CN208031246U - Hemostasis by compression pinning device and the anastomat for circumcision for using the device - Google Patents
Hemostasis by compression pinning device and the anastomat for circumcision for using the device Download PDFInfo
- Publication number
- CN208031246U CN208031246U CN201721043945.7U CN201721043945U CN208031246U CN 208031246 U CN208031246 U CN 208031246U CN 201721043945 U CN201721043945 U CN 201721043945U CN 208031246 U CN208031246 U CN 208031246U
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- China
- Prior art keywords
- nail
- elastomer
- anastomosis staple
- annular
- hemostasis
- 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
- 230000023597 hemostasis Effects 0.000 title claims abstract description 34
- 230000006835 compression Effects 0.000 title claims abstract description 29
- 238000007906 compression Methods 0.000 title claims abstract description 29
- 229920001971 elastomer Polymers 0.000 claims abstract description 78
- 239000000806 elastomer Substances 0.000 claims abstract description 78
- 230000003872 anastomosis Effects 0.000 claims abstract description 53
- 230000003014 reinforcing effect Effects 0.000 claims abstract description 6
- 238000009527 percussion Methods 0.000 claims description 9
- 229920002529 medical grade silicone Polymers 0.000 claims description 3
- 206010051077 Post procedural haemorrhage Diseases 0.000 abstract description 3
- 208000037486 Postoperative Hemorrhage Diseases 0.000 abstract description 3
- 208000032843 Hemorrhage Diseases 0.000 description 8
- 208000034158 bleeding Diseases 0.000 description 8
- 230000000740 bleeding effect Effects 0.000 description 8
- 238000010586 diagram Methods 0.000 description 7
- 238000005538 encapsulation Methods 0.000 description 5
- 230000000694 effects Effects 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 4
- 210000003953 foreskin Anatomy 0.000 description 4
- 230000002980 postoperative effect Effects 0.000 description 4
- 238000005452 bending Methods 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 230000006872 improvement Effects 0.000 description 2
- 238000009434 installation Methods 0.000 description 2
- 230000002045 lasting effect Effects 0.000 description 2
- 238000005381 potential energy Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 206010036624 Prepuce redundant Diseases 0.000 description 1
- 206010071229 Procedural haemorrhage Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 238000010304 firing Methods 0.000 description 1
- 230000000025 haemostatic effect Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 239000007769 metal material Substances 0.000 description 1
- 208000030940 penile carcinoma Diseases 0.000 description 1
- 210000003899 penis Anatomy 0.000 description 1
- 201000008174 penis carcinoma Diseases 0.000 description 1
- 206010034878 phimosis Diseases 0.000 description 1
- 238000012827 research and development Methods 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 230000009466 transformation Effects 0.000 description 1
- 208000019206 urinary tract infection Diseases 0.000 description 1
- 238000010200 validation analysis Methods 0.000 description 1
- 238000012795 verification Methods 0.000 description 1
- 230000029663 wound healing Effects 0.000 description 1
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- Surgical Instruments (AREA)
Abstract
The utility model discloses the anastomat for circumcision of a kind of hemostasis by compression pinning device and the use device, and described device includes spill seat and nail bin groupware, are equipped on spill seat with the annular resist-nailed seat for supporting nail slot；Nail bin groupware includes nail storehouse sleeve and the nail bin that is installed in nail storehouse sleeve, and anastomosis staple is equipped in nail bin；Anastomosis staple includes tie-beam and is connected to the nail leg of tie-beam both sides upwardly extended, and the front edge of tie-beam is installed with the reinforcing beam extended forward；It is provided with the position that covering supports the annular elastomeric for following closely slot and/or goes out nail in nail bin surface, face anastomosis staple on annular resist-nailed seat and is provided with annular elastomeric.The utility model has well solved postoperative hemorrhage and has been difficult to de- the problem of following closely by the combination of clasp nail and elastomer.
Description
Technical field
The utility model belongs to the field of medical instrument technology, more particularly to a kind of hemostasis by compression pinning device and use the dress
The anastomat for circumcision set.
