CN2577787Y - Self locked anatomic form hip driving steel plate and its pecial positioning guide - Google Patents

Self locked anatomic form hip driving steel plate and its pecial positioning guide Download PDF

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Publication number
CN2577787Y
CN2577787Y CN 02276391 CN02276391U CN2577787Y CN 2577787 Y CN2577787 Y CN 2577787Y CN 02276391 CN02276391 CN 02276391 CN 02276391 U CN02276391 U CN 02276391U CN 2577787 Y CN2577787 Y CN 2577787Y
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screw
steel plate
overlapping
positioning
hole
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CN 02276391
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Chinese (zh)
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熊鹰
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Abstract

The utility model discloses a self locked anatomic type hip dynamic steel plate and a positioning guide device. The lower part of the steel plate (1) is provided with a fixing hole (4), and the middle part is provided with symmetrical overlapping threaded holes (2); the axial horizontal included angle of the middle overlapping threaded holes is 6 DEG; the axial vertical included angles of the overlapping threaded holes at the upper part, the middle part and the lower part respectively are 130 DEG, 135 DEG and 140 DEG, which are consistent with a jugular trunk angle and a front rake of a neck of femur; the overlapping threaded holes are matched with dynamic (or static) compression screws; positioning guide plates (8) of the compression screws are respectively provided with overlapping holes (9) which are respectively coaxial with the overlapping threaded holes (2) in the relevant positions of the steel plate (1).

