CN205569492U - Store up courage formula U type gasbag biliary tract and wash drainage tube - Google Patents
Store up courage formula U type gasbag biliary tract and wash drainage tube Download PDFInfo
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- CN205569492U CN205569492U CN201620213529.6U CN201620213529U CN205569492U CN 205569492 U CN205569492 U CN 205569492U CN 201620213529 U CN201620213529 U CN 201620213529U CN 205569492 U CN205569492 U CN 205569492U
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- drainage tube
- air bag
- biliary tract
- tube
- drainage
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Abstract
The utility model discloses a store up courage formula U type gasbag biliary tract and wash drainage tube, including the drainage tube body left side drainage tube and right drainage tube, the outer extremely interior outer section of abdomen, abdominal cavity section and the liver inner segment of including is in proper order respectively followed to left side drainage tube and right drainage tube, two liver inner segments constitute the spill bottom of U type, the liver inner segment is equipped with a plurality of side openings, the lower edge of side opening is equipped with interior gasbag and outer gasbag, still include gas tube and flushing pipe, it is located respectively just it corresponds the setting along the lateral wall of left drainage tube and right drainage tube respectively in left side drainage tube and the right drainage tube, the bottom of drainage tube body coincide mouthful for the courage intestines, and it is located to be equipped with and prevents flap valve against the current. The utility model provides a simple structure, reasonable in design, the drainage is effectual and the store up courage formula U type gasbag biliary tract and wash drainage tube that can wash, it effectively stops bile refluence in the drainage tube, prevents retrograde infection 's in the biliary tract emergence, simultaneously can to this drainage tube body have stop up and the obstructed circumstances under wash.
Description
Technical field
This utility model relates to biliary drainage technical field, particularly relates to a kind of U-shaped air bag storage gallbladder formula biliary stent.
Background technology
Hilar cholangiocarcinoma refers to that the common hepatic duct being primary in more than cystic duct opening is to the mucous epithelium at Left And Right Hepatic Duct position
Cancer, accounts for the 2% of general tumour, accounts for the 50%-70% of tumor of biliary tract inside and outside all livers, owing to hilar cholangiocarcinoma is easily invaded
Hilar portal vein, Hepatic artery, involve the situation such as surrounding tissue and peripheral lymphoid transfer；And position is special, anatomy relationship
Complexity, has belonged to late period the most when patient seeks medical advice, although at portion of techniques condition preferable Genneral Surgery center hilar bile duct
Carcinectomy rate increases, but still has most of case can not excision.Clinical research finds that hilar cholangiocarcinoma is many
For the adenocarcinoma of differentiated, poor growth, most patients not die from the extensive transfer of tumor, and the most long-term biliary tract obstructs
Hepatic and renal function progressive injury caused by resistance or the complication such as biliary tract infection, hepatic cyst.Therefore unresectable hilar bile duct
The purpose of cancer surgical intervention is that efficient solution removes obstruction of biliary tract, alleviates liver function injury, improves life quality, when extending existence
Between.
The method of palliative treatment hilar cholangiocarcinoma is a lot of at present, has operation biliary drainage, gets involved method biliary drainage, chemotherapy
And radiotherapy, immunization therapy, Biotherapeutics etc., but biliary drainage is to release infeasible R0 to excise hilar bile duct carninomatosis
The effective ways of the obstruction of biliary tract of people, and once releasing is blocked, and as long as liver function is recovered rapidly, most patients' is general
Situation can quickly be improved, the curative effect of postoperative short-term no less than excision person, even recovers faster than complexity excision person.
Biliary drainage biliary drainage should select as far as possible to hold time long, leave hospital after be easily managed, blocking rate is low, complication
Few method.The mode of biliary drainage has multiple；(puncture and intubation draws substantially can be divided into external drainage by the whereabouts of drainage-fluid
Stream, built-in U Tube Drain of performing the operation), interior drain (biliary enteric anastomosis drain, scope stent drainage).External drainage is mainly
By the method for inner support tube drain, its shortcoming bile loss two is big, and Electrolyte imbalance easily occurs, and the every condition of nutriture is more
Under, finally it is unable to reach the effect improving the quality of living and extending life cycle；And interior drain mainly use biliary enteric anastomosis,
Scope stent drainage etc. carries out drain, its shortcoming be good for overall health of patients, Cholangio-jejunostomy can be carried out without Intrahepatic metastasis person
Art, and the postoperative probability that blocks again is high, the postoperative retrograde infection of biliary tract repeatedly, limitation biliary peritonitis etc., patient is postoperative
The improvement of quality of life and the prolongation meaning of life cycle are the most obvious.