Background technology
With the increasingly raising of living standard, because of phimosis caused by redundant prepuce, urinary tract infection, the diseases such as carcinoma of penis are got over
It is more concerned by people, with the development and research and development of products of medicine, more and more multi-functional medical instrument faces applied to Urology Surgery
Bed operation, anastomat for circumcision are exactly one such, and the application of anastomat for circumcision has that hand intraoperative hemorrhage is less, hand
The art time is shorter, can reduce error hand-manipulated, avoid infection, postoperative function restores many advantages, such as fast.
Common anastomat for circumcision is sewed up the incision using staple mode currently on the market, but due to existing staple pressure
It when contracting tissue, is easy by tissue encapsulation, causes not easy to fall off, when manual demolition causes tissue secondary damage bleeding.To understand
The certainly problem, reports a kind of staple for anastomat for circumcision in the prior art, which is clasp nail, concrete structure packet
Nail leg and crossbeam are included, and the width of crossbeam is more than nail leg width, which makes staple be not easy to be lived by tissue encapsulation, and intensity is more
Greatly, hemostasis area is big, but can only play unilateral the problem of stopping blooding, and when staple formation, since nail tip is easily pricked into tissue, so
Still there is the risk of bleeding；And anastomosis staple cannot continue urging tissue hemostasis, further, since nail leg width is slightly narrow, inner panel also
The phenomenon that having tissue encapsulation anastomosis staple is unable to Automatic-falling so as to cause postoperative anastomosis staple, and manual demolition, doctor is needed to operate band
It is inconvenient to come, and increases the pain of patient.
Utility model content
The utility model provides a kind of hemostasis by compression pinning device and the anastomat for circumcision using the device, so that
Existing clasp nail is solved the problems, such as less in use, existing bleeding problems and being difficult to Automatic-falling.
First purpose of the utility model is to provide a kind of hemostasis by compression pinning device, described device include spill seat and
The matched nail bin groupware used is equipped on the spill seat with the annular resist-nailed seat for supporting nail slot；The nail bin groupware
Including nail storehouse sleeve and the nail bin being installed in the nail storehouse sleeve, anastomosis staple is installed in the nail bin；The anastomosis staple includes
Tie-beam and the nail leg upwardly extended for being connected to the tie-beam both sides, side extends shape in the width direction on the tie-beam
At reinforcing beam；The first elastomer of the covering annular for supporting nail slot is provided on the annular resist-nailed seat and/or described
The position that nail bin surface, face anastomosis staple go out nail is provided with the second annular elastomer.
Preferably, when being provided with the first elastomer for supporting nail slot described in covering on the annular resist-nailed seat；The kiss
After dowel percussion, tissue to be anastomosed and the first elastomer aftershaping are penetrated successively, and first elastomer is detached from the ring
Shape resist-nailed seat is followed closely organizationally together together with anastomosis staple.
It is highly preferred that first elastomer includes being covered in the first annular part for supporting nail rooved face, Yi Jitao
Set on the second annular section of spill seat head lateral wall, first annular part and the second annular section are integrated connection.
Preferably, described when the position for going out nail in the nail bin surface and face anastomosis staple is provided with the second elastomer
Nail bin marginal surface offers several limiting slots, and the bottom of second elastomer is equipped with several and limiting slot and corresponds
Protrusion, second elastomer is mounted at nail bin table by the cooperation grafting of the protrusion and the limiting slot
Face；After the anastomosis staple percussion, the second elastomer and tissue aftershaping to be anastomosed are penetrated successively, and second elastomer is detached from institute
Nail bin is stated to follow closely together organizationally together with anastomosis staple.
Preferably, described on the annular resist-nailed seat and when the nail bin is provided with annular elastomeric simultaneously on the surface
Anastomosis staple percussion after, penetrate successively the second elastomer, it is to be anastomosed tissue and the first elastomer aftershaping, first elastomer and
The second elastomer release unit is followed closely together with anastomosis staple together in tissue both sides.