Description

Self-locking anatomical form hip power steel plate and special-purpose locating guide device thereof
One, technical field:
This utility model belongs to the medical apparatus technical field, is specifically related to a kind of self-locking anatomical form hip power steel plate and special-purpose locating guide device thereof that is used for fracture of femoral neck, femoral bone tuberosity and subtrochanteric fracture.
Two, background technology:
The people have not only brought great misery to people producing, being subjected to unexpected injury unavoidably in the middle of the life and the generation that causes fracturing, and malpractice also may stay lifelong disability, influence normal production and living, even loses self care ability.Fracture reaches reduction with good and recovers normal physiological function, is the target that the orthopedist pursues.Yet, human body bone complex-shaped, the degree that is hurt is also different, to accomplish sometimes to reset fully, not impossible by means of utensil.So medical science and technology worker has developed the multiple different parts reduction of the fracture and the fixed utensil of being suitable for, and has obtained good result of use, for thousands upon thousands fracture patients have been removed the pain of injury.But existing fracture fixation utensil also exists many deficiencies.As be used for the fixed external DHS fixation steel plate that generally adopts of Fracture of femur, be single shaft pressurization Fixed Design, axial restraint cross section relative narrower, stressed too concentrated, in case and fixing then can not correct again, adjust, not quite be fit to old people and sufferers of osteoporosis face and use.For this reason, the design people has developed a kind of self-locking anatomical form hip power steel plate and special-purpose locating guide device thereof through concentrating on studies and clinical practice for many years, has overcome the deficiencies in the prior art, and the evidence effect is good.
Three, innovation and creation content
1, the technical problem that will solve
It is a kind of simple in structure that the purpose of this utility model is to provide, manipulate easy, by the self-locking anatomical form hip power steel plate of human anatomy structural design.
Another purpose of the present utility model be to provide a kind of with install and use the special-purpose locating guide device that matches.
2, technical scheme
This utility model self-locking anatomical form hip power steel plate is achieved in that its master is considered as " class spindle " shape structure, and side-looking is " class reaping hook " shape straight under the last arc, and cross section is an arc.The middle part of going up that steel plate is the wideest is provided with the overlapping screw that 4 groups of vertical symmetry are arranged, the axial horizontal sextant angle of middle part two symmetrical overlapping screws is 6 °, the overlapping screw axis of upper, middle and lower portion to vertical angle be respectively 130 °, 135 °, 140 °, promptly consistent with the collodiaphyseal angle and the top rake of neck of femur; The top of steel plate is provided with one group and strengthens fixing threaded hole; The bottom of steel plate is provided with one group of vertical staggered fixing threaded hole.With upper and lower fixing threaded hole supporting be the ordinary fixed screw, with overlapping hole supporting be forcing screw.Forcing screw is divided into power forcing screw and static(al) forcing screw.
The special-purpose locating guide device of this utility model is achieved in that the body shape of positioning guiding plate and fixation steel plate shape adapt, its master is considered as " cross " shape, be provided with respectively on its four arm overlapping hole and respectively with steel plate on the overlapping screw of relevant position coaxial, be that axial vertical angle also is respectively 130 °, 135 °, 140 °, consistent with the collodiaphyseal angle and the top rake of neck of femur.With positioning guiding plate supporting be the positioning and guiding handle, it is a hollow-core construction, anterior thin and front end cylindrical is threaded, the thick and rear end of postmedian has annular knurl.
3, beneficial effect
The subsides because fixation steel plate employing skeleton anatomical structure of the present utility model design, its contour structures conform to the outside under femoral bone tuberosity and the tuberosity; The axial inclination in overlapping hole is consistent with the top rake of neck of femur and collodiaphyseal angle; The nail-plate locking connects and the design of head and neck multiaxis pressure structure, and special-purpose locating guide device, not only can form three-dimensional broadband fixed to the head and neck tuberosity, and it is on the pressure side fixing simultaneously with tension side, make stressed being evenly distributed, the anti-shearing force effect is strong, the nail-plate latch-up structure, effectively rotation of control head and neck and lateral displacement have also further improved the accuracy that advances nail simultaneously.
Four, description of drawings
Below in conjunction with accompanying drawing and embodiment this utility model is further described, but this utility model is not limited to shown in the accompanying drawing.
Fig. 1 is the front view of this utility model fixation steel plate;
Fig. 2 is vertical cross-sectional schematic of Fig. 1;
Fig. 3 is that the AA of Fig. 1 is to view;
Fig. 4 partly cuts open sketch map for the main body of the hollow screw of a kind of power forcing screw of this utility model;
Fig. 5 partly cuts open sketch map for the master with the supporting swivel nut of Fig. 4 looks;
Fig. 6 is the front view with Fig. 4, Fig. 5 screw, the matching used sealed screw of swivel nut;
Fig. 7 partly cuts open front view for a kind of static(al) forcing screw of this utility model;
Fig. 8 is the sketch map of this utility model steel plate, forcing screw duty;
Fig. 9 is the front view of positioning guiding plate of the special-purpose locating guide device of this utility model;
Figure 10 partly cuts open sketch map for what the right side of Fig. 9 was looked;
Figure 11 for Fig. 9 overlook partly cut open sketch map;