The most preoperative by the imaging data such as B ultrasonic, CT, MRCP, carrying out typing according to Bismuth scheme can be as sentencing
The foundation that can disconnected tumor excise.But imaging data has some limitations the most unavoidably, consider tumor from local factor
That can excise it is crucial that the scope involved with the relation between portal vein, tumor of tumor and the situation of peripheral lymph node transfer
Deng, these depend merely on imaging data is inadequate, so tending to clinically by operations research to judge that can tumor be cut
Remove, to Rhizoma Atractylodis Macrocephalae judges can not be cut patients with hilar cholangiocarcinoma, the commonly used method in each Genneral Surgery center it
One is U Tube Drain art, has trajectory decompression, drainage effect is definite, take into account interior external drainage, improve life quality, prolongation
The advantages such as life span.
U pipe used by a Genneral Surgery center is mostly self-control at present, the part etc. of some surgery center disposable transfusion device
Diameter and longer part, prune after side opening and use, or other materials make, without convenient formation can
Medical U manages；And need when placing to introduce in left (right) common hepatic duct metal biliary tract sound, then eject from liver diaphragmatic surface,
Again U pipe is fixed with probe's end, then along original route U pipe is pulled to hepatic portal, then by probe and U pipe by the right side (left)
Common hepatic duct leads to liver diaphragmatic surface or U pipe is imbedded jejunum, it is desirable to all side openings all should be in common hepatic duct, and left and right is as far as possible consistent,
Then fixing, relatively big to liver tissue injury when this art formula probe guides, once there is leak in Cholangio-jejunostomy mouth, it is impossible to control
Bile continues to enter abdominal cavity.
In sum, a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube overcoming above-mentioned difficulties of design is needed at present badly.
Utility model content
The purpose of this utility model there is provided a kind of simple in construction, reasonable in design, drainage effect good and flushable storage
Gallbladder formula U-shaped air bag biliary tract irrigation drainage tube；In it effectively stops drainage tube, bile flows backwards, and prevents retrograde infection in biliary tract
Occur, this drainage tube body can be had in the case of blocking and being obstructed simultaneously and be rinsed.
To achieve these goals, this utility model adopts the technical scheme that: a kind of storage gallbladder formula U-shaped air bag biliary tract rinses
Drainage tube, including drainage tube body,
Described drainage tube body is U-shaped, and it includes left drainage tube and right drainage tube；
Described left drainage tube and right drainage tube include the outer section of abdomen, abdominal cavity section and liver inner segment the most successively；Two
Liver inner segment constitutes U-shaped concave bottom；
Described liver inner segment is provided with some side openings, and the lower edge of described side opening is provided with interior air bag and outer air bag；
Also including gas tube and flush pipe, it is respectively arranged on described left drainage tube and right drainage tube is interior and it draws respectively along a left side
The sidewall of flow tube and right drainage tube is correspondingly arranged；
The outside of described gas tube connects an aerating device, and its end connects described interior air bag and outer air bag respectively；Described punching
The outside washing pipe connects a flusher, and the opening of its end is positioned at described air bag and outer air bag 1cm；
The bottom of described drainage tube body is Cholangio-jejunostomy mouth, is provided with counterflow-preventing flap valve at it.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube as above, wherein, described left drainage tube and right drainage tube
The port of export connect a metal probe respectively.
Storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube as above a kind of, wherein, described metal probe a length of
15cm；
The a length of 25-50cm of the outer section of described abdomen；
The a length of 2-5cm of described abdominal cavity section；
The a length of 10-20cm of described liver inner segment.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube as above, wherein, described left drainage tube and right drainage tube
The port of export cut off described metal probe after, be respectively mounted an outer tube control valve；Outer end in described outer tube control valve
Connect a drainage bag respectively.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube as above, wherein, the bottom of described drainage bag is provided with puts
Liquid mouth and tapping control valve.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube as above, wherein, described left drainage tube and right drainage tube
For outer thin interior thick type；
The scope of its diameter is between 0.3-0.6cm, 0.4-0.7cm, 0.5-0.8cm.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube as above, wherein, described left drainage tube and right drainage tube
For etc. thick type；Its a diameter of 0.3cm, 0.4cm, 0.5cm or 0.6cm.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube as above, wherein, described metal probe uses medical titanium
Alloy is made.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube as above, wherein, the diameter range of described side opening is
0.1-0.3cm。
Compared with prior art, what this utility model produced has the advantages that:
1, a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, it not only has the work of bile drainage
With, and can be rinsed in the case of this drainage tube body occurs blocking or inadequate drainage, thus substantially increase
The effect of drain；
2, a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, arranges interior air bag and outer air bag, can
Realize sealing common hepatic duct completely, prevent bile from flowing to anastomotic stoma；
3, a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, it arranges inside and outside air bag and counterflow-preventing
Flap valve, both are used in combination, and not only ensure the effect of drain, and effectively prevent bile reflux thus the infection that causes；
4, a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, it has simple in construction, user
Just, feature that drainage effect is good, be suitable to be widely popularized to clinical practice.
Accompanying drawing explanation
Fig. 1 is a kind of structural representation storing up gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model；
Fig. 2 is the signal of a kind of connection metal probe storing up gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model
Figure；
Description of reference numerals:
1, drainage tube body 2, left drainage tube 3, right drainage tube
41, abdomen outer section 42, abdominal cavity section 43, liver inner segment
5, side opening 6, interior air bag 7, outer air bag
8, gas tube 9, flush pipe 10, aerating device
11, flusher 12, Cholangio-jejunostomy mouth 13, counterflow-preventing flap valve
14, metal probe 15, outer tube control valve 16, drainage bag
17, tap hole 18, tapping control valve
Detailed description of the invention
For the ease of understanding the purpose of this utility model, technical scheme and effect thereof, now will be in conjunction with the embodiments new to this practicality
Type is elaborated further.
As depicted in figs. 1 and 2, a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, including drain
Tube body 1, described drainage tube body 1 is U-shaped, and it includes left drainage tube 2 and right drainage tube 3；Described left drainage tube 2
The outer section 41 of abdomen, abdominal cavity section 42 and liver inner segment 43 is included the most successively with right drainage tube 3；Two liver inner segments
43 constitute U-shaped concave bottom；Described liver inner segment 43 is provided with some side openings 5, and the lower edge of described side opening 5 is provided with interior gas
Capsule 6 and outer air bag 7；Also including gas tube 8 and flush pipe 9, it is respectively arranged on described left drainage tube 2 and right drainage tube 3
In and its be correspondingly arranged respectively along the sidewall of left drainage tube 2 and right drainage tube 3；The outside of described gas tube 8 connects one
Aerating device 10, its end connects described interior air bag 6 and outer air bag 7 respectively；The outside of described flush pipe 9 connects a punching
Cleaning device 11, the opening of its end is positioned at described air bag 6 and outer air bag 71cm；Described drainage tube body 1
Bottom is Cholangio-jejunostomy mouth 12, is provided with counterflow-preventing flap valve 13 at it.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, is provided with interior air bag 6 and outer air bag 7,
Both share an aerating device 10 and gas tube 8；This interior air bag 6 can seal tube chamber, outer air bag 7 in the deflated condition
Common hepatic duct can be blocked in the deflated condition to the space between the outer wall of drainage tube body 1, thus can seal common hepatic duct completely,
Prevent bile from flowing to anastomotic stoma.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, at the gallbladder intestinal of the bottom of drainage tube body 1
Anastomotic stoma 12 is provided with counterflow-preventing flap valve 13, and it will open having pressure when, when, after patients diet, this bile leads to
Cross Cholangio-jejunostomy mouth 12 and enter in jejunum, finally mix and promote food digestion and absorption with food.
As in figure 2 it is shown, a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, described left drainage tube 2
A metal probe 14 is connected respectively with the port of export of right drainage tube 3.