Preferably, first elastomer and second elastomer be medical grade silicone or medical grade PVC make and
At.
It is highly preferred that the thickness of first elastomer and second elastomer is between 0.1~1mm.
Preferably, the nail leg includes nail tip, and there is sword in the side of the nail tip.
Second purpose of the utility model is to provide a kind of anastomat for circumcision, and the anastomat for circumcision includes
Any of the above-described hemostasis by compression pinning device.
Compared with prior art, the beneficial effects of the utility model are：
(1) anastomosis staple of hemostasis by compression pinning device provided by the utility model uses clasp nail, the tie-beam of clasp nail
Width is more than nail leg width, and has bending, it is not easy to lived by tissue encapsulation, and the intensity bigger of anastomosis staple, can effectively oppress into
Follow closely side tissue bleeding；After the first elastomer of the annular nail percussion to be anastomosed being arranged on annular resist-nailed seat, connection anastomosis staple is followed closely together
Organizationally, it due to the presence of the first elastomer, avoids nail tip from being pricked again into tissue, further effectively reduces bleeding.
(2) the first elastomer installed on spill seat, after anastomosis staple percussion, connection anastomosis staple is followed closely organizationally together,
It is capable of the elastic potential energy of duration release, anastomosis staple effectively conducts the compressing of tissue, increases preputial
Between bearing area, by can preferably to the thin vessels of foreskin incisxal edge carry out hemostasis by compression, realize that lasting compressing stops
Blood reduces the probability of postoperative hemorrhage and hemotoncus.
(3) it since existing clasp nail spike width is less than the width of header portion, is organized so as to cause nail tip portion
Package has the risk not fallen off, and the utility model is coordinated by the first elastomer installed on spill seat with clasp nail, in anastomosis staple
After percussion, make spike not by tissue encapsulation, and the first elastomer can continue hemostasis by compression, in the same of lasting hemostasis by compression
When, so that clasp nail is realized automatic, completely de- nail within the shorter period.By lot of experiment validation, do not taken off using the device
The possibility of nail, be not in it is postoperative manually tear nail phenomenon open, to truly it is automatic it is de- follow closely, greatly alleviate the pain of patient
It is bitter.
(4) coordinated by the first elastomer and clasp nail installed on spill seat, realize the uniform compressing to foreskin edge, make
It is uniform to obtain preputial pairing, it is smooth, postoperative scar is reduced, wound healing is more beautiful.
(5) further, the second elastomer is arranged in the position that nail can also be gone out in nail bin surface, face anastomosis staple, coincide
Nail will not be embedded into tissue, comfort level higher, and effect is more preferable.
Description of the drawings
In order to illustrate the embodiment of the utility model or the technical proposal in the existing technology more clearly, below will be to embodiment
Or attached drawing needed to be used in the description of the prior art is briefly described, it should be apparent that, the accompanying drawings in the following description is this
Some embodiments of utility model, for those of ordinary skill in the art, without creative efforts, also
It can be obtain other attached drawings according to these attached drawings.
Fig. 1 is the structural schematic diagram for the hemostasis by compression pinning device that the utility model embodiment 1 provides；
Fig. 2 is the sectional view for the spill seat for being equipped with the first elastomer that the utility model embodiment 1 provides；
Fig. 3 is the sectional view at A-A in Fig. 2；
Fig. 4 is the structural schematic diagram for the first elastomer that the utility model embodiment 1 provides；
Fig. 5 is the sectional view of Fig. 4；
Fig. 6 is the structural schematic diagram for the anastomosis staple that the utility model embodiment provides；
Fig. 7 is the structural schematic diagram for the hemostasis by compression pinning device that the utility model embodiment 2 provides；
Fig. 8 is the installation diagram of the second elastomer and nail bin that the utility model embodiment 2 provides；
Fig. 9 is the diagrammatic cross-section for the nail bin for being equipped with the second elastomer that the utility model embodiment 2 provides；
Figure 10 is to complete the first elastomer and the second elastomer after performing the operation in the utility model embodiment 3 and tissue is clamped
Structural schematic diagram；
Figure 11 is a kind of structural schematic diagram for anastomat for circumcision that the utility model embodiment provides.