Figure 12 looks half sectional view for the master with the supporting positioning and guiding handle of the positioning guiding plate of Fig. 9;
Figure 13 is used view when being positioning guiding plate and anatomical plate location;
Figure 14 is the working state schematic representation of existing DHS technology steel plate.
Five, the specific embodiment
As Figure 1-3, as an embodiment, this utility model self-locking anatomical form hip power steel plate comprises anatomical plate 1 and forcing screw, and its master is considered as " class spindle " shape, and side-looking is " class reaping hook " shape straight under the last arc, and cross section is an arc.The middle part of going up that steel plate is the wideest is provided with the overlapping screw 2 that 4 groups of vertical symmetry are arranged, the axial horizontal sextant angle of middle part two symmetrical overlapping screws 2 is 6 °, the overlapping screw 2 axial vertical angles of upper, middle and lower portion are respectively 130 °, 135 °, 140 °, and are promptly consistent with the collodiaphyseal angle and the top rake of neck of femur; The top of steel plate 1 is provided with one group and strengthens fixing hole 3; The bottom of steel plate is provided with one group of vertical staggered fixing hole 4.With overlapping screw 2 supporting be forcing screw, with upper and lower fixing hole 3,4 supporting be the ordinary fixed screw.
One group of fixing hole (4) that the bottom of steel plate (1) is provided with is the 4-8 hole, and is staggered.
Shown in Fig. 4-7, forcing screw is divided into two kinds of versions, i.e. I type and II type.The former is a dynamic pressing, and the latter is the static(al) pressing type.
Power pressurization (I) type screw includes hollow screw 5, screw cover 6 and sealed screw 7 three parts and forms.Hollow screw 5 (diameter 4.5-5mm) front end is provided with cancellous threads, and afterbody is provided with in-line spanner bayonet socket, and its afterbody endoporus (diameter is 2.5-3mm) is provided with screw thread and sealed screw 7 (being about 20mm) movingly.The external diameter that screw overlaps 6 internal diameters and hollow screw 5 is slidingly matched, and 2/3 section external screw thread and the overlapping screw of steel plate are screwed into behind the overlapping screw of steel plate to lock with steel plate formation and are connected movingly behind screw cover 6 (the about 7mm of diameter, long 20-30mm) cylindrical.The tail end of screw cover 6 expands, and is provided with the inner hexagon spanner bayonet socket.
Static(al) pressurization (II) type is the thick hollow-core construction screw in the thin rear portion of middle front part, and its front end is provided with cancellous threads, and the rear end is provided with regular screw threads.Concrete structure size and dynamic pressing corresponding site size are basic identical, and just tail diameter increases about 1mm.
Fig. 8 has illustrated anatomical form hip power steel plate 1 and forcing screw cooperating state.Forcing screw can be distinguished working power forcing screw or static(al) forcing screw 12, also can unite use as the case may be.
Shown in Fig. 9-12, the body shape of the positioning guiding plate 8 of special-purpose locating guide device and fixation steel plate 1 shape adapt.Positioning guiding plate 8 (thickness is generally about 30mm) is main to be considered as " ten " font, and cross section is curved, and the convex shape of its concave surface and anatomical plate adapts, and can closely paste mutually; Overlapping hole 9 is set on it, and respectively with steel plate on the overlapping screw 2 of relevant position coaxial, promptly axial vertical angle is respectively 130 °, 135 °, 140 °, and is consistent with the collodiaphyseal angle and the top rake of neck of femur.
Overlapping hole 9 is the reducing hole, and diameter of bore and positioning and guiding handle 10 front portions adapt; Outer bore dia and positioning and guiding handle 10 rear portions adapt.Overlapping hole, top 9 upwards, overlapping hole 9, bottom is respectively equipped with (about 3mm) through slot 13 downwards, is convenient to remove positioning guiding plate and the influence that is not subjected to Kirschner wire 11.
What cooperate with positioning guiding plate 8 is positioning and guiding handle 10, and it is a hollow-core construction, and front portion thin (being about 7mm) and front end cylindrical have (about 5mm) screw thread, postmedian slightly and the rear end have annular knurl.
Figure 13 has illustrated the work user mode that positioning guiding plate matches with anatomical plate.
Figure 14 has illustrated prior art (DHS) steel plate duty, can clearly be seen that itself and this utility model anatomical plate structurally with effect on difference, obviously, fixed effect of the present utility model is better than prior art.
Operation principle of the present utility model:
Fixation steel plate of the present utility model adopts the anatomical structure design, and the identical symbol that its shape and femoral bone tuberosity and the outside, tuberosity bottom can be good pastes, and after steel plate was fixed on lateral side of femur, steel plate and femur constituted the integral body with same anatomical relation.4 groups of overlapping screws at steel plate middle part are divided into the three groups of vertical angles in upper, middle and lower, middle two groups horizontal sextant angle is consistent with the collodiaphyseal angle and the top rake of neck of femur.4 groups of fixing backs of overlapping screw drift bolt form centration 3-D triangle or diamond structure, this anatomical structure with femoral bone tuberosity, head and neck is consistent, uniting of its upper, middle and lower nail constitutes tension side and on the pressure side fixing, make that fracture site is stressed to be evenly distributed, help reduction, correct angulation deformity.4 pieces of screws increase at the warp of neck of femur pulp cavity internal fixation, can control the rotation and the lateral displacement of head and neck effectively.Internal fixation is fixing as a whole with femur head and neck, tuberosity and femoral shaft, unites the shearing force of antagonism from head.The positioning guiding plate Kirschner wire that can guarantee to lead enters the accuracy of head and neck.I type screw has pressurization and the dynamic function of pressurizeing of postoperative (body weight) in the art, moving axially of screw helps union of fracture, reduces shearing force, avoids stress concentration and internal fixation to fracture, II type screw has the function of exerting pressure automatically in the art, and postoperative is that static fixation can prevent that fracture from shortening.Two kinds of nail types can be united utilization, grasp flexibly in the art.
