movable plate 20 one end is connected with rebound 25 by the second connector 44, one end of second movable plate 3 is connected with the 5th movable plate 14 by the 3rd connector 29,5th movable plate 14 is connected with the 6th movable plate 13 by clamp device, and the 6th movable plate 13 one end is connected with rebound 25 by the 4th connector 35.The wound that this structure is mainly used on multi-direction position makes up, is convenient to shift position, convenient operation, and the speed that cicatrizes a wound is fast.
Further scheme is: the length being shorter in length than the 3rd movable plate 21 of the 4th movable plate 20, the length being shorter in length than the 5th movable plate 14 of the 6th movable plate 13.This structure is convenient to movable plate is more firmly connected with rebound 25.
The shape of preferred rebound 25 is the triangular plate adapting to wound angle.
The further scheme of this utility model is: the first movable plate 4 and the second movable plate 3 are one group and are positioned at same plane, 3rd movable plate 21 and the 4th movable plate 20 are one group and are positioned at same plane, 5th movable plate 13 and the 6th movable plate 14 are one group and are positioned at same plane, three groups of movable plates lay respectively at three different directions, distribute within the scope of 360 °.Make up with the wound adapting to different directions, the wound of all directions is not torn.
The clamp device used in said structure is the cooperation of nut-screw or fastening strip tooth and the coordinating of groove.As Figure 1-Figure 4.
Wound suturing-free device described in the utility model is easy to absorption in order to the transudate after making wound make up or flows out, and can arrange spongy layer 45 between the second movable plate 3 and adhesive tape or offer transudate spout 46 at the bottom side end face of the first movable plate 4 and the second movable plate 3 at the first movable plate 4.Some wound after making up, have blood or transudate flows out, the method that medical sponge adsorbs can be adopted, as shown in Figure 1, with adhesive tape junction, spongy layer 45 is installed at the first movable plate 4 and the second movable plate 3 or the 3rd movable plate 21, the 4th movable plate 20, the 5th movable plate 13 and the 6th movable plate 14, or offer blood and slime or transudate spout at the bottom side end face of each movable plate, as shown in Figure 3.This structure is convenient to wound healing, and can reduce patient pain's sense when nursing, and reduces infection.
Wound suturing-free device of the present utility model provides four embodiments, but scheme of the present utility model is not limited in scope of embodiments.
One of this utility model embodiment and embodiment two as Figure 1-Figure 4, what it was mainly used in linear type wound exempts from seam healing, the difference of two different mainly clamp devices of embodiment.The clamp device of embodiment 1 is nut-screw, as shown in Figure 1: two nuts are arranged on the first movable plate 4 and the second movable plate 3 respectively, screw rod and nut screw connection.The nut that movable plate is installed is how many, depend on the length of movable plate, the nut-screw shown in Fig. 1 is two groups, and Wound suturing-free device of the present utility model can need to make multiple model according to difference, one group of nut-screw can be installed on movable plate, 3 groups or more group nut-screws also can be installed.Clamp device shown in Fig. 2 is the structure of fastening strip tooth and groove fit, its structure is: be fixedly mounted with and be equipped with a bayonet strip 8, fastening strip 8 is arranged on the first movable plate 4, fastening strip 8 is arranged several latch 10, the upper surface of the second movable plate 3 arranges several groove 9, latch 10 coordinates with groove 9, this structure for the distance of adjustment two movable plates and tautness more applicable, better effects if.What the structure of embodiment three was mainly used in Wicresoft's wound exempts from seam healing, being changed to of its structure: described first movable plate 4 and the second movable plate 3 are arc shape boards, two arc shape board inside edges are rounded after touch mutually, two arcuation movable plates interior along radian semicircular, when the termination, inside edge of two arcuation movable plates touches, the intermediate cavity of two arcuation movable plates is rounded.This structure of the present utility model is mainly used in the Wound suturing-free healing of Wicresoft's boring operation operation, and the clamp device of this structure can adopt nut-screw, also can adopt the structure of fastening strip tooth and groove fit.Certainly, the structure that this utility model makes the first movable plate 4 and the second movable plate 3 reduce direction movement to neighbor distance also has more implementation method, but the structure that the application provides is only low cost of manufacture, convenient operation, preferred version that tautness is good.