Specific implementation mode
It can be practiced in order to enable those skilled in the art to better understand the technical solutions of the present invention, with reference to
The utility model is described in further detail for specific embodiment, but illustrated embodiment is not as the restriction to the utility model.
Embodiment 1
Specifically as shown in figures 1 to 6, a kind of hemostasis by compression pinning device of the utility model embodiment, including spill seat 1 and with
The nail bin groupware being used cooperatively, be equipped on spill seat 1 with the annular resist-nailed seat 102 for supporting nail slot 101；Nail bin groupware includes
Nail storehouse sleeve and the nail bin 202 being installed in nail storehouse sleeve are equipped with anastomosis staple 3 in nail bin 202.
The structure of anastomosis staple 3 is specific as shown in fig. 6, prolonging with the upward of 301 both sides of tie-beam is connected to including tie-beam 301
The nail leg 302 stretched, side extends to form reinforcing beam 303 in the width direction on tie-beam 301, and there is bending on 303 surface of reinforcing beam,
By adding for reinforcing beam 303, the width of the tie-beam 301 of clasp nail is more than 302 width of nail leg, and has bending, anastomosis staple it is strong
Bigger is spent, can effectively be oppressed into nail side tissue bleeding.
The annular elastomeric that nail slot 101 is supported in covering, specifically as illustrated in figures 4-5, the ring are provided on annular resist-nailed seat 102
Shape elastomer is the first elastomer 103；Anastomosis staple 3 fire after, penetrate successively it is to be anastomosed tissue and the first elastomer 103 after at
Type, the first elastomer 103 is detached from annular resist-nailed seat 102 and is followed closely together organizationally together with anastomosis staple 3, due to the first elastomer 103
Presence, avoid nail tip from being pricked again into tissue, further effectively reduce bleeding, and installed on spill seat 1 first elasticity
Body 103 can also duration release elastic potential energy, anastomosis staple effectively conducts the compressing of tissue, increases foreskin
Bearing area between inner and outer plates, by that preferably can carry out uniform hemostasis by compression to the thin vessels of foreskin incisxal edge, realization is held
Continuous hemostasis by compression increases haemostatic effect, reduces the probability of postoperative hemorrhage and hemotoncus, and the first elastomer 103 is matched with anastomosis staple 3
It closes, so that anastomosis staple 3 is realized automatic de- nail within the shorter period, by multiple experimental verification, do not taken off using the device
The possibility of nail is not in manually to tear nail phenomenon open, to automatic de- nail truly, greatly alleviates the pain of patient.
As an improvement specific implementation mode, above-mentioned first elastomer 103 includes being covered in following closely the first annular of slot 101 surface
Part 104, and it is sheathed on the second annular section 105 of 1 head lateral wall of spill seat, it is specifically as illustrated in figures 4-5, first annular
Part 104 and the second annular section 105 are integrated connection, and first annular part 104 can be nailed together with anastomosis staple 3, play
The effect of hemostasis and de- nail, and the second annular section 105 is set on 1 head lateral wall of spill seat, for fixing the first elasticity
Body 103.
It should be noted that 103 and second elastomer 4 of above-mentioned first elastomer is medical grade silicone or medical grade PVC
It is made, avoids metal material anastomosis staple and be in direct contact both sides skin, safety and comfort, it is highly preferred that Shao of above-mentioned material
Family name's hardness A is 30, which had both been easy to anastomosis staple insertion, did not influenced match result, and be avoided that nail tip is pricked again into tissue.
As an improvement specific implementation mode, above-mentioned nail leg 302 include nail tip, there is sword in the side of above-mentioned nail tip, has
It is oriented to and is molded conducive to staple anastomosis staple, cutting edge can not also be sharp, specific as shown in Figure 6.