Steel plate superstructure and upper hole alternative carry out that tuberosity top is fixed and the outside slippage of tuberosity when preventing comminuted fracture, so this utility model is suitable for anti-intertrochanteric fracture and comminuted tuberosity fixation of fractures.The steel plate lower screw is tuberosity fixedly, and when treatment femoral neck bone fracture, it is fixing to have solved simple many nails, the outside or the insufficient problem of tuberosity bottom constant intensity.
Installment work process of the present utility model:
1, places this utility model fixation steel plate after a while at the femur upper segment and the tuberosity outside, steel plate concave surface and lateral side of femur face utilize steel plate spoon shape ledge and tuberosity and tuberosity lower recess position to fit, after determining the anatomy relationship unanimity, each fixes one piece of screw at steel plate upper hole and bottom hole respectively, steel plate is fixed on the femur, and this moment, steel plate formed consistent anatomy relationship with femur.
2, positioning guiding plate is placed on the steel plate outside, its overlapping hole is corresponding with the overlapping screw on the steel plate, the overlapping hole of passing positioning guiding plate with the positioning and guiding handle is screwed in the overlapping screw of steel plate, positioning guiding plate is fixed on the steel plate, the all angles of positioning and guiding handle are determined, and the endoporus extended line of its four pieces of positioning and guiding handles constitutes and inclination angle, femoral head throat and the corresponding to anatomy relationship of collodiaphyseal angle.
3, under the perspective monitoring, the reduction of the fracture penetrates positioning and guiding handle endoporus respectively and pierces in the femur head and neck with 4 Kirschner wire 11, and perspective is determined the Kirschner wire position and the degree of depth again, if the position is good guide tang is not moved to the position in another overlapping hole, guarantee the Kirschner wire location-appropriate.
4, back out the positioning and guiding handle, remove positioning guiding plate, placed 4 pieces of positioning and guiding Kirschner wires in the overlapping screw of steel plate this moment.
5, hole along the guiding Kirschner wire with hollow boring bit, and measure the depth of needle of Kirschner wire, the thread tapper tapping of boring back.Bore a hole and can fix a hole, fixing earlier middle nail, the fixing upper and lower nail in back.
6, the head and neck hollow nail is fixed: the hollow screw of the overlapping screw of group in generally inserting earlier adds and inserts two pieces of hollow screws up and down after the press fit again.During with I type screw, be screwed into hollow screw along Kirschner wire, the nail tail is concordant with the outer hole of cortical bone, is screwed into swivel nut along hollow screw again, and it is tightened fully, pulls out Kirschner wire, is screwed into sealed screw in the uropore of hollow screw, to obtain pressurization.During with II type screw, directly be screwed into along Kirschner wire, the screw thread at its rear portion is screwed in the steel plate fully, pulls out Kirschner wire.Owing to the pitch difference at II type screw two ends, has the effect of automatic pressurization when advancing to follow closely.Available inadequately (special) clamp block the nail tail and expand the position if pressurize, and enter in the steel plate to stop nail tail rear thread, continue to revolve nail and pressurize, and take off clamp after pressurization is satisfied, will follow closely the tail rear thread again and be screwed into fully in the overlapping screw of steel plate.
7, fix remaining upper and lower part screw.
8, if need fixing little tuberosity, can fix with loose matter bone screw by the last hole of bottom hole.
Characteristics of the present utility model:
1, structure design characteristic:
Press the design of skeletal anatomy characteristics. The outside subsides that conform under contour structures and femoral bone tuberosity and the tuberosity; The overlapping screw of steel plate, the overlapping hole of positioning guiding plate are coaxial, and the vertical angle of each corresponding aperture all and neck of femur Top rake, collodiaphyseal angle are consistent; Fixing of 4 groups of suitable different bones of overlapping screw; Supporting auxiliary location Guide plate can improve the accuracy that neck advances nail effectively; Nail-plate self-locking connection and the pressurization of neck multiaxis Structure. Steel plate length can be made different size, and indication is extensive.
2, biomechanics characteristic:
The fracture site multi-axial-position is exerted pressure respectively, is conducive to the reduction of the fracture, particularly angulation displacement; Possess Pressurization, postoperative are dynamically fixing or static(al) is fixed or both unite fixing in the art; Many nail formation necks are thick Grand three-dimensional broadband is fixed, and distribution of force is even, and is on the pressure side simultaneously fixing with tension side, anti-shearing masterpiece With by force; The nail-plate latch-up structure is controlled neck rotation and lateral displacement effectively.
3, application characteristics:
Put earlier the rearmounted nail of steel plate, changed traditional permanent order, be conducive to steel plate and consist of consistent with femur Anatomy relationship, guarantee the accuracy of neck inserting needle. Be particularly suitable for comminuted tuberosity fracture and dissection The reduction of the fracture in the situation of ambiguity is with fixing; Locating guide device is easy and simple to handle, makes into nail more Accurately; Many ailhead necks are fixed, and it is big to adjust leeway in the art, the corresponding minimizing of operation error.