The structure of this utility model embodiment four, be mainly used in multi-direction in same plane of wound, the seam of exempting from of many bifurcated wounds heals, its change structure in base structure is: first movable plate 4 one end is connected with the 3rd movable plate 21 one end by the first connector 38, 3rd movable plate 21 is connected with the 4th movable plate 20 by clamp device, 4th movable plate 20 one end is connected with rebound 25 by the second connector 44, one end of second movable plate 3 is connected with the 5th movable plate 14 by the 3rd connector 29, 5th movable plate 14 is connected with the 6th movable plate 13 by clamp device, 6th movable plate 13 one end is connected with rebound 25 by the 4th connector 35.
When Wound suturing-free device described in the utility model uses, by the tape adhesion on two movable plates in wound both sides, then adjusting clamp device makes the movable plate of wound both sides move to wound, thus drive wound to make up, extruding force is formed in wound circumference, play the effect of wound suture, finally clamp device is fixed.For different wounds can also first day after surgery, second day or according to the hemorrhage of postoperative wound and transudate situation adjustment clamp device.Wound suturing-free device of the present utility model can also protect wound not by tension force, influence of shear force, and define the protection domain that is avoided external disturbance, the speed cicatrized a wound is faster.This utility model Wound suturing-free device Clinical practice 21 example, wherein 3 examples are bifurcated wounds, other is linear type wound, exempt from the operation of seam device easy to use, the pain of the wound of patient obviously alleviates, Post operation second day patient all energy out-of-bed activities, there is not wound displacement, inconsistent phenomenon, be easy to nursing, speed of wound healing is than suture operation 1-3 days in advance, and after wound healing, nothing is out of shape and darker cicatrix.This utility model can form extruding force to wound, and wound is made up, plays the effect of wound suture, and wound can also be protected not affect by tension force, shearing force, forms one not by the protection domain of external interference.Feature of the present utility model be structure simple, adapt to multiple wound, clinical manipulation convenient, alleviate patient pain, cicatrix is few, healing is fast.
In figure: 11 the 3rd fixation adhesive tape 12 the 4th fixation adhesive tape 15 the 3rd nut 16 the 4th nut 17 second studs 18 the 5th fixation adhesive tape 19 the 6th fixation adhesive tape 22 the 5th nut 23 the 6th nut 24 the 3rd studs 26 the 7th fixed support 27 the 7th nut 28 the 8th nut 30 the 9th nut 31 the tenth nut 32 the 5th studs 33 the 11 nut 34 the 12 nut 36 the 13 nut 37 the 14 nut 39 the 15 nut 40 the 16 nut 41 the 8th studs 42 the 17 nut 43 the 18 nuts.
Claims (10)
1. a surgical wound exempts to stitch device, it is characterized in that: comprise the first movable plate (4) and the second movable plate (3), a surface of the first movable plate (4) and the second movable plate (3) is installed respectively and makes two diminishing clamp devices of movable plate neighbor distance, another of the first movable plate (4) and the second movable plate (3) installs the first adhesive tape (2) and the second adhesive tape (1) on the surface respectively.
2. a kind of surgical wound according to claim 1 exempts to stitch device, it is characterized in that: described clamp device is nut and screw rod, first movable plate (4) and the second movable plate (3) install the first nut (6) and the second nut (5) respectively, and screw rod (7) coordinates with the first nut (6) and the second nut (5).
3. a kind of surgical wound according to claim 1 exempts to stitch device, it is characterized in that: described clamp device has a fastening strip (8), fastening strip (8) is arranged on the first movable plate (4), fastening strip (8) is arranged several latch (10), the upper surface of the second movable plate (3) arranges several groove (9), and latch (10) coordinates with groove (9).
4. a kind of surgical wound according to claim 1 exempts to stitch device, it is characterized in that: described first movable plate (4) and the second movable plate (3) are arc shape boards, and two arc shape board inside edges are rounded after touch mutually.
5. a kind of surgical wound according to claim 1 exempts to stitch device, it is characterized in that: the first movable plate (4) one end is connected with the 3rd movable plate (21) one end by the first connector (38), 3rd movable plate (21) is connected with the 4th movable plate (20) by clamp device, 4th movable plate (20) one end is connected with rebound (25) by the second connector (44), one end of second movable plate (3) is connected with the 5th movable plate (14) by the 3rd connector (29), 5th movable plate (14) is connected with the 6th movable plate (13) by clamp device, 6th movable plate (13) one end is connected with rebound (25) by the 4th connector (35).
6. a kind of surgical wound according to claim 5 exempts to stitch device, it is characterized in that: the length being shorter in length than the 3rd movable plate (21) of the 4th movable plate (20), the length being shorter in length than the 5th movable plate (14) of the 6th movable plate (13).
7. a kind of surgical wound according to claim 5 exempts to stitch device, it is characterized in that: described rebound (25) is the triangular plate adapting to wound angle.