As in figure 2 it is shown, a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, described metal probe 14
A length of 15cm；The a length of 25-50cm of the outer section 41 of described abdomen；The a length of 2-5cm of described abdominal cavity section 42；Institute
State a length of 10-20cm of liver inner segment 43.
As it is shown in figure 1, a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, described left drainage tube 2
After cutting off described metal probe 14 with the port of export of right drainage tube 3, it is respectively mounted an outer tube control valve 15；Outside described
The outer end of pipe control valve 15 connects a drainage bag 16 respectively.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, arranges this outer tube control valve 15, in operation
After end, after cutting metal probe 14, it is connected on left drainage tube 2 and right drainage tube 3 two ends, to drainage tube
Play control biliary drainage speed or the effect of closedown；Pipe control valve 15 is outer outside connects a drainage bag 16 respectively, right
Bile carries out drain collection.
As it is shown in figure 1, a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, described drainage bag 16
Bottom be provided with tap hole 17 and tapping control valve 18；Thus the discharge of drainage-fluid in controlling drainage bag 16.
As it is shown in figure 1, a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, described left drainage tube 2
With the thick type such as right drainage tube 3 is；Its a diameter of 0.3cm, 0.4cm, 0.5cm or 0.6cm.
Another embodiment, a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, described left drainage tube 2
It is outer thin interior thick type with right drainage tube 3；The scope of its diameter is between 0.3-0.6cm, 0.4-0.7cm, 0.5-0.8cm.
For above two embodiment, this left drainage tube 2 is divided into two kinds of different specifications with right drainage tube 3, grasps in reality
During work, carry out as required selecting.
As in figure 2 it is shown, a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, described metal probe 14
Employing medical titanium alloy is made.
As depicted in figs. 1 and 2, a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, described side opening
The diameter range of 5 is 0.1-0.3cm.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube of the present utility model, its work process is as follows:
First this drainage tube body 1 is taken out in primary sterilization packing box by when in use, and aseptic technique is beaten
It is handed to operating-table after opening packaging, takes out drainage bag 16 standby；Guide in following a left side (right) common hepatic duct with metal probe 14 and pass
Liver surface, then follow to guide in the right side (left) common hepatic duct with other end metal probe 14 and pass liver surface, put in bile duct
Correct position, the counterflow-preventing flap valve 13 of this drainage tube is placed in left and right common hepatic duct meet；After position suitable, cut off
Metal probe 14, will store up gallbladder formula U-shaped air bag biliary tract irrigation drainage tube two ends from stomach wall correct position lead body with vascular forceps
And fix, then inflate for interior air bag 6 and outer air bag 7 so that it is interior air bag 6 and outer air bag 7 are each filled with；Operation terminates
After, to load onto outer tube control valve 15, connect the drainage bag 16 of outside, then the bile secreted enters into storage gallbladder formula U through side opening 5
In type air bag biliary tract irrigation drainage tube tube chamber.
When patient does not takes food after surgery, open interior air bag 6 and outer air bag 7, bile is then stored in gallbladder formula U by drain
In type air bag biliary tract irrigation drainage tube tube chamber, it is drained at most in external drainage bag 16 if crossing, it is possible to reduce bile pair
The corrosion of anastomotic stoma and interference, thus reduce the incidence rate of anastomotic leakage；When drainage bag 16 is expired soon, drain can be passed through
The tapping control valve 18 of bag 16 lower ends is put into container from tap hole 17 or is easy to specimen taken censorship；Patient after surgery
After recovering to have meal, and Cholangio-jejunostomy mouth 12 is under noiseless state after normal healing, can be by this interior air bag 6 and exogenous QI
The reduction that capsule 7 is appropriate, and close outer tube control valve 15 so that store and continue the bile energy of secretion along along the tube chamber flow direction
Counterflow-preventing flap valve 13, enters in jejunum by Cholangio-jejunostomy mouth 12, finally mixes and promote food digestion and suction with food
Receive, air bag 6 and outer air bag 7 in opening when not taking food, store bile, play gallbladder and store the effect of bile；If
The situations such as consideration storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube stops up, calculus, gallbladder mud occur, can be through rinsing dress
Put the 11 aseptic flushing waters of injection, enter into the water outlet side opening 5 gone out from interior air bag 6 and outer air bag 7 about 1cm through flush pipe 9
Place, rinses through row storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube tube chamber, and flushing water and tamper can be U-shaped through storage gallbladder formula
Air bag biliary tract irrigation drainage tube tube chamber is from former bile flow outlet lead body.