Embodiment 2
A kind of hemostasis by compression pinning device of the utility model embodiment, specific as Figure 6-9, concrete structure and embodiment
1 is identical, the difference is that, covering is not provided on annular resist-nailed seat 102 to the first elastomer 103 for following closely slot 101, but
The position that above-mentioned nail bin surface and face anastomosis staple 3 go out nail is provided with the second annular elastomer 4, the bottom of the second elastomer 4
Equipped with several protrusions, the second elastomer 4 is detachably connected by the protrusion and the nail bin.
The concrete structure and connection relation of nail bin 202 and the second elastomer 4 are as Figure 8-9, specifically, 202 table of nail bin
Several limiting slots corresponding with projection position and quantity, the cooperation that the second elastomer 4 passes through protrusion and limiting slot are equipped on the outside of face
Plugged and fixed is in nail bin surface.After anastomosis staple 3 fires, the second elastomer 4 and tissue aftershaping to be anastomosed are penetrated successively, second
Elastomer 4 is detached from nail bin and is followed closely together organizationally together with anastomosis staple 3, realizes effective hemostasis to tissue and quick de- nail.
Embodiment 3
A kind of hemostasis by compression pinning device of the utility model embodiment, concrete structure and embodiment 1 are identical, and difference exists
In on the basis of example structure, also adding the use of the second elastomer, i.e., coincide in above-mentioned nail bin surface and face
The position that nail 3 goes out nail is additionally provided with the second elastomer 4 of annular, and the bottom of the second elastomer 4 is equipped with several protrusions, the second elasticity
Body 4 is detachably connected by the protrusion and the nail bin, and the concrete structure of nail bin 202 and the second elastomer 4 is described referring to upper
State embodiment 2.
After anastomosis staple 3 fires, the second elastomer 4, tissue to be anastomosed and 103 aftershaping of the first elastomer are penetrated successively,
First elastomer 103 and 4 release unit of the second elastomer are followed closely in tissue both sides, specifically as shown in Figure 10 together together with anastomosis staple 3.
Both sides setting elastomer anastomosis staple will not be embedded into tissue completely, not only stop blooding and de- nail effect is good, comfort level higher, effect
More preferably.
Embodiment 4
A kind of anastomat for circumcision of the utility model embodiment, specific as shown in figure 11, anastomat for circumcision tool
There are any the provided hemostasis by compression pinning devices of above-described embodiment 1-3,5 front end of device body of stapler is nail storehouse sleeve 201, compressing
Hemostasis pinning device is set to the front end of stapler device body 5.When surgical procedure, spill seat 1 is separated with stapler device body first,
After spill seat 1 has covered glans penis, by 1 location and installation of spill seat in the nail storehouse sleeve 201 on stapler device body head, specifically, due to
Spill seat 1 is fixedly connected with the pull rod in nail storehouse sleeve 201, and by the adjusting nut of adjuster body tail portion, to be cut coincide is clamped
Certain interval is organized, firing handle is held, fires anastomosis staple and endless knife, hemostasis by compression pinning device completes the cutting of tissue
And suture, the tissue unilateral or bilateral after having handled retain elastomer, to effectively avoid bleeding and completely de- nail.
Obviously, those skilled in the art can carry out the utility model various modification and variations without departing from this practicality
Novel spirit and scope.If in this way, these modifications and variations of the present invention belong to the utility model claims and
Within the scope of its equivalent technologies, then the utility model is also intended to include these modifications and variations.Embodiment described above
Only it is the preferred embodiment lifted to absolutely prove the utility model, protection domain is without being limited thereto.The art
Technical staff on the basis of the utility model made by equivalent substitute or transformation, both be within the protection scope of the present invention,
The scope of protection of the utility model is subject to claims.