8. a kind of surgical wound according to claim 5 exempts to stitch device, it is characterized in that: the first movable plate (4) and the second movable plate (3) are one group and are positioned at same plane, 3rd movable plate (21) and the 4th movable plate (20) are one group and are positioned at same plane, 5th movable plate (13) and the 6th movable plate (14) are one group and are positioned at same plane, three groups of movable plates lay respectively at three different directions, distribute within the scope of 360 °.
9. a kind of surgical wound according to claim 5 exempts to stitch device, it is characterized in that: described clamp device is the cooperation of nut-screw or fastening strip tooth and the coordinating of groove.
10. a kind of surgical wound exempts to stitch device according to claim 1 or 5, it is characterized in that: the first movable plate (4) and arrange spongy layer (45) between the second movable plate (3) and adhesive tape or offer transudate spout (46) at the bottom side end face of the first movable plate (4) and the second movable plate (3).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201520121043.5U CN204484205U (en) | 2014-10-28 | 2015-03-02 | A kind of surgical wound exempts to stitch device |
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2014105845659 | 2014-10-28 | ||
| CN201410584565 | 2014-10-28 | ||
| CN201520121043.5U CN204484205U (en) | 2014-10-28 | 2015-03-02 | A kind of surgical wound exempts to stitch device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN204484205U true CN204484205U (en) | 2015-07-22 |
Family
ID=53236225
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201520121043.5U Expired - Fee Related CN204484205U (en) | 2014-10-28 | 2015-03-02 | A kind of surgical wound exempts to stitch device |
| CN201510092605.2A Active CN104644227B (en) | 2014-10-28 | 2015-03-02 | Suture-free device for surgical wound |
Family Applications After (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510092605.2A Active CN104644227B (en) | 2014-10-28 | 2015-03-02 | Suture-free device for surgical wound |
Country Status (1)
| Country | Link |
|---|---|
| CN (2) | CN204484205U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104644227A (en) * | 2014-10-28 | 2015-05-27 | 山东省药学科学院 | Suture-free device for surgical wound |
| CN109812714A (en) * | 2019-04-08 | 2019-05-28 | 董赵卜 | A kind of LED lamp tube with defencive function |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106901790A (en) * | 2017-04-07 | 2017-06-30 | 姜正旭 | A kind of surgical wound exempts to stitch device |
| CN109833072A (en) * | 2019-03-29 | 2019-06-04 | 万盛精密钣金江苏有限公司 | One kind is medical to be exempted to stitch adhesive tape |
Family Cites Families (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE102007011570A1 (en) * | 2007-03-08 | 2008-09-11 | Fleischmann, Wilhelm, Dr.med. | Device for stretching the skin |
| US10123800B2 (en) * | 2011-11-01 | 2018-11-13 | Zipline Medical, Inc. | Surgical incision and closure apparatus with integrated force distribution |
| CN102599949B (en) * | 2012-02-29 | 2013-09-18 | 陈政 | Adjustable skin incision anastomat |
| CN202505414U (en) * | 2012-03-19 | 2012-10-31 | 湖北鑫六通医疗科技有限公司 | Healing-boosting suture-free medical zipper |
| CN202637012U (en) * | 2012-04-13 | 2013-01-02 | 张立 | Skin wound locking device |
| CN203122498U (en) * | 2013-03-13 | 2013-08-14 | 佛山瑞匀医疗器械有限公司 | Skin wound healing aid |
| CN204484205U (en) * | 2014-10-28 | 2015-07-22 | 山东省药学科学院 | A kind of surgical wound exempts to stitch device |
-
2015
- 2015-03-02 CN CN201520121043.5U patent/CN204484205U/en not_active Expired - Fee Related
- 2015-03-02 CN CN201510092605.2A patent/CN104644227B/en active Active
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104644227A (en) * | 2014-10-28 | 2015-05-27 | 山东省药学科学院 | Suture-free device for surgical wound |
| CN104644227B (en) * | 2014-10-28 | 2017-05-17 | 山东省药学科学院 | Suture-free device for surgical wound |
| CN109812714A (en) * | 2019-04-08 | 2019-05-28 | 董赵卜 | A kind of LED lamp tube with defencive function |
| CN109812714B (en) * | 2019-04-08 | 2021-03-19 | 合隆防爆电气有限公司 | LED fluorescent tube with protect function |
Also Published As
| Publication number | Publication date |
|---|---|
| CN104644227B (en) | 2017-05-17 |
| CN104644227A (en) | 2015-05-27 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20150722 |