Claims (10)

1, a kind of self-locking anatomical form hip power steel plate comprises anatomical plate (1) and forcing screw, it is characterized in that: steel plate (1) is main to be considered as " class spindle " shape structure, and side-looking is " class reaping hook " shape straight under the last arc, and cross section is an arc; The middle part of going up that steel plate (1) is the wideest is provided with the overlapping screw (2) that 4 groups of vertical symmetry are arranged, the axial horizontal sextant angle of middle part two symmetrical overlapping screws (2) is 6 °, the axial vertical angle of the overlapping screw of upper, middle and lower portion (2) is respectively 130 °, 135 °, 140 °, and is promptly consistent with the collodiaphyseal angle and the top rake of neck of femur; Steel plate (1) bottom is provided with one group of fixing hole (4); Overlapping screw (2) matches with forcing screw.
2, self-locking anatomical form hip power steel plate as claimed in claim 1, it is characterized in that: described forcing screw is the power forcing screw, comprise hollow screw (5), screw cover (6) and sealed screw (7) three parts, hollow screw (5) front end has cancellous threads, afterbody has in-line spanner bayonet socket, and its afterbody female thread and sealed screw (7) are movingly; Screw cover (6) internal diameter and hollow screw (5) external diameter are slidingly matched, behind its cylindrical 2/3 section be external screw thread and the overlapping screw of steel plate (2) movingly, the tail end of screw cover (6) expand and be provided with in the hexagonal bayonet socket.
3, self-locking anatomical form hip power steel plate as claimed in claim 1, it is characterized in that: described forcing screw is static(al) forcing screw (12), is the thick hollow-core construction screw in the thin rear portion of middle front part, and its front end is provided with cancellous threads, the rear end is provided with regular screw threads.
4, as claim 1 or 2 or 3 described self-locking anatomical form hip power steel plates, it is characterized in that: the top of steel plate (1) is provided with one group and strengthens fixing hole (3).
5, self-locking anatomical form hip power steel plate as claimed in claim 1 is characterized in that: one group of fixing hole (4) that steel plate (1) bottom is provided with is the 4-8 hole, and is staggered.
6, a kind of locating guide device that is exclusively used in the installation of self-locking anatomical form hip power steel plate, comprise positioning guiding plate (8) and positioning and guiding handle (10), it is characterized in that: the shape of the body shape of positioning guiding plate (8) and steel plate (1) adapts, cross section is curved, the convex shape of its concave surface and anatomical plate adapts, overlapping hole (9) is set on it, and coaxial with the overlapping screw (2) of the last relevant position of steel plate (1) respectively; The overlapping screw that overlapping hole on the positioning guiding plate (8) and steel plate (1) are passed in the front portion of positioning and guiding handle (10) movingly.
7, special-purpose locating guide device as claimed in claim 6 is characterized in that: the vertical angle of overlapping hole (9) is respectively 130 °, 135 °, 140 °, and is consistent with the collodiaphyseal angle and the top rake of neck of femur.
8, special-purpose locating guide device as claimed in claim 6 is characterized in that: overlapping hole, positioning guiding plate (8) top (9) makes progress, and overlapping hole, bottom (9) is respectively equipped with through slot (13) downwards.
9, special-purpose locating guide device as claimed in claim 6 is characterized in that: positioning and guiding handle (10) is a hollow-core construction, the anterior screw thread that has than thin and front end cylindrical, and postmedian has annular knurl than thick and rear end.
10, as claim 6 or 7 or 8 or 9 described special-purpose locating guide devices, it is characterized in that: overlapping hole (9) are the reducing hole, and diameter of bore and positioning and guiding handle (10) front portion adapt; Outer bore dia and positioning and guiding handle (10) rear portion adapt.
CN 02276391 2002-09-04 2002-09-04 Self locked anatomic form hip driving steel plate and its pecial positioning guide Expired - Fee Related CN2577787Y (en)