Claims (9)
1. a kind of hemostasis by compression pinning device, including spill seat (1) and the matched nail bin groupware used, the spill seat
(1) it is equipped on the annular resist-nailed seat (102) for supporting nail slot (101)；The nail bin groupware includes nail storehouse sleeve (201) and peace
Loaded on the nail bin (202) in the nail storehouse sleeve (201), anastomosis staple (3) is installed in the nail bin (202)；It is characterized in that,
The anastomosis staple (3) includes tie-beam (301) and is connected to the nail leg extended upper downwards of the tie-beam (301) both sides
(302), side extends to form reinforcing beam (303) in the width direction on the tie-beam (301)；In the annular resist-nailed seat
(102) be provided on the first elastomer (103) of the covering annular for supporting nail slot (101) and/or on the nail bin surface, just
The position for going out nail to anastomosis staple (3) is provided with the second elastomer (4) of annular.
2. hemostasis by compression pinning device according to claim 1, which is characterized in that when in the annular resist-nailed seat (102)
On when being provided with covering the first elastomer (103) for supporting nail slot (101), after anastomosis staple (3) percussion, penetrate wait for successively
Anastomosed tissue and first elastomer (103) aftershaping, first elastomer (103) are detached from the annular resist-nailed seat
(102) it is followed closely together organizationally together with anastomosis staple (3).
3. hemostasis by compression pinning device according to claim 2, which is characterized in that first elastomer (103) includes
It is covered in the first annular part (104) supported and follow closely slot (101) surface, and is sheathed on the outside of spill seat (1) head
The second annular section (105) of wall, first annular part (104) and the second annular section (105) are integrated connection.
4. hemostasis by compression pinning device according to claim 1, which is characterized in that when on the nail bin (202) surface, simultaneously
When promising second elastomer (4) are arranged in the position that face anastomosis staple (3) goes out nail, the nail bin (202) is if marginal surface offers
The bottom of dry limiting slot, second elastomer (4) is equipped with several and one-to-one protrusion of the limiting slot, second bullet
Property body (4) nail bin surface is mounted at by the cooperation grafting of the protrusion and the limiting slot；The anastomosis staple (3)
After percussion, the second elastomer (4) and tissue aftershaping to be anastomosed are penetrated successively, and second elastomer (4) is detached from the nail bin
It is followed closely together organizationally together with anastomosis staple (3).
5. hemostasis by compression pinning device according to claim 1, which is characterized in that when on the annular resist-nailed seat (102)
When being provided with annular elastomeric simultaneously on the surface with the nail bin, after anastomosis staple (3) percussion, the second elastomer is penetrated successively
(4), tissue and the first elastomer (103) aftershaping, first elastomer (103) and second elastomer (4) to be anastomosed
Release unit is followed closely together together with anastomosis staple (3) in tissue both sides.
6. hemostasis by compression pinning device according to claim 1, which is characterized in that first elastomer (103) and institute
It is that medical grade silicone or medical grade PVC are made to state the second elastomer (4).
7. hemostasis by compression pinning device according to claim 6, which is characterized in that first elastomer (103) and institute
The thickness of the second elastomer (4) is stated between 0.1~1mm.
8. hemostasis by compression pinning device according to claim 1, which is characterized in that the nail leg (302) includes nail tip, institute
There is sword in the side for stating nail tip.
9. a kind of anastomat for circumcision, which is characterized in that the anastomat for circumcision includes any institute of claim 1~8
The hemostasis by compression pinning device stated.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721043945.7U CN208031246U (en) | 2017-08-21 | 2017-08-21 | Hemostasis by compression pinning device and the anastomat for circumcision for using the device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201721043945.7U CN208031246U (en) | 2017-08-21 | 2017-08-21 | Hemostasis by compression pinning device and the anastomat for circumcision for using the device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN208031246U true CN208031246U (en) | 2018-11-02 |
Family
ID=63957929
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201721043945.7U Expired - Fee Related CN208031246U (en) | 2017-08-21 | 2017-08-21 | Hemostasis by compression pinning device and the anastomat for circumcision for using the device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN208031246U (en) |
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2017
- 2017-08-21 CN CN201721043945.7U patent/CN208031246U/en not_active Expired - Fee Related
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Granted publication date: 20181102 |