Above in conjunction with embodiment, this utility model done further narration, but this utility model has been not limited to above-mentioned enforcement
Mode, in the ken that one skilled in the relevant art is possessed, it is also possible to without departing from this utility model objective
On the premise of make a variety of changes.
Claims (9)
1. a storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube, including drainage tube body, it is characterised in that:
Described drainage tube body is U-shaped, and it includes left drainage tube and right drainage tube；
Described left drainage tube and right drainage tube include the outer section of abdomen, abdominal cavity section and liver inner segment the most successively；Two
Liver inner segment constitutes U-shaped concave bottom；
Described liver inner segment is provided with some side openings, and the lower edge of described side opening is provided with interior air bag and outer air bag；
Also including gas tube and flush pipe, it is respectively arranged on described left drainage tube and right drainage tube is interior and it draws respectively along a left side
The sidewall of flow tube and right drainage tube is correspondingly arranged；
The outside of described gas tube connects an aerating device, and its end connects described interior air bag and outer air bag respectively；Described punching
The outside washing pipe connects a flusher, and the opening of its end is positioned at described air bag and outer air bag 1cm；
The bottom of described drainage tube body is Cholangio-jejunostomy mouth, is provided with counterflow-preventing flap valve at it.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube the most according to claim 1, it is characterised in that:
The port of export of described left drainage tube and right drainage tube connects a metal probe respectively.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube the most according to claim 2, it is characterised in that:
The a length of 15cm of described metal probe；
The a length of 25-50cm of the outer section of described abdomen；
The a length of 2-5cm of described abdominal cavity section；
The a length of 10-20cm of described liver inner segment.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube the most according to claim 3, it is characterised in that:
After the port of export of described left drainage tube and right drainage tube cuts off described metal probe, it is respectively mounted an outer tube and controls
Valve；A drainage bag is connected respectively in the outer end of described outer tube control valve.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube the most according to claim 4, it is characterised in that:
The bottom of described drainage bag is provided with tap hole and tapping control valve.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube the most according to claim 5, it is characterised in that:
Described left drainage tube and right drainage tube are outer thin interior thick type；
The scope of its diameter is between 0.3-0.6cm, 0.4-0.7cm, 0.5-0.8cm.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube the most according to claim 5, it is characterised in that:
The thick types such as described left drainage tube and right drainage tube are；
Its a diameter of 0.3cm, 0.4cm, 0.5cm or 0.6cm.
8. according to a kind of storage gallbladder formula U-shaped air bag biliary tract irrigation and drainage described in claim 6 or 7 any one claim
Pipe, it is characterised in that:
Described metal probe uses medical titanium alloy to make.
A kind of storage gallbladder formula U-shaped air bag biliary tract irrigation drainage tube the most according to claim 8, it is characterised in that:
The diameter range of described side opening is 0.1-0.3cm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620213529.6U CN205569492U (en) | 2016-03-11 | 2016-03-11 | Store up courage formula U type gasbag biliary tract and wash drainage tube |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620213529.6U CN205569492U (en) | 2016-03-11 | 2016-03-11 | Store up courage formula U type gasbag biliary tract and wash drainage tube |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN205569492U true CN205569492U (en) | 2016-09-14 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201620213529.6U Expired - Fee Related CN205569492U (en) | 2016-03-11 | 2016-03-11 | Store up courage formula U type gasbag biliary tract and wash drainage tube |
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| CN (1) | CN205569492U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109663157A (en) * | 2019-01-31 | 2019-04-23 | 上海市肺科医院 | A kind of novel intrapleural injection drainage device |
-
2016
- 2016-03-11 CN CN201620213529.6U patent/CN205569492U/en not_active Expired - Fee Related
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109663157A (en) * | 2019-01-31 | 2019-04-23 | 上海市肺科医院 | A kind of novel intrapleural injection drainage device |
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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: 20160914 Termination date: 20170311 |