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CN 02276391 CN2577787Y (en) 2002-09-04 2002-09-04 Self locked anatomic form hip driving steel plate and its pecial positioning guide

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Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101953712A (en) * 2010-10-21 2011-01-26 李明 Semi-self-locking acetabulum posterior wall and posterior column anatomical plate
CN101972162A (en) * 2010-10-21 2011-02-16 李明 Self-locking acetabular posterior-wall posterior-column anatomical steel plate
CN102018560A (en) * 2010-12-17 2011-04-20 任绍东 Digitization bone fracture plate and manufacturing method thereof
CN102551866A (en) * 2012-01-06 2012-07-11 张建林 Trapezoid locking steel plate with radian for treating femoral neck fracture
CN106137374A (en) * 2015-04-30 2016-11-23 山东威高骨科材料股份有限公司 Anterior cervical vertebrae internal fixation guider
CN106175905A (en) * 2016-08-10 2016-12-07 唐佩福 A kind of dissection for Complex Acetabular locks and guides steel plate
CN108836464A (en) * 2018-07-20 2018-11-20 云南欧铂斯医疗科技有限公司 A kind of full locking hip fixed Combination device of anti-cutting of anatomical form guiding
TWI658809B (en) * 2014-06-30 2019-05-11 美商德派信迪思產品公司 Locking first metacarpal plate

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101953712A (en) * 2010-10-21 2011-01-26 李明 Semi-self-locking acetabulum posterior wall and posterior column anatomical plate
CN101972162A (en) * 2010-10-21 2011-02-16 李明 Self-locking acetabular posterior-wall posterior-column anatomical steel plate
CN101953712B (en) * 2010-10-21 2013-01-30 李明 Semi-self-locking acetabulum posterior wall and posterior column anatomical plate
CN102018560A (en) * 2010-12-17 2011-04-20 任绍东 Digitization bone fracture plate and manufacturing method thereof
CN102018560B (en) * 2010-12-17 2013-06-12 任绍东 Digitization bone fracture plate and manufacturing method thereof
CN102551866A (en) * 2012-01-06 2012-07-11 张建林 Trapezoid locking steel plate with radian for treating femoral neck fracture
CN102551866B (en) * 2012-01-06 2013-11-27 张建林 Trapezoid locking steel plate with radifor treating femoral neck fracture
TWI658809B (en) * 2014-06-30 2019-05-11 美商德派信迪思產品公司 Locking first metacarpal plate
CN106137374A (en) * 2015-04-30 2016-11-23 山东威高骨科材料股份有限公司 Anterior cervical vertebrae internal fixation guider
CN106175905A (en) * 2016-08-10 2016-12-07 唐佩福 A kind of dissection for Complex Acetabular locks and guides steel plate
CN106175905B (en) * 2016-08-10 2019-02-15 唐佩福 A kind of dissection locking guiding steel plate for Complex Acetabular
CN108836464A (en) * 2018-07-20 2018-11-20 云南欧铂斯医疗科技有限公司 A kind of full locking hip fixed Combination device of anti-cutting of anatomical form guiding

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GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20031008

Termination date: 20110904